HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fire Prevention; 2019-04-18 (11)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 03/15/19 ----------
REQUESTING
DEPARTMENT: FIRE PREVENTION REQUESTER: CHRISTINA WILSON
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.
~ ML
RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
1 2002 WEED ABATEMENT 2002 0630-90 cu+ 3 N/A DOCUMENTS
1 2011 WEED ABATEMENT 2011 0630-90 cu +3 FP0004600 DOCUMENTS
1 2012 WEED ABATEMENT 2012 0630-90 cu +3 FP0004601 DOCUMENTS
1 2013 WEED ABATEMENT 2013 0630-90 CU+3 FP0004602 DOCUMENTS
1 2014 WEED ABATEMENT 2014 0630-90 cu +3 N/A DOCUMENTS
*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 table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: &I)~
CERTIFICATE OF DESTRUCTION? t:ia7"YES O NO
DATE:
SMEADSOFT BARCODES DELETED BY: ~~-~rr DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
~~lCis~adof \AJ.. u Revised: 3/15/2019
Date Inactive
Record Number External ID
PFLD-15-5509
PFLD-15-5510
PFLD-15-5511
FP4600
Fire
FP4601
Fire
FP4602
Fire
Records Destruction List
Page 1
Date 04/08/2019
Time 4:32:29 PM
Login Name Maria Emery
Records Description
WEED ABATEMENTl201 l 063090
WEED ABATEMENTl2012 063090
WEED ABATEMENTl2013 063090
J End of Report ] ..... [ C_ity~o_f C_a_r_ls_b_ad ________________________ D_a_ta_s_e_t E_C_M_M_a_st_e_r __,
PHYSICAL RECORDS
MANAGEMENT -Fire Prevention
PHYSICAL RECORDS
MANAGEMENT -Fire Prevention
PHYSICAL RECORDS
MANAGEMENT -Fire Prevention
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 Compleled HIP£