HomeMy WebLinkAboutPW&U ENGINEERING 12082022 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*)
Re.ain for 6 years after final bond payment or OTHER-TRANSFERRED
Levy and Bond Planning G553-02-06 completion of levy project then Transfer to 12 BOXES 1900-1960'S
Successful CORE 1970'S TO DNR MONUMENT
Rev.1 Washington State Archives for appraisal an 1 survey field books PERMITS&SURVEY,
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*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 folrinventorying the listed records must sign below prior to the Record's Manager approval:
/
, GUNNAR FRIDRIKSSON
Employee Signature: Is Printed Name: Division: PUBLIC WORKS&UTILITIES
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: ICA01509\...\440.45)14/\ Printed Name: ANGELA HOOVER Date Approved: 12/8/2022
Transfer Transfer
The person/people responsible for the destruction of records must sign upon des ion of the listed records:
Employee Signature:______4._ `Printed Name: GUNNAR FRIDRIKSSON Date Records TRANSFERRED 12/8/2022
Vendor Business Name(if used): DEPT OF NATURAL RESOURCES-MONUMENT PERMITS&SURVEY RECORDS DIVISION Phone: 306 902-1230
Vendor Signature: Ci/M/' Printed Name: Ann Alves Date Records TRANSFERRED: 12/8/22
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