HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2019-02-21RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 1/1/2019 -----------
REQUESTING
DEPARTMENT: PARKS & RECREATION
REQUESTER:
CHARLES BAL TERIA
DESTRUCTION APPROVALS:
We certify that the records fisted 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.
~EAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
LCR-2014-1 Facility Use Permits 2014 86 34QQQ CL+2
A--A .11-, -,.,,...,. I ,J
LCR-2015-1 Facility Use Permits 2015 GE3.il:898 CL+2
e,.:,oo-'1-.3
*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: ___ &: __ 'ri--'-'()-=-~~-L-----DATE:
CERTIFICATE OF DESTRUCTION? ~ YES O NO
SMEADSOFT BARCODES DELETED BY: ___________ _ DATE: _____ _
~') CITY OJ
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised:12/23/2018
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
109825
Monday, February 25, 2019
5815 EL CAMINO REAL
Feb-21-2019 thru Feb-21-2019
561004
42 -42 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 itSSAE16
Type II Audit Completed • HIP£ --