HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2019-04-18 (10)RECORDS DESTRUCTION AUTHORIZATION FORM (I)
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DESTRUCT 10 N APPROVALS:
We certify that the rec rd listed below have been retained for the scheduled retention period, required audits have been
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CITY ATTORN°h:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS SMEADSOFT BARCODE
PERIOD (if applicable)
>./'Jv' I ~ IT Manager/Tech Operations 2015 ()~o-."l,6 CLt3 h'/A
Sr. Analyst 2015 " '\. " Rec. Specialist 2015 \ \ ' Equipment Service Worker 2015
Asst./ Assoc. Utility Eng.
,
2015
Utility Worker Ill 2015
Business Intelligence Analyst 7.2015
Asst/ Assoc. Transportation Eng. 2015 I I
Water Sys Op 1/11 7.2015 I I
Assistant to City Manager 7.2015 I I
Utilities Manager 8.2015 I I I
Asst./ Assoc. Eng 8.2015 I I I
Building Inspector 8.2015 I I
Rec. Supervisor/ Aquatics 8.2015
Sr. Planner 9.2015 \ \
Sr. Applications Analyst 9.2015 \, \ \
~ -,,.. -,...., ---S,T·T Ero C\ )'0-)0) -~ '\ -.j..--, '----
To be filled out once records have been destroyed. /h!YtJLv/v #t!/m,, RECORD DESTRUCTION COMPLETED BY: DATE:
t;YYES □ I
CERTIFICATE OF DESTRUCTION? NO
SMEADSOFT BARCODES DELETED BY: -DATE: ~
<~\ CITY Of ~··cARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised:1/27/2016
------------------------------------~----
RECORDS DESTRUCTION AUTHORIZATION FORM
--------------........................ ....., .................................... ,,..... ...... ......,...,... __ '"'!~-, __ , ... 71'.il\G_ ..... _,,,,....,.,...,,~----·--
DATE: ----------
REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY McKAY -------------
DESTRUCT 1O N 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.
DEPARTMENT HEAD: RECORDS MANAGEMEN,:: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS SMEADSOFT BARCODE
PERIOD (if applicable)
Bus. Intel. Analyst 9.2015 08?()-2.~ Ct-1-3 /II /1r .
Planning Tech 9.2015 '\ \ \
Utilities Asset Manager 10.2015
Communications Operator 1/11
,
10.2015
Sr. Electrician 11.2015
Client Systems Assoc. Ad min. 11.2015 J I
Senior Librarian 11.2015 I I
Municipal Projects Manager 11.2015 I I
HR Tech 11.2015 I I
Com Op 12.2015 I I I
IT Manager 12.2015 I I I
Police Lateral and AG 12.2015 I I
' I Public Works Manager 12.2015
~MS Nurse Coordinator 12.2015 \ \
Recreation Services Manager 12.2015 \i \,; \t
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:-----------,,-=
CERTIFICATE OF DESTRUCTION? 0 YES
SMEADSOFT BARCODES DELETED BY:-----------,,,.-<'------DATE: _____ _
\~> COTY 01
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised:1/28/2016
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 cerlificate shall be deemed to modify the terms of the patties' Service Agreement(s) or Work Ticket(s).
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Type II Audil Compleled HIP£