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SAMPLE — FOR DEMONSTRATION PURPOSES ONLY
SAMPLE — FOR DEMONSTRATION PURPOSES ONLY
SAMPLE — FOR DEMONSTRATION PURPOSES ONLY
Certificate of Destruction
Certificate #: COD-2026-SAMPLE
Date Issued: February 15, 2026
Related SOW: SOW-2026-SAMPLE
Related ETA: ETA-2026-SAMPLE
Client Information
Client: Midwest Regional Medical Center
Contact: Dr. Sarah Mitchell, CIO
Address: 4200 Medical Center Drive, Springfield, IL 62704
Facility: Main Campus — Data Center, Building C, Room 201
Destruction Details
Method: NIST Purge — Cryptographic Erase
Software: Blancco Drive Eraser v7.2.0
Standard: NIST SP 800-88 Revision 1
Verification: Full Read-Back Verification
Date(s): February 14, 2026
Location: On-Site at Client Facility
Technician: Noah Class
Assets Destroyed
# Manufacturer Model Serial Number Drive Type Capacity Result
1 Dell PowerEdge R740 SVC-7X9K2M1 SSD (SAS) 960 GB PASS
2 Dell PowerEdge R740 SVC-7X9K2M2 SSD (SAS) 960 GB PASS
3 HP ProLiant DL380 Gen10 MXQ94201RV HDD (SAS) 1.2 TB PASS
4 HP ProLiant DL380 Gen10 MXQ94201RW HDD (SAS) 1.2 TB PASS
5 Dell Precision 5820 DSKTP-44R71B NVMe M.2 512 GB PASS
Total Devices Destroyed: 5
Certification
I certify that the data storage devices listed above have been destroyed in accordance with NIST Special Publication 800-88 Revision 1 and are unrecoverable by any known method. All destruction activities were performed by trained personnel following documented procedures. Sentinel Data Solutions maintains destruction records for a minimum of three (3) years.
Technician Signature
Noah Class
Sentinel Data Solutions
Date
February 15, 2026
SAMPLE — FOR DEMONSTRATION PURPOSES ONLY
This certificate contains fictional data and is provided to demonstrate Sentinel's documentation standards.

This Certificate of Destruction is delivered within 48 hours of destruction per MSA terms. Retain for your compliance records.