HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2021-10-07RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 09/02/21 -----------
REQUESTING
DEPARTMENT: POLICE-TRAFFIC REQUESTER: SPANGLER
DESTRUCTION APPROVALS:
We certify that th e records listed below have been retained for the scheduled retention period, required audits have been
completed d no pendi{lg or ongoing litigation or investigation involving these records is known to exist.
DEPARTMENT HEAD:
6 C)w,,_.>k'.'. q\112d
RECORDS MANAGEMENT:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Taxi License Prior to ASDF-175 5 YRS 2016
*If more spaces are needed, click In the last box in right hand corner of table and hit "tab". This wlll create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: /-..:>...:::......-------
CERTIFICATE OF DESTRUCTION? p YES 0 NO
DATE: l0/~/1-J ---+-,----
<(~#)', c,rv or
This form documents the destruction of City records In accordance with the City of Carlsbad Records Management
Program.
~ CARLSBAD Revised: 9/2/2021
tJcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNlY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Oct 7, 2021 next:10/21/2021 !
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Contacts
PAULA CREWSE (760)93 1-2131
Directions
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 748-1100 Fax (858) 726-6085
On Site Required
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Ticket# 873136
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
Special Instructions *DRIVER MUST BE ESCORTED*
~-1'------~L________J
Roomg 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 \ Fl,.OOR/REPORT WRITING
1 32 Gallon Console -1 ST 32 Gallon Console 1.00 I \ FLOOR/TRAFFIC
1 32 Gallon Console -2ND 32 Gallon Console 1.001 \ 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 2.001 :l FLOOR/INVESTIGATIONS
jTimeln: II Time Out: . Driver: !Quantity: :1 +I-
Service I 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 an_d accepts the termsJmd conditions on tt,_e reverse side.
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