HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2014-06-23 (3)RECORDS DESTRUCTION AUTHORIZATION FORM
1 . .-• . •. • wm
DATE: 3/7/14
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, anci no pending or ongoing litigation or investigation involving these records is known to
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(if applicable)
2010-8 '' Business Systems Associate-Library 2011 0850-25 CL+3
\^ --
Utility Worker III 2/7/11 0850-25 CL+3
•'
^ Economic Development Manager
1/3/11 0850-25 CL+3
1/
^ Meter Services Worker 1 9/15/10 0850-25 CL+3
Public Works Manager
(Assistant General Manager) 8/2010 0850-25 CL+3
Construction Maintenance
, Supervisor 8/2010 0850-25 CL+3
V Business Systems Associate 7/2010 0850-25 CL+3
X
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
YES • NO
DATE: t, d3'X/f^
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
<A^<i„o. Program.
^CARLSBAD Revised: 3/10/2014
0G36 - San Diego
9455 Wapies 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
9^C 996.00 EA
Order Notes:
Quantity Serviced
112 si»*\\ UvK
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 IVIanagement shreds confidential data per customer's instructions for the above-mentioned company.
The following services are NAID certified: Hard Drive Destruction, IVIobile Destruction and Offsite Destruction. The following services are not NAID
certified: Non-paper Destruction.
Service Representative Signature Date
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