HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2020-12-03RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 11/30/2020 ----------
REQUESTING
DEPARTMENT: POLICE DEPARTMENT
REQUESTER:
D. ERNST 5275
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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DEPARTMENT HEAD: t)RECORDS MANAGEMENT:
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CITY ATTORNEY:
*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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO . RRS TAB BARCODE
PERIOD (if applicable)
IA 15-09 _.-11/30/15 PD-130 5
FTO/CTO Training Files ✓ 11/30/15 PD-365 5
Employee Personnel Files ✓ 11/30/15 PD-140 Sep+5
Background Files (Unsuccessful) ./ 11/30/17 PD-360 3
Background Files (Successful) / 11/30/15 PD-115 Sep+5
IA 15-11 / 10/16/15 PD-130 5
/
IA 18-08 / 11/28/18 PD-130 2
IA-21 / 11/07/18 PD-130 2
Personnel Training Eva ls/DOR/ 11/30/18 PD-370 2
To be filled out once records have been destroyed.
~'?Z'r> RECORD DESTRUCTION COMPLETED BY: DATE: /;LO/ :J-o
CERTIFICATE OF DESTRUCTION? □ YES □ NO --SMEADSOFT BARCODES DELETED BY: DATE:
~ << •:4» CO r, 0 I ~ CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 11/11/2020
1:-:1corodata
Shredding, Inc.
SAN DIEGD • ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO • SAN JOSE/SILICON VALLEY
Thu Dec 3, 2020 next:12/17/2020!
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
First Available
CITY OF CARLSBAD -POLICE DEPT.
2560 ORJON WAY
Directions
11111111111111111 IIIII IIIII IIIII IIII IIII
Ticket# 762987
Routine Instructions
CARLSBAD, CA 92010
DRIVER: AVOID 11:00-2:00
OKAY TO PARK IN THE RED
ZONE
Contacts CHECK IN AT FRONT DESK ON
'-------------------~ THE RIGHT PAULA CREWSE (760)931-2131 Special Instructions *DRIVER MUST BE ESCORTED*
L____ ___ L__I __ J~_
Room Description
1 32 Gallon Console -1 ST
FLOOR/RECORDS ·
1 32 Gallon Console -1 ST
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST
FLOOR/TRAFFIC
1 32 Gallon Console -2ND
FLOOR/ELEVA TOR/ADMIN
1 64 Gallon Bin -1 ST
FLORR/PROCESSING
2 32 Gallon Console -2ND
FLOOR/INVESTIGATIONS
/.-T-im-e-ln-:-----,1/ Time Out:
Container Service Item Qty Actual
32 Gallon Console 1.00 ._I-'----~
32 Gallon Console 1.00'~---
32 Gallon Console 1.001 ___ _
32 Gallon Console 1 .oo ._I-'----~
64 Gallon Bin 1.00~1 '~--
32 Gallon Console 2.00 '-"-I 2 ___ ~
I / Driver: "P-;\e,}(_ ___ J !Quantity: "1 +/-
Service / 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 Page I