HomeMy WebLinkAboutPOLICE - 07/26/2016 City of Bremerton Public Records Destruction Log
The purpose of this form is to document compliance and reasonable accountability by verifying that specific public records have met current, approved minimum retention
periods before being destroyed pursuant to RCW 40.14.070, WAC 434-610.070, and WAC 434.640.010, -020, and -030. Please fill out this form when destroying public records
whose minimum retention is other[han "Retain until no longer needed for agency business then destroy" (such as records covered in the "Records with Minimal Retention
Value"section of the Local Government Records Retention Schedule(COREJ).
,Legal Disposition Authority(taken from Records Retention Schedule) . Agenty Records -
Description Date Method of
Records Series Records Retentlon ( Dates Covered Mlnlmum Destructlon(See
Records Serles Title Minimum Retentlon Period Box/Item numbers,
DAN Schedule Retention
� volume,etc.) _ Met examples below•)
�6' Law 09-012300 to 10/29/09 through �� Outside
�L�f�� L 2010-064 Enforcement 5 Years 09-014450(end) 12/31/09 �e-�f/ Contractor
D�IKKCC �QV � Schedule .� .l�# Shredding
. „ ,...,,,.
LE2010�• Law 5 Years i1-000001 to 1 1 2011 through �*s Outside
�8T1T'��1� �� � '"� Enforcement 11-006799 7/16/2011 •-�e-• Contractor
�,�(�y� � /•C�v � Schedule `7 7/1�/2016 Shredding
/ LE2010�+4- Law 5 years i1-200001 to 1/1/2011 through �@2�6� Outside
r�/eS' ��� Enforcement 11-200138 6/30/2011 Contractor
�( G�tl�s' ��• � Schedule ? � /2016 Shredding
*Exomples of inethods of destructian:electronic deletion,in-house OR ou[side contractor shredding,secure recycling,other(describeJ
Statement: The public records listed above have mei their minimum retention period(sJ, are not subject to ongoing or reasonably anticipated litigation or
pu6lic records requests,are not needed for audit or other agency business, and shall be destroyed.
The individual responsible for inventorying the listed records must sign below prior to the Record's Manager approval:
Employee Signature:��1./I1.�1/\/ Printed Name: �Jz GII.Z�..•�U.i�I/l Division: K�C-O'��S �LJI�I S I O {/�
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: '�� Printed Name: �• ��O��I Date Approved: ( `� 1�1�
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: I � ` v� Printed Name: �/J�p Y �L'�" -"� Date Records Destroyed:_�/ � �
Vendor Business Name(if used): Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
The retention and disposition action for this Public Records Destrudion Log is'Retain for the life of the agency"pursuant to CORE series G550-09-06.
Form Revised OS/06/2014