HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Planning; 2019-07-11RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 5/13/2019
REQUESTING DEPARTMENT: PLANNING REQUESTER: MELISSA FLORES
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
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DATE
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RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
) PERIOD (if applicable) jY 1 CAMPAIGN SIGN PERMITS (SEE 2016 0515-15 AU+2 N/A ATTACHED)
/
*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: __ eo_~'J'I_IJ_dbh-_____ _
CERTIFICATE OF DESTRUCTION? R_YES 0 NO
DATE: 3/IJ /4,o17
TAB BARCODES DELETED BY: ___________ _ DATE: _____ _
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
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Carlsbad Revised: 2019
Page /1
PS 16-06
PS 16-08
PS 16-14
PS 16-27
PS 16-44
PS 16-81
PS 16-83
PS 16-90
PS 16-92
PS 16-93
PS 16-98
PS 16-99
PS 16-101
PS 16-103
PS 16-104
PS 16-105
PS 16-106
PS 16-107
PS 16-108
PS 16-109
PS 16-112
PS 16-115
PS 16-117
PS2016-0001
PRESERVING CARLSBAD OPEN SPACE THE RIGHT WAY, WITH MAJOR FUNDING BY CARUSO AFFILIATES
MEASURE A
CITIZENS FOR YES ON MEASURE A
JUDGE KERI KATZ
ELECT JUDGE MANGIONE 2016
ANNE-KATHERINE PINGREE
ANN TANNER
LESLIE SCHNEIDER
CORI SCHUMACHER
DALESSANDRO/HERGESHEIMER SCHOOL BOARD 2016
ALLAN JULIUSSEN LEUCADIA WASTEWATER DISTRICT
RANDY BERHOLTZ FOR SAN DIEGUITO
BILL FOWLER
DOUGLAS APPLEGATE FOR CONGRESS
YES ON MEASURE M
ROCKY CHAVEZ
DARRELL ISSA
YES ON B
WYLAND
THOMAS KROUSE FOR ASSEMBLY 2016
AJ VAN DE VEN VALLECITOS WATER DISTRICT
KEITH BLACKBURN
TRUMP/PENCE
BRANDON ROWLEY
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
110465
Tuesday, July 16, 2019
5815 EL CAMINO REAL
Jul-11-2019 thru Jul-11-2019
601563
41 -41 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).
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Type II Audit Completed HIP.At\