HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Council; 2019-01-24}IV
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RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: Jan. 16, 2019
REQUESTING DEPARTMENT: City Council ----------
DESTRUCTION APPROVALS:
REQUESTER: Andrea Dykes
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.
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DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
CC006 Council Calendar 2016 010003 2 years
Chron Files-Andrea Dykes 2016 010003 2 years
Incoming Correspondence 2016 010003 2 years
City Council Proclamations 2016 010003 2 years
Chron Files -Internal Matt Hall 2016 010003 2 years
Chron Files -External Matt Hall 2016 010003 2 years
Chron Files -Keith Blackburn 2016 010003 2 years
Chron Files -Mark Packard 2016 010003 2 years
Chron Files -Lorraine Wood 2016 010003 2 years
Chron Files -Michael Schumacher 2016 010003 2 years
*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: G61 /"'tJ adv DATE:
CERTIFICATE OF DESTRUCTION? (kl' YES O NO
TAB BARCODES DELETED BY: ___________ _ DATE: ------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
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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)
Certificate #
Date Issued
Service Locations
Date Range of Service
Work Ticket(s)
Quantity/Item
SD012455
109525
Monday, January 28, 2019
5815 EL CAMINO REAL
Jan-24-2019 thru Jan-24-2019
553347
62 -62 Boxes for Destruction (standard)
• Nothing in this certificate shall be deemed to modify the terms of the parties' Se,vice Agreement(s) or Work Tickel(s).
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Type II Audit Completed HIP.Al\