HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Utilities; 2011-06-28 (3)CARLSBAD
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RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Utility
Person(s) Completing Form: Jayrne Foster
APPROVALS FOR DESTRUCTION
Department Head
r
X><^/* / ^x^^^i^w "Date
J
/lA/T
D
cords Manager Date
City Attorney Date
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.
BOX
NO.
122
RECORDS DESCRIPTION
3309 - Holly Brae - Alder Sewer, 3397 - El
Camino Reclaimed Pump Station CMWD 92-
306, 3394 - Construction of Reclaimed &
Potable Water Systems and improvements,
3404 - Hillside Water Main Replacement
CMWD 89-106, 3451-1 -Woodstock Pump
Station Wet well Rehab, 2489 - Buena Vista
Channel Dredging, 3495 Forest Avenue Sewage
Gravity Line - Correspondence, Permits,
Easements, Pre-Design Report, 3404 - 1995
Dwntown Water Project, 3376 - Twin "D"
Reservoir
DATED
1986-1998
RRS NO.
1000-05
RRS
PERIOD
CU+2
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
DATE:
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
WE RECYCLE SttHSO-M
CERTIFICATE REFERS TO INVOICE NO.:
DATE:
WO
SERVICE LOCATION:BILLED TO:
Cty Of
B Camino fteaf
**NO SUR-CHAR6E
CA 92-
AttnL
• . i A
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO,TRUCK NO.:
CUSTOMER SERVICE REP.,
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
has saved
This year, through Shred-it's
recycling program, your firm
trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
MRS.:MIN.
SECURING YOUR OFFICE »f)fiecf-ft
AND THE ENVIRONMENT