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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). E•Jcorodata -tl HIPA'A GIJIJlll!affl