HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2021-01-28•I
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 12/31/20 ----------
REQUESTING
DEPARTMENT: POLICE DEPARTMENT
DESTRUCTION APPROVALS:
REQUESTER: /df D.ERN�
We certify that the records listed below have been retained for the scheduled retention period, required audits have been completed, ':}d �<J;ng o, ongo;,,g /;t;got;on o, '"'"t;got;on /o,o/u/ng the,e ,eco,d, ;, known to exl,t
�� H� om �R��EMENT: [:i�\,O ��� /;,(,
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
FTO/CTO Training Files / 12/31/15 PD-365
Employee Personnel Files / 12/31/15 PD-140 Sep+5
Background Files (Unsuccessful} / 12/31/17 PD-360 3
Background Files (Successful} / 12/31/15 PD-115 Sep+5
IA 15-10 ✓ 12/23/15 PD-130
*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 fl/led out once ,ewcd, ho,e been desuoya
RECORD DESTRUCTION COMPLETED B : � �z_, -=l-S
CERTIFICATE OF DESTRUCTION? fJ YES O NO
SMEADSOFT BARCODES DELETED BY:
DATE: 0/P-tt?d./
-----DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. (city ofCarlsbad Revised: 12/15/2020
Final Disp +5
Sep+5
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[•J corodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thursday, January 28, 2021
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Contacts
Directions
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 748-1100 Fax (858) 726-6085
First Available
1111111111111111111111111111111111111111
Ticl:<et # 780573
Routine Instructions
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DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
ZONE
CHECK IN AT FRONT DESK ON
----------------THE RIGHT
PAlJLA CREWSE (760)931-2131 Special Instructions *DRIVER MUST BE ESCORTED*
Room Description Container Service Item Qty Actual
1 32 Gallon Console -1 ST 32 Gallon Console 1.00 I r FLOOR/RECORDS
1 32 Gallon Console -1 ST 32 Gallon Console 1.00 I 1 FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST 32 Gallon Console 1.00
FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.00
FLOOR/ELEVATOR/ADM IN
1 64 Gallon Bin -1 ST 64 Gallon Bin 1.00 I c
FLORR/PROCESSING
2 32 Gallon Console -2ND 32 Gallon Console 2.001 -z
FLOOR/INVESTIGATIONS
jTime In: · 11 Time Out: I I Driver: I !Quantity: ~ +/-
Service / Comments
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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.
X
SD Shred Truck Stop 99 BC S0012455 Pagel
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