HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2021-04-22RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 3/23/2021 ------------
REQUESTING DEPARTMENT: POLICE REQUESTER: PAULA CREWSE
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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Subpoenas (Records) Prior to PD-30 2 yrs 3/23/2019
Public Records Requests Prior to CC-210 2 yrs 3/23/2019
Crime/Incident Reports Prior to PD-205 10 yrs 3/23/2011 '
Citations Prior to PD-200 Min. 2
3/23/2018 yrs.
C,,V-lM.-l ~ 'Pno.--.~1q YD -1-Lf,u 2.-~
~I) .en a S, ( v ... ex~~a.{) rim o) ~~,;-(" -ro ?\7--7,) 10J 'v'D-?'2-5 1-~
\I \~hrr l-o C¥\
\lnr:rr. +,, ~1z:~/1t1 (\) -'2-,S"t;"'" 1-~ -~
*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.
~o be filled out once records have been destroyed. ~
RECORD DESTRUCTION COMPLETED BY: ..-~-+-P~=µ_Q-~e-_~C~~-~~-
CERTIFICATE OF DESTRUCTION? YES O NO
DATE:---+'\:...L...L\ 1-+->-~--i{_
TAB BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
(Cityof
Carlsbad Revised: 2021
Page /1
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Etcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO • SAN JOSE/SILICON VALLEY
Thu Apr 22, 2021 next: 5/6/2021 I
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
1111111111111111111111 ll1111111111111111
Ticket# 810399
Routine Instructions
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 64 Gallon Bin-TO BE FILLED AT 64 Gallon Bin 1.00 I I TIME OF SERVICE ,
1 Container Delivery -Existing Container Delivery -Existing location 1.00 I 1 Location
1 Container Removal Container Removal 1.00 I l
1 32 Gallon Console -1 ST 32 Gallon Console 1.00 I 1 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 I FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.00 I 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 .2
FLOOR/INVESTIGATIONS
SD Shred Truck Stop 99 BC SD012455 Pagel
I
m-:1corodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO· SAN JOSE/SILICON VALLEY
Thu Apr 22, 2021 next:5/6/2021 I
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Contacts
PAULA CREWSE (760)931-2131
Directions
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 748-1100 Fax (858) 726-6085
First Available
1111111111111111111111111111111111111111
Ticket# 810399
Routine Instructions
I
DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
ZONE
CHECK IN AT FRONT DESK ON
~-------------~ THE RIGHT
Special Instructions *DRIVER MUST BE ESCORTED*
~------' ..______I _ ________, L------------------'
Room
!Time In:
Description
II Time Out:
Container Service Item
11 Driver: A \e_l(.
Service I Comments
Qty Actual
I ; i Iauantity: l-0 +/-
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 SD012455 Page2