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Covered Electronic Waste (Cew) Collection Log: Weight Units Weight Units
Covered Electronic Waste (Cew) Collection Log: Weight Units Weight Units
Type of
Source1
and/or Attach Source Information of CRTs Other CEWs3
Date Name and Address of Source of Material: provide Contact Person & Phone see
CEWs if Received from Other
18660.20(j)(1)(C)
(m/d/y) Collectors and Handlers.2 Weight Units Weight Units
Name: JOHN FITISEMANU
03/15/08 Address: 2514 SONOMA ST R Non-Working 3
City / Zip: TORRANCE, CA 90503
Name: AMY SATAKI
03/15/08 Address: 1024 MAIN STY R Non-Working 3
City / Zip: HUNTINGTON BEACH, 92648
Name: JOSEPH DAO
03/15/08 Address: 14081 MAGNOLIA STREET R Non-Working 2
City / Zip: WESTMINSTER, 92683
Name: GEORGE WHEATLEY
03/15/08 Address: 15238 BUDLONG DRIVE R Non-Working 3
City / Zip: LA MIRADA, CA 90638
Name: ROBERT DEEVE
03/15/08 Address: 15723 BIRCHWOOD ST R Non-Working 2
City / Zip: LA MIRADA, CA 90638
Name: LEOLA TATUM
03/17/08 Address: 10550 WESTERN AVENUE R Non-Working 3
City / Zip: STANTON, 90680
Name: MIKA TAMURA
03/18/08 Address: 3450 EMERALD ST R Non-Working 3
City / Zip: TORRANCE, CA 90503
Name: MAURICIO MARIN
03/17/08 Address: 12541 WEST STREET R Non-Working 2
City / Zip: GARDEN GROVE, 92841
SUBTOTALS 0 21 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