HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2009-05-19 (2)RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of2
Department Requesting Destruction: f| g CO <~{X§ A1 ^j kytr.
Approvals for Destruction
5"-
Jrfj-/Department Head Date
J/j/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: Debra Doerfler
No.
u
V__^-*"
RECORDS DESCRIPTION
Agendas Council
Agendas (Split Pavilion Committee)
Agendas Design Review Board/Arts Commission
Bids (rejected) Hubbell proposal for sculpture
Appraisal: 3213 Eureka Place
Appraisals: 3310, 3334, 3368, 3374, 3213, 3266
Eureka Place & 1042, 1060 Chestnut Street
Reports & Studjgs: Water supj3ly-*vlsdistributj0»- —
-'system — •"""^ -^"^
^Apprajs^al/Valu^tknTTCxMand w/inj^ftebad for_^^-
varioustrsCaTyears begirmrrtg~'T929 thru T9S3
Report: Reconstruct the fire damaged magee
house
DATED
Jan - Dec
2003
1992
1998
1986
1977
1972
~^§Q____^,
-r9S3
^*~« „ —
1975
BOX
No.
2009
DX1
2009
DX1
2009
DX1
2009
DX1
2009
DX1
2009
DX1
-2603-
DX1
20Q9_
--15X1
2009
DX1
RRS No.
0750-10
0305-40
0320-
40/0310-
40
0470-50
0770-10
0770-10
_j2ia«ao__
0770-10
0470-99
RRS
Period
CU + 5
CD + 5
CU + 5
CL+2
CL + 2
CL + 2
-6thF^
CL + 2x_^~--
CU + 2
BARCODE
K0204421
K0203552
n/a
n/a
n/a
n/a
n/a
-*fa — /f*f>
J^L-O^tS
n/a
APPROVED By
City Attorney
H=HOLD
)
P
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
Person(s) Completing Form: Debra Doerfler
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
Agendas: Harbor Commission & Public Works
Commission
General information (CMWD)
Correspondence (CMWD)
Affidavits of publication
Appraisal: market data study/appraisal report
1958-59
1958-
1991
1952-
1984
1954
5/30/1986
2009
DX2
2009
DX2
2009
DX2
2009
DX2
2009
DX2
0305-40
1200-10
1200-15
0740-20
0770-10
CU + 5
CU + 2
CU + 2
CU + 4
CL + 2
n/a
n/a
n/a
n/a
n/a
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? Yes (Sf No D
SMEADLINK BARCODES DELETED BY:
DATE : cs^/f Q
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
ciNiAs
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
O
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 Management will shred confidential data per customer's instructions and according to HIPAA & GLBA
regulations for the above-mentioned company. Mobile destruction services arc NAID Certified. Non-Paper destruction services are not NAID Certified.
CUSTOMER SIGNATURE:
SERVICE REP SIGNATURE:
9455 WAPLCS ST • STH. I 10 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894