State of California 198 Form ARC/order no: 801334 California Integrated Waste

Collection Log pg 3/4 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: Ben Dragoin
03/28/08 Address: 541 E 184th Street R (310) 808-0309 Non-Working 2
City / Zip: Carson, Ca 90745
Name: Marco Cruz
03/28/08 Address: 19708 Dunbrooke Ave R (310) 532-8123 Non-Working 1
City / Zip: Carson, Ca 90745
Name: Bob
03/28/08 Address: 18106 Millmount R (310) 430-4059 Non-Working 1
City / Zip: Carson, Ca 90745
Name: Adam Garcia
03/28/08 Address: 19803 Dunbrooke Avenue R (310) 329-2198 Non-Working 3
City / Zip: Carson, Ca 90745
Name: Raul Felx
03/28/08 Address: 18329 Avalon Blvd R (310) 909-5189 Non-Working 2
City / Zip: Carson, Ca 90745
Name: Bury Tanguichi
03/28/08 Address: 880 Turmont Street R (310) 324-6028 Non-Working 1
City / Zip: Carson, Ca 90745
Name: Lance Fennell
03/28/08 Address: 18703 Coltman Avenue R (310) 327-5872 Non-Working 2
City / Zip: Carson, Ca 90745
Name: Paul Kanzawa
03/28/08 Address: 18739 Milmore Ave R (310) 324-0508 Non-Working 1
City / Zip: Carson, Ca 90745
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