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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2014-06-23 (10)RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 3/7/2014 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 i DEPARTMENT HEAD: -1 RECORDS MANAGEMENT: CITY ATTORNEY BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) 2010-2 3 Crime Analyst Applicant Data 5/10 0850-25 CL+3 / Paramedic-Firefighter-Lateral Applicant Data 4/10 0850-25 CL+3 ^ Police Officer-Recruit Applicant Data Sheets 5/10 0850-25 CL+3 Communication Operator l/ll 6/10 0850-25 CL+3 yPolice Officer Recruit-Acad Grad & Lateral(1-3 of 3) 6/10 0850-25 CL+3 PM/FF Lateral 6/10 0850-25 CL+3 *^ Police Officer-Lateral Applicant Data Forms 2/10 0850-25 CL+3 Police Lateral 3/10 0850-25 CL+3 To be filled out once records have been destroyed. /Ok f\ * RECORD DESTRUCTION COMPLETED BY: DATE: C'Ji3 ,^<L CERTIFICATE OF DESTRUCTION? ^ 0 YES • NO r This form documents the destruction of City records in accordance with the City of Carlsbad Records Management c,„ o, Program. ^CARLSBAD Revised: 3/10/2014 CINEAS. 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 IMaterlal # SV0000326 Description Purge Svc (P/0n)-Legal (Large) Box Quantity 9^C 996.00 EA Order Notes Quantity Serviced 112 5»»»1^ 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 truck 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 Page 1 of