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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2006-03-24'Exhibit C - Onsite Records Destruction Form F005 City Clerk/Records Management Page 1 of 22 ONSITE RECORDS DESTRUCTION LIST Approved for Destruction 3/3/06 Department Head Date City Records Manager Date City Attorney Date Total of records approved for destruction: (j> 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: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 1 2 3 4 5 6 7 8 9 RECORDS DESCRIPTION ANDERSON DRILLING - Hit Light Loss Recovery C&M CLUB (Williamson) - Hit Shed at Harding Center Loss Recovery CARABAJAL, Damian - Hit Art Work Loss Recovery CHIAVACCI, Louis - Hit Fire Hydrant Loss Recovery CLASSIC CATERING (Kaplay) - Hit Street Light Loss Recovery DAWES, Stuart - Hit Street Light Loss Recovery DIXON, Bryant - Hit Plant Material Loss Recovery EICKHOLT, Mark - Hit City Vehicle Loss Recovery FRIERSON, Eddie - Hit Plant Material Loss Recovery DATE Closed Date 3/8/95 Closed Date 11/10/94 Closed Date 11/29/94 Closed Date 5/15/95 Closed Date 12/29/94 Closed Date 12/30/94 Closed Date 8/25/94 Closed Date 8/25/94 Closed Date 12/8/94 BOX No. 996 996 996 996 996 996 996 996 996 RRS No. 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 RRS Period CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 2 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 RECORDS DESCRIPTION HEDENBERG, Elizabeth - Hit City Vehicle Loss Recovery HOEHN, INC. - Hit Signal Loss Recovery HOLIDAY HOUSE - Fire due to Vandalism Loss Recovery from City's Insurance Carrier HOOPER, Melvene - Hit City Vehicle Loss Recovery KIM, Lawrence - Hit Street Light Loss Recovery MARSHALL FREIGHT- Hit Fire Hydrant Loss Recovery MARTINEZ, Edilberto - Hit Dumpster Loss Recovery McDOUGALL, John - Vandalized City Vehicle Loss Recovery MORRISSEY, Laura - Hit City Vehicle Loss Recovery MUNGER, Ronald - Hit Street Light Loss Recovery NCTD - Hit City Vehicle Loss Recovery NUNN, William - Hit Concrete Bench Loss Recovery SALAS, Victor- Hit Plant Material Loss Recovery SALAZAR, Noe - Graffiti Removal Loss Recovery SAMAMA, Shane - Hit City Vehicle Loss Recovery SEREKIS, Benjamin - Hit Traffic Light Loss Recovery SIRON, Sharon - Hit Fire Hydrant Loss Recovery STIFLE, Danny - Hit Plant Material Loss Recovery STOCKTON, Dale - Hit City Vehicle Loss Recovery T. C. CONSTRUCTION - Hit City Vehicle Loss Recovery WALLIN, Robert - Hit Plant Material Loss Recovery WERNER ENTERPRISES - Hit Street Light Loss Recovery WHITENER, Paul - Hit Tree Loss Recovery WIDNER, Jennifer- Hit Light Post Loss Recovery WOODROW, Michael - Hit Guard Rail Loss Recovery ZEPEDA, Manuel - Hit City Vehicle Loss Recovery DATE Closed Date 8/25/94 Closed Date 6/14/95 Closed Date 5/3/95 . Closed Date 3/13/95 Closed Date 5/26/95 Closed Date 4/21/95 Closed Date 9/7/94 Closed Date 11/23/94 Closed Date 1/11/95 Closed Date 12/14/94 Closed Date 7/26/94 Closed Date 1/30/95 Closed Date 5/22/95 Closed Date 8/25/94 Closed Date 8/11/94 Closed Date 4/14/95 Closed Date 12/14/94 Closed Date 3/15/95 Closed Date 7/12/94 Closed Date 3/23/95 Closed Date 2/23/95 Closed Date 4/3/95 Closed Date 12/20/94 Closed Date 10/8/94 Closed Date 12/14/94 Closed Date 8/9/94 BOX No. 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 996 RRS No. 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 RRS Period CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page3 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 36 37 38 39 40 41 42 43 44 45 46 47 48 49 RECORDS DESCRIPTION 20ln CENTURY (HARDWICK) - Hit Manhole Cover Claim 20'n CENTURY (BENCE) - Hit Pothole Claim 20tn CENTURY (BROWN) - Hit Barricades Claim 20th CENTURY (RANGEL) - Vehicle Accident Claim ABULAFIA, Lewis - Cracked Driveway Claim ACEVEDO, Humberto - Cracked Windshield Claim ANDERSON, Carol - Cracked Windshield Claim AQUINO, Joe - Cracked Windshield Claim ARDMAN, Milton - Vehicle Side View Mirror Broken Claim ARENA, Robert - Cracked Windshield Claim AUTO CLUB (SWENSON) - Vehicle/City Accident Claim AUTO CLUB (BOSS) - Vehicle Collision Litigation AWAD, George - Missing Property Claim AWAD, George - False Arrest Claim DATE Received 4/4/94 Closed Date 12/27/94 Received 2/14/94 Closed Date 12/27/94 Received 12/13/93 Closed Date 12/27/94 Received 10/25/93 Closed Date 12/27/94 Received 9/16/94 Closed Date 4/25/95 Received 6/6/94 Closed Date 7/12/94 Received 8/30/93 Closed Date 10/18/94 Received 9/16/93 Closed Date 10/18/94 Received 3/7/94 Closed Date 12/27/94 Received 9/20/93 Closed Date 10/18/94 Received 4/25/94 Closed Date 5/19/95 Closed Date 1/27/95 Received 6/22/94 Closed Date 5/31/95 Received 10/18/94 Closed Date 5/31/95 BOX No. 996 996 996 996 996 996 996 996 996 996 996 996 996 996 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 4 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 50 51 52 53 54 55 56 57 58 59 60 61 62 63 RECORDS DESCRIPTION BEASLEY, Marc - Damaged Property Claim BEIM, Daniel - Asphalt on Vehicle Claim BENCE, John - Hit Pothole Claim BENTLEY, Jeff- Vehicle/City Accident Claim BERRIE, Robin - Vehicle Damage due to Rebar Claim BIELEN, Jacob - Cracked Driveway Claim BIGGERSTAFF, Daniel - Cracked Windshield Claim BILLINGSLEY, Ruth - Forced Entry Claim BLANCHARD, John - Cracked Windshield Claim BOLTON, Linda - Vehicle Damage Claim BRASWELL, ET AL - Police Brutality Litigation BRATTON, Kammie & Janice Pedestrian/vehicle Accident Litigation BROKAW, Sylvia - Vehicle Damage Claim BROKAW, Diane - Cracked Windshield Claim DATE Received 12/8/93 Closed Date 1/13/95 Received 2/2/94 Closed Date 12/27/94 Received 2/24/94 Closed Date 12/27/94 Received 9/26/94 Closed Date 10/7/94 Received 9/22/94 Closed Date 12/9/94 Received 10/11/94 Closed Date 6/27/95 Received 10/25/93 Closed Date 10/27/94 Received 12/6/94 Closed Date 1/27/95 Received 8/30/94 Closed Date 4/25/95 Received 9/1/93 Closed Date 10/18/94 Received 5/29/91 Closed Date 3/29/95 Received 12/30/92 Closed Date 12/13/94 Received 8/9/93 Closed Date 8/31/94 Received 8/31/93 Closed Date 10/27/95 BOX No. 996 996 996 996 996 996 996 996 996 996 996 996 996 996 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management PageS of 22 This form documents the destruction of City records in accordance with the California Public Records Act Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 64 65 66 67 68 69 70 71 72 73 74 75 76 77 RECORDS DESCRIPTION BROWN, Maureen - Vehicle Damage Claim BROWN, Mary - Vehicle Accident Claim BROWN-BELLMAN, Marylynn - Illegal Tow Claim BUCCELLI, James - Altercation Claim BUFALINI, Samuel - Cracked Windshield Claim BURNS, Victor -Cracked Windshield Claim BURNS, Victor- Windshield Damage Claim BYERLEE, Sheri - Cracked Windshield Claim CARICCHIO, Maria and WILSON, Brett - Vehicle Accidents Litigation CARLSBAD BEACH INN - Trip & Fall Claim BEAUCHAMP, L. E. - Rental Damage Litigation CARLSON, Keith & Suzanne - Vehicle Accident Litigation CICERO, Frank & Virginia - False Arrest Litigation COBIAN, Alberto - Vehicle Damage Claim DATE Received 5/12/94 Closed Date 12/27/94 Received 11/5/93 Closed Date 12/27/94 Received 7/19/93 Closed Date 8/31/94 Received 6/6/94 Closed Date 7/15/94 Received 7/19/94 Closed Date 9/26/94 Received 2/10/94 Closed Date 10/27/94 Received 10/25/93 Closed Date 12/27/94 Received 6/15/94 Closed Date 8/26/94 Received 11/4/93 Closed Date 1/27/95 Received 6/4/93 Closed Date 8/31/94 Received Closed Date 3/10/94 Received 7/26/93 Closed Date 5/31/95 Received 1/28/92 Closed Date 6/21/95 Received 9/12/94 Closed Date 5/31/95 BOX No. 996 996 996 996 996 996 996 996 997 997 997 997 997 997 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 6 of22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 RECORDS DESCRIPTION COHON, Stanley - Vehicle Damage Claim COLEMAN, W. Thomas - Wrongful Termination Litigation COLEMAN, W. Thomas - Age Discrimination Litigation (Federal) COLEMAN, W. Thomas - Personal Injury Claim COLEMAN, W. Thomas - Harassment Claim COLEMAN, W. Thomas - Wrongful Termination Claim COLEMAN, W. Thomas - Denied Skelly Hearing Claim COLEMAN, W. Thomas - Denied Administrative Remedies Claim COLEMAN, W. Thomas - Age Discrimination Claim CONNELLY, Todd - Vehicle Damage Claim CRAWFORD, John & Glenda - Windshield Damage Claim CULPEPPER, Robert - Windshield Damage Claim DAUENHAUER, Loretta - Trip & Fall Claim DENTEN, Lisa - Trip and Fall Litigation DENTON, Elizabeth - Trip and Fall Litigation DeZONIA, Robert & Krysti - Vehicle Accident Litigation DOYLE, Jane - Vehicle Damage Claim DATE Received 9/9/93 Closed Date 10/18/94 Closed Date 6/29/95 Closed Date 6/29/95 Closed Date 6/29/95 Closed Date 6/29/95 Closed Date 6/29/95 Closed Date 6/29/95 Closed Date 6/29/95 Closed Date 6/29/95 Received 1/18/95 Closed Date 2/17/95 Received 11/4/93 Closed Date 10/27/94 Received 9/20/92 Closed Date 10/18/94 Received 12/16/93 Closed Date 12/27/94 Received 11/24/92 Closed Date 8/31/94 Received 7/18/91 Closed Date 5/9/95 Received 6/10/93 Closed Date 9/14/94 Received 11/22/93 Closed Date 8/26/94 BOX No. 997 997 997 997 997 997 997 997 997 997 997 997 997 997 997 997 997 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 7 of22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 95 96 97 98 99 100 101 102 103 104 105 106 107 108 RECORDS DESCRIPTION DUNCAN, Erena - Trip and Fall Litigation DUNN, Jack- Bicycle Accident Claim EAGUNE, Shannon -Windshield Damage Claim EASTMAN, James - Vehicle Accident Claim EBNER, Elizabeth - Clothing Damage Claim EDWARDS, Chandler - Sewer Back-Up Claim EDWARDS, Jon - Police Brutality Claim ELLIOTT, David - Damage due to Police Dog Claim FARMERS (Krautter) - Vehicle Accident Claim FASSNACHT, Matthew - Vehicle Accident Claim FA YE, Judith - Vehicle Accident Claim FIELDS, Sherry -Windshield Damage Claim FOLSTAD, Shawn - Vehicle Damage Claim FOSTER, William & Patricia - Vehicle Accident Litigation DATE Received 6/9/93 Closed Date 7/29/94 Received 5/18/94 Closed Date 11/10/94 Received 8/16/94 Closed Date 9/30/94 Received 4/27/95 Closed Date 6/16/95 Received 3/23/95 Closed Date 4/25/95 Received 6/28/94 Closed Date 8/8/94 Received 10/6/94 Closed Date 4/25/95 Received 8/20/93 Closed Date 8/31/94 Received 6/10/94 Closed Date 2/28/95 Received 7/30/93 Closed Date 8/31/94 Received 5/24/94 Closed Date 12/27/94 Received 11/13/94 Closed Date 12/27/94 Received 7/20/94 Closed Date 3/28/95 Received 12/3/92 Closed Date 7/22/94 BOX No. 997 997 997 997 997 997 997 997 997 997 997 997 997 997 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 8 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 109 110 111 112 113 114 115 116 117 118 119 120 121 122 RECORDS DESCRIPTION FRANCO, Reuben and ALLSTATE - Vehicle Accident Claim FREUDENBERGER, Grace & Victor- Trip and Fall Claim Gabai, Dorothy - Trip and Fall Claim GAISBAUER, Willard - Vehicle Hit Pothole Claim GEREB, Komelia - Windshield Damage Claim GHAMATY, Sohaila - Vehicle Damage Claim GIARRUSSO, Florence - Trip and Fall Claim GORAYEB, Claire -Windshield Damage Claim GOUDARZIAN, Robert - Windshield Damage Claim GRAY, Erika - Vehicle Damage Claim HAECKER, Susan - Vehicle Damage Claim HAMILTON, John - Vehicle Damage Claim HARDWICK, James - Vehicle Damage Claim HART, Peggy - Vehicle Damage Claim DATE Received 10/7/94 Closed Date 12/2/94 Received 12/3/93 Closed Date 10/27/94 Received 6/21/94 Closed Date 2/28/95 Received 9/13/94 Closed Date 10/7/94 Received 2/4/94 Closed Date 12/27/94 Received 2/9/94 Closed Date 12/27/94 Received 4/22/94 Closed Date 12/27/94 Received 11/30/93 Closed Date 11/29/94 Received 12/23/93 Closed Date 12/27/94 Received 10/12/93 Closed Date 10/27/94 Received 12/6/93 Closed Date 12/27/94 Received 12/14/94 Closed Date 6/27/95 Received 12/23/93 Closed Date 12/27/94 Received 9/8/93 Closed Date 10/20/94 BOX No. 997 997 997 997 997 997 997 997 997 997 998 998 998 998 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 9 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 123 124 125 126 127 128 129 130 131 132 133 134 135 136 RECORDS DESCRIPTION HENKINS, Elliott - Sewer Back-up Claim HENRISH-CARMEN, Susan - Property Damage Claim HEYLAND, Leila - Vehicle Damage Claim HIRSCHBERG, Walter - Damage due to Clogged Storm Drain Claim HOLMES, Robert- Plan Check Error Claim HOLMQUIST, Michelle - Stolen Property Claim HOLSTEIN, Carolyn - Missing Property Litigation HOOD, Michelle -Vehicle Damage Claim HOOVER, David & Lisa - Vehicle Damage Claim HOWLETT, Teresa - Trip and Fall Claim HUTCHINSON, Richard - Vehicle/City Accident Claim JACINTO, Judith - Vehicle Damage Claim JACKSON, Jeffrey - Vehicle Damage Claim JESSEE, Robert - Vehicle Damage Claim DATE Received 12/10/92 Closed Date 10/20/94 Received 3/29/93 Closed Date 10/27/94 Received 11/17/93 Closed Date 11/29/94 Received 3/20/95 Closed Date 4/14/95 Received 11/22/93 Closed Date 11/29/94 Received 6/10/94 Closed Date 7/18/94 Received 8/31/93 Closed Date 5/9/95 Received 11/24/93 Closed Date 11/29/94 Received 9/13/93 Closed Date 10/20/94 Received 6/15/93 Closed Date 8/31/94 Received 3/20/95 Closed Date 4/7/95 Received 8/18/94 Closed Date 3/28/95 Received 9/20/93 Closed Date 10/27/94 Received 8/20/93 Closed Date 8/31/94 BOX No. 998 998 998 998 998 998 998 998 998 998 998 998 998 998 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 10 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 137 138 139 140 141 142 143 144 145 146 147 148 149 150 RECORDS DESCRIPTION JOHANSON, Steve - Storage Charges Claim JULIAN, INC. - Breach of Contract Litigation KEL-ARTINIAN, Sarkis - Vehicle Damage Claim KELLOGG, Darryn - Vehicle Damage Claim KOZIEWICZ, Michael - Trip & Fall Indemnification KRASNER, Paul & Diane - Property Damage Claim KRAUTTER, Henry - Vehicle Accident Claim KRICHELDORF, Glen - Vehicle Damage Claim LeBLANC, Paul - Confiscated Property Claim LONG, Virgil - Vehicle/City Accident Claim LOOS, Susan - Vehicle Damage Claim MADRON, Steve - Vehicle Damage Claim MARTINEZ, Diego - Vehicle Registration Claim MASON, Ted - Vehicle Damage Claim DATE Received 5/5/93 Closed Date 8/31/94 Received 4/2/92 Closed Date 10/13/94 Received 12/20/93 Closed Date 12/27/94 Received 11/28/94 Closed Date 6/27/95 Received 1/25/94 Closed Date 8/31/94 Received 12/29/93 Closed Date 8/31/94 Received 7/14/94 Closed Date 2/28/95 Received 11/17/94 Closed Date 6/27/95 Received 12/6/94 Closed Date 6/27/95 Received 11/1/94 Closed Date 12/9/94 Received 9/24/93 Closed Date 10/27/94 Received 10/3/94 Closed Date 4/15/95 Received 11/23/94 Closed Date 3/17/95 Received 4/21/94 Closed Date 12/27/94 BOX No. 998 998 998 998 998 998 998 998 998 998 998 998 998 998 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 11 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 151 152 153 154 155 156 157 158 159 160 161 162 163 164 RECORDS DESCRIPTION MAYER, Betty - Vehicle Damage Claim McGILL, Justine - Damage Tire Claim MELLGREN, Leonard - Vehicle Damage Claim MELZER, Helmut - Damage Roof Claim METCALF, Don - Vehicle Damage Claim MINTER, Tyician - Lost Possessions Claim MORRISON, Katherine - Vehicle Damage Claim NEYLAN, A. J. - Vehicle Accident Claim OLAS, Ida - Vehicle Damage Claim OLLER, David - Vehicle Damage Claim ORCHEN, Melvin - Vehicle Damage Claim OSTROWSKI, Walter- Trip and Fall Litigation OTTE, Claire - Vehicle Damage Claim PACIFIC BELL - Damaged Cables Claim DATE Received 5/23/94 Closed Date 12/27/94 Received 10/28/93 Closed Date 10/27/94 Received 3/9/94 Closed Date 12/27/94 Received 3/1/95 Closed Date 3/31/95 Received 9/26/94 Closed Date 10/7/94 Received 12/11/91 Closed Date 12/12/94 Received 9/30/93 Closed Date 10/27/94 Received 3/15/93 Closed Date 8/31/94 Received 11/30/93 Closed Date 11/29/94 Received 4/18/94 Closed Date 12/27/94 Received 9/27/94 Closed Date 4/25/95 Received 1/25/94 Closed Date 6/29/95 Received 7/14/94 Closed Date 2/28/95 Received 11/5/93 Closed Date 2/28/95 BOX No. 998 998 998 998 998 998 998 998 998 998 998 998 998 998 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 12 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 165 166 167 168 169 170 171 172 173 174 175 176 177 178 RECORDS DESCRIPTION PACIFIC BELL - Damaged Cable Litigation PACIFIC BELL - Damaged Cable Claim PARKS, Amy - Vehicle Damage Claim PARRISH, Thomas & Noelle - Vehicle Accident Claim PETERSEN, Linda -Single Vehicle Accident Claim PETERSON, Jerry - Vehicle Damage Claim PETERSON, Gerald - Vehicle Damage Claim PINNEGAR, David - Vehicle Damage Claim RASKIN, Neil - Property Damage Claim RELIANCE (Peterson) - Single Vehicle Accident Claim RICHARDSON, David - Vehicle Damage Claim RITCHIE, Gary -Use of Excessive Force Litigation RIVERA, P. C. - Driveway Damage Claim ROGERS, Gotheta - Tire Damage Claim DATE Received 10/21/93 Closed Date 6/3/94 Received 5/24/94 Closed Date 11/29/94 Received 11/12/94 Closed Date 12/27/94 Received 5/25/94 Closed Date 2/28/95 Received 9/19/94 Closed Date 1/27/95 Received 1/3/94 Closed Date 1/27/95 Received 9/15/93 Closed Date 11/29/94 Received 2/10/94 Closed Date 1/27/95 Received 2/28/95 Closed Date 5/5/95 Received 10/24/94 Closed Date 1/27/95 Received 1/16/95 Closed Date 2/10/95 Received 5/9/94 Closed Date 4/25/95 Received 3/30/94 Closed Date 2/28/95 Received 12/16/93 Closed Date 12/27/94 BOX No. 998 998 998 998 999 999 999 999 999 999 999 999 999 999 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 13 of22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 179 180 181 182 183 184 185 186 187 188 189 190 191 192 RECORDS DESCRIPTION ROSEN, Edward - Vehicle Damage Claim RUSSO, Joanne - Vehicle Damage Claim SADRIEH, Djafar & Nahid - Indemnification SAN DIEGO ELEVATOR - Vehicle/City Accident Claim SAN DIEGO GAS & ELECTRIC - Vehicle Collision Litigation SANDERS, Thomas - Illegal Tow Claim SCANLAN, Paul & Jackie - Fountain Damage Claim SCHMIDT, Robert- Vehicle/City Accident Claim SCHNEIDER, Kathleen - Vehicle Damage Claim SCHREIBER, Dale - Preliminary Injunction Litigation SDG&E - Indemnification Claim SEGER, Susan - Storage Charges Claim SHORT, Susan - Vehicle Damage Claim SIERRA, Lawrence - Vehicle Damage Claim DATE Received 6/23/93 Closed Date 8/31/94 Received 9/13/93 Closed Date 10/27/94 Received 6/23/93 Closed Date 9/15/94 Received 5/2/94 Closed Date 7/20/94 Received 6/8/93 Closed Date 1/27/95 Received 9/14/93 Closed Date 10/27/94 Received 4/17/95 Closed Date 6/2/95 Received 11/21/94 Closed Date 12/23/94 Received 6/23/94 Closed Date 1/27/95 Received 12/13/93 Closed Date 1/27/95 Received 6/30/93 Closed Date 8/31/94 Received 12/2/94 Closed Date 6/27/95 Received 7/13/93 Closed Date 8/31/94 Received 1/16/95 Closed Date 2/10/95 BOX No. 999 999 999 999 999 999 999 999 999 999 999 999 999 999 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 14 of22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 193 194 195 196 197 198 199 200 201 202 203 204 205 206 RECORDS DESCRIPTION SMITH, Dwight - Vehicle Damage Claim SOLOMON, Norman & Laura - Indemnification Claim SPURGEON, Wanda - Trip and Fall Claim SWENSON, Lee - Vehicle/City Accident Claim TABBERT, Yvette - Trip and Fall Claim TADURAN, Felix - Vehicle Accident Claim THOMAS, Eleanor -Trip and Fall Litigation THOMPSON, Christopher - Vehicle/City Accident Claim THRASHER, Virginia - Vehicle/City Accident Claim TOPJIAN, William - Damaged Real Property Claim TORTORICI, Liberate - Vehicle Damage Claim TOWERS, Bradley - False Arrest Litigation TROJAN PROPERTIES -Trip and Fall Claim TROTTER, Travis - Vehicle Damage Claim DATE Received 11/15/93 Closed Date 10/27/94 Received 1/15/93 Closed Date 8/31/94 Received 5/20/93 Closed Date 8/31/94 Received 2/21/95 Closed Date 3/17/95 Received 12/8/93 Closed Date 12/27/94 Received 6/2/94 Closed Date 2/28/95 Received 3/20/92 Closed Date 6/2/95 Received 8/309/94 Closed Date 11/10/94 Received 8/31/94 Closed Date 9/26/94 Received 3/16/95 Closed Date 5/5/95 Received 8/23/93 Closed Date 8/31/94 Received 12/2/92 Closed Date 2/28/95 Received 1/23/92 Closed Date 6/2/95 Received 11/22/93 Closed Date 11/29/94 BOX No. 999 999 999 999 9999 999 999 999 999 999 999 999 999 999 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page IS of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 RECORDS DESCRIPTION TURNER, Anthony - Police Brutality Litigation USAA (Dagan) - Vehicle/City Accident Claim VIGIL, Joseph - Vehicle Damage Claim VINCENT, Julie - Vehicle Damage Claim WADE, Ann - Vehicle Damage Claim WALTERS, Gwen - Vehicle Damage Claim WAY, Sally - Vehicle Damage Claim WILDER, Chris - Vehicle/City Accident Claim WOOD, Arthur - Vehicle Damage Claim ZALATAN, Anne - Vehicle Damage Claim ACTMEDIA - Hit Fire Hydrant Loss Recovery ALIOTTI, Paul - Hit City Vehicle Loss Recovery BAXLEY, James - Hit Fire Hydrant Loss Recovery BONEMERY, Eileen - Hit Street Light Loss Recovery BULIS, Speros - Hit City Vehicle Loss Recovery CONWAY WEST EXPRESS - Hit Fire Hydrant Loss Recovery DeFABIO, Victor- Hit City Vehicle Loss Recovery FLICK, Erin - Hit Guardrail Loss Recovery DATE Received 2/23/93 Closed Date 8/4/94 Received 2/23/95 Closed Date 5/19/95 Received 1/14/94 Closed Date 8/3/94 Received 8/8/94 Closed Date 3/28/95 Received 10/25/94 Closed Date 4/25/95 Received 9/28/93 Closed Date 10/27/94 Received 11/15/93 Closed Date 10/27/94 Received 1/30/95 Closed Date 2/24/95 Received 5/24/94 Closed Date 7/20/94 Received 9/14/93 Closed Date 10/27/94 Closed Date 9/27/95 Closed Date 4/8/96 Closed Date 3/7/96 Closed Date 6/21/96 Closed Date 2/8/96 Closed Date 1/4/96 Closed Date 1/25/96 Closed Date 9/6/96 BOX No. 999 999 999 999 999 999 999 999 999 999 1000 1000 1000 1000 1000 1000 1000 1000 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 16 of22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 RECORDS DESCRIPTION GEE, Kevin - Hit Traffic Signal Loss Recovery HITTLE, Michael - Hit Plant Materials Loss Recovery HORTON, D. R. (Superior Ready Mix) - Water Service Line Damage Loss Recovery KEITH, Sharon - Hit Street Light Loss Recovery KRAS, Yakov - Hit Light Signal Box Loss Recovery LOUGHLIN, John - Hit Fire Hydrant Loss Recovery MARTIN, Christopher- Meter Pedestal Loss Recovery MARTINEZ, Carlos - Hit Street Light Loss Recovery MELTON, Rayne - Damaged Vegetation Loss Recovery MENDEZ, Virginia - Hit Chain Link Fence Loss Recovery MULLEN, R. O. - Hit Water Meter Loss Recovery NCTD - Damaged Street Light Conduit Loss Recovery NEWSOME, Allen - Hit City Vehicle Loss Recovery PRO CIVIL ENGINEERING - Hit Construction Meter Loss Recovery RODRIGUEZ, Ralph - Hit Fire Hydrant Loss Recovery SABO, Victoria - Hit Street Light Loss Recovery SCHLAK, John - Hit Street Signal Loss Recovery STRONG, Maurice - Hit City Vehicle Loss Recovery 20m Century (Carpenter) - Vehicle/City Accident Claim ALLEN, Christine -Trip and Fall Claim ALLSTATE (Kerr) - Vehicle/City Accident Claim ANDERSON, Carol - Vehicle Damage Claim DATE Closed Date 6/21/96 Closed Date 8/17/95 Closed Date 11/22/95 Closed Date 9/22/95 Closed Date 2/29/96 Closed Date 2/7/96 Closed Date 3/1/96 Closed Date 9/20/95 Closed Date 9/6/95 Closed Date 5/13/96 Closed Date 2/27/96 Closed Date 10/24/95 Closed Date 3/13/96 Closed Date 6/20/96 Closed Date 8/18/95 Closed Date 5/10/96 Closed Date 8/3/95 Closed Date 2/26/96 Received 8/23/95 Closed Date 10/20/95 Received 11/17/95 Closed Date 12/15/95 Received 10/23/95 Closed Date 12/15/95 Received 8/9/95 Closed Date 2/27/96 BOX No. 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 RRS No. 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0120-20 0745-20 0745-20 0745-20 0745-20 RRS Period CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CU+2 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 17 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 247 248 249 250 251 252 253 254 255 256 257 258 259 260 RECORDS DESCRIPTION APPLEGATE, Lola - Bicycle/Pedestrian Accident Litigation ASPELL, Allison -Vehicle Damage Claim BURNS, Erin - Employment Discrimination Litigation BYRNE, John - Trip & Fall Claim CALAVERA HILLS RV PARK - Property Damage Claim CALCAGNO, Donald - Vehicle Damage Claim CALFARM (Kline) - Vehicle Damage Claim CAMINO PROP. MANAGEMENT - Water Main Burst Claim CANALETTI, Mary -Vehicle Damage Claim CARNO, Sharon - False Arrest Litigation CLARK, John & Pauline - Trip and Fall Litigation COBLE, Rosita - Vehicle Damage Claim EBRAHIMI, Faramurz - HUD Rental Damage Litigation EDIE, Mary - Vehicle Damage Claim DATE Received 1/3/95 Closed Date 6/10/96 Received 6/9/95 Closed Date 12/26/95 Received 9/13/94 Closed Date 1/15/96 Received 5/1/95 Closed Date 3/15/96 Received 6/2/95 Closed Date 7/17/95 Received 5/24/96 Closed Date 6/28/96 Received 5/30/95 Closed Date 7/14/95 Received 9/29/95 Closed Date 5/28/96 Received 2/10/95 Closed Date 8/31/95 Received 5/7/93 Closed Date 9/14/95 Received 2/22/95 Closed Date 6/6/96 Received 11/30/95 Closed Date 6/10/96 Received 8/30/95 Closed Date 11/9/95 Received 10/10/95 Closed Date 11/9/95 BOX No. 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 18 of22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 261 262 263 264 265 266 267 268 269 270 271 272 273 274 RECORDS DESCRIPTION FARMERS(Hennessy)- City/Vehicle Accident Claim FONES, Angeline - Trip and Fall Litigation FREEMAN, Antoinette - City/Vehicle Accident Claim FULTON, Tony - City issued a permit in violation of health issues Claim GABRIELLA, Thomas - Trip and Fall Claim GARCIA, Damian - City/Vehicle Accident Claim GEARING, Richard - City/Vehicle Accident Claim GOSNELL, Steven - Vehicle Impound Claim GRIFFITHS, Stacey - Trip and Fall Claim HAASL, Mary Ann - Trip and Fall Litigation HAASL, Paul - Trip and Fall Claim HEWETT, Patricia - Property Damage Claim HOCKER, David - Vehicle Tow Claim HOCKING, Jim - Vehicle Damage Claim DATE Received 11/30/94 Closed Date 9/29/95 Received 9/15/93 Closed Date 11/21/95 Received 9/13/94 Closed Date 3/26/96 Received 12/19/95 Closed Date 6/26/96 Received 2/21/95 Closed Date 10/31/95 Received 9/22/95 Closed Date 10/20/95 Received 12/19/95 Closed Date 1/10/96 Received 5/16/95 Closed Date 8/31/95 Received 1/20/95 Closed Date 8/31/95 Received 4/26/95 Closed Date 4/1/96 Received 4/26/95 Closed Date 4/1/96 Received 8/1/95 Closed Date 2/27/96 Received 6/22/95 Closed Date 12/26/95 Received 10/10/95 Closed Date 4/29/96 BOX No. 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1001 1001 1001 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 19 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 275 276 277 278 279 280 281 282 283 284 285 286 287 288 RECORDS DESCRIPTION HOOFALLEN, Jeff- Vehicle Damage Claim HOWARD, Eileen - Sewer Back- up Claim JOHNSON, Robert - Sewer Back- up Claim KEHOE, Vickie - Vehicle Damage Claim KNOWLES CHIROPRACTIC - Sewer Back-up Claim UNPAID KORBACHER, Mary- Hit by Shopping Cart Claim KRIEG, Marjorie - Trip and Fall Claim LADMAN, Phillip -Property Damage Claim LANDES, Jean -Vehicle Damage Claim LEHTONEN, William - Vehicle Damage Claim LEWIS, Gary -Trip and Fall Claim LINDSEY-Stap, Penney - Sewer Back-up Claim LITTLE, James - Bicycle Accident Litigation LOPEZ, Pete - City/Vehicle Accident Claim DATE Received 3/27/95 Closed date 10/31/95 Received 2/27/95 Closed Date 10/31/95 Received 10/25/95 Closed Date 12/8/95 Received 10/27/95 Closed Date 5/28/96 Received 2/10/93 Closed Date 6/27/96 Received 8/14/95 Closed Date 9/7/95 Received 5/2/96 Closed Date 6/13/96 Received 3/4/96 Closed Date 3/29/96 Received 2/14/95 Closed Date 8/31/96 Received 11/22/95 Closed Date 1/5/96 Received 4/4/95 Closed Date 10/31/95 Received 1/3/95 Closed Date 7/25/95 Received 9/22/94 Closed Date 11/3/95 Received 10/26/95 Closed Date 11/9/95 BOX No. 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CLH-5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLO City Clerk/Records Management Page 20 of 22 This form documents Vie destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 289 290 291 292 293 294 295 296 297 298 299 300 301 302 RECORDS DESCRIPTION McDANIEL, Ann Lewis - Trip and Fall Litigation McGUIRE, Frank- Police Dog Litigation MERCURY INS. GROUP (Wattles) - Vehicle Accident Claim MESSENGER, James - Personnel Issue Claim MILLMAN, John -Vehicle Damage Claim MONTENEGRO, Jose Maria - Civil Rights Litigation MOORSE, Todd - Vehicle Damage Claim NICOL, Bonnie - Tree Roots Damaged Foundation of House Claim NYGAARD, Julianne - Burglary Claim PACIFIC BELL - Cut Cables Litigation PELL, William - Vehicle Damage Claim PENNINGTON, Michael - Lost Real Property Litigation PHILLIPS, Jack - Sewer Back-up Claim PINON, Rosalia - City/Vehicle Accident Claim DATE Received 11/23/94 Closed Date 2/22/96 Received 12/10/93 Closed Date 1/18/96 Received 10/12/93 Closed Date 1/25/96 Received 3/27/95 Closed Date 10/31/95 Received 5/9/96 Closed Date 6/5/96 Received 7/7/95 Closed Date 7/11/95 Received 12/15/95 Closed Date 6/26/96 Received 9/21/95 Closed Date 5/28/96 Received 6/22/95 Closed Date 7/17/95 Received 4/23/93 Closed Date 7/26/95 Received 12/18/95 Closed Date 6/21/96 Received 12/12/95 Closed Date 3/20/96 Received 5/30/95 Closed Date 9/12/95 Received 1/31/96 Closed Date 3/1/96 BOX No. 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 21 of22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 303 304 305 306 307 308 309 310 311 312 313 314 315 316 RECORDS DESCRIPTION PRETZ, Dennis - Recovery Vehicle Claim PT CARLSBAD ASSOC. - Meter Leak Claim QUIJADA, Bernardino - Lost Possessions Claim REILLY, Marie - Trip and Fall Claim REINKER, Shirley - Bicycle Accident Claim ROTH, Julia - Vehicle Accident Litigation SANFLIPPO, Paul - Vehicle Damage Claim SCHEIBLE, Frank& Betty - Improper Drainage - Claim SHULTZ, Norman - Vehicle Accident Clam STATILE, William - Sewer Back- Up Claim STICKROD, Ronna - Personnel Action Claim STRONG, David - Vehicle Damage Claim STRONG, Marilyn - Burglary Claim SWAB, Jim - Water Drainage Claim DATE Received 2/8/95 Closed Date 8/31/95 Received 5/8/96 Closed Date 6/10/96 Received 6/26/95 Closed Date 7/17/95 Received 1/9/95 Closed Date 8/31/95 Received 1/29/96 Closed Date 4/26/96 Received 4/25/95 Closed Date 2/9/66 Received 1/27/95 Closed Date 9/29/95 Received 5/30/95 Closed Date 1/25/96 Received 7/5/95 Closed Date 7/25/95 Received 8/8/95 Closed Date 2/72/96 Received 5/13/94 Closed Date 2/9/96 Received 9/1/95 Closed Date 10/13/95 Received 6/26/95 Closed Date 7/17/95 Received 1/19/95 Closed Date 9/29/95 BOX No. 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 1001 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD City Clerk/Records Management Page 22 of 22 This form documents the destruction of City records in accordance with the California Public Records Act. Request by Originating Department: RISK MANAGEMENT Requested Date: 3/3/06 Originating Department Manager Initials: Erin Letsch Person's Completing Form: Erin Letsch - Risk Manager No. 317 318 319 320 321 322 323 324 325 RECORDS DESCRIPTION SWITZER, James - Vehicle Damage Claim SWITZER, Karen - Vehicle/City Accident Litigation TERRELL, Ann - Property Drainage Claim VERTREES, Scott & Felece - Gun Fired Claim WALKER, Babet - Vehicle Damage Claim WASSERMAN, Howard - Vehicle/City Accident Claim WOLFER, Leonard - Damaged Carpet Claim WOOD, Carolyn - Sewer Back-Up Claim ZIEN, Samuel - Vehicle Damage Claim DATE Received 9/27/95 Closed Date 10/27/95 Received 3/30/95 Closed Date 4/26/96 Received 5/26/95 Closed Date 1/25/96 Received 10/31/95 Closed Date 12/8/95 Received 8/29/95 Close Date 3/26/96 Received 10/26/95 Closed Date 11/9/95 Received 8/24/95 Closed Date 10/6/95 Received 6/14/95 Closed Date 12/26/95 Received 3/6/95 Closed Date 10/31/95 BOX No. 1001 1001 1001 1001 1001 1001 1001 1001 1001 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 CL+5 CL+5 CL+5 CI+5 CL+5 CL+5 CL+5 CL+5 BARCOD E Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt Risk Mgmt PDF APPROVED By City Attorney H=HOLD End of List DOCUMENT DESTRUCTION WILL BE PROVIDED BY SHRED-IT COMPANY, mobile paper shredding and recycling. 3 0130-25/F005 WE RECYCLE; SERVICE-. LOCATION: Shred-It PO.BOK.2Q77 Vista, CA 920852077 PHONE 76Q-598-57QQ BillfcD TO: City Of Carlsbad 1200 Carlsbad VtHage Dr Ctty Had ^t Carlsbad, CA 92008^ Q91Q139Q51 DATf.: 3/24/2DQ6 PURGE LIVE INVOICE 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.:TRUCK NO.: 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 BU SI NESS. Mil SECURIT