HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2021-10-07 (2)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 8-25-21
REQUESTING DEPARTMENT: POLICE DEPARTMENT REQUESTER: CSQ JESSICA FIELD
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
comple.te~J;~=go;ng /WgoUon or lnvest;gotlonlnvofvlng these records is r;n '.o exist.
-~ ---~~g,..k-~li-<: ~l'i\J-1~ 1&/:J-f 1DEPT.HEAo/wis10~ .<c RDSMANAGENT DATE ~ DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
WORKING FILES:
N/A SUPPLIES/EQUIPMENT -2017-2018 CW-110 2 N/A
PURCHASE RECORDS
N/A WORKING FILES:
FORMS -PROFORMA 2017-2018 CW-110 2 N/A
PURCHASE RECORDS
N/A WORKING FILES:
FORMS -L & L PRINTERS 2017-2018 CW-110 2 N/A
PURCHASE RECORDS
N/A WORKING FILES:
FORMS-SDPD 2017-2018 CW-110 2 N/A . PURCHASE RECORDS
N/A WORKING FILES:
FORMS -SOSO/COURT 2017-2018 CW-110 2 N/A
PURCHASE RECORDS
N/A WORKING FILES:
FORMS-OMV 2017-2018 CW-110 2 N/A
PURCHASE RECORDS
N/A WORKING FILES:
FORMS-CHP 2017-2018 CW-110 2 N/A
PURCHASE RECORDS
N/A WORKING FILES:
ADMINISTRATION -ASSET . 2017-2018 CW-110 2 N/A
INVENTORY FILES
N/A WORKING FILES:
ADMINISTRATION -CREDIT 2017-2018 CW-110 2 N/A
CARD STATEMENTS
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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(Cityof Carlsbad
WORKING FILES:
ADMINISTRATION -RECORDS 2018 CW-110 2 N/A
DESTRUCTION AUTHORIZATION
WORKING FILES:
ADMINISTRATION -PROPERTY 2018 CW-110 2 N/A
FOR DESTRUCTION
WORKING FILES:
ADMINISTRATION-DONATION 2018 CW-110 2 N/A
REQUESTS AND DOCUMENTS
WORKING FILES:
ADMINISTRATION -RISK 2017-2018 CW-110 2 N/A
MANAGEMENT OSHA MEMO
WORKING FILES:
ADMINISTRATION -RIDE-2017-2018 CW-110 2 N/A
ALONG REQUEST FORMS
WORKING FILES:
ADMINISTRATION -2017 CW-110 2 N/A SAFARILAND DISPOSAL
REQUESTS
WORKING FILES:
ADMINISTRATION-STOP STICK 2017 CW-110 2 N/A
DEPLOYMENT REPORTS
WORKING FILES:
ADMINISTRATION -AED 2017-2018 CW-110 2 N/A
MAINTENANCE CHECKLISTS
WORKING FILES:
RADIOS-DAY WIRELESS 2017 CW-110 2 N/A
SERVICE INVOICES
WO.RKING FILES:
RADIOS-DAY WIRELESS 2017 CW-110 2 N/A
ORDERS FOR PARTS
WORKING FILES:
RADIOS -TRANSACTIONS FOR 2017 CW-110 2 N/A
REPAIRS
WORKING FILES:
RADIOS -MOTOROLA 2017 CW-110 2 N/A
INVENTORY ADJUSTMENTS
WORKING FILES: 2017 CW-110 2 N/A RADIOS-RCS INVOICES
WORKING FILES:
RADIOS -RCS SERVICE 2017 CW-110 2 N/A
REQUESTS
WORKING FILES:
RADIOS-DAY WIRELESS 2018 CW-110 2 N/A
ORDERS FOR PARTS
WORKING FILES:
RADIOS -TRANSACTIONS FOR 2018 CW-110 2 N/A
REPAIRS
This form documents the destruction of City records In accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page /2
N/A WORKING FILES:
RADIOS -MOTOROLA 2018 CW-110 2 N/A
INVENTORY ADJUSTMENTS
N/A WORKING FILES: 2018 CW-110 2 N/A RADIOS -RCS INVOICES
*If more spoces are needed, click in the last box in right hand corner of table and hit "tab". This wl/l create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: cx:::}\,_/L.J? G
CERTIFICATE OF DESTRUCTION? pv1::s □ NO
DATE: !011\ 2--\
-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 /3
tJcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Oct 7, 2021 I next: 10/21/2021 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
On Site Required
1111111111111111111111111111111111111111
Ticket# 873136
Routine Instructions
Contacts I
DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
ZONE
CHECK IN AT FRONT DESK ON
~--------------~ THERIGHT PAULA CREWSE (760)931-2131 Special Instructions *DRIVER MUST BE ESCORTED*
Roomg Description Container Service Item Qty Actual
1 32 Gallon Console -1 ST 32 Gallon Console 1.001 I FLOOR/RECORDS '
1 32 Gallon Console -1 ST 32 Gallon Console
Fl,.OOR/REPORT WRITING
1.001 \
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 -1ST 64 Gallon Bin 1.001 ' FL ORR/PROCESSING
2 32 Gallon Console -2ND · 32 Gallon Console 2.001 :l FLOOR/INVESTIGATIONS
I Time In: II Time Out: -11 Driver: -""-'x I !Quantity: :7 +/-. -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 terms and conditions on th.e reverse side.
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