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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2009-05-19RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of 10 Department Requesting Destruction:HUMAN RESOURCES Approvals for Destruction Department Head Date Date 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: PENNY MCKAY No.RECORDS DESCRIPTION Police Chief Management Asst - Fire Community Volunteer Coordinator Police Lateral/Academy Police Lateral/Academy Police Lateral/Academy Fire Division Chief Principal Planner Street Maintenance Worker 1 DATED 2003 8/03 7/03 4/03 10/03 2/04 11/02 7/02 5/03 BOX No. 300 300 300 301 301 301 301 301 301 RRS No. 0850-25 0850-25 0850-25 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 RRS Period CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 BARCODE "ft APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY :_ CERTIFICATE OF DESTRUCTION? Yes Ef No D SMEADLINK BARCODES DELETED BY: (V\s.<wA- DATE DATE: 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 10 No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Senior Librarian Sr. Environmental Specialist Secretary Sanitation Sys Op 1 Street Maint Worker III Senior Planner Senior Engineer Recreation Supervisor II Recreation Supervisor 1 Utility Worker 1 Recreation Specialist Police Records Specialist Management Assistant Cultural Arts Mgr Admin Secretary Accounting Supervisor Paramedic/Firefighter PW Supervisor Police Sgt Police Records Specialist l/ll Police Recruit Police Lt Park Planner Meter Service Worker 1 Management Analyst Management Assistant Maintenance Worker 1 Librarian l/ll Lead Com Op Human Resource Manager 5/03 11/02 4/03 4/03 8/02 8/02 10/02 10/02 4/03 7/03 10/03 8/03 10/03 3/02 8/03 9/03 10/02 4/03 7/03 7/02 5/03 5/03 11/02 12/02 9/02 3/03 8/02 5/03 12/02 12/02 301 301 301 301 301 301 301 301 301 301 301 301 301 301 301 301 302 302 302 302 302 302 302 302 302 302 302 302 302 302 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 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 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 CL+3 CL+3 CL+3 CL+3 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 10 No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Equipment Service Worker Engineering Technician II Environmental Specialist II Deputy Fire Marshal Community Service Officer 1 Community Arts Coordinator Com Op II Business Systems Specialist Associate Engineer Associate Planner Associate Planner Associate Engineer Admin Secretary Account Clerk Deputy City Attorney City Communication Mgr. Budget Manager Admin. Sec - Asst. City Mgr. Admin. Sec -Open Water Systems Op l/ll Com Op 1 Com Op II Police Lateral/Acad. HR Assist. Mgmt. Intern CM Police Chief Fire Engineer Eng Tech II Custodian Com Op II 10/02 9/02 11/02 11/02 4/03 10/02 6/03 12/02 6/02 8/02 1/03 3/03 7/02 10/02 7/03 8/03 8/04 3/03 4/03 4/03 6/03 + 12/03 5/03 + 10/03 6/03 9/03 9/03 8/03 3/04 1/04 2/04 3/04 302 302 302 302 302 302 302 302 302 302 302 302 302 302 303 303 304 305 305 305 306 306 306 306 306 306 307 307 307 307 0850-65 0850-65 0850-25 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-65 0850-65 0850-65 0850-65 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 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 CL+3 CL+3 CL+3 CL+3 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 10 No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Com Op I Admin Secretary Bldg. Maint. Worker Records Management Sp. Environmental Spec. Circulation Spvs Com Op 1 CSO 1 I/I II Communications Vol. Coord Cross Connect Tech PM/FF Syst. Admin Sr. Police Officer Mgmt. Analyst - Finance Fire Battalion Chief Fire Captain Police Officer MWI Mgmt. Analyst Paramedic Firefighter RAM Environmental Prog. Mgr. Com Op 1 Const. Insp. l/ll Fire Captain Asst. Planner Fire Battalion Chief Police Com. Mgr. 12/04 3/04 +4/04 3/04 1/04 2/04 4/04 6/04 and 1/03 7/04 8/04 4/04 5/04 12/03 10/03 10/03 12/03 3/03 3/03 2/04 9/04 9/04 10/04 11/03 5/04 5/04 10/03 12/03 5/04 6/04 12/04 11/03 3/04 12/03 3/04 11/03 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 307 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 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 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 CL+3 CL+3 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 10 No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Mgmt. Analyst Finance Sys. Admin Fire Eng. Eng. Tech II Custodian Com Op II Admin Sec Bid. MW II Sr. Env. Spec Water Sys. Op II Eng. Tech. Utility Worker Recreation Supervisor Sr. Office Specialist OS II Finance Manager Deputy City Clerk/Technician Community Svc. Officer 1 Budget Mgr. Asst. Planner Applications Specialist GIS Police Recruit Communications Oper 1 Police Officer Sr. Office Specialist Building Inspector l/ll Building Tech l/ll Business Sys Specialist Fire Battalion Chief Fire Captain 12/03 10/03 3/04 1/04 2/04 3/04 3/04 4/04 10/04 3/04 2/04 5/04 5/04 11/03 12/03 1/03 1/03 2/05 10/05 10/05 9/05 9/05 11/05 2/05 6/05 6/05 7/05 +12/05 9/05 12/05 9/05 3/05 3/05 307 307 307 307 307 307 307 307 307 308 308 308 308 308 308 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 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 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 CL+3 CL+3 CL+3 CL+3 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 10 No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Mgmt. Analyst Librarian 1 Librarian II Rec Supervisor Librarian l/ll - Reference Librarian l/ll - Cataloging Deputy City Attorney Housing Specialist 1 Lead Communications Oper Rec Specialist Mgmt. Assistant Maintenance Worker 1 Communication Operator 1 Paramedic Firefighter Engineering Technician 1 Office Specialist II Parks Superintendent Police Lieutenant Police Corporal Police Records Spec, l/ll Police Training Coord. Utility Worker 1 Police Recruit Police Lieutenant Communication Operator II Administrative Secretary Maintenance Worker 1 Community Service Officer l/ll Librarian l/ll Recreation Specialist 6/05 + 11/05 11/05 + 1/05 1/05 12/04 +9/05 9/05 10/05 8/04 +3/05 9/05 3/05 1/05 6/05 12/05 12/05 5/05 5/05 3/05 8/05 12/05 2/05 7/05 5/05 12/04 1/04 3/04 1/04 10/03 9/03 6/03 1/03 12/03 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 309 311 311 311 312 312 312 312 312 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-65 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 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 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 CL+3 CL+3 CL+3 CL+3 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 10 No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Building Maintenance Worker II Office Specialist II Senior Environmental Specialist Senior Circulation Specialist Circulation Supervisor PT Office Assistant - Recreation Administrative Secretary - Finance Senior Office Specialist Administrative Assistant-Purchasing Utility Worker 1 Office Specialist II Senior Librarian PT Office Assistant - Finance Construction Inspector l/ll Environmental Program Manager Office Specialist II - Aquatics PT Purchasing Officer Recreation Specialist Police Records Specialist Office Specialist II - Storm Water Engineering Technician II Planning Tech, Assistant/Assoc Planner Senior Office Specialist Office Specialist II Management Analyst Parks Superintendent Police Lieutenant Senior Office Specialist Deputy Librarian Director PW Superintendant - Streets 3/03 3/03 +8/03 1/03 3/03 3/03 2/03 7/02 7/02 8/02 11/02 7/02 7/02 5/02 7/02 8/02 3/02 11/02 9/02 7/02 7/02 10/02 10/02 12/02 12/02 11/04 6/04 12/04 12/04 12/04 10/04 313 313 313 313 313 313 314 314 314 314 314 314 314 315 315 315 315 315 315 315 316 316 316 316 317 317 317 317 317 317 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 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 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 CL+3 CL+3 CL+3 CL+3 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 8 of 10 No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Housing Specialist Building Inspector Deputy City Attorney Deputy City Clerk Lead Communications Operator Finance Manager Librarian l/ll Police Records Specialist Application Specialist Recreation Supervisor PW Inspector Assoc. Engineer GIS Tech Planning Tech Custodian Rec Supervisor Engineering Tech Office Specialist II Sanitation Sys Op Senior Office Specialist Office Specialist II Management Analyst PW Fire Captain Fire Engineer Battalion Chief Emergency Preparedness Coordinator Communication Coordinator Paramedic Firefighter Management Analyst Assistant Planner - Housing 8/04 10/04 1/04 9/04 2/04 1/04 12/04 7/04 11/04 8/04 10/05 3/05 7/05 8/05 9/05 8/05 11/05 7/05 7/05 7/04 7/04 6/04 3/04 3/04 3/04 4/04 12/04 5/04 7/05 8/04 318 318 318 318 318 318 319 319 319 319 320 320 320 320 320 320 320 320 320 321 321 321 322 322 322 322 322 322 322 323 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 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 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 CL+3 CL+3 CL+3 CL+3 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 9 of 10 No RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Business Systems Specialist Police Training Coordinator Police Academy Graduate/Lateral Police Academy Graduate/Lateral Principal Planner Custodian Communication Operator II Paramedic Firefighter Accounting Supervisor Office Specialist II Senior Office Specialist Utility Worker III Buyer Deputy Fire Marshal Construction Inspector Engineering Technician Maintenance Worker 1 Building Technician Community Service Officer Construction Manager Deputy PW Director Deputy City Attorney Crime Analyst Mgr Asst City Mgr Senior Civil Engineer Recreation Specialist Community Coordinator - Library Library Assistant l/ll Paramedic Firefighter Assistant/Associate Planner 9/04 4/04 6/04 2/03 2/03 2/03 3/03 10/03 6/05 4/05 4/05 3/05 4/05 4/05 3/05 10/05 11/04 10/04 9/04 12/05 5/05 12/05 9/05 6/05 7/05 9/05 1/05 2/05 3/05 3/05 323 323 323 324 324 324 324 324 325 325 325 325 325 325 325 325 325 325 325 325 325 326, 326 326 326 326 327 327 327 327 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 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 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 CL+3 CL+3 CL+3 CL+3 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 10 of 10 No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H=HOLD Associate Engineer - LTD Term Police Corporal promo Cross Control Connection Technician Park Maintenance Worker III promo Police Sergeant Accounting Clerk Storekeeper Water Systems Op l/ll Associate Planner Utility Worker 1 Com Op l/ll Com Op l/ll Office Assistant HR Facilities Superintendent Circulation Supervisor Communication Operator 1 Police Recruit Police Officer Academy Grad/Lateral Utility Worker III Library Director Fire Engineer promo Community Service Officer 3/05 2/04 4/05 2/05 2/05 12/05 9/05 12/05 10/05 5/05 6/05 11/05 6/05 7/05 11/05 9/05 3/05 4/05 +6/05 + 11/05 9/05 8/05 3/05 6/05 327 327 327 327 327 327 328 328 328 , 328 328 328 328 328 328 329 329 . 330 330 330 330 330 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 0850-25 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 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 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: Human Resources Approvals for Destruction . '2?. Department Tie .--—'-—<'c^> 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: -r-^&f\ |Worva<_* O No. 1 2x^7 fy: — 4 5 RECORDS DESCRIPTION Full Time Inactive Personnel Files A-Z -&*W*$^^ ^^^^^to^^i^ Part Time Inactive Personnel Files Part Time Inactive Personnel Files DATED 1998 r^^- 2002 2003 BOX No. 400 -7&S&*- 403 404 / RRS No. 081040 •$&&' 081025 081025 RRS Period TE+10 VKf™^ ^^fefc TE+5 TE+5 BARCODE ^ ^P APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY ; C.(vV<»>s'Ocy-v/fva/vV CERTIFICATE OF DESTRUCTION? Yes \& 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 ciisnAs DOCUMENT MANAGEMENT CITY OF CARLSBAD 2351 FARADAY AVE CARLSBAD, CA 920087217 CONTACT: Tanya Bjork - Phone: (760)602-2786 SERVICE PERFORMED Pounds Minutes iVC ' 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 - 80924 05/19/2009 10284 Purge/Onsite Not scheduled. Not scheduled. Yes Yes No No COMMENTS: This certificate is to certify that Cintas Document regulations for the above-mentioned company. M CUSTOMER SIGNATURE: "' X^- — ' SERVICE REP SIGNATURE: ^S_ Management will shred confidential data per customer's instructions and according to 1 IIPAA & GLBA obile destruction services are NAID Certified. Non-Paper destruction services are not NA1D Certified. ^ ^L__J=£? DATE: O^f '^\/&-^~^\ -— ~_ s^~~ "v~- DATE: <^~'7<^ ~®£~) 9455 WAPLCS ST • STE. I 10 • SAN DIEGO, CA 921213924 • Photic: (858)678-0460 • Fax: (858)678-0894