HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Housing Services; 2021-12-30This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
P a g e | 1
DATE: 10/18/2021
REQUESTING DEPARTMENT: HOUSING SERVICES REQUESTER: PATTI CRESCENTI
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.
DEPT. HEAD/DIVISION MANAGER DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
*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.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ___________________________ DATE: ______________
CERTIFICATE OF DESTRUCTION? YES NO
TAB BARCODES DELETED BY: _____ _______________________________ DATE: ______________
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
471
AFFORDABLE HOUSING FILES: JOHNSON,
DAWN 2003; BROWN, LEONARD & SARAH
2003; WILSON, RAQUEL 2003; PRINCIPE,
JEANNE 2003; JOHNSON, JOANNE 2003;
KIRSCH, KATHERINE 2002; NORMAN,
RICHARD & SHEILA 2003; MARTINEZ, FRANK
& ROSEMARIE 2002; GREEN, IVAN 2001;
GOODWIN, RICHARD & FRANCES 1999;
MENG, DOROTHY 1999; VERA CHEGDIAN
1990; GURULE, DENISE
2003 HS-035
LOAN
PAYOFF
+ 5 YRS
376
AFFORDABLE HOUSING FILES: HADDAD,
RICHARD 2008; BARBARA PETZ 2005;
MILLIMAN, RYAN 2011; SANGIS, LAWRENCE
& MELISSA 2012; KUWABARA, SHIHO 2008;
CHASE, PARNELL; GOMEZ, DARIIO & IRIS;
SPEER, CHRISTI; STRANG, ADAM * BRIANA;
OROZCO, FRANCIS; MILLIMAN, RYAN
2012 HS-035
LOAN
PAYOFF
+ 5 YRS
INACTIVE PARTIIPANT: CASTANEDA,
LEONARD 2009 HS-060
CLOSE
OF FILE
+ 7
YEARS
RECORDS DESTRUCTION AUTHORIZATION FORM
Mandy Mills 10/25/21 10-26-2021 10/28/2021
Corodata 12/30/2021
x
- -
CCityar
Carlsbad
□ □
Affordable Housing Destruction 10/18/2021
Name Address Program
BROWN, LEONARD & SARAH 6167 PASEO ENSILLAR AFFORDABLE HOUSING
CASTANEDA, LEONARD HOUSING DIVISION - Section 8, HCV
CHASE, PARNELL 2564 NAVARRA DRIVE #215 AFFORDABLE HOUSING
CHEGDIAN, VERA 6504 OCEANVIEW AFFORDABLE HOUSING
GOMEZ, DARIIO & IRIS 7301 ESFERA STREET AFFORDABLE HOUSING
GOODWIN, RICHARD & FRANCES 6516 OCEANVIEW AFFORDABLE HOUSING
GREEN, IVAN 6535 EASY STREET AFFORDABLE HOUSING
GURULE, DENISE 6166 PASEO GRANITO AFFORDABLE HOUSING
HADDAD, RICHARD D.2088 AVENUE OF THE TREES AFFORDABLE HOUSING
JOHNSON, DAWN 6163 PASEO ENSILLAR AFFORDABLE HOUSING
JOHNSON, JOANNE 3330 DON PABLO DR AFFORDABLE HOUSING
KIRSCH, KATHERINE 6500 EASY STREET AFFORDABLE HOUSING
KUWABARA, SHIHO 2675 LEIGHTON CIRCLE AFFORDABLE HOUSING
MARTINEZ, FRANK C. & ROSE MARIE 3575 MADISON STREET AFFORDABLE HOUSING
MENG, DOROTHY 6610 EASY STREET AFFORDABLE HOUSING
MILLIMAN, RYAN 6012 PASEO SALINERO AFFORDABLE HOUSING
NORMAN, RICHARD & SHEILA 893 CAMELLIA PLACE AFFORDABLE HOUSING
OROZCO, FRANCIS 6133 PASEO GRANITO AFFORDABLE HOUSING
PETZ, BARBARA J 6550 93 PONTO DR AFFORDABLE HOUSING
PRINCIPE, JEANNE 1330 STATICE COURT AFFORDABLE HOUSING
SANGIS, LAWRENCE & MELISSA 6168 PASEO PICADOR AFFORDABLE HOUSING
SPEER, CHRISTI 6046 PASEO SALINERO AFFORDABLE HOUSING
STRAND, ADAM & BRIANA 6159 PASEO ENSILLAR AFFORDABLE HOUSING
WILSON, RAQUEL 3441 DON CARLOS AFFORDABLE HOUSING
Account #(s)SD012455
Certificate #101376
Date Issued Monday, January 03, 2022
Service Locations 5815 EL CAMINO REAL
Date Range of Service Dec-30-2021 thru Dec-30-2021
Work Ticket(s)912008
Quantity/Item
1 -CALL 20 MINUTES RPIOR TO
ARRIVAL - 760-271-6841
50 -50 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 - RECORDS MANAGEMENT DIVISION
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