HomeMy WebLinkAboutDisposition Forms_35-13_09/20/2013 RECORDS DISPOSITION DOCUMENT NO. 35- 1 3
Revised: 12/20/11 PAGE t OF 1 PAGES
1. AGENCY 2. DEPARTMENT Utilities 3. BUREAU
Village of Tequesta N/A
4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name and Telephone Number)
345 Tequesta Drive Lori McWilliams, MMC
Tequesta, FL 33469 561- 768 -0443
6. SUBMITTED BY: I hereby certify that the records to be disposed of are 7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justified, and that further retention is not required for any The scheduled records listed in Item 8 are to be disposed of in the
litigation di or immi manner checked below (specify only one):
s
/3
Signatur/ Date X Destruction b. Microfilming and Destruction
0 a.1 Shred 0 a.2 Recycle
Nathan Litteral, Water Plant Superintendent c. Imaging and Destruction
Name and Title d. Other
8. LIST OF RECORD SERIES
a. b. C. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
Item No. Dates in Action and Date
Cubic Completed After
Feet Authorization
GS14 # 89 SFWMD Pumpage Reports 10 years 2001 -2002 C)b I
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records 10. DISPOSAL CERTIFICATE The above listed records have been
authorized. Any deletions or modifications are indicated disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature• Date: Signature: Q� /� n , , Date:'
Print Name: Lori ` McWilliams Print Name:
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for your records
FLORIDA DEPARTMENT OF STATE
GENERAL SCHEDULE FOR PUBLIC UTILITIES GS14
PUBLIC WATER SYSTEM EXEMPTION/ VARIANCE RECORDS Item #87
This record series consists of information relating to any variances or exemptions granted to a public
drinking water.system. It is required by 40 CFR Section 141.33. See also Rule 62- 550.720(4), F.A.C.
RETENTION:
a) Record copy. 5 years after expiration of variance or exemption.
b) Duplicates. Retain until obsolete, superseded or administrative value is lost.
PUBLIC WATER SYSTEM SANITARY SURVEYS Item #88
This record series consists of copies of any written reports, summaries or communications relating to
sanitary surveys of the system conducted by the system itself, by a private consultant, or by any local, State
or Federal agency. See 40 CFR Section 141.33 and Rule 62- 550.720(3), F.A.C.
RETENTION:
a) Record copy. 10 years.
b) Duplicates. Retain until obsolete, superseded or administrative value is lost.
PUMPAGE REPORTS: MONTHLY Item #89
This record series consists of monthly reports of ground water pumped out of aquifers which is provided to l
the pertinent Water Management District.
RETENTION:
a) Record copy. 10 years.
b) Duplicates. Retain until obsolete, superseded or administrative value is lost.
QUALITY ASSURANCE RECORDS: LABORATORY (TESTS) Item #90
This record series consists of quality assurance, quality control and process control records as required by
the Department of Health for certification.
RETENTION:
a) Record copy. 5 years after test.
b) Duplicates. Retain until obsolete, superseded or administrative value is lost.
QUESTIONNAIRES: CUSTOMER SERVICE Item #91
This record series consists of questionnaires completed by customers to rate the utilities and its various
programs and services.
RETENTION:
a) Record copy. Retain until obsolete, superseded or administrative value is lost.
b) Duplicates. Retain until obsolete, superseded or administrative value is lost.
RAINFALL REPORTS: MONTHLY Item #92
This record series consists of monthly reports that monitor rainfall levels.
RETENTION:
a) Record copy. 3 years.
b) Duplicates. Retain until obsolete, superseded or administrative value is lost.
RATE STUDIES/ SCHEDULES Item #93
This record series consists of utility specific studies on existing and proposed rates, as well as listings of
costs per kilowatt-hour, including fuel adjustments. It is required by 18 CFR 125.3(30).
RETENTION:
a) Record copy. 6 years after published rate sheets and schedules are superseded or no longer used to
charge for utility service.
b) Duplicates. Retain until obsolete, superseded or administrative value is lost.
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