HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2019-04-18 (5).i _
RECORDS DESTRUCTION AUTHORIZ�4TION FORM �
DATE: 3 lff �O
REQUESTING DEPARTMENT: HUMAN ESOURCES REQUESTER: PENNY MCKAY
DESTRUCTION APPROVALS:
We certify that the rec rd listed below have been retained for the scheduled retention period, required audits have been
com , a d p n i oroy� ing Ctigatio or v s �ation involving t es records is kn9yy� ��i�
7'� 9 ��� 19 u�<«
DEPART ENT HEAD: RECORDS MANAGEMEN� CITY ATTORNEY:
BOX NO. I RECORDS DESCRIPTION
IT Manager/Tech Operations
Sr. Analyst
Rec. Specialist
Equipment Service Worker
Asst./Assoc. Utility Eng.
Utility Worker III
Business Intelligence Analyst
Asst/Assoc. Transportation Eng
Water Sys Op I/II
Assistant to City Manager
Utilities Manager
Asst./ Assoc. Eng
Building Inspector
Rec. Supervisor / Aquatics
Sr. Planner
Sr. Applications Analyst
0
DATED RRS NO. RRS
PERIOD
Zo1s a� o rZ CL�-3
2015
2015
2015
2015
2015
7.2015
2015
7.2015
7.2015
8.2015
8.2015
8.2015
8.2015
9.2015
9.2015
h
SMEADSOFT BARCODE
(if applicable)
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To be filled out once records have been destroyed. �/'�/� J // '
RECORD DESTRUCTION COMPLETED BY: ��L���./ DATE: T l� �
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
<�j �,,, o, Program.
� CARLSBAD Revised: 1/27/2016
,
_ _ _ _ _ - r ;,�
RECORDS DESTRUCTION AUTHORIZATION FORM �
DATE:
REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY MCKAY
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retentron 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)
Bus. Intel. Analyst 9.2015 Og�jU �25 C�.�3 ✓� /�-
Planning Tech 9.2015
Utilities Asset Manager 10.2015
Communications Operator I/II 10.2015
Sr. Electrician 11.2015
Client Systems Assoc. Admin. 11.2015
Senior Librarian 11.2015
Municipal Projects Manager 11.2015
HR Tech 11.2015
Com Op 12.2015
IT Manager 12.2015
� Police Lateral and AG 12.2015
Public Works Manager 12.2015
�MS Nurse Coordinator 12.2015
Recreation Services Manager 12.2015
i
To be filled out once records have been destroyed. ��
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 Carlsbod Records Manaqement
��� �,TY o, Program. �
� CARLSBAD Revised:l/28/2016
CERTIFICATE OF DESTRUCTION & RECYCLING
This Certiflcate 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)
' No�hing in this ceAificate shall be deemed to modify �he terms of ihe parties' Service Agreement(s) or Work Ticket(s).
�-�corodata �� �SSAE 1G '�"'��
Type II Audit Compieled �
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