HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Construction Management & Inspection; 2019-02-21RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 2/6/2019
REQUESTING DEPARTMENT: PW-CM&I REQUESTER: LEAH SORENSEN
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
comp le;: pending o, ongoing /It/got/on I In ""''.t:t/on In ,ol,1~~' thm ,eco,d, ;, kno;;o ex/,() /J
L,7ii!__-----.>t~{ A~llt·L,(.£,\·,-f/J{)Y, (_I_,
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
1 PUBLIC WORKS GENERAL 1997-1000-05 Cu+2 INFORMATION 2006
-
*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: C,oy,,-,;~v DATE:
CERTIFICATE OF DESTRUCTION? 18). YES O NO
SMEADSOFT BARCODES DELETED BY: --~~~-•_e:t..._Gi_~~--~ DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
<<~> con Of Revised: 2/6/2019 ~ CARLSBAD
Records Destruction List
Page 1
Date 02/06/2019
Time 11:02:32AM
Date Inactive Login Name Maria Emery
Record Number External ID Records Description
PFLD-15-39450 02/06/2019 PD070002IKAWANO RESIDENCE PHYSICAL RECORDS
EI2780 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-39043 02/06/2019 PD060019!ADAMI RESIDENCE PHYSICAL RECORDS
EI2419 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-37136 02/06/2019 PD060013IFOX RESIDENCE PHYSICAL RECORDS
EI1990 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-38610 02/06/2019 GR970013IPOINSETTIA SHORES PA B-2 PHYSICAL RECORDS
EI767 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-39553 02/06/2019 PWM08-l 7ENGIPOINT "D" PIPING REMOVAL PAR & ECRJ PHYSICAL RECORDS
EI2631 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-39133 02/06/2019 PD060022l2756 GALICIA WAY PHYSICAL RECORDS
EI2512 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-38199 02/06/2019 PDP0000I(G)IENCINA WATER POLLUTION CENTER PHYSICAL RECORDS
EI1191 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-38571 02/06/2019 RP010009ICARLSBAD VILLAGE SELF STORAGE PHYSICAL RECORDS
EI728 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-38654 02/06/2019 HDP890049A!PELUSO RESIDENCE PHYSICAL RECORDS
EI811 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-39200 02/06/2019 PD060012IVILLAGIO LANDSLIDE STABLIZATION PHYSICAL RECORDS
EI2559 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-37267 02/06/2019 PD060004!BROWN RESIDENCE PHYSICAL RECORDS
EI2056 MANAGEMENT-PW CM&I
PWCM&I
Records Destruction List
Page 2
Date 02/06/2019
Time 11:02:32AM
Date Inactive
Login Name Maria Emery
Record Number External ID Records Description
PFLD-15-38293 02/06/2019 PD06000317312 EL FUERTE STREET PHYSICAL RECORDS
EI1892 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-38572 02/06/2019 RP020002IKENT JESSE OFFICE BUILDING PHYSICAL RECORDS
EI729 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-38663 02/06/2019 SDP000061DAYBREAK CO1\1MUNITY CHURCH PHYSICAL RECORDS
EI820 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-39436 02/06/2019 SUP060011IROBERTSON RANCH PARK GRADING PHYSICAL RECORDS
EI2597 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-39041 02/06/2019 PD06002017109 WISTERIA WY PHYSICAL RECORDS
EI2402 MANAGEMENT -PW CM&I
PWCM&I
PFLD-15-39247 02/06/2019 PWS07-05IMIRAMONTE DRIVE PHYSICAL RECORDS
EI2550 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-38429 02/06/2019 SDP9708AICARLSBAD CORPORATE CENTER PHYSICAL RECORDS
EI512 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-38575 02/06/2019 SUP970011IFAIRWAY CORPORATE CENTER PHYSICAL RECORDS
EI732 MANAGEMENT-PW CM&I
PWCM&I
PFLD-15-38681 02/06/2019 SDP9708AICARLSBAD CORPORATE CENTER PARCEL PHYSICAL RECORDS
EI838 (C) MANAGEMENT-PW CM&I
PWCM&I
End of Report ] [ 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
109825
Monday, February 25, 2019
5815 EL CAMINO REAL
Feb-21-2019 thru Feb-21-2019
561004
42 -42 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).
E•Jcorodata itSSAE16
Type II Audil Completed HIP£