HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2022-04-07RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 02/24/22
REQUESTING DEPARTMENT: POLICE REQUESTER: NANCY BARNES
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.
uir l-v I ltvVJ f 2 . 2-'-/-2-1-
DePr. HEAD/DIVISION MANAGER DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
When
Field Interview Cards (entered 2019 PD-250 no
into NetRMS) longer
needed
*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 [Hied oot on,mw,d, ho,e been destmyed. (' L
RECORD DESTRUCTION COMPLETED BY:\_./(~.~~
CERTIFICATE OF DESTRUCTION? ~ YES ..,j NO
DATE:
TAB BARCODES DELETED BY: DATE:
This form documents the destruction of City records in occordance with the City of Carlsbad Records Management Program.
{ City of
Carlsbad Revised: 2021
Page /1
E-Jcorodata Corodata Shredding, Inc.
Shredding, Inc.
12375 Kerran Street· Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO -SAN JOSE/SILICON VALLEY
Thu Apr?,2022 next:4/21 /2022! On Site Required
CITY OF CARLSBAD -POLICE DEPT.
2560 ORION WAY
Directions
CARLSBAD, CA 92010
Contacts
PAULA CREWSE (760)931-2131 Special Instructions
L---_I'--------
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
-I T-im-e -ln_: _____ 11 Time Out:
Container Service Item
32 Gallon Console
32 Gallon Console
32 Gallon Console
32 Gallon Console
64 Gallon Bin
32 Gallon Console
11 Driver: Y-1-( -t'f.-
Service / Comments
1111111111111111111111 lll111111111111111
Ticket# 951065
Routine Instructions
DRIVER: AVOID 11 :00 -2:00
OKAY TO PARK IN THE RED
ZONE
CHECK IN AT FRONT DESK ON
THE RIGHT
*DRIVER MUST BE ESCORTED*
J
Qty Actual
1.00 1 I
1.001 I
1.001 l
1.00 1 I
1.00 1 ¢>
2.001 ;;2
1 louantity: 0 +/-
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 and accepts the terms and conditions on the reverse side.
X
SD Shred Truck Stop 99 BC SD012455 mm/dd/yy hh:nn a/p user Page 1
I
I