HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2006-11-27RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Pagel of 2
Department Requesting Destruction: HUMAN RESOURCES
la
Approvals for Destruction
IP 26O,
Department Head Date
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:
TANYA BJORK
No.RECORDS DESCRIPTION
EMPLOYEE GRIEVANCE - AWAD, GEORGE
EMPLOYEE GRIEVANCE - AWAD, GEORGE
EMPLOYEE GRIEVANCE - BARLOW
EMPLOYEE GRIEVANCE - BAUSEMER, SUZAN
EMPLOYEE GRIEANCE - BURKE, CAROL
EMPLOYEE GRIEVANCE - CHRIST, DANNY
EMPLOYEE GRIEVANCE - CHRISTENSEN,
CHRIS
EMPLOYEE GRIEVANCE - COLEMAN, THOMAS
EMPLOYEE GRIEVANCE - GONZALES, RALPH
EMPLOYEE GRIEVANCE - HUDDOCK, KEVIN
EMPLOYEE GRIEVANCE - JARDIN
EMPLOYEE GRIEVANCE - LOWE, DAVID
EMPLOYEE GRIEVANCE - MATNEY
EMPLOYEE GRIEVANCE - MINISEE, JONETTE
DATED
1995 *•
1995
1997
1997
1999
1994
1992
1994 L
1994
•
1992
It
1997
1997
1995
k
1996
BOX
No.
968
»
1057
1057
1057
1057
1057
1057
1057
967
967
967
967
967
967
RRS No.
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
RRS
Period
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
BARCODE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 2 of 2
Person(s) Completing Form:
TANYA BJORK
No.RECORDS DESCRIPTION
EMPLOYEE GRIEVANCE - MULHALL
EMPLOYEE GRIEVANCE - MURPHY, SHARON
EMPLOYEE GRIEVANCE - RAMOS, TONY
EMPLOYEE GRIEVANCE - STRAUB, ILIA
EMPLOYEE GRIEVANCE - UNSWORTH,
CELESTE
EMPLOYEE GRIEVANCE - VALDEZ, RICK
EMPLOYEE GRIEVANCE - YEATES, LORRAINE
EMPLOYEE GRIEVANCE - PEARCE, STEVE
EMPLOYEE GRIEVANCE - PEARCE, STEVE
EMPLOYEE GRIEVANCE - POLSON, GREG
EMPLOYEE GRIEVANCE - ZULESDORF
EMPLOYEE GRIEVANCE - GUIDA-ASHLEY,
DEBORAH
EMPLOYEE GRIEVANCE - SANCHEZ, MARK
EMPLOYEE GRIEVANCE - WARREN, WILLIAM
EARL III
EMPLOYEE GRIEVANCE - WARREN, WILLIAM
EARL III
FIRE CHIEF RECRUITMENT
FIRE CAPTAIN/FIRE ENGINEER EXAMS
WORKER'S COMPENSATION WORKING FILES
CO-GO
WORKER'S COMPENSATION WORKING FILES
GR-HI
WORKER'S COMPENSATION WORKING FILES
MI-REM
WORKER'S COMPENSATION WORKING FILES
*OA-Z
DATED
1995
1992 i
1998 •
1997
1993
*
2000
*
1998
•
1998
*
1998
1992
•
1999
1999 »
1998
y*
1999 ,
1999 ,
1993 j
1988 /
1980-
1999
1990-
1999
1990-
1999
i^a-i<W
BOX
No.
1032
1032
1032
1032
1032
1032
1032
1056
1182
1182
1182
1182
985
962
1168
1168
969
2
3 ,
5 /
7/
RRS No.
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0840-50
0850-25
0850-35
0810-70
0810-70
0810-70
0810-70
RRS
Period
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
TE+5
CL+3
CL+3
CU+5
CU+5
CU+5
CU+5
BARCODE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :.
CERTIFICATE OF DESTRUCTION? Yes m) No Fl
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
SKI KtOFORCC
SECURE DOCUMENT DESTRUCTION
Client materials are to be destroyed off-site. Client will
receive official Certificate of Destruction upon completion
of service.
.This CERTIFICATE OF DESTRUCTION certifies the complete
destruction of all material contained as described below on the
date and at the time recorded herewith.
Date / Time of Pick up:__AM PM
Billing Address
Date / Time of Destruction//^?-«?jk l(£'fa AM
Service Address
Contact:Phone Number: CJ63 )
Type
Quantity
Service
Rate
Total
File Boxes
(L<o
^&**
Bankers
Boxes
Shred Force
Executive
100
ShredForce
250
Other
&&***&%L
^
(S*
^*y
Other Other
SHREDFO/?CE ID#:
Balance Due: $
Amount Paid: $
SHREDFO/?CE Signature:
Please Invoice Client
kAkumt
Authorized Representative:
Comments:
TB: Hours:Other:
SHREDFOflCE D PO Box 891 D San Marcos, CA 92079 D (800) 444-6209
09/05