HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2009-01-06RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 2
Department Requesting Destruction: Volunteer Services - Cole Library
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: Janice Jeray, Volunteer Services . 0\^ —
No.
1
2
3
4
5
6
7
8
9
10
11
12
RECORDS DESCRIPTION
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Volunteer Application
Included - 82 Volunteer Applications (never placed
and not entered in Smeadlink)
DATED
2004
2004
2004
2004
2004
2004
2004
2004
2004
2004
2004
2004
2004
BOX
No.
§?l*
1
RRS No.
0860-80
0860-80
0860-80
0860-80
0860-80
0860-80
0860-80
0860-80
0860-80
0860-80
0860-80
0860-80
0860-80
RRS
Period
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
BARCODE
LC000088 "
LC000181 '
LC000182-
LC000184'
LC000185'
LC000191--
LC000199'
LC000201 -
LC000202'
LC000203 •
LC000204'
LC00024-r
NONE
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
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes II1-GSVC'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