HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Transportation Engineering; 2019-09-05Al
RECORDS DESTRUCTION AUTHORIZATION FORM
REQUESTING
DESTRUCTION
We certify that
complete nd
DATE: 07/24/2019
retention
these records
7/ 0.
LEAH SORENSEN
DEPARTMENT: PUBLICWORKS-TRANS REQUESTER:
APPROVALS:
the records listed below have been retained for the scheduled
no pending or ongoing litigation or investigation involving
OCilk4)/04%-ca
period, required audits have been
is known to exist.
&tilt,- r112,ct(cci
EPARTMENT
HEAD: DATE RECORDS MANAGEMENT: DATE CITY ATTORNEY: DATE
BOX NO.
RECORDS DESCRIPTION
DATED
RRS NO.
RRS
PERIOD
TAB BARCODE
(if applicable)
1
CIP 3551 POINSETTIA LANE
OVERHEAD WIDENING
NOC
7/16/2003
1000-05
CU+2
(StG a? 1/144
H4aL Ro m
Zod3
1000 75
CL+2
/XMPO-Gr7'�%✓ GObS
��
1000-77
CL+2
i/D
f
1020-05
CU+2
1
*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
RECORD DESTRUCTION
CERTIFICATE
SMEADSOFT
once records have been destroyed.
COMPLETED BY: den/MIX)
DATE: 9/5/20/ .
OF DESTRUCTION? .. a YES NO
BARCODES DELETED BY: ''
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
(City of
Carlsbad Revised: 7/24/2019
Date Inactive
Record Number External ID
PFLD-15-34449 07/25/2019
EA603
PW Transportation Eng & CIP
PFLD-15-34427 07/25/2019 File 1 of 2
EA580
PW Transportation Eng & CLP
PFLD-15-34431 07/25/2019 File 1 of 3
EA584
PW Transportation Eng & CIP
PFLD-15-34428 07/25/2019 File 2 of 2
EA581
PW Transportation Eng & CIP
PFLD-15-34432 07/25/2019 File 2 of 3
EA585
PW Transportation Eng & CIP
PFLD-15-34439 07/25/2019
EA593
PW Transportation Eng & CIP
PFLD-15-34450 07/25/2019
EA604
PW Transportation Eng & CIP
PFLD-15-34444 07/25/2019
EA598
PW Transportation Eng & CIP
PFLD-15-34429 07/25/2019 File 1 of 2
EA582
PW Transportation Eng & CIP
PFLD-15-34434 07/25/2019
EA587
PW Transportation Eng & CIP
PFLD-15-34867 07/25/2019
EA1415
PW Transportation Eng & CIP
Records Destruction List
Page 1
Date 07/25/2019
Time 2:04:56 PM
Login Name Maria Emery
Records Description
3551 POINSETTIA- S.D.N. RR
UNDERCRO S SING1 Submittals
3551 POINSETTIA- S.D.N. RR
UNDERCROSSING1Administrative Documents
3551 POINSETTIA- S.D.N. RR
UNDERCROSSINGICorrespondence
3551 POINSETTIA- S.D.N. RR
UNDERCROSSINGIAdministrative Documents
3551 POINSETTIA- S.D.N. RR
UNDERCROSSING1 Correspondence
3551 POINSETTIA -
Companies
3551 POINSETTIA -
Files
3551 POINSETTIA -
Calcs
3551 POINSETTIA -
3551 POINSETTIA -
Minutes
3551 POINSETTIA -
Files
S.D.N. RR UNDERCROSSINGIUtility
S.D.N. RR UNDERCROSSINGIWater
S.D.N. RR UNDERCROSSINGIDesign
S.D.N. RR UNDERCROSSING1Design
106010
106010
106010
106010
106010
106010
106010
106010
106010
S.D.N. RR UNDERCROSSINGIMeeting106010
S.D.N. RR UNDERCROSSINGIWater
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
PHYSICAL RECORDS
MANAGEMENT - PW Transportation
106010 PHYSICAL RECORDS
MANAGEMENT - PW Transportation
Date Inactive
Record Number External ID
Records Destruction List
Page 2
Date 07/25/2019
Time 2:04:56 PM
Login Name Maria Emery
Records Description
PFLD-15-34430 07/25/2019 File 2 of 2 3551 POINSETTIA - S.D.N. RR UNDERCROSSING1Design
EA583
PW Transportation Eng & CIF
PFLD-15-34447 07/25/2019 3551 POINSETTIA- S.D.N. RR
EA601 UNDERCROSSING1Preliminary Eng Final Report
PW Transportation Eng & CIP
End of Report
106010 PHYSICAL RECORDS
MANAGEMENT - PW Transportation
106010 PHYSICAL RECORDS
MANAGEMENT - PW Transportation
City of Carlsbad Dataset ECMMaster
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.
Account #(s)
Certificate #
Date Issued
Service Locations
Date Range of Service
Work Ticket(s)
Quantity/Item
SD012455
110640
Monday, September 09, 2019
5815 EL CAMINO REAL
Sep-05-2019 thru Sep-05-2019
618871
60 - 60 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).
ticorodata
fitSSAE 16
Type II Audit Completed
HIPAk