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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2008-04-28RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of 5 Department Requesting Destruction: Risk Management Approvals for Destruction Department Head Date I o-BQ'Ol - Records Manager Date Attorne^ U 20 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: Janet R. Gage-Jones 8/15/07 No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 RECORDS DESCRIPTION ALLEN, Michael - Vehicle Collision ALTAMIRA MGMT ASSOC ANDERSON, W. Thomas - Vehicle Collision ASHLEY, Linda - Vehicle Comprehensive BENTLEY, Susan - Vehicle Collision BERTNESS, Pat - Vehicle Collision BITNER, Sallie - Law Enforcement BOLLERUD, Michael - Law Enforcement BONILLA, Jody Lynn - Sewer/Water BORING, Marcus - Vehicle Comprehensive BRENNECKE, John - Vehicle Collision BRYSON.Yolanda- Other CALVARY CHAPEL CARLSBAD - Vehicle Collision CLAIM JUMPER RESTAURANT - Sewer/Water DATED Closed 12/11/01 Closed 7/27/02 Closed 5/3/02 Closed 9/28/01 Closed 12/4/01 Closed 2/27u/02 Closed 2/28/02 Closed 5/3/02 Closed 8/16/01 Closed 10/17/01 Closed 8/28/01 Closed 7/27/01 Closed 8/30/01 Closed 6/28/02 BOX No. 6 6 6 6 6 6 6 6 6 6 6 6 6 6 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 4U 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 GL+5 CL+5 BARCODE £S 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 of5 Person(s) Completing Form: Janet R. Gage-Jones 8/15/07 No. 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 RECORDS DESCRIPTION COBLE, Rosita - Other COLLURE, Chandra - Vehicle Collision COSTES, Cindy - Vehicle Collision CRAWFORD, Nikki - Vehicle Collision DEDIMINICANTANIO, Joe - Other DELPY, Charlotte - Law Enforcement DENNIS, Jan -Trip/Fall DIAMOND, Anne - Trip/Fall DOWNING, Jung - Other DURBEC, Martin - Vehicle Collision ENTERPRISE RENT-A-CAR - Vehicle Collision FAULSTICH, John -Vehicle Collision FERGUSON, Douglas - Vehicle Collision FLOWER FIELDS CONDOMINIUMS -Vehicle Collision GALLOWAY, Thomas - Vehicle Collision GOMES, Joseph - Vehicle Collision HEERS, Timothy - Trip/Fall HIJK-HAYGEMAN, Isobe - Vehicle Comprehensive HILL, Jason - Trip/Fall HUANG, Yu Lian - Vehicle Collision HUTCHINS, Frank - Vehicle Collision JONES, Donna - Sewer/Water LA COSTA DE MARBELLA - Sewer/Water LONGO, Suzanne - Law Enforcement LOVE, Lucy - Vehicle Comprehensive DATED Closed 12/26/01 Closed 8/30/01 Closed 11/30/01 Closed 11/30/01 Closed 5/3/02 Closed 8/30/01 Closed 11/6/01 Closed 11/27/01 Closed 1/10/02 Closed 1/31/02 Closed 5/3/02 Closed 11/30/01 Closed 6/4/02 Closed 3/15/02 Closed 3/15/02 Closed 7/20/01 Closed 11/30/01 Closed 7/27/01 Closed 8/28/01 Closed 7/27/01 Closed 5/3/02 Closed 10/17/01 Closed 2/27/02 Closed 6/28/02 Closed 3/28/02 BOX No. 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 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 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 RRS Period CL+5 GL+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 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCODE 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 of5 Person(s) Completing Form: Janet R. Gage-Jones 8/15/07 No. 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 RECORDS DESCRIPTION MAGIC RAZOR - Sewer/Water MARQUAND, Guy - Tree MERRILL, John -Vehicle Collision MORENO, Maria - Vehicle Collision NORTON, Conrad - Vehicle Collision PEREZ, Simon - Vehicle Comprehensive PRESNALL, Michelle - Trip/Fall REES, Burt and Charlotte - Vehicle Collision RICHARDS, David - Law Enforcement RODRIGUEZ, Isabel - Vehicle Collision ROWE, Billy -Tree RPR HOLDINGS, LLC - Vehicle Comprehensive RUBIO, Belinda - Vehicle Collision SANCHEZ, Monica - Vehicle Collision SANCTUARY OWNER'S ASSOC - Sewer/Water SEQUOIA FINANCIAL SERVICES - Vehicle Collision SHEPP, Richard -Trip/Fall SMITH, Jason - Vehicle Collision STADLER, Aria - Tree STATE FARM (Hernandez) - Vehicle Collision STATE FARM (Allen) - Vehicle Collision STEINMETZ, David - Law Enforcement STROUP, Mary - Law Enforcement UNITRIN, Pollero - Vehicle Collision USAA (Caywood) - Vehicle Comprehensive DATED Closed 1/31/02 Closed 5/24/02 Closed 5/3/02 Closed 12/26/01 Closed 12/26/01 Closed 9/28/01 Closed 3/28/02 Closed 11/30/01 Closed 7/27/01 Closed 5/24/02 Closed 9/11/01 Closed 8/16/01 Closed 7/27/01 Closed 2/12/02 Closed 7/27/01 Closed 11/30/01 Closed 1/23/02 Closed 11/30/01 Closed 7/17/01 Closed 1/23/02 Closed 2/72/02 Closed 7/27/01 Closed 6/28/02 Closed 3/15/02 Closed 11/30/01 BOX No. 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 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 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 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 BARCODE 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 4 of 5 Person(s) Completing Form: Janet R. Gage-Jones 8/15/07 No. 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 RECORDS DESCRIPTION USAA (Jadovitz) - Vehicle Collision VASQUEZ, Benjamin - Law Enforcement VICK, Patrick -Trip/Fall WARREN, Daniel - Law Enforcement WEAR, Michael - Law Enforcement WILSON, Rhonda -Trip/Fall WORKMEN'S AUTO INS - Vehicle Collision CALTARGIONE, Daren - Trip/Fall EIS, Florence - Trip/Fall FLORES, Jacobo & Rosa - Trip/Fall GLASS, Jerry and Carolyn - Law Enforcement GOOCH, Steven - Trip/Fall KLEINMAN, David - Other PYLE.L Scott -Trip/Fall STEVENS, Danielle - Personnel Action TENMA, Craig -Trip/Fall WHATLEY, Reginald - Trip/Fall ^-— ^ WEST COAST GENERAL /" SUBSIDENCE CASES ~~ CORONA KOOKER PCRE CORP ROGER AND PASHBY SOMMERS DEVELOPMENT CORPORATION - Davies SOMMERS DEVELOPMENT CORPORATION - Ferguson, Smilde and Pontarelli DATED Closed 5/16/02 Closed 2/28/02 Closed 8/28/01 Closed 3/82/02 Closed 9/28/01 Closed 7/27/01 Closed 6/25/02 Closed 2/29/00 Closed 7/27/99 Closed 7/27/99 Closed 2/29/00 Closed 4/20/00 Closed 7/27/99 Closed 12/16/99 Closed 4/28/00 Closed 5/9/00 Closed __ Varioustqqs-WH._' ^— ^— i^— Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 BOX No. 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 -. 11 -— " 11 11 11 11 11 11 RRS No. 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-20 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 <ft45-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 RRS Period CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+5 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 BARCODE 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 5 of5 Person(s) Completing Form: Janet R. Gage-Jones 8/1 5/07 No. 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 RECORDS DESCRIPTION SOMMERS DEVELOPMENT CORP - Frampton SOMMERS DEVELOPMENT CORPORATION - Frampton and Buescher SOMMERS DEVELOPMENT CORPORATION - Gordon SOMMERS DEVELOPMENT CORPORATION - Grove SOMMERS DEVELOPMENT CORPORATION - Kooker SOMMERS DEVELOPMENT CORPORATION - Larson SOMMERS DEVELOPMENT CORPORATION - Pashby and Rogers STANDARD PACIFIC OF SAN DIEGO - Davies STANDARD PACIFIC OF SAN DIEGO - Ferguson, Smilde and pontarelli STANDARD PACIFIC OF SAN DIEGO - Frampton STANDARD PACIFIC OF SAN DIEGO - Frampton and Buescher STANDARD PACIFIC OF SAN DIEGO - Gordon STANDARD PACIFIC OF SAN DIEGO - Grove STANDARD PACIFIC OF SAN DIEGO - Kooker STANDARD PACIFIC OF SAN DIEGO - Larson STANDARD PACIFIC OF SAN DIEGO - Pashby and Rogers STATE FARM - FRAMPTON WOODBINE SUBDIVISION DATED Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 Closed 4/5/90 BOX No. 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 12 RRSNo. 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 0745-50 RRS Period CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 CL+7 BARCODE APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? Yes El No L" SMEADLEVK BARCODES DELETED BY: /CI DATE DATE; This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 ciNiAs 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 SVC'D ADD'L SERVICE TICKET #: DATE: CUSTOMER #: SERVICE/TYPE: NEXT SERVICE DATE: NEXT SERVICE TYPE: Lock(s) Present/Operable: Clasp (s) Present/Operable: 3 OOG36 - 42136 04/28/2008 10284 Purge/Onsite Not scheduled. Not scheduled. Yes Yes No No • W 1 COMMENTS: I ^ I ^1 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 NA1D certified. CUSTOMER SIGNATURE: SERVICE REP SIGNATURE: 9455 WAPLES ST • STE. 110 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894