HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Contract Administration; 2009-01-06 (3)RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 3
Department Requesting Destruction: P W ADMINISTRATION
Approvals for Destruction
DepartmenLHea^ - Linda Kermott, PW Manager Date
lecords 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.
WORKING FOLDERS FOR RECORD DESTRUCTION - FY01/01 & FY01/02
Person(s) Completing Form:
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administration
No.
1
2
3
4
5
6
7
8
9
10
11
RECORDS DESCRIPTION
EXHAUST FANS - FAC02-16
VOICE AND DATA CABLING - PWM03-02-IT
ASPHALT SURFACE PATCHING/TRENCH
REPAIR -STS01-02
BACKSTOP AND FENCING/GATES -
PKS02-02
CARRILLO RANCH PHASE II [NEGOTIATED
CONTRACT -34561 -2
CARRILLO RANCH PHASE II [NEGOTIATED
CONTRACT- 34561 -2B
CHARLEEN CIRCLE - 3623/3679
CHESTNUT AVENUE PARKWAY
IMPROVEMENT -3851
CITY OF CARLSBAD PUBLIC WORKS
CENTER AND STATION 5 STORAGE
BUILDING AND SKATE PARK RESTROOMS
- 3572, 3688
CONSTRUCTION OF SIDEWALKS, STREET
LIGHTING AND MEDIAN LANDSCAPE ON
ALGA ROAD, FINDING OF
ENVIRONMENTAL COMPLIANCE - 3560,
36 16 AND 3637
EL CAMINO REAL AND CAMINO VIDA
ROBLE LEFT-TURN LANES - 3812-1
DATED
05/20/02
N/A
10/25/01
11/19/01
09/27/01
09/27/01
11/27/01
03/07/02
03/28/02
10/04/01
05/28/02
BOX
No.
1 /
1210
1/
1210
21
1211
21
1211
21
1211
21
1211
21
1211
21
1211
21
1211
21
1211
21
1211
RRS No.
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
RRS
Period
AU + M
AU + H
AU + M
AU + H
AU + H
AU + M
AU+M
AU + <4
AU+q
AU + H
AU + ^
^
BARCODE
N/A
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 of 3
WORKING FOLDERS FOR RECORD DESTRUCTION - FY01/01 & FY01/02
Person(s) Completing Form:
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administration
No.
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
RECORDS DESCRIPTION
EL CAMINO REAL AND ORION STREET
GUARD RAIL INSTALLATION AT
MISCELLANEOUS LOCATIONS
I-5 CAR COUNTRY LANDSCAPE
IMPROVEMENTS
POINSETTIA COMMUNITY PARK
POINSETTIA LANE OVERHEAD WIDENING
POINSETTIA PARK SOCCER FACILITY
AND STAGECOACH PARK TENNIS
FACILITY UPGRADES
RANCHO SANTA FE ROAD NORTH, PHASE
I (CLEARING)
REMOVAL OF ONE 1,000 GALLON NEW
OIL STORAGE TANK
THERMOPLASTIC CROSSWALK
INSTALLATION
THERMOPLASTIC CROSSWALK
INSTALLATION
TRAFFIC SIGNAL AT AVIARA PARKWAY
AND KINGFISHER LANE
TRAFFIC SIGNAL AT CARLSBAD VILLAGE
DRIVE AND PONTIAC
CARPET AT FIRE STATION NO. 5
CLEAN, TOUCH-UP WORN SECTIONS OF
GAME LINES AND RE-COAT (TWO COATS)
WOOD FLOOR AT THREE FACILITIES
GENERATOR REPLACEMENT AT CITY
HALL
HERITAGE HALL AND GRANARY
REMODEL
INTALL NEW AND REMOVE OLD VOICE
AND DATA CABLING AS RELATED TO
RENOVATION EFFORTS AT VARIOUS CITY
FACILITIES - IT02-01
LABOR, MATERIALS AND EQUIPMETN TO
PROVIDE TEMPORARY ELECTRICAL
SERVICE - REC02-01
NEW GYMNASIUM EQUIPMENT AT
CALAVERA COMMUNITY CENTER -
FAC02-15
NEW ROOF AT FIRE STATION NO. 5 -
FAC02-04
POOL IMPROVEMENTS AT THE
CARLSBAD SWIM COMPLEX - FAC02-12
DATED
11/29/01
06/11/02
02/04/02
N/A
06/07/01
05/20/02
11/20/01
01/19/01
12/05/01
06/28/02
01/29/02
09/19/01
07/09/01
11/08/01
08/06/01
11/15/01
06/20/01
05/14/02
06/05/02
11/07/01
02/04/02
BOX
No.
21
1211
21
1211
21
1211
21
1211
21
1211
21
1211
21
1211
21
1211
•21
1211
21
1211
21
1211
21
1211
3/
1212
3/
1212
3/
1212
3/
1212
3/
1212
3/
1212
3/
1212
3/
1212
\a\a
RRS No.
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
CM'lo-i-\?
RRS
Period
AU + 4
AU + 4
AU + <-\
AU+M
AU + M
AU + 4
AU+H
AU+H
AU + 4
AU + 4
AU + H
AU+4
AU + L\
AU + 4
AU + M
AU+ M
AU + 4
AU + 4
AU+ M
AU + ^A
fVJ-^-A
BARCODE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
sVA
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 3 of 3
WORKING FOLDERS FOR RECORD DESTRUCTION - FY01/01 & FY01/02
Person(s) Completing Form:
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administration
No.
33
34
35
36
37
38
39
40
RECORDS DESCRIPTION
PREP AND PAINT EXTERIOR OF
STAGECOACH COMMUNITY CENTER ETC
- FAC09-09
REMODEL CHASE FIELD RESTROOM AND
SNACKBAR FACILITY - FAC02-06
REMOVE AND INSTALL CARPETING AT
SAFETY CENTER - FAC02-14
REMOVE AND REPLACE CORRODED
CONDENSER COILS FOR THE 30 TON
CARRIER UNIT AT THE SENIOR CENTER -
FAC02-1 1
REMOVE EXISTING CARPET AND
REPLACE WITH NEW CARPET AT HCC
MAIN & D BLDGS - FAC02-05
SENIOR CENTER CARPETING - FAC02-02
WINDSCREEN - PKS02-06
CARLSBAD WATER RECYCLING FACILITY
- 3675-2
DATED
12/01/01
12/18/01
02/25/02
11/02/01
08/13/01
07/13/01
04/25/02
04/23/02
BOX
No.
3/
1212
3/
1212
3/
1212
3/
1212
3/
1212
3/
1212
3/
1212
4/
1213
RRS No.
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
0470-45
RRS
Period
AU+4
AU + M
AU + 4
AU + M
AU+ L\
AU + M
AU + H
AU+M
BARCODE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY : -SKv^d Porco.
CERTIFICATE OF DESTRUCTION? Yes CJT No D
SMEADLINK BARCODES DELETED BY: o/a
f CiA-+6,i DATE : oK/ots/tSooS
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: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes
SVC'D _ADD'L
CERTIFICATE OF DESTRUCTION
o<
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