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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2019-04-18 (7)jJJ RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 3/1/19 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. CITY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) 1 FULL TIME EE PERSONNEL FILES 2008 0810-40 te+10 { ~£ lltl:tlcJzd) I I I -V'-" ., .!,~ ... "';.~,!¼ Cttie -r.-~·H~ 'UiDSt' D'll8o~:to w+t, 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: __ t@'----''---tJ_tU/J ____ _ rn7'vES O NO CERTIFICATE OF DESTRUCTION? DATE: i.f /t8LUJ11 TAB BARCODES DELETED BY: ~A_Gm,uvy DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ~,, cm o, Revised: 2016 w CARLSBAD p a g e / 1 Records Destruction List Page 1 Date 03/05/2019 Time 4:14:09 PM Date Inactive Login Name Maria Emery Record Number External ID Records D-escription PFLD-15-10604 03/05/2019 ROSU, LIVIU[ 083020 PHYSICAL RECORDS HR.880 MANAGEMENT -Human Resources Human Resources PFLD-15-10807 03/05/2019 VEDDER, DENISE W[ 081040 PHYSICAL RECORDS HR.1289 MANAGEMENT -Human Resources Human Resources PFLD-15-13483 03/05/2019 MORENO, TYRONE[ 081040 PHYSICAL RECORDS HR.5275 MANAGEMENT -Human Resources Human Resources PFLD-15-13 624 03/05/2019 WYNNCHOK, WALTER[ 083020 PHYSICAL RECORDS HR.5429 MANAGEMENT -Human Resources Human Resources PFLD-15-11393 03/05/2019 SPRAGUE, DANIELE[ 081040 PHYSICAL RECORDS HR2692 MANAGEMENT -Human Resources Human Resources PFLD-15-11443 03/05/2019 WHISK.IN, SANDRA[ 081040 PHYSICAL RECORDS HR2805 MANAGEMENT -Human Resources Human Resources PFLD-15-11282 03/05/2019 OLIVAN, GUILLERMO[ 081040 PHYSICAL RECORDS HR2461 MANAGEMENT -Human Resources Human Resources PFLD-15-10528 03/05/2019 OLIVAN, GUILLERMO[ 083020 PHYSICAL RECORDS HR.761 MANAGEMENT -Human Resources Human Resources PFLD-15-10802 03/05/2019 WEST, AMANDA[ 081040 PHYSICAL RECORDS HR.1283 MANAGEMENT -Human Resources Human Resources PFLD-15-13421 03/05/2019 WELBOREN, BELINDA[ 083020 PHYSICAL RECORDS HR5204 MANAGEMENT -Human Resources Human Resources PFLD-15-13 623 03/05/2019 WYNNCHOK, WALTER[ 081040 PHYSICAL RECORDS HR.5428 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 2 Date 03/05/2019 Time 4:14:09 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-11375 03/05/2019 SEVIN, JEFFREY D[ 081040 PHYSICAL RECORDS HR2648 MANAGEMENT -Human Resources Human Resources PFLD-15-11423 03/05/2019 VALEK, MATTHEW E[ 081040 PHYSICAL RECORDS HR2764 MANAGEMENT -Human Resources Human Resources PFLD-15-13186 03/05/2019 :MILAM, DEBORAH[ 081040 PHYSICAL RECORDS HR.4966 MANAGEMENT -Human Resources Human Resources PFLD-15-11259 03/05/2019 :MITKEVICH, ALEX G[ 081040 PHYSICAL RECORDS HR2399 MANAGEMENT -Human Resources Human Resources PFLD-15-10683 03/05/2019 THOMAS, CHRISTOPHER R[ 083020 PHYSICAL RECORDS HR.1038 MANAGEMENT -Human Resources Human Resources PFLD-15-13420 03/05/2019 WELBOREN, BELINDA[ 081040 PHYSICAL RECORDS HR.5203 MANAGEMENT -Human Resources Human Resources PFLD-15-13564 03/05/2019 URBAN, CARLTON[ 081040 PHYSICAL RECORDS HR.5360 MANAGEMENT -Human Resources Human Resources PFLD-15-11314 03/05/2019 PRETZ, PAMELAD[ 081040 PHYSICAL RECORDS HR2523 MANAGEMENT -Human Resources Human Resources PFLD-15-11420 03/05/2019 TORRETTO, JAMES J[ 081040 PHYSICAL RECORDS HR2751 MANAGEMENT -Human Resources Human Resources PFLD-15-13015 03/05/2019 TRASKA, JEREMY[ 083020 PHYSICAL RECORDS HR.4780 MANAGEMENT -Human Resources Human Resources PFLD-15-11247 03/05/2019 MCLERNON, :MICHAEL J[ 081040 PHYSICAL RECORDS HR2373 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 3 Date 03/05/2019 Time 4:14:09 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-10640 03/05/2019 SEVIN, JEFFREY DI 083020 HR948 Human Resources PFLD-15-11868 03/05/2019 MORGAN, BLAINE! 081040 HR3353 Human Resources PFLD-15-13563 03/05/2019 URBAN, CARLTON! 083020 HR5359 Human Resources PFLD-15-11414 03/05/2019 THOMAS, CHRISTOPHER RI 081040 HR2738 Human Resources PFLD-15-13001 03/05/2019 TRASKA, JEREMYI 081040 HR4763 Human Resources PFLD-15-11191 03/05/2019 LAIRD III, WILLIAM Al 081040 HR2259 Human Resources 1 End of Report j [ City of Carlsbad j Dataset ECMMaster PHYSICAL RECORDS MANAGEl\'.IENT -Human Resources PHYSICAL RECORDS MANAGEl\'.IENT -Human Resources PHYSICAL RECORDS MANAGEl\'.IENT -Human Resources PHYSICAL RECORDS MANAGEl\'.IENT -Human Resources PHYSICAL RECORDS MANAGEl\'.IENT -Human Resources PHYSICAL RECORDS MANAGEl\'.IENT -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 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£