HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Community Development; 2019-09-30This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2019
Page | 1
DATE: 7/13/2020
REQUESTING DEPARTMENT: COMMUNITY DEVELOPMENT REQUESTER: LAUREEN RYAN
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)
232 BOXES
VIATRON BACK-FILE SCANNING
OF CD DOCUMENTS
(SEE ATTACHED)
**ORIGINAL SCANNED
DOCUMENTS UPLOADED
INTO HPRM AND HARD
COPIES DESTROYED PER
RECORDS MANAGEMENT
PROCEDURES
RECORDS DESTRUCTION AUTHORIZATION FORM
FILE KEEPERS
X
9/30/2019
--
Mike Peterson
07/17/2020 7/17/207/14/2020
Work Order Number:PJ6702
Work Order Date:08/15/19
Freight:
Client PO.:
Client Contact
Actual Qty.
ViaTRON SYSTEMS, INC.
WORK ORDER
Description Estimate Qty.
C L I E N T C O P Y
25
Client Name
CITY OF CARLSBAD
WORK ORDER
CONTRACT
(760) 602-2482
maria.emery@carlsbadca.gov
PLANS
1635 FARADAY AVENUE CARLSBAD,CA
92008
BOXES
MARIA EMERY
e. SHRED
18233 HOOVER STREET,
GARDENA, CA 90248
t/310.756.0630
PJ-BOX #PJ-BOX #
PJ6702-01 PJ6702-14
PJ6702-02 PJ6702-15
PJ6702-03 PJ6702-16
PJ6702-04 PJ6702-17
PJ6702-05 PJ6702-18
PJ6702-06 PJ6702-19
PJ6702-07 PJ6702-20
PJ6702-08 PJ6702-21
PJ6702-09 PJ6702-22
PJ6702-10 PJ6702-23
PJ6702-11 PJ6702-24
PJ6702-12 PJ6702-25
PJ6702-13
Work Order Number:PJ6767
Work Order Date:08/15/19
Freight:
Client PO.:
Client Contact
Actual Qty.
ViaTRON SYSTEMS, INC.
WORK ORDER
Description Estimate Qty.
C L I E N T C O P Y
35
Client Name
CITY OF CARLSBAD
WORK ORDER
CONTRACT
(760) 602-2482
maria.emery@carlsbadca.gov
LDE
1635 FARADAY AVENUE CARLSBAD,CA
92008
BOXES
MARIA EMERY
e. SHRED
18233 HOOVER STREET,
GARDENA, CA 90248
t/310.756.0630
PJ-BOX #PJ-BOX #
PJ6767-01 PJ6767-19
PJ6767-02 PJ6767-20
PJ6767-03 PJ6767-21
PJ6767-04 PJ6767-22
PJ6767-05 PJ6767-23
PJ6767-06 PJ6767-24
PJ6767-07 PJ6767-25
PJ6767-08 PJ6767-26
PJ6767-09 PJ6767-27
PJ6767-10 PJ6767-28
PJ6767-11 PJ6767-29
PJ6767-12 PJ6767-30
PJ6767-13 PJ6767-31
PJ6767-14 PJ6767-32
PJ6767-15 PJ6767-33
PJ6767-16 PJ6767-34
PJ6767-17 PJ6767-35
PJ6767-18
Work Order Number:PJ6768
Work Order Date:08/15/19
Freight:
Client PO.:
Client Contact
Actual Qty.
ViaTRON SYSTEMS, INC.
WORK ORDER
Description Estimate Qty.
C L I E N T C O P Y
99
Client Name
CITY OF CARLSBAD
WORK ORDER
CONTRACT
(760) 602-2482
maria.emery@carlsbadca.gov
BUILDING PERMITS
1635 FARADAY AVENUE CARLSBAD,CA
92008
BOXES
MARIA EMERY
e. SHRED
18233 HOOVER STREET,
GARDENA, CA 90248
t/310.756.0630
PJ-BOX #PJ-BOX #
PJ6768-02 PJ6768-26
PJ6768-03 PJ6768-27
PJ6768-04 PJ6768-28
PJ6768-05 PJ6768-29
PJ6768-06 PJ6768-30
PJ6768-07 PJ6768-31
PJ6768-08 PJ6768-32
PJ6768-09 PJ6768-33
PJ6768-10 PJ6768-34
PJ6768-11 PJ6768-35
PJ6768-12 PJ6768-36
PJ6768-13 PJ6768-37
PJ6768-14 PJ6768-38
PJ6768-15 PJ6768-39
PJ6768-16 PJ6768-40
PJ6768-17 PJ6768-41
PJ6768-18 PJ6768-42
PJ6768-19 PJ6768-43
PJ6768-20 PJ6768-44
PJ6768-21 PJ6768-45
PJ6768-22 PJ6768-46
PJ6768-23 PJ6768-47
PJ6768-24 PJ6768-48
PJ6768-25 PJ6768-49
PJ-BOX #PJ-BOX #
PJ6768-50 PJ6768-74
PJ6768-51 PJ6768-75
PJ6768-52 PJ6768-76
PJ6768-53 PJ6768-77
PJ6768-54 PJ6768-78
PJ6768-55 PJ6768-79
PJ6768-56 PJ6768-80
PJ6768-57 PJ6768-81
PJ6768-58 PJ6768-82
PJ6768-59 PJ6768-83
PJ6768-60 PJ6768-84
PJ6768-61 PJ6768-85
PJ6768-62 PJ6768-86
PJ6768-63 PJ6768-87
PJ6768-64 PJ6768-88
PJ6768-65 PJ6768-89
PJ6768-66 PJ6768-90
PJ6768-67 PJ6768-91
PJ6768-68 PJ6768-92
PJ6768-69 PJ6768-93
PJ6768-70 PJ6768-94
PJ6768-71 PJ6768-95
PJ6768-72 PJ6768-96
PJ6768-73 PJ6768-97
PJ-BOX #PJ-BOX #
PJ6768-98
PJ6768-99
PJ6768-100
Work Order Number:PJ6770
Work Order Date:08/15/19
Freight:
Client PO.:
Client Contact
Actual Qty.
ViaTRON SYSTEMS, INC.
WORK ORDER
Description Estimate Qty.
C L I E N T C O P Y
43
Client Name
CITY OF CARLSBAD
WORK ORDER
CONTRACT
(760) 602-2482
maria.emery@carlsbadca.gov
BUILDING PLANS
1635 FARADAY AVENUE CARLSBAD,CA
92008
BOXES
MARIA EMERY
e. SHRED
18233 HOOVER STREET,
GARDENA, CA 90248
t/310.756.0630
PJ-BOX #PJ-BOX #
PJ6770-01 PJ6770-25
PJ6770-02 PJ6770-26
PJ6770-03 PJ6770-27
PJ6770-04 PJ6770-28
PJ6770-05 PJ6770-29
PJ6770-06 PJ6770-30
PJ6770-07 PJ6770-31
PJ6770-08 PJ6770-32
PJ6770-09 PJ6770-33
PJ6770-10 PJ6770-34
PJ6770-11 PJ6770-35
PJ6770-12 PJ6770-36
PJ6770-13 PJ6770-37
PJ6770-14 PJ6770-38
PJ6770-15 PJ6770-39
PJ6770-16 PJ6770-40
PJ6770-17 PJ6770-41
PJ6770-18 PJ6770-42
PJ6770-19 PJ6770-43
PJ6770-20
PJ6770-21
PJ6770-22
PJ6770-23
PJ6770-24
Work Order Number:PJ7047
Work Order Date:08/15/19
Freight:
Client PO.:
Client Contact
Actual Qty.
ViaTRON SYSTEMS, INC.
WORK ORDER
Description Estimate Qty.
C L I E N T C O P Y
30
Client Name
CITY OF CARLSBAD
WORK ORDER
CONTRACT
(760) 602-2482
maria.emery@carlsbadca.gov
CM&I
1635 FARADAY AVENUE CARLSBAD,CA
92008
BOXES
MARIA EMERY
e. SHRED
18233 HOOVER STREET,
GARDENA, CA 90248
t/310.756.0630
PJ-BOX #PJ-BOX #
PJ7047-01 PJ7047-16
PJ7047-02 PJ7047-17
PJ7047-03 PJ7047-18
PJ7047-04 PJ7047-19
PJ7047-05 PJ7047-20
PJ7047-06 PJ7047-21
PJ7047-07 PJ7047-22
PJ7047-08 PJ7047-23
PJ7047-09 PJ7047-24
PJ7047-10 PJ7047-25
PJ7047-11 PJ7047-26
PJ7047-12 PJ7047-27
PJ7047-13 PJ7047-28
PJ7047-14 PJ7047-29
PJ7047-15 PJ7047-30
CERTIFICATE OF DESTRUCTION
THIS IS TO CERTIFY THAT ALL ITEMS REFERENCED BELOW HAVE BEEN DESTROYED UTILIZING A
SECURED SHREDDING/DESTRUCTION PROCESS. IT IS FURTHER STATED THAT THE ITEMS HAVE NOT
BEEN EXCESSIVELY HANDLED OR TAMPERED WITH BY ANYONE, AND A CONSISTENT CHAIN-OF-
CUSTODY HAS BEEN MAINTAINED THROUGHOUT THE ENTIRE DESTRUCTION PROCESS.
VIATRON SYSTEMS, INC
CITY OF CARLSBAD 6702
Onsite/Mobile Destruction Offsite/Plant Destruction
Referenced Work Order No. 01893717-25 BOXES
9/30/2019
Date Issued
CERTIFICATE OF DESTRUCTION
THIS IS TO CERTIFY THAT ALL ITEMS REFERENCED BELOW HAVE BEEN DESTROYED UTILIZING A
SECURED SHREDDING/DESTRUCTION PROCESS. IT IS FURTHER STATED THAT THE ITEMS HAVE NOT
BEEN EXCESSIVELY HANDLED OR TAMPERED WITH BY ANYONE, AND A CONSISTENT CHAIN-OF-
CUSTODY HAS BEEN MAINTAINED THROUGHOUT THE ENTIRE DESTRUCTION PROCESS.
VIATRON SYSTEMS, INC
CITY OF CARLSBAD 6767
Onsite/Mobile Destruction Offsite/Plant Destruction
Referenced Work Order No. 01893717-35 BOXES
9/30/2019
Date Issued
CERTIFICATE OF DESTRUCTION
THIS IS TO CERTIFY THAT ALL ITEMS REFERENCED BELOW HAVE BEEN DESTROYED UTILIZING A
SECURED SHREDDING/DESTRUCTION PROCESS. IT IS FURTHER STATED THAT THE ITEMS HAVE NOT
BEEN EXCESSIVELY HANDLED OR TAMPERED WITH BY ANYONE, AND A CONSISTENT CHAIN-OF-
CUSTODY HAS BEEN MAINTAINED THROUGHOUT THE ENTIRE DESTRUCTION PROCESS.
VIATRON SYSTEMS, INC
CITY OF CARLSBAD 6768
Onsite/Mobile Destruction Offsite/Plant Destruction
Referenced Work Order No. 01893717-99 BOXES
9/30/2019
Date Issued
CERTIFICATE OF DESTRUCTION
THIS IS TO CERTIFY THAT ALL ITEMS REFERENCED BELOW HAVE BEEN DESTROYED UTILIZING A
SECURED SHREDDING/DESTRUCTION PROCESS. IT IS FURTHER STATED THAT THE ITEMS HAVE NOT
BEEN EXCESSIVELY HANDLED OR TAMPERED WITH BY ANYONE, AND A CONSISTENT CHAIN-OF-
CUSTODY HAS BEEN MAINTAINED THROUGHOUT THE ENTIRE DESTRUCTION PROCESS.
VIATRON SYSTEMS, INC
CITY OF CARLSBAD 6770
Onsite/Mobile Destruction Offsite/Plant Destruction
Referenced Work Order No. 01893717-43 BOXES
9/30/2019
Date Issued
CERTIFICATE OF DESTRUCTION
THIS IS TO CERTIFY THAT ALL ITEMS REFERENCED BELOW HAVE BEEN DESTROYED UTILIZING A
SECURED SHREDDING/DESTRUCTION PROCESS. IT IS FURTHER STATED THAT THE ITEMS HAVE NOT
BEEN EXCESSIVELY HANDLED OR TAMPERED WITH BY ANYONE, AND A CONSISTENT CHAIN-OF-
CUSTODY HAS BEEN MAINTAINED THROUGHOUT THE ENTIRE DESTRUCTION PROCESS.
VIATRON SYSTEMS, INC
CITY OF CARLSBAD 7047
Onsite/Mobile Destruction Offsite/Plant Destruction
Referenced Work Order No. 01893717-30 BOXES
9/30/2019
Date Issued