HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2019-09-05·1 I
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RECORDS DESTRUCTION AUTHORIZATION FORM
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DATE: 8-13-19
REQUESTING
REQUESTER: DEPARTMENT: P&R MAJKA PENNER
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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.
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uiifirnTMENT HEAD: ~AT~ • RECORDS MANAGEMENT: DATE CITY ATTORNEY: DATE J . . .. • •• , • '£
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
~/ 1 Special Events Files 2015 1130-20 CL+2 n/a (Detail attached.)
))J 2 Special Events File 2015 & 1130-20 CL+2 n/a (Detail attached.) 2016
*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: Ufr17ddv DATE: '%-/2o1.9
~YES
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CERTIFICATE OF DESTRUCTION? □ NO
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
{Cityof
Carlsbad Revised:8/13/2019
I SMEADSOFT BARCODES DELETED BY: ______ -_____ _ DATE: -------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
{Cityof
Carlsbad Revised: 8/13/2019
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Documents to be shredded #3
Super Hero Obstacle Race 2015
FD & PD Open House 2015
Carlsbad HS Fireworks and Parade 2015
Community Service Guide spring/summer 2018
Veterans Day Remembrance 2015
Oktoberfest 2015
MS Bike Tour 2015
MS 3 day challenge walk 2015
MS Walk 2015
Artsplash 2015
Flicks at the Fountain 2015
Wild West Fest 2015
Premium Outlets Mall 2015
Carlsbad Winter Festival 2016
Sage Creek Homecoming 2016
Mitchell Thorpe 2016
LPGA 2016
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Documents to be shredded #4
Carlsbad 5000 and Jr 2016
Walk MS 2016
Special Olympics Torch Run 2016
Wild West Fest 2016
North Coast Calvary 2016
EGGStravaganza 2016
Peace Officers Memorial Run 2016
Christmas Bureau's TCP 2015
La Costa Fireworks 2016
Carlsbad Triathlon 2016
Carlsbad Grand Prix 2016
Hyatt Fireworks 2016
Epic Teen Night 2016
Carlsbad Music Festival 2016
Art in the Village 2016
Snores and Smores 2016
TGIF 2016
Veterans Day Remembrance 2016
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
110640
Monday, September 09, 2019
5815 EL CAMINO REAL
Sep-05-2019 thru Sep-05-2019
618871
60 -60 Boxes for Destruction (standard)
• Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s).
£•Jcorodata atssAE16
Type II Audit Completed HIPAA