HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Community Development; 2026-04-2302-24-2026 3-30-26
Paper Recycling Shredding Specialists, Inc.4/23/2026
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RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 2/23/2026
REQUESTING
DEPARTMENT(S): COMMUNITY DEVELOPMENT REQUESTER:
LAUREEN RYAN
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)
VIATRON SCANNING OF CD
DOCUMENTS (BUILDING **ORIGINAL SCANNED
PLANS/PERMITS) DOCUMENTS UPLOADED
INTO LASERFICHE AND
15 BOXES 15 BOXES TOT AL HARD COPIES DESTROYED PJ8015 (BLDG PLANS PJ8015-74 PER RECORDS TO 86 -13 BOXES); PJ8012 (BLDG MANAGEMENT PERMITS (PJ8012-10 TO 11-2 PROCEDURES BOXES)
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 0 NO
TAB BARCODES DELETED BY: ___________ _ DATE: _____ _
This form documents the destruction of City records In accordance with the City of Carlsbad Records Management Program.
("city of
Cai-Isbad
Revised: 2/23/2026
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Certificate of Destruction
Paper Recycling Shredding Specialists, Inc.
1391 E. MissionBlw:I, Pomona, CA 91766
Receipt of this Certificate guarantees that all records _docwnents received from:
: City Of Carlsbad
located at:
18233 S. Hoover St
Gardena, CA 90248
by Paper Recycling Shredding Specialists, Inc. was shredded at the address noted on this certificate.
In addition, the Customer acknowledges that they were given the opportunity to witness
the destruction of their paper, by the on-site shredding process.
Au;;Jf/;;! Da~ '-( / Z, J/ 'Lb
Customer Acknowledgement ________ Date ____ _
Customer Printed Name
Arrival time: _____ Departure time: ___ _
~tem description of products shredded
_ _____ Securify Containers
13 Boxes PJ8015
______ Executive Security Consoles
______ Weight (when applicable)
Pa,,tr &q,dlng 9,reddlng Spedallst6-Jnc. /11 HAID cerrljltJdfor both on-sill '111d ajfslti d4ft1WCdan of pap,r and prfnlf/d IIUllutab. We ore not NAID cenljld/arm,y odrtr typ, of mtdlo dutl'IICllan.
• • • • • • • • • • • • • • • • -;-• ~~u • • • • • rro r-r~ • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • "'
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Certificate of Destruction
Paper Recycling Shredding Specialists, Inc.
1391 E. M,ssionBlwJ, Pomona, CA 91766
Receipt of this Certificate guarantees that all records _documents received from:
: Gity Of Carlsbad
located at:
18233 S. Hoover St.
Gardena, CA 90248
by Paper Recycling Shredding Specialists, Inc. was shredded at the address noted on this certificate.
In addition, the Customer acknowledges that they were given the opportunity to witness
the destruction of their paper, by the on-site shredding process.
Authorlz~ Date Q 'j Ii] Ju
Customer Acknowledgement ________ Date ____ _
Customer Printed Name
Anival time: ______ Departure time:. ___ _
Item description of products shredded
______ Securey Containers
2 Boxes PJ8012
______ Executive Security Consoles
______ Weight (wunappllcahle)
Papu Rec:ydlng J;hmldlng Sp«lallsu, lne. Is HAID «rtifk:d.for both tlfWllt tmd off-sltt dt:Stntr:don of paper and prlnrld ll#llmah. Wca,w not HAID cutljldfort1111 Ollwrtype o/tntdladatnldlon.