HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2026-01-26This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 12/18/2025
P a g e | 1
DATE: 12-18-2025
REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: AL LOPEZ
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
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
RKM109
LOSS RECOVERY-ABI-SAMRA,
BASSAM-STREET SIGN DAMAGE-
03/13/20 | PFLD-20-209
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-BLACK, JENNIFER-
STREET SIGN DAMAGE-10/16/19 |
PFLD-20-45
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-BOB BAKER AUTO
GROUP-FIRE HYDRANT DAMAGE-
11/21/19 | PFLD-19-1119
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-COLICH & SONS LP-
TRENCH LINE COLLAPSE-03/11/20 |
PFLD-20-176
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-DAUGHERTY, SHAWN
CAMERON-LANDSCAPE DAMAGE-
06/27/18 | PFLD-18-540
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-DRAVES PIPELINE,
INC.-WATER MAIN DAMAGE-01/25/19
| PFLD-19-218
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-ESPOSITO, ALISA
GABRIELLE-FIRE HYDRANT DAMAGE-
07/27/20 | PFLD-20-484
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-ESTRADA RICKY J.-
REMOTE MONITORED BIKE-01/26/17
| PFLD-17-372
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-FARTHING, JAMES
WILLIAM-STREET SIGN DAMAGE-
08/04/20 | PFLD-20-587
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RECORDS DESTRUCTION AUTHORIZATION FORM
Docusign Envelope ID: 670C0C01-266B-4FDD-BB3F-37886C95A4D8
12/18/2025 12-22-2025 12/29/26
«,'» C, " 0 ' ~ CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 12/18/2025
P a g e | 2
RKM109
LOSS RECOVERY-FELDER, BARBARA-
FIRE HYDRANT DAMAGE-09/12/20 |
PFLD-20-642
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-F. (JUVENILE),
STERLING-LIBRARY BOOK DAMAGE-
07/28/19 | PFLD-20-145
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-FITZGIBBONS,
STEVENSON-FIRE HYDRANT DAMAGE-
12/14/19 | PFLD-20-3
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-HAMPTON INN (MG
HOSPITALITY CARLSBAD)-FIRE
HYDRANT DAMAGE-08/11/20 | PFLD-
20-628
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-HENKELS AND
MCCOY-WATER LINE DAMAGE-
09/17/19 | PFLD-19-1175
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-HENKELS AND
MCCOY-VEHICLE DAMAGE-10/14/19 |
PFLD-19-704
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-HERLEVIC, DAMIAN-
FIRE HYDRANT DAMAGE-08/11/19 |
PFLD-19-689
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-HOWARD,
ALIXANDRA LYNN-STREET SIGN
DAMAGE-11/20/19 | PFLD-19-1118
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-KEFOVER, DIANA-
FIRE HYDRANT DAMAGE-02/07/20 |
PFLD-20-206
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-KRISTJANSON, LEANN
& DANIEL-AIR RELEASE DAMAGE-
09/21/20 | PFLD-20-665
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-LEWIS JR., CHARLES
DE MAY-FIRE HYDRANT DAMGE-
05/01/20 | PFLD-20-413
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-MATHUR, VISHAL-
VEHICLE DAMAGE-01/16/20 | PFLD-
20-109
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-MAYER, BARBARA J.-
TRAFFIC SIGNAL DAMAGE-04/21/19 |
PFLD-19-381
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109 LOSS RECOVERY-MCEVOY, KIM-
VANDALISM-05/04/20 | PFLD-20-336
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-MCGINTY, JEREMY
OR SUNSHINE-TRAFFIC SIGNAL AND
CABINET DAMAGE-05/06/19 | PFLD-
19-539
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-MEDEROS,
RIGOBERTO HUERTA-FIRE HYDRANT
DAMAGE-12/23/19 | PFLD-20-22
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
Docusign Envelope ID: 670C0C01-266B-4FDD-BB3F-37886C95A4D8
«,'» C, " 0 ' ~ CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 12/18/2025
P a g e | 3
RKM109
LOSS RECOVERY-MILLER, JUDITH-
VEHICLE DAMAGE-11/14/19 | PFLD-
20-667
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-MURCH, FRANKLIN
BAKER-VEHICLE DAMAGE-12/13/19 |
PFLD-20-72
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-PAANE, HILARY-
STREET SIGN DAMAGE-11/06/20 |
PFLD-20-666
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-PATEL, HEENESH-FIRE
HYDRANT DAMAGE-03/13/20 | PFLD-
20-207
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-PERALTA, GREGG-
STREETLIGHT POLE DAMAGE-
11/19/19 | PFLD-20-586
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-PHIL RADO, INC.-
POLICE VEHICLE DAMAGE-05/16/19 |
PFLD-19-560
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-PRESSEY, LYNN-FIRE
HYDRANT DAMAGE-12/21/19 | PFLD-
20-21
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-PRETZER, THOMAS
E.-FIRE VEHICLE DAMAGE-03/21/19
| PFLD-19-388
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-RAZOR'S EDGE
GRADING-FIRE HYDRANT DAMAGE-
01/09/20 | PFLD-20-112
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-ROBERTSON'S-
CEMENT SPILL-05/04/20 | PFLD-20-
434
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-ROOFLINE, INC.-
TRAFFIC SIGNAL MAST ARM DAMAGE-
01/24/19 | PFLD-19-235
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-SCHAECHER,
MELANIE-POLICE VEHICLE DAMAGE-
10/04/19 | PFLD-19-691
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-SLINGERLAND,
DYLAN-LANDSCAPE AND IRRIGATION
DAMAGE-11/28/19 | PFLD-20-23
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-TERVO, MARIA
ELISABETH-VEHICLE DAMAGE-
02/11/20 | PFLD-20-151
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
RKM109
LOSS RECOVERY-THABET, ABRAHAM
J.-FIRE HYDRANT DAMAGE-06/05/20 |
PFLD-20-414
Closed
2020 HR-130
Final
Resolution
+ 5 years
RKM109
Docusign Envelope ID: 670C0C01-266B-4FDD-BB3F-37886C95A4D8
«,'» C, " 0 ' ~ CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 12/18/2025
P a g e | 4
*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? YES NO
TAB BARCODES DELETED BY: _____ ________________________ DATE: ______________
Docusign Envelope ID: 670C0C01-266B-4FDD-BB3F-37886C95A4D8
Corodata 1/26/2026
1/26/2026
~CARLSBAD
RECORDS DESTRUCTION REPORT
Maria Emery
DATE: 12/22/2025
TOTAL RECORD COUNT: 40
COMMENTS: Risk Management Annual Records Destruction
ENTRY ID REVIEW DATE Template NAME
4393564 2025/12/22 Physical Folder LOSS RECOVERY-ABI-SAMRA, BASSAM; 03/13/2020;
TRANSPORTATION/STREETS
4393329 2025/12/22 Physical Folder LOSS RECOVERY-BLACK, JENNIFER; 10/16/2019;
TRANSPORTATION/STREETS
4393238 2025/12/22 Physical Folder LOSS RECOVERY-BOB BAKER AUTO GROUP;
11/21/2019; UTILITIES
4393499 2025/12/22 Physical Folder LOSS RECOVERY-COLICH & SONS, LP; 03/11/2020;
UTILITIES
4392068 2025/12/22 Physical Folder LOSS RECOVERY-DAUGHERTY, SHAWN CAMERON;
06/27/2018; PARKS/MEDIANS
4392295 2025/12/22 Physical Folder LOSS RECOVERY-DRAVES PIPELINE, INC.; 01/25/2019;
UTILITIES
4393859 2025/12/22 Physical Folder LOSS RECOVERY-ESPOSITO, ALISA GABRIELLE;
07/27/2020; UTILITIES
4390704 2025/12/22 Physical Folder LOSS RECOVERY-ESTRADA, RICKY J.; 01/26/2017;
POLICE
5205650 2025/12/22 Physical Folder LOSS RECOVERY-FARTHING, JAMES WILLIAM;
08/04/2020; TRANSPORTATION/STREETS
5205638 2025/12/22 Physical Folder LOSS RECOVERY-FELDER, BARBARA; 09/12/2020;
UTILITIES
4393245 2025/12/22 Physical Folder LOSS RECOVERY-FITZGIBBONS, STEVENSON; DRIVER:
MINOR CHILD; UTILITIES
5205639 2025/12/22 Physical Folder LOSS RECOVERY-HAMPTON INN (MG HOSPITALITY
CBAD); 08/11/2020; UTILITIES
4392755 2025/12/22 Physical Folder LOSS RECOVERY-HENKELS & MCCOY, INC.; 10/14/2019;
FLEET
4393350 2025/12/22 Physical Folder LOSS RECOVERY-HENKELS AND MCCOY; 9/17/2019;
UTILITIES
4392725 2025/12/22 Physical Folder LOSS RECOVERY-HERLEVIC, DAMIAN; 08/11/2019;
UTILITIES
4393235 2025/12/22 Physical Folder LOSS RECOVERY-HOWARD, ALIXANDRA LYNN;
11/20/2018; TRANSPORTATION/STREETS
0
d
Ca li fornia
4393558 2025/12/22 Physical Folder LOSS RECOVERY-KEFOVER, DIANA; 02/07/2020;
UTILITIES
5205632 2025/12/22 Physical Folder LOSS RECOVERY-KRISTJANSON, LEANN & DANIEL;
09/21/2020; UTILITIES
4393717 2025/12/22 Physical Folder LOSS RECOVERY-LEWIS, JR., CHARLES DE MAY;
05/01/2020; UTILITIES
4393457 2025/12/22 Physical Folder LOSS RECOVERY-MATHUR, VISHAL; 01/16/2020; FLEET
4392530 2025/12/22 Physical Folder LOSS RECOVERY-MAYER, BARBARA J.; 04/21/2019;
TRANSPORTATION
4393655 2025/12/22 Physical Folder LOSS RECOVERY-MCEVOY, KIM; 05/04/2020; PARKS &
RECREATION
4392681 2025/12/22 Physical Folder LOSS RECOVERY-MCGINTY, JEREMY OR SUNSHINE;
05/06/2019; TRANSPORTATION
4393283 2025/12/22 Physical Folder LOSS RECOVERY-MEDEROS, RIGOBERTO HUERTA;
12/23/2019; UTILITIES
5205631 2025/12/22 Physical Folder LOSS RECOVERY-MILLER, JUDITH; 11/14/2019; FLEET
5205634 2025/12/22 Physical Folder LOSS RECOVERY-PAANE, HILARY_SEDGWICK;
11/06/2020; TRANSPORTATION/STREETS
4393560 2025/12/22 Physical Folder LOSS RECOVERY-PATEL, HEENESH; 03/13/2020;
UTILITIES
5205652 2025/12/22 Physical Folder LOSS RECOVERY-PERALTA, GREGG; 11/19/2019;
TRANSPORTATION/STREETS
4392633 2025/12/22 Physical Folder LOSS RECOVERY-PHIL RADO, INC; 05/16/2019; FLEET
4393281 2025/12/22 Physical Folder LOSS RECOVERY-PRESSEY, LYNN; 12/21/2019; UTILITIES
4392545 2025/12/22 Physical Folder LOSS RECOVERY-PRETZER, THOMAS E.; 03/21/2019;
FLEET/FIRE
4393462 2025/12/22 Physical Folder LOSS RECOVERY-RAZOR'S EDGE GRADING & EXC., INC.;
01/09/2020; UTILITIES
4393760 2025/12/22 Physical Folder LOSS RECOVERY-ROBERTSON'S; 05/04/2020;
TRANSPORTATION/STREETS
4392329 2025/12/22 Physical Folder LOSS RECOVERY-ROOFLINE, INC.; DRIVER: RICARDO
VILLEGAS; TRANSPORTATION
4392729 2025/12/22 Physical Folder LOSS RECOVERY-SCHAECHER, MELANIE; 10/04/2019;
FLEET
4393284 2025/12/22 Physical Folder LOSS RECOVERY-SLINGERLAND, DYLAN; 11/28/2019;
PARKS/MEDIAN
4393436 2025/12/22 Physical Folder LOSS RECOVERY-STERLING F.; 07/28/2019; LIBRARY
4393449 2025/12/22 Physical Folder LOSS RECOVERY-TERVO, MAARIA ELISABETH;
02/11/2020; FLEET
4393720 2025/12/22 Physical Folder LOSS RECOVERY-THABET, ABRAHAM J.; 06/05/2020;
UTILITIES
4393382 2025/12/22 Physical Folder MURCH, FRANKLIN BAKER; 12/13/2019; FLEET
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 #105599
Date Issued Thursday, January 29, 2026
Service Locations 5815 EL CAMINO REAL
Date Range of Service Jan-26-2026 thru Jan-26-2026
Work Ticket(s)1616978
Quantity/Item 100 -100 Boxes for Destruction (standard -
10x12x15)
* 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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