HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2021-02-25-.... , --------------------------------------------
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 01/30/21
REQUESTING
DEPARTMENT: POLICE DEPARTMENT
· REQUESTER:
D.ERNS~
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.
~ORDS MANAGEMENT: DATE CITY ATTORNEY: DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
FTO/CTO Training Files ;,.--01/30/16 PD-365 5
Employee Personnel Files ~ ...--
01/30/16 PD-140 Sep+S
Background Files (Unsuccessful).___.. 01/30/18 PD-360 3
Background Files (Successful)<---0 1/30/16 PD-115 Sep+S
*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:....,,~----------
CERTIFICATE OF DESTRUCTION? . YES O NO
DATE: /JZI (p :;2/
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
(city of
Carlsbad Revised: 1/28/2021
E-Jcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Feb 25, 2021 next:3/11/2021 I
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Directions
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 748-1100 · Fax (858) 726-6085
First Available
1111111111111111111111111111111111111111
Ticket # 789655
Routine Instructio,is
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 Instructions *DRIVER MUST BE ESCORTED*
Room Description Container Service Item Qty Actual
1 32 Gallon Console -1 ST 32 Gallon Console 1.001 (
FLOOR/RECORDS
1 32 Gallon Console -1 ST 32 Gallon Console 1.001 l
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST 32 Gallon Console 1.001 ( FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.001 t FLOOR/ELEVATOR/ADM IN
1 64 Gallon Bin -1 ST 64 Gallon Bin 1.001
FLORR/PROCESSING
2 32 Gallon Console -2ND 32 Gallon Console 2.001 2 FLOOR/INVESTIGATIONS
jTime In: II Time Out: I J Driver: ~le.,,,~ I lauantity: 7 +/-
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