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; ; Records Destruction Authorization Form-Housing Services; 2016-10-04
j i I ! 11~·--· -----------.. ~----------------------------------------------------------------------------~ ~-· -.~v.w~~-· l" .... RECORDS DESTRUCTION AUTHORIZATION FORM DATE: JULY 28, 2016 REQUESTING REQUESTER: PATTI CRESCENT! DEPARTMENT: HNS DESTRUCTION APPROVALS: We certify that the n•cnr1!5 /i,trd ht.:lnw hove be~·n retained for the scheduled retention period, required audits hove been cornpfetcd. nnd t}O nfnri.'·rtO ,,r !i!i~[oticlf or InvestigatiOn in volving these records is known to exist. BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD {if applicable) Inactive Participants: Rigoli, Colleen See-ailruhe£ (1&2); Sault, Monica; Senteno, 153 / Griselda; Sexton, Faith; Smith, Irma; list ~~ nle£ Spencer, Avis; Starkey, Andrea; 2006 0550-20 AU+7 Stavis, Susan; Taylor, Deborah; r--------r------Torockio, Victoria Inactive Participants: Torres, Hope; Varga, Susan (1&2); Walters, Elayne; 154/ White, Sheri; Vezierskis, Philip; 2006' 0550-20 AU+7 Young, Marcella; Zagalaskaya, Sima; Short (Finley), Sharon (#2); Rodriguez, Geronimo (#2) --~-----·------------- Inactive Participants: Trear, Robin 155/ (1&2); Burney, Jessica; Brashier, Toshiba; McCrane, Claudia; Barker, 2006 0550-20 AU+7 Natividad; Swanson, Nina; Simeno, -----~ ~ ______ J~lie; Agat~ Francesca Inactive Participants: Fiore, Berta 15E\/" (1&2); Frasier, Gorden (1&2); 2006 0550-20 AU+7 Luciano, Deborah (1,2&3); Kisling, ~ia~a {1,2,2&3) ---~ Inactive Participants: Monson, 157 / Richard (1&2); Hall, Danni (1&2); Branam, Randy (1&2); Mcintosh, 2006 0550-20 AU+7 Penelope (1,2&3); Presley, Lewis; ! '~ " " , . Thi• fo'm do'"m'"~ th• d""urtlon of City remni• ;:;,::on<e with th• City of Co,J•bad R"oni• Manag•m•nt I L~:~A~ ---... .. -----------------R-e_v,_·se_d_:_7_'/._28_/._2_0_1_6 __ _al Daly, Dorothy ~----,----------------------------------------------------------------~----~ I l ~ ~ 158./ 159./ 160V' 161v 162/ 163 ./ 164 / 165/ 180 / 181 ./ -------- 182 / ?<.· <·:'h ,,;, ('>J '!:'CARLSBAD Inactive Participants: Andisha, Jalil (1,2&3); Caldwell, Misty (1,2&3); 2006 0550-20 AU+7 Rumpilla, Sandra (1&2) Inactive Particpants: Shawhan, Theresa; Smith, Frank M; Stills, Deseri A (1&2); Vest, Sean; Williams, 2006 0550-20 AU+7 Betty; Wood, Detrese; Woods, Nicola; Wright, Donna Inactive Participants: Poncurak, Susan; Redmond, Alice E; Redmond, Dianne; Reis, Roxanne, C; Rodriguez, 2006 0550-20 AU+7 Carol; Ruscitti, Frank M (1&2); Sahagun, Rodolfo; Sawyer, Patricia A {1,2&3) Inactive Participants: Aman, Rahima; Bashaw, Kristina; Diaz, Nashleedli (1&2); Johnson, Linda ; Larson, 2006 0550-20 AU+7 Jennifer (1&2); Steward, Sandy; Troia, Carol ------Inactive Participants: Luttrell, Christina (1&2); Mcafee, David (1&2); Normile, Rita K; Orlando, 2006 0550-20 AU+7 Linda; Payo, Alicia; Pierce, Jeannette (1,2&3) Inactive Participants: Guijarro- Ortega, Candelar; Hadsian, Melanie;· Hall, Kelly L; Hartman, Sarina M; 2006 0550-20 AU+7 Hicks-Hart, Donna L; Ibanez, lgnacia; Kubota , Vachivo; Lopez, Jennifer; Martinez, Shaavita Inactive Participants: Chavez, Angelica; Christian, David B; Conrad, Suzanne; Evans, Rimard; Fiak, 2006 Shannon; Garza, Marion; Garza, 0550-20 AU+7 Teresa; Gomez, Jennifer D (1&2); Greenwood, Thomas Inactive Participants: Amiri, Shinky; Andrews, Jan; Avina, Aniceto (1,2,3&4); Baiste, Trienny; 2006 0550-20 AU+7 Beckmeyer, Dana; Bessissa, Nadia; Brown, Bernice; Camacho, Dolores Inactive Participants: Prado, Zoila (#1); Rhone, Patricia A {1,2,3); Reed, 2007 0550-20 AU+7 Tracy L (#1); Smart, Cheryl (1); Solt, Donald E (1,2,3) Inactive Participants: Li, Li (1,2); Starosta, Lizas (1,2); Lee, Anthony 2008 0550-20 AU+7 f---· (1); Brand~ Tacoma (1) Inactive Participants: Gladney, 2007 0550-20 AU+7 Vaughn (1); Goodman, Helen (1); This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 7/28/2016 -- J .J 'J 183tl"" 184.,/ 185 / 186/ 187./ 188 ./' 189~ 190 / 191/ 192 ./ 193/ 194 ../ ~ ·I.. •:-"7' (' l 'i \ 0 I '!!'CARLSBAD Harrison, Bonnie (1); Hickman, Roberta J (1); Juarez, Rachel I (1,2); Motta, Charlene A (1,2) Inactive Participants: Bloom, Thomas (1); Carreno, Simon A {1,2,3); Clendening, Donna T (1); 2007 0550-20 · AU+7 Cossari, Tara G (1); Flores, Denise (1,2) Inactive Participants: Dominguez, Dalia (1,2); McKinney, Larisa (1); 2007 0550-20 AU+7 Moreno, Irene A (1,2,3,4); Mafficioli, lnge (1,2,3) Inactive Participants: Soto, Martha (1); Steed, Shawna (1); Stevens, Sandra (1); Artine, Ruffi (1); Barry, 2007 0550-20 AU+7 Shadrick D (1,2); Caple, Mildred E (1); Burns,_ Steven D (1) Inactive Participants: Darel, Marye (1,2,3); Castro, Ana (1,2,3,4); Serrin, 2007 0550-20 . AU+7 Jodine (1,2) Inactive Participants: Cubillo, Linda C 2008 0550-20 AU+7 (1,2,3,4,5,6); Bernal, Maria (1,2,3,4) Inactive Participants: Hayward, Judy {1,2,3); Rea, Daniel B (1); Rivera, 2008 0550-20 AU+7 Mary Ann {1,2); Roadwell, Noor (1) Inactive Participants: Helton, Janet (1,2,3,4); Colwell, Patricia 2007 0550-20 AU+7 (1,2,3,4,5,6) Inactive Participants: Kolati, Barbara (1); Larsen, Lu A (1,2); Lathan, Cathy 2007 0550-20 AU+7 (1); Jarez, Rachel (1); Arnett Robert (1) Inactive Participants: Careaga, Sunga (1); Castro, Juanita (1); Scott, 2008 0550-20 AU+7 William (1); Scott, Teresa (1,2); Shipman, Betty (1,2) Inactive Participants: Skoog, Gail (1,2,3,4); Hunga, Jerry (1,2); jean-2008 0550-20 AU+7 Francois, Yves (1) Inactive Participants: Schraml, Margaret (1,2,3); Roper, Donna J (1); Sherring, Pearl (1(2,3); Kerergyanto, 2008 0550-20 AU+7 Olga (1); LeCompte, Amy (1); Lasninsky, George (1) Inactive Participants: Emerson, Betty (1); Fifield, Michelle I (1,2); Ro, Keri 2007 0550-20 AU+7 (1,2); Scherie, Andrea (1); Rojo, Rocio (1) This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 7/28/2016 J .. Inactive Participants: Stillman, Kattie 195/ S (1,2,3); Taylor, Jacqueline (1); Tay, 2007 0550-20 AU+7 Su zanne (1); Tierney, Gail (1); Uthe, Kris (1); Venghaus, Eldon R (1) Inactive Participants: Nguyen, Lan- 196.v Huong T (1,2,3); Miale, Ralph (1); 2008 0550-20 AU+7 Wilson, Tashebia (1); Kyle, Jalston (1); Estrada, Luis A (1,2) ' Inactive Participants: Stark, Rosa (1); Vann, Jackie (1,2); Sloan, Edna (1); 197./ Vogt, Lee (1); Ogle, Gladys (1); 2008 0550-20 AU+7 Offstein, Jerrod (1,2,3); Owens, Victoria (1) - 198 / Inactive Participants: Evans, Daisy W (1,2); Edwards, Kristie (1,2); York, 2008 0550-20 · AU+7 Michael M (1,2) Inactive Participants: Roland, Andra 199/ (1); Robies, Francie (1,2); Fair, 2007 0550-20 AU+7 Virginia (1); Fleming, Monique (1,2); Folds, Bettie (1,2,3) Inactive Participants: Chalfant, Laura 2oo/ (2,3); Meyers, Jett-Helen (2,3); 2008 0550-20 AU+7 Mumford, Lonnie F (1,3); Marquis, Frances (1,2,4,5) Inactive Participants: Giordanelli, 201/ Lisa (1); Gallagner, Morgan (1,2,3,4); 2008 0550-20 AU+7 Witmer, Janet F (1,2); Whitacre, Mark L (1,2) 202 / Inactive Participants: Alvarado, Tanya (1); Ash, Lisa (1,2); Barrogen, 2008 0550-20 AU+7 Demerrio (1,2,3); Burrales, Maria (1) Inactive Participants: Gustafson, 203 / Patricia A (1,2,3,4); Hill Clark (1); 2008 0550-20 AU+7 Jean-Francais, Yves (1); Jenkins, Marisa (1); Mirandon, Tonya (1,2) *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? :I'Q YES . D NO SMEADSOFT BARCODES DELETED BY: ~~-~ DATE: ~~'>" (!t > Of --:-CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 7/28/2016 Records Destruction List Bjt, ../ Page 1 Date 08/12/2016 Bjtv Time 11:11:24AM elctv Date Inactive Login Name Maria Emery iAov Record ExternaiiD Records Description Number PHYSICAL RECORDS rj /11 ~ PFLD-15-6061 08/r2/20 I6/ FILE #2 FOSTER, LOUISE AI 055020 H95 MANAGEMENT-CED Housing & J g v"" PFLD-15-6148 08/1112016 FILE#3 AVINA, ANICETOI 055020 PHYSICAL RECORDS tJ/Jw H370 MANAGEMENT-CED Housing & PFLD-15-6159 08111/2016 FILE #1 BASHAW, KRISTINA AI 055020 PHYSICAL RECORDS H379 MANAGEMENT-CED Housing & PFLD-15-6177 08111/2016 FILE #1 BROWN, BERNICE! 055020 PHYSICAL RECORDS H397 MANAGEMENT-CED Housing & PFLD-15-6199 08/09/2016 FILE#2 CARRENO, SIMON AI 055020 PHYSICAL RECORDS H419 MANAGEMENT -CED Housing & PFLD-15-7600 08/11/2016 FILE #4 CUBILLO, LINDAI 055020 PHYSICAL RECORDS H436 MANAGEMENT-CED Housing & PFLD-15-7637 08711 /2016 FILE #1 ESTRADA, LUIS AI 055020 PHYSICAL RECORDS H473 MANAGEMENT-CED Housing & PFLD-I 5-7644 08/09/2016 FILE #1 FLORES, DENISE! 055020 PHYSICAL RECORDS H480 MANAGEMENT-CED Housing & PFLD-15-7670 08/10/2016 FILE #3 GALLAGHER, MARIAN PI 055020 PHYSICAL RECORDS H500 MANAGEMENT-CED Housing & PFLD-15-7695 08112/2016 FILE #2 GUIJARRO-ORTEGA, CANDELARI 055020 PHYSICAL RECORDS H525 MANAGEMENT-CED Housing & PFLD-15-7714 08/11/2016 FILE #3 HELTON, JANET Kl 055020 PHYSICAL RECORDS H544 MANAGEMENT-CED Housing & PFLD-15-7740 08/1112016 FILE #1 JOHNSON, LINDA! 055020 PHYSICAL RECORDS H570 MANAGEMENT-CED Housing & PFLD-15-8950 08/1112016 FILE #4 MORENO, IRENE AI 055020 PHYSICAL RECORDS H3256 MANAGEMENT-CED Housing & PFLD-15-8974 08/12/2016 FILE#2 FIFIELD, MICHELLE Ll 055020 PHYSICAL RECORDS H3285 MANAGEMENT-CED Housing & PFLD-15-8979 08/12/2016 FILE #2 Ll, Lll 055020 PHYSICAL RECORDS H3298 MANAGEMENT-CED Housing & PFLD-15-9090 08/10/2016 FILE #1 GIORDANELLI, LISAI 055020 PHYSICAL RECORDS H1246 MANAGEMENT-CED Housing & - J/tz ./ Records Destruction List Page 2 Date 08/12/2016 Time 11:11:25 AM Date Inactive Login Name Maria Emery Record ExternaiiD Records Description Number PFLD-15-9131 08/10/2016 FILE #1 ROPER, DONNA J[ 055020 PHYSICAL RECORDS Hl305 MANAGEMENT-CED Housing & PFLD-15-9151 08/12/2016 FILE #1 VANN, JACKIE[ 055020 PHYSICAL RECORDS Hl365 MANAGEMENT-CED Housing & PFLD-15-9166 08/12/2016 FILE #1 LOPEZ, JENNIFER[ 055020 PHYSICAL RECORDS H1287 MANAGEMENT-CED Housing & PFLD-15-9187 08/11/2016 FILE #2 CASTRO, ANNA[ 055020 PHYSICAL RECORDS H1474 MANAGEMENT-CED Housing & PFLD-15-9214 08/10/2016 FILE #1 PRADO, ZOILA[ 055020 PHYSICAL RECORDS Hl351 MANAGEMENT-CED Housing & PFLD-15-9245 08/12/2016 FILE #I CALDWELL, MISTY D[ 055020 PHYSICAL RECORDS H1464 MANAGEMENT-CED Housing & PFLD-15-9263 08/11/2016 FILE #2 COLWELL, PATRICIAJ[ 055020 PHYSICAL RECORDS H1499 MANAGEMENT-CED Housing & PFLD-15-9272 08/11/2016 FILE #3 CUBILLO, LINDA C[ 055020 PHYSICAL RECORDS H1508 MANAGEMENT-CED Housing & PFLD-15-1 0061 08/11/2016 FILE #6 CUBILLO, LINDA[ 055020 PHYSICAL RECORDS H2741 MANAGEMENT-CED Housing & PFLD-15-10084 08112/2016 FILE #1 FIFIELD, MICHELLE L[ 055020 PHYSICAL RECORDS H2384 MANAGEMENT -CED Housing & PFLD-15-7066 08/12/2016 FILE #2 MIRADON, TONYA[ 055020 PHYSICAL RECORDS H2318 MANAGEMENT-CED Housing & PFLD-15-7080 08/1112016 FILE #1 WILSON, TASHEBIA[ 055020 PHYSICAL RECORDS H2360 MANAGEMENT-CED Housing & PFLD-15-7127 08/09/2016 FILE# I BRADSHER, TOSHIBA[ 055020 PHYSICAL RECORDS H2420 MANAGEMENT-CED Housing & PFLD-15-7141 08/11/2016 FILE #4 HELTON, JANET K[ 055020 PHYSICAL RECORDS H2474 MANAGEMENT-CED Housing & PFLD-15-7159 08/09/2016 FILE #1 PRESLEY, LEWIS[ 055020 PHYSICAL RECORDS H2368 MANAGEMENT-CED Housing & PFLD-1 5-7181 08/09/2016 FILE #3 LUCIANO, DEBORAH[ 055020 PHYSICAL RECORDS H2543 MANAGEMENT -CED Housing & Records Destruction List Page 3 Date 08/12/2016 Time 11:11:26 AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-7210 08/10/2016 FILE #1 GLADNEY, VAUGHN! 055020 PHYSICAL RECORDS H2427 MANAGEMENT -CED Housing & PFLD-15-7249 08/11/2016 FILE #1 GARZA, TERESA! 055020 PHYSICAL RECORDS H2601 MANAGEMENT-CED Housing & PFLD-15-7266 08/10/2016 FILE #1 STEED, SHAWNAI 055020 PHYSICAL RECORDS H2661 MANAGEMENT-CED Housing & PFLD-15-7355 08/09/2016 FILE #3 CARRENO, SIMON AI 055020 PHYSICAL RECORDS H2801 MANAGEMENT-CED Housing & PFLD-15-8666 08/10/2016 FILE #2 MOTTA, CHARLENE AI 055020 PHYSICAL RECORDS H2784 MANAGEMENT -CED Housing & PFLD-15-8751 08/12/2016 FILE #3 HAYWARD, JUDYI 055020 PHYSICAL RECORDS H3023 MANAGEMENT-CED Housing & PFLD-15-8821 08/12/2016 FILE #2 RIVERA, MARY ANNI 055020 PHYSICAL RECORDS H3131 MANAGEMENT-CED Housing & PFLD-15-6614 08/12/2016 FILE #1 STAROSTA, LIZA Sl 055020 PHYSICAL RECORDS Hl886 MANAGEMENT-CEO Housing & PFLD-15-6663 08/07/2016 FILE #1 VARGA, SUZANI 055020 PHYSICAL RECORDS H1911 MANAGEMENT-CEO Housing & PFLD-15-6710 08/10/2016 FILE #3 ASH, LISAI 055020 PHYSICAL RECORDS H3534 MANAGEMENT-CED Housing & PFLD-15-6885 08/12/2016 FILE #3 OFFSTEIN, JERROLD! 055020 PHYSICAL RECORDS H3776 MANAGEMENT-CEO Housing & PFLD-15-8149 08/10/2016 FILE #3 SOLT, DONALD El 055020 PHYSICAL RECORDS HI043 MANAGEMENT -CEO Housing & PFLD-15-8164 08/10/2016 FILE #1 STILLMAN, KATIE Sl 055020 PHYSICAL RECORDS Hl055 MANAGEMENT-CEO Housing & PFLD-15-8179 08/10/2016 FILE #1 TAYLOR, JACQUELINE! 055020 PHYSICAL RECORDS Hl070 MANAGEMENT-CED Housing & PFLD-15-8202 08/07/2016 FILE #1 WALTERS, ELAYNE! 055020 PHYSICAL RECORDS H1093 MANAGEMENT-CED Housing & PFLD-15-8231 08/10/2016 FILE #2 WITMER, JANET Fl 055020 PHYSICAL RECORDS Hl107 MANAGEMENT-CED Housing & Records Destruction List Page 4 Date 08/12/2016 Time 11 :11:27 AM Date Inactive Login Name Maria Emery Record ExternaiiD Records Description Number PFLD-I 5-8245 08/Il/20I6 FILE #1 DIAZ, NASHIEELII 055020 PHYSICAL RECORDS HI342 MANAGEMENT -CED Housing & PFLD-I 5-9788 08/I2/20I6 FILE #1 RO, KERII 055020 PHYSICAL RECORDS H2I20 MANAGEMENT-CED Housing & PFLD-I 5-9822 08/09/20I6 FILE #3 MCINTOSH, PENELOPE! 055020 PHYSICAL RECORDS H2I63 MANAGEMENT -CED Housing & PFLD-15-9896 08/12/2016 FILE #1 ROJO, ROCIOI 055020 PHYSICAL RECORDS H2261 MANAGEMENT-CED Housing & PFLD-15-I 0048 08/12/20I6 FILE #1 HARTMAN, SARIN A Ml 055020 PHYSICAL RECORDS H2453 MANAGEMENT-CED Housing & PFLD-15-6338 08/09/20I6 FILE #1 KISLING, TATIANAI 055020 PHYSICAL RECORDS HI646 MANAGEMENT -CED Housing & PFLD-I5-639I 08/11/20I6 FILE #1 MARQUIS, FRANCES! 055020 PHYSICAL RECORDS HI699 MANAGEMENT-CED Housing & PFLD-15-6415 08/II/2016 FILE #2 MEYERS, JETT-HELENI 055020 PHYSICAL RECORDS H1723 MANAGEMENT-CED Housing & PFLD-15-6430 08/II/20I6 FILE #1 MUMFORD, LONNIE Fl 055020 PHYSICAL RECORDS Hl738 MANAGEMENT -CED Housing & PFLD-15-64 72 08/1 I/2016 FILE #1 MCKINNEY, LARISAI 055020 PHYSICAL RECORDS HI774 MANAGEMENT-CED Housing & PFLD-I5-6575 08/09/20I6 FILE #1 SAWYER, PATRICIAAI 055020 PHYSICAL RECORDS HI847 MANAGEMENT -CED Housing & PFLD-I 5-6590 08/Il/20I6 FILE #1 SERRIN, JODINE El 055020 PHYSICAL RECORDS HI862 MANAGEMENT -CED Housing & PFLD-I 5-6596 08L06/20-I 6 FILE #1 SHIPMAN, BETTY! 055020 PHYSICAL RECORDS HI868 MANAGEMENT -CED Housing & PFLD-I 5-7780 08/12/20I6 FILE #1 NORMILE, RITAKI 055020 . PHYSICAL RECORDS H597 MANAGEMENT-CED Housing & PFLD-15-7875 08/12/2016 FILE #2 CALDWELL, MISTY! 055020 PHYSICAL RECORDS H712 MANAGEMENT -CED Housing & PFLD-15-7908 08111/20I6 FILE #1 LARSON, JENNIFER! 055020 PHYSICAL RECORDS H745 MANAGEMENT-CED Housing & Records Destruction List Page 5 Date 08/12/2016 Time 11 :11:28 AM Date Inactive Login Name Mari a Emery Record Externai iD Records Description Number PFLD-15-7939 08/12/2016 FILE #1 LUTTRELL, CHRISTINA! 055020 PHYSICAL RECORDS H769 MANAGEMENT -CED Housing & PFLD-15-7978 08/09/2016 FILE#2 MCINTOSH, PENELOPE! 055020 PHYSICAL RECORDS H806 MANAGEMENT-CED Housing & PFLD-15-8034 08/1 1/2016 FILE #3 MEYERS, JETT-HELEN I 055020 PHYSICAL RECORDS H929 MANAGEMENT-CED Housing & PFLD-15-8050 08/1 1/2016 FILE#3 NGUYEN, LAN-HUONG Tl 055020 PHYSICAL RECORDS H945 MANAGEMENT-CED Housing & PFLD-15-8065 08/11/2016 FILE #4 CASTRO, ANNAl 055020 PHYSICAL RECORDS H959 MANAGEMENT -CED Housing & PFLD-15-8097 08/09/2016 FILE #1 REIS, ROXANNE C1 055020 PHYSICAL RECORDS H991 MANAGEMENT-CED Housing & PFLD-15-81 04 08/10/2016 FILE #2 ROBLES, FRANClEI 055020 PHYSICAL RECORDS H998 MANAGEMENT-CED Housing & PFLD-15-8124 08110/20 16 FILE #2 SCHRAML, MARGARET PI 055020 PHYSICAL RECORDS Hl018 MANAGEMENT-CED Housing & PFLD-15-8136 08/06/2016 FILE #2 SHIPMAN, BETTYI 055020 PHYSICAL RECORDS Hl030 MANAGEMENT-CED Housing & PFLD-15-9339 08/11/2016 FILE #1 AVINA, ANICETOI 055020 PHYSICAL RECORDS H1431 MANAGEMENT-CED Housing & PFLD-15-9353 08110/20 16 FILE #1 FOLDS, BETTIE Jl 055020 PHYSICAL RECORDS H1551 MANAGEMENT -CED Housing & PFLD-15-9365 08/10/20 16 FILE #2 GALLAGHER, MARIAN PI 055020 PHYSICAL RECORDS H1563 MANAGEMENT-CED Housing & PFLD-15-9402 08/12/2016 FILE #3 GUSTAFSON, PATRICIAAI 055020 PHYSICAL RECORDS H1601 MANAGEMENT-CED Housing & PFLD-15-9455 08/10/20 16 FILE #1 TAYLOR, SUZANNE! 055020 PHYSICAL RECORDS H3346 MANAGEMENT -CED Housing & PFLD-15-9599 08/12/2016 FILE #1 ROADWALL, NOORI 055020 PHYSICAL RECORDS H3472 MANAGEMENT -CED Housing & PFLD-1 5-6137 08112/2016 FILE #3 ANDISHA, JALILI 055020 PHYSICAL RECORDS H359 MANAGEMENT -CED Housing & Records Destruction List Page 6 Date 08/12/2016 Time 11 :11:29 AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-6157 08/10/2016 FILE #1 BARRAGAN, DEMETRIO! 055020 PHYSICAL RECORDS H377 MANAGEMENT-CED Housing & PFLD-15-6163 08/11/2016 FILE #3 BERNAL, MARIAI 055020 PHYSICAL RECORDS H383 MANAGEMENT-CED Housing & PFLD-15-6186 08/10/2016 FILE #1 BURNS, STEVEN Dl 055020 PHYSICAL RECORDS H406 MANAGEMENT-CED Housing & PFLD-15-7375 08/11/2016 FILE #1 CHAVEZ, ANGELICAl 055020 PHYSICAL RECORDS H2838 MANAGEMENT-CED Housing & PFLD-15-7620 08/11/2016 FILE #1 DOMINGUEZ, DALlAl 055020 PHYSICAL RECORDS H456 MANAGEMENT-CED Housing & PFLD-15-7642 08/09/2016 FILE #2 FIORE, BERTA Ml 055020 PHYSICAL RECORDS H478 MANAGEMENT -CED Housing & PFLD-15-7653 08/07/2016 FILE #1 YOUNG, MARCELLA! 055020 PHYSICAL RECORDS Hl395 MANAGEMENT -CED Housing & PFLD-15-7684 08110/2016 FILE #1 GOODMAN, HELENI 055020 PHYSICAL RECORDS H514 MANAGEMENT -CED Housing & PFLD-15-7700 08/09/2016 FILE #2 HALL, DANNI Ml 055020 PHYSICAL RECORDS H530 MANAGEMENT-CED Housing & PFLD-15-7721 08/12/2016 FILE #1 HICKS-HART, DONNA Ll 055020 PHYSICAL RECORDS H551 MANAGEMENT-CED Housing & PFLD-15-8913 08110/2016 FILE #3 BARRAGAN, DEMETRIO! 055020 PHYSICAL RECORDS H3206 MANAGEMENT-CED Housing & PFLD-15-8966 08/10/2016 FILE #3 FOLDS, BETTIEI 055020 PHYSICAL RECORDS H3277 MANAGEMENT-CED Housing & PFLD-15-8976 08/12/2016 FILE #3 EVANS, DAISY WI 055020 PHYSICAL RECORDS H3287 MANAGEMENT-CED Housing & PFLD-15-9003 08/12/2016 FILE#2 VANN, JACKIE! 055020 PHYSICAL RECORDS H3314 MANAGEMENT-CED Housing & PFLD-15-9118 08111/2016 FILE #1 STEWART, SANDYI 055020 PHYSICAL RECORDS H1292 MANAGEMENT-CED Housing & PFLD-15-9136 08/09/2016 FILE #2 TREAR, ROBIN Dl 055020 PHYSICAL RECORDS Hl310 MANAGEMENT-CED Housing & Records Destruction List Page 7 Date 08/12/2016 Time 11:11:30 AM Date Inactive Login Name Maria Emery Record ExternaiiD Records Description Number PFLD-15-9155 08/09/2016 FILE #1 PONCURAK, SUSANI 055020 PHYSICAL RECORDS H1972 MANAGEMENT-CED Housing & PFLD-15-9182 08/10/2016 FILE #1 HARRISON, BONNIEI 055020 PHYSICAL RECORDS H1399 MANAGEMENT-CED Housing & PFLD-15-9206 08/11/2016 FILE #1 GARZA, MARION Jl 055020 PHYSICAL RECORDS H1343 MANAGEMENT-CED Housing & PFLD-15-9223 08/1112016 FILE #1 BERNAL, MARIAI 055020 PHYSICAL RECORDS H1442 MANAGEMENT-CED Housing & PFLD-15-9260 08/10/2016 FILE #1 KEREKGYARTO, OLGAI 055020 PHYSICAL RECORDS H1394 MANAGEMENT-CED Housing & PFLD-15-9270 0811112016 FILE #1 CUBILLO, LINDA q 055020 PHYSICAL RECORDS Hl506 MANAGEMENT-CED Housing & PFLD-15-9277 08/1112016 FILE #2 D'AREL, MARYSE El 055020 PHYSICAL RECORDS H1513 MANAGEMENT-CED Housing & PFLD-15-1 0063 08/12/2016 FILE #2 LUTTRELL, CHRISTINA! 055020 PHYSICAL RECORDS H2743 MANAGEMENT-CED Housing & PFLD-15-7072 0811112016 FILE #2 CHALFANT, LAURAI 055020 PHYSICAL RECORDS H2347 MANAGEMENT -CED Housing & 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RECORDS H527 MANAGEMENT-CED Housing & PFLD-15-7720 08/10/2016 FILE #1 HICKMAN, ROBERTA Jl 055020 PHYSICAL RECORDS H550 MANAGEMENT-CED Housing & PFLD-15-7744 08/12/2016 FILE #1 JENKINS, MARISAI 055020 PHYSICAL RECORDS H574 MANAGEMENT-CED Housing & PFLD-15-8956 08/10/2016 FILE #3 RHONE, PATRICIAAI 055020 PHYSICAL RECORDS H3267 MANAGEMENT-CED Housing & PFLD-15-8975 08/ll/2016 FILE#2 ESTRADA, LUIS AI 055020 PHYSICAL RECORDS H3286 MANAGEMENT-CED Housing & PFLD-15-8983 08/10/2016 FILE#2 KOLATI, BARBARAI 055020 PHYSICAL RECORDS H3304 MANAGEMENT-CED Housing & PFLD-15-9117 08/12/2016 FILE #1 PAYO, ALICIAI 055020 PHYSICAL RECORDS H1291 MANAGEMENT-CED Housing & PFLD-15-9134 08/06/2016 FILE #2 SCOTT, TERESAI 055020 PHYSICAL RECORDS H1308 MANAGEMENT -CED Housing & PFLD-15-9153 08/12/2016 FILE #1 STARK, ROSAI 055020 PHYSICAL RECORDS Hl367 MANAGEMENT-CED Housing & PFLD-15-9181 08/10/2016 FILE #1 ARTINE, RAFFII 055020 PHYSICAL RECORDS H1398 MANAGEMENT-CED Housing & PFLD-15-9188 08/11/2016 FILE #3 CASTRO, ANNAl 055020 PHYSICAL RECORDS H1475 MANAGEMENT-CED Housing & Records Destruction List Page 17 Date 08/12/2016 Time 11:11:39AM Date Inactive Login Name Maria Emery Record Externai iD Records Description Number PFLD-15-9218 08/12/2016 FILE #1 IBANEZ, IGNACIAI 055020 PHYSICAL RECORDS H1355 MANAGEMENT-CED Housing & PFLD-15-9253 08/09/2016 FILE #1 CARRENO, SIMON A I 055020 PHYSICAL RECORDS H1472 MANAGEMENT -CED Housing & PFLD-15-9264 08/1112016 FILE #3 COLWELL, PATRICIA II 055020 PHYSICAL RECORDS H1500 MANAGEMENT -CED Housing & PFLD-15-9276 08/11/2016 FILE #1 D'AREL, MARYSE El 055020 PHYSICAL RECORDS H1512 MANAGEMENT -CED Housing & PFLD-15-1 0062 08/11/2016 FILE #3 CHALFANT, LAURAI 055020 PHYSICAL RECORDS H2742 MANAGEMENT-CED Housing & PFLD-15-10108 08112/2016 FILE #3 PIERCE, JEANNETTE! 055020 PHYSICAL RECORDS H2704 MANAGEMENT-CED Housing & PFLD-15-7067 08/10/2016 FILE #1 ALVARADO, TANYAI 055020 PHYSICAL RECORDS H2336 MANAGEMENT-CED Housing & PFLD-15-7109 08/09/2016 FILE #1 REDMOND, DIANNE! 055020 PHYSICAL RECORDS H2398 MANAGEMENr-CED Housing & PFLD-15-7128 08/1112016 FILE #4 COLWELL, PATRICIA 11 055020 PHYSICAL RECORDS H2433 MANAGEMENT -CED Housing & PFLD-15-7145 08112/2016 FILE #2 YORK, MICHELLE Ml 055020 PHYSICAL RECORDS H2478 MANAGEMENT-CED Housing & PFLD-15-7163 0811112016 FILE #1 WRIGHT, DONNAI 055020 PHYSICAL RECORDS H2514 MANAGEMENT-CED Housing & PFLD-15-7186 08/09/2016 FILE #2 BRANAM, RANDYI 055020 PHYSICAL RECORDS H2550 MANAGEMENT-CED Housing & PFLD-15-7218 08110/2016 FILE #2 STILLMAN, KATIE Sl 055020 PHYSICAL RECORDS H2558 MANAGEMENT-CEO Housing & PFLD-15-7253 08110/2016 FILE #2 BARRAGAN, DEMETRIO! 055020 PHYSICAL RECORDS H2640 MANAGEMENT-CED Housing & PFLD-15-7307 08/10/2016 FILE #4 GALLAGHER, MARIAN PI 055020 PHYSICAL RECORDS H2707 MANAGEMENT-CED Housing & PFLD-15-7358 08112/2016 FILE #1 HAYWARD, JUDYI 055020 PHYSICAL RECORDS H2805 MANAGEMENT-CED Housing & .. Records Destruction List Page 18 Date 08/12/2016 Time 11 :11:40 AM Date Inactive Login Name Maria Emery Record ExternaiiD Records Description Number PFLD-15-8675 08/10/2016 FILE #2 JUAREZ, RACHEL! 055020 PHYSICAL RECORDS H2796 MANAGEMENT-CED Housing & PFLD-15-8764 08/12/2016 FILE #3 FOSTER, LOUISE AI 055020 PHYSICAL RECORDS H3035 MANAGEMENT -CED Housing & PFLD-15-8872 08/12/2016 FILE #2 RO, KERII 055020 PHYSICAL RECORDS H3181 MANAGEMENT-CED Housing & PFLD-15-6626 08/11/2016 FILE #I WILLIAMS, BETTYI 055020 PHYSICAL RECORDS H1943 MANAGEMENT-CED Housing & PFLD-15-6678 08/10/2016 FILE #I WITMER, JANET Fl 055020 PHYSICAL RECORDS H1926 MANAGEMENT-CED Housing & PFLD-15-6748 08/11/2016 FILE# COLWELL, PATRICIA Jl 055020 PHYSICAL RECORDS H3581 MANAGEMENT-CED Housing & PFLD-15-8140 08/12/2016 FILE #I SLOAN, EDNAI 055020 PHYSICAL RECORDS HI034 MANAGEMENT -CED Housing & PFLD-15-8159 08/12/2016 FILE #2 STAROSTA, LIZA Sl 055020 PHYSICAL RECORDS H1050 MANAGEMENT-CED Housing & PFLD-15-8166 08/11/2016 FILE #I STILLS, DESERI AI 055020 PHYSICAL RECORDS H1057 MANAGEMENT -CED Housing & PFLD-15-8184 08110/2016 FILE #I TIERNEY, GAlLI 055020 PHYSICAL RECORDS H1075 MANAGEMENT-CED Housing & PFLD-15-8204 08/09/2016 FILE #I CLENDENING, DONNA Tl 055020 PHYSICAL RECORDS H1095 MANAGEMENT-CED Housing & PFLD-15-8232 08/11/2016 FILE #I WOODS, NICOLAI 055020 PHYSICAL RECORDS Hl108 MANAGEMENT-CED Housing & PFLD-15-8265 08/12/2016 FILE #I KUBOTA, YACHIYOI 055020 PHYSICAL RECORDS Hl363 MANAGEMENT -CED Housing & PFLD-15-980 1 08/12/2016 FILE #I BRAND, TACOMA! 055020 PHYSICAL RECORDS H2135 MANAGEMENT -CED Housing & PFLD-15-9835 08/08/2016 FILE #I SPENCER, AVISI 055020 PHYSICAL RECORDS H2214 MANAGEMENT-CED Housing & PFLD-15-9972 08/12/2016 FILE #I MARTINEZ, SHAQUITAI 055020 PHYSICAL RECORDS H2308 MANAGEMENT-CED Housing & Records Destruction List Page 19 Date 08/12/2016 Time 11:11:41 AM Date Inactive Login Name Maria Emery Record ExternaiiD Records Description Number PFLD-15-1 0054 08112/2016 FILE #1 SCHORLE, ANDREA! 055020 PHYSICAL RECORDS H2480 MANAGEMENT-CED Housing & PFLD-15-6306 08/11/2016 FILE #1 HELTON, JANET Kl 055020 PHYSICAL RECORDS H1614 MANAGEMENT-CED Housing & PFLD-15-6339 08/09/2016 FILE #2 KISLING, TATIANAI 055020 PHYSICAL RECORDS Hl647 MANAGEMENT-CED Housing & PFLD-15-6392 08/11/2016 FILE#2 MARQUIS, FRANCES! 055020 PHYSICAL RECORDS Hl700 MANAGEMENT-CED Housing & PFLD-15-6424 08/09/2016 FILE #1 MONSON, RICHARD! 055020 PHYSICAL RECORDS Hl732 MANAGEMENT-CED Housing & PFLD-15-6435 08111/2016 FILE #1 NGUYEN, LAN-HUONG Tl 055020 PHYSICAL RECORDS Hl743 MANAGEMENT-CED Housing & PFLD-15-6528 08/10/2016 FILE #1 SOTO, MARTHA! 055020 PHYSICAL RECORDS Hl975 MANAGEMENT-CED Housing & PFLD-15-6576 08/09/2016 FILE #2 SAWYER, PATRICIAAI 055020 PHYSICAL RECORDS H1848 MANAGEMENT-CED Housing & PFLD-15-6593 08/10/2016 FILE #1 SHERRING, PEARLI 055020 PHYSICAL RECORDS Hl865 MANAGEMENT-CED Housing & PFLD-15-660 I 08/06/2016 FILE #1 SKOOG, GAIL Ll 055020 PHYSICAL RECORDS Hl873 MANAGEMENT-CED Housing & PFLD-15-7843 08/11/2016 FILE#5 MARQUIS, FRANCES! 055020 PHYSICAL RECORDS H670 MANAGEMENT-CED Housing & PFLD-15-7884 08/11/2016 FILE #1 AMAN, RAHIMAI 055020 PHYSICAL RECORDS H721 MANAGEMENT-CED Housing & PFLD-15-7911 08/10/2016 FILE #1 LE COMPTE, AMYl 055020 PHYSICAL RECORDS H748 MANAGEMENT-CED Housing & PFLD-15-7964 08/ll/2016 FILE#2 MAFFICIOLI, INGE II 055020 PHYSICAL RECORDS H792 MANAGEMENT-CED Housing & PFLD-15-7985 08/06/2016 FILE #1 JEAN-FRANCOIS, YVESI 055020 PHYSICAL RECORDS H813 MANAGEMENT-CED Housing & PFLD-15-8042 08/09/2016 FILE #2 MONSON, RICHARD! 055020 PHYSICAL RECORDS H937 MANAGEMENT-CED Housing & Records Destruction List Page 20 Date 08/12/2016 Time 11:11:42 AM Date Inactive Login Name Maria Emery Record ExternaiiD Records Description Number PFLD-15-8056 08/12/2016 FILE #2 OFFSTEIN, JERROLD! 055020 PHYSICAL RECORDS H951 MANAGEMENT-CED Housing & PFLD-15-8093 08/12/2016 FILE #1 REA, DANIEL Bl 055020 PHYSICAL RECORDS H987 MANAGEMENT-CED Housing & PFLD-15-8099 08/l 0/2016 FILE #2 RHONE, PATRlCIAAI 055020 PHYSICAL RECORDS H993 MANAGEMENT-CED Housing & PFLD-15-81 09 08/09/2016 FILE #1 RUSCITTI, FRANK Ml 055020 PHYSICAL RECORDS HI003 MANAGEMENT-CED Housing & PFLD-15-8130 08/11/2016 FILE#2 SERRIN, JODINE El 055020 PHYSICAL RECORDS HI024 MANAGEMENT-CED Housing & PFLD-15-8139 08/06/20 16 FILE #2 SKOOG, GAIL Ll 055020 PHYSICAL RECORDS H1033 MANAGEMENT -CED Housing & PFLD-15-9340 08/11/2016 FILE #2 AVINA, ANICETOI 055020 PHYSICAL RECORDS Hl432 MANAGEMENT -CED Housing & PFLD-15-9357 08/12/2016 FILE #1 FOSTER, LOUISE A I 055020 PHYSICAL RECORDS Hl555 MANAGEMENT -CED Housing & PFLD-15-9386 08/ll/2016 FILE #1 GOMEZ, JENNIFER Dl 055020 PHYSICAL RECORDS H1585 MANAGEMENT-CED Housing & PFLD-15-9403 08/12/2016 FILE #4 GUSTAFSON, PATRlCIAAI 055020 PHYSICAL RECORDS H1602 MANAGEMENT-CED Housing & PFLD-15-9516 08/11 /20 16 FILE #1 MIALE, RALPHI 055020 PHYSICAL RECORDS H3371 MANAGEMENT-CED Housing & PFLD-15-9628 08/12/2016 FILE #1 VOGT, LEEI 055020 PHYSICAL RECORDS H3517 MANAGEMENT-CED Housing & [ E:,d of Report )[City of Carlsbad Dataset ECMMaster J CERTIFICATE OF DESTRUCTION & RECYCLING This Certificate is presented to: CITY OF CARLSBAD -RECORDS MGMT DEPT. 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) Certificate # Date Issued Service Locations Date Range of Service Work Ticket(s) Quantity/Item SD012455 104570 Tuesday, October 11, 2016 5815 EL CAMINO REAL Oct-04-2016 thru Oct-04-2016 346400 4 - 4 64 Gallon Bin *Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s). tl coro data ~ ~ ..,·§, ~!!!1'1! \rgY~ . SSAE 16 Ty~e II ,O..udit Cc:rnplet~d • HIB'\l'\ GltJn llllflms E·:Jcorodata Corodata Shredding, Inc. 12375 Kerran Street· Poway, CA 92064 (858) 7 48-1100 Fax (858) 726-6085 Shredding, Inc. SAN DIEGO -ORANGE COUNTY/LA Tue Oct 4 2016 next:11/1/2016l 1111111111111111111111111111111111111111 NORTH BAY/SAN FRANCISCO· SAN JOSE/SILICON VALLEY ' Ticket # 346400 First Available CITY OF CARLSBAD -RECORDS Directions Routine Instructions MGMTDEPT. ********CALL MARIA (20) PRIOR TO ARRIVAL********** ***ENTER ON FARADAY OR 5815 EL CAMINO REAL ******************************************************************* PRIESTLY*** CARLSBAD, CA 92008 ************************************************************** CALL MARIA (20) PRIOR TO ARRIVAL-MARIA NEEDS TO MEET YOU AT Contacts WAREHOUSE/BLDG. PAT DOWNIE (760)602-2738 Special Instructions MARIA EMERY (760)271-6841 Room Description Container Service Item Qty Actual 1 Minimum Service Ticket Amount Minimum Service Ticket Amount ~~~~-··-------·---· 4 64 Gallon Bin 64 Gallon Bin [····························-···-·----··-·· -···· Tim e In: -~-- 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 accepts the terms and conditions on the reverse side. X SD BT Stop 99 BC SD012455 Page 1