HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2009-01-06City Clerk/Records Management
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RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: _HUMAN RESOURCES_
Approval$?foc>Pesjt ruction
Department Head Date
Records Manager Date
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:
TANYA BJORK
No.
1
2
3
4
RECORDS DESCRIPTION
CLERICAL STUDY/POLICE RECORDS &
PERMIT CLERK POSITIONS
COMPENSATION & BENEFITS INFO
YVONNE MERRITT RECORDS/CLERICAL
STUDY
WATSON WYATT STUDY PERFORMANCE
MANAGEMENT & COMPENSATION
DATED
1990-
1999
1980-
1999
1990-
1993
1996-
1997
BOX
No.
1170
1173
1174
1176
RRS No.
0820-70
0820-05
0820-70
0820-70
RRS
Period
SU+5
CU+5
SU+5
SU+5
BARCODE
N/A
N/A
N/A
N/A
1*
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? Yes ET No
_ /C. «DATE :
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
CJNlAS
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone:
SERVICE PERFORMED
Pounds
Minutes • O<
(760)602-2786
JVC'D_ADD'L! (OI / 7 -
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 H1PAA & 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