HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2020-08-27 (4)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 08/06/2020
REQUESTING POLICE -TRAFFIC
DEPARTMENT: DIVISION
DESTRUCTION APPROVALS:
REQUESTER:
JERRY SERAFINI
We certify that the records listed belowhave 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.
~~--LVC.1v:½/ -
~~D: ORECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
----LIDARtERTIFICATIONS ----Prior to --------------------------------
(ELECTRONIC AND PAPER COPIES) 01/01/2018 0670-63 CU+2
--------------------,---------------·--------------------------------------------
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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.
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DATE: 0~ /1,0 (2.o~
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SMEADSOFT BARCODES DELETED BY: -------------DATE: __ -____ _
(~) CIH' Of
w CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised:
,,1:-Jcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
Corodata Shredding, Inc.
12375 Kerran Street · Poway, CA 92064
(858) 748-1100 Fax (858) 726-6085
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Aug 27, 2020 next:9/10/2020 I First Available 1111111111111111111111111111111111111111
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
Directions
Ticket # 730402
Routine Instructions
CARLSBAD, CA 92010
DRIVER: AVOID 11:00-2:00
OKAY TO PARK IN THE RED
ZONE
Contacts
PAULACREWSE (760)931-2131
CHECK IN AT FRONT DESK ON
~---------------_j THE RIGHT
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 l 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 I FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.00 I ' FLOOR/ELEVATOR/ADMIN
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
[_Timeln: JI_ Time Out: __ __[ I Driver: AJe,)£. ! 'a ·ty : : uantI : 7 +I-
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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