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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2019-04-18 (8)RECORDS DESTRUCTION AUTHORIZATION FOR "" ,._....,.....,._,._,,.""""...,...,_.....,....,......,"""""""".,_.,_.,_...,,.,_..,,,,,.,,c_ - DATE: 3/1/19 REQUESTING DEPARTMENT: HR REQUESTER: Kim Stankavich DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, required audits ,-.. a " completed, and no pending or ongoing litigation or investigation involving these records is known to exist. ~ beer, ~ 1 tr (}at~c:lJ/11 DATE RECORDS MANAGEMENT DATE CITY ATTORNEY BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB B~~C:::: PERIOD ('f ODE I apa::>licabte) JJ--l/ 1 FULL TIME EE PERSONNEL FILES 2008 0810-40 te +10 {sl~,I(,~~) -,,I'"\ ,./ ..t+~~e ~~ f){}l)ff W:,o-'l.D CCJ+~ - ----------------- *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 tobte. - To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: ---~-~_'t)_tW!v~---- CERTIFICATE OF DESTRUCTION? 0' YES O NO DATE:~ TAB BARCODES DELETED BY: .Md.A1fL Gmtf~r~ DATE: 1d~1_, This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Progra ,n. \<~t «" o, Revised ~ CARLSBAD P : 2016 age I 1 Records Destruction List Page 1 Date 03/06/2019 Time 10:35:03AM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-13460 03/06/2019 KETCHER JR, RALPH! 083020 PHYSICAL RECORDS HR5248 MANAGEMENT -Human Resources Human Resources PFLD-15-13499 03/06/2019 BRANCA,,LAURA\ 083020 PHYSICAL RECORDS HR5292 MANAGEMENT -Human Resources Human Resources PFLD-15-13 579 03/06/2019 JOHNSON, ALEXANDER\ 081040 PHYSICAL RECORDS HR5375 MANAGEMENT -Human Resources Human Resources PFLD-15-13640 03/06/2019 HOLLOWAY, MICHAELI 083020 PHYSICAL RECORDS HR5449 MANAGEMENT -Human Resources Human Resources PFLD-15-11480 03/06/2019 CULP, ROBIN! 081040 PHYSICAL RECORDS HR2882 MANAGEMENT -Human Resources Human Resources PFLD-15-10266 03/06/2019 ELSASSER, PATRICK WI 083020 PHYSICAL RECORDS HR278 MANAGEMENT -Human Resources Human Resources PFLD-15-12028 03/06/2019 BARNUM, DAVID\ 083020 PHYSICAL RECORDS HR3532 MANAGEMENT -Human Resources Human Resources PFLD-15-13838 03/06/2019 DENIS,AMY!-083020 PHYSICAL RECORDS HR5664 MANAGEMENT -Human Resources Human Resources PFLD-15-10973 03/06/2019 BLACKBURN, KEITH WI 081040 PHYSICAL RECORDS HR1792 MANAGEMENT -Human Resources Human Resources PFLD-15-11052 03/06/2019 ELSASSER, PATRICK WI 081040 PHYSICAL RECORDS HR1978 MANAGEMENT -Human Resources Human Resources PFLD-l 5-lll20 03/06/2019 HARDEN, KEVIN JI 081040 PHYSICAL RECORDS HR2114 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 2 Date 03/06/2019 Time 10:35:04AM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-12887 03/06/2019 DELELLIS, STACEY! 081040 PHYSICAL RECORDS HR.4634 MANAGEMENT -Human Resources Human Resources PFLD-15-13459 03/06/2019 KETCHER JR, RALPH j 081040 PHYSICAL RECORDS HR5247 MANAGEMENT -Human Resources Human Resources PFLD-15-13498 03/06/2019 BRANCA, LAURAi 081040 PHYSICAL RECORDS HR.5291 MANAGEMENT -Human Resources Human Resources PFLD-15-13 578 03/06/2019 JOHNSON, CHRISTINA! 083020 PHYSICAL RECORDS HR.5374 MANAGEMENT -Human Resources Human Resources PFLD-15-13639 03/06/2019 HOLLOWAY, MICHAELI 081040 PHYSICAL RECORDS HR5448 MANAGEMENT -Human Resources Human Resources PFLD-15-10188 03/06/2019 BRUGGEMAN, KENNETH JI 083020 PHYSICAL RECORDS HR.125 MANAGEMENT -Human Resources Human Resources PFLD-15-12027 03/06/2019 BARNUM, DAVIDj 081040 PHYSICAL RECORDS HR3531 MANAGEMENT -Human Resources Human Resources PFLD-15-13837 03/06/2019 DENIS,AMYI 081040 PHYSICAL RECORDS HR.5663 MANAGEMENT -Human Resources Human Resources PFLD-15-10944 03/06/2019 ANDRES, ERIKI 081040 PHYSICAL RECORDS HR.1730 MANAGEMENT -Human Resources Human Resources PFLD-15-11035 03/06/2019 DESIENA, JANNAE Kl 081040 PHYSICAL RECORDS HR.1940 MANAGEMENT -Human Resources Human Resources PFLD-15-11103 03/06/2019 GORSLINE, DAVIDI 081040 PHYSICAL RECORDS HR2081 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 3 Date 03/06/2019 Time 10:35:04AM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-12875 03/06/2019 HARTMAN, ALLENI 081040 PHYSICAL RECORDS HR4619 MANAGEMENT -Human Resources Human Resources PFLD-15-13426 03/06/2019 COBIAN, GABRIELi 083020 PHYSICAL RECORDS HR5211 MANAGEMENT -Human Resources Human Resources PFLD-15-13462 03/06/2019 BRAEMER, DENlSEI 083020 PHYSICAL RECORDS HR5250 MANAGEMENT -Human Resources Human Resources PFLD-15-13577 03/06/2019 JOHNSON, CHRISTINA! 081040 PHYSICAL RECORDS HR5373 MANAGEMENT -Human Resources Human Resources PFLD-15-13581 03/06/2019 CARRANZA, KYLEI 081040 PHYSICAL RECORDS HR5377 MANAGEMENT -Human Resources Human Resources PFLD-15-12969 03/06/2019 DUARTE, ABRAHAM! 081040 PHYSICAL RECORDS HR4727 MANAGEMENT -Human Resources Human Resources PFLD-15-10137 03/06/2019 ANDRES, ERIKI 083020 PHYSICAL RECORDS HR30 MANAGEMENT -Human Resources Human Resources PFLD-15-10324 03/06/2019 GORSLINE, DAVIDI 083020 PHYSICAL RECORDS HR381 MANAGEMENT -Human Resources Human Resources PFLD-15-13829 03/06/2019 KLING, TERRYI . 083020 PHYSICAL RECORDS HR5655 MANAGEMENT -Human Resources Human Resources PFLD-15-11023 03/06/2019 CRABTREE, JACK Ci 081040 PHYSICAL RECORDS HR1907 MANAGEMENT -Human Resources Human Resources PFLD-15-11080 03/06/2019 GAGE-JONES, JANET RI 081040 PHYSICAL RECORDS HR2033 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 4 Date 03/06/2019 Time 10:35:04AM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-12571 03/06/2019 DAMKERT, AMBROCIAI 081040 PHYSICAL RECORDS HR4211 MANAGEMENT -Human Resources Human Resources PFLD-15-13425 03/06/2019 COBIAN, GABRIELi 081040 PHYSICAL RECORDS HR5210 MANAGEMENT -Human Resources Human Resources PFLD-15-13461 03/06/2019 BRAEMER, DENISE! 081040 PHYSICAL RECORDS HR5249 MANAGEMENT -Human Resources Human Resources PFLD-15-13523 03/06/2019 DAVIDSON, JESSICAI 081040 PHYSICAL RECORDS HR5318 MANAGEMENT -Human Resources Human Resources PFLD-15-13580 03/06/2019 JOHNSON, ALEXANDER! 083020 PHYSICAL RECORDS HR5376 MANAGEMENT -Human Resources Human Resources PFLD-15-13648 03/06/2019 ABSHIRE, DAVIDI 081040 PHYSICAL RECORDS HR5460 MANAGEMENT -Human Resources Human Resources PFLD-15-12968 03/06/2019 DUARTE, ABRAHAM! 083020 PHYSICAL RECORDS HR4726 MANAGEMENT -Human Resources Human Resources PFLD-15-10282 03/06/2019 FERNANDEZ, JOHN Ml 083020 PHYSICAL RECORDS HR309 MANAGEMENT -Human Resources Human Resources PFLD-15-13 828 03/06/2019 KLING, TERRY[ 081040 PHYSICAL RECORDS HR5654 MANAGEMENT -Human Resources Human Resources 08101 PFLD-15-10989 03/06/2019 BRUGGEMAN, KENNETH JI PHYSICAL RECORDS HR1825 MANAGEMENT -Human Resources Human Resources PFLD-15-11068 03/06/2019 FERNANDEZ, JOHN Ml 081040 PHYSICAL RECORDS HR2009 MANAGEMENT -Human Resources Human Resources Date Inactive Record Number External ID PFLD-15-ll184 PFLD-15-12904 03/06/2019 HR2247 Human Resources 03/06/2019 HR4655 Human Resources Records Destruction List Page 5 Date 03/06/2019 Time 10:35:04 AM Login Name Maria Emery Records Description KNEISEL, CONSTANCE MJ 081040 BAWA, OPINDER[ 081040 • [ End of Report ][ City of Carlsbad ] Dataset ECMMaster PHYSICAL RECORDS MANAGEMENT -Human Resources PHYSICAL RECORDS MANAGEMENT -Human Resources 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 110232 Monday, April 22, 2019 5815 EL CAMINO REAL Apr-18-2019 thru Apr-18-2019 577291 41 -41 Boxes for Destruction ( standard) • Nothing in this certificate shall be deemed to modify the terms of the parties' SelVice Agreement(s) or Work Ticket(s). E•Jcorodata itSSAE16 Type II Audit Completed HIP£