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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2016-11-01RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 02/04/2016 ------~--~--------- REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY MCKAY 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. GMA)~ 8/aD/I~a DEPARTMENT HEAD RECORDS MANAGEMENT DATE DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) 346 Management Analyst Applications 8/2010 0850-25 CL+3 346 Finance Director Applications 5/2010 0850-25 CL+3 346 Police Officer/ Academy Grad 5/2010 0850-25 CL+3 Applications 346 Benefits Consultant Applications 2010 0850-25 CL+3 346 Assistant City Manager Applications 7/2010 0850-25 CL+3 346 Fire Engineer Applications 5/2010 0850-25 CL+3 346 Assistant City Manager Applications 3/2010 0850-25 CL+3 . " II *If more spaces are needed, cl1ck m the last box m nght hand corner of table and h1t tab . Th1s w11/ create more fields m the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: -==----'&~~~Mftu-=---- CERTIFICATE OF DESTRUCTION? ~ YES 0 NO DATE: rABBARcooesoe~ETEosv: ..j~ A J.ucotW/ DATE: ·1.9/t!/aol/, ,(~,~ CIIY O f ~CARLSBAD This form documents the destruction of City records in ac;cordance with the City of Carlsbad Records Management Program. Revised: 8/23/2016 Page /1 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 02/04/2016 ------~--~---------- REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY MCKAY DESTRUCTION A PPROVALS: 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. a.JtJ_ y 1'2-':b, Ck~Jf/3D/{(, ~/J«- DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE CITY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) 345 Library Assistant 1/11 Applications 1/2007 0850-25 CL+3 345 Utility Worker I Applications 2/2007 0850-25 CL+3 345 Legal Assistant Applications 2/2007 0850-25 CL+3 345 Police Officer Grad/Lateral 2/2007 0850-25 CL+3 Applications 345 Associate Engineer Applications 3/2007 0850-25 CL+3 345 Clerical Series Applications 3/2007 0850-25 CL+3 345 Admin Secretary/Secretary 4/2007 0850-25 CL+3 Applications *If more spaces are needed, c/1ck m the last box m fight hand corner of table and h1t "tab". This will create more fields m the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: -=:-~.:::....;_'YIJ_~---==':----- CERTIFICATE OF DESTRUCTION? IE! YES 0 NO I'-dJ.. Af~ kr~~v! TAB BARCODES DELETED BY: -~b-::7Jr-""'tz'-~G.LJJ6~~.tlfi<-::........,~~r---- DATE: Jt/1/JtJ/f:, ldt/hfl? • DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. -~ ,\•., CITY 01 ~CARLSBAD Revised: 8/23/2016 Page /1 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 02/04/2016 REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY McKAY 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. ~ 8/ail~~o DEPARTMENT HEAD RECORDS MANAGEMENT DATE DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) 344 Jr/ Assistant/ Associate Planner 1/2007 0850-25 CL+3 344 Engineering Tech 2/2007 0850-25 CL+3 344 Community Service Officer 3/2007 0850-25 CL+3 344 Accountant 4/2007 0850-25 CL+3 344 Community Service Officer 1/11 5/2007 0850-25 CL+3 344 Assistant/ Associate Planner 5/2007 0850-25 CL+3 *If more spaces are needed, cltek m the last box m fight hand corner of table and h1t "tab". Th1s w11/ create more fields m the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: &rod dftL, DATE: ti/J /J<JJt, CERTIFICATE OF DESTRUCTION? ~ y~ D NO TAB BARCODES DELETED BY: ~£?; ~ bt,tetiurfATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program . .. ~, <..~~,.>C ITY Of ~-CARLSBAD Revised: 2/4/2016 Page /1 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: oz]Ozr/2016 REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY MCKAY 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. ~ rt.t-<>/!p ~ 8fa'fh, DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE DATE RRS NO. RRS TAB BARCODE BOX NO. RECORDS DESCRIPTION DATED PERIOD (if applicable) 450 Eligibility Lists 2006-0850-65 CL+3 2007 *If more spaces are needed, click in the last box in right hand corner of table and hit "tab". Thts wt/1 create more ftelds m the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: __ to_f'<_tl_'tfm-_____ _ DATE: CERTIFICATE OF DESTRUCTION? jig YES D NO TAB BARCODES DELETED BY:------------DATE: __ -____ _ This farm documents the destruction af City records in accordance with the City of Carlsbad Records Management Program. <.<~>con o• ''!f'CARLSBAD . Revised: 2/4/2016 Page /1 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 02/04/2016 ------~~~----------- REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY McKAY 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. o+a&-c;Jw;4r DEPARTMENT HEAD [ DATE ~ 5l/3b/lb RECORDS MANAGEMENT DATE DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) 452 Eligibility Lists 2007-0850-65 CL+3 2008 *If more spoces are needed, cltck m the last box m rtght hand earner of table and h1t "tab". Th1s w11/ create more fields m the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: -==-"lA:__ffi_~--=----- CERTIFICATE OF DESTRUCTION? ~ YES D DATE: _!J~'/ /;_I.L_fl_'XJ._V--=-t --- NO TAB BARCODES DELETED BY:-------------DATE: _____ _ This farm documents the destruction af City records in accordance with the City of Carlsbad Records Management Program. <,(~ w' o• Revised: 2/4/2016 ~·CARLSBAD P a g e /1 CERTIFICATE OF DESTRUCTION & RECYCLING This certificate is presented to: CITY OF CARLSBAD 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 105156 Tuesday, November 01 , 2016 5815 EL CAMINO REAL Nov-01-2016 th ru Nov-01-2016 352320 *Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s). E·:l corodata ~:~~ .,:AfiA.'~ .. . . ~ I ~:, 'l.·l} . SSAE 16 Ty~e II Alldit Coms;let~d • HIPAtA Quo lllllrus