HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2014-06-26 (13)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 12/02/2013
REQUESTING DEPARTMENT: BUILDING DIVISION REQUESTER: JANEAN HAWNEY
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
conipleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
M DEPARTMENT HEAD: RECORDS IVIANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
{If applicable)
BLDG 1003 CB#
y 09-0866 10/03/2011 0570-36 CL+2 N/A
• 09-2107 10/03/2011 0570-36 Cl+2 N/A
10-1992 10/03/2011 0570-36 CL+2 N/A
11-1087 10/03/2011 0570-36 CL+2 N/A
11-1497 10/03/2011 0570-36 CL+2 N/A
11-1736 10/03/2011 0570-36 CL+2 N/A
11-1304 10/05/2011 0570-36 CL+2 N/A
11-1774 10/05/2011 0570-36 CL+2 N/A
11-1922 10/05/2011 0570-36 CL-H2 N/A
11-1996 10/05/2011 0570-36 CL-i-2 N/A
11-1998 10/05/2011 0570-36 CL+2 N/A
11-1949 10/06/2011 0570-36 CL+2 N/A
11-1992 10/06/2011 0570-36 CL+2 N/A
07-2082 10/07/2011 0570-36 CL+2 N/A
11-1135 10/07/2011 0570-36 CL+2 N/A
11-1628 10/07/2011 0570-36 CL+2 N/A
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 12/2/2013
^ CARLSBAD
11-2011 10/07/2011 0570-36 CL-H2 N/A
11-2156 10/12/2011 0570-36 CL+2 N/A
11-1861 10/13/2011 0570-36 CL+2 N/A
11-1962 10/13/2011 0570-36 CL+2 N/A
11-2003 10/13/2011 0570-36 CL+2 N/A
11-2066 10/13/2011 0570-36 CL+2 N/A
10-2498 10/14/2011 0570-36 CL-H2 N/A
11-1494 10/14/2011 0570-36 CL-H2 N/A
11-1995 10/14/2011 0570-36 CL+2 N/A
11-0266 10/17/2011 0570-36 CL+2 N/A
11-0962 10/17/2011 0570-36 CL+2 N/A
11-1163 10/17/2011 0570-36 CL+2 N/A
11-1858 10/17/2011 0570-36 CL+2 N/A
11-1758 10/18/2011 0570-36 CL+2 N/A
11-2001 10/18/2011 0570-36 CL-H2 N/A
11-2024 10/18/2011 0570-36 CL+2 N/A
11-1309 10/19/2011 0570-36 CL+2 N/A
11-1599 10/19/2011 0570-36 CL+2 N/A
10-0605 10/24/2011 0570-36 CL+2 N/A
11-1009 10/24/2011 0570-36 CL+2 N/A
11-1220 10/24/2011 0570-36 CL+2 N/A
11-1376 10/24/2011 0570-36 CL+2 N/A
11-1460 10/24/2011 0570-36 CL+2 N/A
11-1952 10/24/2011 0570-36 CL+2 N/A
11-2049 10/24/2011 0570-36 CL+2 N/A
10-2375 10/25/2011 0570-36 CL+2 N/A
11-2000 10/25/2011 0570-36 CL+2 N/A
11-2063 10/26/2011 0570-36 CL+2 N/A
11-1105 10/27/2011 0570-36 CL+2 N/A
11-2208 10/28/2011 0570-36 CL+2 N/A
11-2215 10/28/2011 0570-36 CL+2 N/A
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 12/2/2013
CARLSBAD
11-0375 10/31/2011 0570-36 CL+2 N/A
11-0871 10/31/2011 0570-36 CL+2 N/A
10-1748 10/31/2011 0570-36 CL+2 N/A
10-1913 10/31/2011 0570-36 CL+2 N/A
11-1884 10/31/2011 0570-36 CL+2 N/A
11-1950 10/31/2011 0570-36 CL+2 N/A
11-1999 10/31/2011 0570-36 CL+2 N/A
11-2089 10/31/2011 0570-36 CL+2 N/A
11-2105 10/31/2011 0570-36 CL+2 N/A
11-2121 10/31/2011 0570-36 CL+2 N/A
END OF
BOX 1003
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT 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.
A o,, o, Revised: 12/2/2013
CARLSBAD
ciiMiAs 0036 - San Diego
9465VySple8St 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
Docunmnt* 8005499711
Document Date 06/23/2014
Cintas Route/SSR ROG36.0061/Matthew Heard
Customer #10213041
Service Type Purge
Customer Group On-Slte
Next Service Date
8V000O42e Purge Svc (P/Of Q-Lagai (Urge) Box
Quantity
SSS,OOEA
Order Notes:
*" AM STOP 70 -100 Boxes worth of Blue Prints located at: 5816 El
Camino Real, Carlsbad, CA 92008. Hours: 8 amjjS-pm- Please equate
ali blue prints to file boxes. (1) 64 = 6 boxes d6l{1Xi75 = 20 baceSr-
They want to keep the empty boxes. Contact Is PatDownR
An on site truck will be here shredding regular paper as weU. Two
separate tickets. WHl Invoice. S<^eduled per Sales Rep. Uz.
MANUAL PUSH 20140617 212016
This certificate Is to oerWy that Cintas Document Management shreds conlUentlal data per c»ntomei's hstnictlons for the above-mentioned eompany.
The following aeivlcsa are NAID certified: Hard Drive Oestnx>ilon, MobWe Deetmctkm and Offsite Oeetrudton. The following services are not NAID
certified: Non-paper Destruction.
Service Represoitative Signature
'zy
Date (j • ^5
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