HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Clerk; 2023-09-07 (2)This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 1
DATE: 08/11/2023
REQUESTING DEPARTMENT: CITY CLERK REQUESTER: RACHEL JAMESON
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
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE
(if applicable)
H Boards & Commissions
Applications - 2020 - Appointed 2020 CW-105
Copies -
When No
Longer
Required
PFLD-20-110
Boards and Commissions
Appointees – 2014 (3 apps from
2013)
2013 / 2014 CW-105
Copies -
When No
Longer
Required
PFLD-18-390
Applications 2020 - Boards and
Commissions 2020 CW-105
Copies -
When No
Longer
Required
5446887
Boards & Commissions
Appointees - 2015 2015 CW-105
Copies -
When No
Longer
Required
PFLD-18-391
Boards and Commissions
Appointees - 2016 2016 CW-105
Copies -
When No
Longer
Required
PFLD-18-392
Unsuccessful Candidates - 2018
General Election 2018 CC-145 Election + 4
Years 6294864
California Form 496 - Reform
California 6/17/2021
2020 Council Inquiries 2020 CC-200 PFLD-20-527
RECORDS DESTRUCTION AUTHORIZATION FORM
CC-160 Results +
8 mo.N/A
2 Years
8/22/2023 08/23/2023 8/28/23
C cityof
Carlsbad
/J a±-V6CA,HU4.,
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 2
Statement of Economic Interest
-Blackburn, Keith 2009-2012 CC-075 7 Years K0207485
Campaign Statements - Matt
Hall for Mayor 2018 (410 & 460) 2018 CC-125
Can destroy
paper after
2 years
PFLD-19-89
Campaign Statements - Carlsbad
Citizens for Responsible
Government - 2015
2015 CC-135 7 Years K208280
Campaign Statements - Carlsbad
Chamber of Commerce Pac… 2008 CC-135 7 Years K0207399
Claims Against the City - 2017 -
File #1 2017 CC-070 2 Years PFLD-17-234
2016-11-08 General Municipal
Election 2016 CC-150 PFLD-19-684
File 5 - ROV Communications
(Letters, transmittals, receipts,
etc)
2016 CC-135 7 Years N/A
Hosp Grove 1986-87 -
Referendum File 1986 N/A
Campaign Statements; Laura
d'Elia Drelleshak - 461 (2018) 2018 CC-120
Can destroy
paper after
2 years
PFLD-19-84
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Montgomery,
Marty - Planning Commission -
2003
2003 CW-105
Copies -
When No
Longer
Required
K0206467
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Deforest,
Sherman - Arts Commission -
2005
2005 CW-105
Copies -
When No
Longer
Required
K0206598
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Erhardt, Dick -
Agricultural Mitigation Fee Ad
Hoc Committee - 2005
2005 CW-105
Copies -
When No
Longer
Required
K0206673
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Canepa, Bill -
Carlsbad Tourism Business
Improvement District Adv - 2005
2005 CW-105
Copies -
When No
Longer
Required
K0206779
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Alfrey, Ken -
2005 CW-105
Copies -
When No
Longer
Required
K0206668
2 Years
CC-160 Results +
8 mo.
C cityof
Carlsbad
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 3
Agricultural Mitigation Fee Ad
Hoc Committee - 2005
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Rocco,
Matthew - Beach Preservation
Committee - 2006
2006 CW-105
Copies -
When No
Longer
Required
K0207099
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Bradley, Marie
- Library Board of Trustee - 2006
2006 CW-105
Copies -
When No
Longer
Required
K0206897
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Craig, Jim -
Parks & Recreation Commission
- 2003
2003 CW-105
Copies -
When No
Longer
Required
K0206454
Oath or Affirmation of
Allegiance for Public Officers
and Employees - L'Heureux,
Stephen M - Planning
Commission - 2009
2009 CW-105
Copies -
When No
Longer
Required
K0207635
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Smith, Bobbie
- Housing Commission - 2002
2002 CW-105
Copies -
When No
Longer
Required
K0206447
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Fox, Harold -
Arts Commission - 2006
2006 CW-105
Copies -
When No
Longer
Required
K0207007
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Wrislry, Hope -
Agricultural Mitigtaion Fee Ad
Hoc Committee - 2005
2005 CW-105
Copies -
When No
Longer
Required
K0206669
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Nelson, Jack -
Senior Commission - 2005
2005 CW-105
Copies -
When No
Longer
Required
K0206412
Oath of Affirmation of
Allegiance for Public Office and
Employees - Schumacher, Cori;
Acosta, Teresa; Blackburn, Keith
(2020)
2020 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath of Affirmation of
Allegiance for Public Office and
Employees - Bhat-Patel, Priya;
Engleson, Barbara; Hall, Matt;
Hamilton, Barbara; Lindholm,
Craig (2018)
2018 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
C cityof
Carlsbad
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 4
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Blackburn,
Keith; Schumacher, Cori (2016)
2016 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath of Affirmation of
Allegiance for Public Office and
Employees - Engleson, Barbara;
Hall, Matt; Lindholm, Craig;
Packard, Mark; Schumacher,
Michael (2014)
2014 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath of Affirmation of
Allegiance for Public Office and
Employees - Engleson, Barbara;
Lindholm, Craig (2013)
2013 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Blackburn,
Keith; Wood, Lorraine (2012)
2012 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Comstock, Jim;
Douglas, Farrah; Hall, Matt;
Packard, Mark; Wood, Lorraine
(2010)
2010 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Blackburn,
Keith; Kulchin, Ann (2008)
2008 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Wood, Lorraine
(2006)
2006 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Kulchin, Ann;
Sigafoose, Norine (2004)
2004 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Wood, Lorraine
(2002)
2002 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Finnila,
Ramona; Kulchin, Ann (1996)
1996 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Hall, Matt;
Lewis, Claude; Nygaard,
Julianne; Stanton, James (1994)
1994 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
C cityof
Carlsbad
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 5
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Finnila,
Ramona; Kulchin, Ann (1992)
1992 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Lewis, Claude;
Nygaard, Julianne; Stanton,
James (1990)
1990 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Kulchin, Ann
(1988)
1988 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Lewis, Claude
(1986)
1986 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Kulchin, Ann;
Lewis, Claude (1984)
1984 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Certificate of Election and Oath
of Office - Kulchin, Ann; Lewis,
Claude (1980)
1980 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Lewis, Claude
(1978)
1978 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Lewis, Claude
(1974)
1974 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Oath or Affirmation of
Allegiance for Public Officers
and Employees - Lewis, Claude
(1970)
1970 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
2019 Palomar Airport Advisory
Committee Applications -
Anderson, Shirley; Collins,
Charles; Cramer, Winthrop;
Frazee, Daniel; Hunter,
Chuck;Lovick, Ronald; O'Reilly,
John; Swain, Jim
2019 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
California Home Finance
Authoity - Agreement -
06/19/2015
2015 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
C cityof
Carlsbad
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 6
Second Amendment to
Agreement w/San Diego
Regional Training Center RTC
(original agreement:
12/01/1972)
2013 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Amendment to Agreement
w/Regional Communications
System (original agreement:
03/07/1995)
2012 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Agreement w/Casa de Amparo
(11/5/2018) 2018 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Agreement w/Docusign Inc
(10/31/2014) 2014 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Resignation Letter from CTBID &
CGLBID - Scott Allen (12/2014);
Ulrich Samietz (08/2018)
2014 / 2018 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Resignation Letter from CTBID -
Kimberly Malaspina (05/2018) 2018 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Resignation Letter from the
Beach Preservation Committee -
Norelynn Pion-Goureau
(05/2018)
2018 CW-105
Copies -
When No
Longer
Required
N/A – Loose Paper
Loughlin Residence (PD 471) 2022 CC-050
Release of
Bond /
Letter of
Credit
N/A – Loose Paper
Thompson Geesbreght ADU
(CDP 2017-0044) 2022 CC-050
Release of
Bond /
Letter of
Credit
N/A – Loose Paper
Jet Source Hanger (PD 04-08) 2022 CC-050
Release of
Bond /
Letter of
Credit
N/A – Loose Paper
National University (CUP 02-03) 2022 CC-050
Release of
Bond /
Letter of
Credit
N/A – Loose Paper
Poinsettia Village (CT 81-6B) 2022 CC-050
Release of
Bond /
Letter of
Credit
N/A – Loose Paper
C cityof
Carlsbad
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 7
*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: ______________
Carlsbad Boulevard Home (CDP
03-15)2022 CC-050
Release of
Bond /
Letter of
Credit
N/A – Loose Paper
West Coast Self Storage (CUP
2017-0004) 2020 CC-050
Release of
Bond /
Letter of
Credit
PFLD-18-279
Lanikai Lane (CDP 15-23) 2022 CC-050
Release of
Bond /
Letter of
Credit
PFLD-20-373
C cityof
Carlsbad
□ □
CORODATA 9/7/2023
X
09/07/2023
RECORDS DESTRUCTION REPORT
Maria Emery
DATE: 9/5/2023
TOTAL RECORD COUNT: 28
COMMENTS: City Clerk Records Destruction
ENTRY ID REVIEW DATE Template NAME
4392880 2023/07/13 Physical Folder 2016-11-08; GENERAL MUNICIPAL ELECTION-
Unsuccessful Candidates;
4392193 2023/07/13 Physical Folder 2018; Laura d'Elia Drelleshak; Campaign Statements
4393779 2023/07/13 Physical Folder 2020 COUNCIL INQUIRIES; ;
4369182 2023/07/13 Physical Folder ALFREY, KEN; ; ; 2005
5446887 2023/07/13 Physical Folder APPLICATIONS-2020; Boards and Commissions;
4368929 2023/07/13 Physical Folder BLACKBURN, KEITH; Statement of Economic Interest; ;
2009
4393458 2023/07/13 Physical Folder Boards & Commissions Applications - 2020; Appointed;
4391933 2023/07/13 Physical Folder Boards and Commissions Appointees; 2014;
4391935 2023/07/13 Physical Folder Boards and Commissions Appointees; 2015;
4391938 2023/07/13 Physical Folder Boards and Commissions Appointees; 2016;
4369108 2023/07/13 Physical Folder BRADLEY, MARIE; Library Board of Trustee; ; 2006
4392202 2023/07/13 Physical Folder Campaign Statements; Matt Hall for Mayor 2018;
4369159 2023/07/13 Physical Folder CANEPA, BILL; ; ; 2005
4368531 2023/07/13 Physical Folder CARLSBAD CITIZENS FOR RESPONSIBLE GOVERNMENT;
CAMPAIGN STATEMENTS; ; 2015
4393727 2023/07/13 Physical Folder CDP 15-23; Lanikai Lane; DWG 509-9A
4390598 2023/07/13 Physical Folder CLAIMS AGAINST THE CITY - 2017; FILE #1;
4369090 2023/07/13 Physical Folder CRAIG, JIM; Parks & Recreation Commission; ; 2003
4391802 2023/07/13 Physical Folder CUP 2017-0004; West Coast Self Storage; DWG 509-7
and 509-7A
4369063 2023/07/13 Physical Folder DEFOREST, SHERMAN; Arts Commission; ; 2005
4369175 2023/07/13 Physical Folder ERHARDT, DICK; ; ; 2005
4369040 2023/07/13 Physical Folder FOX, HAROLD; Arts Commission; ; 2006
4368840 2023/07/13 Physical Folder L'HEUREUX, STEPHEN M; Planning Commission; ; 2009
4369088 2023/07/13 Physical Folder MONTGOMERY, MARTY; Planning Commission; ; 2003
4369095 2023/07/13 Physical Folder NELSON, JACK; Senior Commission; ; 2005
4368992 2023/07/13 Physical Folder ROCCO, MATTHEW; Beach Preservation Committee; ;
2006
4369091 2023/07/13 Physical Folder SMITH, BOBBIE; Housing Commission; ; 2002
6294864 2023/07/13 Physical Folder UNSUCCESSFUL CANDIDATES; 2018 General Election;
0
d
Ca li fornia
4369180 2023/07/13 Physical Folder WRISLEY, HOPE; ; ; 2005
Account #(s)SD012455
Certificate #102710
Date Issued Tuesday, September 12, 2023
Service Locations 5815 EL CAMINO REAL
Date Range of Service Sep-07-2023 thru Sep-07-2023
Work Ticket(s)1197252
Quantity/Item 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.