HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2003-05-23L
City Clerk/Records Management
Page 1 of 7
OFFSITE/ONSITE RECORDS DESTRUCTION REQUEST
Approved for Destruction 9-45 03
5 79.-2’od3
q zq 0%
Date
Date
City Attorney Date
Total of records approved for destruction: I a d wbld
~~~~ ~~ (NOTE: City records on “Hold” cannot be destroyed.
I This form documents the destruction of Citv records in accordance with the California Public Records Act
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 I to exist.
This form documents the destruction of City records in accordance wil
Person(s) Completing Form: PENNY MCKAY, RONNA STICKROD
No. RECORDS DESCRIPTION DATED
1 Assistant City Manager Files; employee 1999
2 Assistant City Manager Files; employee 1999
issues; duplicate of Human Resource files
issues; duplicate of Human Resource files
Medical Treatment Only (I - P) 3 Workers Comp Claims Former Employees 1984
4 Workers Comp Claims Former Employees 1984 I Medical Treatment Only (R -Y) I
5 I Workers ComD Claims No Treatment Souaht I 1984 I In 5 Years (Ai) - I 6 I Workers Comp Claims No Treatment Sought I I984
In 5 Years
Medical Treatment (A - H)
7 Workers Comp Claims Former Employees 1984
8 Workers Comp Files (A - C) 1996
9 Workers Comp Files (D - L) 1996
10 Workers Comp Files (M) 1996
11 Workers Comp Files (N - Z) 1996
12 Engineering Technician 1. Job applications of 8/1998 unsuccessful applicants and recruitment
materials
-
I the Califc
id Date:
1,2003
-
-
BOX
No.
368
369
720
72 1
724
727
736
987
988
989
990
1098
mia Public Records Act.
Originating Department Manager Initials:
JULIE CLARK
RRSN~. 1 RRS 1 BARCODE I STORAGE I APPROVED I Period I
I I I H-HOLD
I
City ClerWRecords Management
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
Page 2 of 7
This form documents the destruction of City records in accordance with the California Public Records Act.
H=HOLD
Maintenance Shop Assistant. Job 9/1998 1098 0850-25 CL+3 *
applications of unsuccessful applicants and
recruitment materials
unsuccessful applicants and recruitment
materials
applications of unsuccessful applicants and
recruitment materials
unsuccessful applicants and recruitment materials
applications of unsuccessful applicants and
recruitment materials
of unsuccessful applicants and recruitment materials
applications of unsuccessful applicants and
recruitment materials
unsuccessful applicants and recruitment
materials
unsuccessful applicants and recruitment
materials
unsuccessful applicants and recruitment
materials
Engineering Technician II. Job applications of 1 1/1998 1098 0850-25 CL+3
Part time Gallery Coordinator. Job 01/1999 1098 0850-25 CL+3
Recreation Specialist. Job applications of 01/1999 1098 0850-25 CL+3
Parks Maintenance Worker 111. Job 02/1999 1098 0850-25 CL+3
Code Enforcement Officer II. Job applications 02/1999 1098 0850-25 CL+3
Deputy City Clerk Technician. Job 0211 999 1098 0850-25 CL+3
Library Assistant I. Job applications of 0311 999 1098 0850-25 CL+3
Part time Van driver. Job applications of 0311 999 1098 0850-25 CL+3
System Administrator I. Job applications of 0411999 1098 0850-25 CL+3
Applicant data collection forms 211997- 1138 0850-25 CL+3
Library Assistant 1/11. Job applications of 0711 999 1142 0850-25 CL+3
211 999
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment
Maintenance Worker I. Job applications of 0811 999 1142 0850-25 CL+3
Utility Worker 1/11. Job applications of 0811 999 1142 . 0850-25 CL+3
Senior Librarian. Job applications of 0811 999 1142 0850-25 CL+3
.. I materials. I
29
30
applications of unsu&essful applicants and recruitment materials.
applications of unsuccessful applicants and
recruitment materials.
applications of unsuccessful applicants and recruitment materials.
Records management supervisor. Job 09/1999 1142 0850-25 CL+3
Senior Circulation Supervisor. Job 1011 999 1142 0850-25 CL+3
City ClerWRecords Management
Request by Originating Department:
HUMAN RESOURCES
Requested Date:
APRIL 24,2003 JULIE CLARK
Originating Department Manager Initials:
31
32
.. I materials. I I
34 I Park Maintenance Worker Ill. Job I 12/1999 I 1142 I 0850-25 I CL+3 I
Office Specialist 11. Job applications of 0611999- 1142 0850-25 CL+3
unsuccessful applicants and recruitment
unsuccessful applicants and recruitment 10/1999
1011 99
materials.
Senior Office Specialist. Job applications of 06/1999- 1142 0850-25 CL+3
33
materials.
unsuccessful applicants and recruitment
Construction Inspector I. Job applications of 10/1999 1142 0850-25 CL+3
35
36
37
38
39
40
I materials.
48 I Custodian. Job applications of unsuccessful I 1997 I 1178 I 0850-25 I CL+3 I
applications of unsuccessful applicants and
recruitment materials.
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment
materials.
longer with City since 12/31/97. Files closed
C&R or Med only L-W working files
longer with City since 12/31/97. Files closed
C&R or Med only A-K working files
Deputy City Attorney. Job applications of 10/1999 1169 0850-25 CL+3
Management AnalysVHR. Job applications of 11/1999 1169 0850-25 CL+3
Workers Comp closed files - employees no 1997 1171 0810-75 CL+5
Workers Comp closed files - employees no 1997 1175 0810-75 CL+5
Applicant data collection forms 1997 1178 0850-25 CL+3
Senior Office Specialist. Job applications of 10/1997 1178 0850-25 CL+3
unsuccessful applicants and recruitment
41
I I I I I I I I
50 I Employee/Mgmt employee acknowledgement I 09/1980 I 1179 I 0840-05 I CU+3 1
.. materials.
Engineering Tech I rating forms 09/1998 1178 0850-25 CL+3
42
43
44
45
46
47
Office Specialist II. Job applications of 0411 997 1178 0850-25 CL+3
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment
materials.
of unsuccessful applicants and recruitment materials.
unsuccessful applicants and recruitment materials.
unsuccessful applicants and recruitment
Building Inspector. Job applications of 1997 1178 0850-25 CL+3
Network Specialist I. Job applications of 1997 1178 0850-25 CL+3
Building Inspector Part time. Job applications 1997 1178 0850-25 CL+3
Building Technician. Job applications of 1011 997 1178 0850-25 CL+3
Aquatic Specialist. Job applications of 0911 997 1178 0850-25 CL+3
49
applicants and recruitment materials.
Applicant data collection forms 1999 1179 0850-25 CL+3
City ClerWRecords Management
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
Engineering Technician 1/11. Job applications 0212000 1181 0850-25 CL+3 of unsuccessful applicants and recruitment materials
unsuccessful applicants and recruitment
materials
unsuccessful applicants and recruitment
materials
applications of unsuccessful applicants and recruitment materials
unsuccessful applicants and recruitment
materials
Senior Civil Engineer. Job applications of 0212000 1181 0850-25 CL+3
Police Recruits. Job applications of 0212000 1181 0850-25 CL+3
Accounting Supervisor. 3" time open. Job 0212000 1181 0850-25 CL+3
Public Info Officer. Job applications of 0911 999 1181 0850-25 CL+3
Communication Operator I. Test material 0811 999 1230 0850-50 CL+3
Construction Manager Exam Material 0711 999 1230 0850-50 CL+3
Construction Manager Applicant data 0711 999 1230 0850-25 CL+3
Communication Operator I applicant data 0811 999 1230 0850-25 CL+3
Systems Admin II applicant data and exam 0811999 1230 0850-25 CL+3
materials 0850-40 CL+~
collection forms
forms
Police Recruits exam material and applicant 0411999 1230 0850-25 cL+3 data forms.
Application Specialist II exam materials
0850-40 CL+3
0911 999 1230 0850-40 cL+3
Business Specialist exam material 0911 999 1230 0850-40 CL+3
Planning Tech. Job applications of 0711 999 1230 0850-25 CL+3 unsuccessful applicants and recruitment materials
unsuccessful applicants and recruitment
materials
of unsuccessful applicants and recruitment
materials
Gallery Coordinator. Job applications of 0811 999 1230 0850-25 CL+3
Senior Management Analyst. Job applications 0911 999 1230 0850-25 CL+3
Accounting Supervisor (continuous & open 0911 999 1230 0850-25 CL+3 until filled) Job applications of unsuccessful 1 a1 999
applicants and recruitment materials
City ClerWRecords Management
Pam 5 nf 7
1231
1231
1231
1231
1231
- - - - -- .
This form documents the destruction of City records in accordance with the California Public Records Act.
unsuccessful applicants and recruitment
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
- 76
77 -
- 78
81
82
83
84
85
86
87
88
89
90
79
- 80
.. materials
unsuccessful applicants and recruitment materials
unsuccessful applicants and recruitment materials
Accounting Supervisor. Job applications of I211999 1231 0850-25 CL+3
Graphic Artist. Job applications of 0511 999 1232 0850-25 CL+3
Senior Planner. Job applications of 0211998- 1232 0850-25 CL+3
unsuccessful applicants and recruitment 1999 materials
unsuccessful applicants and recruitment
materials
applicants and recruitment materials
unsuccessful applicants and recruitment
materials
unsuccessful applicants and recruitment
materials
applicants and recruitment materials
Administrative secretary. Job applications of 1211998- 1232 0850-25 CL+3
materials
applications of unsuccessful applicants and
recruitment materials
Assistant Planner. Job applications of 0411 999 1232 0850-25 CL+3
Secretary. Job applications of unsuccessful 0511 999 1232 0850-25 CL+3
Administrative Secretary. Job applications of 0411 999 1232 0850-25 CL+3
Senior Planner. Job applications of 0511 999 1232 0850-25 CL+3
Custodian. Job applications of unsuccessful 0611 999 1232 0850-25 CL+3
unsuccessful applicants and recruitment 99
Lead Equip Tech & Equip Tech II. Job 0811 999 1232 0850-25 CL+3
materials
Street Maintenance Worker Ill - internal.
Applications of unsuccessful applicants
Associate Engineer. Job applications of unsuccessful applicants and recruitment
materials
Engineering Tech 1111. Job applications of
unsuccessful applicants and recruitment .. materials
Senior Engineer. Job applications of
unsuccessful applicants and recruitment
materials
ParamedidFirefighter. Job applications of
unsuccessful applicants and recruitment
1211 999
1 111 999- 1211 999
1211 999
1211 999
0811 999-
1211 999
!
’.
92
Citv ClerWRecords Management
materials
unsuccessful applicants and recruitment Accounting Clerk II. Job applications of 1211 999 1232 0850-25 CL+3
Page 6 of 7 I This form documents the destruction of City records in accordance with the California Public Records Act
93
94
95
96
97
98
99
100
101
102
103
104
105
Request by Originating Department: Originating Department Manager Initials:
materials
applications of unsuccessful applicants and
recruitment materials
unsuccessful applicants and recruitment
materials
applications of unsuccessful applicants and
recruitment materials
unsuccessful applicants and recruitment
materials
unsuccessful applicants and recruitment
materials
applications of unsuccessful applicants and
recruitment materials
applications of unsuccessful applicants and
recruitment materials
Administrative Secretary Planning. Job 1997 1232 0850-25 CL+3
Aquatics Specialist. Job applications of 1211 999 1232 0850-25 CL+3
Part time assistant to City Treasurer. Job 1211 999 1232 0850-25 CL+3
Associate Engineer. Job applications of 1996 1232 0850-25 CL+3
Building Inspector II. Job applications of 1211 999 1232 0850-25 CL+3
Part time Building Tech assistant. Job 1211999 1232 0850-25 CL+3
Police Records. Eligibility list. Job 1211 999 1232 0850-25 CL+3
Associate Engineer. Applications 0111 998 1236 0850-25 CL+3
Senior Civil Engineer. Test papers 0112000 1236 0850-35 CL+3
Messenger. Applicant tracking 0212000 1236 0850-25 CL+3
Deputy Fire Marshall promotional. Job 0312000 1236 0850-25 CL+3 applications of unsuccessful applicants and
recruitment materials.
Dispatcher applications 1999 1236 0850-25 CL+3
Communications Operator info and test. 0 1 12000 1236 0850-35 CL+3
106 Mail clerk promotional. Job applications of 0112000 1236 0850-25 CL+3 unsuccessful applicants and recruitment
107
108
materials.
applicants and recruitment materials. Web Master. Job applications of unsuccessful 1 Z1999 1236 0850-25 CL+3
Associate Engineer - rater letter 0212000 1236 0850-40 CL+3
109 I CA Fire Service publication classified I 1236 I 0850-15 I CL+3
110
advertising info
Communications Operator 1/11 Oral exam 0412000 1236 0850-40 CL+3
11 1
I 12
Librarian 1/11 Oral exam 0212000 1236 0850-40 CL+3
Applicant data collection forms 0212000 1236 0850-25 CL+3
0312000
.I ’
City ClerWRecords Management
Page 7 of 7
.\
1 13 Meter Service Worker. Job applications of 412000 1236 unsuccessful applicants and recruitment
materials.
114 Deputy Fire Marshall - supplemental exercise 2000 1236
115 Communication Operator. Job applications of 0312000 1236 unsuccessful applicants and recruitment
materials.
116 Communications Operator empl list 0111999 1236
1 17 Communications Operator Oral board 0312000 . 1236
documents
unsuccessful applicants and recruitment materials.
1 18 Administrative Secretary. Job applications of 0212000 1236
1 19 Associate Engineer rater notes 1011 998 1236
120 Associate Engineer applications and oral 02/2000 1236
121 ApplicanVRecruitment files; Applicant Data 1995 1292
122 Correspondence Binder 1993- 1034
board documents
Forms
1996
0850-25 CL+3
0850-50 CL+3
0850-25 CL+3
0850-65 CL+3
0850-40 CL+3
0850-25 CL+3
0850-40 CL+3
0850-25 CL+3
0850-25 CL+3
0800-03 CU+2
DOCUMENT DESTRUCTION PROVIDED BY :
0 130-25lFOO2 CERTIFICATE OF DESTRUCTION?
Shred- I+
City ClerWRecords Management
Page 1 of 4
Recruitment file: Accounting Clerk II Collection
Data Forms
Recruitment file: Building Technician Asst Data
Exhibit C - Onsite Records Destruction Form F005
12/96 1031 0850-25 CL+3
11/96 1031 0850-25 CL+3
ONSITE RECORDS DESTRUCTION LIST I
Collection Forms
r-4. 03
Date
Approved for Destruction
/ %&?- 63
Date
/- 22.03,
Date
I
Total of records approved for destruction: q a I
~~ Appraisal Forms
Collection Data Forms
- Rating Forms
Forms
Applications & Rating Forms
Collection Data Forms
Recruitment file: Secretary to City Council
Recruitment file: Academy Grad Police Officers
Recruitment file: Lateral Police Officers - Rating
Recruitment file: Senior Accountant -
Recruitment file: ParamedidFirefig hter
NOTE : City records on “Hold” cannot be destroyed.
This form documents the destruction of City records in accordance with the California Public Records Act
12/96 1031 0850-25 CL+3
06/96 1031 0850-25 CL+3
06/96 1031 0850-25 CL+3
08/96 1031 0850-25 CL+3
06/96 1031 0850-25 CL+3
We certify that the records listed below have been retained for the scheduled retention period, required audits have I been completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
I This form documents the destruction of City records in accordance with the California Public Records Act.
Reques
Human
Person’
No.
- - - 1
2
6
7
8
I x
1031
961
City ClerkRecords Management
Paee 2 of 4
0850-25 CL+3
0800-03 CU+2
9
10
1
1
2
3
4
5
6
7
8 1139
1139
1139
1139 11
12
13
14
15
16
17
18
19
20
21
22
23
1
0850-35 CL+3
0850-35 CL+3
0850-35 CL+3
0850-25 CL+3
RECORDS DESCRIPTION
Recruitment file: Police Officer Recruit - Rating
Forms
Police RecruiffAcad GradlLateral - Questions
and Corresp
Recruitment file: Office Assistant for Finance
Dept - Applications
Correspondence Binders : Ann
1139
1139
1139
Mgmt Analyst City Manager Test Materials
Application Specialist (GIS) Exam Materials
Senior Acct Exam Materials
0850-35 CL+3
0850-35 CL+3
0850-35 CL+3
Senior Bldg Inspector Exam Materials
Sr Circulation Supr Elig List
1139
1140
Sr Circulation Supr Exam Materials
0850-35 CL+3
0850-35 CL+3
Sr Acct Exam Materials
Sr Office Specialist Exam Materials
Sr Planner Exam Materials
Site Manager Exam Materials
Programmer Analyst Applications. Job
applications of unsuccessful applicants and
recruitment materials.
Tree Trimmer 1/11 Exam Materials
Tree Trimmer Lead Exam Materials
Utility Worker I Exam Materials
Utility Worker II Exam Materials
Valve Maintenance Worker Exam Material
Water Systems Operator I Written Test Sign-in Sheet
Sr Police Officer Exam Materials
Systems Admin Ill Exam Material
Police Officer Lateral Tear Sheets and Exam
Materials
4pplication Specialist I Tear Sheets
Systems Admin I Tear Sheets
Fire Engineer Exam Materials
%ice Assistant Exam Materials
- DATED
08/95
1989-90
1991 -92
1992-93
01/99
03/99
06/98
09/95
06/96
06/96
09/98
05/98
02/98
04/97
01/97
04/98
0 1 198
09/97
06/97
08/95
02/97
02/99
05/99
05/99
05/99
05/99
05/99
02/96
1
BOX 1 RRSNo. I RRS 1 BARCODE I PDF I APPROVED I No- I I Period 1
H=HOLD
1031 0850-25 CL+3
- I
City ClerWRecords Management
2 ParamedidFirefighter Exam Materials 02/98
3 Planning Tech I Exam Materials 12/96
4 Police Lieutenant Exam Materials 04/95
5 Police Records Specialist 1/11 Exam Materials 05/98
6 Police Records Supervisor Exam Materials 12/96
7 Principle Planner Exam Materials 12/97
8 Recreation Assistant Exam Materials 12/96
9 Police Training Coordinator Exam Materials 06/98
10 Sanitation System Operator I Exam Materials 04/98
11 Sanitation Systems Operator II Exam Materials 07/97
12 Sanitation Systems Operator 111 Exam Materials 10196
13 Secretary to City Council Exam Materials 12/96
14 Secretary to City Manager Exam Materials 06/97
15 Fire Engineer Elig ListsIApps 02/97
16 Librarian I Exam Materials 0 1 197
17 Library Asst I Exam Materials 08/98
18 Maintenance Worker I Exam Materials 07/97
19 Comm Operator II Exam Materials 01/99
20 Mgmt Analyst (Housing) Exam Materials 11/96
21 Mgmt Analyst (Provisional) Exam Materials 02/97
22 Mgmt Analyst (Housing) Exam Materials 02/95
23 Mgmt Analyst (3jobs) Exam Materials 07/98
24 Mgmt Analyst Written Test Sheets 07/98
25 Meter Services Worker 1/11 Exam Materials 04/97
26 Network Specialist I Exam Materials 12/97
27 O.S.11 TestlExam Materials 06/98
28 O.S. I Exam Materials 05/97
29 O.S. I1 Exam Materials 11/97
30 O.S. II Exam Materials 06/97
31 Part-time Computer Aide Exam Materials 10196
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-65 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
1140 0850-35 CL+3
Request by Originating Department:
Human Resources
32
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Requested Date:
8126102
Originating Department Manager Initials:
25
i Completing Form: Jan Murray
Clerk/ Tech Eli
DOCUMENT DESTRUCTION PROVIDED BY : 5 bed - 1 $- DATE: 5 x-03
0 130-25lFOO2 CERTIFICATE OF DESTRUCTION? Yes '$L NO ~a
City ClerWRecords Management
Page 1 of 6
4
- Exhibit C - Onsite Records Destruction Form F005
Academy Grad. Job applications of 06/94 970 0850-25 CL+3
unsuccessful applicants and recruitment
ONSITE RECORDS DESTRUCTION LIST
5
6
1.4- 03
Date
Approved for Destruction
/ -22- 63
Date
- /- 32 ,of.
City Attorney Date
t
Total of records approved for destruction: 16 D @/bgm
I
materials.
materials. Apps for Assistant C.A. and recruitment 04/94 970 0850-25 CL+3
EEO Applicant Data Forms 970 0850-25 CL+3
I NOTE : City records on “Hold” cannot be destroyed.
7
8
9
I This form documents the destruction of Citv records in accordance with the California Public Records Act
Eng Tech I. Job applications of unsuccessful 10/95 970 0850-25 CL+3
Mgmt Assist. Job applications of unsuccessful 10195 970 0850-25 CL+3
Senior Office Specialist. Job applications of 10/95 970 0850-25 CL+3
applicants and recruitment materials.
applicants and recruitment materials.
unsuccessful amlicants and recruitment
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.
City Clerk/Records Management
Pagd 2 of
This form documents the desttuction of City records in accordance with the California Public Records Act.
Request by Originating Department: Requested Date: Originating Department Manager Initials:
Human Resources 8/26/02
Person's Completing Form: Jan Murray
No. II RECORDS DESCRIPTION
10 Office SDecialist II. Job amlications of
unsucce'ssful applicants and recruitment
materials.
Equip Mechanic. Job applications of unsuccessful applicants and recruitment
materials.
Secretary. Job applications of unsuccessful applicants and recruitment materials.
Assist to City Treasurer. Job applications of
unsuccessful applicants and recruitment
materials.
Lateral Police. Job applications of unsuccessful
applicants and recruitment materials.
Academy Grad. Job applications of
unsuccessful applicants and recruitment materials.
Mgmt Analyst. Job applications of unsuccessful
applicants and recruitment materials.
11
12
13
14
15
16
17
18
Admin Mgr. Job applications of unsuccessful
applicants and recruitment materials.
PSS Specialist. Job applications of
unsuccessful applicants and recruitment
materials.
Aqua Specialist. Job applications of
unsuccessful applicants and recruitment materials.
Valve Maint. Worker. Job applications of
unsuccessful applicants and recruitment
19
20
.. I materials. I Lib Assist I. Job applications of unsuccessful 21
Community Lib Supv. Job applications of
unsuccessful applicants and recruitment
materials.
Rec Assist. Job applications of unsuccessful
amlicants and recruitment materials.
24 Juvenile Court. Job applications of unsuccessful applicants and recruitment materials.
City Operator. Job applications of unsuccessful
applicants and recruitment materials.
Bldg Tech. Job applications of unsuccessful
applicants and recruitment materials.
Redevelopment. Job applications of
unsuccessful applicants and recruitment
materials.
Account Clerk It. Job applications of
unsuccessful applicants and recruitment
materials.
Librarian I. Job applications of unsuccessful
applicants and recruitment materials.
25
26
1 Management AnalysVHousing and
2
3
DATED I BOX n RRSN~. I No.
I 0850-25
1997 983 0850-25
RRS a BARCODE I PDF 1 APPROVED
Period I By City 1 1 Attorney I 1 I H=HOLD
CL+3 I I
City ClerWRecords Management
8
9
10
11
Employment List: Bldg Tech I 03/95 971 0850-65 CL+3
Employment List: Cornrn Operator I 11/94 971 0850-65 CL+3
Employment List: Cornm Lib Svs Supv 01/95 971 0850-65 CL+3
Employment List: Deputy C.A. 04/95 971 0850-65 CL+3
-
City Clerk/Records Management
1
2
3
4
5
6
7
8
9
1
2
Page 4 of
This form documents the destruction of City records in accordance with the California Public Records Act
Human Resources
Recruitment folder: PSS Specialist. Job 1995 972 0850-25 CL+3
applications of unsuccessful applicants and
recruitment materials.
of unsuccessful applicants and recruitment
materials.
applications of unsuccessful applicants and
recruitment materials.
applications of unsuccessful applicants and
recruitment materials.
applications of unsuccessful applicants and recruitment materials.
Job applications of unsuccessful applicants and
recruitment materials.
unsuccessful applicants and recruitment materials.
unsuccessful applicants and recruitment
materials.
applications of unsuccessful applicants and recruitment materials.
applications of unsuccessful applicants and
recruitment materials.
applications of unsuccessful applicants and
recruitment materials.
Recruitment folder: Secretary. Job applications 1994 972 0850-25 CL+3
Recruitment folder: Tree Trimmer. Job 1994 972 0850-25 CL+3
Recruitment folder: Valve Maint Wkr. Job 1995 972 0850-25 CL+3
Recruitment folder: Park Maint Worker 1/11. Job 1995 972 0850-25 CL+3
Recruitment folder: Police Records Specialist . 1995 972 0850-25 CL+3
Recruitment folder: PSA. Job applications of 1995 972 0850-25 CL+3
Recruitment folder: Sgt. Job applications of 1995 972 0850-25 CL+3
Recruitment folder: Office Specialist II. Job 1995 972 0850-25 CL+3
Recruitment folder: Admin Mgr. Job 1995 973 0850-25 CL+3
Recruitment folder: Aquatics Specialist. Job 1995 973 0850-25 CL+3
"_ ,.I .. -.
City ClerkRecords Management
Recruitment folder: Lib Assist I. Job
applications of unsuccessful applicants and recruitment materials.
3
4
5
6
7
8
9
10
11
12
13
1
2
3
4
5
6
7
8
1994
RECORDS DESCRIPTION DATED
973
973
973
1030
1030
Recruitment folder: Bldg Tech. Job
applications of unsuccessful applicants and
recruitment materials.
applications of unsuccessful applicants and
recruitment materials.
Recruitment folder: Comm Operator. Job applications of unsuccessful applicants and
1995
Recruitment folder: Bldg Inspector. Job 1994
1994
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
recruitment materials.
Recruitment folder: Lib Svcs Supv. Job I 1994
Recruitment folder: Mgmt AssisffEng. Job
applications of unsuccessful applicants and recruitment materials.
Recruitment folder: Maint Worker I. Job
applications of unsuccessful applicants and
recruitment materials.
Recruitment file: Office Specialist. Job
applications of unsuccessful applicants and
applications of unsuccessful applicants and
recruitment materials.
Recruitment folder: Deputy C.A. Job
applications of unsuccessful applicants and
recruitment materials.
Recruitment folder: Equip Mech II. Job
applications of unsuccessful applicants and
1995
1995
1995
1995196
1995
recruitment materials. I
Recruitment folder: Mechanic. Job applications I 1994
applications of unsuccessful applicants and recruitment materials.
Recruitment file: Utility Worker & Sanitation
Worker II. Job applications of unsuccessful
applicants and recruitment materials.
Recruitment file: Non-Selected Lifeguard
Applicants
Recruitment file: Library Assistant I Affirmative
Action Forms
Recruitment file: Part-time Assistant to the City Treasurer Reject Applicants
Recruitment file: Sr. Accountant Affirmative
Action Forms
Recruitment file: Part-time Office
Assistanff Finance Reject Applications
07/97
1997
02/97
05/97
1997
1997
1030
1030
1030
1030
recruitment materials.
Recruitment file: Programmer Analyst. Job I 1997
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
BOX I RRSNo. I RRS 1 BARCODE I PDF
Period I I No. I
973 0850-25 CL+3
- APPROVED
By City
Attorney
H=HOLD
City ClerWRecords Management
Human Resources
I Person's t i" 110
I
i Completing Form: Jan Murray
RECORDS DESCRIPTION I DATED I BOX No.
Recruitment file: Part-time Office
Assistant/ Finance. Job applications of
unsuccessful applicants and recruitment
materials.
Recruitment file: Office Specialist I. Job Spring
applications of unsuccessful applicants and 1997 .. recruitment materials. I Recruitment file: Deputy City Clerk Technician I 06/97 I 1030 .- - Affirmative Action Forms
RRSNo. ! RRS 1 BARCODE
Period I
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
By City
Attorney
H=HOLD
DOCUMENT DESTRUCTION PROVIDED BY : s hr - (# DATE : 5 63
0 130-25lFOO2 CERTIFICATE OF DESTRUCTION? Yes a NO a
City ClerWRecords Management Page 1 of 5
Exhibit C - Onsite Records Destruction Form F005
ONSITE RECORDS DESTRUCTION LIST
/-- 4pproved for Destruction \,
Departmen7 Head Date
1 dtyRecor Date
n
Total of records approved for destruction: 93 &bU@ [ dcQe, L boh-3% m)
VOTE : City records on “Hold” cannot be destroyed.
This form documents the destruction of Citv records in accordance with the California Public Records Act
We certify that the records listed below have been retained for the scheduled retention period, required audits have
Ieen completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
- This fc
Reque
Humai
Persoi
No.
-
- -
9
10
11
12
13
14
15
16
17
18
19
1
1
m documents the destruction of City records in accordance with the Califon
's ComDletina Form: Jan Murrav .-
RECORDS DESCRIPTION BOX
Construction Inspector II. Job applications of 02/02/98 1 141
unsuccessful applicants and recruitment
materials.
Fire Captain. Job applications of unsuccessful 02/26/98 1141
applicants and recruitment materials.
Network Specialist. Job applications of 12/10/97 1141
unsuccessful applicants and recruitment
materials.
ParamediclFirefighter. Job applications of 02/12/98 1141
unsuccessful applicants and recruitment
materials.
Assistant to the Treasurer. Job applications of I 02/26/98 I 1141
unsuccessful applicants and recruitment
materials.
Assistant Planner. Job applications of 03/06/98 1141
unsuccessful applicants and recruitment materials.
Accountant. Job applications of unsuccessful I 02/19/98 I 1141
applicants and recruitment materials.
Sanitation Svstems Operator I. Job applications I 04/01/98 I 1141
of unsuccessful applicants and recruitment I I materials.
Tree Trimmer Lead worker. Job applications of I 0211 1/98 I 1141
unsuccessful applicants and recruitment
materials.
Tree Trimmer I. Job applications of 04/30/98 1141
unsuccessful applicants and recruitment
materials.
Community Services Officer I. Job applications 07/28/98 1141
of unsuccessful applicants and recruitment materials.
Community Services Officer 11. Job applications 07/16/98 1141
of unsuccessful applicants and recruitment
materials.
Community Services Officer Ill. Job applications 07/29/98 1141
of unsuccessful applicants and recruitment
materials.
Engineering Tech I & 11. Job applications of
unsuccessful applicants and recruitment
materials.
Office Specialist II. Job applications of 06/30/98 1 141
unsuccessful applicants and recruitment materials.
Police Records Specialist 1/11. Job applications 03/05/98 1141
of unsuccessful applicants and recruitment
materials.
Police Officer Recruit. Job applications of 08/04/98 1 14 1
unsuccessful applicants and recruitment materials.
A-C Inactive Personnel Files. Job applications 1960- 373
of unsuccessful applicants and recruitment materials.
D-G Inactive Personnel Files 1960- 374
0711 6/98 1 141
1979
1979
Page 2 of
a Public Records Act.
City ClerMRecords Management
! RRSNo. 1 RRS I BARCODE 1 PDF 1 APPROMD 1 Period 1 I
0850-25 CL+3
1 I I I 0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
0850-25 CL+3
I I I I 0810-55 TE+5
-
City ClerWRecords Management
1 H-K Inactive Personnel Files 1960- 375 0810-55
1979
1979
1979
1979
1 L-M Inactive Personnel Files 1960- 376 0810-55
1 N-R Inactive Personnel Files 1960- 377 0810-55
1 S-T Inactive Personnel Files 1960- 378 0810-55
1 U-Z Inactive Personnel Files 1960- 379 0810-55
TE+5
TE+5
TE+5
TE+5
TE+5
1
1979
Q-Z Inactive Personnel Files 1980-84 381 0810-55 TE+5
12/94
04/94
1
1
1
1
1
07/94
Inactive Personnel Files 1980-84 382 0810-55 TE+5
K-P Inactive Personnel Files 1980-84 383 0810-55 TE+5
A-D Inactive Personnel Files 1983-84 384 0810-55 TE+5
A-J Inactive Personnel Files 1983-87 371 0810-55 TE+5
K-W Inactive Personnel Files 1983-87 372 0810-55 TE+5
1996
1
1
2
1
2
1
1
I
1992,
1996
1995
Mangement Analyst Applications and Test Results
Assistant City Attorney. Job applications of
unsuccessful applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment
materials.
Associate Engineer. Job applications of
unsuccessful applicants and recruitment
materials.
Housing Program Manager. Job applications of
unsuccessful applicants and recruitment
materials.
Sr Mgt Analyst & Dep City Attorney. Job
applications of unsuccessful applicants and
recruitment materials.
Pieti Litgation. Job applications of unsuccessful
applicants and recruitment materials.
Inactive Personnel Files A-G 1987-90
362
1002
0850-25 CL+3
0810-55 TE+5
1
I
1
2
3
Inactive Personnel Files H-M 1987-90 1003 0810-55 TE+5
Inactive Personnel Files N-Y 1987-90 1004 0810-55 TE+5
Meter Svc Worker. Job applications of 1993, 1005 0850-25 CL+3
unsuccessful applicants and recruitment 1997
materials.
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment materials.
Water Sup Oper. Job applications of 1997 1005 0850-25 CL+3
Assoc Engineer. Job applications of 1996 1005 0850-25 CL+3
City ClerWRecords Management
3
page 4 of
This form documents the destruction of City records in accordance with the California Public Records Act
Human Resources - Persoi
No. - - 1
's Completing Form: Jan Murray
Applications for Sr Acct. Job applications of 09/98 1066 0850-25 CL+3
unsuccessful applicants and recruitment .. materials.
unsuccessful applicants and recruitment
materials.
2 Applications for CSO Ill. Job applications of 07/98 1066 0850-25 CL+3
3 Mgmt Analyst Employment List 11/96 1066 0850-65 CL+3
1
2
3
6
PPIFF Employment List 09/96
Mgrnt Assist Employment List 11-95
Sr Acct. Job applications of unsuccessful 10197,
applicants and recruitment materials. 1996
Librarv Assist. Job amlications of unsuccessful 02/93
appliiants and recruiiment materials.
Police Recruit. Job applications of unsuccessful I 08/98
applicants and recruitment materials.
Police Chief Resumes (Finalists) 06100
Part-time Applications for Cashier 06/00
Office Specialist Il-Continuous. Job applications 1 1199-
of unsuccessful applicants and recruitment 07100
materials. I
Senior Office Specialist-Continuous. Job I 10/99-
applications of unsuccessful applicants and
recruitment materials.
Police Records Specialist I. Job applications of
unsuccessful applicants and recruitment
materials.
Sanitation Systems Operator. Job applications of unsuccessful applicants and recruitment
materials.
Office Specialist II. Job applications of
unsuccessful applicants and recruitment
materials.
Utility Worker I. Job applications of
unsuccessful applicants and recruitment
materials.
Cross Connection Control Tech. Job 12/97 applications of unsuccessful applicants and
recruitment materials.
Communication Operator I. Job applications of
unsuccessful applicants and recruitment
materials.
Tree Trimmer Lead Worker Ill. Job applications of unsuccessful applicants and recruitment
07/00
07/00
07/00
05/97
09/97
11/97
03/98
materials.
Sanitation Systems Operator I. Job applications I 05/98 of unsuccessful applicants and recruitment
unsuccessful applicants and recruitment
' 1066 0850-65 CL+3
1066 0850-65 CL+3
1066 0850-25 CL+3
1066 0850-25 CL+3
1066 0850-25 CL+3
I I I I I
IhLD 1238 0850-25 CL+3 -
tro Lb 1238 0850-25 CL+3
1238 0850-25 CL+3
I I I I I 1238 I 0850-25 I CL+3 I
HO Q
1096 0850-25 CL+3
1096 0850-25 CL+3
,
1096 0850-25 CL+3
1096 0850-25 CL+3
1096 0850-25 CL+3
Request by Originating Department:
Human Resources 8/26/02
Requested Date:
Persoi
No. - - 8
Originating Department Manager Initials:
9
10
1
2
3
4
's Completing Form: Jan Murray
Police Records Supervisor Applicant Data I 1997-98 I 1096 I 0850-25 I CL+3 I
Housing Program Manager Applicant Data 1997-98 1096 0850-25
Associate Engineer Applicant Data Collection 1997-98 1096 0850-25
Collection
Sr Accountant. Job applications and recruitment materials
Maintenance Worker I. Job applications and
recruitment materials.
Community Service Officer II. Job applications
of unsuccessful applicants and recruitment
materials.
Community Service Officer I. Job applications of
unsuccessful applicants and recruitment
materials.
Housing Specialist 1/11. Job applications of
unsuccessful applicants and recruitment
materials.
Administrative Secretary. Job applications of
unsuccessful applicants and recruitment
materials.
Housing Assistant. Job applications of unsuccessful applicants and recruitment
materials.
Asst to the Treasurer. Job applications of
unsuccessful applicants and recruitment
materials.
CSO 111. Job applications of unsuccessful
applicants and recruitment materials.
Const lnsp II. Job applications of unsuccessful
10196
11/98
07/98
07/98
09/98
12/98
09198
12/97
10198
01/98
1097 0850-25
1097 0850-25
1097 0850-25
1097 0850-25
1097 0850-25
1097 0850-25
1097 0850-25
1235 0850-25
1235 0850-25
1235 0850-25 applicants and recruitment materials. I I
Police Records Specialist. Job applications of I 10195 I 1235 I 0850-25 I CL+3 I
unsuccessful applicants and recruitment
materials.
applicants and recruitment materials.
unsuccessful applicants and recruitment
materials.
applications of unsuccessful applicants and
recruitment materials.
Accountant. Job applications of unsuccessful 02/98 1235 0850-25 CL+3
Project Manager. Job applications of 01/98 1235 0850-25 CL+3
Cross Connection Control Tech. Job 12/97 1235 0850-25 CL+3
By City
Attorney
H-HOLD
DOCUMENT DESTRUCTION PROVIDED BY : - (+ DATE : 5" -33 -0-3
0 130-2YFOO2 CERTIFICATE OF DESTRUCTION? Yes 1x1 NO 0
1
.- I
City ClerWRecords Management Page 1 of 5
Exhibit C - Onsite Records Destruction Form F005
ONSITE RECORDS DESTRUCTION LIST
Approved for Destruction
Department dead
42L
City Xttorne y
Date
/-2d-03
Date
/- 22.09.
Date
Total of records approved for destruction: cis’ +/LW
NOTE : City records on “Hold” cannot be destroyed.
This form documents the destruction of City records in accordance with the California Public Records Act
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.
I Human Resources I
A
City ClerWRecords Management
3
4
5
Communications Operator II Exam Materials 08/96 1058 0850-35 CL+3
Sr Police Officer Exam Materials 06/97 1058 0850-35 CL+3
Sr Office Specialist Elig List 11/97 1058 0850-65 CL+3
'*
Request by Originating Department: Requested Date:
Human Resources 8/26/02
City ClerWRecords Management
Originating Department Manager Initials: To.
Person's Completing Form: Jan Murray
17 Fire Captain Exam Materials 02/98 1058
18 Housing Prog Mgr Exam Materials 10196 1058
19 Housing & Redev Director Exam Materials 05/92 1058
20 Admin Secretary. Job applications of 05197 1058
unsuccessful applicants and recruitment
materials.
21 Site Manager. Job applications of unsuccessful 04197 1058 I applicants and recruitment materials.
22 I Police Recruit. Job applications of I 06197 I 1058
unsuccessful applicants and recruitment
materials.
of unsuccessful applicants and recruitment
materials.
1 Recruitmentrrraining Coord. Job applications 06/98 1065
2 Sr Office Specialist. Job applications of 04/98 1065
. unsuccessful applicants and recruitment
materials.
applicants and recruitment materials.
unsuccessful applicants and recruitment
materials.
applicants and recruitment materials.
unsuccessful applicants and recruitment
3 Tree Trimmer. Job applications of unsuccessful 04/98 1065
4 Office Specialist P.T. Job applications of 12/97 1065
5 Fire Captain. Job applications of unsuccessful 02/98 1065
6 Library Assistant. Job applications of 08/98 1065
.. I materials. I
7 I Assistant Planner. Job amlications of I 12/97 I 1065 I unsuccessful applicants and recruitment II materials.
0850-35
0850-35
0850-35
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
-
City Clerkhtecords Management
Page 4 of
This form documents the destruction of City records in accordance with the California Public Records Act.
Person's Completing Form: Jan Murray
1
2
1
1
2
3
4
5
6
7 .
8 .
9
10
1,
2
'
3 -
4
5
6
7
8
Police Acad Grad. Job applications of 1 0197 1061 0850-25 CL+3
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment materials.
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment materials.
unsuccessful applicants and recruitment materials.
unsuccessful applicants and recruitment materials.
unsuccessful applicants and recruitment materials.
applicants and recruitment materials.
unsuccessful applicants and recruitment
materials.
unsuccessful applicants and recruitment
materials.
applicants and recruitment materials.
unsuccessful applicants and recruitment materials.
applications of unsuccessful applicants and recruitment materials.
applications of unsuccessful applicants and recruitment materials.
applications of unsuccessful applicants and recruitment materials.
Sr Management Analyst. Job applications of 06/97 1061 0850-25 CL+3
Management Analyst. Job applications of 06/98 1063 0850-25 CL+3
Sr Office Specialist. Job applications of 11/97 1062 0850-25 CL+3
Sr Police Officer. Job applications of 07/95 1062 0850-25 CL+3
Hsg Specialist. Job applications of 08/94 1062 0850-25 CL+3
Maint Shop Assist. Job applications of 09/97 1062 0850-25 CL+3
Bldg Inspector. Job applications of 07/97 1062 0850-25 CL+3
Police Sgt. Job applications of unsuccessful 04/95 1062 0850-25 CL+3
Recreation Assistant. Job applications of 12/94 1062 0850-25 CL+3
Police Rec Supervisor. Job applications of 1995 1062 0850-25 CL+3
Fire Capt. Job applications of unsuccessful 01/96 1062 0850-25 CL+3
Sr Accountant. Job applications of 11/97 1062 0850-25 CL+3
Employment List Maint Worker. Job 02/96 1064 0850-25 CL+3
Employment List Maint Worker. Job 06/97 1064 0850-25 CL+3
Screened Out Applications-Assoc Eng. Job 10198 1064 0850-25 CL+3
Hsg Manager Elig List 10196 1064 0850-65 CL+3
Police Screened Out Applications 1998 1064 0850-25 CL+3
Police Oral 11/98 1064 0850-40 CL+3
applicants and recruitment materials.
applicants and recruitment materials.
Police. Job applications of unsuccessful 07/98 1064 0850-25 CL+3
Police Sgt. Job applications of unsuccessful 09/97 1064 0850-25 CL+3
,a ’ City Clerk/Records Management * s-
Human Resources
9 Fire Capt. Job applications of unsuccessful
Assesment Ctr Binders Hsg & Rec
Assist Planner. Job applications of
applicants and recruitment materials.
10
11
unsuccessful applicants and recruitment
02/96 1064 0850-25 CL+3
1990 1064 0850-80 CL+3
1990 1064 0850-25 CL+3
1
DOCUMENT DESTRUCTION PROVIDED BY : % ed- I+ DATE: 5r2r3 I I 0 130-25EOO2 CERTIFICATE OF DESTRUCTION? Yes ~4 NO n .
PPIFF Recruitment Materials 1996 1068 0850-25 CL+3
CERTIFICATE <*FERS TO INVOICE NO.:
DATE:
ci'flQ00.643
S2 3.43 3
Shmd- 1 t F o &SW 2aw
Vista, CA 920852077
PHONE 768-S98-5700 PURGE
MOBILE PAPER WREDLMM 1 RECVCLW
SERVICE LOCATION: BILLED TO City Of Carlsbad City Of Carlabad 1200 Carisbad Village Dr. Attn. All?
City Hall 1635 Faraday Avo
Carlsbad, CA 92008 Cmlsb4,CA 92008-7314
CERTIFICATE OF DESTRUCTION
This certificate is to certify that Shred-it destroyed confidential
information on-site for the above mentioned company by
TRUCKNO.: d'G TRUCK NO.: TOTAL TIME HRS. MIN. --?a-
MOBILE CUSTOMER SERVICE REP.: Jt%?p' l'' CLIENT? b nL4;F-,/ c7c--c
ENVIRONMENTAL IMPACT
Shred-it is committed to helping save the
environment. All shredded material that
is recyclable is brought to a recycling
centre to be processed into recycled
paper products.
WE RECYCLE
THIS YEAR YOUR FIRM'S SHARE OF WOQD SAVED THROUGH
SHRED-IT'S RECYCLING PROWAM AMOUNTS TO TREES.
THANK YOU FOR YOUR BUSINESS
MISSION STATEMENT
Shred-it is dedicated to being the World's leading Mobile Shredding and Recycling
Company. We will achieve this goal on the \trengths of our people. Shred-it will
consistently deliver the greatest security, cost-effectivene\\, convenience and environmentally-friendly service available. We will earn a fair return on the investment in
our systems, our equipment and our people. Above all, we will earn the confidence of our
clients through a continued commitment to total customer satisfaction.
SECURING YOUR OFFICE AND THE ENVIRONMENT 0 PllNTfD ON RECYCLED PAPER