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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2018-11-22RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: /0/2&/;% ~ I /JSS'O REQUESTER: 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. CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) S. Alexander LOR 12/18/12 0670-11 CL+2 S. Sutt Documented Counseling 08/12/15 0670-11 CL+2 Jeremy Traska 04/22/08 0810-40 TE+10 Christina Johnson 06/04/08 0810-40 TE+10 Amy Denis 10/15/08 0810-40 TE+10 Gabriel Cobian 10/03/08 0810-40 TE+10 Jacquellyn White 10/17/08 0810-40 TE+10 Cheryl Sills 04/11/13 0850-30 TE+5 L. L1Esperance 03/01/13 0850-30 TE+5 Lisa Juren 07/02/12 0850-30 TE+5 Melanie Griffin 10/15/11 0850-30 TE+5 *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. <<i) CITY Of w CARLSBAD DATE: i{ l ~ /'2-c;,, 3 -DATE: This form documents the destruction of City recordf in accordance with the City of Carlsbad Records Management Program. Revised: 10/16/2018 I RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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: RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE BOX NO. PERIOD (if applicable) Blackburn collision review board 11/20/08 0670-11 CL+2 Blackburn collision review board 02/08/08 0670-11 CL+2 M. Cobian written reprimand (LOR) 07/14/14 0670-11 CL+2 M. Cobian LOR 03/11/15 0670-11 CL+2 F. Escomiendo LOR 01/07/14 0670-11 CL+2 D. Harvey LOR 01/20/11 0670-11 CL+2 J. Maud collision review board 07/03/08 0670-11 CL+2 P. Simmons LOR 09/10/15 0670-11 CL+2 S. Tashoff collision review board 07/04/06 0670-11 CL+2 G. Zavala LOR 04/12/10 0670-11 CL+2 D. Luc Disciplinary Suspension 02/11/09 0670-11 CL+2 *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: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: <~ CIT'!' Of This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/16/2018 2/32- ,;, RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: DESTRUCTION APPROVALS: REQUESTER: 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) Pamela Pretz 06/01/11 0850-30 TE+5 Emilee Seyb 08/21/12 0850-30 TE+5 Monica Kieffer 08/21/12 0850-30 TE+5 Taylor Yelland 08/20/12 0850-30 TE+5 James Clark 08/06/12 0850-30 TE+5 Madison Johnson 08/05/12 0850-30 TE+5 Berenice Rico 08/01/12 0850-30 TE+5 Christian Kelly 07/26/12 0850-30 TE+5 Ginger Bahadar 09/04/12 0850-30 TE+5 Timothy O'Neal 09/03/12 0850-30 TE+5 Rosalind Solo 09/13/12 0850-30 TE+5 *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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: <~) CITY 01 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) Lauren Sanders 12/05/12 0850-30 TE+5 Jordan Roberts 11/01/12 0850-30 TE+5 Henry Lorch 10/29/12 0850-30 TE+5 Justin Boyd 09/30/12 0850-30 TE+5 Jordan Smith 01/01/13 0850-30 TE+5 Emily Bradshaw 02/01/13 0850-30 TE+5 James Clark 01/22/13 0850-30 TE+5 Annmarie Robbins 01/08/13 0850-30 TE+5 Chris Lamaku 01/07/13 0850-30 TE+5 Matthew Higgins 01/07/13 0850-30 TE+5 Brendan Galanos 01/07/13 0850-30 TE+5 *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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: «i> CITV Of This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: DESTRUCTION APPROVALS: We certify that the records listed below hove been retained for the scheduled retention period, required audits hove 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) Sao Oh 04/29/13 0850-30 TE+5 Glenn Peterson 04/27/13 0850-30 TE+5 Kathryn Venable 04/08/13 0850-30 TE+5 Don Drain 03/18/13 0850-30 TE+5 Guy Glauser 03/07/13 0850-30 TE+5 Andrew Dennert 02/01/13 0850-30 TE+5 Jacqueline White 06/03/13 0850-30 TE+5 Bernard Carrigan 05/30/13 0850-30 TE+5 Devin Simonson 04/30/13 0850-30 TE+5 Claude Lewis 06/25/13 0850-30 TE+5 Stephen Wirkus 06/17/13 0850-30 TE+5 *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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: «), CITY OF This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) Paul Smith 06/17/13 0850-30 TE+5 John Dettbarn 06/17/13 0850-30 TE+5 Robert Chamberlin 08/01/13 0850-30 TE+5 Brock Blankenship 07/03/13 0850-30 TE+5 Claire Miller 06/25/13 0850-30 TE+5 Matana Abramson 08/26/13 0850-30 TE+5 Richard Lagrand 08/01/13 0850-30 TE+5 Christian Kelly 10/08/13 0850-30 TE+5 Joseph Lopez 07/28/14 0850-31 CL+3 Jacqueline Brytt-Stuart 02/05/15 0850-31 CL+3 Paul Adkins 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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 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: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: DESTRUCTION APPROVALS: REQUESTER: 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. DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) Paul Adkins 04/14/15 0850-31 CL+3 Alejandro Aguilar 04/14/15 0850-31 CL+3 Miguel Aponte 04/14/15 0850-31 CL+3 Mario Barajas 04/14/15 0850-31 CL+3 Jeffrey Brenden 04/14/15 0850-31 CL+3 Lucius Charlemange 04/14/15 0850-31 CL+3 William Chiang 04/14/15 0850-31 CL+3 Melissa Grogg 04/15/15 0850-31 CL+3 Juan Cruz 04/15/15 0850-31 CL+3 Nicole Davis 04/15/15 0850-31 CL+3 Moses Delfin 04/15/15 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: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: «~ CITY or This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ~ CARLSBAD Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) James Deliseo 04/15/15 0850-31 CL+3 Rickey Bell 04/21/15 0850-31 CL+3 Arlene Garza 04/21/15 0850-31 CL+3 Brady Gomez 04/21/15 0850-31 CL+3 Ethan Grant 04/21/15 0850-31 CL+3 Albert Holloway 04/21/15 0850-31 CL+3 Miguel Isip 04/21/15 0850-31 CL+3 Jarrod Maguire 04/21/15 0850-31 CL+3 Erik Maldonado 04/21/15 0850-31 CL+3 I Colleen McMahon 04/21/15 0850-31 CL+3 Thomas Moore 04/21/15 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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: «~ CITY 01 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) Loe Nguyen 04/21/15 0850-31 CL+3 Emad Omar 04/21/15 0850-31 CL+3 Mekel Pamplin 04/21/15 0850-31 CL+3 Casey Radermacher 04/21/15 0850-31 CL+3 Joseph Rouzan 04/21/15 0850-31 CL+3 Huy Tran 04/22/15 0850-31 CL+3 Christopher Warren 04/22/15 0850-31 CL+3 Matthew White 04/22/15 0850-31 CL+3 Rocio Salazar 04/23/15 0850-31 CL+3 Salvador Laurel Torres 05/19/15 0850-31 CL+3 Joel Martinez 05/19/15 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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 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: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: DESTRUCTION APPROVALS: REQUESTER: 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: RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE BOX NO. PERIOD (if applicable) Jonathan Woodward 05/19/15 0850-31 CL+3 Jaime Harper 05/26/15 0850-31 CL+3 Troy Hickman 05/28/15 0850-31 CL+3 Juan Rodriguez 06/08/15 0850-31 CL+3 Paul Song 06/08/15 0850-31 CL+3 Connie Alvarez 06/11/15 0850-31 CL+3 Jessica Ayers 06/17/15 0850-31 CL+3 Abigail Avery 06/18/15 0850-31 CL+3 Adam Faure 06/18/15 0850-31 CL+3 Ernesto Garcia 06/18/15 0850-31 CL+3 Jeffrey Clark 06/23/15 0850-31 CL+3 *If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 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: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) Jack Gamblin 06/23/15 0850-31 CL+3 Daniel Hofer 06/23/15 0850-31 CL+3 M. Matz 08/06/15 0850-31 CL+3 Therese Nunnally 08/15/15 0850-31 CL+3 N. Abella 08/19/15 0850-31 CL+3 J. Pearcey 08/19/15 0850-31 CL+3 J. Stricker 08/19/15 0850-31 CL+3 Melvin Callender 08/24/15 0850-31 CL+3 Justin Dodson 08/24/15 0850-31 CL+3 Chris Dunne 08/24/15 0850-31 CL+3 Carlos Godoy 08/24/15 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: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 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: 10/16/2018 2 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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: RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE BOX NO. PERIOD (if applicable) Steven Hoffman 08/24/15 0850-31 CL+3 Prince Rasheed 08/24/15 0850-31 CL+3 John Rineer 08/24/15 0850-31 CL+3 Sabrina Sherman 08/24/15 0850-31 CL+3 Alfred Liebovitz 08/25/15 0850-31 CL+3 Art Chroury 08/27/15 0850-31 CL+3 Julia Axelsson 09/08/15 0850-31 CL+3 LaMarTatum 09/10/15 0850-31 CL+3 Jonathan Farr 09/12/15 0850-31 CL+3 Brandon Whitesock 09/12/15 0850-31 CL+3 Alexandra Hyduck 09/16/15 0850-31 CL+3 *If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: ~ CIT'( OJ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) Michelle Mikell 09/16/15 0850-31 CL+3 Christopher Angelotti 09/17/15 0850-31 CL+3 Anna Camberos Sanchez 09/17/15 0850-31 CL+3 Josephine Hodges 09/17/15 0850-31 CL+3 Cyrus Mohamadi 09/17/15 0850-31 CL+3 Edward Suleymanov 09/17/15 0850-31 CL+3 Jordan Fletcher 09/22/15 0850-31 CL+3 Kovan Vlach 09/22/15 0850-31 CL+3 Karl Snow 09/25/15 0850-31 CL+3 Shawn Edens 09/29/15 0850-31 CL+3 Bradley Sheetz 10/01/15 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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: <~) con o, This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) Halkawt Chamasayidi 10/06/15 0850-31 CL+3 Matthew Ciccone 10/06/15 0850-31 CL+3 Phillip Disque 10/06/15 0850-31 CL+3 Diana Penaloza 10/06/15 0850-31 CL+3 William Grant 10/12/15 0850-31 CL+3 Jalena Raiano 10/14/15 0850-31 CL+3 Natasha Ramme 10/14/15 0850-31 CL+3 Abdul Ahad 10/17/15 0850-31 CL+3 Paul Alvarez 10/17/15 0850-31 CL+3 Brandon Saunders 10/17/15 0850-31 CL+3 Mario Figueroa 10/29/15 0850-31 CL+3 *If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This wi/1 create more fields in the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: <t~ARL.SBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) Stacey Swift 10/29/15 0850-31 CL+3 Mario Martinez 11/03/15 0850-31 CL+3 Evan Walvoord 11/03/15 0850-31 CL+3 Ryan Conner 11/10/15 0850-31 CL+3 Daisy Lopez 11/10/15 0850-31 CL+3 Brian Hansen 11/12/15 0850-31 CL+3 Eric Lam 11/12/15 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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: DESTRUCTION APPROVALS: REQUESTER: 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) James Bellamy 07/06/13 0860-60 CL+5 April DuCommun 07/12/13 0860-60 CL+5 Jody Knisley 07 /31/13 0860-60 CL+5 Nicholas Walker 08/10/13 0860-60 CL+5 Matana Abramson 08/26/13 0860-60 CL+5 Dale Perry 08/26/13 0860-60 CL+5 Christian Kelly 10/09/13 0860-60 CL+5 J. Chase Evaluations 10/08-09/13 09/30/13 0810-50 5 B. Kidd Evaluations 02/10-02-13 02/2013 0810-50 5 M. Callander Evaluations 2009-2013 07/01/13 0810-50 5 F. Salazar Evaluations 08/10-08/13 08/23/13 0810-50 5 *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: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: <~CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------~ REQUESTING DEPARTMENT: REQUESTER: 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) Matthew Bowen 07/19/12 0860-60 CL+5 Kimberly Ridenour 09/02/12 0860-60 CL+5 Danielle Maxwell 09/27/12 0860-60 CL+5 Jordan Roberts 11/01/12 0860-60 CL+5 Bret Cosgrove 11/13/12 0860-60 CL+5 LeeAnne McCullough 11/20/12 0860-60 CL+5 Cody Green 01/05/13 0860-60 CL+5 Lisa Woltkamp 01/30/13 0860-60 CL+5 Jessica Field 05/04/13 0860-60 CL+5 Claire Miller 06/25/13 0860-60 CL+5 Stephen Brown 06/27/13 0860-60 CL+5 *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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: <~> c1n or This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/16/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ---------- REQUESTING DEPARTMENT: REQUESTER: 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} T. Cluett Eva ls 02/09-03/13 03/30/13 0810-50 5 K. Pavlenko Eva ls 05/09-05/13 05/30/13 0810-50 5 P. Cable LOR 08/29/13 0670-11 CL+2 P. Cable collision review letter 12/10/14 0670-11 CL+2 K. Happle Eva ls 08/10-08/13 08/30/13 0810-50 5 G. Unser Evals 02/09-03/13 03/13/13 0810-50 5 K. Kelly Evals 12/09-12/13 12/30/13 0810-50 5 K. Cain Eva ls 07 /10-07 /13 07 /31/13 0810-50 5 B. Toussaint Evals 10/08-06/13 06/30/13 0810-50 5 G. Spencer LOR 11/12/13 0670-11 CL+2 G. Spencer Evals 06/78-10/13 10/31/13 0810-50 5 *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: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ---------- REQUESTING DEPARTMENT: REQUESTER: . 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) M. Warfield Evals 03/11-06/13 06/30/13 0810-50 5 D. Garcia Evals 03/11-09/13 09/30/13 0810-50 5 E. Hoppe Evals 03/09-08/13 08/30/13 0810-50 5 B. Maggi Evals 11/09-11/13 11/22/13 0810-50 5 F. Everett Evals 09/10-09/13 09/30/13 0810-50 5 P. Mendes Evals 02/09-09/13 09/30/13 0810-50 5 S. Beebe Evaluations 04/09-04/13 04/30/13 0810-50 5 D. Hickey Eva ls 09/09-06/13 06/30/13 0810-50 5 P. Wilhelm Evals 12/09-05/13 05/19/13 0810-50 5 G. Stephenson Eva ls 02/09-07 /13 07/30/13 0810-50 5 R. Collier Eva ls 02/09-07 /13 07/30/13 0810-50 5 *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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 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: 10/17/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: DESTRUCTION APPROVALS: REQUESTER: 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) D. Parra Evaluations 02/09-12/12 12/31/12 0810-50 5 D. Anderson Eva ls 06/11-04/13 04/30/13 0810-50 5 J. Mabrouk Eva ls 09/10-09/13 09/30/13 0810-50 5 M. Thompson Eva ls 07 /09-04/13 04/07/13 0810-50 5 M. Torres Collision Review Letter 05/23/16 0670-11 CL+2 M. Torres Evaluations 09/10-03/13 03/08/13 0810-50 5 T. Powell Evals 02/10-09/13 09/30/13 0810-50 5 E. Cobian Eva ls 02/09-09/13 09/30/13 0810-50 5 J. Smith DL request 02/06/07 0810-50 5 M. Reno Evaluations 09/10-09/13 09/30/13 0810-50 5 L. Ledesma Eva ls 02/09-04/13 04/10/13 0810-50 5 *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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ---------- REQUESTING DEPARTMENT: REQUESTER: 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) K. Zavala-Lehan Eva ls 02/09-10/13 10/01/13 0810-50 5 P. Fanene Evaluations 09/09-04/13 04/30/13 0810-50 5 L. Pfankuch Evaluations 02/09-09/13 09/30/13 0810-50 5 R. Gala nos Evaluations 08/10-11/13 11/25/13 0810-50 5 C. Boyd Evaluations 08/09-01/13 01/30/13 0810-50 5 M. Bolton Evaluations 05/09-07 /13 07/2013 0810-50 5 S. Liberatore Evals 11/10-05/13 05/31/13 0810-50 5 J. Bellamy Evaluations 03/13-12/13 12/26/13 0810-50 5 M. Larson Evaluations 02/09-07 /13 07/01/13 0810-50 5 D. Parra LOR 10/14/93 0670-11 CL+2 D. Parra Collision Review Letter 06/23/08 0670-11 CL+2 *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: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: ~'> cnr o, This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: DESTRUCTION APPROVALS: REQUESTER: 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) M. Griggs Evals 08/09-10/13 10/31/13 0810-50 5 C. Green Eva ls 10/12-07 /13 07/20/13 0810-50 5 Indira Gonzalez Eva ls 01/09-01/13 01/30/13 0810-50 5 N. Gallucci Eva ls 09/10-07 /13 07/31/13 0810-50 5 J. Flores Evals 09/09-03/12 03/30/12 0810-50 5 J. Field Eva ls 08/09-12/11 12/31/11 0810-50 5 S. Fanene Eva ls 04/09-08/13 08/31/13 0810-50 5 F. Escomiendo Eva ls 06/09-12/12 12/31/12 0810-50 5 M. Ernst Evals 08/08-11/13 11/02/13 0810-50 5 D. Ernst Eva ls 02/09-02/13 02/28/13 0810-50 5 K. Duran Evals 02/09-11/13 11/15/13 0810-50 5 *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: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: <<i\, CITV Of This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) Alonso Develasco Evals 09/09-11/13 11/02/13 ~3'o-S-o > J. Cosgrove Eva ls 02/09-07 /13 07/30/13 B. Cosgrove Evals 10/12-07-13 07/20/13 C. Calderwood Evals 02/09-10/13 10/31/13 C. Cafiero Evals 05/11-11/13 11/01/13 C. Burns Evals 07/11-04/13 04/04/13 J. Bubnis Evals 09/09-12/12 12/31/12 Stephen Brown Eva ls 07 /13-11/13 11/01/13 J. Boyce Evals 08/09-08-13 08/01/13 M. Bowen Eva ls 07 /12-04/13 04/02/13 \ \ April Ducommun Evals 02/13-11/13 11/21/13 V V *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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: «i) COTY 01 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD Revised: 10/17/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: DESTRUCTION APPROVALS: REQUESTER: We certify that the records listed below hove been retained for the scheduled retention period, required audits hove 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) R. Beronda Evals 08/09-06/13 06/30/13 oi,o--5o c;; Adam Bentley Eva ls 04/12-01/13 01/25/13 G. Beason Evals 08/10-10/13 10/31/13 L. Bailey Eva ls 08/09-07 /13 07/31/13 J. Arnotti Eva ls 08/10-04/13 04/01/13 T. Anderson Eva ls 02/09-08/13 08/30/13 C. Anderson Eva ls 06/10-06/13 07/30/13 L. Allen Evals 08/10-01/13 01/01/13 S. Alexander Eva ls 03/09-07 /13 07/30/13 \ M. Becker Evals 10/05-08/12 08/01/12 \ \J \ ') 'J V W. Rowland Eva ls 08/86-07 /13 07/30/13 *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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: ((~ c,n or This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ~ CARLSBAD Revised: 10/18/2018 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ---------- REQUESTING DEPARTMENT: REQUESTER: 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: RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE BOX NO. PERIOD (if applicable) K. Thompson Eva ls 01/12-07 /12 07/17/12 0810-50 5 C. Tokle Evals 02/11-08/11 08/30/11 0810-50 5 M. Dentoni Eva ls 04/02-07 /12 07/30/12 0810-50 5 J. Marstell Evals 06/88-02/11 02/28/11 0810-50 5 M. Koch Eva ls 04/95-03/09 03/30/09 0810-5 5 J. Eppel Evals 11/81-07/11 07/30/11 0810-50 5 S. Forman Evals 03/76-03/01 03/30/01 0810-50 5 Snider Oral Reprimand 06/30/11 0670-11 CL+2 R. Hargett Evals 05/97-11/10 11/30/10 0810-50 5 P. Riley Evals 08/99-08/10 08/30/10 0810-50 5 B. Thurman Eva ls 04/99-09/10 09/30/10 0810-50 5 *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: __________ _ DATE: ------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ---------- REQUESTING DEPARTMENT: REQUESTER: 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) M. Reyes Eva ls 07 /97-02/09 02/30/09 0810-50 5 V. Carroll Eva ls 01/10-01/11 01/30/11 0810-50 5 R. Loeffler Evals 10/02-02/09 02/28/09 0810-50 5 L. Hartman Evals 11/10-02/11 02/28/11 0810-50 5 D. Boer Evals 11/89-02/09 02/28/09 0810-50 5 L. Irwin Eva ls 07 /83-04/01 04/02/01 0810-50 5 Dan Harrison Eva ls 01/08-02/10 02/28/10 0810-50 5 T. Zoll Eva ls 07 /05-07 /06 07/30/06 0810-50 5 T. Winters Eva ls 04/07-06/10 06/30/10 0810-50 5 G. Ellsworth Evals 11/97-01/09 02/28/09 0810-50 5 L. Diamond Eva ls 12/94-07 /07 07/30/07 0810-50 5 *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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: ~~ <\:;!> CITY Of w CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) C. Zavala Eva ls 06/99-02/07 02/28/07 0810-50 5 R. Jannusch Evals 09/00-04/08 04/30/08 0810-50 5 D. Rawson Eva ls 12/80-07 /07 07/30/07 0810-50 5 D. Grady Eva ls 07 /03-07 /06 07/30/06 0810-50 5 M. Shipley Eva ls 03/79-07 /07 07/30/07 0810-50 5 T. Presnall Evals 11/91-08/99 08/30/99 0810-50 5 K. Keil Eva ls 04/08-07 /08 07/30/08 0810-50 5 J. Aladits Eva ls 05/90-02/09 02/28/09 0810-50 5 D. Detar Evals 09/82-02/09 02/28/09 0810-50 5 *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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: «i', CITY Of This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. w CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 22, 2018 ----------- REQUESTING DEPARTMENT: POLICE REQUESTER: 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) HARGETT EVALS 2-08 TO 3-13 0810-50 5 HARVEY EVALS 2-09 TO 6-13 0810-50 5 HENDERSON EVALS 11-03 TO 7-13 0810-50 5 HOWELL EVALS 6-08 TO 6-13 0810-50 5 JACKSOWSKI EVALS 10-08 TO 8-13 0810-50 5 JUCENAS EVALS 2-08 TO 11-13 0810-50 5 KARCHES EVALS 2-08 TO 3-11 0810-50 5 KORAN EVALS 11-08 TO 7-13 0810-50 5 KRAWCZYK EVALS 4-09 TO 4-13 0810-050 5 *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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: -------------DATE: _____ _ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ----------- REQUESTING DEPARTMENT: REQUESTER: 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) LAMBERT EVALS 12-08 TO 6-13 0810-50 5 LAWTON EVALS 9-07 TO 11-12 0810-50 5 LEHAN EVALS 6-09 TO 6-13 0810-50 5 LUC EVALS 2-08 TO 11-13 0810-50 5 MAGRO EVALS 9-10 TO 2013 0810-50 5 MARSHALL EVALS 8-08 TO 11-13 0810-50 5 MARTELL EVALS 12-05 TO 12-12 0810-50 5 MAUD EVALS 10-8 TO 8-13 0810-50 5 MERITT EVALS 8-08 TO 7-13 0810-50 5 MERONIUK EVALS 9-08 TO 8-13 0810-50 5 *If mare spaces are needed, click in the last box in right hand earner of table and hit "tab". This will create mare fields in the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: ___________ _ DATE: _____ _ <<~) CITY OF This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ~ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 22, 2018 REQUESTING DEPARTMENT: POLICE REQUESTER: 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) MORTENSEN EVALS 9-08 TO 8-13 0810-50 5 NUNEZ EVALS 12-12 TO 6-13 0810-50 5 OPEKA EVALS 3-08 TO 7-13 0810-50 5 PASCUAL 2-08 TO 3-13 0810-50 5 PINEDO EVALS 4-08 TO 4-13 0810-50 5 PINELL EVALS 10-08 TO 9-13 0810-50 5 REYES, J. EVALS 11-99 TO 11-12 0810-50 5 REYES, P. EVALS 2-09 TO 2-13 0810-50 5 RICHARDS EVALS 12-08 TO 6-13 0810-50 5 RIGGIN EVALS 9-08 TO 11-13 0810-50 5 RUBY EVALS 7-09 TO 6-13 0810-50 5 *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: DATE: ------------------ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: DATE: «~) con 01 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ~ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 22, 2018 REQUESTING DEPARTMENT: POLICE REQUESTER: 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) SEALE EVALS 9-10 TO 1-13 0810-50 5 SEVERY EVALS 6-08 TO 6-13 0810-50 5 SHIPLEY EVALS 2-08 TO 2-13 0810-50 5 SIMMONS EVALS 8-08 TO 8-13 0810-50 5 SM 1TH, J. 8-05 TO 5-13 0810-50 5 SMITH, M. 2012-2013 0810-50 5 SUTT EVALS 3-08 TO 5-13 0810-50 5 TASHOFF EVALS 9-08 TO 8-13 0810-50 5 THIM EVALS 9-08 TO 8-13 0810-50 5 THOMAS, J. EVALS 11-11 TO 11-13 0810-50 5 THOMAS, S. 12-08 TO 12-12 0810-50 5 *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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO 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. w CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 22, 2018 REQUESTING DEPARTMENT: POLICE REQUESTER: 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) TRUEBE EVALS 1-08 TO 1-12 0810-50 5 VALENTINE EVALS 1-09 TO 8-13 0810-50 5 WALKER, N. EVALS 7-13 TO 10-13 0810-50 5 WHITE EVALS 8-08 TO 5-13 0810-50 5 WILLIAMS EVALS 2-07 TO 3-13 0810-50 5 YOUNG EVALS 3-08 TO 10-13 0810-50 5 ZAVALA, G. EVALS 9-08 TO 3-13 0810-50 5 ZAVALA, M. EVALS 2-08 TO 7-11 0810-50 5 BLACKBURN EVALS 7-87 TO 9-08 0810-50 5 MITKEVICH EVALS 4-83 TO 8-08 0810-50 5 *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: __________ _ DATE: _____ _ CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT BARCODES DELETED BY: ___________ _ DATE: _____ _ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management <<i'> CITV OJ w CARLSBAD Program. Revised: 10/22/20 ··7. l:•lcorodata Shredding, Inc. SAN DIEGO -ORANGE COUNTY/LA• NORTH BAY/SAN FRANCl,SCO -SAN JOSE/SILICON VALLEY l Thu Nov 22, 2018 [ · nex1:12t6t201aj I . CITY OF CARLSBAD -POLICE DEPT. 2560 ORION WAY CARLSBAD, CA 92010 Directions Corodata Shredding, Inc.· 12375 Kerran Street• Poway, CA 92064 (858) 7 48-1100 Fax (858) 726-6085 On Site Required 1111111111111111111111111111111111111111 Ticket # 536452 Routine Instructions Contacts I DRIVER: AVOID 11 :00 -2:00 OKAY TO PARK IN THE RED ZONE CHECK IN AT FRONT DESK ON '-----------------~ THE RIGHT PAULA CREWSE (760)931-2131 Special Instructions *DRIVER MUST BE ESCORTED". Room Description Container Service Item Qty Actual 1 32 Gallon Console -1 ST 32 Gallon Console 1.00 I ' FLOOR/RECORDS 1 32 Gallon Consoie -1 ST 32 Gallon Console 1.00 I ( FLOOR/REPORT WRITING 1 32 Gallon Console -1ST 32 Gallon Console 1.00 I FLOOR/TRAFFIC 32 Gallon Console 1.00 I { 1 32 Gallon Console -2ND FLOOR/ELEVATOR/ADMIN 1 64 Gallon Bin -1 ST 64 Gallon Bin 1.00 I t FLORR/PROCESSING 2 32 Gallon Console -2ND 32 Gallon Console 2.0012.. FLOOR/INVESTIGATIONS I Time In: II Time Out: 11 Driver: f\k_~ I !Quantity: 7 +/- Service I Comments Corodata Shredding, Inc. represents that it received the aforementioned materials for confidential destruction and hereby certifies such materials·wi/1 be confidentially handled and destroyed and that the shredded materials .will be recycled. Client represents that it has authority to provide to Corodata Shredding, Inc .. the aforementioned materials for confidential destruction and hereby .acknowledges and accepts the terms and conditions on the reverse side. X SD Shred Truck Stop 99 BC SD012455 Pagel f, .·,! \ r I I