HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2020-01-16.,
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 01/01/2020 -----'------
REQUESTING
DEPARTMENT: POLICE DEPARTMENT REQUESTER: D E 5275 ~ • RNST ~.,,
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.
~~-:-@Qb~ ~ ECORpS 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
12/29/14
/ IA 14-37 12/17/14
/IA 14-39 12/30/14
/IA 14-34 01/01/15
v IA 17-10, IA 17-11/ 12/13/17
./(mployee Evaluations over 5 years 12/31/19
./IA 17-13 12/18/17
../iA 17-14 12/18/17
vfA 17-16 12/18/17
✓ FTO/CTO Training Files 01/01/14
/ Background Files (Hired) 01/01/14
/Background Files (Non-Hired) 01/01/17
RRS NO.
0670-10
0670-10
0670-10
0670-10
0670-11
0810-50
0670-11
0670-11
0670-11
0860-60
0850-30
0850-31
RRS
PERIOD
CL+5
CL+5
CL+5
CL+5
CL+2
5
CL+2
CL+2
CL+2
CL+5
TE+5
CL+3
RECORD DESTRUCTION COMPLETED BY·_ [) ~..1/
To be filled out. once records have been destroyed~
CERTIFICATE OF DESTRUCTION? YES O NO
SMEADSOFT BARCODES DELETED BY: -
TAB BARCODE
(if applicable)
DATE: CJ//.320
DATE:
, <~> CITY Of
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised: 12/30/2019
[tcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Jan 16, 2020 next: 1/30/2020 I
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA92010
Directions
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
First Available 1111111111111111111111111111111111111111
Ticket# 661634
Routine Instructions
Contacts I
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 -1ST 32 Gallon Console 1.001
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 1.001
FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.001
FLOOR/ELEVATOR/ADMIN
1 64 Gallon Bin -1ST . 64 Gallon Bin 1.001
FLORR/PROCESSING
2 32 Gallon Console -2ND 32 Gallon Console 2.001 2 FLOOR/INVESTIGATIONS
I Time In: II Time Out: 11 Driver: A l.e \£ ! jQuantity: 7 +/-
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 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.
X
SD Shred Truck Stop 99 BC SD012455 Pagel