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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2021-07-15 (11)-- Corodata 7/15/2021 X --- -- J I , RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 6/14/2021 -----=--------''------- RE QUE S Tl NG DEPARTMENT: P&R REQUESTER: MAJKA PENNER 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 1 BOX Special Event Permits 2016-2017 06/16/2021 DATE RRS NO. P&R-160 CilY ATTORNEY DATE RRS PERIOD Minimum 2 years TAB BARCODE . (if applicable) *if mare 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: _________ _ DATE: ------- CERTIFICATE OF DESTRUCTION? 0 YES 0 NO TAB BARCODES DELETED BY: DATE: This farm documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ( City of Carlsbad Revised: 2021 Page /1 i Flicks at the Fountain 2016 Brewfest 2016 Family Movie Night 2016 Oktoberfest 2016 Super Hero Obstacle Race 2016 FD & PD Open House 2016 Walk Like MADD 2016 La Costa Film Festival 2016 MS Bike Tour 2016 DOCUMENTS TO BE SHREDDED BOX #1 CHS Lancer Day Parade & Fireworks 2016 Carlsbad Street Faire, spring and fall 2016 MS 3 Day Challenge Walk 2016 Vettes for Veterans 2016 Carlsbad Premium Outlets 2016 Christmas Bureau 2016 iu dcJt,BLQ thu Account #(s)SD012455 Certificate #100061 Date Issued Monday, July 19, 2021 Service Locations 5815 EL CAMINO REAL Date Range of Service Jul-15-2021 thru Jul-15-2021 Work Ticket(s)839982 Quantity/Item 1 -CALL 20 MINUTES RPIOR TO ARRIVAL - 760-271-6841 77 -77 Boxes for Destruction (standard) * Nothing in this certificate shall be deemed to modify the terms of the parties¶Service Agreement(s) or Work Ticket(s). CERTIFICATE OF DESTRUCTION & RECYCLING This Certificate is presented to: CITY OF CARLSBAD - R Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not inventory, record or track any information contained within or related to the Material. E•Jcoro data SSAE16 Type II Audit Completed • HIPA'A GIJIJlll!affl