HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fire; 2020-07-16RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 1/29/2020
REQUESTING
DEPAitTMENT: FIRE ADMINISTRATION
DESTRUCTION APPROVALS:
REQUESTER:
DEBBIE DONNELL
We certify that the records tisted below have been retained for the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or rnvestigation involving these records is known to exist.
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RECORDS MANAGEMENT: DATE CITY ATTORN Y: DATE
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BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
JAN 2012
FD027 Subpoena records requests —JAN fsE3�690 CL+S �/�
2015 ��`�5-30
JAN 2012
FD027 Non-subpoena records requests — DEC FC '—.��:, CL+2 �//�.
2016 Ul3d-5p
•q more spares are neeaea, cucrc m tne �ast nox �n ngnt nana comer ol tap�e ana ntt "tab". rn�s w�u create more)ierqs in tne table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: (������
CERTIFICATE OF DESTRUCTION? YES � NO
SMEADSOFT BARCODES DELETED BY:
DATE: 7�� ��
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
� City of
Carlsbad Revised:l/29/2020
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 haslwill desfroy 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
115082
Friday, July 17, 2020
5815 EL CAMINO REAL
Ju1-16-2020 thru Ju1-16-2020
717926
6- 6 Boxes for Destruction (large)
30 - 42 Boxes for Destruction (standard)
* Nothing in this ceRifica�e shall be deemed to modily the ferms of the parties' Service Agreemenl(s) or Work Ticket(s).
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