HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Community Development; 2018-07-19RECORDS DESTRUCTION AUTHORIZATION FORM
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DATE: 7/23/2018
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REQUESTING DEPARTMENT: CED REQUESTER: CHRISTINA RODRIGUEZ
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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.
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RECORDS MANAGEMENT: CITY ATIORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
METASOURCE BACK-FILE CONVERSION
430 BOXES OF CED DOCUMENTS (SEE ATIACHED)
** ORIGINAL SCANNED DOCUMENTS UPL DADEDINTO HPRM AND HJ! RD COPIES
DESTROYED PER RECORDS MANAGEM ENT PROCED JRES
*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: Paper Recycling Shredding Specialist, Inc. DATE: 7/19/2018
CERTIFICATE OF DESTRUCTION? D YES D NO
SMEADSOFT BARCODES DELETED BY: DATE: _____ _
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
\(~' WV or Revised: 6/28/2018 ~ CARLSBAD
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Certificate of Destruction
MetaSource, Anaheim CA
Certification:
This is to Certify that all materials received from the below listed customer for
destruction was destroyed by shredding. The shredded material was baled in
confidential manner and sent to a mill to go through the process of Hydro-
Pulping. We further warrant that all reasonable pre-cautions were taken to
prevent any unauthorized third party from gaining access to the shred-ded
materials while it was in our possession.
Date of destruction: July 19th, 2018
Client Name: City of Carlsbad
Description and Quantity of Documents disposed of: 87 boxes of LDE
records. Box reference numbers: 16104-0001 thru 16104-00026; 16193-0001 thru 16193-0004;
16220-0001 thru 16220-0005; 16225-0001 thru 16225·0005; 16226-0001 thru 16226-0010;
16227-0001 thru 16227-0010; 16228-001 thru 16228-0010; 16229-0001 thru 16229-0010; 16230-0001
thru 16230·0007
Method of destruction:
() Bur~ing
( ) Reformatting
(X) Shredding
( ) Overwriting
(X) Pulping
( ) Pulverizing
() Other ___________________ _
Records destroyed by: Paper Recycling Shredding Specialist, Inc.
Witness signature:
(
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r ''\ metasource.
Certificate of Destruction
MetaSource, Anaheim CA
Certification:
This is to Certify that all materials received from the below listed customer for
destruction was destroyed by shredding. The shredded material was baled in
confidential manner and sent to a mill to go through the process of Hydro-Pulping. We
further warrant that all reasonable pre-cautions were taken to prevent any unauthorized
third party from gaining access to the shred-ded materials while it was in our
possession.
Date of destruction: July 191h, 2018
Client Name: City of Carlsbad
Description and Quantity of Documents disposed of: 49 boxes of POST-MARCH
records. Box reference numbers: 16051-0163 thru 16051-0197; 16072-0301 thru
16072-0314
Method of destruction:
() Burning (X) Pulping
( ) Reformatting
()Other~~~~~~~~~~~~~~~~~~~~
(X ) Shredding
( ) Overwriting ( ) Pulverizing
Records destroyed by: Paper Recycling Shredding Specialist, Inc.
Witness signature:
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Certification:
Certificate of Destruction
MetaSource, Anaheim CA
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This is to Certify that all materials received from the below listed customer for
destruction was destroyed by shredding. The shredded material was baled in
confidential manner and sent to a mill to go through the process of Hydro-Pulping. We
further warrant that all reasonable pre-cautions were taken to prevent any unauthorized
third party from gaining access to the shred-ded materials while it was in our
possession.
Date of destruction: July 19th, 2018
Client Name: City of Carlsbad
Description and Quantity of Documents disposed of: 49 boxes of PRE-MARCH
records. Box reference numbers: 16022-0001 thru 16022-0015; 16047-0001 thru
16047-0100; 16051-0001 thru 16051-0162;
Method of destruction:
() Burning
( ) Reformatting
(X) Shredding
( ) Overwriting
(X) Pulping
( ) Pulverizing
() Other _____ -'----------------
Records destroyed by: Paper Recyclin
Witness signature:
. ---------
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metasource
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Certificate of Destruction
MetaSource, Anaheim CA
Certification:
This is to Certify that all materials received from the below listed customer for
destruction was destroyed by shredding. The shredded material was baled in
confidential manner and sent to a mill to go through the process of Hydro-
Pulping. We further warrant that all reasonable pre-cautions were taken to
prevent any unauthorized third party from gaining access to the shred-ded
materials while it was in our possession.
Date of destruction: July 19th, 2018
Client Name: City of Carlsbad
Description and Quantity of Documents disposed of: 245 boxes of
BUILDING records. Box reference numbers: 162s0-0001 thru 162so-0005; 162s1-0001
thru 16251-0010; 16252-0001 thru 16252-0010; 16253-0001 thru 16253-0010; 16254-0001 thru 16254-
0010; 16268-0001 thru 16268-0010; 16269-0001 thru 16269-0010; 16270-0001 thru 16270-0010; 16271·
0001 thru 16271-0010; 16272-0001 thru 16272-0010; 16273-0001 thru 16273-0010; 16274-0001 thru
16274-0010; 16275-0001 thru 16275-0010; 16276-0001 thru 16276-0010; 16277-0001 thru 16277-0010;
16354-0001 thru 16354-0010; 16355-0001 thru 16355-0010; 16356-0001 thru 16356-0010; 16357-0001
thru 16357-0010; 16368-0001 thru 16368-0010; 16369-0001 thru 16369-0010; 16370-0001 thru 16370-
0010; 16371-0001 thru 16371-0010; 16372-0001 thru 16372-0010; 16373-0001 thru 16373-0010
Method of destruction:
() Burning
() Reformatting
(X) Shredding
( ) Overwriting
(X) Pulping
( ) Pulverizing
() Other ___________________ _
Records destroyed by: Paper Recyclin
Witness signature:
Operations Director: