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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2025-01-2712-19-2024 12/26/24 CORODATA 1/27/2025 1/29/2025 DocuSign Envelope ID: DB60984B-C7CB-42AE-92A7-8947EF1C556B RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 8/9/2023 REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: KIM STANKAVICH DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is known to exist. DEPARTMENT HEAD: DATE RECORDS MANAGEMENT: DATE CITY ATTORNEY: DATE 8/9/2023 BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) 4,5,6, 10 Full time personnel files 2018 HR-085 SE+6 See attached *If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: DATE: CERTIFICATE OF DESTRUCTION? -g~-YE-S---□--N-0 __ _ ------ SMEADSOFT BARCODES DELETED BY: --~---·~Ch1~~------DATE: ------ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. (City of Carlsbad Revised: 8/9/2023 Employee ID Employee Name Term Date 4513 Amano, Nancy 04/07/2018 11236 Bagnasco, Anthony 03/16/2018 6521 Berg, Sheldon 01/16/2018 6812 Black, Arthur 07/16/2018 2343 Boyd, Christopher 02/02/2018 6771 Chambers, Wendy 08/11/2018 2569 Clark, William 12/31/2018 2520 Clavier, Grant 12/28/2018 11180 Cornish, Benjamin 04/17/2018 4495 Crawford, Kevin 08/01/2018 5730 Derego, John 04/06/2018 2688 Davis, Michael 07/10/2018 11226 Donnelly, Aeryn 10/12/2018 1952 Dumont, Randall 12/31/2018 11346 Edwards, Jeffry 04/06/2018 11149 Espinoza, Jessica 05/04/2018 6330 Everson, Jay 03/02/2018 5160 Fanene, Patrick 08/02/2018 10617 Fisher, Scott 08/04/2018 10835 Flager, Annie 10/05/2018 11145 Fretwell, Joshua 01/03/2018 10089 Frey, Michele 05/22/2018 11222 Fuentes, Ricardo 08/03/2018 2987 Galanos Jr., Richard 02/02/2018 11531 Gale, Celeste 11/25/2018 10289 Gant, Jeanette 03/03/2018 11445 Garcia, Giovanni 11/28/2018 2566 Gates, Craig 12/31/2018 10789 Gearhart, Ian 06/09/2018 10929 Goyarts, Patrick 03/26/2018 11364 Henika, Sandra 01/25/2018 3502 Houser, Susan 07/03/2018 10370 Jabri, Christian 10/26/2018 5526 Kidd, Michael 09/23/2018 4622 Lambert, Micah 11/01/2018 11110 Lankhorst, Jacquelyn 09/14/2018 10885 Leahy, Lindsay 10/18/2018 6694 Letourneau, Mike 07/12/2018 3483 Lucente, Yvonne 05/02/2018 11148 Lundstedt, Marisa 01/18/2018 4255 Martell, Gary 12/28/2018 2768 Maszk, Gannon 05/02/2018 2448 Maynor, Karen 05/11/2018 6749 McBride, Charles 07/14/2018 11399 McMullin III, John 05/04/2018 11107 Mellon, Claudia 09/01/2018 4917 Mortensen, Rodney 12/02/2018 11447 Newman, Aaron 03/15/2018 10341 Nisan, Farah 03/24/2018 10715 Olson, Mark 08/18/2018 2574 Pachek, Jeffrey 12/30/2018 5203 Packard, Mark 12/12/2018 4003 Pfankuch, Laurie 02/02/2018 3844 Prior, Eric 04/19/2018 5400 Risley, Vernon 05/19/2018 11195 Robles, Jovan 01/04/2018 2964 Roy, Elyse 03/29/2018 6633 Salazar, Felix 06/08/2018 10616 Saripalli, Shamala 03/17/2018 6630 Schumacher, Michael 12/12/2018 11654 Seals, Jennifer 12/04/2018 11093 Stauffer, Michael 01/24/2018 10610 Stiehl, Carl 01/04/2018 10813 Stephenson, Lindsey 09/18/2018 11216 Stowe, Daniel 01/04/2018 10869 Stroud, Heather 09/22/2018 3877 Sullivan, Nancy 12/29/2018 5115 Torres, Jose 05/12/2018 11468 Valdez, Vladimir 08/17/2018 2072 Versteeg, Heidi 01/04/2018 4657 Vrabel, Fred 06/02/2018 4618 Wallace, Greg 09/08/2018 11428 Workman, Carisa 05/12/2018 10924 Yavruyan, Ara 02/13/2018 4831 Zavala-Lehan, Kelli 03/02/2018 RECORDS DESTRUCTION REPORT Maria Emery DATE: 12/12/2024 TOTAL RECORD COUNT: 83 COMMENTS: 2018 FULL-TIME PERSONNEL FILES ENTRY ID REVIEW DATE Template NAME 4351795 2024/12/12 Physical Folder BERG, SHELDON; ; 4351793 2024/12/12 Physical Folder BERG, SHELDON; ; (2) 4354423 2024/12/12 Physical Folder BOYD, CHRISTOPHER M; ; 4354195 2024/12/12 Physical Folder BOYD, CHRISTOPHER M; ; (2) 4354205 2024/12/12 Physical Folder CLARK, WILLIAM E; ; 4354379 2024/12/12 Physical Folder CLARK, WILLIAM E; ; (2) 4354190 2024/12/12 Physical Folder CLAVIER, GRANT A; ; 4354377 2024/12/12 Physical Folder CLAVIER, GRANT A; ; (2) 4354257 2024/12/12 Physical Folder CRAWFORD, KEVIN C; ; 4354174 2024/12/12 Physical Folder DAVIS, MICHAEL R; ; 4354352 2024/12/12 Physical Folder DAVIS, MICHAEL R; ; (2) 4353323 2024/12/12 Physical Folder DeREGO, JOHN; ; 4353320 2024/12/12 Physical Folder DeREGO, JOHN; ; (2) 4353937 2024/12/12 Physical Folder DUMONT, RANDALL E; ; 4354332 2024/12/12 Physical Folder DUMONT, RANDALL E; ; (2) 4352249 2024/12/12 Physical Folder EVERSON, JAY; ; 4352247 2024/12/12 Physical Folder EVERSON, JAY; ; (2) 4390926 2024/12/12 Physical Folder EVERSON, JAY; DOT; 552-79-0653 4353886 2024/12/12 Physical Folder FANENE, PATRICK W; ; 4354313 2024/12/12 Physical Folder FANENE, PATRICK W; ; (2) 4349950 2024/12/12 Physical Folder FISHER, SCOTT; ; 4349948 2024/12/12 Physical Folder FISHER, SCOTT; ; (2) 4350995 2024/12/12 Physical Folder FREY, MICHELE; ; 4353609 2024/12/12 Physical Folder GALANOS JR., RICHARD J; ; 4350513 2024/12/12 Physical Folder GANT, JEANETTE; ; 4350511 2024/12/12 Physical Folder GANT, JEANETTE; ; (2) 4353567 2024/12/12 Physical Folder GATES, CRAIG S; ; 4354277 2024/12/12 Physical Folder GATES, CRAIG S; ; (2) 4349788 2024/12/12 Physical Folder GEARHART, IAN; ; 4349677 2024/12/12 Physical Folder GEARHART, IAN; ; (2) 4348533 2024/12/12 Physical Folder HOUSER, SUSAN C; ; 0 d Ca li fornia 4354225 2024/12/12 Physical Folder HOUSER, SUSAN C; ; (2) 4350467 2024/12/12 Physical Folder JABRI, CHRISTIAN; ; 4353681 2024/12/12 Physical Folder KIDD, Michael; ; 4353674 2024/12/12 Physical Folder KIDD, MICHAEL; ; (2) 4351390 2024/12/12 Physical Folder KRAUS, WENDY; ; 4352057 2024/12/12 Physical Folder LAMBERT, MICAH T; ; 4354177 2024/12/12 Physical Folder LAMBERT, MICAH T; ; (2) 4349358 2024/12/12 Physical Folder LEAHY, LINDSAY; ; 4349356 2024/12/12 Physical Folder LEAHY, LINDSAY; ; (2) 4351530 2024/12/12 Physical Folder MARTELL, GARY F; ; 4351434 2024/12/12 Physical Folder MASZK, GANNON H; ; 4354143 2024/12/12 Physical Folder MASZK, GANNON H; ; (2) 4351334 2024/12/12 Physical Folder MAYNOR, KAREN V; ; 4354135 2024/12/12 Physical Folder MAYNOR, KAREN V; ; (2) 4352149 2024/12/12 Physical Folder MERITT, LAURIE; ; 4350841 2024/12/12 Physical Folder MORTENSEN, RODNEY C; ; 4350546 2024/12/12 Physical Folder NISAN, FARAH; ; 4350544 2024/12/12 Physical Folder NISAN, FARAH; ; (2) 4349809 2024/12/12 Physical Folder OLSON, MARK; ; 4349807 2024/12/12 Physical Folder OLSON, MARK; ; (2) 4350411 2024/12/12 Physical Folder PACHEK, JEFFREY E; ; 4354063 2024/12/12 Physical Folder PACHEK, JEFFREY E; ; (2) 4348742 2024/12/12 Physical Folder PACKARD, MARK; ; 4349795 2024/12/12 Physical Folder PRIOR, ERIC J; ; 4354022 2024/12/12 Physical Folder PRIOR, ERIC J; ; (2) 4354029 2024/12/12 Physical Folder RISLEY, VERNON G; ; 4353231 2024/12/12 Physical Folder RISLEY, VERNON; ; 4353524 2024/12/12 Physical Folder ROY, ELYSE P.; ; 4353521 2024/12/12 Physical Folder ROY, ELYSE P.; ; (2) 4351672 2024/12/12 Physical Folder SALAZAR, FELIX; ; 4351670 2024/12/12 Physical Folder SALAZAR, FELIX; ; (2) 4349976 2024/12/12 Physical Folder SARIPALLI, SHAMALA; ; 4349974 2024/12/12 Physical Folder SARIPALLI, SHAMALA; ; (2) 4350378 2024/12/12 Physical Folder SCHUMACHER, MICHAEL; ; 4350376 2024/12/12 Physical Folder SCHUMACHER, MICHAEL; ; (2) 4352230 2024/12/12 Physical Folder STEINKAMP, SUSAN A.; ; 4350071 2024/12/12 Physical Folder STEINKAMP, SUSAN; ; 4349781 2024/12/12 Physical Folder STEPHENSON, LINDSEY; ; 4349777 2024/12/12 Physical Folder STEPHENSON, LINDSEY; ; (2) 4349960 2024/12/12 Physical Folder STIEHL, CARL; ; 4349958 2024/12/12 Physical Folder STIEHL, CARL; ; (2) 4349428 2024/12/12 Physical Folder STROUD, HEATHER; ; 4348680 2024/12/12 Physical Folder SULLIVAN, NANCY K; ; 4353906 2024/12/12 Physical Folder SULLIVAN, NANCY K; ; (2) 4354488 2024/12/12 Physical Folder TORRES, JOSE R; ; 4354124 2024/12/12 Physical Folder TORRES, JOSE R; ; (2) 4354512 2024/12/12 Physical Folder TORRES, JOSE; ; DOT; 4354462 2024/12/12 Physical Folder VRABEL, FRED; ; 4354459 2024/12/12 Physical Folder WALLACE, GREG B; ; 4354104 2024/12/12 Physical Folder WALLACE, GREG B; ; (2) 4354632 2024/12/12 Physical Folder ZAVALA, KELLI L; ; 4354069 2024/12/12 Physical Folder ZAVALA, KELLI L; ; (2) CERTIFICATE OF DESTRUCTION & RECYCLING This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not inventory, record or track any information contained within or related to the Material. Account #(s)SD012455 Certificate #104891 Date Issued Tuesday, January 28, 2025 Service Locations 5815 EL CAMINO REAL Date Range of Service Jan-27-2025 thru Jan-27-2025 Work Ticket(s)1441119 Quantity/Item 106 -106 Boxes for Destruction (standard) * Nothing in this certificate shall be deemed to modify the terms of the parties’ Service Agreement(s) or Work Ticket(s). E•Jcorodata -tl HIPA'A GIJIJlll!affl