HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2014-06-26 (12)^ »
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
REQUESTING DEPARTMENT:
05/07/2014
BUILDING REQUESTER: \MXO^^^^^^^'\Jm
DESTRuaiON APPROVALS:
l/Ve certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, and na pending or ongoing litigation or investigation involving these records is known to exist.
c5
DEPARTMENT HEAD RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(if applicable)
1-2 0570-36 CL+2 N/A
CB950427
\/ CB910601
y CB970760
' CD891415
CB980083
CB911091
CB910969
i/
CB951763
CB980077
CB870670
/ CB900346
/ CB870502
/ CB950110
CB880419
CB881468
CB860053
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 5/6/2014
CARLSBAD
^ CB891761
CB900383
t CB941579
CB860016
y
CB870316
CB870515
^ CB870502
^ CB870021
CB870430
CB961083
*^ CB880713
CB870058
CB981022
CB961299
^'
CB850138
^
CB850131
y ^
CB981636
i?-^
CB880109
CB910607
''^ CB973766
^
CB971462
CB973706
XT'
CB891056
CB910645
CB860013
CB960325
CB950513
^ CB911148
^ CB911695
CB891233
CB991226
This form documents the destruction of City records in accordance with the City of Carlsbad Records
^ CARLSBAD
Management Program.
Revised: 5/6/2014
^ CB991220
I CB961204
'''^ CB990916
^ CB990315
i CB950661
/ CB961103
7^- ^-^
C; CB970637 ;
^ CB971003
CB941693
CB993126
CB992310
^ CB993303
CB850418
^S<:CB992347 ^
-€B&8UilU'
_-eB99e4?9—
CB990989
^^VSCCB992347 '
CB900547
^ CB990845
^ CB900465
^ CB840544
^ CB900577
^ CB850430
^
CB850300
CB901745
CB983934
^ CB860519
^ CB994468
CB984213
CB994255
T/7/S /orm documents the destruction of City records in accordance with the City of Carlsbad Records
CARLSBAD
Management Program.
Revised: 5/6/2014
y
CB990076
'CB991455
)^B973039
CB984322
CB991693
CB990071
CB983859
'^B984442
y
CB881407
•^CB840352
.^^
CB993178
'CB971913,J) ^^'i^OKf^^X
••' iiiiiiiii -r- 1^ •
•^6561221
y^
CB961054
CB971913 l?t^^ %.
CB981798
y
CB950843
y
CB961794
'CB980505
CB951487
CB950775
"cBgeiSM
^CB950914
^y
CB901636
'^CB980789
y
CB950786
V
'PC040047
END BOX 2
r/»/s form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 5/6/2014
^CmiSBAD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: C/H-P^ DATE: C;-JU
CERTIFICATE OF DESTRUCTION? |^ YES • NO '
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
A < „, o, Revised: 5/6/2014
^ CARLSBAD
CllMI^ OGSe - San Diego
9456 W^es 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 #8005499711
Document Date 06l^3l2O^ 4
CIntae Route/SSR R0Q36.0061/Matthew Heard
Customer #10213041
Service Type Purge
Customer Group On-Slte
Next Service Date
8V000042e Purge Svc (P/OfO-Lsgal (Urgs) Box
Qumllty
999.00 EA
Order Notes:
*" AM STOP ""70-100 Boxes worth of Blue Prints located at: 5816 El
Camino Real, Carlsbad, CA 92008. Hours: 8 anLuS-ptn. Please equate
ail blue prints to file boxes. (1) 64 = 6 boxes fl) 175 = 20 bw^
They want to keep the empty boxes. Contact is PatDownle 7tXH)U2-'2738.
An on site truck will be here shredding regular paper as well. Two
separate tickete. WHl invoice. Scheduled per Sales Rep. Liz.
MANUAL PUSH 20140617 212016
This oeitmcate Is to oeitiry that Cintas Dooumem Management shreds confidential data per customer's kistmcUons for the atrave-mentloned company.
The following servleea are NAK) certified: Hard Drive Destruotion, MoMe Destruction and Offsite Deatructlon. The following sen^ are not NAID
certified: Non-paper Destruction.
Service Representative Signature Ly.. Ty
Date
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