HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2019-04-25RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 03/28/2019 ----------
REQUESTING
DEPARTMENT: POLICE PSSD
REQUESTER:
D.ERN~
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) -Efrain Martinez 03/17/19 0810-40 TE+10
.....__ Michael Saunier 03/17/19 0810-40 TE+10
-Don Detar 02/21/19 0810-40 TE+10
-Katlyn Keil 03/14/19 0810-40 TE+10
--IA 14-04 03/17/19 0670-10 CL+5
...__ IA 14-06 01/01/19 0670-10 CL+5
-Kelli Simpson 11/19/18 0850-31 CL+3
-. Melissa Dell'Olino 12/02/18 0850-31 CL+3
._ Kelly Peterson 12/03/18 0850-31 CL+3
-. Cord Blevins 12/07/18 0850-31 CL+3
-, Steven Dillard 12/07/18 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 \TK(:"\J1Cl-f 70&; GP D
CERTIFICATE OF DESTRUCTION? 0 YES O NO
DATE: Ot,t I ( 19
SMEADSOFT BARC0DES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 3/28/2019
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)
-John McCord 12/07/18 0850-31 CL+3 -Michael McGrath 12/07/18 0850-31 CL+3
-. Amritpal Sandhu 12/07/18 0850-31 CL+3
--Tania Maciejewski 12/11/18 0850-31 CL+3
...._ Catherine Posada 12/11/18 0850-31 CL+3
-Alejandro Ramirez 12/11/18 0850-31 CL+3
-...,. Tamara Wood 12/11/18 0850-31 CL+3
--.. Felipe Beltran 01/02/19 0850-31 CL+3
........, Anthony Carlomagno 01/02/19 0850-31 CL+3
...... Joseph Deveaux 01/02/19 0850-31 CL+3
-Jose Hernandez 01/02/19 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:
«i" CITV or
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised: 3/28/2019
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) -Matthew Hunter 01/02/19 0850-31 CL+3
-Hunter Marteney 01/02/19 0850-31 CL+3
._, Anthony Solis 01/02/19 0850-31 CL+3
-Aaron Spencer 01/02/19 0850-31 CL+3
-Lindsay Autry 01/03/19 0850-31 CL+3
-Christopher Kuhl 01/04/19 0850-31 CL+3
-Thabit Jubran 01/29/19 0850-31 CL+3
-Brendan Gala nos Jr. 02/01/19 0850-31 CL+3
-Alexandra Gudenau 02/01/19 0850-31 CL+3
-Chevell Hall 02/01/19 0850-31 CL+3
-Christopher Mueller 02/01/19 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: 3/28/2019
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)
-Kyle Schmidt 02/01/19 0850-31 CL+3
-Roberto Soto 02/01/19 0850-31 CL+3
-Branen Straughan 02/01/19 0850-31 CL+3
-Michael Weathersby 02/01/19 0850-31 CL+3
-Kimberly Hand 02/08/19 0850-31 CL+3
-Vincent Escorga 02/16/19 0850-31 CL+3
-Claudio Palmasano 02/16/19 0850-31 CL+3
-Shawna Robbins 02/25/19 0850-31 CL+3
-Adam Collette 02/29/19 0850-31 CL+3
-William Hughes 02/29/19 0850-31 CL+3
-Chloe Evans 03/03/19 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:
~'> cir, o,
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised: 3/28/2019
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 a_udits 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)
-John Knighton 03/03/19 0850-31 CL+3
-Michael Stocker 03/10/19 0850-31 CL+3
-Joshua Strange 03/10/19 0850-31 CL+3
..... Scott Barry 03/21/19 0850-31 CL+3
-Brian Griep 03/21/19 0850-31 CL+3
-Edward Salgado 03/21/19 0850-31 CL+3
-John Champlin 03/22/19 0850-31 CL+3
-Mitchell Lowenberg 03/24/19 0850-31 CL+3
-Melissa Ritzer 03/25/19 0850-31 CL+3
_, Rebecca Lyons 03/29/19 0850-31 CL+3
-Cierra Flower 04/05/19 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: 3/28/2019
j "
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)
-Raymond Iacobellis 11/07/18 0860-60 CL+S
-Dana Ducommun 11/27/18 0860-60 CL+S
-Matthew Love 01/20/18 0860-60 CL+S -R. Barrows 02/22/19 0860-60 CL+S
-Brock Devey 02/22/19 0860-60 CL+S
-Andre Ramirez 02/23/19 0860-60 CL+S
-Darbie Ernst 04/02/19 0860-60 CL+S
*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: 3/28/2019
./
·scorodata
Shredding, Inc.;
SAN DIEGO • ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO. SAN JOSE/S11;1coN VALLEY
Thu Apr 25, 2019 next:5/912019]
CITY OF CARLSBAD · POLICE DEPT.
2560 ORION WAY
lJirections
CARLSBAD, CA 92010
Contacts
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
On Site Required I IIIIII I/Ill I/II/ IIIII I/II/ lll/l Ill/ llll
Ticket# 579972
Routine Instructtons
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
1 32 Gallon Console -1 ST
FLOOR/RECORDS
1 32 Ga,llon Console -1 ST
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST
FLOORlTRAFFIC
1 32 Gallon Console -2ND
FLOOR/ELEVATOR/ADM IN
1 64 Gallon Bin -1 ST
FLORR/PROCESSING
2 32 Gallon Console -2ND
FLOOR/INVESTIGATIONS ---------~
I Time In: • ll_!i111<:_~~~:
Container Service Item Qty Actual
32 Gallon Console 1.00 .... I _,\~ _ __.
32 Gallon Console 1.00 .... I _,_ __ __,
32 Gallon Console 1.00 .... I ....!..,_ __ __,
32 Gallon Console 1.00 ..... 1 _,_ __ __,
64 Gallon Bin 1 . oo .... I --=-----'
·--------------------·--·· ·------·------·--
32 Gallon Console 2.00 I 2_,
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, Irk. 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