HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2009-01-06RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of2
Department Requesting Destruction:
0
Approvals for Destruction
/Department Head Date
Records Manager Date
- C. -
Attorney 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.
Person(s) Completing Form: /( ) X ) / /Av. /L/CJL^U^ L-
No.RECORDS DESCRIPTION
Misc Correspondence, transmittals CT 74-4, 72-
13,74-22,74-25,
Misc Correspondence, transmittals CT 75-09, 76-
04, -06, CT 81-16, 81-46, 83-01,
Misc Correspondence, transmittals CT 83-2
Misc Correspondence, transmittals CT 85-24
SANDAG; REGULATORY AGENCIES
COUNTY OF SAN DIEGO; REGULATORY
AGENCIES. Notices of defaulted property
Misc Correspondence, Transmittals re: lot splits,
adjustment plats, CMWD,
99 SUBDIVISION - GENERAL info,
correspondence
99 SUBDIVISION POLICIES - GENERAL info,
correspondence
99 SUBDIVISION ORDINANCE & REVISIONS
GENERAL info, correspondence
DATED
1974-
1987
1979-
1998
1979-
1998
1979-
1998
1984-
1990
1984-
1990
1968-80
1976-
1983
1960-
1978
1976-
1986
BOX
No.
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
RRS No.
0750-06
0750-06
0750-06
0750-06
0230-70
0230-70
0750-06
0750-06
0750-06
0750-06
RRS
Period
CU+2
CU+2
CU+2
CU+2
CU + 2
CU+2
CU+2
CU+2
CU+2
CU+2
BARCODE
N/A
N/A
N/A
N/A
n/a
n/a
n/a
n/a
n/a
n/a
APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 2 of2
Person(s) Completing Form:
No.RECORDS DESCRIPTION
Affidavits of publication
Claim: Delpy, Charlotte closed 2/28/02
Public Comment
Correspondence/Petitions
Campaign statements (not elected) Richard Gann,
Larry Stapleton, Mona Kuljurgis, Norman Weiss
Public Records Requests (3 files)
DATED
1964-
1972
2002
2003
2006
2000-
2002
2006
BOX
No.
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
2008-
DX8
RRS No.
0740-20
0745-20
0750-07
0750-06
0730-40
0130-50
RRS
Period
CU + 4
CL+5
5
CU + 2
E+7
CU + 2
BARCODE
n/a
n/a
203678
206887 "
202609^
100384,'
205783^
207005,^
206861 ,'
206948 '
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY : "SiAfs? A^orccL/C }r\\& ^
CERTIFICATE OF DESTRUCTION? Yes $5 No D
SMEADLINK BARCODES DELETED BY: -"TSA^a ^',O^t_
DATE : <^>\/c>(a/9=x^Q\
DATE: o\/c=VSC>o.S•" HJ--- j ,
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
CINCAS
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes
SVC'D _ADD'L~
CERTIFICATE OF DESTRUCTION
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
OOG36 - 66715
01/06/2009
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
COMMENTS:
This certificate is to certify that Cintas Document Management will shred confidential data per customer's instructions and according to HIPAA & GLBA
regulations for the above-mentioned company. Mobile destruction services are NAID certified. Non-Paper destruction services are not NAID certified.
CUSTOMER SIGNATURE:
SERVICE REP SIGNATURE:
DATE: /
DATE:
9455 WAPLES ST • STE. 110 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894