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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2017-01-24RECORDS 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 retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is DEPARTMENT HEAD: RECORDS MANAGEMENT: o<.., ':,oO)./ - / BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) 9 FULL-TIME EMPLOYEE PERSONNEL 2006 0810-40 TE+lO FILES A-G 10 FULL-TIME EMPLOYEE PERSONNEL 2006 0810-40 TE+lO FILES H-0 11 FULL-TIME EMPLOYEE PERSONNEL 2006 0810-40 TE+lO FILES P-W *If more spoces 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: tij Cuni,:U;llLJ CERTIFICATE OF DESTRUCTION? YES O NO ..A(d/Wh SMEADSOFT BARCODES DELETED BY: DATE: 0<!/µ17 DATE: 0/~/7 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ("city of Carlsbad Revised: 11/1/2016 ~ Records Destruction List Page 1 1tfJ Date 09/28/2016 Time 8:42:21 AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-10949 / 09/26/2016 ,/ ASHBY, CONSTANCE JI 081040 PHYSICAL RECORDS MANAGEMENT -Human Resources -PFLD-15-10963 09/26/2016 BEASLEY, MARC Al 081040 PHYSICAL RECORDS MANAGEMENT -Human Resources PFLD-15-10999 09/26/2016 CAMPA, JESUS Tl 081040 PHYSICAL RECORDS HR.1850 MANAGEMENT -Human Resources PFLD-15-11083 09/26/2016 GALLOWAY, JESSICA LI 081040 PHYSICAL RECORDS HR.2038 MANAGEMENT -Human Resources PFLD-15-12552 09/26/2016 BUSTAMANTE, LYDIAI 081040 PHYSICAL RECORDS HR.4189 MANAGEMENT -Human Resources PFLD-15-12786 09/26/2016 GREEK, RODNEY! 083020 PHYSICAL RECORDS HR.4508 MANAGEMENT -Human Resources PFLD-15-10158 09/26/2016 BARROWS, TANIYANI 083020 PHYSICAL RECORDS HR.67 MANAGEMENT -Human Resources PFLD-15-10228 09/26/2016 COTTER, TEALA RI 083020 PHYSICAL RECORDS HR.203 MANAGEMENT -Human Resources PFLD-15-10312 09/26/2016 GERHARDT, CHERYLi 083020 PHYSICAL RECORDS HR.355 MANAGEMENT -Human Resources PFLD-15-12351 09/26/2016 FARRIS, OLLIE DEANI 083020 PHYSICAL RECORDS HR.3963 MANAGEMENT -Human Resources PFLD-15-10932 09/26/2016 AGUILERA, MARTIN DI 081040 PHYSICAL RECORDS HR.1708 MANAGEMENT -Human Resources PFLD-15-10961 09/26/2016 BARROWS, TANIYA NI 081040 PHYSICAL RECORDS HR.1767 MANAGEMENT -Human Resources PFLD-15-10985 09/26/2016 BRADSTREET, SCOTT Al 081040 PHYSICAL RECORDS HR.1815 MANAGEMENT -Human Resources PFLD-15-11077 09/26/2016 FOSTER, CHRISTINE M[ 081040 PHYSICAL RECORDS HR.2025 MANAGEMENT -Human Resources PFLD-15-11109 09/26/2016 GREANEY, ROBERT JI 081040 PHYSICAL RECORDS HR.2091 MANAGEMENT -Human Resources PFLD-15-12683 09/26/2016 CASTANEDA, CHRISTINA! 083020 PHYSICAL RECORDS HR.4400 MANAGEMENT -Human Resources Records Destruction List Page 2 Date 09/28/2016 Time 8:42:22AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-10152 09/26/2016 BALL, JAMES Fl 083020 PHYSICAL RECORDS HR57 MANAGEMENT -Human Resources PFLD-15-10183 09/26/2016 BRADSTREET, SCOTT Al 083020 PHYSICAL RECORDS HR115 MANAGEMENT -Human Resources PFLD-15-10298 09/26/2016 GALLOWAY, JESSICA LI 083020 PHYSICAL RECORDS HR338 MANAGEMENT -Human Resources PFLD-15-12350 09/26/2016 FARRIS, OLLIE DEANI 081040 PHYSICAL RECORDS HR3962 MANAGEMENT -Human Resources PFLD-15-12505 09/26/2016 BENZ, MARGARET! 083020 PHYSICAL RECORDS HR4133 MANAGEMENT -Human Resources PFLD-15-10160 09/26/2016 BEASLEY, MARC Al 083020 PHYSICAL RECORDS HR73 MANAGEMENT -Human Resources PFLD-15-10290 09/26/2016 FLORES JR., JOSE Ml 083020 PHYSICAL RECORDS HR321 MANAGEMENT -Human Resources PFLD-15-11963 09/26/2016 BURNS, MICHAEL SCOTTI 081040 PHYSICAL RECORDS HR3462 MANAGEMENT -Human Resources PFLD-15-10952 09/26/2016 BADORE, DALEI 081040 PHYSICAL RECORDS HR1748 MANAGEMENT -Human Resources PFLD-15-10966 09/26/2016 BERGMAN JR, CARL WI 081040 PHYSICAL RECORDS HR1781 MANAGEMENT -Human Resources PFLD-15-11021 09/26/2016 COTTER, TEALA RI 081040 PHYSICAL RECORDS HR1903 MANAGEMENT -Human Resources PFLD-15-11093 09/26/2016 GERHARDT, CHERYLi 081040 PHYSICAL RECORDS HR2055 MANAGEMENT -Human Resources PFLD-15-12553 09/26/2016 BUSTAMANTE, LYDIAI 083020 PHYSICAL RECORDS HR4190 MANAGEMENT -Human Resources PFLD-15-12787 09/26/2016 GREEK, RODNEYI 081040 PHYSICAL RECORDS HR4509 MANAGEMENT -Human Resources PFLD-15-1225 5 09/26/2016 ESCOBAR-ECK, MARCELA! 081040 PHYSICAL RECORDS HR3858 MANAGEMENT -Human Resources PFLD-15-124 71 09/26/2016 BERTINO, NATHANI 081040 PHYSICAL RECORDS HR4093 MANAGEMENT -Human Resources Records Destruction List Page 3 Date 09/28/2016 Time 8:42:23AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-10956 09/26/2016 BALL, JAMES F[ 081040 PHYSICAL RECORDS HR.1757 MANAGEMENT -Human Resources PFLD-15-10980 09/26/2016 BOND JR, RONALD M[ 081040 PHYSICAL RECORDS HR.1805 MANAGEMENT -Human Resources PFLD-15-11076 09/26/2016 FLORES JR., JOSE M[ 081040 PHYSICAL RECORDS HR.2021 MANAGEMENT -Human Resources PFLD-15-11097 09/26/2016 GODFREY, PEGGY E[ 081040 PHYSICAL RECORDS HR.2067 MANAGEMENT -Human Resources PFLD-15-12644 09/26/2016 COBB, NANCY[ 081040 . PHYSICAL RECORDS HR.4350 MANAGEMENT -Human Resources PFLD-15-10147 09/26/2016 BADORE, DALE[ 083020 PHYSICAL RECORDS HR.48 MANAGEMENT -Human Resources PFLD-15-10178 09/26/2016 BOND JR, RONALD M[ 083020 PHYSICAL RECORDS HR.105 MANAGEMENT -Human Resources PFLD-15-10291 09/26/2016 FOSTER, CHRISTINE M[ 083020 PHYSICAL RECORDS HR.325 MANAGEMENT -Human Resources PFLD-15-11964 09/26/2016 BURNS, MICHAEL SCOTT[ 083020 PHYSICAL RECORDS HR.3463 MANAGEMENT -Human Resources PFLD-15-12256 09/26/2016 ESCOBAR-ECK, MARCELA[ 083020 PHYSICAL RECORDS HR.3859 MANAGEMENT-Human Resources PFLD-15-12504 09/26/2016 BENZ, MARGARET[ 081040 PHYSICAL RECORDS HR.4132 MANAGEMENT -Human Resources [ End of Report ][City of Carlsbad Dataset ECMMaster J ~\~ Records Destruction List ~~~/ Page 1 Date 09/28/2016 Time 8:43:06AM Login Name Maria Emery uaie inacuve Record Exte_JP~ Records Description Number PFLD-15-11139 / 09/27/201 6/ HILTON, JOHN Tl 081040 PHYSICAL RECORDS MANAGEMENT -Human Resources PFLD-15-11166 ~2016 JONES, LYNDA LI 081040 PHYSICAL RECORDS MANAGEMENT -Human Resources PFLD-15-11240 09/27/2016 MAZZOLA, ALAN Al 081040 PHYSICAL RECORDS MANAGEMENT -Human Resources PFLD-15-11273 09/27/2016 MUSSER, KURT Bl 081040 PHYSICAL RECORDS HR2441 MANAGEMENT -Human Resources PFLD-15-12347 09/27/2016 KOSTEWA, CHADI 081040 PHYSICAL RECORDS HR3959 MANAGEMENT -Human Resources PFLD-15-111 24 09/27/2016 HARLIE, RANDEE! 081040 PHYSICAL RECORDS HR2121 MANAGEMENT -Human Resources PFLD-15-111 62 09/27/2016 JOHNSON, JAMES Al 081040 PHYSICAL RECORDS HR2207 MANAGEMENT -Human Resources PFLD-15-11222 09/27/2016 MARIELLA, LISA JI 081040 PHYSICAL RECORDS HR2330 MANAGEMENT -Human Resources PFLD-15-11268 09/27/2016 MUEHLBACHER, CHRISTOPHER Ml 081040 PHYSICAL RECORDS HR2430 MANAGEMENT -Human Resources PFLD-15-12312 . 09/27/2016 LOPEZ, CHRlSI 081040 PHYSICAL RECORDS HR3921 MANAGEMENT -Human Resources PFLD-15-11491 09/27/2016 LOPEZ, PATRICIA! 081040 PHYSICAL RECORDS HR2896 MANAGEMENT -Human Resources PFLD-15-1 1146 09/27/2016 HONIG, BARBARA JI 081040 PHYSICAL RECORDS HR2171 MANAGEMENT -Human Resources PFLD-15-11174 09/27/2016 KELLEY, PATRICK! 081040 PHYSICAL RECORDS HR2229 MANAGEMENT-Human Resources PFLD-15-11261 09/27/2016 MONTANEZ, JOHN LI 081040 PHYSICAL RECORDS HR2406 MANAGEMENT -Human Resources PFLD-15-12666 09/27/2016 MANISCALCO, GIOVANNI! 081040 PHYSICAL RECORDS HR4376 MANAGEMENT -Human Resources PFLD-15-12473 09/27/2016 NIMETZ, JOSHUA! 081040 PHYSICAL RECORDS HR4095 MANAGEMENT -Human Resources Records Destruction List Page 2 Date 09/28/2016 Time 8:43:07 AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-11509 09/27/2016 MANCINI, ALYXANDRIAI 081040 HR2917 PFLD-15-11150 09/27/2016 HUBBS, LLOYD Bl 081040 HR2183 PFLD-15-11205 09/27/2016 LOPEZ, PETER Ml 081040 HR2299 PFLD-15-11263 09/27/2016 MOORE, DONALD DI 081040 HR2411 PFLD-15-12728 09/27/2016 HARROLD, GREGORYI 081040 HR4446 PFLD-15-10812 09/27/2016 KNIGHT, AMYi 081040 HR1295 [ 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 l'HYSICAL RECORDS MANAGEMENT -Human Resources PHYSICAL RECORDS MANAGEMENT-Human Resources ~,'\ Records Destruction List 'tJfr/ Page 1 Date 09/28/2016 Time 8:43:42AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-11319 I 09/28/201~ RAGLAND, KATHLEEN El 081040 PHYSICAL RECORDS MANAGEMENT -Human Resources PFLD-15-11372 l 09/28/2efi 6 SEIDEL, ARDIS Fl 081040 PHYSICAL RECORDS MANAGEMENT -Human Resources PFLD-15-I 1442 09/28/2016 WHATLEY, LARRY Ml 081040 PHYSICAL RECORDS HR2804 MANAGEMENT -Human Resources PFLD-15-11453 09/28/2016 WOJCIK, ROBERT Ji 081040 PHYSICAL RECORDS HR2827 MANAGEMENT -Human Resources PFLD-15-12707 09/28/2016 RAMIREZ, JOSE! 083020 PHYSICAL RECORDS HR4425 MANAGEMENT -Human Resources PFLD-15-11368 09/28/2016 SCHWARTZ, JEFF El 081040 PHYSICAL RECORDS HR2633 MANAGEMENT -Human Resources PFLD-15-11429 09/28/2016 VAUDREUIL, KARYN DI 081040 PHYSICAL RECORDS HR2773 MANAGEMENT -Human Resources PFLD-15-11448 . 09/28/2016 WILD, ROBERTI 081040 PHYSICAL RECORDS HR2815 MANAGEMENT -Human Resources PFLD-15-11778 09/28/2016 PAPP, DANIEL El 081030 PHYSICAL RECORDS HR3253 MANAGEMENT -Human Resources PFLD-15-12583 09/28/2016 VALENZUELA, JESSE! 081040 PHYSICAL RECORDS HR4223 MANAGEMENT -Human Resources PFLD-15-11340 09/28/2016 RODRIGUEZ, REGINALD! 081040 PHYSICAL RECORDS HR2573 MANAGEMENT -Human Resources PFLD-15-11402 09/28/2016 STOCKTON, DALE LI 081040 PHYSICAL RECORDS HR2714 MANAGEMENT -Human Resources PFLD-15-11447 09/28/2016 WIDDOSS, MARK El 081040 PHYSICAL RECORDS HR2813 MANAGEMENT -Human Resources PFLD-15-1 2357 09/28/2016 RUIZ, ROBERT! 081040 PHYSICAL RECORDS HR3969 MANAGEMENT -Human Resources PFLD-15-11296 09/28/2016 PEIRSON, ROY SI 081040 PHYSICAL RECORDS HR2490 MANAGEMENT -Human Resources PFLD-15-11320 09/28/2016 RAUTENKRANZ, ALETHA LI 081040 PHYSICAL RECORDS HR2535 MANAGEMENT -Human Resources Records Destruction List Page 2 Date 09/28/2016 Time 8:43:43 AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-11397 09/28/2016 STAFFORD, MICHAEL JI 081040 HR2699 PFLD-15-11445 09/28/2016 WICK, ROBERT Pl 081040 HR2811 PFLD-15-1_2197 09/28/2016 WOOTEN, THOMAS! 081040 HR3796 PFLD-15-12708 09/28/2016 RAMIREZ, JOSEI 081040 HR4426 [ End of Report ][ City of Carlsbad ----D~t ECl'v'lM~] 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 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 105363 Tuesday, January 31, 2017 5815 EL CAMINO REAL Jan.:24-2017 thru Jan-24-2017 369036 4 -4 64 Gallon Bin • Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s). E•Jcorodata B1 1~1i \._,,: ·:···· SSAE16 Type II Audit Completed • HIPJ\l\ Guoam.m