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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2009-01-06RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page I of 7 Department Requesting Destruction: Risk Management Approvals for Destruction 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: Janet Gage-Jones *» No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 RECORDS DESCRIPTION ARL INC. Hit Fire Hydrant Loss Recovery BERG, Michael - Hit Street Sign Loss Recovery BRAZIER, Joseph - Hit Sign Loss Recovery BUDGET RENT-A-CAR - Hit Fire Hydrant Loss Recovery BURNETT, JR., John - Hit sign Loss Recovery CHAVIS, Mark - Hit Light Pole Loss Recovery CREEK CARRIERS - Hit Hydrant Loss Recovery DECINO, Tom - Hit City Vehicle Loss Recovery DIAMOND, Eric - Hit City Vehicle Loss Recovery DOYLE, Timothy - Hit Sign Loss Recovery ECKER, Karl - Hit Vegetation Loss Recovery HERNANDEZ, Norberto - Hit Sign Loss Recovery HERNANDEZ, Jerene - Hit City Vehicle Loss Recovery HILL, Bernice - Hit Fire Hydrant Loss Recovery DATED Closed 12/19/03 Closed 9/17/01 Closed 5/2/04 Closed 10/9/01 Closed 1/25/04 Closed 6/30/03 Closed 3/5/04 Closed 10/9/03 Closed 6/23/03 Closed 6/11/04 Closed 10/9/01 Closed 4/17/01 Closed 3/27/03 Closed 10/26/03 BOX No. RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RRS No. 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 RRS Period CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 BARCODE 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 7 Person(s) Completing Form: Janet Gage-Jones No. 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 RECORDS DESCRIPTION HOANG, Jolina - Hit City Vehicle Loss Recovery CITY OF CARLSBAD HOUSING & REDEVELOPMENT - Corrupted server/hard drive loss of 7/13/01 Loss Recovery JONES, Joshua - Hit Vegetation Loss Recovery KELLEY, John - Hit Fire Hydrant Loss Recovery LADUKE, Deborah - Hit Sign Loss Recovery LEAK, Deborah - Hit Trees Loss Recovery LEFTWICK, Cynthia - Hit Fire Hydrant Loss Recovery CITY OF CARLSBAD LIBRARY - Burglary at Cole Library Loss Recovery from Carrier MASON, Jeffrey - Hit Sign Loss Recovery MENDOZA, Anselmo - Hit Sign Loss Recovery MEYERS, Robert - Hit Signal Loss Recovery BUDGET RENT-A-CAR - Hit Fire Hydrant Loss Recovery NAVARRO, Richard - Hit City Vehicle Loss Recovery OBST, Erica - Hit City Vehicle Loss Recovery PATTERSON, Kevin - Hit Fire Hydrant Loss Recovery PEREZ, Humberto - Hit Signs and a City Vehicle Loss Recovery PEREZ, Martin - Hit Fire Hydrant Loss Recovery RADKOVICH, Militza - Hit Sign Loss Recovery ROBSON, Ian - Hit Fire Hydrant Loss Recovery ROSEN, Dorothy - Hit Sign Loss Recovery SAPP, Joyce - Hit City Vehicle Loss Recovery SIMMS, Laura - Hit Fire Hydrant Loss Recovery SMITH, Noah - Hit Sign Loss Recovery SPENSER, Richard - Hit Street Light Loss Recovery STEIN, Ira - Hit Fire Hydrant Loss Recovery DATED Closed 12/4/02 Closed 10/31/01 Closed 4/23/01 Closed 1/25/04 Closed 3/26/03 Closed 11/8/02 Closed 11/2/03 Closed 10/29/01 Closed 8/11/03 Closed 6/14/02 Closed 1/10/04 Closed 4/1/03 Closed 11/16/01 Closed 12/12/03 Closed 3/3/02 Closed 10/12/04 Closed 7/18/03 Closed 1/25/04 Closed 8/26/04 Closed 6/11/04 Closed 1/10/04 Closed 5/20/03 Closed 6/11/02 Closed 6/12/02 Closed 1/31/05 BOX No. RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 200.7 RM 2007 RM 2007 RM 2007 RRS No. 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 RRS Period CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 BARCODE 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 7 Person(s) Completing Form: Janet Gage-Jones No. 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 RECORDS DESCRIPTION TALBOT, Kenneth Andrew - Graffiti Loss Recovery THOMPSON, David - Hit Sign Loss Recovery TRADER PUBLISHING CO. - Hit Vegetation Loss Recovery TRAUTVETTER, Turk - Hit Vegetation Loss Recovery VANDERPOL, Eugene - Hit Vegetation Loss Recovery VELASQUEZ, Maria - Hit Traffic Signal Loss Recovery WELCH, Ryan - Hit City Vehicle Loss Recovery WEST COAST REFRIGERATED - Hit City Vehicle Loss Recovery 1SI KLASS PET SALON - Sewer/Water AAA (E. Jones) - Vehicle Collision AAA (Wadsworth) - Vehicle Collision AHLFORS, Kathleen - Trip/Fall ANSON, Elaine - Sewer/Water AYALA, Andrew - Sewer/Water BAUR, Zachary Paul - Trip/Fall BEIMER, Sharon - Vehicle Collision BENKLE, llene- Trip/Fall BERRY, Shanen - Vehicle Comprehensive BONNER, Sonsaray - Vehicle Comprehensive BRACKEN, Elaine - Law Enforcement BRENNAN, Michael - Vehicle Collision CARTER, Aggie - Vehicle Comprehensive DELAND, Susan - Vehicle Comprehensive DOUGLAS, Patricia - Vehicle Collision DRABEK, Thomas - Vehicle Collision DATED Closed 8/14/04 Closed 3/20/05 Closed 11/27/04 Closed 11/26/03 Closed 11/27/04 Closed 1/25/04 Closed 2/7/03 Closed 4/17/05 Closed 8/30/02 Closed 1/28/03 Closed 12/17/02 Closed 2/11/03 Closed 3/31/03 Closed 2/28/03 Closed 10/31/02 Closed 5/5/03 Closed 12/2/02 Closed 4/30/03 Closed 12/2/02 Closed 12/2/02 Closed 12/30/02 Closed 4/30/03 Closed 3/29/02 Closed 12/30/02 Closed 10/31/02 BOX No. RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RRS No. 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCODE 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 4 of 7 Person(s) Completing Form: Janet Gage-Jones No. 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 RECORDS DESCRIPTION El CAMINO ESTATES - Other EPPLER, Kenneth - Vehicle Comprehensive ESPINOZA, Eileen -Vehicle Collision FAN, Pin - Vehicle Collision FARKAS, Rita - Vehicle Collision FARMERS (Schipke) - Vehicle Collision FITZGERALD, Florabel - Trip/Fall FRANCK, Michael - Vehicle Comprehensive GREEN, Sherry- Law Enforcement HALL, Ruthanne - Vehicle Collision HEARING AID DISPENSERS - Sewer/Water HEINRICH, Tom - Law Enforcement HOLLAND, Marlene - Vehicle Collision HOWES, Sarah - Vehicle Collision HYSONG, Anne -Trip/Fall JOHNSON, Gregory - Sewer/Water JOY, Andre - Vehicle Collision LAUER, Calvin - Vehicle Collision LAURENT, Jr., Melvin - Other LE, Norman - Vehicle Collision LENOCI, Barbara - Vehicle Comprehensive LEPP, Brian & Penny - Sewer/Water LEVY, Bertha Michele - Trip/Fall MARX, Gary - Vehicle Collision MENIKHEIM, Jason - Vehicle Comprehensive DATED Closed 3/17/03 Closed 12/18/02 Closed 6/25/03 Closed 9/27/02 Closed 4/30/03 Closed 5/15/03 Closed 8/19/02 Closed 10/8/02 Closed 11/18/02 Closed 10/3/02 Closed 7/17/02 Closed 10/31/02 Closed 4/30/03 Closed 5/15/03 Closed 8/30/02 Closed 2/26/03 Closed 9/27/02 Closed 8/30/02 Closed 4/21/03 Closed 12/3/02 Closed 12/30/02 Closed 12/30/02 Closed 6/26/03 Closed 12/30/02 Closed 6/18/03 BOX No. RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2007 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCODE 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 5 of 7 Person(s) Completing Form: Janet Gage-Jones No. 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 RECORDS DESCRIPTION MISCALL, Kimberly - Vehicle Collision MONTANYA, Paula - Law Enforcement NATIONS, Suzanne - Trip/Fall NOLAN, Michael - Vehicle Collision ODO-AMEN, Setsuko - Vehicle Collision PACIFIC BELL - Sewer/Water PALISOUL, Pamela - Vehicle Comprehensive PALMER, Frank - Tree PENA, Laura - Vehicle Collision PLOESER, Deborah - Sewer/Water PRUITT, Michael & Theresa - Sewer/Water RAGUSA, Shirley - Trip/Fall RUGGIERO, Beth - Vehicle Collision RUPERT, Janice - Vehicle Comprehensive SAKAUYE, Matt - Vehicle Collision SAN DIEGO GAS & ELECTRIC - Other SANCHEZ, Roy -Trip/Fall SCHULKEN, Robert - Law Enforcement SCHULTZ, James - Vehicle Collision SIMEK, Bob - Other SPIEKER PROPERTIES - Sewer/Water STATE FARM (Whelpt) - Vehicle Collision STILLMAN, Judy -Other SZABO, Thomas - Vehicle Collision TOM, Leonard - Sewer/Water DATED Closed 12/30/02 Closed 6/26/03 Closed 7/31/02 Closed 1/15/03 Closed 6/26/03 Closed 12/17/02 Closed 3/11/03 Closed 12/30/02 Closed 5/27/03 Closed 4/30/03 Closed 7/17/02 Closed 4/2/03 Closed 1/28/03 Closed 6/18/03 Closed 6/18/03 Closed 4/9/03 Closed 12/5/02 Closed 4/30/03 Closed 1/7/03 Closed 4/30/03 Closed 12/30/02 Closed 4/9/03 Closed 6/30/03 Closed 12/30/02 Closed 1/7/03 BOX No. RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCODE 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 6 of 7 Person(s) Completing Form: Janet Gage-Jones No. 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 RECORDS DESCRIPTION TRACY, Peggy - Trip/Fall IRAN, Lan - Vehicle Collision TRAVELERS (Danette) - Sewer/Water UNION BANK OF CALIFORNIA - Sewer/Water VALLAIRE, Robin - Vehicle Collision VERKLEEREN, John - Sewer/Water VI NZANT, Marian -Tree WADSWORTH, Paula - Vehicle Collision WEBSTER, Lori - Vehicle Collision WELLS, Robert -Other WOLFSON, Deborah - Vehicle Collision WRIGHT, Gina - Vehicle Comprehensive WRIGHT, Kelley - Vehicle Collision CRAIG, Leah - Tri/Fall DEWHURST - Law Enforcement GRIVAS, W., EHLINE, M., and AMERICAN LIMO SVC - Law Enforcement HOLFORD, Erica - Trip/Fall JEX, Ina - Trip/Fall OBERHOLTZ, Glenn - Trip/Fall REDMAYNE-TITLEY, Brett - Other RICHARDS, David - Law Enforcement SEKELA, Fran - Trip/Fall ADAME, Abel J. - Vehicle Collision ANTHONY, Mark -Other BLANCHARD, Steven - Other DATED Closed 4/30/03 Closed 8/30/02 Closed 1/7/03 Closed 3/31/03 Closed 1/15/03 Closed 12/18/02 Closed 4/30/03 Closed 1/7/03 Closed 9/27/02 Closed 3/31/03 Closed 5/23/03 Closed 2/28/03 Closed 9/27/02 Closed 10/31/00 Closed 4/27/01 Closed 5/7/01 Closed 10/30/00 Closed 7/31/00 Closed 5/8/01 Closed 11/30/00 Closed 3/31/01 Closed , 3/30/01 Closed 4/16/99 Closed 8/27/02 Closed 9/13/90 BOX No. RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2008 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+5 CL+5 CL+5 BARCODE 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 7 of 7 Person(s) Completing Form: Janet Gage-Jones No. 140 141 142 143 144 145 146 147 148 149 150 151 152 RECORDS DESCRIPTION CAFARELLA, Jarrod - Other COONEY, Sean - Trip/Fall DELINGER, Travis - Vehicle Collision HERBERT, Joan - Vehicle Collision JONES, Marcia - Law Enforcement KILLION, Wendy -Other OLIVER, Todd -Vehicle Collsiion PERKINS, Jason - Other SMITH, Loretta - Vehicle Collision SNYDER, Bradley - Other STELLETELLO, Sam - Vehicle Collision VALDAVIA, David - Law Enforcement WERNER, James -Trip/Fall DATED Closed 9/16/86 Closed 9/14/00 Closed 12/27/97 Closed 4/10/88 Closed 9/28/96 Closed 1/19/00 Closed 1/6/87 Closed 10/13/95 Closed 1/10/93 Closed 3/4/86 Closed 10/2/86 Closed 1/27/99 Closed 3/17/86 BOX No. RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RM 2009 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-50 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+7 CL+5 CL+5 CL+5 CL+5 BARCODE APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY :_ CERTIFICATE OF DESTRUCTION? Yes H No D SMEADLINK BARCODES DELETED BY: Mas DATE 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 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 oo 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