HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2015-04-09 (3)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 2-5-15
REQUESTING DEPARTMENT: PARKS & REC. (HARDING) REQUESTER: MICHELE HARDY
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, ond no pending or ingoing litigation or investigation involving these records is known to exist
RECORDS MANAGEMENT: /tiTY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(ifapplicable)
^ HRD025 Special Events-Triathlon Athlete
applications/vendor waivers
2010-
2012 1130-20 CL+2 N/A
^ HRD026
Special Events - Triathlon Athlete
applications/ vendor
waivers/Volunteer Applications
2010-
2012 1130-20 CL+2 N/A
^ HRD027 Parks & Facility Use Applications for
Rental Permits
2010-
2012 0900-40 CL+2 N/A
HRD027 Class registration 2012 1130-55 CL+2 N/A
RECORD DESTRUCTION COMPLETED BY: ^ ^^^4-^-^^---^
CERTIFICATE OF DESTRUCTION? ^ YES
DATE:
• NO
%ilSff> CiTY Of
CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 2/6/2015
thred-i^
Shred-it
3801 Ocean Ranch Blvd
Suite 101
Oceanside CA
92056
Phone: 760- 598- 5700
SERVICE RECORD SUMMARY
CERTIFICATE OF DESTRUCTION
PLEASE KEEP THIS FOR YOUR RECORDS
(THIS IS NOT AN INVOICE)
Customer: 0013185878
CITY OF CARLSBAD
5816 EL CAMINO REAL
CARLSBAD CA 92008- 8816
Order #: 8015065327
Order Date: 04.09.2015
Service Type: ON- SITE PURGE
Contact: PAT DOWNIE
Time In: 07:30 AM
Material Collected
BANKERS/ARCHIVE BOX 163
LARGE ARCHIVE BOX 7
Total: 170
Customer Signature: PAT
CSR Signature: BRIAN SHEPLEY
Shred- it is committed to the secure destruction of its customers'
confidential information. This certification will affirm that
Shred- it destroys the customer confidential material, pursuant to
our customers request and instructions.
The following services are NAID certified:
Hard Drive Destruction
Mobile Destruction
The following services are not NAID certified:
Offsite Destruction
Non- Paper Destruction