State of California 198 Form Order No.

802039 California Integrated Waste

Collection Log pg. 2/4 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
Describe Circumstances of Collection
For transfers of 5 or more 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: Elizabeth Navarrete
03/17/08 Address: 14612 Danbrook Drvie R Non-Working 3
City / Zip: Whittier, CA 90604
Name: Howard Shinedling
03/17/08 Address: 1271 Brass Lantern Dr. R Non-Working 2
City / Zip: La Habra, CA 90631
Name: Arthur Doing
03/18/08 Address: 7000 La Palma Ave. R Non-Working 1
City / Zip: Buena Park, CA 90620
Name: Johnnie Warren
03/18/08 Address: 9518 10th Ave R Non-Working 1
City / Zip: Inglewood, CA 90305
Name: Maria Gonzales
03/18/08 Address: 1032 N Rosemont ST. R Non-Working 2
City / Zip: Anaheim, CA 92805
Name: William Shaw
03/18/08 Address: 17310 Sierra Sunrise Ln R Non-Working 3
City / Zip: Santa Clarita, CA 91387
Name: Steve Collins
03/18/08 Address: 14553 Emerald Canyan St. R Non-Working 3
City / Zip: Corona, CA 92880
Name: Bobby Parkinson
03/18/08 Address: 14130 Fonseca Ave R Non-Working 2
City / Zip: La Mirada, CA 90638
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