HomeMy WebLinkAboutPW&U ADMIN 09222022 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 Method of
Records Series Records Retention (Box/Item Date Minimum
Records Series Title Minimum Retention Period Dates Covered Destruction(See
DAN Schedule numbers,volume, Retention Met
etc.) examples below•)
Water Test Reports UT55-06A-21 Utility Services Retain for 6 years then 48 Folders 2011, 2012, 2013,2014 1/1/2021 In-house shredding
Rev.0 Records Destroy.
Retention
Schedule Version
1.5(June 2021)
*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 thelisted records must sign below prior to the Record's Manager approval:
Employee Signature: Q VJ`—t ' 1', Printed Name: Deborah M.Hunt Division: Public Works
The Records Manager must sign approva of this request prior to the destruction of the listed records:
i(Not� Angela Hoover 09/20/2022
Records Manager Signature: ` Panted Name: Date Approved:
The person/people responsibleforo the destructionV of records must sign upon destruction of the listed records:
Af
Employee Signature: t. -C�DG,$ i\ Printed Name: 1 ,loo p&k f" \ i'lh Date Records Destroyed: 09 f ate•[ .o o1v�
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