HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Clerk; 2006-11-27RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of2
Department Requesting Destruction: (y(~H/
Approvals for Destruction
epartment Head Date
Date
Attorney Date
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.
Person(s) Completing Form:
Debra Doerfler
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
RECORDS DESCRIPTION
Petitions: Tamarack Village
Correspondence (CMWD)
Correspondence - Schools
BCC Applications - Not Appointed
Parks & Recreation Commission
Regulatory Agency: PUC
Regulatory Agency: PUC
Regulatory Agency: PUC
Regulatory Agency: Passenger Stage Authority
Regulatory Agency: PUC notices
Regulatory Agency: PUC
Regulatory Agency: PUC - Notice
Regulatory Agency: SDC Water Authority
Regulatory Agency: County Grand Jury
Regulatory Agency: County Grand Jury
DATED
1991
1968-88
1975-
1986
1976-
1990
1998-
1999
2000
2000
1999-
2000
2002
2001
2001
2000
2002
2002
BOX
No.
2006-
DX1
2006-
DX1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
RRS No.
0750-06
0750-06
0750-06
0300-45
0230-70
0230-70
0230-70
0230-70
0230-70
0230-70
0230-70
0230-70
0230-70
0230-70
RRS
Period
CU + 2
CU + 2
CU+2
2
CU + 2
CU + 2
CU + 2
CU+2
CU + 2
CU + 2
CU + 2
CU + 2
CU + 2
CU + 2
BARCODE
n/a
n/a
n/a
n/a
K204312
K204313
K204314
K204315
K203494
K1 00680
K200006
K203800
K202495
K202916
APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 2 of2
Person(s) Completing Form:
Debra Doerfler
No.
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
RECORDS DESCRIPTION
Regulatory Agency: Dept. of Industrial relations
Regulatory Agency: PUC notices
Regulatory Agency: AT&T PUC filing
Regulatory Agency: So. Cal Gas Co.
Regulatory Agency: SDG&E
Correspondence
Affidavit of Publications
Public Records Act requests
CMWD Agendas
CMWD Agendas
CMWD Agendas
CMWD Agendas
CMWD Agendas
CMWD Agendas
CMWD Agendas
DATED
2001
2003
2000
1999
1999
2000
1980
1967-
1974
1980-
1993
1991
1992
1993
1994
1995
1996
1997
BOX
No.
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX-1
2006-
DX1
2006
DX1
2006
DX1
2006
DX1
2006
DX1
2006
DX1
2006
DX1
2006
DX1
2006
DX1
RRS No.
0230-70
0230-70
0230-70
0230-70
0230-70
0750-06
0740-20
0130-50
0753-10
0753-10
0753-10
0753-10
0753-10
0753-10
0753-10
RRS
Period
CU + 2
CU + 2
CU + 2
CU + 2
CU + 2
CU + 2
CU + 4
CL + 2
CU + 5
CU + 5
CU + 5
CU + 5
CU + 5
CU + 5
CU + 5
BARCODE
K200009
K204242
K204644
K204310
K204311
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? Yesfe? No
DATE
SMEADLINK BARCODES DELETED BY:DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
SECURE DOCUMENT DESTRUCTION
Client materials are to be destroyed off-site. Client will
receive official Certificate of Destruction upon completion
of service.
jJThis CERTIFICATE OF DESTRUCTION certifies the complete
destruction of all material contained as described below on the
date and at the time recorded herewith.
Date / Time of Pick up:_AM PM
Billing Address
Date / Time of Destruction /A 2'?*?Lr^.
Service Address
AM
Contact:Phone Number:
Type
Quantity
Service
Rate
Total
File Boxes
(Ld>
^&**
Bankers
Boxes
ShredForce
Executive
100
ShredForce
250
Other
&&***>*wt%i
7r-
I**
^^
Other Other
SHREDFO/?CEID#:
Balance Due: $
Amount Paid: $
SHREDFOffCE Signature:
~~
Please Invoice Client
Authorized Representative:
Comments:
TB:Hours:
SHREDFO/7CE D PO Box 891 D San Marcos, CA 92079 D (800) 444-6209
09/05