HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Construction Management & Inspection; 2025-02-2013-13-2025 4/30/25
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 2/11/2025 ------------
REQUESTING DEPARTMENT: CM&I REQUESTER: KARI KOZLOWSKI ------------
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.
~~--o2e5/£S ":~~~~ DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE
(if applicable)
Capital Improvement Projects (CIP) &
Land Completion
Development Projects (LOE) -where PW-000 + 10 years or
Construction Management & After Funding
CM&IS Inspection is 2014 PW-005 Agency Audit, if N/A
the Lead PW-010 required,
PWM 13-0GUTIL, SUP 12-01, SOP 06-whichever is
12A, MS 10-04, CT 02-28, MS 08-04, longer
PD 14-02 CDP 08-13, CT 05-05
*If more spaces are needed, click in the Jost box in right hand corner of table and hit "tab". This will create more fields in the table.
(city of
Carlsbad
This farm documents the destruction of City records In accordance with the City of Corlsbod Records Management Program.
Revised: 2021
Page /1
Corodata 8/18/2025
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To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: __________ _
CERTIFICATE OF DESTRUCTION? isZf' YES 0 NO
DATE: _____ _
TAB BARCODES DELETED BY: DATE:
This form documents the destruction of City records in occordonce with the City of Carlsbad Records Management Program.
City of
Carlsbad Revised: 2021
Pa ge /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 #105260
Date Issued Thursday, August 21, 2025
Service Locations 5815 EL CAMINO REAL
Date Range of Service Aug-18-2025 thru Aug-18-2025
Work Ticket(s)1539874
Quantity/Item 55 -58 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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