HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Contract Administration; 2009-01-06 (2)City Clerk/Records Management
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RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: P W ADMINISTRATION
Approvals for Destruction
"Department HeadXUnda Kermott, PW Manager Date
- 0 fr
ecords 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 - FY02/03
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
ASPHALT REPAIR - STS0203-02
CMWD CONCRETE FLATWORK-
FAC03-08
CONCRETE REPAIR - STS0203-01
CONCRETE REPAIR - REBID -
STS0203-01
CONSTRUCT UNDER STORM DRAIN
FROM EXISTING CULVERT ON CREST
DRIVE TO EXISTING CONCRETE BROW
DITCH TO EAST - PWM03-1 1 ENG
DEMOLITION AND DESTRUCTION OF
WATER WELLS - 3903-1
FURNISHING AND INSTALLING A NEW
ROOF AT THE CARLSBAD SENIOR
CENTER - FAC03-05
LA COSTA CANYON PARK STAIRS RE-
CONSTRUCTION PROJECT - PKS03-02
PALOMAR AIRPORT ROAD AND LA COSTA
AVENUE DRAINAGE IMPROVEMENTS -
3865
RANCHO SANTA FE ROAD NORTH,
PHASE I -31 90
RECONSTRUCTION OF TRELLIS AND
HISTORIC SHELTER - PKS03-03
DATED
09/16/02
01/28/03
01/28/03
02/21/03
10/28/02
04/30/03
11/25/02
10/24/02
12/05/02
10/31/02
04/01/03
BOX
No.
1 /
1210
1 /
1210
1 /
1210
1 /
1210
1210
1210
1 /
1210
1 /
1210
1 /
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1 /
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1210
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+H
AU + H
AU + H
AU + H
AU + H
AU + H
AU + H
AU + M
AU + H
AU+H
AU + M
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 of2
WORKING FOLDERS FOR RECORD DESTRUCTION - FY02/03
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
RECORDS DESCRIPTION
REHABILITATION OF NORTH AGUA
HEDIONDA INTERCEPTOR SEWER -
EASTERN SEGMENT- 3874-1
RE-ROOF SAGECOACH PARK FACILITY -
FAC03-03
STREET LIGHT ON BRANTA AVENUE
(PWM03-01STS) - STS02-07
TRAFFIC SIGNAL AT CALLE BARCELONA
AND PASEO ALISO - 3894-1
TRAFFIC SIGNAL AT CANNON ROAD AND
CAR COUNTRY DRIVE - 3906-1
WATER FOUNTAIN PUMP REMOVAL AND
RECONFIGURATION AND REDO ENTIRE
ELECTRICAL SYSTEM FOR NEW PUMPS -
PKS03-09
PINE SCHOOL SITE DEMOLITION - 3802-2
PLAYGROUND EQUIPMENT UPGRADES
AT VARIOUS PARK SITES - PKS02-05
2002/03 STREET SEALING PROJECT -
3667-6
CONSTRUCTION OF THE 2003/04 STREET
OVERLAY - 3667-7
NORTH HEDIONDA-NORTH AGUA
HEDIONDA INTERCEPTOR SEWER
REHABILITATION EASTERN SEGMENT -
3537-1
PAVEMENT OVERLAY OF PALOMAR
AIRPORT ROAD, EL CAMINO REAL AND
PASEO DEL NORTE - 3667-5
SENIOR CENTER COURTYARD
LANDSCAPE RENOVATION - 3861-1
SOUTH HEDIONDA SEWER INTERCEPTOR
(SAHI) REACH II, PHASE III, STATION 15
TO 73 - 3583-2
STATION 5 STORAGE BUILDING AND
SKATE PARK RESTROOMS - 3688
SUNNYHILL DRIVE DRAINAGE
IMPROVEMENTS - 3839
DATED
06/16/03
08/16/02
08/23/02
06/05/03
07/01/03
06/03/03
07/02/02
09/19/02
01/29/03
04/24/03
10/02/02
07/01/03
05/30/03
10/10/02
06/12/03
07/09/03
BOX
No.
1/
1210
1 /
1210
1 /
1210
1/
1210
1/
1210
1/
1210
21
1211
3/
1212
4/
1213
4/
1213
4/
1213
4/
1213
4/
1213
4/
1213
4/
1213
4/
1213
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
RRS
Period
AU+H
AU + M
AU+M
AU + H
AU+H
AU + 4
AU+H
AU+M
AU + H
AU + H
AU + H
AU + M
AU + H
AU+H
AU + M
AU + 4
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
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY : ^>V\ rx? A Fc^rxa /C\
CERTIFICATE OF DESTRUCTION? Yes |£f No D
SMEADLINK BARCODES DELETED BY: /\A
DATE
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes
C ' 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