HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Manager; 2024-03-26This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 1
DATE: 03/26/2024
REQUESTING DEPARTMENT: CITY MANAGER/RECORDS REQUESTER: KIRA LINBERG/MARIA EMERY
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.
DEPT. HEAD/DIVISION MANAGER DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
*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: ______________
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
CITY MANAGER CHRON FILES 2021 CCO-000 2 YEARS SEE ATTACHED
RECORDS DESTRUCTION AUTHORIZATION FORM
3-26-24 03-26-2024 4/5/24
CORODATA 6/13/2024
6/13/2024
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RECORDS DESTRUCTION REPORT
Maria Emery
DATE: 3/20/2024
TOTAL RECORD COUNT: 12
COMMENTS: CITY MANAGER CHRON FILES - 2021
ENTRY ID REVIEW DATE Template NAME
5151819 2024/03/20 Physical Folder CHRON FILES - APRIL 2021; CITY MANAGER;
Correspondence
5151808 2024/03/20 Physical Folder CHRON FILES - AUGUST 2021; CITY MANAGER;
Correspondence
5151799 2024/03/20 Physical Folder CHRON FILES - DECEMBER 2021; CITY MANAGER;
Correspondence
5151824 2024/03/20 Physical Folder CHRON FILES - FEBRUARY 2021; CITY MANAGER;
Correspondence
5151826 2024/03/20 Physical Folder CHRON FILES - JANUARY 2021; CITY MANAGER;
Correspondence
5151810 2024/03/20 Physical Folder CHRON FILES - JULY 2021; CITY MANAGER;
Correspondence
5151813 2024/03/20 Physical Folder CHRON FILES - JUNE 2021; CITY MANAGER;
Correspondence
5151821 2024/03/20 Physical Folder CHRON FILES - MARCH 2021; CITY MANAGER;
Correspondence
5151816 2024/03/20 Physical Folder CHRON FILES - MAY 2021; CITY MANAGER;
Correspondence
5151801 2024/03/20 Physical Folder CHRON FILES - NOVEMBER 2021; CITY MANAGER;
Correspondence
5151803 2024/03/20 Physical Folder CHRON FILES - OCTOBER 2021; CITY MANAGER;
Correspondence
5151806 2024/03/20 Physical Folder CHRON FILES - SEPTEMBER 2021; CITY MANAGER;
Correspondence
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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 #104470
Date Issued Tuesday, June 18, 2024
Service Locations 5815 EL CAMINO REAL
Date Range of Service Jun-13-2024 thru Jun-13-2024
Work Ticket(s)1331793
Quantity/Item 2 -2 Boxes for Destruction (odd sized)
44 -44 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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