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Home My WebLink About; ; Records Destruction Authorization Form-Parks & Recreation; 2006-03-24RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of 1 Department Requesting Destruction: Stagecoach Community Center Approvals for Destruction Da /WRecords Manager(r 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: Becky Falk No. 1 2 3 4 5 6 7 9 RECORDS DESCRIPTION Class Reqistrgtjons Class Registrations \xA-Q^ Class Registrations Q^, V . . ^ j rfl^.WWc* <2 Class Registrations r\ C w~ ">• 1HO L Class Registrations f\t> Class Registrations V °ft S"- 1 °^s(o( Class Registrations ^OjCig^ft«j€raoo6 Picnic Reservation Forms -*Xk / fac'iHJ-Y Us*.U*LeLpfl:c~sh9'* DATED J/Q4- — 4/02 1/02 12/02 12/01 1/98 - 1/99 ^ innHUU 1/96 BOX No. 1 — 2 A. 2b 5 .*" 7 8 9,10 3 RRS No. -143Q-§§ — 1130-55 1130-55 1130-55 1130-55 1130-55 1130-55 0900-40 RRS Period -Gt+2 — CL+2 CL+2 CL+2 CL+2 CL+2 CL+2 CU+2 BARCODE 1 ^ ^ • • " APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY :_ CERTIFICATE OF DESTRUCTION? Yes^ No Dr 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 City Clerk/Records Management Page 1 of 1 Approve* Total RECORDS DESTRUCTION REQUEST i for Destruction GZtfuJ,' ^ \foy<*-' Department Head ^ K^W^nfc^lW. AfrCity Records Manager City Attorney of records approved for destruction:61 fif^l i * *•* ' c_>i ) VjriT /ll&los Date /f/So/OJT Date ' /^. /- *r« Date 7 60 K IS 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. Request by Originating Department: Senior Center Requested Date: Originating Department Manager Initials: 11/01/05 J^iX Person's Completing Form: Kris Westland No. 1 3 4 5 6 7 8 9 10 RECORDS DESCRIPTION Facility Use Applications -CmiiurNUtrtiuii Piuyiam Senior Nutrition Prnnram Pfffiiff r Mi itriti<~>i"i Pmgrqrn — Senior Nutrition Program Senior Nutrition Program Senior Nutrition Program Senior Nutrition Program Senior Nutrition Program Senior Nutrition Program DATED 1997- 2002 1999 1003 1995 1-993 1999 1997 1994- 1995 1998 1994- 1997 1998- 1999 1995- 1999 BOX No. 1 — 9 — /) 5 6 7 8 9 10 RRS No. 0900-40 -6600-20 0690 SO 0690-20 0690-20 0690-20 0690-20 0690-20 0690-20 (/ RRS Period CU+2 -eti+2 OU+g- -CUi2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 BARCODE *} /«,o*<25 > Co^V^ 5 PDF P APPROVED By City Attorney H=HOLD DOCUMENT DESTRUCTION PROVIDED BY :. 0130-25/F005 CERTIFICATE OF DESTRUCTION? Yes DATE: Exhibit C - Onsite Records Destruction Form F005 City Clerk/Records Management Page 1 of2 ONSITE RECORDS DESTRUCTION LIST Approved for Destruction / //d////4j- Department Heaa Date 10 ity Records Manager Date fO - / 2. . City Attorney Total of records approved for destruction: Date \5. Note : City records on Hold cannot be destroyed. 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. Request by Originating Department: Recreation Department C (\.l-ft V £?T2 rT Requested Date: 10/5/05 """ ~^*^^^ Originating DepartmgS-fJiapageriJntials: L.S\ /^^^ yPerson's Completing Form: Christina Sebring V^ r _^~— "" No. 1 2 3 4 5 6 7 8 9 10 RECORDS DESCRIPTION Shift notes, Facility Applications, Schedules Reports, Press Releases, Brochures ^,v Facility Inspection Record &v Triathlon Triathlon Hospitality L,^ Preschool Preschool Facility Operation Files Class Registrations Timesheets, Shiftnotes, Records Preschool files DATED 1995- 1997 f t \ 1990- 1995 1992- 1995 1995- 2000 1985- 1991 1997- 1999 1996- 1997 2002 1994- 1998 1993- 2000 BOX No. 1 & 3 $* 5 6 7 8 9 10 RRS No. 0900-40 1130-05 1130-20 1130-20 1130-50 1130-50 1130-05 1130-55 1130-05 1 1 30-50 RRS Period CU+2 CU+2 CL+2 CL+2 CL+2 CL+2 CL+2 CL+2 CL+2 CL+2 BARCODE PDF TIP APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 2 of2 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: Recreation Department Requested Date: 10/5/05 Originating Department Manager Initials: L.S. Person's Completing Form: Christina Sebring No. 11 12 13 14 15 16 17 18 RECORDS DESCRIPTION Claims, budget, recruitment/policies AP Batches, records/preschool Facility Use Applications Facility Use Applications Injury/Incident Reports Class Registration Class Registration Class Registration DATED 1997- 1999 1999 2000- 2001 2002 1999- 2002 2001 2002 2002 BOX No. 11 12 13 14 14 15 16 17 RRS No. 1130-70 1130-05 0900-40 0900-40 1130-15 1130-55 1130-55 1130-55 RRS Period CL+2 CL+2 CU+2 CU+2 CL+2 CL+2 CL+2 CL+2 BARCODE PDF TIP APPROVED By City Attorney H=HOLD DOCUMENT DESTRUCTION PROVIDE BY : ?>&-^cX ^ ^WZ DATE: -^W /fpO CERTIFICATE OF DESTRUCTION? Y^H) 0130-25/F005 jf NO n ' City Clerk/Records Management RECORDS DESTRUCTION REQUEST Department Requesting Destruction: Approvals for Destruction j S*. L. Department Head Date Records Manager 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. RECORD DESTRUCTION COMPLETED BY : CERTIFICATE OF DESTRUCTION2-^e*-H^No JARCODES DELETED BY:DATE: P3I This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 City Clerk/Records Management RECORDS DESTRUCTION REQUEST Department Requesting Destruction: Approvals for Destruction Department Head 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: No.RECORDS DESCRIPTION DATED BOX No. RRS No.RRS Period BARCODE APPROVED By City Attorney H-HOLD sciEF 14 (3 A- •I*. RECORD DESTRUCTION COMPLETED BY ; , CERTIFICATE OF DESTRUCTION? YeU^l No 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 City Clerk/Records Management Page 1 of 2 Approvec RECORDS DESTRUCTION REQUEST i for Destruction ^£7 it'l^O^T Department Head /•^7^'/^l4_ — ' ^f^^fi^-pf AfGity Records Manager City Attorney Total of records approved for destruction: 17 \o Date Date Date ^ 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. Request by Originating Department: Recreation/Community Swirr^ Complex Requested Date: Person's Completing Form: Kathleen Shubin No. 1 2 3 4 5 6 7 8 9 10 11 12 13 RECORDS DESCRIPTION Fall 2002 Swim Lesson Registration Waivers Facility Use Applications 2000-2002 2002 Lagoon Permit Applications/Files Lap and Recreation Swim Pass Waivers/ Masters Swim Program Waivers Mail-In Registration Waivers Spring and Summer 1 999 Registration Waivers Lifeguard Accounting Sheets Lifeguard Accounting Sheets Course Records Swim Lesson Waiver Facility Use Schedule Swim Lesson Registration Waivers Summer Swim Lesson Waivers DATED 2002 2000-2002 2002 2000-2002 2003 1999 2001-2002 2002-2003 2001-2002 2002 1999 1997 3**- 2002 BOX No. J^ J* 26- 2* S*> ^ '4 V* ' 6 ^6 • 6 ^6 '7 Originating Department Manager Initials: QfoT RRS No. 1130-55 0900-40 1130-60 1130-50 1130-55 1130-55 0900-40 0900-40 1130-05 1130-55 0900-40 1130-55 1130-55 RRS Period CL+2 CU+2 CL+2 CL+2 CL+2 CL+2 CU+2 CU+2 CU+2 CL+2 CU+2 CL+2 CL+2 BARCODE PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 2 of2 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: Recreation/Community Swim Complex Requested Date: Person's Completing Form: Kathleen Shubin No. 14 15 16 17 RECORDS DESCRIPTION Lifeguard Accounting Sheets Lifeguard Accounting Sheets Registration Waivers Lap and Recreation/Masters Program Waivers DATED 2000-2002 2001 2001 W8-2001 BOX No. '#C| • 9 • 9 • 9 Originating Department Manager Initials: RRS No. 0900-40 0900-40 1130-55 1130-55 RRS Period CU+2 CU+2 CL+2 CL+2 BARCODE PDF APPROVED By City Attorney H=HOLD DOCUMENT DESTRUCTION PROVIDED BY :_ 0130-25/F005 CERTIFICATE OF DESTRUCTION? Yes WE RECYCLE Shred-it P. O. Box. 2Q77 Vista ,CA 920852077 PHONE T6Q-598-57QQ SERVICE LOCATION: Citv Of Carlsbad 1200 Cartsbad VWfage Dr City Hall ( Carlsbad, CA 0910189051 OATF, 3/24/2006 PURGE LIVE [MVO1CE FORWARD TO ACCOUNTING PROCESS PAYMENT IMMEDIATELY This is to certify that Shred-it destroyed confidential information on-site for the above mentioned company by TRUCK NO.:o, Z.M TRUCK NO.:TOTAL. TIME: This year your firm's share of wood saved through Shred-it's recycling program amounts to „ trees. CERTIFICATE OF DESTRUCTION THANK YOU FOR YOUR BUSINESS. SECURIT