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State of California 198 Form ARC/order no: 801895 California Integrated Waste

Collection Log Page 1/3 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 3850 E Manttahan Beach Lawndale, CA 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: DARLENE BAILEY
04/18/08 Address: 16906 FENHILL AVENUE R Non-Working 3
City / Zip: TORRANCE, CA 90504
Name: JAY WALDEN
04/18/08 Address: 2247 W 162ND STR R Non-Working 2
City / Zip: TORRANCE, CA 90504
Name: WARREN WALSKI
04/18/08 Address: 15427 FLORWOOD R Non-Working 1
City / Zip: LAWNDALE, CA 90260
Name: GREGORY KINGHTON
04/18/08 Address: 15602 SANDER AVE R Non-Working 2
City / Zip: GARDENA, CA 90248
Name: VICTOR ROCHA
04/18/08 Address: 16111 HALLDALE AVENUE R Non-Working 1
City / Zip: GARDENA, CA 90248
Name: GERALD LIM
04/18/08 Address: 1427 189TH STREET R Non-Working 2
City / Zip: TORRANCE, CA 90504
Name: PHIL ROCK
04/18/08 Address: 15623 RUTHELAN STR R Non-Working 1
City / Zip: GARDENA, CA 90248
Name: LYANNE BERGERON
04/18/08 Address: 4001 INGLEWOOD AVNEUE R Non-Working 1
City / Zip: REDONDO BEACH, CA 90278
SUBTOTALS 0 13 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 - No
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 con
2sources.
Sources: When an Approved Collector accepts discarded material from other collectors, the Approved Collector must describe how the CEWs were accumulated by the othe
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 sys
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
nd handlers are not considered consumers or California
EWs were accumulated by the other collectors and attached

t elegible for SB 20/50 payment system.


fornia local government, shall maintain a list of all consumers

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