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Home My WebLink About; ; Records Destruction Authorization Form-Human Resources; 2022-01-27., '. RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 12/01/2021 REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: KIM STANKAVICH 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. , . :, " o•J:Y{fh, 1�/1/zj(� t <AD/b1Sw•-��DAIT RECORDS MANAGEMENT DATE CITY ATTORNEY DATE RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE BOX NO. PERIOD (if applicable) 1 BOX Personnel Files 2015 HR-080 SE+6 SEE ATTACHED 2 BOXES Personnel Files -Benefit File 2015 HR-085 SE+6 II *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: CERTIFICATE OF DESTRUCTION? TAB BARCODES DELETED BY: / @ YES DATE: □NO DATE: This form documents the destruction of City records iti accordance with the City of Carlsbad Records Management Program. Ccityof Carlsbad Revised: 2021 Page /1 12-30-2021 1/3/2022 CORODATA 01.27.2022 - - ----f ·-·---.,..t .... ,......,,....--~-=-•«-· ----~ ~ JJ1c,J11aM-~ ) I ID Name 4989 Ahles, David 6107 Allington, Linda 2320 Baer, William 6504 Blanchard, Aimee 4385 Cable, Philip 5818 Chestnutt, Gina 10435 Cimmino, Kenneth 4104 Cluett, Torrey 1501 Collier, Robert 10333 Collins, Shelley 10380 Contreras, Chrystal 1683 DeCerbo, Christopher 10584 Delmar, Bryan 4353 Garuba, Joseph 10567 Geiszler, Jessica 2523 Guzman, Belinda 6003 Happle, Keith 10816 Harmer, Roger 6519 Hilderbrand, Cory 10100 Hoyo,Joshua 10555 Huet, Brett 5398 Irey, Sue 10619 Kame, Ram Mohan Rao 17 49 Kratzer, Marc 10281 Lagman, Randall 6844 Ledesma Jr, Robert 1427 Lollis, Scott 10793 Lucero, Michael 5902 Macfarlane, Brett 2693 Maniscalco, Vince 6896 McGarry, Patrick 4543 Melillo, Rebecca 4596 Meyer, Suzanne 10384 Miller, Chuck 3469 Mobaldi, Jane 10564 Montgomery, Lisa 2786 Morris, Robert 6706 Morrison, Gary 10877 Obando, Lu~ Term Date Svc 03/26/2015 09/19/2015 05/11/2015 07/01/2015 02/03/2015 12/23/2015 02/25/2015 07/20/2015 09/14/2015 12/08/2015 07/13/2015 04/20/2015 06/17/2015 09/11/2015 05/16/2015 05/05/2015 01/17/2015 12/18/2015 12/19/2015 04/24/2015 07/24/2015 12/31/2015 02/21/2015 07/22/2015 11/06/2015 11/20/2015 04/01/2015 09/19/2015 09/27/2015 08/31/2015 09/12/2015 10/02/2015 04/17/2015 09/26/2015 07/18/2015 06/19/2015 07/16/2015 08/07/2015 11/13/2015 4487 Ortega, Brenda 5448 Pavlenko, Kari 10.107 Perry, Dale 1349 Pope Ill, Carl 10645 Quintero, Angel 10846 Sampson, Devon 6856 Scully, Victoria 4383 Shankey, Callen 1773 Spickard, Susan 4476 Stanik, Natalie 10106 Steffan, Tina 5731 Stephenson, Gary 2751 Strojny, Pamela 10767 Trujillo, Brandon 5347 Unser, Glennis 10277 Varga, Michael 2939 Von Schlieder, Karl 10834 Welch, Brian 6414 Wilhelm, Patrick 6123 Young, Kristie 10361 Zunke, Jesse 06/16/2015 06/11/2015 08/09/2015 05/11/2015 06/05/2015 11/10/2015 07/24/2015 08/01/2015 12/31/2015 08/01/2015 08/20/2015 08/20/2015 07/01/2015 08/15/2015 01/17/2015 07/18/2015 12/19/2015 09/04/2015 10/09/2015 05/01/2015 12/05/2015 CERTIFICATE OF DESTRUCTION & RECYCLING This certificate is presented to: CITY OF CARLSBAD -RECORDS MANAGEMENT DIVISION Per the express request of Cl ient, 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. Account #(s) Certificate # Date Issued Service Locations Date Range of Service Work Ticket(s) Quantity/Item SD012455 101434 Friday, January 28, 2022 5815 EL CAMINO REAL Jan-27-2022 thru Jan-27-2022 920995 1 -driver call Kathryn Ronq uillo 20 minutes before he arrives at so she can meet you 41 -41 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) t•Jcor odata SSAE16 Type II Audit Completed HIP~