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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2019-04-18 (2)~1 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 3/6/19 REQUESTING DEPARTMENT: HR ----------- DESTRUCTION APPROVALS: REQUESTER: Kim Stankavich 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. CITY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) ~LIGIBILITY LISTS 2012-2.013 0850-65 CL+3 { 5££ a&diul) *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. CERTIFICATE OF DESTRUCTION? RECORD DESTRUCTION COMPLETED BY: _ __,./'---__,&!vl"'--=--'--'--b}J ____ _ [i' YES O NO DATE: TAB BARCODES DELETED BY: JUµjvt_ Gm~c DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. <1~, m• ., Revised: 2016 w CARLSBAD P a g e J 1 Date Inactive Record Number External ID PFLD-15-14576 03/05/2019 HR6643 Human Resources PFLD-15-14608 03/05/2019 HR6675 Human Resources PFLD-15-14679 03/05/2019 HR6746 Human Jlesources PFLD-15-14728 03/05/2019 HR6861 Human Resources PFLD-15-14735 03/05/2019 HR6869 Human Resources PFLD-15-14 785 03/05/2019 HR6919 Human Resources PFLD-15-1457 4 03/05/2019 HR6641 Human Resources PFLD-15-14588 03/05/2019 HR6655 Human Resources PFLD-15-14622 03/05/2019 HR6689 Human Resources PFLD-15-14700 03/05/2019 HR6833 Human Resources PFLD-15-14731 03/05/2019 HR6865 Human Resources Records Destruction List Page 1 Date 03/05/2019 Time 12:18:50 PM Login Name Maria Emery Records Description COMMUNICATIONS OPERATORIJActive: 3/2/11-3/2/12 085065 COMMUNICATIONS OPERATOR IJActive: 4//20/11 - 4/19/12 085065 FACILITIES SUPERINTENDENT-CONSTR MGMTJActive: 085065 6/27/11-6/26/12 COMMUNICATIONS OPERATOR IIJActive: 8/19/11 - 8/18/12 085065 UTILITIES SUPERVISOR, PLANNER/SCHEDULERJActivdl85065 8/26/11 -8/25/12 COMMUNICATIONS OPERATOR IIJActive: 11/21/11 - 11/20/12 085065 ECONOMIC DEVELOPMENT MANAGERJActive: 2/24/11 -085065 2/24/12 FIRE ENGINEERJActive: 4/24/11 -4/23/12 085065 POLICE OFFICER -LATERALJActive: 5/2/11 -5/1/12 085065 FIRE DIVISION CHIEFJActive: 7/19/11 -7/18/12 085065 PARAMEDIC FIREFIGHTER -LATERALJActive: 8/24/11 -085065 8/23/12 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-15-14 780 03/05/2019 HR.6914 Human Resources PFLD-15-14813 03/05/2019 HR.6947 Human Resources PFLD-15-14697 03/05/2019 HR.6764 Human Resources PFLD-15-14729 03/05/2019 HR.6862 Human Resources PFLD-15-14736 03/05/2019 HR.6870 Human Resources PFLD-15-14787 03/05/2019 HR.6921 Human Resources PFLD-15-14547 03/05/2019 HR.6614 Human Resources PFLD-15-14577 03/05/2019 HR.6644 Human Resources PFLD-15-14609 03/05/2019 HR.6676 Human Resources PFLD-15-14575 03/05/2019 HR.6642 Human Resources PFLD-15-14590 03/05/2019 HR.6657 Human Resources Records Destruction List Page 2 Date 03/05/2019 Time 12:18:50 PM· Login Name Maria Emery Records Description LIBRARIAN I/lIIActive: 11/15/11 -11/14/12 085065 BUILDING INSPECTOR IIActive: 1/10/12 -1/9/13 085065 COMMUNICATIONS SUPERVISORIActive: 7/12/11-085065 7/11/12 . COMMUNICATIONS OPERATOR IIActive: 8/19/11 -8/18/1:Jl85065 MAINTENANCE WORKER I/STREET MAINT WORKER 085065 IIIActive: 9/7/11 -9/6/12 CLERICAL SERIES (Admin, Sec, SOS, OSII)IActive: 12/1/11085065 -11/30/12 SENIOR MANAGEMENT ANALYST[Active: 1/20/11- 1/20/12 085065 COMMUNICATIONS OPERATOR IIIActive: 3/2/11 -3/2/12 085065 COMMUNICATIONS OPERATOR IIIActive: 4/20/11 - 4/19/12 POLICE RECORDS SPECIALIST I/lIIActive: 2/28/11 - 2/28/12 UTILITY WORKER IIIIActive: 3/17/11 -3/16/12 085065 085065 085065 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-15-14713 03/05/2019 HR6846 Human Resources PFLD-15-14732 03/05/2019 HR6866 Human Resources PFLD-15-14784 03/05/2019 HR6918 Human Resources PFLD-15-14986 03/05/2019 HR7120 Human Resources Records Destruction List Page 3 Date 03/05/2019 Time 12:18:50 PM Login Name Maria Emery · Records Description POLICE OFFICER -ACADEMY GRADUATEJActive: 8/8/11085065 -8/7/12 PARAMEDIC FIREFIGHTER -ENTRYIActive: 8/24/11 -085065 8/23/12 COMMUNICATIONS OPERATOR IIActive: 11/21/11 -085065 11/20/12 POLICE OFFICER -LATERALIActive: 6/11/12 -6/13/12 085065 ~ • [ End of Report ][city of Carlsbad Dataset ECMMaster ] 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, 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 Monda~April22,2019 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). 1:1corodata i/SSAE16 Type II Audit Completed HIP£