HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Public Works; 2008-04-28RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 3
Department Re
Ap
Attorney
Destruction: PW M&O
ruction
- 07
Date
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.
Person(s) Completing Form:
(YVrie. GroSSWdo
No.
HR1
RECORDS DESCRIPTION
ALMACK, NORMAN
BLAKESLEY, WILLIAM
BONAS, MARGARET
BRAMMEL, THOMAS
WOODS, MICHAEL
GRIMM, ROSE
SAKULSKY, STEFANIE
HAASL, SUSAN
BRAMMEL, THOMAS - RELEASE &
SETTLEMENT ^£^—. dil^
FINNEY, CRAIG '
COBB, MELISSA
HUTCHINSON, RICHARD
RUIZ, BENIGNO
RENYER, JULIA
CLARK, JR. FRED
DATED
1981
1987
1991
1988
1985
1984
1988
1988
5/88
1977
1986
1987
1977
1969
1989
BOX
No.
•H«)•
/
RRS No.
o*?5\0'Mo
>'
07Vs-*&>
o*ts\o-Mo
>/
RRS
Period
~^\0
v /~
CC*S
TE>\0
\/•
BARCODE
0/6
/
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 3
Person(s) Completing Form:
No.RECORDS DESCRIPTION
OSUNA, TIMOTHY
WOODWARD, JR. E.J.
TANNEHILL, LINDA
MEADOWS, WILLIAM
DATED
1988
1988
1988
1986
BOX
No.
we.\
1 f
RRS No.
0*610 -Mc>
V
RRS
Period
TE-HO
NK
BARCODE
A/<*
> /•
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :_t
CERTIFICATE OF DESTRUCTION? Yes £g No [
SMEADLINK BARCODES DELETED BY:
DATE
DATE:
C'lNlAS
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CERTIFICATE OF DESTRUCTION
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes ,,tony
SVC ' D ADD ' L
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
OOG36 - 42136
04/28/2008
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
COMMENTS: I *-M ^\
This certificate is to certify that Cintas Document Management will shred confidential data per customer's instructions and according to HIPAA & GLBA
regulations for the above-mentioned company. Mobile destruction services are NAID certified. Non-paper destruction services are not NAID certified.
CUSTOMER SIGNATURE:
SERVICE REP SIGNATURE:Ja
DATE:
DATE:
9455 WAPLES ST • STE. 110 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894