Certificate of Data Destruction

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19040 SW Shaw St

Beaverton, Oregon 97078

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Certificate Of Data Destruction F30

1 - Items Recycled

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Cell Phones *

50

Computers *

50

Laptops *

50

Hard Drives *

50

Printers *

50

Servers *

50

Network *

50

Other Items *

50

Other *

2 - Customer Info

First and Last Name *

Email *

Company Name *

Phone Number *

Address 1 *

Address 2

City, State, Zip *

Payment Received Via *

3 - Services and Date

COD Tracking #

Lot, BOL, Pickup #

Services *

Drop-off and Recycling

Electronic Pickup

Data Destruction (Wipe)

Data Destruction (Shred)

Revenue Sharing (Businesses Only)

Dropped of Date

Would you like us to pickup from your business *

Yes

No

Do you need any Recycling Bins?

Yes (How Many)Yes (How Many)

Do you need any Pallets?

Yes (How Many)Yes (How Many)

Do you need any Gaylord Boxes

Yes (How Many)Yes (How Many)

Message - Special Requests

ADMIN - SBC Team Members

Date *

Time *

Hard Drive Count *

Place of Destruction *

On-Site

Off-Site

Address (place of destruction)

Lookup

Witness 1 *

Witness 2 *

Signed By *

Wiped or Destroyed *

Wiped

Destroyed

Status *

Serial Numbers 1-25 *

Serial Numbers 26-50

Serial Numbers 51-75

Serial Numbers 76-100

Serial Numbers 101-125

Serial Numbers 126-150

Serial Numbers 151-175

Serial Numbers 176-200

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First Name *

Last Name *

Email *

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(503) 853-8691

19040 SW Shaw St
Beaverton, OR 97078

Hours

Mon - Fri: 8am - 5pm
Saturday: 9am - 5pm

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Industries We Serve

Healthcare & Medical Facilities IT & Technology Companies Government & Educational Institutions Data Centers Real Estate Offices Mortgage & Financial Offices Telecommunications & Utility Providers Financial & Legal Sectors Retail & Corporate Offices Manufacturing & Industrial Facilities

SHREDDING SERVICES

Data Destruction Hard Drive Shredding SSD Shredding Paper Shredding Cellphone Shredding Data Tape Drive Shredding VHS Tape Shredding Circuit Board Shredding

Other Services

Hard Drive Wiping SSD Wiping Data Tape Drive Wiping

Small Business Recycling

Recycle Batteries Recycle Lights Recycle Office Furniture Recycle Freon Appliances

Recycling Services

Buy Back Program

Household Recycling

Enterprise Recycling (Large Volume) Business Recycling (Small Volume) Residential Recycling (Mattresses) Residential Recycling (Appliances) Office Clean-Out Schedule a Pickup

ITAD Revenue Sharing Buy Back Program (Business) Free Recycling Bins Free Security Lock Boxes

Recycle Mattresses and Sofas Recycle Household Electronics Recycle Appliances Recycle Garden Equipment Recycle Metal Items Recycle Power Tools

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19040 SW Shaw St, Beaverton, OR 97078 Tel:(503) 853-8691

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