Sample only. This is an example with made-up data. It shows the layout and the details your real certificate will include.

Data Sanitization Certificate (Sample)

Copper State Tech Recovery LLC · Tempe, Arizona

Certificate no. SAMPLE-CERT-0001

Customer: Sample Company LLC
Pickup date: January 1, 2000 (sample)
Drives logged: 5

Drive log
Serial number	Type	Method	Tool	Date	Technician
SAMPLE-0001	Hard drive	Overwrite, NIST SP 800-88 Clear, verified	Sample Wipe Tool	2000-01-02	Sample Technician
SAMPLE-0002	Hard drive	Overwrite, NIST SP 800-88 Clear, verified	Sample Wipe Tool	2000-01-02	Sample Technician
SAMPLE-0003	SSD	Built-in sanitize command	Sample Wipe Tool	2000-01-02	Sample Technician
SAMPLE-0004	Hard drive	Physical destruction (drilled)	Drill	2000-01-03	Sample Technician
SAMPLE-0005	Memory card (from recorder)	Removed and wiped	Sample Wipe Tool	2000-01-03	Sample Technician

Each drive listed above was wiped or destroyed using the method shown. Drives sent to a shredding company are covered by that company's certificate, which is attached to this one.

Technician: Sample Technician

Date issued: 2000-01-03 (sample)

A separate recycling certificate is provided for equipment sent to our recycling partner.