HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2019-08-29RECORDS DESTRUCTIONAUTHORIZATION FORM
8-11-19
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: JESSICA FIELD
DESTRUCTION APPROVAIS:
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 lltigation or investigation involving these records is known to exist.
CnY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
1 Janitorial Standard Checklist -Prior to 0670-05 CU+2 N/A 2015 1/1/16
1 Temporary Holding Adult-2015 Prior to 0670-05 CU+2 N/A
1/1/16
1 BSCC Monthly Report on the Prior to 0670-05 CU+2 N/A
Detention of Minors -2015 1/1/16
1 Janitorial Standard Checklist -Prior to 0670-05 CU+2 N/A
2014 1/1/16
1 Holding Cell Inspections -2014 Prior to 0670-05 CU+2 N/A
1/1/16
1 BSCC Monthly Report on the Prior to 0670-05 CU+2 N/A
Detention of Minors -2014 1/1/16
1 Temporary Holding Adult -2014 Prior to 0670-05 CU+2 N/A
1/1/16
0670-05 CU+2 N/A
0670-05 CU+2 N/A
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,;, · n lc-L.Jv
CERTIFICATE OF DESTRUCTION? YES O NO
DATE: ~--d\--f\
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
1:-mcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/u>.
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Aug 29, 2019 next:9/12/2019/
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
First Available I 111111111111111111111111111111111111111
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
Directions
Ticket# 616722
Routine Instructions
CARLSBAD, CA 92010
Contacts
PAULA CREWSE (760)931-2131 Special Instructions
Room Description Container Service Item
1 32 Gallon Console -1ST 32 Gallon Console
FLOOR/RECORDS
1 32 Gallon Console -1 ST 32 Gallon Console
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST 32 Gallon Console
FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console
FLOOR/ELEVATOR/ADMIN
1 64 Gallon Bin -1 ST 64 Gallon Bin
FLORR/PROCESSING -··---·------·--
2 32 Gallon Console -2ND 32 G_allon Console
FLOOR/INVESTIGATIONS
[_Time In: ....................... _J[ !!!!'e Out: _ ·=] [~river: e:--f-e__?Z.. ....... ······-·····
Service / 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 I
1.00 I ) (
1.00 I t
1.00 I
1.00 I
2.00 I 2
] l~~,~ntity: { +/-
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 Page I
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