HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Land Development Engineering; 2022-12-29 (3)This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 1
DATE: 12/15/2022
REQUESTING DEPARTMENT: RECORDS MANAGEMENT REQUESTER: KATHRYN RONQUILLO
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
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE
(if applicable)
1 box Mylar Backfile Conversion –
Grading and Improvement Plans 1996-1997 CD-110
Mylars
destroyed
after upload
and QC
See attached
RECORDS DESTRUCTION AUTHORIZATION FORM
12/19/2022 12/19/2022 12/20/2022
CORODATA 12/29/2022
X
C cityof
Carlsbad
□ □
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 2
TAB BARCODES DELETED BY: _____ _______________________________ DATE: ______________
--I
C cityof
Carlsbad
I
RECORDS DESTRUCTION REPORT
Kathryn Ronquillo
DATE: 12/15/2022
TEMPLATE NAME: Drawings
TOTAL RECORD COUNT: 8
COMMENTS: MYLAR BACKFILE CONVERSION / LDE DRAWINGS CT 94-09
ENTRY ID NAME
5315310 DWG 333-2Y; CT 94-09-03; CARLSBAD RANCH UNIT 3 - LEGOLAND CARLSBAD LOTS
18 & 19; 01-48
5352684 DWG 333-2J; CT 94-09; CARLSBAD RANCH UNIT 1; 01-83
5352730 DWG 333-2V; CT 94-09; CARLSBAD RANCH UNIT 3; 01-17
5353856 DWG 333-2U; CT 94-09; CARLSBAD RANCH UNIT 2; 01-11
5353860 DWG 333-2T; CT 94-09; CARLSBAD RANCH UNIT 2; 01-05
5353861 DWG 333-2K; CT 94-09; CARLSBAD RANCH UNIT 1; 01-28
5353863 DWG 333-2I; CT 94-09; CARLSBAD RANCH LOTS 9, 10, 11, 14 AND 15; 01-05
5353948 DWG 333-2GA; CT 94-09; CANNON ROAD WEST; 01-15
·tyof
lsbad
Ca li fornia
Account #(s)SD012455
Certificate #102136
Date Issued Wednesday, January 04, 2023
Service Locations 5815 EL CAMINO REAL
Date Range of Service Dec-29-2022 thru Dec-29-2022
Work Ticket(s)1067282
Quantity/Item 69 -69 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
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