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State of California ORDER NO: 802200 California Integrated Waste

COLLECTION LOG pg2/5 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: Aved Simciyan
3/18/2008 Address: 4410 Greer Rd R Internal use 1
City / Zip: Woodland Hills, CA 91364
Name: Laurence Dangelo
3/18/2008 Address: 920 Sandra Ct R Internal use 1
City / Zip: Brea, CA 92821
Name: Martin Belle
3/18/2008 Address: 2478 McCoy Dr R Internal use 1
City / Zip: Tustin, CA 92782
Name: Sami Romamni
3/18/2008 Address: 13681 Richardson Way R Internal use 1
City / Zip: Westminster, CA 92683
Name: Bill Carr
3/18/2008 Address: 1631 Orchard Dr, Apt. D R Internal use 1
City / Zip: Placentia, CA 92870
Name: Gilberto Rodarte
3/18/2008 Address: 231 S McCoy Rd R Internal use 1
City / Zip: Orange, CA 92868
Name: Juana Mejia
3/18/2008 Address: 10042 Gilbert St R Internal use 1
City / Zip: Anaheim, CA 92804
Name: Lester D Zola
3/18/2008 Address: 363 N Greer Ave R Internal use 1
City / Zip: Covina, CA 91724
SUBTOTALS 0 8 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

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