HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2014-06-26RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
REQUESTING
DEPARTMENT: BUILDING
5/15/2014
REQUESTER: LAURA STUPPY-MOORE
PREPARED BY: PAT DOWNIE
DESTRUCTION APPROVALS:
DEP/WTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
6)w
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
BLDG03 Building Blueprints and
Specifications Various 0570-36 CL+2 NONE
CB 84-0499"^
CB 84-0508
CB 84-0558 ^
CB 84-0559 ^'
CB 84-0560
CB 87-0061
CB 87-0303 ^
CB 87-0694
CB 88-0349 ^
CB 88-1310
CB 88-1622
CB 89-1023 "-^
CB 89-1071
CB 89-1580
CB 90-0346 ^'
CB 90-0514--
CB 90-0554
CB 90-1013 ^
CB 90-1068
CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 5/15/2014
CB 90-1815
CB 91-0952^
CB 91-1478
CB 95-0092 ^
CB 95-0116'^
CB 95-0193^
CB 95-0329
CB 95-0405 ^
CB 95-0481*^
CB 95-0532*-^
CB 95-1434
CB 96-1779
CB 96-1786 <^
CB 97-0767
CB 97-1415"^
CB 97-1793 (part 1 &2)
CB 98-0086
CB 98-4015
CB 98-4190*^
CB 99-0048'/
CB 99-0915
CB 99-1636'^
CB 99-3106 >/
CB 99-3739'/
CB 99-4340-/
CB83-0339>^
No Number - Camino
West Business Park
PC 99-0016 ^
PCR 98-0335 y
PCR 98-0153
*lfmore 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? YES
TAB BARCODES DELETED BY:
• NO
DATE:
CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 5/15/2014
CINEAS 0036 - San Dtogo
9455 Waples 3t Suite 110
San Diego, CA 92121
Phone #(858)-678-0460
Pax # (858) -678-0894
Certificate of Destruction
city of Carlsbad
1635 FARADAY AVE
CARLSBAD, CA 92008-7314
Document # 8005499711
Document Date 06/23/2014
CIntae Route/SSR ROQ36.0061/Matthew Heard
Customer* 10213041
Service Type Purge
Cuetomer Group On-Slte
Next Service Date
MalarM*
8V000042e Purge Svc (P/OfQ-Lsgtl (Largs) Box
Quantity
rn.ooEA
Order Notes:
*" AM STOP *" 70 -100 Boxes worth of Blue Prints located at: 5816 El
Camino Real, Carlstiad, CA 92008. Hours: 8 am.:.S-pm. Please equate
all blue prints to file boxes. (1) 64 = 6 boxes «(L(1J175 = 20 boxes.
They want to keep the empty boxes. Oxitact Is Pat Downle760=602-2738.
An on site truck will be here shredding regular paper as well. Two
separate tickets. WKI Invoice. Scheduled per Sales Rep. Uz.
MANUAL PUSH 20140617 212016
po^u^mkw^e ^aueX^ de2\y^M ^^^^
This oertlflcata Is to oerflry that Cintas Document Management sineds confidential data per cueiomer's kistmcUons for the above-mentioned company.
The following servleea are NAID certified: Hard Drive Destruotion, MoMe Destruction and Offsite Oeatrucdon. The toNowIng services are not MAID
certified: Non-paper Destruction.
Service Representative Signature Date (j • ^5
Page 1 of 1