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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2019-10-31RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 10/17/2019 REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: JESSICA DONNELL DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, required audits have been completed, and no pen · g or ongoing litigation or investigation involving these records is known to exist. DEPART~T HEAD DATE RECORDS MANAGEMENT DATE CllY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) 1 PART-TIME EMPLOYEES 2009-2011 0810-25 *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: UJYt)~ DATE: ~)Jfa/f CERTIFICATE OF DESTRUCTION? j5a_ YES O NO • TAB BARCODES DELETED BY: ~-4_ ~ DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. (city of Carlsbad Revised: 2019 Page /1 Records Destruction List Page 1 Date 10/17/2019 Time 2:16:28 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-12147 10/17/2019 PERKINS, TRAVIS! 081025 PHYSICAL RECORDS HR3670 MANAGEMENT -Human Resources Human Resources PFLD-15-12508 10/17/2019 WISDEN, ErvIILYI 081025 PHYSICAL RECORDS HR.4138 MANAGEMENT -Human Resources Human Resources PFLD-15-13874 10/17/2019 STRECKER, DAVIDI 081025 PHYSICAL RECORDS HR.5706 MANAGEMENT -Human Resources Human Resources PFLD-15-14018 10/17/2019 WALLACE, HEATHER! 081025 PHYSICAL RECORDS HR.5866 MANAGEMENT -Human Resources Human Resources PFLD-15-14049 10/17/2019 PEREZ, GAYLEI 081025 PHYSICAL RECORDS HR.5897 MANAGEMENT -Human Resources Human Resources PFLD-15-14111 10/17/2019 VILLEGAS, MARIEi 081025 PHYSICAL RECORDS HR.5965 MANAGEMENT -Human Resources Human Resources PFLD-15-14140 10/17/2019 RAMIREZ, ALICIA-ROSEi 083020 PHYSICAL RECORDS HR.6078 MANAGEMENT -Human Resources Human Resources PFLD-15-11785 10/17/2019 HERNANDEZ, RUTH Al . 081025 PHYSICAL RECORDS HR3260 MANAGEMENT -Human Resources Human Resources PFLD-15-13384 10/17/2019 STUCKRAD, JAMES! 081025 PHYSICAL RECORDS HR.5165 MANAGEMENT -Human Resources Human Resources PFLD-15-13475 10/17/2019 STICHKA, ALBERTI 081025 PHYSICAL RECORDS HR.5267 MANAGEMENT -Human Resources Human Resources PFLD-15-13 572 10/17/2019 WARSOFF, BARBARA! 081025 PHYSICAL RECORDS HR.5368 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 2 Date 10/17/2019 Time 2:16:28 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-13646 10/17/2019 RICHARDSON, MARYJ 081025 PHYSICAL RECORDS HR.5457 MANAGEMENT -Human Resources Human Resources PFLD-15-13686 10/17/2019 TURNER. JEFF! 081025 PHYSICAL RECORDS HR.5503 MANAGEMENT -Human Resources Human Resources PFLD-15-14634 10/17/2019 HARDEN, SPENCER! 081025 PHYSICAL RECORDS HR.6701 MANAGEMENT -Human Resources Human Resources PFLD-15-14689 10/17/2019 PEARSON, DANEJ 081025 PHYSICAL RECORDS HR.6756 MANAGEMENT -Human Resources Human Resources PFLD-15-12976 10/17/2019 SCIGLIMPAGLIA, BECKYJ 081025 . PHYSICAL RECORDS HR.4734 MANAGEMENT -Human Resources Human Resources PFLD-15-13099 10/17/2019 SCHWARTZ, THOMAS! 081025 PHYSICAL RECORDS HR.4867 MANAGEMENT -Human Resources Human Resources PFLD-15-13344 10/17/2019 MOORE, MARGARET AJ 081025 PHYSICAL RECORDS HR5125 -MANAGEMENT -Human Resources Human Resources PFLD-15-12597 10/17/2019 SCHRADER, NICKI 081025 PHYSICAL RECORDS HR.4240 MANAGEMENT -Human Resources Human Resources PFLD-15-12790 10/17/2019 NASH, KELLYJ 081025 PHYSICAL RECORDS HR.4512 MANAGEMENT -Human Resources Human Resources PFLD-15-14354 10/17/2019 WIESE, ASHLEYJ 081025 PHYSICAL RECORDS HR.6328 MANAGEMENT -Human Resources Human Resources PFLD-15-14418 10/17/2019 WALSH, MICHAELI 081025 PHYSICAL RECORDS HR.6403 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 3 Date 10/17/2019 Time 2:16:28 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-14562 10/17/2019 WEBB,LYRA! 081025 PHYSICAL RECORDS HR6629 MANAGEMENT -Human Resources Human Resources PFLD-15-12360 10/17/2019 WITHEM-ORTIZ, JANET! 081025 PHYSICAL RECORDS HR3972 MANAGEMENT -Human Resources Human Resources PFLD-15-13872 10/17/2019 SINATRA, RICHARD J.j 081025 PHYSICAL RECORDS HR5704 MANAGEMENT -·Human Resources Human Resources PFLD-15-13912 10/17/2019 MORING, EVAN! 081025 PHYSICAL RECORDS HR5753 MANAGEMENT -Human Resources Human Resources PFLD-15-14040 10/17/2019 ORMSBY, NATASHA! 081025 PHYSICAL RECORDS HR5888 MANAGEMENT -Human Resources Human Resources PFLD-15-14097 10/17/2019 SANTIAGO, GERARDEENI 081025 PHYSICAL RECORDS HR5951 MANAGEMENT -Human Resources Human Resources PFLD-15-14135 10/17/2019 SAWYER, REBECCA! 081025 PHYSICAL RECORDS HR6072 MANAGEMENT -Human Resources Human Resources PFLD-15-10335 10/17/2019 GROVES, GREGORY SI 083020 PHYSICAL RECORDS HR399 MANAGEMENT -Human Resources Human Resources PFLD-15-13383 10/17/2019 STRAUSE, IRENE K.I 081025 PHYSICAL RECORDS HR5164 MANAGEMENT -Human Resources Human Resources PFLD-15-13469 10/17/2019 RODRIGUEZ, ADINA! 081025 PHYSICAL RECORDS HR5257 MANAGEMENT -Human Resources Human Resources PFLD-15-13554 10/17/2019 STRINGER, ALEXANDRA! 081025 PHYSICAL RECORDS HR5350 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 4 Date 10/17/2019 · Time 2:16:28 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-13599 10/17/2019 STERLING, LORRYI 081025 PHYSICAL RECORDS HR.5400 MANAGEMENT -Human Resources Human Resources PFLD-15-13683 10/17/2019 TRINH, JENNIFER! 081025 PHYSICAL RECORDS HR.5500 MANAGEMENT -Human Resources Human Resources PFLD-15-14630 10/17/2019 WRIGHT, CHRISTOPHER! 081025 PHYSICAL RECORDS HR.6697 MANAGEMENT -Human Resources Human Resources PFLD-15-14655 10/17/2019 WOLFE, CHRISTOPHER! 081025 PHYSICAL RECORDS HR.6722 MANAGEMENT -Human Resources Human Resources PFLD-15-10909 10/17/2019 NIEVES, STACII 081025 PHYSICAL RECORDS HR.1597 MANAGEMENT -Human Resources Human Resources PFLD-15-13089 10/17/2019 MORAN, CECILIA! 081025 PHYSICAL RECORDS HR.4857 MANAGEMENT -Human Resources Human Resources PFLD-15-13319 10/17/2019 STONE, GREGI 081025 PHYSICAL RECORDS HR.5100 MANAGEMENT -Human Resources Human Resources PFLD-15-13374 10/17/2019 SHAW, PERRIN KENDALL! 081025 PHYSICAL RECORDS HR5155 MANAGEMENT -Human Resources Human· Resources PFLD-15-11593 10/17/2019 . MOSER, MYLESI 081025 PHYSICAL RECORDS HR3012 MANAGEMENT -Human Resources Human Resources PFLD-15-12789 10/17/2019 PONTE, ELLENI 081025 PHYSICAL RECORDS HR.4511 MANAGEMENT -Human Resources Human Resources PFLD-15-14353 10/17/2019 PEARCE, ANDREAI 081025 PHYSICAL RECORDS HR.6327 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 5 Date 10/17/2019 Time 2:16:29 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-14376 10/17/2019 O'CONNELL, JOSEPH (MIKE)[ 081025 PHYSICAL RECORDS HR.6352 MANAGEMENT -Human Resources Human Resources PFLD-15-14560 10/17/2019 RIOJAS, JOE[ 081025 PHYSICAL RECORDS HR.6627 MANAGEMENT -Human Resources Human Resources PFLD-15-12328 10/17/2019 PEPE, DENNIS[ 081025 PHYSICAL RECORDS HR.3940 MANAGEMENT -Human Resources Human Resources PFLD-15-13847 10/17/2019 VASQUEZ, CHRIS[ 081025 PHYSICAL RECORDS HR.5674 MANAGEMENT -Human Resources Human Resources PFLD-15-13908 10/17/2019 REYES-GARCIA, GERMAN[ 081025 PHYSICAL RECORDS HR.5749 MANAGEMENT -Human Resources Human Resources PFLD-15-14034 10/17/2019 PATTERSON, KENDAL[ 081025 PHYSICAL RECORDS HR.5882 MANAGEMENT -Human Resources Human Resources PFLD-15-14093 10/17/2019 SHERWOOD, JESSICA[ 081025 PHYSICAL RECORDS HR.5947 MANAGEMENT -Human Resources Human Resources PFLD-15-14119 10/17/2019 NEDROS, BARBARA[ 081025 PHYSICAL RECORDS HR.5973 MANAGEMENT -Human Resources Human Resources PFLD-15-14204 10/17/2019 QATTAN, AMIRA[ 081025 PHYSICAL RECORDS HR.6154 MANAGEMENT -Human Resources Human Resources PFLD-15-10251 10/17/2019 DOERFLER, DEBRA J[ 083020 PHYSICAL RECORDS HR252 MANAGEMENT -Human Resources Human Resources PFLD-15-12120 10/17/2019 PATNAIK, RITAVITASTA[ 081025 PHYSICAL RECORDS HR.3642 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 6 Date 10/17/2019 Time 2:16:29 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-13464 10/17/2019 EISMAN, AMANDAI 081025 PHYSICAL RECORDS HR.5252 MANAGEMENT -Human Resources Human Resources PFLD-15-13550 10/17/2019 PRESTON, RODMAN! 081025 PHYSICAL RECORDS HR.5346 MANAGEMENT -Human Resources Human Resources PFLD-15-13598 10/17/2019 VERDUGO, BEN R.I 081025 PHYSICAL RECORDS HR.5399 MANAGEMENT -Human Resources Human Resources PFLD-15-13664 10/17/2019 VIILLALOBOS, OMARI 081025 PHYSICAL RECORDS HR5477 MANAGEMENT -Human Resources Human Resources PFLD-15-13 703 10/17/2019 TENNEY, JOSHUAI 081025 PHYSICAL RECORDS HR.5522 MANAGEMENT -Human Resources Human Resources PFLD-15-14641 10/17/2019 WHITE, SAMARA! 081025 PHYSICAL RECORDS HR.6708 MANAGEMENT -Human Resources Human Resources PFLD-15-14753 10/17/2019 REYNOLDS, CODYI 081025 PHYSICAL RECORDS HR.6887 MANAGEMENT -Human Resources Human Resources PFLD-15-13017 10/17/2019 ROBINS, LAURAi 081025 PHYSICAL RECORDS HR.4782 MANAGEMENT -Human Resources Human Resources PFLD-15-13315 10/17/2019 TILLMAN, TOJ\1l\1YI 081025 PHYSICAL RECORDS HR.5096 MANAGEMENT -Human Resources Human Resources PFLD-15-13351 10/17/2019 OLMSTED, JUDITH! 081025 PHYSICAL RECORDS HR.5132 MANAGEMENT -Human Resources Human Resources PFLD-15-11559 10/17/2019 RODRIGUEZ, ANDREAI 081025 PHYSICAL RECORDS HR2972 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 7 Date 10/17/2019 Time 2:16:29 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-12634 10/17/2019 WEST, KELSIE\ 081025 PHYSICAL RECORDS HR.4340 MANAGEMENT -Human Resources Human Resources PFLD-15-14333 10/17/20i9 TAYLOR, ROBERTI 081025 PHYSICAL RECORDS HR.6302 MANAGEMENT -Human Resources Human Resources PFLD-15-14360 10/17/2019 STONE, GREGORY\ · 081025 PHYSICAL RECORDS HR.6336 MANAGEMENT -Human Resources Human Resources PFLD-15-14535 10/17/2019 THOMAS, IAN\ 081025 PHYSICAL RECORDS HR.6602 MANAGEMENT -Human Resources Human Resources PFLD-15-12209 10/17/2019 RODRIGUEZ, CHRISTIAN\ 081025 PHYSICAL RECORDS HR3809 MANAGEMENT -Human Resources Human Resources PFLD-15-13846 10/17/2019 TATUM, JODI\ 081025 PHYSICAL RECORDS HR.5673 MANAGEMENT -Human Resources Human Resources PFLD-15-13 880 10/17/2019 STEPHENS, COLLINI 081025 PHYSICAL RECORDS HR.5715 MANAGEMENT -Human Resources Human Resources PFLD-15-14023 10/17/2019 SHAIN, LAWRENCE\ 081025 PHYSICAL RECORDS HR.5871 MANAGEMENT -Human Resources Human Resources PFLD-15-14091 10/17/2019 RIVERA, ROSAi 081025 PHYSICAL RECORDS HR.5945 MANAGEMENT -Human Resources Human Resources PFLD-15-14116 10/17/2019 SIDNEY,ALEXANDERj 081025 PHYSICAL RECORDS HR.5970 MANAGEJylENT -Human Resources Human Resources PFLD-15-14171 10/17/2019 RAWSON, DONEL\ 081025 PHYSICAL RECORDS HR.6113 MANAGEMENT -Human Resources Human Resources Records Destruction List Page 8 Date 10/17/2019 Time 2:16:29 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-11937 10/17/2019 NEWLAND, KONNIE YI 081025 PHYSICAL RECORDS HR.3429 MANAGEMENT -Human Resources Human Resources PFLD-15-13388 10/17/2019 TORRIE, CYNTHIA R.I 081025 PHYSICAL RECORDS HR.5169 MANAGEMENT -Human Resources Human Resources PFLD-15-13529 10/17/2019 SANTAANA, KATHERINE! 081025 PHYSICAL RECORDS HR.5325 MANAGEMENT -Human Resources Human Resources PFLD-15-13586 10/17/2019 ZEPEDA, JOSE A.I 081025 PHYSICAL RECORDS · HR.5386 MANAGEMENT -Human Resources Human Resources PFLD-15-13656 10/17/2019 POLLOK. A,MYI 081025 PHYSICAL RECORDS HR.5468 MANAGEMENT -Human Resources Human Resources PFLD-15-13693 10/17/2019 REID, BI-MIAI 081025 PHYSICAL RECORDS HR.5510 MANAGEMENT -Human Resources Human Resources PFLD-15-14638 10/17/2019 SUTZKO, KANDICE! 081025 PHYSICAL RECORDS HR.6705 MANAGEMENT -Human Resources Human Resources PFLD-15-14693 10/17/2019 WILKENSON, PATRICIA! 081025 PHYSICAL RECORDS HR.6760 MANAGEMENT -Human Resources Human Resources PFLD-15-12986 10/17/2019 RICHARDSON, RYANI . 081025 PHYSICAL RECORDS HR.4746 MANAGEMENT -Human Resources Human Resources PFLD-15-13148 10/17/2019 STARR, JASONI 081025 PHYSICAL RECORDS HR.4921 MANAGEMENT -Human Resources Human Resources PFLD-15-13345 10/17/2019 MORENO, JOHN JOSEPH! 081025 PHYSICAL RECORDS HR.5126 MANAGEMENT -Human Resources Human Resources Records Destruction List Page g Date 10/17/2019 Time 2:16:29 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-11487 10/17/2019 . WESTPHAL, RYANI 081025 HR2889 Human Resources PFLD-15-12630 10/17/2019 RAMOS, ALEJANDRA! 081025 HR.4336 Human Resources PFLD-15-12877 10/17/2019 TAPIA, MICHAELI 081025 HR.4621 Human Resources PFLD-15-14356 10/17/2019 SCHNEIDER, MURIEL! 081025 HR.6330 Human Resources PFLD-15-14474 10/17/2019 SPEAS, CHANTAL! 081025 HR.6532 Human Resources [ End of Report I[ 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 PHYSICAL RECORDS MANAGEMENT -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 110789 Monday, November 04, 2019 5815 EL CAMINO REAL Oct-31-2019 thru Oct-31-2019 637183 37 -37 Boxes for Destruction (standard) • Nothing in this certificate shall be deemed to modify the tenns of the parties' Service Agreement(s) or Work Ticket(s). tJcorodata atssAE16 Type II Audil Completed HIPAA