HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2025-01-27This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 1
DATE: 7/10/2024
REQUESTING DEPARTMENT: PARKS & RECREATION REQUESTER: KEVIN GOHRES
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.
DEPT. HEAD/DIVISION MANAGER DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
*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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE
(if applicable)
1 box
Facility Use Rental Contracts / Field Use Contracts / Facility Use Requests 2002-2020 P&R-
065 2 years N/A
Registration / Applications / Liability Forms / Release of Liability Forms 2020-2021 P&R-
120 2 years “
Emergency Operations Plan 2003 FR-080
Superseded and Approved
- Minimum 2years
“
Cashier's Receipts 2009-2011 P&R-
050
Copies - When No Longer Required
"
RECORDS DESTRUCTION AUTHORIZATION FORM
July 10, 2024 07-10-2024 7/16/2024
City of
Carlsbad
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ___________________________ DATE: ______________
CERTIFICATE OF DESTRUCTION? YES NO
TAB BARCODES DELETED BY: _____ _______________________________ DATE: ______________
CORODATA 1/27/2025
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C cityof
Carlsbad
□
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).
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