HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2019-07-11RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
REQUESTING DEPARTMENT:
DESTRUCTION APPROVALS:
MAR. APR. MAY 2015
HUMAN RESOURCES REQUESTER:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
o ex t
·-
ldd d' .,.. /'th d'f.~L c~ ,Pfj~i.Pjf/f:5{n mg oJ°l~o~g 1ttgGfiC"J;,_;;/jlat1on~e,, ~car s ,s mow flltl)C?J2t h, nlfi/ W/~ J '(.I 1 ,,, I \._ ' ' tu. Z q iJ / 1( ~~PAlfrMENT HEAD: -RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRSNO. RRS SMEADSOFT BARCODE
PERIOD (if applicable)
l Fire Engineer March v~50-~~ 2015 ~~ -✓
Library Assistant 1/11 March /)(5
2015 ' "\. " Police Community Services Officer March \ ' \ 2015
Business Systems Specialist March \ 2015
Police Communications Operator II March
2015
Sr. Enterprise Applications Manager March
2015
Community Coordinator Graphic April I Production Supervisor 2015
Police Officer Lateral April / I 2015
Aquatics Manager April I 2015 j
Police Officer Academy Graduate April I I 2015
April . I I Utility Worker 1/11 2015
Sr. Transportation Planner April
2015
Police Lieutenant and Sergeant May
2015 '
Paramedic Firefighter Lateral-Entry May \ 2015 \
May ' '\
Sr. Civil/ Assoc. Civil Engineer 2015 fl I Oj ~ol
--V
~de/µ To be filled out once records have been destroyed. 7/4.k,7 RECORD DESTRUCTION COMPLETED BY: DATE:
CERTIFICATE OF DESTRUCTION? ~YES □ NO
SMEADSOFT BARCODES DELETED BY: -DATE: -
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 5/31/2016
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
REQUESTING DEPARTMENT:
DESTRUCTION APPROVALS:
MAY AND JUNE 2015
HUMAN RESOURCES REQUESTER:
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 MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS SMEADSOFT BARCODE
PERIOD (if applicable)
Principal Planner May
08t;IJ-35 eu:s JI/A. 2015
May
,
Assistant Traffic Engineer 2015 ' \ ~
Building Technician May \
2015
Lead Librarian June
2015
Police Officer Lateral and AG June I 2015 )
Sr. Network Eng. June I I 2015 J
Engineer Technician June I I I 2015
Police Communication Operator June I I I Entry-Lateral 2015
HR Technician Nov
2015 I
Dec '-' Public Works Supervisor 2015
A
:2.~A
V
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: DATE:
CERTIFICATE OF DESTRUCTION? □ YES □ NO
SMEADSOFT BARCODES DELETED BY: DATE:
«i> CITY OF
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised:5/31/2016
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 7/9/19 ----------
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 have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
ltf.i) (]__, '1 / ,o( A
DATE CITY ATTORNEY: DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
3 Classification Appeals and Audits 1989-0820-30 CL+S See attached 2008
4 Classification Appeals and Audits 1994-0820-30 CL+S See attached 2007
5 Classification Appeals and Audits 2002-05 0820-30 CL+S See attached
*If more spaces are needed, click in the last box In right hand corner of table and hit "tab". This w/11 create more fields In the table.
To be jiffed out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:~-~---~------
CERTIFICATE OF DESTRUCTION? [2(_vEs □ NO
DATE: ~L7
SMEADSOFT BARCODES DELETED BY: ~~~ DATE: ¼lku
This form documents the destruction of City records In accordance with the City of Carlsbad Records Management Program.
(btyor
Carlsbad Revised: 7/9/2019
Date Inactive
Record Number External ID
PFLD-15-12953 07/09/2019
HR4711
Human Resources
PFLD-15-13098 07/09/2019
HR4866
Human Resources
PFLD-15-11932 07/09/2019
HR3424
Human Resources
PFLD-15-12051 07/09/2019
HR3560
Human Resources
PFLD-15-12416 07/09/2019
HR4036
Human Resources
PFLD-15-12420 07/09/2019
HR4040
Human Resources
PFLD-15-12510 07/09/2019
HR4140
Human Resources
PFLD-15-12532 07/09/2019
HR4167
Human Resources
PFLD-15-13986 07/09/2019
HR5832
Human Resources
PFLD-15-13 990 07/09/2019
HR5836
Human Resources
PFLD-15-13998 07/09/2019
HR5844
Human Resources
Records Destruction List
Page 1
Date 07/09/2019
Time 3:43:35 PM
Login Name Maria Emery
Records Description
Engineering Tech II to Applications Specialist IIGIS 082040
Traffic Signal System EngineerlPublic Works 082040
Office Specialist II to Library AssistantlDove Library 082040
Bldg Maint. Worker I to Bldg Maint Worker IIIPublic Works 082040
Sr. Bldg Maint Worker to Public Works SupervisorlPublic
Works
Applications Specialist II to Applications Specialist
IIIIInformation Technology
Application Specialist II to III!Info Technology
Police SergeantlPolice
082040
082040
082040
082040
RECREATION SPECIALIST TO 082040
SUPERVISORjRECREATION-ENRICHMENT PROGRAM
COMMUNITY SERVICE DIRECTOR CLASSIFICATION & 082040
COMPENSATIONICOM DEV
CLERICAL STUDY IADMININSTRATNE SERVICES 082040
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
· PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
Records Destruction List
Page 2
Date 07/09/2019
Time 3:43:36 PM
Date Inactive
Login Name Maria Emery
Record Number External ID Records Description
PFLD-15-14002 07/09/2019 MGT ANALYST TO SRMGT ANALYSTJCOMDEV 082040 PHYSICAL RECORDS
HR.5848 MANAGEMENT -Human Resources
Human Resources
PFLD-15-14335 07/09/2019 Reclass of Public Works Administrative StaffjPublic Works 082040 PHYSICAL RECORDS
HR.6304 MANAGEMENT -Human Resources
Human Resources
PFLD-15-13124 07/09/2019 Contract Administrator seriesJPublic Works class study 082040 PHYSICAL RECORDS
HR.4895 MANAGEMENT -Human Resources
Human Resources
PFLD-15-11833 07/09/2019 Special Events CoordinatorJPolice 082040 PHYSICAL RECORDS
HR.3313 MANAGEMENT -Human Resources
Human Resources
PFLD-15-11933 07/09/2019 Office Specialist II to Account Clerk II JFinance 082040 PHYSICAL RECORDS
HR.3425 MANAGEMENT -Human Resources
Human Resources
PFLD-15-13530 07/09/2019 Management Analyst ProjectJCitywide 082040 PHYSICAL RECORDS
HR.5326 . MANAGEMENT -Human Resources
Human Resources
PFLD-15-12417 07/09/2019 Custodian I to Custodian IIJPublic Works 082040 PHYSICAL RECORDS
HR.4037 MANAGEMENT -Human Resources
Human Resources
PFLD-15-12421 07/09/2019 Library Assistant II to Community CoordinatorJLibrary 082040 PHYSICAL RECORDS
HR.4041 MANAGEMENT -Human Resources
Human Resources
PFLD-15-12527 07/09/2019 Environmental Program MgrlPublic Works 082040 PHYSICAL RECORDS
HR.4162 MANAGEMENT -Human Resources
Human Resources
PFLD-15-12533 07/09/2019 Police CorporallPolice 082040 PHYSICAL RECORDS
HR.4168 MANAGEMENT -Human Resources
Human Resources
PFLD-15-13987 07/09/2019 CAPTAIN-LIEUTENANT CLASS CHANGESIPOLICE 082040 PHYSICAL RECORDS
HR.5833 MANAGEMENT~ Human Resources
Human Resources
Date Inactive
Record N'Umber External ID
PFLD-15-13991 07/09/2019 ,
HR5837
Human Resources
PFLD-15-13999 07/09/2019
HR5845
Human Resources
PFLD-15-14003 07/09/2019
HR5849
Human Resources
PFLD-15-12952 07/09/2019
HR4710
Human Resources
PFLD-15-13097 07/09/2019
HR4865
Human Resources
PFLD-15-13233 07/09/2019
HR5014
Human Resources
PFLD-15-11836 07/09/2019
HR3317
Human Resources
PFLD-15-11935 07/09/2019
HR3427
Human Resources
PFLD-15-13674 07/09/2019
HR5490
Human Resources
PFLD-15-12419 07/09/2019
HR4039
Human Resources
PFLD-15-12509 07/09/2019
HR4139
Human Resources
Records Destruction List
Page 3
Date 07/09/2019
Time 3:43:36 PM
login Name Maria Emery
Records Description
RFP CLASSIFICAITON CONSULTANT IIT 082040
STORM WATER DRAIN STUDYIM&O PUBLIC WORKS 082040
ASSISTANT TO ASSOCIATE 082040
ENGINEER!PW-ENGINEERING
Water Systems Operator I to Water Sys Op IIIPublic Works 082040
Environmental Specialist !Public Works 082040
Police Secretary to Police Training CoordinatorlPolice 082040
City Communications ManagerlCity Manager 082040
Management Associate to Management AnalystlPublic Works 082040
Accounting SupervisorlWater District 082040
Accounting Specialist to Business Systems TechnicianlPublic 082040
Works
Application Specialist I to App Spec Il!Info Technology 082040
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
Date Inactive
Record Number External ID
PFLD-15-12531 07/09/2019
HR.4166
Human Resources
PFLD-15-13985 07/09/2019
HR.5831
Human Resources
PFLD-15-13989 07/09/2019
HR.5835
Human Resources
PFLD-15-13997 07/09/2019
HR.5843
Human Resources
PFLD-15-14001 07/09/2019
HR.5847
Human Resources
PFLD-15-12616 07/09/2019
HR.4263
Human Resources
PFLD-15-13125 07/09/2019
HR.4896
Human Resources
PFLD-15-11835 07/09/2019·
HR.3316
Human Resources
PFLD-15-11934 07/09/2019
HR3426
Human Resources
PFLD-15-13531 07/09/2019
HR.5327
Human Resources
PFLD-15-12418 07/09/2019
HR.4038
Human Resources
Records Destruction List
Page 4
Date 07/09/2019
Time 3:43:36 PM
Login Name Maria Emery
Records Description
Communications SupervisorlPolice 082040
Storekeeper StudylFinance 082040
CRIME PREVENTION SPECIALIST RECLASSIFICATION 082040
SALARY SURVEYIPOLICE
METER SERVICES WORKER IIlTO 082040
SUPERVISORIPUBLIC WORKS
DISPATCH LEAD TO SUPERVISORIPOLICE 082040
Account Clerk II to Accounting TechnicianlFinance 082040
Senior Building Maint WrkrlPublic Works 082040
Community Volunteer CoordinatorlCity Manager 082040
Sel).ior Office Specialist to SecretarylCity Manager 082040
Community Service Officer IIIIPolice 082040
GIS Technician to Application SpecialistlPublic Works 082040
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human ·Resources
Date Inactive
Record Number External ID
PFLD-15-12422 07/09/2019
HR.4042
Human Resources
PFLD-15-12528 07/09/2019
HR.4163
Human Resources
PFLD-15-13 808 07/09/2019
HR.5631
Human Resources
PFLD-15-13988 07/09/2019
HR.5834
Human Resources
PFLD-15-13996 07/09/2019
HR.5842
Human Resources
PFLD-15-14000 07/09/2019
HR.5846
Human Resources
PFLD-15-14017 07/09/2019
HR.5865
Human Resources
Records Destruction List
Page 5
Date 07/09/2019
Time 3:43:36 PM
Login Name Maria Emery
Records Description
Community Service Officer Class Study[Police
Public Works Supervisor[Public Works
Senior Office Sp~cialist to Secretary[Public Works -Parks
BUDGET RECLASSIFICATION
REQUESTS[IT,PD,GIS,PW,HSG,HR
WAREHOUSE TECHNICIAN -SPECIALIST[PUBLIC
WORKS
082040
082040
082040
082040
082040
HOUSING SPECIALIST 1/11 [REVISION CLASS SPEC HSG 082040
&REDEV
TECHNOLOGY STUDY[CITYWIDE 082040
Dataset ECMMaster [-End of Report ]I City of Carlsbad '---'--------------------------------------_____,
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
PHYSICAL RECORDS
MANAGEMENT -Human Resources
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, Co,rodata 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
110465
Tuesday, July 16, 2019
5815 EL CAMINO REAL
Jul-11-2019 thru Jul-11-2019
601563
41 -41 Boxes for Destruction (standard)
• Nothing in this certificate shall be deemed to modify the terms of the parties' Se,vice Agreement(s) or Work Ticket(s).
1:1corodata itSSAE16
Type II Audit Completed HIP£