Loading...
HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2019-01-24RECORDS DESTRUCTION· AUTHORIZATION FORM DATE: 12/31/18 -------~-- REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIEROWLEY DESTRUCTION APPROVALS: We certify that the records fisted 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. /-1~0/Cj ~L DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) }JV RKM44 Aguilo, Rafael-Sewer/Water (Tree Closed 0745-20 CL+5 related) 2012 ? 1 1c,u'~ RKM44 / ~ RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 <._~ CITY 01 ~ CARLSBAD Allstate, Kim-Vehicle Collision Closed 0745-20 CL+5 2012 AMCO Insurance Co.-Tree (other Closed than sewer/water related) 2012 0745-20 CL+5 Ammon, Art-Sewer/Water (Tree Closed 0745-20 CL+5 related) 2012 Anderson, Brad-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2012 Asoro, Brandon-Vehicle Closed Comprehensive (other than 2012 0745-20 CL+5 collision) Atwell, Vincent & Linda-Tree (other Closed 0745-20 CL+5 than sewer/water related) 2012 Ballerini, Barbara-Sewer/Water Closed 0745-20 CL+5 (other than tree related) 2012 Bargamian, Krista-Vehicle Closed 0745-20 CL+5 comprehensive (other than collision) 2012 Bowen, Shawna-Vehicle Closed Comprehensive (other than 2012 0745-20 CL+5 collision) Bristol Cove Property Owners Closed 0745-20 CL+5 Assoc.-Sewer/Water (tree related) 2012 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised:12/31/2018 Page /1 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 RKM44 ,&, CITY 01 ~ CARLSBAD Burnett, Michael-Vehicle Closed Comprehensive (other than 2012 0745-20 CL+5 collision) Carlsbad by the Sea-Sewer/Water Closed 0745-20 CL+5 (other than tree related) 2012 Carlsbad Community Church-Closed 0745-20 CL+5 Sewer/Water (tree related) 2oi2 Chartier, Kristina-Vehicle Collision Closed 0745-20 CL+5 2012 Clower, Clark-Sewer/Water (tree Closed 0745-20 CL+5 related) 2012 Corrente, Derick-Vehicle Closed Comprehensive (other than 2012 0745-20 CL+5 collision) Davidson, Chelsea-Trip/Fall Closed 0745-20 CL+5 2012 Devich, Rob-Other (claim for leak Closed 0745-20 CL+5 detection expense) 2012 Dobruskin, Geraldine-Trip/Fall Closed 0745-20 CL+5 2012 Drago, Sam-Sewer/Water (other Closed 0745-20 CL+5 than tree related 2012 El Camino Rental-Vehicle Collision Closed 0745-20 CL+5 2012 Elsey, Andrew-Vehicle Closed Comprehensive (other than collision 2012 0745-20 CL+5 related) Envall, Scot-Tree (other than Closed 0745-20 CL+5 Sewer/Water related) 2012 Fleming, Patricia-Vehicle Closed Comprehensive (other than collision 2012 0745-20 CL+5 related) Flores, Rodolfo-Vehicle Closed Comprehensive (other than collision 2012 0745-20 CL+5 related) Forteza-Acevedo, Maria-Vehicle Closed Comprehensive (other than collision 2012 0745-20 CL+5 related) Friesen, Shealeen-Tree (other than Closed 0745-20 CL+5 Sewer/Water related) 2012 Galan, Wayne-Vehicle Closed Comprehensive (other than collision 2012 0745-20 CL+5 related) Gaoiran, Manuel-Sewer/Water (Tree Closed 0745-20 CL+5 related) 2012 Geiger, Jeffrey-Vehicle Closed Comprehensive (other than collision 2012 0745-20 CL+5 related) This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/31/2018 Page /2 RKM44 RKM44 jlV RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 <..~'» CITY Of w CARLSBAD Harris, Heidi-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2012 Humphreys, K.M.-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2012 Integrity property Management-Closed Tree (other than sewer/water 2012 0745-20 CL+5 related) Johnson, Mary Lou-conservator for Closed Walter Hollywood-Sewer/water 2012 0745-20 CL+5 (other than tree related) Johnson, Russell-Law Enforcement Closed 0745-20 CL+5 2012 Johnson, Ryan-Sewer/water (tree Closed 0745-20 CL+5 related) 2012 Johnson, Ryan & Summer-Closed 0745-20 CL+5 Sewer/water (tree related) 2012 Johnston, Gordon & Cheryl-Tree Closed 0745-20 CL+5 (other than sewer/water related) 2012 Kian, Mike-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2012 Kushner, Laurie-Sewer/water (tree Closed 0745-20 CL+5 related) 2012 Long, Erin-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2012 Lyman, Lori-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2012 May, Charlotte-Law Enforcement Closed 0745-20 CL+5 2012 McCune, Aaron-Law Enforcement Closed 0745-20 CL+5 2012 McDermott, Helen-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2012 McGowen, Cynthia-Vehicle Closed Comprehensive (other than collision 2012 0745-20 CL+5 related) McHugh, Peu-Vehicle Closed Comprehensive (other than collision 2012 0745-20 CL+5 related) Melamed, Ryan-Vehicle Collision Closed 0745-20 CL+5 2012 Montgomery, Joshua-Law Closed 0745-20 CL+5 Enforcement 2012 Newcomb, Dina-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Nguyen, Tina-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/31/2018 Page /3 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 <._~)CITY Of wCARLSBAD Noonan, Eric-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2012 Nourani, Brian-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Pacheco, Anthony-Personnel Action Closed 0745-20 CL+5 2012 Pearce, Kevin-Sewer/water (other Closed--~-0745~20 ··· -CL+5 than tree related) 2012 Pereira, Joan-Other-driver hit dip in Closed 0745-20 CL+5 road and damaged vehicle 2012 Pierce, Franklin-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Pines & Associates-Law Enforcement Closed 0745-20 CL+5 2012 Pople, Hope-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2012 Pullman, Rheba-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Ray, Sandra-Law Enforcement Closed 0745-20 CL+5 2012 Reyes, Celia-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2012 Rocker, Jeffrey-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Ruiz, Elvia et al-Other-claim fatality Closed 0745-20 CL+5 due to street light outage 2012 Santana, James-Law Enforcement Closed 0745-20 CL+5 2012 Schepps, Madison-Other-landscape Closed 0745-20 CL+5 damage due to street repair 2012 Segura, Deena-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Smith, Marva-Vehicle Collision Closed 0745-20 CL+5 2012 Thomas, Bruce-Other-Claim against Closed 0745-20 CL+S Police and Fire Depts. For false 2012 arrest, imprisonment, etc. Trimble, Tony-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Tyson, Charles & Sandra-Tree (other Closed 0745-20 CL+5 than sewer/water related) 2012 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised:12/31/2018 Page /4 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 RKM45-46 J)}i/ RKM52 RKM52 RKM52 RKM52 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 <~ c,n 01 ·~CARLSBAD Urena, Irma-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2012 Vinalay-Moreno, Orfelina-Vehicle Closed 0745-20 CL+5 Collision 2012 Watson, Fred-Law Enforcement Closed 0745-20 CL+5 2012 White, Barbara-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Wickham, Clyde-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Wilkes, Nancy-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2012 related) Williams, Kevin & Tina-Tree (other Closed 0745-20 CL+5 than sewer/water related) 2012 Zomorrodian, Mohammad-Other-Closed 0745-20 CL+5 property damage due to 2012 construction traffic Potential Claims 2012-January- December Lazarus, AAA-Tree (other than Closed 0745-50 CL+7 sewer/water related) 2011 Carter, William-Law Enforcement Closed 0745-50 CL+7 2011 Murray, Shawn-Law Enforcement Closed 0745-50 CL+7 2011 Zamora, Joseph-Vehicle Collision Closed 0745-50 CL+7 2011 Asuncion, Jessie-Trip/Fall Closed 0745-20 CL+5 2013 Baird, Mary Lou-Trip/Fall Closed 0745-20 CL+5 2013 Bakko, Marsha-Other-irrigation Closed 0745-20 CL+5 damages 2013 Banks, Lamonda-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 relate'd) Bedrosian, Joyce-Trip/Fall Closed 0745-20 CL+5 2013 Bressi Ranch Owners Association-Closed 0745-20 CL+5 Sewer/water (other than tree 2013 related) Bristow, Thomas-Sewer/water Closed 0745-20 CL+5 (other than tree related) 2013 Brown, Lura-Trip/Fall Closed 0745-20 CL+5 2013 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 12/31/2018 Page /5 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 <~" CITY or ~·CARLSBAD Brunn, Scott-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2013 Calabrese, Karen-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Chestnut lnvervivos Trust, William& Closed 0745-20 CL+5 Helen Chestnut-Sewer/water (other 2013 than tree related) Cifuentes, Christine-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Clark, Pauline-Dangerous Condition Closed 0745-20 CL+5 of Public Property 2013 CSA Safeguard Insurance-Vehicle Closed 0745-20 CL+5 Collision 2013 Dixon, Charles-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Dunne, Macdaragh "Mack)-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Elias, Rodolfo-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Essa, Karen-Other-claim for Closed 0745-20 CL+5 overnight accommodation. 2013 Family Trust, Schaaf-Sewer/Water Closed 0745-20 CL+5 (other than tree related) 2013 Farkas, Louis-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Flanigan, Laurence & Nancy-Closed 0745-20 CL+5 Sewer/Water (other than tree 2013 related) Flower, Tyrone-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Gibbia, Bonaventure-Sewer/Water Closed 0745-20 CL+5 (other than tree related) 2013 Gutierrez, Angle-Vehicle Collision Closed 0745-20 CL+5 2013 Heng, Aleena-Vehicle Collision Closed 0745-20 CL+5 2013 Henry, Charles-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Hickman, Art-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Hirsch, Robert-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised:12/31/2018 Page /6 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 RKM56 <~) CITY 01 ~·CARLSBAD Igel man, Ronald & Josephine-Law Closed 0745-20 CL+5 Enforcement 2013 Janicki, Ed-Trip/Fall Closed 0745-20 CL+5 2013 Kirwan, John & Kristin-Sewer/Water Closed 0745-20 CL+5 (tree related) 2013 Lang, Robert-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Levy, Michael-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Littlefield, John-Dangerous Closed 0745-20 CL+5 Condition of Public Property 2013 Lundy, Dawn-Tree (other than Closed 0745-20 CL+S sewer/water related) 2013 Massery, Mary-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2013 Menning, Doris-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Mistuhashi, Robert-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2013 Mott, Steve & Kohl, Karen-Closed 0745-20 CL+5 Sewer/Water (other than tree 2013 related) Munro, Jennean-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Muro, Rosa-Trip/Fall Closed 0745-20 CL+5 2013 Newvine, Danny-Law Enforcement Closed 0745-20 CL+5 2013 Neyhart, Amy-Sewer/Water (tree Closed 0745-20 CL+5 related) 2013 Nickel, Joseph-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Norrup, Poe-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2013 North County Transit District-Other-Closed 0745-20 CL+5 Erosion issue 2013 Novak, Edward-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Nyari, Peter & Klara-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Odell, Susan-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2013 Oliver, Anthony Allen-Personnel Closed 0745-20 CL+5 Action 2013 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 12/31/2018 Page /7 RKM56 RKM56 RKM56 RKM56 RKM56 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 <_~CARLSBAD Olson, Joann-Vehicle Closed 0745-20 CL+5 Comprehensive (other than collision 2013 related) Petska, Joyce-Sewer/water (other Closed 0745-20 CL+5 than tree related) 2013 Rafail, Greg-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision related) 2013 Reid, Robin-Law Enforcement Closed 0745-20 CL+5 2013 Roberts, Bea-Other-Property stolen Closed 0745-20 CL+5 while on exhibit at library 2013 S&S Trust-Sewer/water (other than Closed p745-20 CL+5 tree related) 2013 San Diego Gas & Electric-Vehicle Closed 0745-20 CL+5 collision 2013 Schoening, John-Vehicle Closed 0745-20 CL+5 comprehensive (other than collision 2013 related) Simeta, Mary-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2013 Smith, Hildegard-Sewer/water Closed 0745-20 CL+5 (other than tree related) 2013 Smith, Marva-Other-mishandling of Closed 0745-20 CL+5 zip drive left at library 2013 Smith, Susan Marie-Sewer/water Closed 0745-20 CL+5 (tree related) 2013 Spence Scott-Trip/fall Closed 0745-20 CL+5 2013 Stevens, Lisa-Vehicle comprehensive Closed 0745-20 CL+5 (other than collision related) 2013 Sullivan, Phyllis-Sewer/water (other Closed 0745-20 CL+5 than tree related) 2013 Tagg, John-Vehicle comprehensive Closed 0745-20 CL+5 (other than collision related) 2013 Teach, Shari Ann-Vehicle collision Closed 0745-20 CL+5 2013 Tucker, Craig-Other-damage to Closed 0745-20 CL+5 outdoor furniture due to 2013 construction Velazquez, Kym-Vehicle Closed 0745-20 CL+5 comprehensive (other than collision 2013 related) Venturi, Norm-Trip/Fall Closed 0745-20 CL+5 2013 Visesio, Yolanda-Vehicle Closed 0745-20 CL+5 comprehensive (other than collision 2013 related) This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/31/2018 Page /8 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM57 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 <.~'» CITY Of ~·CARLSBAD Walden, Elizabeth-Sewer/water Closed 0745-20 CL+5 (other than tree related) 2013 Warren, Carissa-Vehicle Closed 0745-20 CL+5 comprehensive (other than collision 2013 related) Wheeler, Robert "Mick"-Trip/Fall Closed 0745-20 CL+5 2013 Witous, Jessica-Vehicle Collision Closed 0745-20 CL+5 2013 Wright, Samuel-Sewer/water (tree Closed 0745-20 CL+5 related) 2013 Yen, Danny-Law Enforcement Closed 0745-20 CL+5 2013 Potential Claim Files 2013: January- June 2013 and July-December 2013 Loss Recovery-AAsand, Michael Closed 0120-20 CL+2 Anthony-guard rail damaged 2016 Loss Recovery-Abarca, Francisco-Closed 0120-20 CL+2 tree damage 2016 Loss Reco_very-Agan, Sandra Lee-sign Closed 0120-20 CL+2 damages 2016 Loss Recovery-Alvarado, Lazaro Closed 0120-20 CL+2 Silviano Avila-light pole damage 2016 Loss Recovery-Amezcua, Jr., Magana Closed 0120-20 CL+2 Wesceslado-street sign damage 2016 Loss Recovery-Ashton, Ryan Closed 0120-20 CL+2 Manning-fire hydrant damage 2016 Loss Recovery-Aydemir, Okan-fence Closed 0120-20 CL+2 and portable toilet damage 2016 Loss Recovery-Barrera, Ricky-guard Closed 0120-20 CL+2 rail damage-sent to collections 2016 Loss Recovery-Bixler, Serena-sign Closed 0120-20 CL+2 damage 2016 Loss Recovery-Brankovich, Dragan-Closed 0120-20 CL+2 tree damage 2016 Loss Recovery-Burwell, John-median Closed 0120-20 CL+2 damage 2016 Loss Recovery-Campbell, Kathleen-Closed 0120-20 CL+2 signal pole damage 2016 Loss Recovery-Carlson, Amber Lynn-Closed 0120-20 CL+2 street sign and median damages 2016 Loss Recovery-Carson, Pamela-Closed . 0120-20 CL+2 street sign damage 2016 Loss Recovery-Cesar, Teresa-fence & Closed 0120-20 CL+2 guard rail damages 2016 Loss Recovery-Clauder, John-fire Closed 0120-20 CL+2 hydrant damage 2016 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised:12/31/2018 Page /9 RKM82 RKM82 RKM82 RKM82 I RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 ~ ~ ~ c,n o, ~ CARLSBAD Loss Recovery-Cruise America: Closed 0120-20 CL+2 driver-Angelina Garcia-vehicle 2016 damage Loss Recovery-Dennison, Richard-Closed 0120-20 CL+2 tree damage 2016 Loss Recovery-Dinatale, Samuel-Closed 0120-20 CL+2 street sign damager 2016 Loss Recovery-Dragus, John-wall and Closed 0120-20 CL+2 traffic signal damages 2016 Loss Recovery-Edwards, David-street Closed 0120-20 CL+2 sign damage 2016 Loss Recovery-Ferreira Construction-Closed 0120-20 CL+2 fire hydrant 2016 Loss Recovery-Garcia Colon, Lucia-Closed 0120-20 CL+2 sign damage 2016 Loss Recovery-Gelvin, Silvia-aka Closed 0120-20 CL+2 Silvia Rodriguez--rock sculpture, 2016 landscape and irrigation damages Loss Recovery-Gomez, Alfonso-Closed 0120-20 CL+2 street signs 2016 Loss Recovery-Gonzalez, Juvenal-Closed 0120-20 CL+2 vehicle damages 2016 Loss Recovery-Gunning, Elizabeth-Closed 0120-20 CL+2 fire hydrant damage 2016 Loss Recovery-Gutierrez, Gabriel-Closed 0120-20 CL+2 light pole damage 2016 Loss Recovery-Harper, Monica-Closed 0120-20 CL+2 street signs 2016 Loss Recovery-Hernandez Munoz, Closed 0120-20 CL+2 Jorge-street signs 2016 Loss Recovery-Honari, Masoud-Closed 0120-20 CL+2 median tree damages 2016 Loss Recovery-lturriaga, Hector-bike Closed 0120-20 CL+2 rack damages 2016 Loss Recovery-Jenckes, Kenyon-Closed 0120-20 CL+2 traffic signal pole damages 2016 Loss Recovery-Jones, Kyle-fire Closed 0120-20 CL+2 hydrant damages 2016 Loss Recovery-Jaeger, Michael-sign Closed 0120-20 CL+2 damages 2016 Loss Recovery-Kearns, Shaun-light Closed 0120-20 CL+2 pole damages 2016 Loss Recovery-Kelly, Ryan-Closed 0120-20 CLt2 roundabout art damages 2016 Loss Recovery-MTS-vehicle damages Closed 0120-20 CL+2 2016 Loss Recovery-Matt, Kathryn-vehicle Closed 0120-20 CL+2 repair 2016 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Pragram. Revised:12/31/2018 Page / 10 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 RKM82 (_~)CITY OF w CARLSBAD Loss Recovery-Merrick, Andrea-Closed 0120-20 CL+2 traffic signal damages 2016 Loss Recovery-Montecinos, Daniel-Closed 0120-20 CL+2 guardrail damages 2016 Loss Recovery-Nickels, Ria Michele-Closed 0120-20 CL+2 Irrigation control box damages 2016 Loss Recovery-Nunez, Austin-guard Closed 0120-20 CL+2 rail repair 2016 Loss Recovery-Orea, Yolanda-fire Closed 0120-20 CL+2 hydrant damage 2016 Loss Recovery-PV Holding, Corp.-fire Closed 0120-20 CL+2 hydrant damage 2016 Loss Recovery-Pacific Green Closed 0120-20 CL+2 Landscape, lnc.-fire hydrant damage 2016 Loss Recovery-Parisi, Cathy-vehicle Closed 0120-20 CL+2 damage 2016 Loss Recovery-Ranganathan, Closed 0120-20 CL+2 Sridhar-fence damager 2016 Loss Recovery-Rivera, Israel-vehicle Closed 0120-20 CL+2 damage 2016 Loss Recovery-Rosen, Suzanne-Closed 0120-20 CL+2 street sign damage 2016 Loss Recovery-SD County-Closed 0120-20 CL+2 emergency vehicle 2016 Loss Recovery-Stigall, Amara-Street Closed 0120-20 CL+2 light pole damage 2016 Loss Recovery-Storm, Katie-tree and Closed 0120-20 CL+2 landscape damage 2016 Loss Recovery-Sujan, Indra-Guard Closed 0120-20 CL+2 rail damage 2016 Loss Recovery-Taylor, Larysa-street Closed 0120-20 CL+2 light pole· damage 2016 Loss Recovery-Thiboutot, Paul-fire Closed 0120-20 CL+2 hydrant repair 2016 Loss Recovery-United Road Services-Closed 0120-20 CL+2 fire hydrant damage 2016 Loss Recovery-VSM Express-fire Closed 0120-20 CL+2 hydrant damage 2016 Loss Recovery-Wells, Alexander-Closed 0120-20 CL+2 street light pole 2016 Loss Recovery-Wells, Ill, Kenneth-Closed 0120-20 CL+2 street sign damage 2016 Loss Recovery-Weston, Colette-Closed 0120-20 CL+2 emergency vehicle damage 2016 Loss Recovery-Williams, John C.-Air Closed 0120-20 CL+2 release damage 2016 Loss Recovery-Wilson, Keith-fire Closed 0120-20 CL+2 hydrant damage 2016 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised:12/31/2018 Page / 11 RKM82 Loss Recovery-Zaccaglini, Clayton-Closed 0120-20 CL+2 emergency vehicle damage 2016 RKM86 Special Events Insurance 2015-2016 0120-13 CL+2 RKM86 Insurance Review Requests: 2014; 0120-18 CL+2 2015;2016 RKM86 Liability Insurance Certificate Requests (Proof of City's insurance): Policy years 2013-14; 2014-15; and 2015-16 RKM86 Insurance Waiver Requests approved by Risk Manager: 2013 RKM86 Special Event Participant Waivers and Releases for 2015-2016 events *If more spaces ore 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: Cov-11~ DATE: CERTIFICATE OF DESTRUCTION? _lg.. YES O NO TAB BARCODES DELETED BY: /4,p-,'a_ &oz~ DATE: h/~11 I This form documents the destruction of City records In accordance with the City of Carlsbad Records Management Program. Revised:12/31/2018 Page /12 Date Inactive Record Number External ID PFLD-16-40 PFLD-16-573 PFLD-15-23442 PFLD-15-23446 PFLD-15-23450 PFLD-15-23454 PFLD-15-23461 PFLD-15-23469 PFLD-15-23477 PFLD-15-23484 PFLD-15-23493 01/07/2019 Risk Management 01/07/2019 Risk Management 01/07/2019 Cl3003 RM1115 Risk Management 01/07/2019 Cl3007 RM1119 Risk Management 01/07/2019 Cl30II RM1123 Risk Management 01/07/2019 C13015 RM1127 Risk Management 01/07/2019 C13022 RM1134 Risk Management 01/07/2019 Cl3026 RM1142 Risk Management 01/07/2019 Cl3032 RM1150 Risk Management 01/07/2019 Cl3036 RM1157 Risk Management 01/07/2019 Cl3041 RM1166 Risk Management Records Destruction List Page 1 Date 01/07/2019 Time 9:46:10AM Login Name Maria Emery Records Description LOSS RECOVERY-GUTIERREZ, GABRIEL; 12/23/15; TRANSPORTATION/STREETS 012020 LOSS RECOVERY-CARLSON, AMBER LYNN; 08/10/2016;012020 TRANSPORTATION VENTURI, NORMJ6/29/2013 074520 MUNRO, JENNEANJ12/6/2012 074520 SULLIVAN, PHYLLISJl/6/2013 074520 WALDEN, ELIZABETHJl/6/2013 074520 HICKMAN, ARTJl/25/2013 074520 HENRY, CHARLESJl/5/2013 074520 FLANIGAN, LAURENCE & NANCYJ0l/06/2013 074520 ELIAS, RODOLFOJ04/03/2013 074520 WARREN, CARISSAJ06/06/2013 074520 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 2 Date 01/07/2019 Time 9:46:10AM Date Inactive Record Number External ID Login Name Maria Emery Records Description PFLD-15-23507 PFLD-15-23521 PFLD-15-23536 PFLD-15-23566 PFLD-16-53 PFLD-16-241 PFLD-16-528 PFLD-16-114 PFLD-16-325 PFLD-16-467 PFLD-15-23705 01/07/2019 RM1180 Cl3047 Risk Management 01/07/2019 C13052 RM1194 Risk Management 01/07/2019 RM1210 Cl3061 Risk Management 01/07/2019 RM1240 C13076 Risk Management 01/07/2019 Risk Management CALABRESE, KAREN!12/11/2012 LEVY, :MICHAEL!07/23/2013 FARKAS, LOUIS107/29/2013 ROBERTS, BEAI06/01/2013 LOSS RECOVERY-DINATALE, SAMUEL; 08/19/2015; TRANSPORTATION/STREETS 01/07/2019 DRIVER: JACLOSS RECOVERY-CESEAR, TERESA; 01/15/2016; TRANSPORTATION/STREETS; DRIVER: JACOB M Risk Management 01/07/2019 07/07/2016 LOSS RECOVERY-CLAUDER, JOHN; DRIVER: CLAUDER, NICHOLAS; UTILITIES Risk Management 074520 074520 074520 074520 012020 012020 012020 01/07/2019 01/13/2016 LOSS RECOVERY-CT-HAUL CO. OF ARIZONA; (KYLER 012020 JONES -DRIVER); UTILITIES Risk Management 01/07/2019 Risk Management 01/07/2019 Risk Management 01/07/2019 RM1380 Risk Management LOSS RECOVERY-THIBOUTOT, PAUL ROGER; 03/31/2016; UTILITIES LOSS RECOVERY-GOMEZ, ALFONSO LEONEL; 12/12/2015; TRANSPORTATION/STREETS LOSS RECOVERY-AYDE:MIR, OKANil0/19/2014 012020 012020 012020 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 3 Date 01/07/2019 Time 9:46:10AM Date Inactive Record Number External ID Login Name Maria Emery Records Description PFLD-15-23791 PFLD-15-43410 PFLD-15-43414 PFLD-16-111 PFLD-16-287 PFLD-16-499 PFLD-16-645 PFLD-16-201 PFLD-15-23341 PFLD-15-23443 PFLD-15-23447 01/07/2019 RM1466 Risk Management 01/07/2019 Risk Management 01/07/2019 Risk Management 01/07/2019 Risk Management 01/07/2019 Risk Management LOSS RECOVERY-KEAIRNS, SHAUN T.JI0/29/2014 012020 LOSS RECOVERY-STORM, KATIE A.; 10/16/2015; PARKS 012020 LOSS RECOVERY-BARRERA, RICKY; 09/06/2015; TRANSPORTATION/STREETS 012020 LOSS RECOVERY-DENNISON, RICHARD (JORDAN -012020 DRIVER); 01/11/2016; PARKS/TREES LOSS RECOVERY-GELVIN, SILVIA; 03/15/2016; TRANSPORTATION & PARKS 012020 01/07/2019 05/16/2016 LOSS RECOVERY-PY HOLDING CORP; DRIVER: 012020 MATHEW, RAHUL BENNY; UTILITIES Risk Management 01/07/2019 08/18/2016 LOSS RECOVERY-AASAND, MICHAEL ANTHONY; DRIVER: AASAND, GARRISON GRANT; 012020 Risk Management 01/07/2019 LOSS RECOVERY-SAN DIEGO COUNTY; 01/04/2016; 012020 Risk Management 01/07/2019 RM1013 Risk Management 01/07/2019 RM1116 C13004 Risk Management 01/07/2019 RM1120 C13008 Risk Management FLEET/POLICE VEHICLEA419 BRISTOL COVE PROPERTY OWNERS ASSOCATIONJ 12/29/2008 SMITH, HILDEGARDJI/6/2013 GIBBIA, BONAVENTUREJ12/18/12 074520 074520 074520 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Date Inactive Record Number External ID PFLD-15-23451 PFLD-15-23455 PFLD-15-23462 PFLD-15-23470 PFLD-15-23479 PFLD-15-23485 PFLD-15-23502 PFLD-15-23508 PFLD-15-23526 PFLD-15-23546 PFLD-15-23593 01/07/2019 RM1124 Cl3012 Risk Management 01/07/2019 C13016 RM1128 Risk Management 01/07/2019 RM1135 C13023 Risk Management 01/07/2019 RM1143 C13027 Risk Management 01/07/2019 RM1152 C13033 Risk Management 01/07/2019 RM1158 CI3037 Risk Management 01/07/2019 C13044 RM1175 Risk Management 01/07/2019 C13048 RM1181 Risk Management 01/07/2019 C13056 RM1199 Risk Management 01/07/2019 C13062 RM1220 Risk Management 01/07/2019 RM1267 Risk Management Records Destruction List Page 4 Date 01/07/2019 Time 9:46:10 AM Login Name Maria Emery. Records Oescription S & S TRUSTJl/10/2013 TAGG, JOHNJ12/20/2012 CIFUENTES, CHRISTINE[l/18/2013 YEN, DANNY[2/5/2013 LANG, ROBERTf 04/17/2013 BROWN, LURA[ll/09/2012 HIRSCH, ROBERT[06/15/2013 BEDROSIAN, JOYCE[06/26/2013 HENG, ALEENA[07/18/2013 SAN DIEGO GAS & ELECTR1C[07/23/2013 INSURANCE REVIEW REQUESTS[2014 074520 074520 074520 074520 074520 074520 074520 074520 074520 074520 012018 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 5 Date 01/07/2019 Time 9:46:10AM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-16-98 01/07/2019 LOSS RECOVERY-VSM EXPRESS, LLC; 12/04/2015; 012020 PHYSICAL RECORDS UTILITIES MANAGEMENT -Risk Management Risk Management PFLD-16-242 01/07/2019 LOSS RECOVERY-AMEZCUA JR., MAGANA 012020 PHYSICAL RECORDS WESCESLADO; 12/29/15; TRANSPORTATION/STREETS MANAGEMENT -Risk Management Risk Management PFLD-16-532 01/07/2019 LOSS RECOVERY-ASHTON, RYAN MANNING; 012020 PHYSICAL RECORDS 07/22/2016; UTILITIES MANAGEMENT -Risk Management Risk Management PFLD-16-127 01/07/2019 LOSS RECOVERY-AGAN, SANDRA LEE; 12/14/2015; 012020 PHYSICAL RECORDS TRANSPORTATION/STREETS MANAGEMENT -Risk Management Risk Management PFLD-16-367 01/07/2019 LOSS RECOVERY-GUNNING, ELIZABETH; 04/24/2016; 012020 PHYSICAL RECORDS UTILITIES MANAGEMENT -Risk Management Risk Management PFLD-16-507 01/07/2019 LOSS RECOVERY-HERNANDEZ MUNOZ, JORGE LUIS; 012020 PHYSICAL RECORDS 05/31/2016; TRANSPORTATION MANAGEMENT -Risk Management Risk Management PFLD-15-23727 01/07/2019 INS~CE REVIEW REQUESTS[2015 012018 PHYSICAL RECORDS RM1402 MANAGEMENT -Risk Management Risk Management PFLD-15-23801 01/07/2019 LOSS RECOVERY-STIGALL, AMARA C.[07/31/2015 012020 PHYSICAL RECORDS RM1476 MANAGEMENT -Risk Management Risk Management PFLD-15-43411 01/07/2019 LOSS RECOVERY-NICKELS, RIA MICHELE; 10/27/2015; 012020 PHYSICAL RECORDS PARKS MANAGEMENT -Risk Management Risk Management PFLD-15-43415 01/07/2019 LOSS RECOVERY-BIXLER, SERENAM.; 11/27/2015; 012020 PHYSICAL RECORDS TRANSPORTATION/STREETS MANAGEMENT -Risk Management Risk Management PFLD-16-221 01/07/2019 LOSS RECOVERY-PARISI, CATHY J.; 02/03/2016; 012020 PHYSICAL RECORDS PW-FACILITIES MANAGEMENT -Risk Management Risk Management Records Destruction List Page 6 Date 01/07/2019 Time 9:46:11 AM Date Inactive Record Number External ID Login Name Maria Emery Records Description PFLD-16-349 PFLD-16-500 PFLD-16-659 PFLD-16-331 PFLD-15-23440 PFLD-15-23444 PFLD-15-23448 PFLD-15-23452 PFLD-15-23457 PFLD-15-23463 PFLD-15-23473 01/07/2019 03/14/2016 LOSS RECOVERY-CRUISE AMERICA, INC.; DRIVER: 012020 GARCIA, ANGELINA; POLICE; 03/-14/2016 Risk Management 01/07/2019 06/11/2016 Risk Management LOSS RECOVERY-UNITED ROAD SERVICES; DRIVER: 012020 BERNIER, EDWARD; UTILITIES 01/07/2019 10/02/2016 LOSS RECOVERY-RIVERA, ISRAEL; DRIVER: RIVERA, 012020 AMALIA; POLICE; 10/02/2016 Risk Management 01/07/2019 Risk Management 01/07/2019 C13001 RM1113 Risk Management 01/07/2019 C13005 RMlll7 Risk Management 01/07/2019 C13009 RM1121 Risk Management 01/07/2019 C13013 RM1125 Risk Management 01/07/2019 C13018 RM1130 Risk Management 01/07/2019 C13024 RM1136 Risk Management 01/07/2019 C13029 RM1146 Risk Management LOSS RECOVERY-BRANKOVICH, DRAGAN; 03/07/2016; 012020 PARKS/TREES/MEDIANS REID, ROBINl12/18/2009 074520 NICKEL, JOSEPHll/7/2013 074520 PETSKA, JOYCEII/6/2013 074520 CHESTNUT INTERVIVOS TRUST, WILLIAM & 074520 HELENI 1/6/2013 MOTT, STEVE & KOHL, KARENII/6/2013 074520 ODELL, SUSANl16/6/2012 074520 IGELMAN, RONALD AND JOSEPHINEl8/2/2012 074520 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Date Inactive Record Number External ID PFLD-15-23480 01/07/2019 C13034 RM1153 Risk Management PFLD-15-23486 01/07/2019 C13038 RM1159 Risk Management PFLD-15-23503 01/07/2019 C13045 RM1176 Risk Management PFLD-15-23509 01/07/2019 C13049 RM1182 Risk Management PFLD-15-23527 01/07/2019 C13057 RM1200 Risk Management PFLD-15-23558 01/07/2019 Cl3068 RM1232 Risk Management PFLD-15-23614 01/07/2019 RM1288 Risk Management PFLD-16-209 01/07/2019 Risk Management PFLD-16-526 01/07/2019 06/29/2016 Risk Management PFLD-16-678 01/07/2019 Risk Management PFLD-16-137 01/07/2019 01/07/2016 Risk Management Records Destruction List Page 7 Date 01/07/2019 Time 9:46:11 AM Login Name Maria Emery Records Description MURO, ROSA[03/23/2013 OLIVER, ANTHONY ALLEN[ 12/01/2012 MITSUHASHI, ROBERT[06/24/2013 VELAZQUEZ, KYM[06/16/2013 SIMETA, MARY [2011-PRESENT BAIRD, MARY LOU[0S/02/2013 LOSS RECOVERY-DRAGUS, JOHN[03/01/2014 LOSS RECOVERY-KENNETH HOWARD WELLS III; 11/22/2015; TRANSPORTATION/STREETS LOSS RECOVERY-WILSON, KEITH; DRIVER: WESTMORELAND, CAMERON LANE; UTILITIES LOSS RECOVERY-HARPER, MONICA; 10/05/2016; TRANSPORTATION LOSS RECOVERY-ALVARADO, LAZARO SILVIANO AVILA; DRIVER-PEREA, LAZARO FELIPE AVILA; 074520 074520 074520 074520 074520 074520 012020 012020 012020 012020 012020 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 8 Date 01/07/2019 Time 9:46:11 AM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-16-399 01/07/2019 LOSS RECOVERY-MTS; 01/12/2016; POLICE 012020 PHYSICAL RECORDS MANAGEMENT -Risk Management Risk Management PFLD-16-565 01/07/2019 LOSS RECOVERY-HONARI, MASOUD; 08/06/2016; 012020 PHYSICAL RECORDS PARKS MANAGEMENT -Risk Management Risk Management PFLD-15-23653 01/07/2019 LOSS RECOVERY-l\1ERRICK, ANDREA LYNN[04/26/2014 012020 PHYSICAL RECORDS RM1328 MANAGEMENT -Risk Management Risk Management PFLD-15-23752 01/07/2019 LOSS RECOVERY-OREA, YOLANDA[03/02/2015 012020 PHYSICAL RECORDS RMl427 MANAGEMENT -Risk Management Risk Management PFLD-15-23802 01/07/2019 LOSS RECOVERY-ANDREWS, JARED[08/05/2015 012020 PHYSICAL RECORDS RM1477 MANAGEMENT -Risk Management Risk Management PFLD-15-43412 01/07/2019 LOSS RECOVERY-BURWELL, JOHN W.; 10/19/2015; 012020 PHYSICAL RECORDS PARKS MANAGEMENT -Risk Management Risk Management PFLD-15-43416 01/07/2019 LOSS RECOVERY-ROSEN, SUZANNE E.; 09/17/2015; 012020 PHYSICAL RECORDS TRANSPORTATION/STREETS MANAGEMENT -Risk Management Risk Management PFLD-16-222 01/07/2019 LOSS RECOVERY-KELLY, RYAN ROBERT; 02/18/2016; 012020 PHYSICAL RECORDS TRANSPORTATION/STREETS MANAGEMENT -Risk Management Risk Management PFLD-16-350 01/07/2019 LOSS RECOVERY-RANGANATHAN, SRlDHAR; 012020 PHYSICAL RECORDS 04/03/2016; TRANSPORTATION MANAGEMENT -Risk Management Risk Management PFLD-16-503 01/07/2019 LOSS RECOVERY-JENCKES, KENYON S.; 06/12/2016; 012020 PHYSICAL RECORDS TRANSPORTATION MANAGEMENT -Risk Management Risk Management PFLD-16-660 01/07/2019 LOSS RECOVERY-CAMPBELL, KATHLEEN D.; 012020 PHYSICAL RECORDS 09/28/2016; TRANSPORTATION MANAGEMENT -Risk Management Risk Management Date Inactive Record Number External ID PFLD-16-481 01/07/2019 Risk Management PFLD-15-23441 01/07/2019 C13002 RM1114 Risk Management PFLD-15-23445 01/07/2019 Cl3006 RM1118 Risk Management PFLD-15-23449 01/07/2019 C13010 RM1122 Risk Management PFLD-15-23453 01/07/2019 C13014 RM1126 Risk Management PFLD-15-23460 01/07/2019 C13021 RM1133 Risk Management PFLD-15-23464 01/07/2019 C13025 RM1137 Risk Management PFLD-15-23476 01/07/2019 C13031 RM1149 Risk Management PFLD-15-23483 01/07/2019 C13035 RM1156 Risk Management PFLD-15-23490 01/07/2019 C13040 RM1163 Risk Management PFLD-15-23505 01/07/2019 C13046 RM1178 Risk Management Records Destruction List Page g Date 01/07/2019 Time 9:46:11 AM Login Name Maria Emery Records Description LOSS RECOVERY-GONZALEZ, JUVENAL; 05/29/2016; 012020 POLICE/FLEET NOVAK, EDWARDII/6/2013 074520 l\1ENNING, DORISII/11/2013 074520 FAMILY TRUST, SCHAAFII/6/2013 074520 BRISTOW, THOMASII/6/2013 074520 SMITH, SUSAN MARIEII/7/2013 074520 BRUNN, SCOTTl2/20/2013 074520 JANICKI, EDl12/20/2012 074520 FLOWER, TYRONEI05/23/2013 074520 LUNDY, DAWN106/04/2013 074520 TEACH, SHARI ANNI05/22/2013 074520 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 10 Date 01/07/2019 Time 9:46:11 AM Date Inactive Record Number External ID Login Name Maria Emery Records Description PFLD-15-23518 PFLD-15-23528 PFLD-15-23559 PFLD-16-51 PFLD-16-240 PFLD-16-527 PFLD-15-43460 PFLD-16-139 PFLD-16-460 PFLD-16-566 PFLD-15-23682 01/07/2019 RM1191 Cl3051 Risk Management 01/07/2019 RM1201 Cl3058 Risk Management 01/07/2019 RM1233 C13069 Risk Management 01/07/2019 Risk Management NEYHART, AMYJ07 /07/2013 BANKS, LAMONDAJ0S/06/2013 CLARK, PAULINEJ0l/11/2013 LOSS RECOVERY-JAEGER, l\.1ICHAEL JAMES; 01/15/2015; TRANSPORTATION/STREETS 074520 074520 074520 012020 01/07/2019 DRIVER: CO LOSS RECOVERY-GARCIA COLON, LUCIA; 01/28/2016; 012020 TRANSPORTATION/STREETS; DRIVER: COLON Risk Management 01/07/2019 06/16/2016 LOSS RECOVERY-PACIFIC GREEN LANDSCAPE, INC.; 012020 DRIVER: GASPAR, FRANCISCO DONALD; UTILITIES Risk Management 01/07/2019 Risk Management INSURANCE REVIEW REQUESTS; 2016 012018 01/07/2019 01/05/2016 LOSS RECOVERY-SUJAN, INDRAK.; DRlVER- KEWALRAMANI, AARTI SUJAN; 012020 Risk Management 01/07/2019 Risk Management 01/07/2019 Risk Management 01/07/2019 RM1357 Risk Management LOSS RECOVERY-ITURRlAGA, HECTOR E.; 05/13/2016; 012020 TRANSPORTATION LOSS RECOVERY-CARSON, PAMELA; 07/29/2016; TRANSPORTATION/STREETS LOSS RECOVERY-WELLS, ALEXANDERJ09/03/2014 012020 012020 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 11 Date 01/07/2019 Time 9:46:11 AM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-23758 01/07/2019 ALLIANT-SPECIAL EVENTS INSURANCEl2015-2016 012013 RM1433 Risk Management PFLD-15-23815 01/07/2019 LOSS RECOVERY-MATT, KATHRYN! 11/11/2014 012020 RM1490 Risk Management PFLD-15-43413 01/07/2019 LOSS RECOVERY-FERREIRA CONSTRUCTION; 012020 11/25/2015; UTILITIES Risk Management PFLD-15-43421 01/07/2019 LOSS RECOVERY-TAYLOR, LARYSA; 09/27/2015; 012020 TRANSPORTATION/STREETS Risk Management PFLD-16-285 01/07/2019 LOSS RECOVERY-NUNEZ, AUSTIN MICHAEL; 012020 03/13/2016; TRANSPORTATION/STREETS Risk Management PFLD-16-450 01/07/2019 LOSS RECOVERY-MONTECINOS, DANIEL; 05/28/2016; 012020 TRANSPORTATION Risk Management PFLD-16-543 01/07/2019 LOSS RECOVERY-ZACCAGLINI, CLAYTON SMITH; 012020 07/17/2015; POLICE Risk Management PFLD-16-746 01/07/2019 LOSS RECOVERY-EDWARDS, DAVID SAMUEL; 012020 10/21/2016; TRANSPORTATION Risk Management [ End of Report ] [ City of Carlsbad '------'-------------------------------------Dataset ECMMaster PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management 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 109525 Monday, January 28, 2019 5815 EL CAMINO REAL Jan-24-2019 thru Jan-24-2019 553347 62 -62 Boxes for Destruction (standard) • Nothing in this certificate shalt be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s). 1:-:1corodata i/SSAE16 Type II Audit Completed HIP£