HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Utilities; 2023-09-0707-03-2023 July 6, 2023
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: JUNE 29, 2023
REQUESTING DEPARTMENT: UTILITIES/ CMWD REQUESTER: JEANETTE BROWN
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.
RECOROS MANAGEMENT DATE CITY ATTORNEY DATE
RECORDS DATED RRS NO. RRS TAB BARCODE BOX NO. DESCRIPTION PERIOD (if applicable)
Copies or Copies -
duplicates of any CW-105 When No
record Longer
Required
501-00 1060-10
(3338) / 1989-1996 EA000 1519, 1520, 1521,
(3480) 1524, 1525 and 0730
501-08 1974-2010 n/a-c
501-17 1979 n/a-c
501-14 1957-1963 n/a-c
501-05 1971-1989 n/a-c
501-23 1962, 1979-1991 n/a-c
501-07 1961-1966, 1977, 1991 n/a-c
501-11 1977-1992 n/a-c
501-02 1974-1990 n/a-c
501-10 1976-1991 n/a-c
501-09 1959-1976 n/a-c
501-15 1969, 1982-1991 n/a-c
501-01 1981-1990 n/a-c
501-18 1969, 1974-1987 n/a-c
501-03 1983-1991 n/a-c
501-16 1987
501-20 • 1958-1967 1983-1985 , . 1r n/a-c
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
{city of
Carlsbad Revised: 2021
Page /1 ➔
CORODATA 9/7/2023
X
-- --
501-22 1990 n/a-c
501-06 1975 1984-n/a-c
501-19 1961 and 1987 n/a-c
501-21
,
1983
, ,
n/a-c
*If more spoces are needed, click on the last box in the right-hand corner of the 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? 0 YES 0 NO
TAB BARCODES DELETED BY: _____________ _
;l I bo'>teo
emwl Ctc,u-i\.l;n o ct~
n0,tt-to lvlAYlcw
~~ .-,vn1;6-rcw,'5 ~
DATE: ____ _
DATE: _____ _
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
( City of
Carlsbad Revised: 2021
Page /2
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.
E•Jcorodata -tl HIPA'A
GIJIJlll!affl