HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2019-02-14RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 01/28/2019
REQUESTING POLICE -TRAFFIC
DEPARTMENT: DIVISION
DESTRUCTION APPROVALS:
REQUESTER:
JERRY SERAFINI
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.
~· ~ ~~~GEMENT: 11u!TS.:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
DUI BILLING Prior to 0670-20 5 YRS 01/01/14
Speedometer Calibration Certificates 05/04/16 0670-63 CU+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:
CERTIFICATE OF DESTRUCTION?
JE'R'i<<./ SGl?iiFl}'J)
f&I YES O NO
DATE:V2{t ! / J 4
I
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 Revised:
tJcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Feb 14, 2019 next:2/28/2019I
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Contacts
Directions
Corodata Shredding; Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
On Site Required
1111111111111111111111111111111111111111
Ticket# 559717
Routine Instructions
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 1.001 I FLOOR/RECORDS
1 32 Gallon Console -1 ST 32 Gallon Console 1.001 I FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST 32 Gallon Console 1.~o 1 I FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.001
FLOOR/ELEVATOR/ADMIN
1 64 Gallon Bin -1 ST 64 Gallon Bin 1.001
FLORR/PROCESSING
2 32 Gallon Console -2ND 32 Gallon Console
FLOOR/INVESTIGATIONS
2.001 ,.
/ Time In: II Time Out: I J Driver: Al~~ I !Quantity: 1 +/-
Service I Comments
Corodata Shredding, Inc. represents that it received the aforementioned materials for confidential
destruction and hereby certifies such materials will 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.
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SD Shred Truck Stop 99 BC SD012455 Pagel
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