HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2019-04-18 (11)!i-;.,.,t·~-_!1t.tE : f'5?.£!!.j'_:.:_t_.zW·¢•:t>"'"'~~~~;;~11i,,1.SW._i',~:,;:~_..·~::.-.?:a,...,;;,a~-"'~'""'-;=oe.,!"~_"":;,-•:~;~,;~t'.;:;;.o;%,4~~-~~~;~:i,..:-=:..::.;...;..-;_;;,•~ci . ..:i:,; .. t,•,;:h,·~.~•~.--.-~'·ii,:,,_¼~~~~K:K,f.#~~'I
RECORDS DESTRUCTION AUTHORIZATION FORM
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DATE: 6/4/14
REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY MCKAY
DESTRUCTION APPROVALS:
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.
~ >l--d1 DEl>AMENTHEAo: 1 J
CltAi)~ 1/te;
RECORDS MANAGEMENT: ~~NEY:
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BOX NO. \4 RECORDS DES~IPTIOj, \ \ 9' \ ~A~~ lij RRS NO. RRS SMEADSOFT BARCODE
•• ,Au S:::.\ "'"'a ·C\o PERIOD (if applicable)
lAf-/ -I
2014-1 Police Com Op 1/11 1/2014✓ 0850-25 CL+3 fl'/A
Battalion Chief 2/6/14✓ '\ \ '\. ~r
2/7/14 ✓ ' ' 1~ Fire Captain
l ' Police Corporal 2/18/141"
Police Lateral & AG 2/26 I I &2/28 ,/
Com Op Supervisor 2/25/14v"' I I
Fingerprint & Evidence Specialist 3/27/14✓ I I I
Police Com Op 1/11 4/2/14v" I I I
Police Recruit April & ..May ✓ I I I
Police Com Op 1/11
_., '."l
5/20/14✓"
April,
CritiCall Testing May,✓
June
Zr71~
To be filled out once records have been destroyed.
t1/lt/?-011 RECORD DESTRUCTION COMPLETED BY: ~Ct,n~ DATE:
(:i3"VES □ • CERTIFICATE OF DESTRUCTION? NO
This form documents the destruction of City records In accordance with the City of Carlsbad Records Management
,t,CARL'SBAD Program.
Revised: 6/4/201.4
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' Service Agreement(s) or Work Ticket(s).
E-Jcorodata itSSAE16
Type II Audit Completed HIP£