HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2019-06-20RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 05/22/2019
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: D. ERNST 5275
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. ML ~-· DEP RTMENT HEAD: CITY ATTORNEY:
*if more spaces are needed, click in the last box in ri ht hand corner o table and hit "tab". This will create more ields in the t le.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
/ IA 13-23 12/03/18 0670-10 CL+5
✓ IA 14-05 05/08/19 0670-10 CL+5
✓ IA 14-09 05/19/19 0670-10 CL+5
/ IA 14-11 04/18/19 0670-10 CL+5
./'JA 14-12 04/18/19 0670-10 CL+5
/ IA 14-13 04/18/19 0670-10 CL+5
/iA14-16 05/22/19 0670-10 CL+5
/1A 16-22 05/05/19 0670-10 CL+5
' Colin Kerner Prescreen 02/16/19 0850-31 TE+5 -Behrens, Angela 01/30/19 0850-30 CL+3
-· Gularte, Andrew 01/30/19 0850-30 CL+3
...._ Toussaint, Briana 01/30/19 0850-30 CL+3
To be Ji/led out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ""-n,<t:_V\CL 1.,o <.Po1~,c;-DATE: CJGI c I 9
CERTIFICATE OF DESTRUCTION? [2f vEs □ NO
SMEADSOFT BARCODES DELETED BY: -DATE: -
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
<&'> cm OF Revised: 5/14/2019 ~ CARLSBAD .
RECORDS DESTRUCTION AUTHORIZATION FORM @
DATE: 05/22/2019
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: D. ERNST 5275
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:
*if more spaces are needed, click in the last box in ri ht hand corner o table and hit "tab". This will create more ields in the t le.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
-Barrows, Ryan 02-22-19 0850-30 CL+3
-Abreu, joseph 02/27/19 0850-30 CL+3
... Bruce May 03/01/19 0850-30 CL+3
'-Abrahamian, Trevor 03/05/19 0850-30 CL+3
-Jose Aguilar 03/05/19 0850-30 CL+3
-Bocanegra, Alejandro 03/05/19 0850-30 CL+3
-Andrew Cota 03/05/19 0850-30 CL+3
-Herrera, Esteban 03/05/19 0850-30 CL+3
..., LaVenuta, Gianna 03/05/19 0850-30 CL+3
"-· Mccue, Michael 03/05/19 0850-30 CL+3
-Colleen McMahon 03/05/19 0850-30 CL+3
-· Jorge Wood 03/27/19 0850-30 CL+3
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: DATE:
CERTIFICATE OF DESTRUCTION? □ 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.
~) cm ., · Revised: 5/14/2019
w CARLSBAD
RECORDS DESTRUCTION AUTHORIZATION FORM (i)
DATE: 05/22/2019
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: D. ERNST 5275
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:
*If more spaces are needed, click in the last box in ri ht hand corner o table and hit "tab". This will create more ields in the t l .
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
-Mehl, Julianne 04/15/19 0850-30 CL+3
..., Jesus Velasquez 04/15/19 0850-30 CL+3
-Dakota Kerekffy 04/16/19 0850-30 CL+3
-Gregory Elam 04/23/19 0850-30 CL+3
-Cain, Kelly 04/24/19 0850-30 CL+3
"• 0850-30 CL+3 -Thornburg, Jared 05/05/19
. ..., Jadhav, Swapnil 11/16/16 0850-31 TE+5
·--Feess, Jason 04/13/19 0850-31 TE+5
-Graham, Cheryl 04/15/19 0850-31 TE+5
--. Martin-Wylie, Cameo 04/15/19 0850-31 TE+5
._ Morelia, Kevin 04/15/19 0850-31 TE+S
-Miller, Scott 04/18/19 0850-31 TE+S
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: DATE:.
CERTIFICATE OF DESTRUCTION? □ 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. A cin o, · Revised: 5/14/2019
~CARLSBAD
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 05/22/2019
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: D. ERNST 5275
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:
*If more spaces are needed, click in the last box in ri ht hand corner o table and hit "tab". This will create more ields in the t ble.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
--white, Christopher 04/18/19 0850-31 TE+5
-Lopez, Santino 04/19/19 0850-31 TE+5
-Salazar, Victoria 04/21/19 0850-31 TE+5
-Biernacki, Adam 04/22/19 0850-31 TE+5
-Houtman, Henderikes 04/22/19 0850-31 TE+5
--Karnib, Mehdi 04/22/19 0850-31 TE+5
-Mayes, Thomas 04/22/19 0850-31 TE+5
-Miller-Wing, Taylor 04/13/19 0850-31 TE+5
--Romero, Luis 04/22/19 0850-31 TE+5
-Sandorf, Nicholas 04/22/19 0850-31 TE+5
-Shackleford, Kevin 04/22/19 0850-31 TE+5
...._ Davidson, Adam 04/23/19 0850-31 TE+5
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: DATE:
CERTIFICATE OF DESTRUCTION? □ 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.
<~'> cm o, Revised: 5/14/2019 w'CARLSBAD
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 05/22/2019
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: D. ERNST 5275
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:
*if more spaces are needed, click in the last box in ri ht hand corner o table and hit "tab". This will create more ields in he t I •
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
~ Josett, Robert 04/23/19 0850-31 TE+5
·-Kibble, Jesse 04/23/19 0850-31 TE+5
~ Taylay, Harry 04/23/19 0850-31 TE+5
-Farro, Robert 04/25/19 0850-31 TE+5
,Magosin, Tracy 04/25/19 0850-31 TE+5
-Tabisola, Jensen 04/25/19 0850-31 TE+5
-Castille, Larisa 04/26/19 0850-31 TE+5
, Hawkins, Kevin 04/27/19 0850-31 TE+5
-.. Behrens, Angela 05/05/19 0850-31 TE+5
·-Gallegos, Jose 05/05/19 0850-31 TE+5
-Sieker, Julie 05/05/19 0850-31 TE+5
-Tompkins, Samantha 05/05/19 0850-31 TE+5
To be filled out once records have been destroyed.
i
RECORD DESTRUCTION COMPLETED BY: DATE:
CERTIFICATE OF DESTRUCTION? □ 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. A cm OF Revised: 5/14/2019 ~CARLSBAD
RECORDS DESTRUCTION AUTHORIZATION FORM Cf)
DATE: 05/22/2019
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: D. ERNST 5275
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:
*If more spaces are needed, click in the last box in ri ht hand corner o table and hit "tab". This will create more ields in the table.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
-:-, Ca pin, Frank 05/09/19 0850-31 TE+5
. .....__,_ Clark, Stephen 05/09/19 0850-31 TE+5
--... Fleming, Janice 05/09/19 0850-31 TE+5
·--. Smith, Pamela 05/17/19 0850-31 TE+5 -Brandt, Carissa 05/20/19 0850-31 TE+5
To be Ji/Jed out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: DATE:
CERTIFICATE OF DESTRUCTION? □ 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.
~'> cm o, Revised: 5/14/2019
w CARLSBAD
&Jcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Jun 20, 2019 next:7/4/2019!
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
I 111111111111111111111111111111111111111
Ticket # 595426
Routine Instructions
DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
ZONE
Contacts CHECK IN AT FRONT DESK ON
~---------------~ THE RIGHT
PAULA CREWSE (760)931-2131 Special Instnictions
Room Description
1 32 Gallon Console -1 ST
FLOOR/RECORDS
1 32 Gallon Console -1ST
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST
FLOOR/TRAFFIC
1 32 Gallon Console -2ND
FLOOR/ELEVATOR/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
I Time In-=-.. _-_ .... -_ ---.. -.......... ~JITimeOut: ---~I ['?~iy~r= .... .
Service/ Comments
*DRIVER MUST BE ESCORTED*
Qty Actual
1.001
1.001
1.00 1 ' '
1.001 I
1.00~1 ___ __,
2.00 ~' a...l __ __,
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 forconfidential destruction and hereby
acknowledges and accepts the terms and conditions on the reverse side. ·
X
SD Shred Truck Stop 99 BC S0012455 Pagel