HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2014-06-26 (16)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 12/02/2013
REQUESTING DEPARTMENT: BUILDING DIVISION REQUESTER: JANEAN HAWNEY
DESTRUCTION APPROVALS:
M/e certify that the records listed below have been retained for the .scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
EPARTMETJT+ltAD^ RECORDS MANAGEMENT: V^tT"
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(If applicable)
BLDG 1004 CB
11-0692 11/01/2011 0570-36 CL-H2 N/A
11-0768 11/01/2011 0570-36 CLH-2 N/A
10-1808 11/02/2011 0570-36 CL-H2 N/A
11-0202 11/02/2011 0570-36 CL+2 N/A
^11-0277 11/02/2011 0570-36 CL+2 N/A
11-1017 11/02/2011 0570-36 CL+2 N/A
11-1482 11/02/2011 0570-36 CL+2 N/A
11-1683 11/02/2011 0570-36 CL+2 N/A
11-1869 11/02/2011 0570-36 CL+2 N/A
11-2154 11/02/2011 0570-36 CL+2 N/A
10-2487 11/03/2011 0570-36 CL+2 N/A
y '11-1234 11/03/2011 0570-36 CL+2 N/A
11-1638 11/03/2011 0570-36 CL+2 N/A
11-1340 11/04/2011 0570-36 CL+2 N/A
11-1605 11/04/2011 0570-36 CL+2 N/A
11-2004 11/04/2011 0570-36 CL+2 N/A
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
o., o, Revised: 12/2/2013
^ CARLSBAD
11-2192 11/04/2011 0570-36 CL+2 N/A
11-0471 11/07/2011 0570-36 CL+2 N/A
11-0946 11/07/2011 0570-36 CL+2 N/A
11-1034 11/07/2011 0570-36 CL+2 N/A
11-1530 11/07/2011 0570-36 CL+2 N/A
11-1788 11/07/2011 0570-36 CL+2 N/A
11-1799 11/07/2011 0570-36 CL+2 N/A
11-1864 11/07/2011 0570-36 CL+2 N/A
11-1929 11/07/2011 0570-36 CL+2 N/A
11-2048 11/07/2011 0570-36 CL+2 N/A
11-2155 11/07/2011 0570-36 CL+2 N/A
11-1769 11/08/2011 0570-36 CL+2 N/A
11-2191 11/08/2011 0570-36 CL+2 N/A
10-1716 11/10/2011 0570-36 CL+2 N/A
11-0870 11/10/2011 0570-36 CL+2 N/A
11-1679 11/14/2011 0570-36 CL+2 N/A
11-1970 11/14/2011 0570-36 CL+2 N/A
11-2092 11/14/2011 0570-36 CL+2 N/A
11-2162 11/14/2011 0570-36 CL+2 N/A
11-2224 11/14/2011 0570-36 CL+2 N/A
10-1183 11/15/2011 0570-36 CL+2 N/A
11-1292 11/15/2011 0570-36 CL+2 N/A
11-1711 11/15/2011 0570-36 CL+2 N/A
11-1728 11/15/2011 0570-36 CL+2 N/A
11-1964 11/15/2011 0570-36 CL+2 N/A
11-2131 11/15/2011 0570-36 CL+2 N/A
11-2190 11/15/2011 0570-36 CL+2 N/A
10-1634 11/16/2011 0570-36 CL+2 N/A
11-1659 11/16/2011 0570-36 CL+2 N/A
11-1980 11/16/2011 0570-36 CL+2 N/A
11-2174 11/16/2011 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
11-1819 11/17/2011 0570-36 CL+2 N/A
11-2108 11/17/2011 0570-36 CL+2 N/A
11-2213 11/17/2011 0570-36 CL+2 N/A
11-2081 11/18/2011 0570-36 CL+2 N/A
11-2082 11/18/2011 0570-36 CL+2 N/A
11-2330 11/20/2011 0570-36 CL+2 N/A
11-1600 11/22/2011 0570-36 CL+2 N/A
11-1726 11/22/2011 0570-36 CL+2 N/A
11-1963 11/22/2011 0570-36 CL+2 N/A
11-2231 11/22/2011 0570-36 CL+2 N/A
11-1550 11/23/2011 0570-36 CL+2 N/A
11-2229 11/23/2011 0570-36 CL+2 N/A
11-2358 11/23/2011 0570-36 CL+2 N/A
10-2401 11/29/2011 0570-36 CL+2 N/A
11-2008 11/29/2011 0570-36 CL+2 N/A
11-1985 11/30/2011 0570-36 CL+2 N/A
11-2227 11/30/2011 0570-36 CL+2 N/A
END OF
BOX 1004
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.
Revised: 12/2/2013
* CARLSBAD
CfNiAs 0G36 - San Diego
9465VVtV)lesSLSune110
San Diego, CA 92121
Ptione# (858)-678-0460
Fax # (858) -678-0894
Certificate of Destruction
City of Carlsbad
1635 FARADAY AVE
CARLSBAD, CA 92008-7314
Document #8005499711
Document Date 06/23/2014
Cintas Route/SSR R0G36.0061/Matthew Heard
Customer* 10213041
Service Type Purge
Customer Group On-Slte
Next Service Date
MderM*
8V0000426 Purge Svc (P/OfO-Lsgtl (Urga) Box
Quantity
aesooEA
Order Notes:
*" AM STOP 70 -100 Boxes worth of Blue Prints located at: 5816 E!
Camino Real, Carlsbad, CA 92008. Hours: 8 am-:J-pm. Please equate
ali blue prints to file boxes. (1) 64 = 6 boxes f<l^i1ijl75 = 20bw^
They want to keep the empty boxes. Contad Is PatDovfnfe /BU-6Ui!-i!738.
An on site truck will be here shredding regular paper es well. Two
separate tickets. Will Invoice. Scheduled per Sales Rep. Uz.
MANUAL PUSH 20140617 212016
This certificate Is to certify that Cintas Document Management shreds confidential data per customer's Instmctions for the above^entkmed eompany.
The following aervlesa are NAID certified: Hard Drive Destmction, MoMe Destructkm and Offsite Deetmctlon. The following ssn/lces ara not NAID
certlfled: ^k)n-paper Deatructlon.
Service Represwitative Signature Date
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