HomeMy WebLinkAboutPW&U ENGINEERING 06232022 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
Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule volume,etc.) ion Met
examples below*)
Water Availability LU50-11-27 Land Use Retain for 2 years after %-inch of letters January 2018-December 2019 2020 Shredding
Verifications Planning and verification then destroy 2021
Permitting
Temporary Permits LU50-11-18 Land Use Retain for 3 years after 2'A inches of January 2015-December 2018 2019 Shredding
Planning and conclusion of permit activity permits 2022
Permitting then destroy 2021
Utility Permit Files LU50-16B-19 Land Use Retain for 6 years after 1'A inches of January-December 2015 2021 Shredding
Planning and termination of permit then permits
Permitting 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:
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Amanda Rodgers F a�n°,==se ,a-..
Employee Signature: trelezozz,os.l3,z543�,w Printed Name: Amanda Rodgers Division: Public Works&Utilities-Engineering
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: C``' `�V\ Printed Name: �� ��{\..\--\10\1 e� Date Approved: V �f
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The person/people responsible for the destruction of records must sign upon destruction of the listed records: / _
Employee Signature .���'t�— Printed Name: Gt l�(��. ��� �i✓S Date Records Destroyed: U72.3 /ZbZZ
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 the life of the agency"pursuant to CORE series GS50-09-06.
Form Revised 05/06/2014