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; ; Records Destruction Authorization Form-Records Management; 2017-11-30
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 2019 Page | 1 DATE: 7/13/2020 REQUESTING DEPARTMENT: COMMUNITY DEVELOPMENT REQUESTER: LAUREEN RYAN 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. DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE *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. RECORD DESTRUCTION COMPLETED BY: ___________________________ DATE: ______________ CERTIFICATE OF DESTRUCTION? YES NO TAB BARCODES DELETED BY: _____ ________________________ DATE: ______________ BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE (if applicable) 491 BOXES VIATRON BACK-FILE SCANNING OF CD DOCUMENTS (SEE ATTACHED) **ORIGINAL SCANNED DOCUMENTS UPLOADED INTO HPRM AND HARD COPIES DESTROYED PER RECORDS MANAGEMENT PROCEDURES RECORDS DESTRUCTION AUTHORIZATION FORM X THE SHREDDERS 11/30/2017 -- Mike Peterson 07/17/2020 7/17/207/14/2020 ViaTRON Ship To: Work Order Number:PJ5054/6283-01 Work Order Date:Sep 15, 2017 To: CITY OF CARLSBAD 1635 FARADAY AVE CARLSBAD, CA 92008 1635 FARADAY AVE CARLSBAD, CA 92008 Shipping Method Quantity Line Description 491 APPROVAL TO DESTROY 491 BOXES (40 PALLETS) FOR CITY OF CARLSBAD PJ5054 - 464 BOXES PJ6283 - 27 BOXES ViaTRON SYSTEMS, INC. 18233 HOOVER STREET GARDENA, CA 90248 T/310.756.0630 www.viatron.com WORK ORDER Special Instructions: Date Encrypt Barcode Label B or I Count-1 B or I Count-2 Box Condition/Pic PHDD Accounting Project Manager Audit Dept Scan ViaTRON SYSTEMS, INC. |18233 HOOVER STREET, GARDENA, CA 90248 | 310.756.0630 | www.viatron.com Signature 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PC060001 PC060004 PC060005 PC060006 PC060010 PC060011 PC060012 PC060013 PC060014 PC060015 PC060016 PC060017 PC060018 PC060019 PC060023 PC060028 PC060031 PC060032 PC060033 PC060034 PC060035 PC060036 PC060038 PC060039 PC060042 PC060043 PC060047 PC060049 PC060050 PC060058 PC060059 PC060062 PC060063 PC060064 PC060067 PC070002 PC070003 PC070005 PC070006 PC070007 PC070008 PC070008 PC070012 PC070015 PC070016 PC070017 PC070021 PC070022 PC070029 PC070031 PC070035 PC070039 PC070041 PC070044 PC070045 PC070046 PC070047 PC070048 PC070049 PC070053 PC070054 PC070055 PC070056 PC070057 PC070059 PC070060 PC070061 PC070064 PC070066 PC070068 PC070069 PC070073 PC070081 PC080002 PC080003 PC080009 PC080010 PC080012 PC080013 PC080016 PC080017 PC080019 PC080022 PC080024 PC080027 PC080030 PC080031 PC080032 PC080032 PC090003 PC090006 PC090011 PC090018 PC090020 PC090023 PC090026 PC090027 PC090028 PC090030 PC090034 PC090038 PC090040 PC090046 PC100001 PC100005 PC100012 PC100015 PC100016 PC100020 PC100021 PC100023 PC100026 PC100027 PC100032 PC100035 PC100036 PC100039 PC100040 PC100041 PC100049 PC100057 PC100058 PC110003 PC110004 PC110008 PC110011 PC110013 PC110018 PC110019 PC110021 PC110024 PC110025 PC110026 PC110027 PC110028 PC110030 PC110033 PC110034 PC110038 PC110039 PC110040 PC110043 PC110046 PC110048 PC110049 PC110049 PC110051 PC110052 PC110053 PC110054 PC120004 PC120006 PC120016 PC120019 PC120029 PC120040 PC120048 PC120050 PC120053 PC120066 PC120068 PC120071 PC120074 PC120079 PC130003 PC130005 PC130011 PC130015 PC130022 PC130023 PC130027 PC130034 PC130037 PC130040 PC130047 PC130048 PC130050 PC130059 PC130061 PC130068 PC130071 PC140006 PC140007 PC140009 PC140015 PC140016 PC140019 PC140020 PC140022 PC140023 PC140067 PC150009 PC151592 PC151797 PC151798 PC151950 PC490148 PC860000 PC940155 PC940200 PC940362 PC941011 PC960103 PC960505 PC960514 PC961144 PC961700 PC962082 PC970018 PC971088 PC972027 PC981077 PC981263 PC984454 PC990004 PC990010 PC990012 PC990016 PC990026 PC990046 PC990047 PC990048 PC990060 PC990061 PC990062 PC990065 PC990076 PC990081 PC990083 PC990084 PC990089 PC990106 PC990107 PC990122 PC990125 PC990138 PC990139 PC990143 PC990147 PC990149 PC990153 PC990154 PC990155 PC990160 PC990161 PC990162 PC990166 PC990167 PC990175 PC990176 PC990180 THE SHIED DEIS Certified Document Destruction Tel . 800 . 222 . 2044 Fax . 323 . 722 . 9686 www .theshredders.com Certificate of Destruction 11/30/2017 This is to certify that the material picked up at the locations listed below has been shredded beyond recognition within 24 hours of the date of the pick up by STATE LICENSED SECURITY GUARDS Certificate issued to: City of Carlsbad -PJ #5054 Location Id PU Address City Qty Bill To 13500 S. Figueroa St. Los Angeles 96 Certified by Jeff Page 1 Items Boxe(s) THE SHREDDERS Certified Document Destruction Tel . 800 . 222 . 2044 Fax . 323 . 722 . 9686 www .theshredders.com Certificate of Destruction 11/30/2017 This is to certify that the material picked up at the locations listed below has been shredded beyond recognition within 24 hours of the date of the pick up by STATE LICENSED SECURITY GUARDS Certificate issued to: City of Carlsbad -PJ #5054 Location Id PU Address City Qty Bill To 13500 S. Figueroa St. Los Angeles 368 Certified by Jeff Page 1 Items Boxe(s) THE SHlf.lDf.l.S Certified Document Destruction Tel . 800 . 222 . 2044 Fax. 323. 722. 9686 www .theshredders.com Certificate of Destruction 11/30/2017 This is to certify that the material picked up at the locations listed below has been shredded beyond recognition within 24 hours of the date of the pick up by STATE LICENSED SECURITY GUARDS Certificate issued to: City of Carlsbad -PJ #6283 Location Id PU Address City Qty Bill To 13500 S. Figueroa St. Los Angeles 27 Certified by Jeff Page 1 Items Boxe(s)