HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2021-08-26RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
REQUESTING DEPARTMENT: POLICE REQUESTER: PAULA (REWSE
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.
/4_ tkk/~ ( f Id ·2 I l?ei,i. HEAD/DIVISIO MANAGER DATE
BIQ2-\
DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Oversized Vehicle Permits Prior to CW-250 Min.
1/1/2019 2 yrs.
*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.
RECORD DESTRUCTION COMPLETED BY: ~ ~ yt;::'
To be filled out once records have been destroyed. ~
CERTIFICATE OF DESTRUCTION? ES O NO
DATE: · 0( J.;'[ '2d
TAB BARCODES DELETED BY: _______ .-----_______ _ DATE: -------
This form documents tf-le destruction of City records in accordance with the City of Carlsbad Records Management Program.
{cityof
Carlsbad Revised: 2021
Page /1
tJcorodata
Shredding, Inc.
SAN DIEGO • ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO. SAN JOSE/SILICON VALLEY
Thu Aug 26, 2021 next:9/9/2021 I
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
CARLSBAD, CA 92010
Contacts
Directions
Corodata Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
First Available
111111111111 lllll 11111111111111111111111
Ticket # 854935
Routi11e I11structio11s
CHECK IN AT FRONT DESK ON I
DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
ZONE
L_.. _______________ _, THE RIGHT
PAULA CREWSE (760)931-2131 Special I11structio11s *DRIVER MUST BE ESCORTED*
Roomg Description
1 32 Gallon ·Console -1 ST
FLOOR/RECORDS
1 32 Gallon Console -1 ST
FLOOR/REPORT WRITING
1 32 Gallon Console -1 ST
FLOOR/TRAFFIC
1 32 Gallon Console -2ND
FLOOR/ELEVATOR/ADMIN
1 64 Gallon Bin -1 ST
FLORR/PROCESSING
2 32 Gallon Console -2ND
FLOOR/INVESTIGATIONS
-, T-im-e-ln-: ----___ -_ __J[_TimeOut:
Container Service Item Qty Actual
32 Gallon Console 1.001 ............... __ _.
32 Gallon Console 1.00 .... I___.. __ _.
32 Gallon Console 1.00 L.I --'----'I
32 Gallon Console 1.00 ..... I_,___ _ __,
64 Gallon Bin 1.00 I _· c
32 Gallon Console 2.ooj J_
7 1 Driver: JA:( -vX. ___ J l§aantity: J +/-
Service / Comments
Corodata Shredding, Inc. represents that it received the aforementioned materials for confidential
destruction and hereby certifies such materials will be confidentiaily 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 mm/dd/yy hh:nn a/p user Page 1