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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Planning; 2022-04-21This 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:/2022 REQUESTING DEPARTMENT:PLANNING REQUESTER:MELISSA FLORES 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 RRS PERIOD TAB BARCODE (if applicable) 1 Planning Project Files – Withdrawn or Voided Permanent Entitlements (Application, Description, Final Letter) 01/01/2020- 04/16/2020 CD-210 2 years See attached RECORDS DESTRUCTION AUTHORIZATION FORM 03-31-2022 3/31/2022 CORODATA 4/21/2022 X -- -- DocuSign Envelope ID: C4A8C169-BE0C-49E0-945E-723099FD579C DATE: 3/30/2022 REQUESTING DEPARTMENT: PLANNING REQUESTER: MELISSA FLORES 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 {"cityof Carlsbad DATE RECORDS MANAGEMENT □ DATE CITY ATTORNEY DATE □                           . I ID· C4A8C169-BE0C-49E0-945E-723099FD579C DocuS1gn Enve ope • {city of Carlsbad Account #(s)SD012455 Certificate #101558 Date Issued Friday, April 22, 2022 Service Locations 5815 EL CAMINO REAL Date Range of Service Apr-21-2022 thru Apr-21-2022 Work Ticket(s)958844 Quantity/Item 1 -CALL 20 MINUTES RPIOR TO ARRIVAL - 760-271-6841 46 -46 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