801334 198 log pg1

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    e of California 198 Form ARC/order no: 801334 California

    ection Log pg 1/4 M

    COVERED ELECTRONIC WASTE (CEW) COLLECTION LOGdler Name: Primary Contact Name: Te

    fatu Aulai E-Waste Handler Joseph Aulai 31

    4 Inglewood Ave., Apt. 8 LAWNDALE, 90260

    Material Re

    Date Name and Address of Source of Material:CRTs

    m/d/y) Weight Units W

    28/08

    Name: John Ramos

    Non-Working 1Address: 18312 Crocker R

    City / Zip: Carson, Ca 90745

    28/08

    Name: Erma Jarumille

    Non-Working 1Address: 223 E 184 Street R

    City / Zip: Carson, Ca 90745

    28/08

    Name: Brigido Quintero

    Non-Working 1Address: 326 # 189th Street R

    City / Zip: Carson, Ca 90745

    28/08

    Name: Troy De Guzman

    (310) 329-0891 Non-Working 3Address: 18715 Milmore Ave R

    City / Zip: Carson, Ca 90745

    28/08

    Name: Kinoshita Scott

    (310) 324-1513 Non-Working 1Address: 18409 Milmore Ave R

    City / Zip: Carson, Ca 90745

    28/08

    Name: Felix Nwosu

    (310) 516-6801 Non-Working 2Address: 18415 Milmore R

    City / Zip: Carson, Ca 90745

    28/08

    Name: Clarance Frankly

    (310) 217-0224 Non-Working 1Address: 635 E Turmont Street R

    City / Zip: Carson, Ca 90745

    28/08

    Name: Leonard Williams

    (310) 637-3245 Non-Working 1Address: 1839 Fernrock R

    City / Zip: Carson, Ca 90745

    dler / Address (Address, City, Zip): Location of Collection Event (if different from the Collector's address):

    Material Received From Source1

    Typeof

    Source

    1 For transfers of 5 or more unitsprovide Contact Person & Phone

    see 18660.20(j)(1)(C)

    Describe Circumstances of Collectionand/or Attach Source Information of

    CEWs if Received from OtherCollectors and Handlers.2

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    SUBTOTALS 0 11

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    source information. The approved collector must also document the name and location of those other collectors.

    transfer CEWs to the approved collector, including the name and address of the consumer and the number of CEWs transferred."

    onsumer: n ca e e ype o a orn a onsumer scar ng e ma er a . se ca egor es o consumers suc as: - es en a ; - us ness; - ovInstitution

    sc oo s . so en er . . s are rece ve rom ano er co ec or an a ac appropr a e co ec on ogs. o e a o er co ec ors an an ers aresources.

    ources: en an pprove o ec or accep s scar e ma er a rom o er co ec ors, e pprove o ec or mus escr e ow e s were accure uired

    3Other CEWs: Other CEWs eligible for recovery payment within the SB 20/50 payment system.

    4Other Electronic Devices: Other materials managed as Universal Waste Electronic Devices (UWEDS) that are not covered by or are not elegible for SB

    : . s a es, pprove co ec ors a are no a orn a oca governmen s, nor en es ac ng as an agen or a a orn a oca govewho

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    ernment; - on-pro t; - ucat ona

    ot cons ere consumers or a orna

    ulated by the other collectors and attached

    0/50 payment system.

    rnment, s a ma nta n a st o a consumers