State of California 198 Form ARC/order no: 802390 California Integrated Waste

Collection Log page3/4 Management Board

COVERED ELECTRONIC WASTE (CEW) COLLECTION LOG
Primary Contact Name: Telephone #:
Iosefatu Aulai E-Waste Handler Christine P (888) 728-5217
Handler / Address (Address, City, Zip): Location of Collection Event (if different from the Collector's address):
1805 N Lemon Street Anaheim, CA 92831
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: Loretta Conway
02/12/08 Address: 22347 Burton St R Non-Working 2
City / Zip: Canoga Park, CA 91304
Name: Daniel Gartin
02/12/08 Address: 14121 Lanning Drive R Non-Working 3
City / Zip: Whittier, Ca 90604
Name: Sal Yabarra
02/12/08 Address: 1576 Ashburn Street R Non-Working 2
City / Zip: Whittier, Ca 90604
Name: Veronica, Hannrh
02/12/08 Address: 1710 Russell, CA 90631 R Non-Working 2
City / Zip: La Habra, Ca 90631
Name: Nely Rivas
03/05/08 Address: 16440 Arrow Blvd., Apt. 2 R Non-Working 3
City / Zip: Fontana, Ca 92335
Name: Beatriz Soto
03/05/08 Address: 159 W Century Blvd R Non-Working 2
City / Zip: Los Angeles, CA 90003
Name: Hoon Chin
03/05/08 Address: 6140 Monterey Rd, Unit 220 R Non-Working 2
City / Zip: Los Angeles, CA 90042
Name: George Linga
03/05/08 Address: 1230 W 88th St R Non-Working 2
City / Zip: Los Angeles, CA 90044
SUBTOTALS 0 18 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