HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2018-11-01/'
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 9 -".J., \ , ~ ~
REQUESTING DEPARTMENT: _· _,·F'-----t"_,_,_(2-,'-----'-----
DESTRUCTION APPROVALS:
REQUESTER: n t: ·:S k ~ ~ tv t-'< ~
We certify that the records listed below have been retained for the scheduled retention period, required audits have b~en
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
RECORDS MANAGEMENT:
BOX NO, RECORDS DESCRIPTION DATED RRS NO.
!1AJC
RRS
PERIOD
TAB BARCODE
(if applicable)
*If more spaces are needed, click in the last bax 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: CtltP dd..h_,;
CERTIFICATE OF DESTRUCTION? 'A YES O NO
SMEADSOFT BARCODES DELETED BY: ___________ _
DATE:
DATE: ------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
-«~ em o, Revised: 5/24/2018
'el' CARLSBAD .
DOCUMENTS TO BE SHREDDED 9-21-18
Special Olympics Law Enforcement Torch Run TCP 2015
San Diego Jazz Festival PMP 2014 & 2015
LEGOLAND Fireworks 2015
Hyatt Fireworks 2015
Omni La Costa Fireworks 2015
CVA's Art in the Village 2015
Carlsbad Grand Prix 2015
Snores & S'mores 2015
Carlsbad Village Walk/Music Festival 2015
Arts' Jazz Concert TCP's 2015
Sage Creek Hoopcoming 2015
Brewfest 2015
Family Movie Night 2015
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
109201
Tuesday, November 06, 2018
5815 EL CAMINO REAL
Nov-01-2018 thru Nov-01-2018
531223
43 -43 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 WSSAE16
Type II Audit Completed HIP£