HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fleet & Facilities; 2005-06-03Y
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Page 1 of 7
RECORDS DESTRUCTION REQUEST
Approved for Destruction
City Attorney
Date
.3-J8*S-
Date
Date
Total of approved for destruction: s($ 0s
VOTE : City records on “Hold” cannot be destroyed.
This form documents the destruction of City records m accordance with the Calrfornia 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.
This form documents the destruction of City records in accordance with the Calrfornia Public Records Act.
Person s Corn
1X)CCTME:NT DESTRUCTION PROVIDED BY : DATE :
01 30-25 bo05 CERT~FICA I E OF ~~STRCJC~ ION‘’ Yes NO
Page 2 of 7
City Clerk/Records Management
RECORDS DESTRUCTION REQUEST
ipproved for Destruction
Department Head Date
City Records Manager Date
Date City Attorney
Total of records approved for destruction:
VOTE : Citv records on “Hold” cannot be destroved.
This form documents the destruction of City records in accordance with the California Public Records Act
Ne certify that the records listed below have been retained for the scheduled retention period, required audits
lave been completed, and no pending or ongoing litigation or investigation involving these records is known
‘0 exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
Person’s Completing Form:
DWUMENT DESTRUCTION PROVIDED BY : DATE :
0 1 i0-25iF005 CERTIFICATE O~~D~TRUCTION? Yes NO .
Page 3 of 7
City Clerk/Records Managenlent *
n
RECORDS DESTRUCTION REQUEST
ipproved for Destruction
Department Head Date
~~~ City Records Manager Date
City Attorney Date
Total of records approved for destruction:
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
This form documents the destruction of City records in accordance with the California Public Records Act.
Requesl by Originating Department: Requested Date: Originating Department Manager Initials:
I
Person’s Completing Form:
No.- 1 RECORDS DESCRIPTION
$%x d Vendor Files/PO’s
22
23 General Files
24 Vendor Files
25 PO’s/Inventory
26 & Fuel Data
27 Vendor Files
28 General Files
29d Fuel Data (end list) 1 30$, General Files c
DATED 11 BOX 11 RRSNo. I RRS BARCODE 11 PDF 11 APPROVED I No. I 1 Period I I’ I httoriiey By I II II A 11 H=HOLD
N 92-93 ‘24- 1025-05 CU+2
FY 93-94 ‘/25 1025-30 TE+2
N 92-93 ‘26 1025-05 CU+2
N 94-95 ’27 1025-05 CU+2
FY 94 J28 1025-05 CU+2
FY 94 J28 1025-40 CU+2 II
FY 94 J30 1025-05 CU+2
FY 94-95 J31 1025-40 CU+2
N 93-94 ‘32 1025-05 CU+2
D4CUMENT DESTRUCTION PROVIDED BY :
0 1 j0-25iF005 CERTIFICATIOfiESTR JCTION? Yes 0 No L
DATE :
Page 4 of 7
City Clerk/Records Management
.
~
RECORDS DESTRUCTION REQUEST
Approved for Destruction
Department Head Date
City Records Manager Date
Date City Attorney
Total of records approved for destruction:
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
This form documents the destruction of City records in accordance with the Calrfornra Public Records Act.
Person s Completing Form
33 Y Vendor Files/General FY 93-94 '34 1025-05 CU+2
J 34 d General Files FY 96-99 35 1025-05 CU+2
35 d. Vendor Files FY 98 J36 1025-05 CU+2
36 g. General Files FY 94-95 '37 1025-05 CU+2
37 -de. Fuel Data FY 94-95 .'37 1025-40 CU+2
38 General Files FY 95-96 "38 1025-05 CU+2
, 39 Fuel Data FY 95-96 "38 1025-40 CU+2
(end list) 40 General Files (Fleetsite) FY 95 d39 1025-05 CU+2
~
DQCUMENT DESTRUCTION PROVIDED BY :
0 1 i0-2YF005
DATE :
Page 5 of 7
City Clerk/Records Manageinent
RECORDS DESTRUCTION REQUEST
pproved for Destruction
Department Head Date
City Records Manager Date
City Attorney Date
Total of records approved for destruction:
lOTE : City records on “Hold” cannot be destroyed.
This form documents the destruction of City records in accordance with the California Public Records Act
Ye certify that the records listed below have been retained for the scheduled retention period, required audit:
ave been completed, and no pending or ongoing litigation or investigation involving these records is knowr
D exist
This form documents the destruction of City records in accordance with the California Public Records Act.
Person’s Completing Form:
D4CUMENT DESTRUCTION PROVIDED BY :
0 1 iO-25iFOOS CERTlFlCA$& DESTRUCTION? Yes 0 No 0 L
DATE :
Page 6 of 7
City Clerk/Records Management
1
RECORDS DESTRUCTION REQUEST
Approved for Destruction
Department Head Date
City Records Manager Date
Date City Attorney
Total of records approved for destruction:
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 audit:
have been completed, and no pending or ongoing litigation or investigation involving these records is knowr
to exist.
This fok documents the destruction of City records in accordance with the California Public Records Act.
Person’s Completing Form:
No. RECORDS DESCRIPTION
51 &’ Vendor Files
52x General Files (Fleetsite)
53 Obsolete/Sold VehPcles d Vendor Files
55 & General Files (Fleetsite)
56 General Files
57 x Obsolete/Sold Vehicles
58 Vendor Files
59 g Fuel Data
(end list) 60 Vendor Files
-----/y DATED
FY 97
FY 98
FY 97 r55
FY 99 ‘5 8
,RRSNo. I RRS I BARCODE [ PDF I APPROVED > 1 Period I By City 11 1 Attorney I I I/ 1 H=HOLD n I1 I1 n
1025-05 I CU+2 I
1025-05 I CU+2 I I I
1025-05 I CU+2 I II
1025-05 CU+2
1025-30 TE+2
1025-05 CU+2
1025-40 CU+2
1025-05 CU+2
b.
D4)CUMENT DESTRUCTION PROVIDED BY :
0 1 i0-25iF005 CERTIFICATE OF DESTRUCTION? Yes No a/(b % DATE : kdj# 09
Page 7 of 7
City Clerk/Records Manageuient
RECORDS DESTRUCTION REQUEST
kpproved for Destruction
Department Head Date
City Records Manager Date
Date City Attorney
Total of records approved for destruction:
VOTE : Citv records on “Hold” cannot be destroved.
This form documents the destruction of City records in accordance with the California Public Records Act
Ne certify that the records listed below have been retained for the scheduled retention period, required audits
lave been completed, and no pending or ongoing litigation or investigation involving these records is known
o exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
Person’s Completing Form
No. RECORDS DESCRIPTION ’ DATED BOX
No.
61x Vendor Files FY 99 J 59
6.2 d Obsolete Vehicle. Files FY 91-94 460
63 3( Vendor Files/General FY 00 v/ 61
64 )a General/Budget Prep Files FY 94-98 ‘62
65 Fuel Data N 00 ‘ 63
66 Out of Service/Sold Vehicle File FY 93-94 d64
67 Obsolete Vehicle Files FY 99 J65
69 I (end list) I I
RRSN~. u RRS 1 BARCODE n PDF II APPROVED I Period I
1025-05 CU+2
1025-30 TE+2
1025-05 CU+2
1025-05 CU+2
1025-40 CU+2
1025-30 TE+2
1025-30 lTE+2 I II
D4CUMENT DESTRUCTION PROVIDED BY :
0 1 10-25iF005 CERTIFICATE OF DESTRUCTION? Ye -
L
-_ Page 1 of 3
City Clerk/Records Manaeement
rage I of 1
,.
RECORDS DESTRUCTION REQUEST
Approved for Destruction
City Attorney
Q5
Date
Date
Date
Total of records approved for destruction: \
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
This form documents the destruction of City records in accordance with the California Public Records Act.
Requesl by Originating Department: I Requested Date: I Originating Department Manager Initials:
Public Works - Fleet Operations 5- 3-0s
Person’s Completing Form:
Pa4 GsrO
No. RECORDS DESCRIPTION DATED
1 Sold/Obsolete Vehicle Files 19gds
2 Vendor Files/Misc Reports FY 85-86
3 Mise Rpts/Credit Card & Mileage FY 85-86
/
4 Vendor Files FY 85-86
5 Misc Purchase Orders FY 88-89
6 Sold/Obsolete Vehicle Files 1986’
7 Sold/Obsolete Yehicle Files 190~
8 Blanket Purchase Orders J FY 88-89
9 Misc Reports & Vendor Files FY 86-87 (end list) 10 Misc Files FY 88-89
BOX 11 RRSNo. 1 RRS BARCODE 1 PDF 11 APPROVED 1 Period 1 By City 1 11 Attortley
66 11025-30 ITE+2 I I I
67 1025-05 CU+2
68 1025-05 CU+2
DQCUMENT DESTRUCTION PROVIDED BY : DATE :
0 1 i0-25iF005
L
-_
Page 2 of 3
City ClerklRecords Manageinent
RECORDS DESTRUCTION REQUEST
Approved for Destruction
Department Head
City Records Mana f Date
Date
Total of records Ymey roved for destruction:
NOTE : Citv records on “Hold” cannot be destroved.
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
This form documenfs the destruction of City records in accordance with the California Public Records Act.
Person’s Completing Form:
DKUMENT DESTRUCTION PROVIDED BY : 0 6% DATE :
0 1 i0-25iF005 CERTl Fl CATE $ I&ST~UCTION? Yes NO
21
22
23
24
--
Maintenance Cost Reports i/ FY 83-84 84 1025-05 CU+2
Vendor & Misc Files FY 84-85 85 1025-05 CU+2
Vendor Files FY 84-85 86 1025-05 CU+2
Accident Reports (Copies) FY 84-85 86 1025-05 CU+2 v
Page 3 of 3
-
(end list)
RECORDS DESTRUCTION REQUEST
ipproved for Destruction
Department Head
Date
Date
VOTE : Citv records on “Hold” cannot be destroved.
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*
lave been completed, and no pending or ongoing litigation or investigation involving these records is known
o exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department Requested Date Originating Department Manager Initials
Person’s Completing Form
No. RECORDS DESCRIPTION DATED BOX RRSNo. RRS BARCODE PDF APPROVED
Rj City
H=HOLD
Period A ttor-lley No.
1 I I 1 I I I I
/ DOCUMENT DESTRUCTION PROVIDED BY : I DATE : Q-3794,
0 130-25, too5 CERTIFICA‘I’E OF DESTRUCTION? Yesw No 0 u\ - c
LIVE tNVCjft3E FCHW4RIS TO ,4CCOLW+#TTMG PROCESS PA'YMENT !MMED!&?€LY
Bu%DTo:
I
This certificate is to certify that Shred-it destroyed confidential
information on-site for the above mentioned company by
~O~iUTAL MPACT
Shml-it is committed to helping save the
environment. All shredded mated that
is recyclable is brought to a recycling
THIS YEAR YOUR SAVED THROUGH
fair return on the investment in
SECURING YOUR OFFICE AND THE ENVIRONMENT
@PmImAIIOIUOWII