HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2020-07-16 (6)I'
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 07/07/2020
REQUESTING POLICE --TRAFFIC
DEPARTMENT: DIVISION
DESTRUCTION APPROVALS:
REQUESTER:
JERRY SERAFINI
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.
~/(~
CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Contract Towing Company Prior to 0700-16 TE+S Agreements 07/07/2020
School Crossing Guard Company Prior to 0700-16 TE+S Agreements 07/07/2020
Speedometer Calibration 05/10/17 0670-63 CU+2 Certificates
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*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.
DATE:O1 /20 {zoz.0
-SMEADSOFT BARCODES DELETED BY: DATE:
~) CIT'r Of
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised:
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!
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Contacts
Directions
Corodata Shreddin9, Inc.
12375 Kerran Street; Poway, CA 92064
(858) 7 48-11 oo Fax (858) 726-6085
First Available
I 111111111111111111111111111111111111111
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
l_!imeln:
Description
1 32 Gallon Console -1 ST
FLOOR/RECORDS
1 32 Gallon Console -1 ST
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 __ JI Time Out:
Container Service Item Qty Actual
32 Gallon Console 1.001 }
32 Gallon Console, 1.001
32 Gallon Console· 1.00 1
32 Gallon Console' 1.00 1
64 Gallon Bin 1.00 1
32 Gallon Console 2.00, ~
__ I I Driver: (\ le,.¥ ____ :] !Quantity~--1-+/-
Service / Comments
Corodata Shredding, Inc. represents that it received the aforemenftone~ tr,aterials for confid~ntial
destruction and hereby certifies such materials will be confidential/Jhafddled and destroyed and
that the shredded materials will be recycled. Client represents that ,Jt ha§Xauthority to provide to
Corodata Shredding, Inc. the aforementioned materials for confider,(iaHi:l~struction and hereby
acknowledges and accepts the terms and conditions on the revers~ si[f&J
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SD Shred Truck Stop 99 BC SD012455 Page I