HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2015-04-09 (3)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 3/5/2014
REQUESTING _
REQUESTER: „ ^
DEPARTMENT: RECORD MANAGEMENT PAT DOWNIE
DESTRUCTION APPROVALS:
4^ DEPARTMENT HEAD RECORDS MANAGEMENT DATE 'tiTY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(ifapplicable)
RMCLNUP
01 Real Property General Information 1954-1978 0770-10 CL+2
Real Property General Information 1941-1953 0770-10 CL+2
Miscellaneous Correspondence 1966-1981 0750-06 CL+2
Recall Petition 1955 0725-40 CL+.75
Notice of Publication July/August
1983 0740-20 CU+4
Water Resources - Correspondence 11/1991
1/200O 1210-10 CU+2
ITRON Service Agreements 1996-2003 0700-16 TE+5
Rehabilitation Loan Committee
Agendas 1985-1991 0305-40 CU+2
CCTV Miscellaneous
Correspondence
1992,
1993,2005 0140-05 CU+2
CCTV RFP for Video Equipment and
Services 2008, 2010 0470-33 AU+4
Metropolitan Water Agreement 1987 0700-16 TE+5
Public Comment Information 1986,1998 0750-07 5
Public Records Requests 2005,2008,
2010-2011 0130-50 CL+2
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
f ,,, „, Revised: 11/24/2014
^ CARLSBAD PENDING BOX - Records Destruction Authorization Form - 3-5-2014.docx
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Ad Hoc General Information
(Water Committee Notes) 1986 0305-05 CU+2
*// 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: \
CERTIFICATE OF DESTRUCTION? 0 YES
TAB BARCODES DELETED BY:
DATE
• NO
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
<^ , , Revised: 11/24/2014
^ CAR LSBAD PENDING BOX - Records Destruction Authorization Form - 3-5-2014.docx
12
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