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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2024-01-25DocuSign Envelope ID: DB6D984B-C7CB-42AE-92A7-8947EF1 C556B RECORDS DESTRUCTION AUTHORIZATION FORM 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: 8/9/2023 BOX NO. RECORDS DESCRIPTION DATED 1-3 Full time personnel files 2017 Personnel Files -Benefit File 2017 DATE CITY ATTORNEY: DATE RRSNO. RRS TAB BARCODE PERIOD (if applicable) HR-080 SE+6 See attached HR-085 SE+G II "If more spaces are needed, click in the last box in right hand corner of table and hit utab". This will create more fields in the table. To be filled out once records hove been destroyed. RECORD DESTRUCTION COMPLETED BY: DATE: --------------------CERTIFICATE OF DESTRUCTION? 0 YES 0 NO SMEADSOFT 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: 8/9/2023 " 12-06-2023 12/11/23 CORODATA 1/25/2024 X j \' . j i ~ ) f ~ i 1 t MARIA EMERY 1/26/2024 DocuSign Envelope ID: DB6D984B-C7CB-42AE-92A7-8947EF1C556B 2017 boxes 1-2-3 11119 Daniels, John 5158 Dauss, Greg 2123 Dooley, Leila 10695 Doraiswamy, Ramesh 5880 Edmonson, Paul -11162 Eyer, Clayton 11085 F araclas, Steven 10427 Gemmell, Keith -5032 Gil, Abraham 11400 Harano, Brandon 33119 Hart Jr, George 2759 Martinez, Louie 4919 McKay, Penny 11156 McKem, Robert 3176 Meadaws, Jane 11386 Milans, Karirma 11048 Milis, Krh~la 10875 05/29/2017 07/06/2017 10/05/2017 0 1/13/2017 07/05/2017 11/10/2017 03/22/2017 09/27/2017 03/18/2017 12/14/2017 12102/2017 -12/29/2017 03/02/2017 06/30/2017 1210212017 11/30/2017 01/13/2017 0111212011 os120,2017 3976 Hath, Derek 03/22/2017 10981 Hill, Bryant 09/30/2017 2426 Howard, Sherri 08/02/2017 4540 Juchniewicz, Joanne 12130/2017 3629 Kuhn, Wilma 07/14/2017 5280 Larson, Michael 07/05/2017 11202 Lopez, Joshua 09/16/2017 11/04/2017 05/01/2017 02/06/2017 Ai,lrli■-C 6345 Pointer, Kevin 07/15/2017 10858 Power, Evan 07/30/2017 10857 Pudelwitts, Joseph 07/30/2017 4549 Romero, Alfred 01/31/2017 10826 Sami, Shadi 03/0112.017 1802 Schilling, Tora 12/29/2017 10886 Secrest. Robert 09/01/2017 5823 Silva. Austin 07/14/2017 4623 Starrman, Scott 07/07/2017 µ ()5259 rJOThompson, Matthew 02/03/2017 6435 Torrus, Casey 09/0212017 6154 Torres, Gilberto 0310412017 6413 Van Peskl, Gren 11/0212017 11190 Weigel, Nath.an 08/09/2017 11069 West. Jonathan 07115/2017 10950 Willi.amson, Richard 04/14/2017 OocuSign Envelope ID: 0B60984B-C7CB-42AE-92A7-8947EF1C556B 80(t(tet Derek 10/0712017 Allred, t<elsey 09/2412017 8/•n~man, ViclOrla 1V9312617 Anderson.Oia"ne oa11112011 Chapman, Jeffrey fff,J0/2017 Amd-t, Ca&ey 03/3112017 <0062 Chippada, Af:cl'lana C,-5;12_~017 Beckef' M~tthevrt 10?1112011 11060 Coates, AU:S.~n 0211612017 'ne,V.Smy, James 0,814)2:f,2.017 COilklln. JOllll;I' 05/20/2017" 138"~\roq'l,~bert 0211\1201? Cros:s, R;)che-J 04/1Z'2017 Bi(dw~.Gl.:,an 07r29nOtl Ctu.:_. Vlncent 12/2912017 ~ Sl-Op"h.on RECORDS DESTRUCTION REPORT Maria Emery DATE: 9/22/2023 TOTAL RECORD COUNT: 83 COMMENTS: 2017 Full-Time Personnel ENTRY ID REVIEW DATE Template -- 4354268 2023/09/22 Physical Folder --- 4353879 2023/09/22 Physical Folder 4353920 2023/09/22 Physical Folder ---~ 4354254 2023/09/22 Physical Folder -r-- 4353204 2023/09/22 Physical Folder - 4354246 2023/09/22 Physical Folder ~50804 2023/09/22 _ Phy_sic_al Folder 4350802 2023/09/22 --4352884 2023/09/22 4352881 2023/09/22 4352557 2023/09/22 4352556 2023/09/22 2023/09/22 Physical Folder Physical Folder Physical Folder Physical Folder Physical Folder Physical Folder NAME ABBOTT, CHERI O;; -- ABBOTT, CHERI O; ; (2) ANDERSON, DIANE E; ; - ANDERSON, DIANE E; ; (2) -+--- ARNDT, CASEY R.; ; ARNDT, CASEY R.; ; (2) _ BELLAMY, JAMES; ; BELLAMY, JAMES; ; (2) --I- BIRDWELL, GLYNN;; -----,- BIRDWELL, GLYNN;; (2) BOBBETT, STEPHEN R.; ; BOBBETT, STEPHEN R.; ; (2) BODMAN, MICHAEL;; (2) --4352407 4352405 2023/09/22 Physical Folder BODMAN, M ICHAEL;; (3) 4354495 4354202 4354273 2023/09/22 2023/09/22 2023/09/22 Physical Folder I BOLTON, MICHAEL R; ; Physical Folder BOLTON, MICHAEL R; ; (2) Physical Folder CHAPMAN, JEFFREY L;; 4354162 2023/09/22 Physical Folder CHAPMAN, JEFFREY L; ; (2) 4351937 2023/09/22 Physical Folder CONKLIN, JULIE;; - - - ~----+-----------------------l 4351935 2023/09/22 Physical Folder CONKLIN, JULIE;; (2) ->-- 4354236 2023/09/22 Physical Folder CRUZ, VINCENT J;; 4354357 2023/09/22 Physical Folder CRUZ, VINCENT J;; (2) 4353569 2023/09/22 Physical Folder CRUZ, VINCENT; ; DOT 4353964 2023/09/22 Physical Folder DAUSS, GREG; ; -----4353999 2023/09/22 Physical Folder DOOLEY, LEILA A;; ------,f--____,~ 4354335 2023/09/22 Physical Folder DOOLEY, LEILA A;; (2) -4349890 2023/09/22 Physical Folder DORAISWAMY, RAMESH;; -----t-- 4349888 2023/09/22 _ _P hysical Folder _ DORAISWAMY, RAMESH;; (2) j 4353021 2023/09/22 Physical Folder EDMONSON, PAUL; ; l 4353019 2023/09/22 Physical Folder EDMONSON, PAUL; ; (2) - _ 4350316 --2023/09/22 -_P_hy-si-cal Folder __ T GEMMELL~ KEITH~_i -__________ _ 4350314 2023/09/22 Physical Folder GEMMELL, KEITH;; (2) I -~ - 4353399 2023/09/22 Physical Folder GIL, ABRAHAM;; -- 4354274 2023/09/22 Physical Folder GIL, ABRAHAM;; (2) - 4352956 2023/09/22 Physical Folder HART JR, GEORGE L; ; 4354247 2023/09/22 Physical Folder HART JR, GEORGE L; ; (2) ----- 4352534 2023/09/22 Physical Folder HOWARD, SHERRIL;; 4354223 2023/09/22 Physical Folder HOWARD, SHERRI L;; (2) -------4352197 2023/09/22 _ Physical Folder -~HNIEWICZ, JOANNE;; - 4354199 2023/09/22 Physical Folder JUCHNIEWICZ, JOANNE;; (2) ---- 4351907 2023/09/22 Physical Fold~ KUHN, WILMA J; ; - 4351926 2023/09/22 Physical Folder LARSON, MICHAEL T; ; ------ 4354175 2023/09/22 Physical Folder LARSON, MICHAEL T; ; (2) ~ ------4349702 2023/09/22 Physical Folder LOURIAN, NICHOLAS;; 4349700 2023/09/22 Physical Folder LOURIAN, NICHOLAS; ; (2) --------- 4351649 2023/09/22 Physical Folder LYNCH, VAN W;; -4354148 2023/09/22 Physical Folder _ENCH, VAN W;; (2) --- 4351604 2023/09/22 Physical Folder MABROUK, JOAN A; ; 4354145 2023/09/22 Physical Folder MABROUK, JOAN A; ; (2) ----- ~ARTINEZ, LOUIE G.; __ ; DOT =l 4354555 2023/09/22 Physical Folder ----4351484 2023/09/22 Physical Folder MARTINEZ, LOUIE G;; --l 4354153 2023/09/22 Physical Folder MARTINEZ, LOUIE G; ; (2) 4351135 2023/09/22 Physical Folder MCKAY, PENNY S;; ----7 4354125 2023/09/22 Physical Folder MCKAY, PENNY S;; (2) 4351276 2023/09/22 Physical Folder MEADOWS, JANE; ; -----------4349410 2023/09/22 Physical Folder MORONES, VERONICA;; 4349395 2023/09/22 Physical Folder MORONES, VERONICA; ; (2) --~ --- 4352283 2023/09/22 Physical Folder ORTEGA, DAWN;; ----I- 4352281 2023/09/22 Physical Folder ORTEGA, DAWN;; (2) 4352161 2023/09/22 Physical Folder POINTER, KEVIN;; 4352159 2023/09/22 Physical Folder POINTER, KEVIN;; (2) 4349480 2023/09/22 Physical Folder POWER, EVAN;; ---- 4349478 2023/09/22 Physical Folder POWER, EVAN;; (2) 4349475 2023/09/22 Physical Folder PUDELWITTS, JOSEPH;; 4349473 2023/09/22 Physical Folder PUDELWITTS, JOSEPH;; (2) 4353989 2023/09/22 Physical Folder ROMERO, ALFRED;; ---- 4349692 2023/09/22 Physical Folder SAMI, SHADI; ; -- 4349689 2023/09/22 Physical Folder SAMI, SHADI; ; (2) --4349298 2023/09/22 Physical Folder SCHILLING, TORA L; ; 4353950 2023/09/22 Physical Folder SCHILLING, TORA L; ; (2) 4390868 2023/09/22 Physical Folder SECREST, ROBERT; BENEFIT; 4390866 2023/09/22 Physical Folder SECREST, ROBERT; PERSONNEL; --4353171 2023/09/22 Physical Folder SILVA, AUSTIN;_; ---,,--1 4353169 2023/09/22 Physical Folder SILVA, AUSTIN;; (2) - 4354526 2023/09/22 Physical Folder STALLMAN, SCOTT E;; 7 --- 4353918 2023/09/22 Physical Folder STALLMAN, SCOTT E;; (2) - TORRES, CASEY DEAN;-! DOT 4351457 2023/09/22 Physical Folder -- 4351610 2023/09/22 Physical Folder TORRES, CASEY; ; 4351608 2023/09/22 Physical Folder TORRES, CASEY; ; (2) 4348766 2023/09/22 Physical Folder TORRES, GILBERTO; ; (2) 4348515 2023/09/22 Physical Folder TORRES,GILBERTO; ; 1 ------------4352027 2023/09/22 Physical Folder VAN PESKI, GLEN;; 4349493 2023/09/22 Physical Folder WILLIAMSON, RICHARD; ; {2) _J ~ 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