HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2020-07-16RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 05/31/2020 ----------
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
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
?tj~ ~/f-~
DEPARTMENT HEAD: 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 15-05 .,,..-05/04/15 0670-10 CL+5
IA 15-07 / 05/12/15 0670-10 CL+5
IA 18-13 --05/03/18 0670-11 CL+2
FTO/CTO Training Files ✓ 05/31/15 0860-60 CL+5
Employee Evaluations / 05/31/15 0810-50 5
Background Files {Hired) / 05/31/15 0850-30 TE+5
Background Files {Non-Hired) ✓
,,,,
05/31/17 0850-31 CL+3
Employee Personnel File / 05/31/10 0810-40 TE+10
To be filled out once ,eco,d, how, been destroy;,2
RECORD DESTRUCTION COMPLETED ~ #v t) ~'f:;7,,::::;~-DATE: 01-/3 d ()
CERTIFICATE OF DESTRUCTION? YES O NO -SMEADSOFT BARCODES DELETED BY: -DATE:
«i> CITY Of
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised: 5/28/2020
E•Jcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO. SAN JOSE/SILICON VALLEY
Thu Jul 16, 2020 next:7 /30/2020 l
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Contacts
Directions
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-11 oo Fax (85t:J) 726-6085
First Available 1111111111111111111111111111111111111111
Ticket# 718006
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
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
-I_T_i_m_e_l_n_: ---. _-___ -__ ._~_][Time Out:
Container Service Item Qty Actual
32 Gallon Console 1. oo ._I )..________.
32 Gallon Console 1 .oo L.I _._ __ ....J
32 Gallon Console 1.00 ._I _, __ __,
32 Gallon Console' 1.00 L.I -----'
64 Gallon Bin 1.00 L.' -----'
32 Gallon Console 2.00 ._I ~ __ __.I
,-• __ J I_D~iver: ~~~~ _--] [9uantity: _ 1-+/-
Service / Comments
Corodata Shredding, Inc. represents that it received the aforement{one~<~aterials for confidential
destruction and hereby certifies such materials will be confidentialfy·haqd/ed and destroyed and
that the shredded materials will be recycled. Client represents thaf"it ha~l,authority to provide to
Corodata Shredding, Inc. the aforementioned materials for confideti_tia/(¢~struction and hereby
acknowledges and accepts the terms and conditions on the reverse sidf7}
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SD Shred Truck Stop 99 BC SD012455 Page I