HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2012-03-22 (2)<^^>> CITY OF
^ CARLSBAD
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Records Management
Page 1 of 2
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Records ManaRement
Person{s) Completing Form: Debra Doerfler
APPROVALS FOR DESTRUaiON
Date
Dat4 '
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
RMDDl CMWD contract: Dawson-obtain soils 1962 0700-16 CU + 5 n/a
CMWD contract: Oceanside-obtain soils 1962 0700-16 CU + 5 n/a
CMWD contract: Dawson-survey and
testing svcs
1960 0700-16 CU + 5 n/a
CMWD contract Right of Way Engineering
Svcs
1997 0700-16 CU + 5 n/a
Kubota Prof Eng Svcs 1972 0700-16 CU + 5 n/a
Smith & Peltzer Prof Svcs 1972 0700-16 CU + 5 n/a
Affidavit of publications/notices 1962-1966 n/a
Correspondence 1962-1970 mo-is n/a
Partial proposal/bid for new library
furniture
1998 0470-45 AU + 4 n/a
CMWD contract: San Diego Cnty- prepare
plans, bid, contract mgmt.
1970 0700-16 CU + 5 n/a
J /
Daily Inspection reports/inspection logs 1968 1000-76 CL + 2 n/a
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 2 of 2
DMWD contract: Woodside/Kubota &
Assoc: engineering services
1972 0700-16 CU + 5 n/a
CMWD: Jack Kubota: professional svcs 1969 0700-16 CU + 5 n/a
CMWD: Jack Kubota: professional svcs 1968 0700-16 CU + 5 n/a
CMWD: Swirsky, attorney svcs 1968-1972 0700-16 CU + 5 n/a
V Requests/Complaints-Engineering/CM&I 1998 1040-07 CL + 5 n/a
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: (1^
CERTIFICATE OF DESTRUCTION? YES • NO
DATE: S/ZZ^I <^
SMEADSOFT BARCODES DELETED BY: 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
SERVICE LOCATION: / 1
Shreil-IC USA Inc
P C). BcxK 2077
Vista. CA §2(^52077
PHONE 760-5.98-57QQ
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PURGE
BILLED TO:
Of Carfsba^-.Re^ords yanaoemf nf
5815 Ef CamlnOitoal
**N0 SUR-CHMGE
Carlsbad, OA %W^B
o
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.: TRUCK NO.:
f(/uu
CUSTOMER SERVICE REP.: ] y ^i^J^^^ TS
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
o
This year, through Shred-it's
recycling program, your firm
has saved Q trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR ^
YOUR BUSINESS.
HRS. MIN.
SECURING YOUR OFFICE
AND THE ENVIRONMENT