HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2014-06-23 (7)RECORDS DESTRUCTION AUTHORIZATION FORM
4/23/14 DATE:
REQUESTING
DEPARTMENT: HUMAN RESOURCES
REQUESTER: PENNY MCKAY
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 ta^^^
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
2009-box ' Academy Graduate No Post
Applications 1-2009 0850-25 CL+3
Academy Graduate PD Applications
and Oral Board 1-2009 0850-25 CL+3
Lateral Police Officer Oral Board 1-2009 0850-25 CL+3
/•
Dispatch Test Scores
1-2009 0850-25 CL+3
Communication Operator PT Screen
Out Applications 2009 0850-25 CL+3
Fire Engineer Applications and Oral
Board 3-2009 0850-25 CL+3
1 Communication Operator II PT Oral
Board 4-2009 0850-25 CL+3
Police Captain 5-2009 0850-25 CL+3
< Police Sergeant 6-2009 0850-25 CL+3
V Police Communications Manager 6-2009 0850-25 CL+3
Accounting Supervisor 6-2009 0850-25 CL+3
Part Time Accounting Assistant 7-2009 0850-25 CL+3
•
Police Officer Lateral
7-2009 0850-25 CL+3
7^
' Accounting Technician 7-2009 0850-25 CL+3
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
CT. o. Program.
^ CARLSBAD Revised: 4/24/2014
V ^Police Communications Supervisor 8-2009 0850-25
* 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:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
Bf YES • NO
DATE: ^ 'O-d '^t^
DATE:
'^^ CARLSBAD
This form documents the destruction of City records In accordance with the City of Carlsbad Records Management
Program.
Revised: 4/24/2014
CINIAS. 0G36 - San Diego
9455 Waples St. Suite 110
San Diego, CA 92121
Phone # (858) -678-0460
Fax # (858) -678-0894
Certificate of Destruction
City of Carlsbad
1635 FARADAY AVE
CARLSBAD, CA 92008-7314
Document # 8005499713
Document Date 06/23/2014
Cintas Route/SSR R0G36.0046/Luis Anzueto
Customer* 10213041
Service Type Purge
Customer Group On-Site
Next Service Date
Material #
SV0000326
Description
Purge Svc (P/0n)-Legal (Large) Box
Quantity
996.00 EA
Order Notes
Quantity Serviced
112 5»Hl
Has 100- 150 Boxes at: 5816 El Camino Real, Carlsbad, 92008. Hours: 8
am - 5 pm. Contact is Pat Downie 760-602-2738. Please call ahead of
time if you will be there between 11:30 and 1 pm. There will be a box
trucl< here collecting blue prints as well. Will invoice. Scheduled per
Sales Rep. Liz.
MANUAL PUSH 20140617 212016
This certificate is to certify that Cintas Document Management shreds confidential data per customer's instructions for the above-mentioned company.
The following services are NAID certified: Hard Drive Destruction, Mobile Destruction and Offsite Destruction. The following services are not NAID
certified: Non-paper Destruction.
Service Representative Signature Date
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