HomeMy WebLinkAboutPOLICE - 07/26/2016 (2) 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 o[her than "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(CORE)).
Legal Disposition Authority(taken from Records Retention Schedule) Agenty Records
Description Date Method of
Records Series Records Retentton Dates Covered Mlnfmum Destructlon�See
Records Serles Title DAN Schedule Mlnlmum Retentlon Perlod �Box/Item numbers, Retentlon
volume,etc.) Met examples below•)
A ug LE2010-064 Law V, Z. � 5 Years 10-008700 to 08/13/2010 through ��15 Outside
n Enforcement 10-013328 12/31/2010 ��� �� Contractor
�l�/�f �J! Kev � Schedule Shredding
LE2010-64 Law �9�Years 96-00060 to 01/01/1996 through �"�^�� Outside
� � ���,�� Enforcement S 96-008900 07/20/1996 �����oj��� Contractor
p7�2D�2A�6 p�J, � Schedule�?•I °'�� Shredding
'"Examples of inethods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe)
Statement: The public records listed above have met their minimum retention period(sJ, are not subject to ongoing or reasonably anticipated licigation or
public 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:
` ! � �� �ti'l�i,:�I� �,�ilS-�V� �C���c�S
Employee Signature: Printed Name: Division:
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature:� � �'V��'�" Printed Name: �• �(��/ 'W�� Date Approved: �✓ '1 p
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
TU� ,�/� / LV � ( �
Employee Signature: � Printed Name: � `` � �1� 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 Destruction Log is Retain for ihe life of[he agency"pursuant to CORE series G550-09-06.
Form Revised OS/06/2014