HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2018-10-10RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 08/01/18 -----'----------
REQUESTING
DEPARTMENT: PD REQUESTER: D. ERNST
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.
/ /11 //J r,
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1 '!ARTM::!:, a~~ANAGEMENT: U4~0.NEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
-Acosta, Gary 04/09/15 0850-31 CL+3
Hays, Lee 04/09/15 0850-31 CL+3
Lucid, Mary 04/09/15 0850-31 CL+3
Bixby, Edward 04/09/15 0850-31 CL+3
Bixby, Rona 04/09/15 0850-31 CL+3
Aardema, David 04/14/15 0850-31 CL+3
Bowler, Kevin 04/14/15 0850-31 CL+3
Celestine, Michael 04/14/15 0850-31 CL+3
Chavez, Jose 04/14/15 0850-31 CL+3
Cho,Sun 04/14/15 0850-31 CL+3
Covington, Christopher 04/14/15 0850-31 CL+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: M. R"~ \J, c::,y DATE: \ 6, 5 , f5
CERTIFICATE OF DESTRUCTION? IX! YES O NO
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 8/1/2018
CD
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 08/01/18 ----------
REQUESTING
DEPARTMENT: PD REQUESTER: D. ERNST
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.
;(&/bi~--------
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Dominguez, Marcia 04/15/15 0850-31 CL+3
Easley, Steven 04/15/15 0850-31 CL+3
Erdelen, Joseph 04/15/15 0850-31 CL+3
Francy, Bo 04/16/15 0850-31 CL+3
Ericksen, Meghan 04/16/15 0850-31 CL+3
Fitzpatrick, Eric 04/16/15 0850-31 CL+3
Flores, Victor 04/16/15 0850-31 CL+3
Arechiga, Jarlene 04/16/15 0850-31 CL+3
Aripez, Charita 04/16/15 0850-31 CL+3
Atherton, Angela 04/16/15 0850-31 CL+3
Avila-Magana, Nery 04/16/15 0850-31 CL+3
*If more spaces are needed, click In the last box In right hand corner of table and hit "tab". This w/11 create more fields In the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: \"\ \'\\<..~...n e_.,_, DATE: ,c\.5\ &.
CERTIFICATE OF DESTRUCTION? &J YES O NO -SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program,
Revised: 8/1/2018
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 08/01/18 ---------~
REQUESTING
DEPARTMENT: PD REQUESTER: D E • RNST
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained far the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist. 1A 'i 7ft,~:«~ DEPAR MENT HEAD: RECORDS MANAGEMENT:
BOX NO. RECORDS DESCRIPTION DATED RRS NO.
Anderson, Don 04/16/15 0850-31
Anske, Cynthia 04/16/15 0850-31
Bacharach, Val 04/16/15 0850-31
Cardenas, Hugo 04/21/15 0850-31
Garcia, Veronica 04/21/15 0850-31
· Gordon, Brian 04/21/15 0850-31
Gray, Randall 04/21/15 0850-31
Hazell, Curtis 04/21/15 0850-31
~. Hernandez, Amy 04/21/15 0850-31
-Hilliard, Angela 04/21/15 0850-31
--Holliday, Rory 04/21/15 0850-31
CITY ATTORNEY:
RRS TAB BARCODE
PERIOD (if applicable)
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+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: """-\'"t¥::,,ls,\J1 P::-1 DATE: 10\5\ 2,
CERTIFICATE OF DESTRUCTION? I&) YES .• NO
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 8/1/2018
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 08/01/18 ----------
REQUESTING
DEPARTMENT: PD
REQUESTER:
D. ERNST
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.
/0' 74d/2&-
DEPARTMENT HEAD: RECORDS MANAGEMENT:
BOX NO. RECORDS DESCRIPTION DATED RRS NO.
Horiuchi, Karl 04/21/15 0850-31
Hornsby, Justin 04/21/15 0850-31
lnapurapu, Amoolya 04/21/15 0850-31
Jackson, Cherlondia 04/21/15 0850-31
Juergensmeyer, Brian 04/21/15 0850-31
Kantorowski, Tyler 04/21/15 0850-31
Knox, Zachary 04/21/15 0850-31
Landford, James 04/21/15 0850-31
Leon, Victor 04/21/15 0850-31
Liebert, Lisa 04/21/15 0850-31
Mathieson, Thomas 04/21/15 0850-31
CITY ATTORNEY:
RRS TAB BARCODE
PERIOD (if applicable)
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
*If more spaces are needed, click in the last box In right hand corner of table and hit "tab". This w/11 create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: 1"'1-,, .. -,::..s. '" c:.J,--\
CERTIFICATE OF DESTRUCTION? ~ YES O NO
DATE: \ &\ 5 1&
SMEADSOFT BARCODES DELETED BY: -DATE:
<(~) cm or
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
'~ CARLSBAD Revised: 8/1/2018
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 08/01/18 ----------
REQUESTING
DEPARTMENT: PD REQUESTER: D E • RNST
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: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Mclain, Marissa 04/21/15 0850-31 CL+3
Miller, Steven 04/21/15 0850-31 CL+3
Miranda, Blaise 04/21/15 0850-31 CL+3
Miro, Aaron 04/21/15 0850-31 CL+3
Mobbs, Richard 04/21/15 0850-31 CL+3
Moreno, Daniel 04/21/15 0850-31 CL+3
· Murray, Cory 04/21/15 0850-31 CL+3
Nogueras, Rick 04/21/15 0850-31 CL+3
Parisi, Danielle 04/21/15 0850-31 CL+3
Parsa, Mike 04/21/15 0850-31 CL+3
Rendon, Leonard 04/21/15 0850-31 CL+3
*If more spaces are needed, cl/ck 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: t,,:rn,;is,v\c:::.'-:\
CERTIFICATE OF DESTRUCTION? JZ,l YES O NO
DATE: \0 \ S\ 8
SMEADSOFT BARCODES DELETED BY: DATE:
<<~' C11V OF -~• CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 8/1/2018
@
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: . 08/01/18 ---------~
REQUESTING
DEPARTMENT: PD REQUESTER: D. ERNST
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: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
· Ruiz, Erica 04/21/15 0850-31 CL+3
Rushman, William 04/21/15 0850-31 CL+3
Sander, Shelly 04/21/15 0850-31 CL+3
Sears, Diane 04/21/15 0850-31 CL+3
Stepachev, Konstantin 04/21/15 0850-31 CL+3
Tabaka, Anthony 04/21/15 0850-31 CL+3
Tallamraju, Radhika 04/21/15 0850-31 CL+3
Telfair, Alberto 04/21/15 0850-31 CL+3
Trupiano, Anna 04/22/15 0850-31 CL+3
Weller, Rachel 04/22/15 0850-31 CL+3
Wilson, Ronald 04/22/15 0850-31 CL+3
*If more spaces are needed, click In the last box In right hand corner of table and hit "tab", This w/11 create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ,V..\"'\\,li=-'\J\ C:.\-:{ DATE: \C) ,51 E!i
CERTIFICATE OF DESTRUCTION? j2] YES O NO
SMEADSOFT BARCODES DELETED BY: -DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revise,:!: 8/1/2018
RECORDS DESTRUCTION AUTHORIZATION FORM (j)
DATE: 08/01/18 ----------
REQUESTING
DEPARTMENT: PD REQUESTER: D E . RNST
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: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Wright, Vincent 04/22/15 0850-31 CL+3
Xu,Huguang 04/22/15 0850-31 CL+3
Johns, Ryan 04/23/15 0850-31 CL+3
Rick, Jordan 04/23/15 0850-31 CL+3
Frazier, Nicole 04/23/15 0850-31 CL+3
Hudson, Matthew 04/23/15 0850-31 CL+3
Campbell, James 04/23/15 0850-31 CL+3
Henry, David 04/23/15 0850-31 CL+3
Griffith, Linda 04/23/15 0850-31 CL+3
Hernandez, Ricardo 04/23/15 0850-31 CL+3
Rin, Chantha 04/23/15 0850-31 CL+3
*If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This w/11 create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: M\j\,~,l\~H
CERTIFICATE OF DESTRUCTION? ~ YES O NO
DATE: \C>\5\8
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 8/1/2018
RECORDS DESTRUCTION AUTHORIZATION FORM ~
DATE: 08/01/18 ----------
REQUESTING
DEPARTMENT: PD REQUESTER: D. ERNST
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.
~---•._. -R-EC_O_R_D_S_M_A_N_A_G-EM-EN_T_: __ CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Gebhardt, Timothy 04/23/15 0850-31 CL+3
Essex, Stephen 04/23/15 0850-31 CL+3
Quezada, Enrique 04/23/15 0850-31 CL+3
Ellsworth, Anthony 04/23/15 0850-31 CL+3
McMinn, Tamara 04/23/15 0850-31 CL+3
Bell, Rickey 04/23/15 0850-31 CL+3
Gipson, Nicole 05/06/15 0850-31 CL+3
Siaca, Eric 05/06/15 0850-31 CL+3
· Upton, Robin 05/06/15 0850-31 CL+3
-Stevenson, Ryan 05/06/15 0850-31 CL+3
Zendejas, Trinidad 05/06/15 0850-31 CL+3
*If more spaces are needed, click In the last box in right hand corner of table and hit "tab". This wlfl create more fields In the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ~M~v""~' '-~~-C-\~~-----DATE: ,ms\ B
CERTIFICATE OF DESTRUCTION? °W YES O NO
...._
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 8/1/2018
RECORDS DESTRUCTION AUTHORIZATION FORM @
DATE: 08/01/18 ----------
REQUESTING
DEPARTMENT: PD REQUESTER: D E • RNST
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.
7fdGzd:__ __ _
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Moss, Steven 05/14/15 0850-31 CL+3
Perez, Lawrence 05/14/15 0850-31 CL+3
~kena, Deo Odoch 05/21/15 0850-31 CL+3
Cadmus, Matthew 05/21/15 0850-31 CL+3
Caporaso, Jessica 05/21/15 0850-31 CL+3
Christopher, Ed 05/21/15 0850-31 CL+3
Howard, Eben 05/21/15 0850-31 CL+3
Fite, Justin 05/21/15 0850-31 CL+3
Flores, Juan 05/21/15 0850-31 CL+3
Jensen, Julie 05/21/15 0850-31 CL+3
Liuchan, Uputaua 05/21/15 0850-31 CL+3
*If more spaces are needed, click In the last box In right hand corner of table and hit "tab". This w/11 create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: \'-\t:'\'\<.Gi'\11c\-\ DATE: \01 SI Q
CERTIFICATE OF DESTRUCTION? pi' YES O NO
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 8/1/2018
RECORDS DESTRUCTION AUTHORIZATION FORM ([9
DATE: 08/01/18 -----------
REQUESTING
DEPARTMENT: PD REQUESTER:
D. ERNST
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.
u&z~%----_-----__ _
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Omega, Nathaniel 05/21/15 0850-31 CL+3
Rocha, Kevin 05/21/15 0850-31 CL+3
Schuessler, Zachary 05/21/15 0850-31 CL+3
Simmons, Kyle 05/21/15 0850-31 CL+3
Skeen, Jonathan 05/21/15 0850-31 CL+3
Smith, Jordan 05/21/15 0850-31 CL+3
• Teneyck, Brandon 05/21/15 0850-31 CL+3
Verneulen, Matthew 05/21/15 0850-31 CL+3
Vermeulen, Matthew 05/21/15 0850-31 CL+3
Villejo, Ralph 05/21/15 0850-31 CL+3
Worthington, Joseph 05/21/15 0850-31 CL+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: _'M~~.........,__~~~v~t=C:.~b_,,__ ____ _
CERTIFICATE OF DESTRUCTION? _0 YES 10 NO
SMEADSOFT BARCODES DELETED BY: DATE:
<<~ c,r, or w'CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 8/1/2018
','
RECORDS DESTRUCTION AUTHORIZATION FORM @
DATE: 08/01/18 ----------
REQUESTING
DEPARTMENT: PD REQUESTER:
D. ERNST
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.
~
-, , h'
~,{ ~~--/---=--_-_---_--------------------
DEPARTNT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
lwuaba, Goodnews 05/21/15 0850-31 CL+3
Osbrach, Nathan 05/21/15 0850-31 CL+3
Bernabeo, Vincent 05/21/15 0850-31 CL+3
Rodriguez, Jessica 06/16/15 0850-31 CL+3
Jacobo, Carlos 07/02/15 0850-31 CL+3
Torres, Jacobo 07/02/15 0850-31 CL+3
Harbert, Nicholas 07/09/15 0850-31 CL+3
~-Stuart, Jacqueline 07/13/15 0850-31 CL+3
Betts, Kevin 07/14/15 0850-31 CL+3
Davis, Andre 07/03/15 0850-31 CL+3
Barriga, Beatriz 07 /31/18 0850-30 TE+10
*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 hove been destroyed.
RECORD DESTRUCTION COMPLETED BY: ~,\\,~'\I\C'rl DATE:) 0\5" \ 8
CERTIFICATE OF DESTRUCTION? J2f YES __ • NO -SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 8/1/2018
·~ 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: 8044665793
Order Date: 10/10/2018
Customer PO:
Number of trees saved
by your firm this year:
72.524
--Service Type: ON-SITE REGULAR SERVICE
•.. Contact: amanda baker
Time In: 08:10 AM
Time Out: 08:36 AM
Next Shred Date: 10/24/2018
Service Confirmation
Service Time: 26 min
Number of Equip Service: 6
Number of Extra Items Collected: 0
Estimated Weight:
Customer Name: amanda baker CSR Name: Ruben Jacobo
' l\· (· -1:-J.><·,f-· EJ ,
.
. .
Shred-it is committed to the secure destruction of its· customer's confidential information. This certification will affirm that Shred-it destroys the
customer confidential material, pursuant to our customer's request and instructions. 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 1-800-697-4733
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
~ Shred-it®
Service Details
Equip: A0000730898 -STD. CONSOLE 10/10/2018 08:20 AM
Truck: 03266 10/10/2018 oa:36 AM
Equip: A0000730899 -STD. CONSOLE 10/10/2018 08:20 AM
Truck: 03266 10/10/2018 08:36 AM
Equip: A0000730900 -FRT. LD. CONSOLE 10/10/2018 08:18 AM
Truck: 03266 10/10/2018 08:36 AM
Equip: A0000730902 -STD. CONSOLE 10/10/2018 08:21 AM
Truck: 03266 10/10/2018 08:36 AM
Equip: A0000730903 -STD. CONSOLE 10/10/2018 08:17 AM
Truck: 03266 10/10/2018 08:36 AM
Equip: D0000087706 -Med Tote (64Gal/240L) 10/10/2018 08:16 AM
Truck: 03266 10/10/2018 08:36 AM
Page 2/2 Order: 8044665793
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.