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Home My WebLink About; ; Records Destruction Authorization Form-Utilities; 2012-03-22 (2)<^ CITY OF ^ CARLSBAD Records Management Page 1 of 8 RECORDS DESTRUCTION AUTHORIZATION DEPARTMENT REQUESTING DESTRUaiON: UTILITIES - WASTEWATER Person(s) Completing Form: RONNA STICKROD ROVALS FOR DESTRUCTION DepL[tment Head h&iRecords Manager City Attorney Date 7-7-If Date Date We 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. BOX NO. RECORDS DESCRIPTION ^ DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) APPROVED By City Attorney H=:HOLD UtilOl. Crown Circuits, Permit #2001; Misc Information 1996-2003 1230-05 CU+5 CA0000352 UtilOl Nature Maker, Permit #2002; Misc Information 2000 1230-05 CU+5 CA0000387 UtilOl Stillman Seal, Permit #2003; Misc Information 1997-2001 1230-05 CU+5 CA0000353 UtilOl Beckman Coulter, Inc, Permit #2005; Misc Information 1996-2001 1230-05 CU+5 . CA0000354 UtilOl Air Products Electronic Chemicals, Permit #2006; Misc Information 1996-2002 1230-05 CU+5 CA0000355 UtilOl Melles Griot, Permit #2007; Misc Information 1997-2003 1230-05 CU+5 CA0000356 UtilOl Culligan Water, Permit #2008; Misc Information 1996-2002 1230-05 CU+5 CA0000357 UtilOl Tascan Corporation, Permit #2009; Misc Information 1995-2000 1230-05 CU+5 CA0000358 UtilOl S & G Chromium Graphics Corp, Permit #2010; Misc Information 1997-1999 1230-05 CU+5 CA0000359 UtilOl Biocept Inc, Permit #2011; Misc Information 2001 1230-05 CU+5 CA0000360 UtilOl CPS Printing, Permit #2013, Misc Information 1997-2000 1230-05 CU+5 CA0000362 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 <^ *Wp> CITY OF ^CARLSBAD Records Management Page 2 of 8 UtilOl North Coast Photographic Services, Permit #2014; Misc Information 1997-1999 1230-05 CU+5 CA0000363 UtilOl Select Supplements Inc, Permit #2015; Misc Information 2001-2002 1230-05 CU+5 CA0000364 UtilOl Carlsbad Technology, Permit #2016; Misc Information 1993-2003 1230-05 CU+5 CA0000365 UtilOl Animal Environments, Permit #2017; Misc Information 1996-2000 1230-05 CU+5 CA0000366 UtilOl Metallic Power, Permit #2018; Misc Information 2001-2002 1230-05 CU+5 CA0000367 UtilOl Callaway Golf Company, Permit #2019; Misc Information 1997-2000 1230-05 CU+5 CA0000368 UtilOl Immune Response Corp, Permit #2020; Misc Information 1996-2000 1230-05 CU+5 CA0000369 UtilOl Palomar Mobil, Permit #2021; Misc Information 1997-2000 1230-05 CU+5 CA0000370 UtilOl Palomar Texaco, Permit #2022; Misc Information 1997-2000 1230-05 CU+5 CA0000371 UtilOl Tyco Electronics, Permit #2023; Misc Information 2001-2003 1230-05 CU+5 CA0000372 UtilOl Carlsbad Chevron, Permit #2024; Misc Information 2001 1230-05 CU+5 CA0000373 UtilOl Eagle One Laboratories, Permit #2025;. Misc Information 2001 1230-05 CU+5 CA0000374 UtilOl Isis Pharmaceuticals, Permit #2021^; Misc Information 1997-2000 1230-05 CU+5 CA0000375 UtilOl US Microbics, Permit #2027; Misc Information 2001 1230-05 CU+5 CA0000376 UtilOl Isis Pharmaceuticals, Permit #2028; Misc Information 1996-2000 1230-05 CU+5 CA0000377 UtilOl Isis Pharmaceuticals, Permit #2030; Misc Information 1999-2003 1230-05 CU+5 CA0000378 UtilOl Caliber Collision Center, Permit #2031; Misc Information 2001 1230-05 CU+5 CA0000379 UtilOl Calcitek, Inc, Permit #2032; Misc Information 2000-2003 1230-05 CU+5 CA0000380 UtilOl Kaiser Electro-Optics, Inc, Permit #2033; Misc Information 1994-1999 1230-05 CU+5 CA0000381 UtilOl Linear Corporation, Permit #2034; Misc Information < 1995-1997 1230-05 CU+5 CA0000382 UtilOl Rite Aid, Permit #2035; Misc Information 2001 1230-05 CU+5 CA0000383 UtilOl Invitrogen Corporation, Permit #2037; Misc Information 2001 1230-05 CU+5 CA0000384 UtilOl A Cut Above Foods, Inc, Permit #2038; Misc Information 1980-2002 1230-05 CU+5 CA0000385 UtilOl Isis Pharmaceuticals, Inc, Permit #2039; Misc Information 2001 1230-05 CU+5 CA0000388 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 CARLSBAD <^Wp CITY OF Records Management Page 3 of 8 UtilOl Hawthorne Rent-It Service, Permit #2040; Misc Information 1997-1999 1230-05 CU+5 CA0000389 UtilOl Callaway Golf Company, Permit #2041; Misc Information 1998-2000 1230-05 CU+5 CA0000390 UtilOl ViaSat, Inc, Permit #2044; Misc Information 2001 1230-05 CU+5 CA0000393 UtilOl Lithographix, Inc. dba Smurfit Press, Permit #2045; Misc Information 1997-2000 1230-05 CU+5 CA0000394 UtilOl EMCO Industries, Permit #2046; Misc Information 2001 1230-05 CU+5 CA0000523 UtilOl Ormet Corporation, Permit #2048; Misc Information 1999-2001 1230-05 CU+5 CA0000395 UtilOl Real Property Services, Permit #2049; Misc Information ^ 1994-1998 1230-05 CU+5 CA0000396 UtilOl Florex/Kendall Floral Supply, Inc, Permit / #2049; Misc Information 2002 1230-05 CU+5 CA0000524 UtilOl North West Water Acumen Inc, Permit #2050; Misc Information 1996-1999 1230-05 CU+5 CA0000397 Util02 Sav-on Drug Store #3279, Permit #2051; Misc Information 1998-2000 1230-05 CU+5 CA0000398 Util02 BioSyn Corporation, Permit #2052; Misc Information 2001-2002 1230-05 CU+5 CA0000399 Util02 Mallinkrodt-Nellcor Puritan Bennett, Permit #2053; Misc Information 1997-2000 1230-05 CU+5 CA0000400 Util02 ModeTek, Inc, Permit #2054; Misc Information 2002 1230-05 CU+5 CA0000401 Util02 Pacific Color Connection, Permit #2055; Misc Information 1994-1997 1230-05 CU+5 CA0000402 Util02 The Iris Group, Inc, Permit #2056; Misc Information 2000 1230-05 CU+5 CA0000403 Util02 The Iris Group, Inc, Permit #2057; Misc Information 1994-1997 1230-05 CU+5 CA0000404 Util02 Jiffy Lube, Permit #2058; Misc Information 2002 1230-05 CU+5 CA0000405 Util02 Vista Biological Corporation, Permit #2059; Misc Information 1995-1999 1230-05 CU+5 CA0000406 Util02 Dave's Radiator Service, Permit #2060; Misc Information 1994-1997 1230-05 CU+5 CA0000407 Util02 Ken Grody GMC Pontiac, Permit #2061; Misc Information 2002 1230-05 CU+5 CA0000408 Util02 Rite Aid #5621, Permit #2063; Misc Information 2002 1230-05 CU+5 CA0000410 Util02 Surgistar, Inc, Permit #2064; Misc Information 1999-2001 1230-05 CU+5 CA0000411 Util02 Hoehn Acura/Audi, Permit #2066; Misc Information 1997-2000 1230-05 CU+5 CA0000412 Util02 Hoehn Mercedes Benz New Cars, Permit #2067; Misc Information 1995-2000 1230-05 CU+5 CA0000413 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 <^^W^ CITY OF ^ CARLSBAD Records Management Page 4 of 8 Util02 Hoehn Honda, Permit #2068; Misc Information 1995-2001 1230-05 CU+5 CA0000414 Util02 Vons #2142, Permit #2069; Misc Information 2002 1230-05 CU+5 CA0000415 Util02 Townsend Lincoln-Mercury, Permit #2070; Misc Information 1994-1997 1230-05 CU+5 CA0000416 Util02 Lexus Carlsbad, Permit #2071; Misc Information 1994-2000 1230-05 CU+5 CA0000417 Util02 Bob Baker Volkswagen, Permit #2072; Misc Information 1996-1999 1230-05 CU+5 CA0000418 Util02 Cal Worthington Dodge of Carlsbad, Permit #2073; Misc Information 1998-2002 1230-05 CU+5 CA0000419 Util02 Sav-on #9528, Permit #2074; Misc Information 2002 1230-05 CU+5 CA0000420 Util02, Toyota of Oceanside, Inc. dba Toyota Carlsbad, Permit #2075; Misc Information 1995-2000 1230-05 CU+5 CA0000421 Util02 Dr. Herbert Woodward,lll, Inc. D.D.S, Permit #2076; Misc Information 1993-2001 1230-05 CU+5 CA0000422 Util02 Rorick Buick, Permit #2077; Misc Information 1994-2000 1230-05 CU+5 CA0000423 Util02 Weseloh Chevrolet, Permit #2078; Misc Information 1995-2000 1230-05 CU+5 CA0000424 Util02 Toyota Carlsbad, Permit #2079; Misc Information 1995-2000 1230-05 CU+5 CA0000425 Util02 Dixon Ford-lsuzu/Ken Grody Ford, Permit #2080; Misc Information 1995-2000 1230-05 CU+5 CA0000426 Util02 Bob Baker Cadillac-Subaru, Permit #2081; Misc Information 1996-1999 1230-05 CU+5 CA0000427 Util02 Carlsbad Mitsubishi, Permit #2082; Misc Information 1996-1999 1230-05 CU+5 CA0000428 Util02 Jim Finney Mazda/GMC, Permit #2083; Misc Information 1995-2002 1230-05 CU+5 CA0000429 Util02 Loos Chiropractic, Permit #2084; Misc Information 1995-1999 1230-05 CU+5 CA0000430 Util02 Callaway Golf Ball Company, Permit #2085, Misc Information 1999 & 2002 1230-05 CU+5 CA0000431 Util02 Carltas Development, Permit #2086; Misc Information 1995-1999 1230-05 CU+5 CA0000432 Util02 Plaza Real Cleaners, Permit #2087; Misc Information 1995-1999 1230-05 CU+5 CA0000433 Util02 J & D Laboratories, Inc, Permit #2088; Misc Information 1995-1997 1230-05 CU+5 CA0000525 Util02 Dyna Corporation, Permit #2089; Misc Information 1996-1999 1230-05 CU+5 CA0000434 Util02 U.S. Foam Company, Permit #2090; Misc Information 1995-1999 1230-05 CU+5 CA0000526 Util02 Eaton Leonard-Tube Tronics, Permit #2093; Misc Information 1994-1999 1230-05 CU+5 CA0000435 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 <^ CITY OF ^ CARLSBAD Records Management Page 5 of 8 Util02 Randall Products International, Permit #2094; Misc Information 1995-2001 1230-05 CU+5 CA0000436 Util02 The Upper Deck, Permit #2095; Misc Information 1997-2002 1230-05 CU+5 CA0000437 Util02 Caltrans, Permit #2096; Misc Information 2002 1230-05 CU+5 CA0000438 Util02 Pre-Press Technologies, Inc, Permit #2097; Misc Information 1992-1994 1230-05 CU+5 CA0000439 Util02 Coast Waste Management, Permit #2098; Misc Information 1995-1999 1230-05 CU+5 CA0000440 Util02 City of Carlsbad (Fleet Operations), Permit #2099; Misc Information 1995-2000 1230-05 CU+5 CA0000441 Util02 Synergy/Printastic Inc, Permit #2100; Misc Information 1995-1999 1230-05 CU+5 CA0000442 Util03 Legoland California, Permit #2101; Misc Information 1998-1999 1230-05 CU+5 CA0000443 Util03 MarDx Diagnostics, Inc, Permit #2102; Misc Information 1998-2000 1230-05 CU+5 CA0000444 Util03 Lens Crafters, Permit #2103; Misc Information 1992-2000 1230-05 CU+5 CA0000445 Util03 Carlsbad Volvo, Permit #2104; Misc Information 1995-1999 1230-05 CU+5 CA0000446 Util03 Kaiser Foundation Health Plan, Permit #2105; Misc Information 1995-2000 1230-05 CU+5 CA0000447 Util03 Yes Cleaners, Permit #2106; Misc Information 1995-1999 1230-05 CU+5 CA0000448 Util03 Gemological Institute of America (GIA), Permit #2108; Misc Information 1999-2000 1230-05 CU+5 CA0000450 Util03 An Hour Photo, Permit # 2110; Misc Information 1995-1999 1230-05 CU+5 CA0000452 Util03 Chrysler Pacifica, Permit #2111; Misc Information 1995-1999 1230-05 CU+5 CA0000453 Util03 Plaza South Cleaners, Permit #2113; Misc Information 1996-1999 1230-05 CU+5 CA0000454 Util03 Doctor's Care Medical Center, Permit #2114; Misc Information 1995-2000 1230-05 CU+5 CA0000455 Util03 Carlsbad Plaza Family Dental, Permit #2115; Misc Information 1995-1999 1230-05 CU+5 CA0000456 Util03 Carlsbad Family Dental Care, Permit #2118; Misc Information 1995-1998 1230-05 CU+5 CA0000457 Util03 Carlsbad Self Car Wash, Permit #2119; Misc Information 1995-2000 1230-05 CU+5 CA0000458 Util03 Firestone Store #2252, Permit #2120; Misc Information 1995-1999 1230-05 CU+5 CA0000459 Util03 Sear Roebuck and Company, Permit #2121; Misc Information 1995-2001 1230-05 CU+5 CA0000460 Util03 Robert Fleming, Jr.DDS, Permit #2122; Misc Information 1997 1230-05 CU+5 CA0000527 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 <^CITY OF ^CARLSBAD Records Management Page 6 of 8 Util03 Rolida Inc. Plaza Camino Chevron, Permit #2125; Misc Information 1995-2000 1230-05 CU+5 CA0000461 Util03 Hisamitsu California Laboratories, Permit #2126; Misc Information 1997-2003 1230-05 CU+5 CA0000462 Util03 Dean's Photo Service #158-Ritz Camera, Permit, #2127; Misc Information 1995-2001 1230-05 CU+5 CA0000463 Util03 Dean's Photo Service,#86 Nakk Ritz Camera, Permit #2128; Misc Information 1995-2001 1230-05 CU+5 CA0000464 Util03 Q-BIOgene, Permit #2129; Misc Information 2001 1230-05 CU+5 CA0000465 Util03 West Coast community Newspapers, Inc, Permit #2130, Misc Information 1996-1999 1230-05 CU+5 CA0000520 Util03 Drag Master, Inc, Permit #2132; Misc Information 1995-2000 1230-05 CU+5 CA0000466 Util03 Cartest Cor-Paul's Automotive, Permit #2133, Misc Information 1992-1995 1230-05 CU+5 CA0000467 Util03 A-1 Auto Dismantling, Permit #2134; Misc Information 1995-1999 1230-05 CU+5 CA0000468 Util03 Carlsbad Animal Clinic, Permit #2135; Misc Information 2001 1230-05 CU+5 CA0000469 Util03 Cal Worthington Dodge, Permit #2136; Misc Information 2001 1230-05 CU+5 CA0000522 Util03 San Diego Gas & Electric, Permit #2137, Misc Information 1995-2000 1230-05 CU+5 CA0000471 Util03 Ban's Cleaners, Permit #2138; Misc Information 1995-1999 1230-05 CU+5 CA0000472 Util03 Cabrillo Power 1, LLC, Permit #2139; Misc Information 1999-2001 1230-05 CU+5 CA0000473 Util03 La Mar Chiropractic, Permit #2141; Misc Information 1995-1999 1230-05 CU+5 CA0000474 Util03 Jefferson Village Dental, Permit #2142; Misc Information 197-1999 1230-05 CU+5 CA0000475 Util03 Knowles Chiropractic, Permit #2143; Misc Information 1995-2001 1230-05 CU+5 CA0000476 Util03 Packard Dental Group, Permit #2144; Misc Information 1995-2000 1230-05 CU+5 CA0000477 Util03 David Tracy,DDS, Permit #2145; Misc Information 1995-1999 1230-05 CU+5 CA0000478 Util03 J.J. Heaivilin,DC, Permit #2147; Misc Information 1995-1999 1230-05 CU+5 CA0000480 Util03 RK 8i K Foods, Inc, Permit #2150; Misc Information 1993 1230-05 CU+5 CA0000483 Util03 Amcraft Corporation, Permit #2151; Misc Information 1996-1999 1230-05 CU+5 CA0000484 Util03 Carlmart (Floral Trade Center), Permit #2152, Misc Information 2000 1230-05 CU+5 CA0000485 Util03 Hoehn Mercedes, Permit #2154; Misc Information 2000 1230-05 CU+5 CA0000487 This form documents the destruction of City Management Program records in accordance with the City of Carlsbad Records Revised 12/23/2009 '^W^ CITY OF ^CARLSBAD Records Management Page 7 of 8 Util03 Dr. David Liska,Back & Neck Specialist Permit #2155; Misc Information 1992-2000 1230-05 CU+5 CA0000488 Util03 Costco Wholesale, Permit #2156; Misc Information 1993-1999 1230-05 CU+5 CA0000489 Util03 K8iK Laboratories Inc, Permit #2157; Misc Information 1995-2001 1230-05 CU+5 CA0000490 Util03 SMAC, Permit #2158; Misc Information 1994-1999 1230-05 CU+5 CA0000491 Util04 Auto Photo Systems, Permit #2161; Misc Information 1992-1993 1230-05 CU+5 CA0000493 Util04 Cobra Golf Inc, Permit #2163; Misc Information 1996-2001 1230-05 CU+5 CA0000494 Util04 Art Attack (Now Print House Inc), Permit #2164; Misc Information 1993-1996 1230-05 CU+5 CA0000495 Util04 Mec Analytical Systems, Inc, Permit #2165; Misc Information 1993-1999 1230-05 CU+5 CA0000496 Util04 Poinsettia Village Dentistry, Permit #2166; Misc Information 1995-2000 1230-05 CU+5 CA0000497 Util04 Magic Color Galley, Permit #2167; Misc Information 1993 1230-05 CU+5 CA0000498 Util04 Bob Baker Jeep-Eagle/Hyundai, Permit #2168; Misc Information 1993-1999 1230-05 CU+5 CA0000499 Util04 Bob Baker Infiniti, Permit #2169; Misc Information 1996-1999 1230-05 CU+5 CA0000500 Util04 Western CNC, Inc, Permit #2170; Misc Information 1996-2000 1230-05 CU+5 CA0000501 Util04 Ritz Camera Inc, Permit #2171; Misc Information 1995-2000 1230-05 CU+5 CA0000502 Util04 Strahan Chiropractic Center, Permit #2172; Misc Information 1993-2000 1230-05 CU+5 CA0000503 Util04 Carlsbad Mercedes/Volvo Service, Permit #2173; Misc Information 1993-2000 1230-05 CU+5 CA0000504 Util04 City of Carlsbad-Oak Street, Permit #2175; Misc Information 1993-2000 1230-05 CU+5 CA0000505 Util04 The Photo Lab, Permit #2177; Misc Information 1994-2002 1230-05 CU+5 CA0000506 Util04 Moto Photo, Permit #2179; Misc Information 1994-1999 1230-05 CU+5 CA0000507 Util04 Knorr Beeswax Products, Inc, Permit #2180; Misc Information 1994-1998 1230-05 CU+5 CA0000508 Util04 Hubbs- Sea World Research Institute, Permit 2181; Misc Information 1994-2001 1230-05 CU+5 CA0000509 Util04 Pacific Metal Fabricators, Permit #2182; Misc Information 1994-2000 1230-05 CU+5 CA0000510 Util04 Cypros Pharmaceutical Corp, Permit #2184; Misc Information 1995-2000 1230-05 CU+5 CA0000511 Util04 Todd H. Nalley,DDS,MS, Permit #2185; Misc Information 1995-1999 1230-05 CU+5 CA0000512 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 <^ CITY OF ^ CARLSBAD Records Management Page 8 of 8 Util04 Ontogen Corporation, Permit #2187; Misc Information 1994-2000 1230-05 CU+5 CA0000513 Util04 Pizza Port (Carlsbad Brewery), Permit #2188; Misc Information 1995 1230-05 CU+5 CA0000514 Util04 Syntron Bioresearch, Inc, Permit #2190; Misc Information 1994-2000 1230-05 CU+5 CA0000515 Util04 MEC #2 Analytical Systems, Inc, Permit #2192; Misc Information 1995-1999 1230-05 CU+5 CA0000516 Util04 Palomar Car Wash, Permit #2193; Misc Information 1995-2000 1230-05 CU+5 CA0000517 Util04 Shell Oil Co, Permit #2196; Misc Information 1995-1999 1230-05 CU+5 CA0000519 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: 0Vts i= ir • NO DATE: S/zZy/ DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 WE RECYCLE P O. B0X 2O77 ViSta. CA92CB62077 RHONE 76(^598-5700 CERTIFICATE REFERS TO INVOICE NO.: DATE: 0910631499 1/22/2012 PURGE SERVICE LOCATION: BILLED TO: 5815 Ef CaiBlnO-^aS **N0 SUR~CHM<3E Cailsbacf, §2%}8 This is to certify that Shred-it destroyed confidential information for the above mentioned company by TRUCK NO. ff/t'U TRUCK NO. CUSTOMER SERVICE REP.: TOTAL TIME: CLIENT: PRINT CUSTOMER'S NAME: This year, through Shred-it's recycling program, your firm has saved 0 trees from destruction. O CERTIFICATE OF DESTRUCTION THAN K YOU FOR YOUR BUSINESS. SECURING YOUR OFFICE AND THE ENVIRONMENT HRS.: MIN.: