HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2019-10-10RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 10/01/2019
REQUESTING
DEPARTMENT: POLICE DEPARTMENT
REQUESTER: ~
D. ERNST 527~
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been '~;;z;;;=o;ng l;t;gaeo~==n ;nuo/u;ng the,, cecocd, ;, k~'r~
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
*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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
IA 13-29 ./" 06/30/14 0670-10 . CL+5
IA 14-10 / 07/22/14 0670-10 CL+S
IA14-14/ 08/19/14 0670-10 CL+S
IA14-22/ 08/19/14 0670-10 CL+5
IA14-23 / 07/24/14 0670-10 CL+5
IA 14-25 / 08/13/14 0670-10 CL+5
IA 17-06 / 07 /31/17 0670-11 CL+2
Personnel Files over 10 years ./ "' 10/01/09 0810-40 TE+10
IA14-24 / 09/23/14 0670-10 CL+5
IA14-32 / 09/16/14 0670-10 CL+5
/
Eva ls over 5 years as of 09/30/19 ./ 09/30/14 0810-50 5
IA 17-08 / 09/25/17 0670-11 CL+2
To be filled out once ,ecocd, how, been de,t,oyed~
RECORD DESTRUCTION COMPLETED BY t) 1 ~ DATE: /OtJ/1 J
CERTIFICATE OF DESTRUCTION? ~ YES □ NO
--SMEADSOFT BARCODES DELETED BY: DATE:
~') tlTV or
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised: 9/17/2019
E-Jcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Oct 10, 2019 ! next:10/24/2019I ·
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
Directions
CARLSBAD, CA 92010
Contacts
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
First Available
I
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Ticket# 629476
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 1.00 I
FLOOR/RECORDS
1 32 Gallon Console -1 ST 32 Gallon Console 1.00 I
FLOOR/REPORT WRITING
1 32-Gallon Console -1 ST 32 Gallon Console 1.00 I
FLOOR/TRAFFIC
1 32 Gallon.Console -2ND 32 Gallon Console . 1.00 I
FLOOR/ELEVATOR/ADM IN
1 64 Gallon Bin -1 ST 64 Gallon Bin 1.00 I
FLORR/PROCESSING
2 32 Gallon Console -2ND 32 Gallon Console 2.00 I 2 FLOOR/INVESTIGATIONS
+I-7 I ,-Ti-me In: _ JI Time Out: -__ l r_~river: _J?,;_\_e,, _ J [~~antity: 7 ----··--·-----·I
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 Page I