HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2018-06-12RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 5/25/18
REQUESTING PARKS & REC
REQUESTER: ALLISON FULMER DEPARTMENT: ADMINISTRATION
DESTRUCTION APPROVALS: ~~ii/-
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.
Gdt~~
RECORDS MANAGEMENT: CITY ATIORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
SE 1 Super Hero Obstacle Race 2014 0670-75 CL+2
SE 1 Carlsbad Grand Prix 2014 0670-75 CL+2
SE 1 Recreation's Triathlon 2014 0670-75 CL+2
SE 1 Arts' Jazz Concerts TCP 2014 0670-75 CL+2
SE 1 LEGOLAND Fireworks 2013/ 0670-75 CL+2 2014
SE 1 SDCMOA Training and Competition 2014 0670-75 CL+2
SE 1 Oktoberfest 2014 0670-75 CL+2
SE 1 Artsplash/Heroes for Hope Walk 2014 0670-75 CL+2
SE 1 Village Square Pop-up Plaza 2014 0670-75 CL+2
SE 1 North Coast Calvary Chapel 2014 0670-75 CL+2
SE 1 Christmas Bureau 2014 0670-75 CL+2
SE 1 Police Officers Memorial Run 2014 ~ 0670-75 CL+2
SE 1 Hyatt's Fireworks 2014 0670-75 CL+2
SE 1 MS Bike Tour 2014 0670-75 CL+2
SE 1 Epic Teen Nights 2014 0670-75 CL+2
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
\~\ C!T'f Of
w CARLSBAD
Program.
Revised:5/25/2018
SE 1 Wild West Fest 2014 0670-75 CL+2
CL+2
SE 2 Hyatt's Fireworks 2014 0670-75 CL+2
SE 2 Special Olympics Torch Run 2014 0670-75 CL+2
SE 2 LPGA's TCP 2014 0670-75 CL+2
SE 2 Autumn Harvest Festival 2014 0670-75 CL+2
SE 2 Flicks at the Fountain 2014 0670-75 CL+2
SE 2 EGGStravaganza 2014 0670-75 CL+2
SE 2 Lancer Day Parade 2014 0670-75 CL+2
SE 2 MS 3 Day Challenge Walk 2014 0670-75 CL+2
SE 2 MS Walk 2014 0670-75 CL+2
SE 2 FD & PD Open House TCP 2014 0670-75 CL+2
SE 2 Carlsbad Premium Outlets Mall 2014 0670-75 CL+2
SE 2 Holiday at the Rancho 2014 0670-75 CL+2
SE 2 Holiday at the Rancho 2015 0670-75 CL+2
SE 2 In Motion Marathon 2015 0670-75 CL+2
SE 2 Mitchell Thorp 2015 0670-75 CL+2
SE 2 Epic Teen Night 2015 0670-75 CL+2
SE 2 EGGStravaganza 2015 0670-75 CL+2
SE 2 LPGA 2015 0670-75 CL+2
SE 2 Competitor Group 2015 0670-75 CL+2
SE 2 Peace Officers Memorial Run 2015 0670-75 CL+2
*if more spaces are needed, click in the last boK in right hand corner of table and hit "tab". This w/11 create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ~~ DATE:
CERTIFICATE OF DESTRUCTION? g YES O NO
SMEADSOFT BARCODES DELETED BY: DATE: -------------------
\~) CITY Of
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Rev~ed:5/25/2018
CERTIFICATE OF DESTRUCTION & RECYCLING
This·certificate is presented to: CITY OF CARLSBAD -RECORDS MANAGEMENT DIVISION
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
Account #(s)
Certificate#
Date Issued
Service Locations
Date Range of Service
Work Ticket(s)
Quantity/Item
SD012455
108572
Wednesday, June 13, 2018
5815 EL CAMINO REAL
Jun-12-2018 thru Jun-12-2018
493439
* Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s).
E·Jcorodata litSSAE16
Type 11 Audit Completed HIPAl\.