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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2019-04-18 (4)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. {J) CITY ATTORNEY I DATE I JJv: 3 4 5 6 7 8 9 BOX NO. RECORDS DESCRIPTION DATED RRSNO. RRS TABBARCODE PERIOD (if applicable) f olice recruit 3/27, 29 2014 0850-25 CL+3 Al/Jr Mgmt Analyst Scantrons 6/20/14 I '\ '\ " Paramedic/Firefighter Lateral 6/21/14 ' \ Paramedic/Firefighter Lateral 7/22/14 Police Officer Academy Grad 7/28/14 I J j Police Officer Academy Grad 7/30/14 I I I Police Officer Lateral 7/31/14 I I / !Police Officer Lateral 8/1/14 I I I I I [Utilities mgr 8/18/14 ~ !v 'v *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: _...,.....~_Yi.--=2?,"""'~=-~---- CERTIFICATE OF DESTRUCTION? IZf YES O NO TAB BARCODES DELETED BY: ___________ _ DATE: DATE: '/A6'~/"7 ' ------ This form documents the destruction of City records In accordance with the City of Carlsbad Records Management Program. <.~ ,,,, 0 , · Revised: 2016 w CARLSBAD Page/ 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. ~ DEl>ARTNTHEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) !RECRUITMENTS 12014 0850-25 CL+3 N/A- 10 Part-Time Accounting Assistant Finance 8/18/14 \ \ '\ 11 Custodian 9/3/14 1 ' '----- 12 Police Communications Operator I 9/9/14 - 13 Librarian Technical Services 9/9/14 J - 14 Housing Assistant 9/8/14 I - 15 Code Compliance 1/11 9/11/14 I I I - 16 Street Maintenance Worker Ill 9/16/14 I I I j - 17 Librarian Technical Services 9/18/14 \ - 18 Associate Planner 9/29/14 y y ¥ - I To be filled out once records have been destroyed. -~~I RECORD DESTRUCTION COMPLETED BY: DAT~ CERTIFICATE OF DESTRUCTION? □ YES □ NO f TAB BARCODES DELETED BY: DATE: .--- This form documents the destruction of Ci ords In accordance with the City of Carlsbad Records Management Program. \~) Cnv o, Revised: 201.6 w CARLSBAD Page/1. RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 3/6/19 REQUESTING DEPARTMENT: HR ....;;....c..;;..;;_ ________ _ DESTRUCTION APPROVALS: REQUESTER: Kim Stankavich We certify that the records listed below have been retained for the scheduled retention period, required audits have been ~ng o~;"J;tigotlon or invest/got/on involving the<e records-is_k_n_o_w_n_t_o-ex-i-st_. ------- DEPARTMEN,T HEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) !RECRUITMENTS 2014 0850-25 CL+3 /V /A- 19 Management Analyst 9/2/14 \ I ' - 20 Management Analyst 9/18 & 19, \ ' 2014 - 21 Street Maintenance Worker 10/16/14 ) - 22 Management AnalysUAssociate Analyst 10/7, 8, 9, J I 2014 - 23 Engineering Technician 10/7/14 ' I I ,_ 24 Management AnalysUAssociate Analyst Testing 10/6/14 I I ' ,_ 25 Management Analyst PEM 10/7/14 I I ' ,_ 26 Management Analyst Dept. Interviews 10/18/14 ' I-- 27 Library Assistant 1/11 Youth Services 10/28/14 \.t V ~ ~ '\ -' To be filled out once records have been destroyed. ~~I RECORD DESTRUCTION COMPLETED BY: ATE: CERTIFICATE OF DESTRUCTION? 0 YES □ NO TAB BARCODES DELETED BY: DATE: ---- This form documents the destruction of City records In accordance with the City of Carlsbad Records Management Program. <~" cm oo Revised: 2016 w CARLSBAD Pa g e I 1 I, RECORDS DESTRUCTION AUTHORIZATION FORM @ DATE: 3[6[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 ~nwding o, ;;:(t;gotlon o, Invest/got/on involving these ,eco,ds is known to exist. DEPARTMENfHEAD . DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RR.S NO. RRS TAB BARCODE PERIOD (if applicable) !RECRUITMENTS 2014 0850-25 CL+3 JV/A- 28 Clerical Series 10/14/14 \ \ '\ 29 Management Analyst 12/8/14 ' \ 30 Police Communications Operator Lateral 12/18/14 j 31 Account Clerk II Scantrons 12/10/14 I I 32 Library Assistant 1/11 Library Collections 12/15/14 J I 33 Fire Marshal Upgraded 11/17/14 I I 34 Sanitation System Operator 111 11/25/14 7 35 Clerical 12/2014 ~ 36 Utilities Mgr. Water Operations 12/2014 y ble. To be filled out once records have been destroyed. I RECORD DESTRUCTION COMPLETED BY: ~ p'-'~ ATE: CERTIFICATE OF DESTRUCTION? □ YES □ NO TAB BARCOD~S DELETED BY: DATE: ---- This form documents the d ct/on of City records in accordance with the City of Carlsbad Records Management Program. ,tCARLSBAD Revised: 2016 ' Page/J. 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. ~ j DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) MCRUITMENTS 2014 0850-25 CL+3 .djA ~1 Utilities Worker Ill 12/2014 \ \ 3q Maintenance Worker 1/11 Scantrons 12/3/14 1 I / 39 Police Recruit Oral Board 12/2014 j W/L h"lice Lateral Oral Board 12/2014 ) I Police,· Academy Graduates Oral Board I 12/2014 ~} \f I V . l - \ " \. I - *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: ________ _..._ CERTIFICATE OF DESTRUCTION? 0 YES □ DATE: ------ This form documents th/ ~tCARLSBAD City records In accordance with the City of Carlsbad Records Management Program. Revised: 2016 Page/1 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}. [•Jcorodata ftSSAE16 Type II Audit Completed HIP£