HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2020-11-19RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 10/28/2020
REQUESTING POLICE -TRAFFIC
DEPARTMENT: DIVISION
D ESTRUCTION APPROVALS:
REQUESTER: JERRY SERAFINI
We certify that the records listed below have been re tained for the scheduled retention period, required audits have been
comple ted, and no pending or ongoing litigation or investigation involving these records is known to exist.
DEPARTMENT HEAD: LJ ECORDS MANAGEMENT:
BOX NO. RECORDS DESCRIPTION
DUI BILLING
DATED
Prior to
01/01/15
RRS NO.
0670-20
Ctitdu ~
RRS
PERIOD
5 YRS
CITY ATTORNEY:
TAB BARCODE
(if applicable)
"'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 hove been destroyed.
RECORD DESTRUCTION COMPLETED BY: l l / 11-J /1._() J..e> ~
CERTIFICATE OF DESTRUCTION? ~ YES ' [.., NO
SMEADSOFT BARCODES DELETED BY: DATE: -------------------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management .
<<!4>'> CITY or
w CARLSBAD
Program.
Revised:
t•Jcorodata
Shredding, ~nc.
SJ\N lllEGO • OR ... NG6 COUNTY,\."
NO~TH BAY)BAN FRANCISCO·• S.APJ JOS_EIS!UCON VALLEY
Thu Nov 19, 2020 next: 12/3/2020!
CITY OF CARLSBAD -POLICE DEPT.
2560 ORJON WAY
CARLSBAD, CA 92010
Directio11s
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 748-1100 Fax (858) 726-6085
First Available
1111111111111111111111111111111111111111
Ticket # 760382
Routine l1istructio11s
Contacts
I
DRIVER: AVOID 11:00 -2:00
OKAY TO PARK IN THE RED
ZONE
CHECK IN AT FRONT DESK ON
~--------------~ THE RIGHT PAULA CREWSE (760)931-2131 Special J11structio11s •DRIVER MUST BE ESCORTED•
Room Description Co11tainer Service Item Qty Actual
1 Additional Bag Additional Bag 1.00 I
1 32 Gallon Console -1ST 32 Gallon Console 1.00 I
FLOOR/RECORDS
1 32 Gallon Console -1 ST 32 Gallon Console 1.00 I
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST 32 Gallon Console 1.00 I
FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.00 I
FLOOR/ELEVATOR/ADMIN
1 64 Gallon Bin -1 ST 64 Gallon Bin 1.00 I
FLORR/PROCESSING
2 32 Gallon Console -2ND 32 Gallon Console 2.00 I
FLOOR/INVESTIGATIONS
/Time In : I/Time Out: 11 Driver: I !Quantity: +I-
Service I Comments
Corodata Shredding, Inc. represents that it received the aforementioned materials for confidential
destruction and hereby certifies such materials will be confidentially handled and destroyed and
that the shredded materials will be recycled. Client represents that it has authority to provide to
Corodata Shredding, Inc. the aforementioned materials for confidential destruction and hereby
acknowledges and accepts the terms and conditions on the reverse side.
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SD Shred Truck Stop 99 BC SD012455 Pagel
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