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<br />DOL CDL Third Party Examiner 28 of 28 DOL K7951 <br />AG Rev June 2022 <br />ATTACHMENT H: DATA DISPOSITION FORM <br /> <br /> <br />CERTIFICATION OF DATA DISPOSITION <br /> <br />Date of Disposition: <br />All types of data dispositions are required by DOL upon expiration or termination of a Contract. <br />These items are to be returned to the DOL Contract Manager within 15 days of expiration or <br />termination: <br /> <br />All unused test forms related to this Contract <br />All unused CDL Examiner logs <br />All route information <br />All manuals provided by DOL <br /> <br />The Contractor will retain all books, records, documents, and other materials relevant to this <br />Contract for six years after contract ending date and make them available for inspection by <br />persons authorized under this provision. <br /> <br />By signing below, I hereby certify that the data disposition requirements as provided in DOL <br />Contract No.___________have been fulfilled as indicated above. <br /> <br /> <br /> (Print Name) <br /> <br /> (Signature) (Date) <br /> <br />Completed Data Disposition form is to be returned to the DOL Contract Manager at the <br />address below: <br /> <br />Teresa Staab, DOL Contract Manager <br />Department of Licensing <br />PO Box 9030 <br />Olympia WA 98507-9030 <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: AC966A65-E68A-4258-A8B9-AE46FE8283C3