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Home My WebLink About; ; Records Destruction Authorization Form-Library & Cultural Arts; 2009-05-19 (2)RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of3 Department Requesting Destruction: Volunteer Services - Cole Library Approvals for Destruction Deparnnpi Head Date jto/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 f*\ ^ VA. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 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 Volunteer Application Volunteer Application DATED 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 BOX No. 200<? ' DX! / I ^ tifeSNo. 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 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 CL+3 BARCODE LC000041 LC000055 LC000058 LC000083 LC000113 LC000136 LC000169 LC000171 LC000178 LC000187 LC000188 LC000190 LC000192 LC000196 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 3 Person(s) Completing Form: Janice Jeray 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 Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application DATED 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 2005 BOX No. 200*1 DX 1 / _ V 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 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 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 LC000198 LC000200 LC000209 LC000210 LC000213 LC000214 LC000216 LC000217 LC000219 LC000220 LC000221 LC000222 LC000223 LC000225 LC000226 LC000227 LC000229 LC000232 LC000233 LC000234 LC000235 LC000238 LC000239 LC000240 LC000249 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 of3 Person(s) Completing Form: Janice Jeray No. 40 RECORDS DESCRIPTION Volunteer Application Included - 67 Volunteer Applications (never placed and not entered in SmeadLink) DATED 2005 2005 BOX No. IffO6!'c?y / 4, RRS No. 0860-80 0860-80 RRS Period CL+3 CL+3 BARCODE LC000250 NONE APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY : CERTIFICATE OF DESTRUCTION? Yes D N SMEADLINK BARCODES DELETED BY: DATE: 5/ZZ/fcy 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 I Department Requesting Destruction: LIBRARY Approvals for Destruction Department Head 1/21/09 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: ^ Cissie Sexton - Administrative Secretary, Carlsbad City Library * No.RECORDS DESCRIPTION 2 boxes of applications for part time employment (Library recruitments) DATED Jan-Dec 2005 BOX No. *&? RRS No. 0850-25 RRS Period CL+3 BARCODE APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY : CERTIFICATE OF DESTRUCTION? Yes D No D SMEADLINK BARCODES DELETED BY: DATE: 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 CERTIFICATE OF DESTRUCTION SERVICE TICKET #: DATE: CUSTOMER tt: 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 IIIPAA & GLI3A 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: 9455 VVAPLTS ST • STC. I 10 • SAN DIFGO. CA 92121.1924 • Phone: (858)678-0460 • Piix: (858)678-0894