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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Land Development Engineering; 2024-01-25This 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: 12/21/2023 REQUESTING DEPARTMENT: RECORDS MANAGEMENT/LDE 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 Mylar Backfile Conversion – LDE Final Maps 2011 CD-110 Mylars destroyed after upload and QC RECORDS DESTRUCTION AUTHORIZATION FORM 01-22-2024 1/23/24 CORODATA 1/25/2024 X C Cityar Carlsbad □ □ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 2021 P a g e | 2 TAB BARCODES DELETED BY: _____ _______________________________ DATE: ______________ -- --I C Cityar Carlsbad I RECORDS DESTRUCTION REPORT Kathryn Ronquillo DATE: 12/21/2023 TEMPLATE NAME: Maps TOTAL RECORD COUNT: 22 COMMENTS: Final Maps/Mylar Backfile Conversion ENTRY ID NAME 4781067 7950; CT 72-20; LA COSTA VALE UNIT 3; 10 4781068 7950; CT 72-20; LA COSTA VALE UNIT 3; 11 4781069 7950; CT 72-20; LA COSTA VALE UNIT 3; 12 4781071 7950; CT 72-20; LA COSTA VALE UNIT 3; 14 4781072 7950; CT 72-20; LA COSTA VALE UNIT 3; 15 4781082 7950; CT 72-20; LA COSTA VALE UNIT 3; 4 4781083 7950; CT 72-20; LA COSTA VALE UNIT 3; 5 4781085 7950; CT 72-20; LA COSTA VALE UNIT 3; 7 4781086 7950; CT 72-20; LA COSTA VALE UNIT 3; 8 4781087 7950; CT 72-20; LA COSTA VALE UNIT 3; 9 5159626 7950; CT 72-20; LA COSTA VALE UNIT 3; 13 5159830 7950; CT 72-20; LA COSTA VALE UNIT 3; 19 5159831 7950; CT 72-20; LA COSTA VALE UNIT 3; 17 5159947 7950; CT 72-20; LA COSTA VALE UNIT 3; 22 5159949 7950; CT 72-20; LA COSTA VALE UNIT 3; 21 5159951 7950; CT 72-20; LA COSTA VALE UNIT 3; 20 5159953 7950; CT 72-20; LA COSTA VALE UNIT 3; 3 5159954 7950; CT 72-20; LA COSTA VALE UNIT 3; 2 5160050 7950; CT 72-20; LA COSTA VALE UNIT 3; 18 5160052 7950; CT 72-20; LA COSTA VALE UNIT 3; 16 5160054 7950; CT 72-20; LA COSTA VALE UNIT 3; 6 5160056 7950; CT 72-20; LA COSTA VALE UNIT 3; 1 0 d Ca li fornia 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. Account #(s)SD012455 Certificate #103065 Date Issued Friday, January 26, 2024 Service Locations 5815 EL CAMINO REAL Date Range of Service Jan-25-2024 thru Jan-25-2024 Work Ticket(s)1261435 Quantity/Item 73 -73 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). E•Jcorodata -tl HIPA'A GIJIJlll!affl