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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2023-09-07This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 8/9/2023 DATE: 8/9/2023 REQUESTING DEPARTMENT:HUMAN RESOURCES REQUESTER:KIM STANKAVICH 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. DEPARTMENT HEAD:DATE RECORDS MANAGEMENT: DATE CITY ATTORNEY: DATE *If more spaces are needed, click in the last box To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY:___________________________DATE:______________ CERTIFICATE OF DESTRUCTION?YES NO SMEADSOFT BARCODES DELETED BY:_____ ________________________ DATE:______________ BOX NO.RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE (if applicable) 7 8 9 11 Full time personnel files 2016 HR-085 SE+6 See attached RECORDS DESTRUCTION AUTHORIZATION FORM CORODATA 9/7/2023 X -- -- DocuSign Envelope ID: 53590849-D861-4A99-8022-0E495A26CD9E 8/9/2023 8/9/2023 8/9/2023 in right hand earner a/ table and hit "tab". This will create mare fields in the table. C Cityof Carlsbad □ □ RECORDS DESTRUCTION REPORT Maria Emery DATE: 9/13/2023 TOTAL RECORD COUNT: 110 COMMENTS: 2016 FULL-TIME PERSONNEL ENTRY ID REVIEW DATE Template NAME 4354269 2023/09/12 Physical Folder ABBEY, RAENETTE M; ; 4353277 2023/09/12 Physical Folder ABBOTT, SANDRA; ; 4353275 2023/09/12 Physical Folder ABBOTT, SANDRA; ; (2) 4349851 2023/09/12 Physical Folder ADAMS, TYLER; ; 4349849 2023/09/12 Physical Folder ADAMS, TYLER; ; (2) 4352840 2023/09/12 Physical Folder ALTAR, JANET M.; ; 4352838 2023/09/12 Physical Folder ALTAR, JANET M.; ; (2) 4352036 2023/09/12 Physical Folder BEEBE, SUNNEE; ; 4352034 2023/09/12 Physical Folder BEEBE, SUNNEE; ; (2) 4349985 2023/09/12 Physical Folder BERKLITE, MARK L; ; 4350097 2023/09/12 Physical Folder BROWN, STEVEN; ; 4350095 2023/09/12 Physical Folder BROWN, STEVEN; ; (2) 4354179 2023/09/12 Physical Folder DAVIS, KEVIN L; ; 4348738 2023/09/12 Physical Folder DODSON, KATHYRN; ; 4353845 2023/09/12 Physical Folder FEESS, JOHN C; ; 4354309 2023/09/12 Physical Folder FEESS, JOHN C; ; (2) 4352595 2023/09/12 Physical Folder FOSS, WILL; ; 4352593 2023/09/12 Physical Folder FOSS, WILL; ; (2) 4353585 2023/09/12 Physical Folder GASPER-HEATHER, RHONDA; ; 4354280 2023/09/12 Physical Folder GASPER-HEATHER, RHONDA; ; (2) 4353549 2023/09/12 Physical Folder GATES, DENNIS W; ; 4354275 2023/09/12 Physical Folder GATES, DENNIS W; ; (2) 4349592 2023/09/12 Physical Folder GIBB, BLAIR; ; 4349590 2023/09/12 Physical Folder GIBB, BLAIR; ; (2) 4352899 2023/09/12 Physical Folder HASSE, FERNANDA; ; 4354241 2023/09/12 Physical Folder HASSE, FERNANDA; ; (2) 4349431 2023/09/12 Physical Folder HENSLEY, MEGAN; ; 4349429 2023/09/12 Physical Folder HENSLEY, MEGAN; ; (2) 4351426 2023/09/12 Physical Folder HERATY, DONNA; ; 4351422 2023/09/12 Physical Folder HERATY, DONNA; ; (2) 4353789 2023/09/12 Physical Folder HICKEY, DEBRA; ; 0 d Ca li fornia 4350185 2023/09/12 Physical Folder HODGES, STEVE; ; 4350183 2023/09/12 Physical Folder HODGES, STEVE; ; (2) 4390848 2023/09/12 Physical Folder IRVIN, ALLISON; BENEFIT; 4390846 2023/09/12 Physical Folder IRVIN, ALLISON; PERSONNEL; 4350299 2023/09/12 Physical Folder JADHAV, SWAPNIL; ; 4350297 2023/09/12 Physical Folder JADHAV, SWAPNIL; ; (2) 4352600 2023/09/12 Physical Folder JORDAN, AMY; ; 4352598 2023/09/12 Physical Folder JORDAN, AMY; ; (2) 4352253 2023/09/12 Physical Folder JORDAN, JAY; ; 4354203 2023/09/12 Physical Folder JORDAN, JAY; ; (2) 4354191 2023/09/12 Physical Folder KETABIAN, ELIZABETH; ; 4390856 2023/09/12 Physical Folder KIM, MICHAEL; BENEFIT; 4390854 2023/09/12 Physical Folder KIM, MICHAEL; PERSONNEL; 4350480 2023/09/12 Physical Folder KITCH, VINCENT; ; 4350478 2023/09/12 Physical Folder KITCH, VINCENT; ; (2) 4354171 2023/09/12 Physical Folder LAURO, GIAN; ; 4351809 2023/09/12 Physical Folder LEDESMA, LINDA L; ; 4354168 2023/09/12 Physical Folder LEDESMA, LINDA L; ; (2) 4348577 2023/09/12 Physical Folder MAGGI, BETHANY; ; 4349602 2023/09/12 Physical Folder MASTEN, CARLA; ; 4349600 2023/09/12 Physical Folder MASTEN, CARLA; ; (2) 4351453 2023/09/12 Physical Folder MASTERSON, MICHELE A; ; 4354144 2023/09/12 Physical Folder MASTERSON, MICHELE A; ; (2) 4351255 2023/09/12 Physical Folder MEADOWS, PAUL A; ; 4354121 2023/09/12 Physical Folder MEADOWS, PAUL A; ; (2) 4351251 2023/09/12 Physical Folder MENDES, PAUL S; ; 4352146 2023/09/12 Physical Folder MICHELSON, SABRINA; ; 4352144 2023/09/12 Physical Folder MICHELSON, SABRINA; ; (2) 4350463 2023/09/12 Physical Folder OSUNA, LUIS R; ; 4354065 2023/09/12 Physical Folder OSUNA, LUIS R; ; (2) 4350370 2023/09/12 Physical Folder PAGAKIS, THOMAS S; ; 4354058 2023/09/12 Physical Folder PAGAKIS, THOMAS S; ; (2) 4350169 2023/09/12 Physical Folder PICKAVET, CHRISTINA M; ; 4354040 2023/09/12 Physical Folder PICKAVET, CHRISTINA M; ; (2) 4349895 2023/09/12 Physical Folder PIETERS, MIKE; ; 4349894 2023/09/12 Physical Folder PIETERS, MIKE; ; (2) 4348699 2023/09/12 Physical Folder PLONK, KIRSTEN; ; 4348701 2023/09/12 Physical Folder PLONKA, KIRSTEN; ; 4352143 2023/09/12 Physical Folder POWELL, TANISHA; ; 4352141 2023/09/12 Physical Folder POWELL, TANISHA; ; (2) 4350658 2023/09/12 Physical Folder REMINGTON, SHERRY; ; 4350656 2023/09/12 Physical Folder REMINGTON, SHERRY; ; (2) 4349774 2023/09/12 Physical Folder RENO, MARC E; ; 4354014 2023/09/12 Physical Folder RENO, MARC E; ; (2) 4349586 2023/09/12 Physical Folder RICHARDSON, ROBERT J; ; 4354010 2023/09/12 Physical Folder RICHARDSON, ROBERT J; ; (2) 4349382 2023/09/12 Physical Folder RODRIGUEZ, PEDRO G; ; 4349322 2023/09/12 Physical Folder RYAN, GREGORY L; ; 4353971 2023/09/12 Physical Folder RYAN, GREGORY L; ; (2) 4350308 2023/09/12 Physical Folder SARKOZY, STEVEN; ; 4350306 2023/09/12 Physical Folder SARKOZY, STEVEN; ; (2) 4349299 2023/09/12 Physical Folder SCHILLING, MARK L; ; 4353953 2023/09/12 Physical Folder SCHILLING, MARK L; ; (2) 4349917 2023/09/12 Physical Folder SHALL, ANTHONY; ; 4349916 2023/09/12 Physical Folder SHALL, ANTHONY; ; (2) 4390860 2023/09/12 Physical Folder SMITH, JIMMY; BENEFIT; 4390858 2023/09/12 Physical Folder SMITH, JIMMY; PERSONNEL; 4349814 2023/09/12 Physical Folder STAINE, SHARA; ; 4349811 2023/09/12 Physical Folder STAINE, SHARA; ; (2) 4350051 2023/09/12 Physical Folder STARR, AUBREY; ; 4350300 2023/09/12 Physical Folder STARR, AUBREY; ; (2) 4350040 2023/09/12 Physical Folder THOMAS, PATRICK; ; 4350038 2023/09/12 Physical Folder THOMAS, PATRICK; ; (2) 4351459 2023/09/12 Physical Folder TORRES, MICHAEL C.; ; 4351456 2023/09/12 Physical Folder TORRES, MICHAEL C.; ; (2) 4349570 2023/09/12 Physical Folder VALVERDE, CRYSTINA; ; 4352830 2023/09/12 Physical Folder VAUGHAN, PATRICK; ; 4352828 2023/09/12 Physical Folder VAUGHN, PATRICK; ; 4350695 2023/09/12 Physical Folder VINCENT, CHRISTINA; ; 4350693 2023/09/12 Physical Folder VINCENT, CHRISTINA; ; (2) 4352297 2023/09/12 Physical Folder WALKER, IAN; ; 4352295 2023/09/12 Physical Folder WALKER, IAN; ; (2) 4353792 2023/09/12 Physical Folder WENGENROTH, COLETTE; ; 4353787 2023/09/12 Physical Folder WENGENROTH, COLETTE; ; (2) 4354445 2023/09/12 Physical Folder WESTMAN, CHRISTER; ; 4354638 2023/09/12 Physical Folder ZACHRY, JEFFERY J; ; 4354073 2023/09/12 Physical Folder ZACHRY, JEFFERY J; ; (2) 4349705 2023/09/12 Physical Folder ZAGHAL, REEM; ; 4349704 2023/09/12 Physical Folder ZAGHAL, REEM; ; (2) DocuS1gn nve · . E lope ID· 53590849-D861-4A99-8022-0E495A26CD9E 3730 Osuna, Luis 07/07/2016 3071 Pagakis, Thomas 08/09/2016 7 ~n ~ /\ \ -03/11/2016 4406 Mendes, Paul 3523 Parra, Patricia 03/04/2016 1930 Pickavet. Christina 04/22/2016 10691 Pieters, Mike 06/02/2016 10686 Plaut, Alan 07/08/2016 0 ~ Michelson, Sabrina 08/02/2016 ifO< 6349 08/02/2016 Mitre, Derick I 10942 08/13/2016 U)f 5510 Newland, David 10557 Plonka, Kirsten 02/11/2016 6294 Powell, Tanisha 10/15/2016 10943 Randall, Jeremy 08/24/2016 10166 Remington, Sherry 03/05/2016 2623 Reno, Marc 10/02/2016 2851 Richardson, Robert 12/0312016 -2532 Rodriguez, Pedro 12/01/2016 5003 Ryan, Gregory 06/23/2016 11118 Tieman, Gabriel 10426 Sarkozy, Steven 05/22/2016 6691 Torres, Michael 2014 Schilling, Mark 12/28/2016 5729 Valverde, Crystina 10687 Shall, Anthony 03/31/2016 6090 Vaughan, Patrick 09/09/2016 10904 Smith, Jimmy 09/22/2016 /#-10240 Vincent, Christina 07/09/2016 10647 Staine, Shara 02/19/2016 6313 Walker, Ian 10/14/2016 10532 Starr, Aubrey 09/17/2016 ~0941 Wasek, Christian 08/25/2016 2762 Stickrod, Ronna 04/02/2016 5486 Wengenroth, Colette 12/30/2016 '·='"JI -10592 Thomas, Patrick 2454 Westman, Christer 12/16/2016 --2691 Zachry, Jeffery 08/02/2016 10754 ZaghaJ, Reem 08113/2016 2016 box 7 8 9 11 DocuSign Envelope ID: 53590849-D861-4A99-8022-0E495A26CD9E 10895 Irvin, Allison 07/28/2016 10438 Jadhav, Swapnil 11/22/2016 5033 Jordan, Amy 05/28/2016 4450 Jordan, Jay 04/09/2016 4552 Ketabian, Elizabeth 12/31/2016 10896 Kim, Michael 09/16/2016 10282 Kitch, Vincent 05/31/2016 1536 Lauro, Gian 08/02/2016 3411 Ledesma, Linda 07/02/2016 11117 Leighton, Travis 12/31/2016 5633 Maggi, Bethany 06/06/2016 11064 Makihele, Raeanna 08/08/2016 10840 Masten, Carla 09/06/2016 2555 Masterson, Michele 04/06/2016 ID Name 2191 Fe~st'John OB/07/2016 2776 Abbey, Raenette 07/30/2016 6238 Foss, WHI 11/03/2016 5360 Abbott. Sandra 05/07/2016 4832 Gasper-Heather, Rhonda 12/17/2016 10707 Adams, Tyler 01/23/2016 2427 Gates, Dennis 12/29/2016 10952 Aguirre, Melodee 09/09/2016 10842 Gibb, Blair 11/19/2016 6004 Altar, Janet 12/10/2016 11055 Guillen, Cesar 10/20/2016 6409 Beebe, Sunnee 01/04/2016 4752 Hasse, Fernanda 05/03/2016 1962 serklite, Mark 09/11/2016 10865 Hensley, Megan 01/20/2016 "10587 Brown, Steven 03(25/2016 6767 Heraty, Donna 5853 Chase, Jade 10/12/2016 5490 Hickey, Debra ~~?.zf' 2940 Davis, Kevin 03/01/2016 10563 Hodges, Steve 101'95 Devey, Brock 01/05/2016 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