HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2019-04-25 (7)RECORDS DESTRUCTION AUTHORIZATION FORM
3-27-19
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: CSO JESSICA FIELD
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
ending or ongoing litigation or investigation involving these records is known to exist.
DATE Cnv ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
1 L&L Printers -Receipts of Prior to 0670-05 CU+2 N/A Purchase 1/1/16
1 Proforma -Receipts of Purchase Prior to 0670-05 CU+2 N/A
1/1/16
1 SDPD -Receipts of Purchase Prior to 0670-05 CU+2 N/A
1/1/16
1 SOSO/Court -Receipts of Prior to 0670-05 CU+2 N/A
Purchase 1/1/16
1 Central Stores-Receipts of Prior to 0670-05 CU+2 N/A
Purchase 1/1/16
1 DMV -Receipts of Purchase Prior to 0670-05 CU+2 N/A
1/1/16
1 CHP -Receipts of Purchase Prior to 0670-05 CU+2 N/A
1/1/16
1 AAA -Receipts of Purchase Prior to 0670-05 CU+2 N/A
1/1/16
1 0670-05 CU+2 N/A
1 0670-05 CU+2 N/A
*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?
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. <~> cm o, Revised: 2016
w CARLSBAD p a g e J 1
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t,Jcorodata
Shredding, Inc.;
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Apr 25, 2019 • next:5/9/2019/
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
On Site Required I Ill/II I/Ill Ill// Ill// II/II I/I// llll llll
CITY OF CARLSBAD -POL[CE DEPT.
2560 ORION WAY
Directions Ticket# 579972
Routine Instructions
CARLSBAD, CA 92010
Contacts
PAULA CREWSE (760)931-2131 Special Instructions
Room
[Timeln:
Description
1 32 Gallon Console -1ST
FLOOR/RECORDS
1 32 Gallon Console -1 ST
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST
FLOOR/TRAFFIC
1 32 Gallon Console -2ND
FLOORlELEVATOR/ADMIN
1 64 Gallon Bin -1 ST
FLORR/PROCESSING
2 32 Gallon Console -2ND
FLOOR/INVESTIGATIONS
Container Service Item
32 Gallon Console
32 Gallon Console
32 Gallon Console
32 Gallon Console
64 Gallon Bin
32 Gallon Console
-----
[ Time ()u!: ·-···-···--J I Driv;-;:=-----A,~;_
-·-----·--· ··----[_____ ---·-··--····· ........ --··· ... -----·
Service I Comments
DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
ZONE
CHECK IN AT FRONT DESK ON
THE RIGHT
*DRIVER MUST BE ESCORTED*
Qty Actual
1 .00 L-1 _,\.__ _ ___,
1.00 ._I ___.I __ _,
1 .oo L-1 -'-I _ ____.
1 .oo ._I __,__ _ ___.
1.00 L-1 --'-----'
2.001 2...
l<lua~tity: _ ·7 +/-
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 mat~rials will be recycled. Client represents that it has authority to provide to
Corodata Shredding; l~c. 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