HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2020-05-28RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 04/30/2020 ----------
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
·ng or ongoing litigation or investigation involving these records is known to exist.
~~
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 18-04 / 04/04/18 0670-11 CL+2
IA 18-05 / 04/04/18 0670-11 CL+2
IA 18-10 / 04/16/18 0670-11 CL+2
FTO/CTO Training Files / 03/31/15 0860-60 CL+5
Employee Evaluations ./' 03/31/15 0810-50 5
Background Files (Hired) . ./ 04/30/15 0850-30 TE+5
Background Files (Non-Hired)/ 04/30/17 0850-31 CL+3
Employee Personnel File / 04/30/10 0810-40 TE+lO ·
To be filled out once ,eco,d, ho,e been de,troy~
RECORD DESTRUCTION COMPLETED B . /). ~ G'Zfs DATE: toZ'?Zo
CERTIFICATE OF DESTRUCTION? 'f5J YES □ NO
·----SMEADSOFT BARCODES DELETED BY: DATE:
<~'> CITY 01
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised: 4/30/2020
E-Jcorodata
Shredding, Inc.
SAN DIEGO • ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO. SAN JOSE/SILICON VALLEY
Thu Jun 4, 2020 next:6/18/2020!
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
First Available 1111111111111111111111111111111111111111
Ticket # 704488
Routine Instructions
DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
!ZONE
Contacts CHECK IN AT FRONT DESK ON
~--------------~ rTHE RIGHT
PAULA CREWSE (760)931-2131 Special Instructions i>DRIVER MUST BE ESCORTED*
Room Description Container Service Item Qty Actual
1 32 Gallon Console -1 ST 32 Gallon Console 1.001 \ FLOOR/RECORDS
1 32 Gallon Console -1 ST 32 Gallon Console
FLOOR/REPORT WRITING
1.001 \
1 32 Gallon Console -1 ST 32 Gallon Console 1.001
FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.001
FLOOR/ELEVATOR/ADMIN
1 64 Gallon Bin -1 ST 64 Gallon Bin
FLORR/PROCESSING
-1.001 l
2 32 Gallon Console -2ND 32 Gallon Console 2.001 2 FLOOR/INVESTIGATIONS
I J Time In: JJrime Out: Ji!Driver: 'A l-e..-i>C I !Quantity: ' +/-_J
Service / 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 l;Je 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.
X
SD Shred Truck Stop 99 BC SD012455 Pagel