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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2020-11-05This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/22/2020 DATE:10/26/2020 REQUESTING DEPARTMENT: HUMAN RESOURCES 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. DEPARTMENT HEAD: DATE RECORDS MANAGEMENT: DATE CITY ATTORNEY: DATE *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: ___________________________ DATE: ______________ CERTIFICATE OF DESTRUCTION? YES NO SMEADSOFT BARCODES DELETED BY: _____ ________________________ DATE: ______________ BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE (if applicable) 14 boxes Personnel Files - Employee File, Grievance File Includes Application, Evaluations, Policies, Oaths of Office, PAFs (Personnel Action Forms), etc. 2009-2013 HR-090 Separation + 6 years SEE ATTACHED RECORDS DESTRUCTION AUTHORIZATION FORM Judy von Kalinowski 10/28/20 11/2/2020 11/3/2020 City of Carlsbad □ □ CORODATA 11/05/2020 X MARIA EMERY 11/06/2020 206Cf-20/0 P!E 7 SqttrdllfW Name Term Date Last Name First Name Middle Initial BURNS, ADAM 01/11/09 . BURNS ADAM MITKEVICH, ALEX G 01/11/09 MITKEVICH ALEX G GOMEZ, ARMANDO 01/13/09 GOMEZ ARMANDO WEIRICH, LINDA 02/08/09 WEIRICH LINDA CROMWELL Ill, GORDON 02/17/09 CROMWELL Ill GORDON DE TAR, DONALD V 02/21/09 DETAR DONALD V WHITE, JACQUELLYN P 03/08/09 WHITE JACQUELLYN p COLLINS, DANIEL D 03/22/09 COLLINS DANIEL D KEIL, KATLYN 03/22/09 KEIL KATLYN DAVIDSON, EDWIN 04/05/09 DAVIDSON EDWIN SMITH, SCOTT W 05/03/09 SMITH SCOTT w OROZCO, JOSE C 05/08/09 OROZCO JOSE C RICHMOND, WILLIAM C 06/28/09 RICHMOND WILLIAM C ALBRIGHT, BRIAN 07/26/09 ALBRIGHT BRIAN DILLINGER, KIMBERLY A 07/26/09 DILLINGER KIMBERLY A GRADY, DEBORAH L 07/26/09 GRADY DEBORAH L SHIPLEY, MICHAELJ 07/26/09 SHIPLEY MICHAEL J IRVING, LORRAINE A 08/09/09 IRVING LORRAINE A MCKILLOP, MEGHANN. 08/09/09 MCKILLOP MEGHAN N. BOER, DAVIDS 09/06/09 BOER DAVID s HIGBEE, JEFFREY M 09/06/09 HIGBEE JEFFREY M BUTLER, JOEL J 09/20/09 BUTLER JOEL J RAWSON, DONEL L 09/20/09 RAWSON DONEL L ADAMS, JOSEPH W 10/04/09 ADAMS JOSEPH w HILTPOLD, NATALIE 10/04/09 HILTPOLD NATALIE JANNUSCH,RACHELA 10/04/09 JANNUSCH RACHEL A MCCLANAHAN, KEITH E 10/04/09 MCCLANAHAN KEITH E ZAVALA, CARRIE J 10/04/09 ZAVALA CARRIE J CAROTHERS, PHILIP R 10/18/09 CAROTHERS PHILIP R LUTES, NICHOLAS S 10/18/09 LUTES NICHOLAS s REYES, MARIE A 11/01/09 REYES MARIE A MARTINEZ, VICTOR R 11/15/09 MARTINEZ VICTOR R MCFADDEN, MICHAEL R 11/29/09 MCFADDEN MICHAEL R BEST, NICHOLAS 12/26/09 BEST NICHOLAS ELLIOTT, JAMES F 12/27 /09 ELLIOTT JAMES F GOEDERT, RICHARD C 12/27 /09 GOEDERT RICHARD C HAILEY, RENE C 12/27/09 HAILEY RENE C KIEFER, KENNETH F 12/27/09 KIEFER KENNETH F POFF, IAN C 12/27/09 POFF IAN C SASSO, MARY J 12/27 /09 SASSO MARY J CLAVIER, GREGORY A 12/29/09 CLAVIER GREGORY A GROVES, GREGORY S 12/30/09 GROVES GREGORY s HOLDER, SANDRA L 12/30/09 HOLDER SANDRA L KELSO, DAVE 12/30/09 KELSO DAVE MURRAY, JAN M 12/30/09 MURRAY JAN M NEDROS, BARBARA J 12/30/09 NEDROS BARBARA J STAFFORD, ANITA L 12/30/09 STAFFORD ANITA L STRONG, MARILYN H 12/30/09 STRONG MARILYN H RESER, LARRY 01/06/10 RESER LARRY HOWERTON, SHAWNA 01/27/10 HOWERTON SHAWNA too Cf -2010 PrE 5ef a,nv/J'6>15 MULVEY, JEFFERY M 02/02/10 MULVEY JEFFERY M ,-----;- JACKSON, DEBORAH A 02/19/10 JACKSON DEBORAH A SMITH, GREGORY 02/25/10 SMITH GREGORY BJORK, TANYA H 03/07/10 BJORK TANYA H ALBRIGHT, KEITH A 03/11/10 ALBRIGHT KEITH A GARBRY, KAREN L 04/04/10 GARBRY KAREN L DIAMOND, LYNN D 04/06/10 DIAMOND LYNN D IRVINE, LISA 04/09/10 IRVINE LISA BEASON, RYAN 04/11/10 BEASON RYAN GRANILLO, SAMUEL 04/18/10 GRANILLO SAMUEL SCHUCK, DALE A 04/18/10 SCHUCK DALE A SUAREZ, KINO G 04/22/10 SUAREZ KINO G DALE, CARI 04/23/10 DALE CARI PERKINS, PATRICK D 05/08/10 PERKINS PATRICK D ELLSWORTH, GERRY D 05/11/10 ELLSWORTH GERRY D MOORE, THOMAS 05/14/10 MOORE THOMAS FEULING, JOSEPH P 06/04/10 FEULING JOSEPH p WINTERS, TREVOR 06/12/10 WINTERS TREVOR MAST, CHERYL A 06/15/10 MAST CHERYL A VILLA, FERNANDO 06/22/10 VILLA FERNANDO STONE, MARK D. 06/29/10 STONE MARK D. ZOLL, THOMAS A 06/30/10 ZOLL THOMAS A MCSHERRY, HAROLD 07/02/10 MCSHERRY HAROLD HILDEBRANDT, SHEREE K 07/09/10 HILDEBRANDT SHEREE K IRWIN, LAURA 07/10/10 IRWIN LAURA JOHNSON JR, ROBERT T 07/11/10 JOHNSON JR ROBERT T ALADITS, JAMES N 07/12/10 ALADITS JAMES N NAEGELE, CAROLA 07/12/10 NAEGELE CAROLA MORENO, JONATHAN G 07/29/10 MORENO JONATHAN G HARRISON, DANIEL 08/07/10 HARRISON DANIEL MOEDER, JACOB J 09/09/10 MOEDER JACOB JUSSILA, MICHELLE R 09/15/10 JUSSI LA MICHELLE R SIMPSON, SUSAN K 09/17/10 SIMPSON SUSAN K CHEN, KAREN Y 10/01/10 CHEN KAREN y SILVERFARB, PAULA 10/05/10 SILVERFARB PAULA CORRIGAN, PATRICIA 10/07/10 CORRIGAN PATRICIA SALAMEH, BRIAN E 10/26/10 SALAMEH BRIAN E HOUSTON, ROB 11/05/10 HOUSTON ROB PLAJZER, EVA 12/09/10 PLAJZER EVA LEWIS, CLAUDE A 12/14/10 LEWIS CLAUDE A GUTGESELL, GERALD F 12/25/10 GUTGESELL GERALD F NOGLE, BRENT W 12/29/10 NOGLE BRENT w AVERY, DONALD D 12/30/10 AVERY DONALD D BURKE, RONALD L 12/30/10 BURKE RONALD L MCMAHON, BRITTANY N 12/30/10 MCMAHON BRITTANY N ID NAME TITLE HIRE DATE TERM DATE ~[ ,@Ill I -4 UTILITY WORKER II 7/10/2006 02/04/2011 6657 ALCOCER, ANTONIO UTILITY WORKER I 6/14/2010 03/31/2011 6363 Aponte, Edward Tran St Maint & Traffic Signal 03/24/2008 12/07/2011 4587 BAKER, JULIE B PLANNING COMMISSION 4/3/2000 1/23/2011 6916 BENDER, DANIEL BUILDING INSPECTOR II 9/26/2011 9/28/2011 6763 BOER, DAVID POLICE RESERVE OFFICER 1/11/2010 01/05/2011 5372 Cabrera, Stephanie Finance 10/06/2003 12/05/2011 1702 CAHILL, JOHN J MUNICIPAL PROJECTS MANAGER 4/8/1985 05/10/2011 6531 CARROLL, VICTORIA R COMMUNICATIONS OPERATOR II 1/5/2009 04/25/2011 4667 Doerfler, Debra Records 07/10/2000 11/28/2011 4939 DOMINGUEZ, EDMOND W PLANNING COMMISSION 9/18/2001 5/10/2011 6328 GLENNON, SHELLEY E ASSISTANT PLANNER 12/3/2007 04/15/2011 6785 GOMEZ, CHRISTOPHER D POLICE OFFICER 10/12/2010 . 07/18/2011 6484 GRANT, MARTHA POLICE RECORDS SPECIALIST II 8/25/2008 02/11/2011 6381 GUSMAN, JAMES PUBLIC WORKS SUPERVISOR 2/25/2008 01/04/2011 3739 HARGETT, ROBIN L COMMUNICATIONS SUPERVISOR 11/18/1996 08/31/2011 6684 HARTMAN, LISA A POLICE OFFICER 2/22/2010 02/11/2011 1456 KENNEDY, MICHAEL G FIRE BATTALION CHIEF 12/6/1982 07/21/2011 4228 KERMOTT, LINDA M FINANCE MANAGER 11/2/1998 04/01/2011 -6638 KNISLEY, JODY L POl.:ICE-OFFICER 10/5/2009 -04/03/2011- 1268 LENTZ, BRUCE M TREE TRIMMER II 2/2/1981 09/14/2011 5376 LENZ, INGRID MANAGEMENT ANALYST 10/28/2003 05/13/2011 5122 LOEFFLER, RICK A POLICE CORPORAL 71812002 2/14/2011 2475 LYNN, GAIL J RECREATION AREA MANAGER 5/22/1989 05/23/2011 6128 McGuire, Rachel City Communication 01/16/2007 12/29/2011 5236-M0 TGOMERY, MARTELL B PLANNING COMMISSION 2/4/2003 5/10/2011 992 Motas, Richard Util Operations 07/10/2006 10/27/2011 5992 MOTAS, RICHARD C UTILITY WORKER II 7/6/2006 10/27/2011 1160 Phillips, Timothy CED Building 04/10/1978 12/30/2011 3850 REYES, MARK K POLICE OFFICER 4/21/1997 05/15/2011 4315 RILEY, PATRICK S POLICE OFFICER 3/22/1999 07/15/2011 3550 ROCKAFELLOW, LINDA GRAPHIC ~RTIST 6/14/1999 06/30/2011 6245 ROGERS, KELLY M. LEGAL SECRETARY 712/2007 10/01/2011 2433 Rufenacht, Mark Fire Emergency Ops 03/06/1989 12/30/2011 6647 SNIDER, ROBBIE L. POLICE OFFICER 11/2/2009 10/01/2011 6425 SOLOMON, CODY MAINTENANCE AIDE 5/31/2010 05/03/2011 6430 THORNTON, ZACHARY STORM DRAIN MAINTENANCE WORK 6/2/2008 07/25/2011 4277 THURMAN, BRADLEY A POLICE CORPORAL 1/11/1999 06/30/2011 4615 WARDWELL, BRENDA S SECRETARY 5/22/2000 06/10/2011 6115 WEIGAND, JAMES M FIRE MARSHAL 12/14/2006 03/20/2011 6873 Welch, Andrea Police Field Operations 06/13/2011 10/26/2011 6873 WELCH, ANDREA E COMMUNICATIONS OPERATOR I 6/13/2011 10/31/2011 6395 WILE, STACY BUSINESS SYSTEMS ASSOCIATE 2/23/2010 2/14/2,011 4313 WOOD, LORRAINE M RECORDS MANAGER 3/29/1999 09/02/2011 ID Name 6271 Amos, Todd 6682 Asaro, Brandon 1988 Ball, Ronald 4954 Ballard-Bruce, Joan 3636 Brandt, Barbara 6509 Brencola, Michelle 1256 Eppel, Jarlath 3070 Farley, Paul 6926 Gaukel, Brian 6174 Halverson, Daniel 6703 Hanneman, Sarah 1727 Harvey, Donna 3022 Hildabrand, Lisa 2430 Hooper, Wayne 4050 James-Adams, Pamela 2689 Jimeno, Frank 6185 Johnson, Susanne 3215 Koch , Michael 1277 Kulchin, Ann 5932 Lee, Charlton 2296 Letsch, Erin 4356 Loeffler, Tony 2372 Lynch, Timothy 3989 Macias, Jose 2269 Marstell, James 6268 Maxwell, Kimberly 5804 McKelvey, John 6389 Mcspadden, Steve 3826 Michalek, William 6618 Nygaard, Julie 10087 O'Neal, Timothy 1559 Oppenborn, Chad 5882 Patton, Beverly 1889 Peterson , Gordon 5013 Pruim, Glenn 10045 Roberts, Jordan 3972 Rodriguez, Geronimo 5146 Russell, Ryan 1713 Shelton, Robert [ Term Date Svc 09/18/2012 11/30/2012 12/31/2012 11/29/2012 12/28/2012 06/08/2012 05/12/2012 09/04/2012 06/11/2012 07/01/2012 09/07/2012 12/07/2012 12/25/2012 12/24/2012 03/31/2012 11/01/2012 12/22/2012 06/01/2012 · 12/12/2012 02/04/2012 12/31/2012 12/29/2012 09/14/2012 12/01/2012 06/25/2012 08/20/2012 10/13/2012 11/09/2012 11/05/2012 12/06/2012 09/07/2012 12/31/2012 12/21/2012 06/30/2012 11/10/2012 11/03/2012 04/02/2012 03/16/2012 12/31/2012 1512 Shultz, Randell 1955 Sprague, Edmund 5082 Staal, Loretta 1483 Steyaert Jr, Mark 6914 Thompson, Keahi 6702 Tokle, Cheryl 4689 Trujillo, Dylan 5989 Vincent, Judith 3939 Wauschek, Christine 1217 Wickham, Clyde 12/21/2012 05/03/2012 10/06/2012 10/16/2012 09/11/2012 07/05/2012 12/14/2012 12/19/2012 06/01/2012 12/29/2012 ID Name 6024 Abalos, Constantine 2692 Anderson, William 6878 Arnold, Thomas 57 49 Becker, Mark 6473 Bryce, Brad 6798 Comstock, Jim 10205 Crosby, Sheila 4971 Dentoni, Mary 10130 Durrenberger, David 1707 Fennessy, Timothy 5815 Finley, Sonya 5443 Fleming-Brooks, Kelly 6399 Fries, Robert 6821 Garrett, Mark 6077 Gilfi llen, Kelly 5121 Gordon, Peter 2345 Haas, Cynthia 1856 Hauser, David 2114 Heiser, Christopher 5141 Hoffer, Wayne 3053 Hogan, Hilary 10287 Iacobellis, Raymond 6251 Jayanthi, Satish 6018 Kettler, Karl 1141 Kundtz, Karen 10068 Landis, Andrea 6885 Lemberg, Adam 5246 Lesperance, Lynette 10267 Litzhoff, Andrea 6929 Marchi, Gregory 6514 Oldroyd, David · 3093 Paulsen, Isabelle 3310 Plummer, William 6139 Plyler, Steven 2676 Preston, Patrick 6191 Rehfeldt, Melinda 10071 Ridenour, Kimberly 2115 Roque Jr., Nicolas 6038 Ruess, Christine [ Term Date Svc 11/23/2013 08/03/2013 02/13/2013 11/30/2013 10/26/2013 01/31/2013 06/01/2013 06/30/2013 03/28/2013 12/31/2013 07/26/2013 01/19/2013 06/06/2013 05/01/2013 04/19/2013 08/24/2013 07/01/2013 12/21/2013 10/25/2013 12/14/2013 12/21/2013 11/08/2013 02/13/2013 10/29/2013 07/06/2013 . 06/08/2013 10/05/2013 03/09/2013 09/07/2013 07/29/2013 01/19/2013 02/01/2013 11/30/2013 07/06/2013 11/02/2013 08/09/2013 05/18/2013 12/28/2013 04/06/2013 6800 Schmollinger, Craig 6833 Sisco, Taryn 6674 Smith, Chad 1151 Spencer, Gary 6433 Sugg, Jason 5383 Tuisee, Matthew 2573 Vance, Richard 6578 Warner, Jase 5154 Weber, Kerry 6214 Williams, Rosemarie 11/28/2013 09/16/2013 06/17/2013 12/06/2013 08/07/2013 03/06/2013 09/17/2013 10/10/2013 08/31/2013 08/22/2013 -- Account #(s)SD012455 Certificate #116795 Date Issued Friday, November 06, 2020 Service Locations 5815 EL CAMINO REAL Date Range of Service Nov-05-2020 thru Nov-05-2020 Work Ticket(s)753380 Quantity/Item 6 -6 Boxes for Destruction (large) 10 -10 Boxes for Destruction (odd sized) 37 -50 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). 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. E•Jcorodata SSAE16 Type II Audit Completed HIPA'A