HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2018-08-15RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
REQUESTING
DEPARTMENT:
07/18/18
POLICE -TRAFFIC
DIVISION
REQUESTER:
JERRY SERAFINI
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 a, angolng /it/got/on o, Jnvest/gat/an Involving the,e ,econis is kno:::/ exls'i7 !
j,J,,_._, ,v-f #-5">.~ I ~J>-It _., f' t,liY {!_
DEPARTMENT HEAD:ORD; MANAGEMENT: CITY ATTORNEY~
l
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
DUI BILLING Prior to 0670-20 5 YRS 07/18/13
*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: ---+--+--------,---='+---->"F----
CERTIFICATE OF DESTRUCTION? ES D N
SMEADSOFT BARCODES DELETED BY: ___________ _ DATE: _____ _
((i) en, o,
w CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 7/19/2018
~ Shred-it®
' '
SERVICE RECORD
CERTIFICATE of DESTRUCTION
PLEASE KEEP THIS FOR YOUR RECORDS : THIS IS NOT AN INVOICE
Customer Profile
Site Number: 0012104995
Carlsbad Police Department
2560 Orion Way
Carlsbad CA 92010-7240
Service Summary
Order:8043252473
Order Date: 08/15/2018
Customer PO:
Number of trees saved
by your firm this year:
57.252
[fil --Service Type: ON-SITE REGULAR SERVICE
Contact: dede spangler
Time In: 08:03 AM
Time Out: 08:18 AM
Next Shred Date: 08/29/2018
Service Confirmation
Service Time: 15 min
Number of Equip Service: 6
Number of Extra Items Collected:
Customer Name: dede spangler
0
CSR Name: Joseph Johnson Jr
(4;"/ !-/
I
Shred-it is commited to the secure destruction of its customer's confidential information. This certification will affirm that Shred-it destroys the
customer confidential material, persuant to our customers request and instruction. The following services are NAID certified: Hard Drive Destruction,
Mobile Destruction, Offsite Destruction. The following services are not NAID certified: Non-Paper Destruction.
Site Number: 0012104995
If you have any questions or concerns call us at 1-800-697-4 733
Please have your site number available so we can get you to the
right representative for your account.
Shred-it® is a Stericycle solution.
Page 1/2
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Service Details
Equip: A0000730898 -STD. CONSOLE 08/15/2018 08:09 AM
Truck: 01584 08/15/2018 08:18 AM
Equip: A0000730899 -STD. CONSOLE 08/15/2018 08:10 AM
Truck: 01584 08/15/2018 08:18 AM
Equip: A0000730900 -FRT. LD. CONSOLE 08/15/2018 08:07 AM
Truck: 01584 08/15/2018 08:18 AM
Equip: A0000730902 -STD. CONSOLE 08/15/2018 08: 11 AM
Truck: 01584 08/15/2018 08:18 AM
Equip: A0000730903 -STD. CONSOLE 08/15/2018 08:06 AM
Truck: 01584 08/15/2018 08:18 AM
Equip: D0000087706 -Med Tote (64Gal/240L) 08/15/2018 08:14 AM
Truck: 01584 08/15/2018 08:18 AM
Order:8043252473
Page 2/2
Site Number: 0012104995
If you have any questions or concerns call us at 1-800-697-4733
Please have your site number available so we can get you to the
right representative for your account. ~ Shred-it·
Shred-it® is a Stericycle solution.