HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Contract Administration; 2008-04-28RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 3
Department Requesting Destruction: P W ADMINISTRATION
Approvals for Destruction
partmentHead -LindaKermott, PWManager Date
.ecords 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.
BID PACKAGES FOR RECORD DESTRUCTION - FY04/05
^y v " -^ X /'
Person(s) Completing Form: \— ' -^^^ /^~\sf / / /
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administration /^$gt#d&st'L^//^/^&'.
No.
1
2
3
4
5
6
7
8
RECORDS DESCRIPTION
NEW MODULAR BUILDING AT THE PARKS
YARD
PWS04-38PKS
EL CAMINO REAL & CASSIA ROD 30" & 24"
POTABLE WATER TRANSMISSION MAINS
& 18" AND 20" RECYCLED WATER
TRANSMISSION MAIN
PWS04-40ENG
MISSION BASIN WATER WELLS
DESTRUCTION
PWS04-42ENG
CALAVERA RECYCLED WATER PUMP
STATION FOR THE ENCINA BASIN WATER
RECLAMATION PROGRAM, PHASE II
PWS04-41ENG
SEACREST DRIVE
PWS04-43ENG
AUDIO/VIDEO UPGRADE TO THE RUBY G.
SCHULMAN AUDITORIUM
PWS05-01LIB
TRAFFIC SIGNAL AT POINSETTIA LANE
AND SNAPDRAGON DRIVE
PWS05-04ENG
CARLSBAD MUNICIPAL GOLF COURSE
PHASE 1 - GRUBBING & CLEARING
PWS04-45REC
DATED
07/13/04
07/27/04
07/29/04
08/02/04
08/03/04
09/07/04
09/09/04
09/15/04
BOX
No.
1
1
1
1
1
1
2
2
RRS No.
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
RRS
Period
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
BARCODE
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 3
BID PACKAGES FOR RECORD DESTRUCTION - FY04/05
Person(s) Completing Form: /
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administration
No.
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
RECORDS DESCRIPTION
PASEO DEL NORTE RECYCLED WATER
PIPELINE
PWS05-02ENG
ENCINA BASIN WATER RECLAMATION
PROGRAM PHASE II
CARLSBAD INDUSTRIAL PARK PIPELINES
PROJECT
PWS05-03ENG
TAP. RESERVOIR PAINTING
PWS05-05ENG
BRESSI RECYCLED AND POTABLE
WATER PUMP STATIONS, ENCINA BASIN
WATER RECLAMATION PROGRAM PHASE
II
PWS05-08ENG
COASTAL RAIL TRAIL
PWS05-07ENG
TRAFFIC SIGNAL MODIFICATIONS ON
ECR AT HOSP WAY, MARRON RD & PLAZA
DR.
PWS05-09ENG
REMODEL THE AUDITORIUM AT THE
SAFETY AND SERVICE CENTER
PWS05-1 1 ENG
PINE AVENUE PARK CONSTRUCTION
PWS05-10ENG
WOODSTOCK SEWER PIPELINE
EXTENSION
PWS05-12ENG
HOLIDAY PARK RESTROOM
REPLACEMENT
PWS05-13ENG
CURB, GUTTER & SIDEWALK
REPLACEMENT
PWS05-14ENG
DOVE LIBRARY CHILDREN'S GARDEN
PWS05-15ENG
SAFETY SERVICE CENTER AUDITORIUM
REMODEL
PWS05-16ENG
CARLSBAD BLVD. LEFT-TURN LANE AT
BREAKWATER RD
PWS05-17ENG
FORREST AVENUE HDD GRAVITY SEWER
PIPELINE
PWS05-19ENG
2004/05 STREET SEALING PROJECT
PWS05-18ENG
DATED
09/23/04
10/07/04
10/18/04
11/19/04
11/23/04
12/07/04
01/25/05
01/19/05
01/27/05
02/09/05
02/10/05
03/08/05
03/23/05
03/29/05
04/04/05
04/05/05
BOX
No.
2
2
2
2
3
4
4
4
4
4
4
4
4
5
5
5
RRS No.
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
^foadt
RRS
Period
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
'Q%3%Lt7?^
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
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 3 of3
BID PACKAGES FOR RECORD DESTRUCTION - FY04/05
Person(s) Completing Form: ^X" ^^^ ff / -*^ /
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administrationx<^^f2^j^^;^^^^:^^^^^^x
No.
25
26
27
28
29
30
31
32
RECORDS DESCRIPTION
NORTH BATIQUITOS LIFT STATION
IMPROVEMENTS, PKG "B"
PWS05-19ENG
STAGECOACH PARK SYNTHETIC TURF
FIELD
PWS05-23PKS
2005 PAVEMENT OVERLAY
PWS05-24ENG
CARLSBAD MUNICIPAL GOLF COURSE
PROJECT -BUILDINGS
PWS05-27REC
CARLSBAD MUNICIPAL GOLF COURSE
PROJECT - CONSTRUCTION
PWS05-26REC
CARLSBAD MUNICIPAL GOLF COURSE
PROJECT - GRADING AND UTILITIES
PWS05-25REC
CLARY BATTERY BACKUP AND AUXILARY
CABINET INSTALLATIONS
PWS05-28STS
ENCINA BASIN WATER RECLAMATION
PROGRAM PHASE II
TWIN D RECYCLED WATER PUMP
STATION
PWS04-20ENG
DATED
04/19/05
05/12/05
06/14/05
06/22/05
06/22/05
06/22/05
06/28/05
03/16/04
BOX
No.
5
5
5
5
5
5
5
6
RRS No.
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
RRS
Period
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
BARCODE
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 H No D
SMEADLINK BARCODES DELETED BY:
DATE :
DATE: r>/a
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
CJNlAS CERTIFICATE OF DESTRUCTION
MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SVC'D ADD'LSERVICE PERFORMED
Pounds
Minutes , b
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
rr>(crc
OOG36 - 42136
04/28/2008
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
COMMENTS: I ^ I I
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 notNAID certified.
CUSTOMER SIGNATURE:
SERVICE REP SIGNATURE:
9455 WAPLES ST • STE. 110 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894