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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2021-04-08RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 02/28/21 ----------
REQUESTING
DEPARTMENT: POLICE DEPARTMENT REQUESTER: D. ERNSa
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period; required audits have been
comp:;;z~~~~n~•:U:nvolvlng ::: :oros di)" to ex/st. P~I
DEPAilrMeNrl!EAD: oAre ~116s MANAGEMENT: om ' ;e.£, DAu
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
-PERIOD (if applicable)
FTO/CTO Training Files 02/28/16 PD-365 ~ ... 5
Background Files (Unsuccessful} 02/28/18 PD-360 3
Background Files (Successful} 02/28/16 PD-115 Sep+S
*If more spaces are needed, click in the last box In right hand earner of table and hit "tab". This w/11 create more fields In the table.
To be filled out once""""' ho"' been destwyed. ~ ~ /7__
RECORD DESTRUCTION COMPLETED BY:~
CERTIFICATE OF DESTRUCTION? ~~;;;;.::;-)"'.':Y=.:ES:---~0::=;"=-N:-:-0::-3......_;;;::::. __
SMEADSOFT BARCODES DELETED BY: DATE:
· This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
{btyof
Carlsbad Revised: 2/16/2021
E•Jcorodata
Shredding, Inc.
SAN DIEGO • ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO • SAN JOSE/SILICON VALLEY
Thu Apr 8, 2021 next:4/22/2021 I
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Directions
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 748-1100 Fax (85~) 726-6085
First Available
· 1111111111111111111111111111111111111111
Ticket # 805072
Routine Instructions
ZONE }
CHECK IN AT FRONT DESK ON Contacts
I
DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
~----------------' THE RIGHT PAULA CREWSE (760)931-2131 Special Instructions *DRIVER MUST BE ESCORTED*
Room Description Container Service Item Qty Actual
· 1 32 Gallon Console -1 ST 32 Gallon Console 1.001
FLOOR/RECORDS
1 32 Gallon Console • 1 ST 32 Gallon Console 1.001
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST 32 Gallon Console 1.001
FLOOR/TRAFFIC
1 32 Gallon Console • 2ND 32 Gallon Console 1.001 l FLOOR/ELEVATOR/ADMIN
1 64 Gallon Bin -1 ST 64 Gallon Bin 1.001
FLORR/PROCESSING
2 32 Gallon Console • 2ND 32 Gallon Console 2.001 d,-
FLOOR/INVESTIGATIONS
I Time In: II Time Out: 11 Driver: ~ t f."L. I l9uantity: J +/-
Service I Comments
Corodata Shredding, Inc. represents that it received the aforementioned materials for confidential
destruction and hereby certifies such materials will be confidentially handled and destroyed and that
the shredded materials will be recycled. Client represents that it has authority to provide to
Corodata Shredding, Inc. the aforementioned materials for confidential destruction and hereby
acknowledges and acc(;Jpts the terms and conditions on the reverse side.
X
SD Shred Truck Stop 99 BC SD012455 Pagel