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

Collection Log page1/4 Management Board

COVERED ELECTRONIC WASTE (CEW) COLLECTION LOG
Handler Name: Primary Contact Name: Telephone #:
Iosefatu Aulai E-Waste Handler Christine Palas (888) 728-5712
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: Mariam Kandryjan
02/12/08 Address: 12620 Tiara Street R Non-Working 2
City / Zip: Los Angeles, CA 91607
Name: Rocio Quezeda
02/12/08 Address: 1306 E 107th Street R Non-Working 1
City / Zip: Los Angeles, CA 90002
Name: Kathy A Houston
02/12/08 Address: 639 W 109th Pl R Non-Working 1
City / Zip: Los Angeles, CA 90044
Name: Diego Martinez
02/12/08 Address: 1722 E 111th Pl R Non-Working 1
City / Zip: Los Angeles, CA 90059
Name: Fabiola Garcia
02/12/08 Address: 4240 Rosilyn Dr R Non-Working 3
City / Zip: Los Angeles, CA 90063
Name: Henry L Washington
02/12/08 Address: 5942 S Van Ness Ave R Non-Working 1
City / Zip: Los Angeles, CA 90047
Name: Jewelean Jackson
02/12/08 Address: 326 E 118th Pl R Non-Working 2
City / Zip: Los Angeles, CA 90061
Name: Walter Williams
02/12/08 Address: 2320 S Dunsmuir Ave R Non-Working 1
City / Zip: Los Angeles, CA 90016
SUBTOTALS 0 12 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