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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2014-06-23RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: 2/25/2014 RECORDS MANAGEMENT REQUESTER: PAT DOWNIE DESTRUCTION APPROVALS: We certify that the records listed be/ow have been retained for the scheduled retention period, required at/aits have been completed, and no pending or ongoing litigation or investigation involving these records is knoyvn to^ist. DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE (if applicable) 13067233 Real Property Genera}Information Appraisals/Negotiations See attached 0770-10 Q.l+2 *// 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? TAB BARCODES DELETED BY: ^ YES • NO DATE: DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. 3> o, Revised: 2/25/2014 CARLSBAD File Description Date Box# Corodata Barcode Agua Hedionda 1976 39 13067233 Elma Ave Property - D. Ellsworth 1974 39 13067233 Lot Purchase - Chrisman 1967 39 13067233 Property - Greenwood 1971-1979 39 13067233 Property - Hamlin- 2445 Ocean St Easement 1973-1979 39 13067233 Property - Harding Community Ctr (Ex-St Patrick's Catholic Church ) 1975-1979 39 13067233 Property - Sachtleban - Stratford 1973-1981 39 13067233 Purchase - Fire Station #2 1979-1980 39 13067233 WD Cannon/Terramar 1976 39 13067233 Appraisal - Calvera Hill- Nolan/Markely (1 acre) 1973-1979 39 13067233 Appraisal - Carlsbad Blvd (11 properties) Bike Route 1979 39 13067233 Appraisal - Chestnut Heights (Lots 24 thru 29) 1975 39 13067233 Appraisal - Firestation (El Camino Real & Arenal Rd) 1977-1978 39 13067233 Appraisal - Holiday Park Adjacent Properties 1972 39 13067233 Appraisal - Water Co Property 1973 39 13067233 Property - Bonsall 1974-1978 39 13067233 Property - Calavera 1969-1977 39 13067233 Property - Elm Ave Sale 1976-1979 39 13067233 Public Works - Las Flores - Vice Gits 1967 39 13067233 Street Improvement - Extension-Elm Avenue-McCauley 1976 39 13067233 Street Improvements -Reservoir #2 1975-1980 39 13067233 Street Improvements - Reservoir- Future Sites 1967-1970 39 13067233 Street Improvements - Street Widening - Elm St 1967 39 13067233 CllMEte. 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 9a/oo EA Order Notes: Quantity Serviced 112 sm 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