HomeMy WebLinkAboutPOLICE RECORDS 01/05/2021 (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 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) Agency Records
Date
Records Series Records Retention Description Minimum Method of
Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See
volume,etc.) Met examples below*)
Case files all other LE2010-032 Law 3 years after date of 41 monthly 06/30/2014 to 11/15/2020 Outside
Rev.0 Enforcement validation or until validations 11/15/2017 Contractor
Schedule completion of WSP audit, Shredding
whichever is sooner
*Examples 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 the listed records must sign below prior to the Record's Manager approval:Employee Signature: �i.. , Printed Name:k ax ijJ. If 1 Division: 6-0/016tS
The Records Manager must sign the
�ap/p�rovalll/o�f�this request prior to the destruction of the
listed records:
�n C i f
Records Manager Signature: "1 �n n-i+t Printed Name: �1�M t� fr�.11J V� Date Approved: V I'UV' (.
The person/people responsible or the destruction of ords must sign upon destruction of the listed records:
Employee Signature: 19/2 Printed Name: /lac Al. 6-4 n/ l.� Date Records Destroyed: /
Vendor Business Name(if used): Z,2 y 5//r`6LD. Phone:
Vendor Signature: Printed Name: 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
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)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Title Records Series Records Retention Minimum Retention Period (Box/Item numbers, Dates Covered Minimum Destruction(See
DAN Schedule Retention
volume,etc.) Met examples below*)
Case files all other LE2010-064 Law 5 years 79-07516 07-29-79 07-29-84 Outside
Enforcement 79-09326 09-20-79 09-20-84 Contractor
Schedule 79-08846 09-06-79 09-06-84 Shredding
79-04261 04-24-79 04-24-84
79-04192 04-23-79 04-23-84
80-02178 03-05-80 03-05-85
81-00655 01-20-81 01-20-86
83-10598 12-29-83 12-29-88
86-02926 04-22-86 04-22-91
86-04268 06-17-86 06-17-91
86-06818 08-24-86 08-24-91
86-07209 10-08-86 10-08-91
86-08135 11-09-86 11-09-91
82-05134 06-03-82 06-03-87
82-09316 10-09-82 10-09-87
82-09845 10-22-82 04-25-88
83-03694 04-25-83 08-18-88
83-07031 08-18-83 03-21-89
84-02211 03-21-84 03-21-89
84-05050 07-02-84 07-02-89
84-05504 07-19-84 07-19-89
84-06788 08-29-84 08-29-89
85-07224 09-02-85 09-02-90
86-07431 10-15-86 10-15-91
87-06251 08-28-87 08-29-92
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
_
*Examples 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 the listed records must sign below prior to the Record's Manager approval: ,'
Employee Signature:__13_115 Printed Name: i 0i�it,► Division: ?() \ �� � J( S
The Records Manager must sign the approval of this request prior to the destruction of the listed`records:
Records Manager Signature: (31Z.,SV�—, Printed Name: --K `✓ r6 wk.) Date Approved: /77'' " tgeaw
The person/people responsible f r the destruction of re ds must sign upon destruction of thet{ listed records:
Employee Signature: 197) Name: l� etkiit M . Cat,i4G Date Records Destroyed: 116/Z i
Vendor Business Name(if used): LEM Py S[4 ebNi l\JO Phone:
Vendor Signature: Printed Name: 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
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)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Records Retention Minimum
Records Series Title Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule Retention
volume,etc.) Met examples below*)
Case files all other LE2010-064 Law 5 years B99-000794 01/21/1999 01/21/2005 Outside
Enforcement B99-000173 01/05/1999 Contractor
Schedule B98-003055 05/05/1998 Shredding
*Examples 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 the listed records must sign below prior to the Record's Manager approval:
Employee Signature: Li ,1W Printed Name: r Aci.1,/t ��,� Division: 1-�J-te li zLS
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: DAAitArtiL Printed Name: ( 0 .A Ni Date Approved: 47".3 - Q A
The person/people responsibl or the destruction of r must sign upon destruction of the listed records:
Employee Signature: rif) rated Name: K V! v1• F--i- k)G Date Records Destroyed: ( I51
Vendor Business Name(if used): LETAVI 8 t_Ft2_ o Phone:
Vendor Signature: Printed Name: 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
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)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Records Retention Minimum
Records Series Title Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule Retention
volume,etc.) Met examples below*)
Ride-Along LE03-01-38 Law Retain for 3 years after 477 Jan 01 2012—Dec 31,2016 12/31/2019 Outside
Program Enforcement participant's ride-along then , contractor
Schedule destroy shredding
*Examples 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 the listed records must sign below prior// to the Record's Manager approval: / /
Employee Signature: �2 r�ff Printed Name: I'7;�fiY P1,t C7`` Division: , u-- /'
The Records Manager must sign the approval of this request prior to the destruction off�the
/listed records: *�
Records Manager Signature: kika, � ��� Printed Name: )V 4(.1,��C �i� t� Date Approved: C � T,1
The person/people responsi le f the destruction of r s must sign upon destruction of the listed records:
411
Employee Signature: �..—� ted Name: �V 1 v� CK-FXt V Date Records Destroyed: 1 Ib!21
Vendor Business Name(if used): �G iV144 J � j�iC`I Phone:
Vendor Signature: Printed Name: 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
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)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Records Retention Minimum
Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See
volume,etc.) Met examples below*)
OT Notes/Patrol GS2017-011 CORE Retain until superseded then 307 pages 01/01/2015—12/31/2015 12/31/2015 Outside
Rev.0 destroy contractor
shredding
*Examples ofmethods ofdestruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe)
Y 9. ( )
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 re ords must sign below prior to the Record's Manager approval:
�o (-FU 4 2
,-..., ?Tr
Employee Signature: Printed Name: N f -Pl--V �J Division: i
The Records Manager must sign the approval of this request prior to the destruction of the listed records: .
I
Records Manager Signature: LjLLUt9,€j/1
Printed Name: hl\lint p FILVISal Date Approved: C S' O
The person/people responsible f r the destruction of records must sign upon destruction of the listed records:
Employee Signature: .I.,, / rinted Name: i)t\i NI . 1.. a-i L-; Date Records Destroyed: (`6fZ
Vendor Business Name(if used): LE1111,11x1 St-F . ,C) Phone:
Vendor Signature: Printed Name: 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
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)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Date
Description Method of
Records Series Records Retention Minimum
Records Series Title Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
hRetention
DAN St edule
volume,etc.) Met examples below*)
Case Files Law Retain for 5 years after 1 case— 1/10/2001—01/31/2001 01/31/2006 Shredding
LE2010-064 Enforcement conclusion of investigation 601000333
Rev 1 Schedule and until exhaustion of
appeals then destroy
*Examples 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 the listed records must sign below prior to the Record's Manager approval:
Employee Signature: eA — Printed Name: � 1.3r Oak\ Division: €,,CCi rc4
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: A n/Z Printed Name: ( Oi L'e Date Approved: 1I 'O
2I
The person/people responsibl for the destruction of records must sign upon destruction of the listed records:
Employee Signature: _ in? 61.4-- Printed Name: LT/ iV' l.12-4-}ti' Z Date Records Destroyed: I 1Z I
ry1 ` r (' a
Vendor Business Name(if used): '�V� �( S 1 I,\& 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)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Records Retention Minimum Retention PeriodMinimum
Records Series Title
DAN Schedule (Box/Item numbers, Dates Covered Retention Destruction(See
volume,etc.) Met examples below*)
Public GS2010-014 Core Retain for 2 years after 01/01/2016-09/17/2018 09/17/2018 Outside
Disclosure/Records Rev.3 public records request contractor
Requests fulfilled then destroy shredding
*Examples 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 inventoryingj1 ( � the listed records must sign below prior to the Record's1Mana�ger approval: �n
Employee Signature: Oa
UJI%?K 1 Printed Name: `a (� ���L ° t Division: /sG cc,S
The Records Manager must sign the approval� � Qoff thisd request prior to the destruction of the listed records: (�Records Manager Signature: �.L(il, ��1. V Printed Name: ax�� thkvtc,e,Hil Date Approved: fti1 _ _ �
The person/people responsib for the destructio records must sign upon destructionW-+...111\;
of the listed records: /_
Employee Signature: �-". Printed Name: 1, � Date Records Destroyed: i 10 Z'
Vendor Business Name(if used): (EMO WI) 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)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Records Retention Minimum
Records Series Title Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule volume,etc.) Re tent examples below*)
MePublic GS2010-014 Core Retain for 2 years after 07/13/00—07/20/2018 07/20/20 Outside
Disclosure/Records Rev.3 public records request contractor
Request fulfilled then destroy shredding
*Examples 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 the listed records must sign below prior to the Record's Manager approval:
Employee Signature: l"<"'/>>/ ) r ji - Printed Name: 0- I '��t� Division: C) L.L ' \e�_C;�c S
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: jic•- t.2t92 1 1 Printed Name: I,c,Yf, VL$!.V1 Date Approved: C 1 '1 £ 'CLI/
The person/people responsibl for the destr tion of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: I
(/"
�ti4 V i 1V 10 CK--I to- Date Records Destroyed: t61Z.1
LE /+�l nt/�
Vendor Business Name(if used): 1�� 16t Phone:
Vendor Signature: Printed Name: 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
Name: CO OP POLICE-BREMERTONCr c lFI m DESTRUCTION
Address: 1025 BURWELL ST t r - `, �' ,,---op._ir�c
f
City: BREMERTC 98337Lilk u� � A
Phone: 360 900 6290 //,j j '// � n i
� / / /� i i
Request: MS-KEVIN j % j jjj <- TIFJED F./4
',el,.
a�
Account : 2185-952778-700 Service Date: 1/5/2021 Route Id: SN92 Ticket#: " 1488341
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
CUSTOMER COPY
Service Description
_( ty Rate Amount
65SC 9.00 65 GAL SHRED CART 12.88
SHEXB 1.00 SHRED EXTRA BOX 3.57
Driver Signature: Date: Truck
Customer Signature:. /776...'":—
Date: / �,�2. Time /3) 0
2910 Hogum Bay Rd Olympia Wa 98516 E-Mail: Ims@wcnx.org Phone: 1-87 -898-0112 Fax: 1-360-486-2467