HomeMy WebLinkAboutPOLICE RECORDS 07/03/2017City 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 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)
Agency4Records :,¢
a .. .. �. ,
Records Series
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Records;Retention ::
i ..,.._,
Description "
g
,,.
Date
t Method of
Records,5eries Title
DAN
:.
Schedule
Mmimum'Retention Period
(Box/Item numbers;
Dates Covered
Retention,g_a
Destr'uctlon`(See
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.
�.
.:, ts: - ,...
w
Volume etc
W
exa s below
mple )
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r
M
Firearms Dealers
LE17-01 06 s
Law
Retain for 1 year after � .i
5 licenses
2014 thru 2015n
12/31/15
Outside
License
Enforcement
expiration of license then
Contractor
R i d �� ^ L
'�+.
Schedule"
'F
destroy
Shredding
Criminal History r . <'
LE2010 032 ��
'Law �z f�
Retain for 3 years�after date ,.^�,
3 years lvy6r++)
2010 thru 2013
12/31/16
Outside
Validations
Enforcement
of validation or until
Contractor
Sch dule-' s
comp letion'`oau it,-" Y
Shredding
whicheueris soonerthen
=
destroy
-txampies of methods 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(s), are not subject to ongoing or reasonably anticipated litigation or
public records requests, are not needed for audit or other agency business, and shall be destroyed.
The individual responsible for inventorying thelistedrecords must sign below prior to the Record's
jManager
lapproval:
Employee Signature:�(/11i6 1�,dSLtJI� Printed Name: I%t'�" 'cam I �J/ ��IV Division:��i� �S
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature:�y Printed Name:id L.( )lN Date Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: / __/U A./D Y, l /l''V Date Records Destroyed: ` l
Vendor Business Name (if used): Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
Form Revised 05/06/2014
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 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)).
Le al�Dis ositiiin
' s„g p
$Authorit :
y
f " "
(aken.from Records Retention;Schedule) .
.,. . ":Agency'Retords'L;
Records Series Title .,
<R c nrds ries
e o se
DAN
?`
R , u . , , nvi
ecords Rete ton
Schedule
+
"'
Mirnmum Retention Period .
g, a° L
'VI', �.
.:
Description :.rte
"`
(Box/Item numbers,
:v lurri
o e, etc)
-
`°r r -J
Dates Covered
n : °�
Date
Minimum
-Retention
Met
Method ofs.
-
LL. Destruction (See "
. examples below s
Case flles,la;other
��
LE2010 064
��
Law, �;,;
Enforcement
5 Years
12-002000 to
12-006099
2/26/12 to 6/21/12
2/26/17
Outside
Contractor
Shredding
-txompies of metnoas 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(s), are not subject to ongoing or reasonably anticipated litigation 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:
��-y� j
Employee Signature: /^' Printed Name: l�[W w L• V\ Division: +� L rcz CQC&-m-
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: Printed Name: Date Approved: — P 7
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: tifl� Q�V Date Records Destroyed
/I—� Y
Vendor Business Name (if
Vendor Signature: Printed Na
Date Records Destroyed:
The retention and disposition action for this Public Records Destruction Log is 'Retain for the life of the agency" pursuant to CORE series GS50-09-06.
Form Revised 05/06/2014
Lo MoMobilo
i
Name: CO OP POLICE-BREMERTON
Address: 1025 BURWELL ST
City: BREMERTON 98337
Phone: 360-473-5974
Request: OLAWKS
CERTIFICATE OF DESTRUCTION
2910 Hogum Bay Rd
Olympia Wa 98516
E -Mail: Ims@wcnx.org
Phone: 1-877-898-0112
Fax: 1-360-486-2467
Account: 2185-952778-700 Route Id: SN92
Invoice Date: 7/4/2017 Invoice #: 1279268
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes:F07/4 SERVICE CONTAINERS CALL-3.0-MIN-BE—FORE_ARRIVAL-3.6.0=4.73-5974 HOURS 8-5 f
Service Description Qty Rate Amount
SHEXB 1.00 SHRED EXTRA BOX
3.36
65SC 5.00 65 GAL SHRED CART 2.98
Driver Signature:
Customer Signature:
Date:
Truck
Date: J/347 Time 1 6 "//D—