HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Construction Management & Inspection; 2020-11-05This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2019
Page | 1
DATE: 10/26/2020
REQUESTING DEPARTMENT: CM&I REQUESTER: LEAH SORENSEN
DESTRUCTION APPROVALS:
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.
DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
*If more spaces are needed, click in the last box in right hand corner of table and hit “tab”. This will create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ___________________________ DATE: ______________
CERTIFICATE OF DESTRUCTION? YES NO
TAB BARCODES DELETED BY: _____ ________________________ DATE: ______________
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE (if applicable)
1 box
Capital Improvement Projects (CIP) & Land Development Projects (LDE) – where Construction Management & Inspection is the Lead (PD 455, PD 471, PD 457, CT 85-
35, CT 90-38-01, CT 90-09,
CT 85-07)
1989-2002
PW-000
PW-005
PW-010
Completion + 10 years
or AfterFunding
AgencyAudit, ifrequired,
whicheveris longer
SEE ATTACHED
RECORDS DESTRUCTION AUTHORIZATION FORM
*Some project files were
scanned into HPRM and
some were paper files.
11/3/2020B.Taj 11-03-2020 11/4/2020
C cityof
Carlsbad
□ □
CORODATA 11/05/2020
X
MARIA EMERY 11/06/2020
Records Destruction List
Page 1
Date 07/31/2019
Time 11:06:SOAM
Date Inactive
Login Name Maria Emery
Record Number External ID Records Description
PFLD-15-36679 07/31/2019 CT900009JAVIARAAREA (5 MODELS) 050030 PHYSICAL RECORDS
EI428 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-36635 07/31/2019 CT850007JLA COSTA ALTA 050030 PHYSICAL RECORDS
EI384 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-36682 07/31/2019 CT900038-IJTAYLOR WOODROW-UNIT l 050030 PHYSICAL RECORDS
EI431 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-38499 07/31/2019 PD471J7l25 AVIARA / LOUGHLIN 050050 PHYSICAL RECORDS
EI660 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-36640 07/31/2019 CT850035JUNIT A (DAVIDSON) 050030 PHYSICAL RECORDS
EI389 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-36644 07/31/2019 CT850035CJAVOCET 050030 PHYSICAL RECORDS
EI393 MANAGEMENT -PW CM&I
PWCM&I
Dataset ECMMaster
Account #(s)SD012455
Certificate #116795
Date Issued Friday, November 06, 2020
Service Locations 5815 EL CAMINO REAL
Date Range of Service Nov-05-2020 thru Nov-05-2020
Work Ticket(s)753380
Quantity/Item
6 -6 Boxes for Destruction (large)
10 -10 Boxes for Destruction (odd sized)
37 -50 Boxes for Destruction (standard)
* Nothing in this certificate shall be deemed to modify the terms of the parties¶Service Agreement(s) or Work Ticket(s).
CERTIFICATE OF DESTRUCTION & RECYCLING
This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
E•Jcorodata SSAE16
Type II Audit Completed HIPA'A