HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Construction Management & Inspection; 2009-05-19RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: Construction Mgmt & Inspections
Approvals for Destruction
Date
.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.
Kim Stankavich
Person(s) Completing Form: \ / ^--^ci(/\fV\ 7*
No.RECORDS DESCRIPTION-'
/? <N /
^J&utAck^ \X ^
V
Expired Certificates of Insurance
DATED
2005-06
BOX
No.
CMI
09 #1
RRS No.
0470-30
RRS
Period
EX2
BARCODE
NA
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? Yes ET No D
SMEADLINK BARCODES DELETED BY:
/V\vm4~ DATE :
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: PW Construction Mgmt & Inspections
Approvals for Destruction
Departme Date
Date
C-
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: > / x-~L. ts
No.
1
RECORDS DESCRIPTION
Haul Route Permits 2007
rtfluJ R/wk. &rw«.k 2ooU
-ck-
DATED
2007
ZooW
BOX
No.
CMI
HR
09 #1
Cftxt
H4 ot
*t
RRS No.
1000-75
(ooo-?r
^RRS
Period
CL+2
OJ-Z.
BARCODE
/
APPROVED By
City Attorney
H-HOLD
RECORD DESTRUCTION COMPLETED BY :.
CERTIFICATE OF DESTRUCTION? Yes H No CJ
SMEADLBVK BARCODES DELETED BY:
(V\A/nVDATE :
DATE:
T/i/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
CERTIFICATE OF DESTRUCTION
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes
VC ' D ADD ' L
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
OOG36 - 80924
05/19/2009
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
COMMENTS :
This certificate is to certify that
regulations for the ahove-mentu
CUSTOMER SIGNATURE:
Cintas Document Management will shred confidential data per customer's instructions
med company. Mobile destruction services are NAID C'ertified. Non-Paper destruction
X^-l__
SERVICE REP SIGNATURE: £?_ ~L ^=^"" __ ,' ^_
and according to H1PAA & GLBA
services are not NAID Certified.
DATE : O^/ ^-\/&-^~^:\
DATE: Si "Y ^ •~d'=^
'M55 WAPLES ST • STE. I 10 • SAN DIFGO. CA 92I2I.W24 • Plioiic: (858)678-0460 • Fax: (858)678-0894