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State of California 198 Form ARC/order no: 802117 California Integrated Waste

Collection Log page2/4 Management Board


COVERED ELECTRONIC WASTE (CEW) COLLECTION LOG
Handler Name: Primary Contact Name: Telephone #:
Iosefatu Aulai E-Waste Handler Joseph Aulai 310-237-8886
Handler / Address (Address, City, Zip): Location of Collection Event (if different from the Collector's address):
14814 Inglewood Ave., Apt. 8 LAWNDALE, 90260
Material Received From Source1 Material Received
For transfers of 5 or more units Describe Circumstances of Collection

Type of
Source1
provide Contact Person & Phone and/or Attach Source Information of CRTs Other CEWs3
Date Name and Address of Source of Material:
see 18660.20(j)(1)(C) CEWs if Received from Other
(m/d/y) Collectors and Handlers.2 Weight Units Weight Units
Name: LIZ
05/03/08 Address: 3044 KERCKAN R Non-Working 2
City / Zip: SAN PEDRO, CA 96731
Name: KOBY DOZIER
05/03/08 Address: 16635 YUKON AVE R Non-Working 2
City / Zip: TORRANCE, CA 90504
Name: SAM LEUNG
05/03/08 Address: 4330 W 176TH STREET R Non-Working 2
City / Zip: TORRANCE, CA 90504
Name: HANS DU
05/03/08 Address: 5020 MARIPOSA ST R (310) 986-7350 Non-Working 3
City / Zip: TORRANCE, CA 90504
Name: MI DIDA GAREY
05/03/08 Address: 4106 W 183RD R Non-Working 2
City / Zip: TORRANCE, CA 90504
Name: AMIR
05/03/08 Address: 16724 YUKON AVE R Non-Working 1
City / Zip: TORRANCE, CA 90504
Name: JOSE COYS
05/03/08 Address: 15901 HAWTHORNE ST R Non-Working 2
City / Zip: LAWNDALE, CA 9020
Name: HOWARD MITCHEL
05/03/08 Address: 13534 CORDARY AVE R (310) 644-4225 Non-Working 3
City / Zip: HAWTHORNE, CA 90250
SUBTOTALS 0 17 0 0
1
Consumer: Indicate the type of California Consumer discarding the material. Use categories of consumers such as: R - Residential; B - Business; G - Government; NP - Non
Institution
(schools). Also enter O.C. if CEWs are received from another collector and attach appropriate collection logs. Note that other collectors and handlers are not considered cons
sources.
2
Sources: When an Approved Collector accepts discarded material from other collectors, the Approved Collector must describe how the CEWs were accumulated by the other
required
source information. The approved collector must also document the name and location of those other collectors.
3
Other CEWs: Other CEWs eligible for recovery payment within the SB 20/50 payment system.
Other Electronic Devices: Other materials managed as Universal Waste Electronic Devices (UWEDS) that are not covered by or are not elegible for SB 20/50 payment syst
4

NOTE: 18660.20 (i)(1)(B) states, "Approved collectors that are not California local governments, nor entities acting as an agent for a California local government, shall main
who
transfer CEWs to the approved collector, including the name and address of the consumer and the number of CEWs transferred."
Business; G - Government; NP - Non-profit; E - Educational

and handlers are not considered consumers or California

CEWs were accumulated by the other collectors and attached

ot elegible for SB 20/50 payment system.


lifornia local government, shall maintain a list of all consumers

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