HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Public Works; 2024-01-25 (2)11/27/23
CORODATA 1/25/2024
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RECORDS DESTRUCTION AUTHORIZATION FORM
DATE : NOVEM BER 9, 2023 ------------
REQUESTING DEPARTMENT: PUBLIC WORKS REQUESTER: JAMES GALE
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.
1 lJ;t-~ tt-1-}d
~ANAGEMENT DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applica ble)
Tran sportation Studies /
1 to 9 Warrants: Signals, Stop Signs, 2007 -2013 PW 260 CL+l0 N.A. Crossing Guards, etc. (Traffic
Requests)
lto 9 Traffic Investigation Reports 2007 -2013 PW235 CL+S N.A. (Traffic Requests)
*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? 0 YES 0 NO
TAB BARCODES DELETED BY: _____________ _ DATE: -------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
(_ City of
Carlsbad Revised: 2021
Pa ge /1
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).
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