Professional Documents
Culture Documents
Type of
Source1
CRTs Other CEWs3
Date Name and Address of Source of Material: see Information of CEWs if Received
18660.20(j)(1)(C) from Other Collectors and
(m/d/y) Handlers.2 Weight Units Weight Units
Name: Irene Nguyen
11/16/07 Address: 8000 Larson Ave R non-working TV 3
City / Zip: Garden Grove, CA 92844
Name: Tim Garcia
11/16/07 Address: 10772 Holly Dr R non-working TV 2
City / Zip: Garden Grove, CA 92840
Name: Robert Crist
11/16/07 Address: 10461 Cook Cir R non-working TV 2
City / Zip: Huntington Beach, CA 92646
Name: Mike Doorbar
11/16/07 Address: 15902 King Cir R non-working TV 2
City / Zip: Westminster, CA 92683
Name: Cem Olcken
11/16/07 Address: 893 Kings Canyon Rd R non-working TV 2
City / Zip: Brea, CA 92821
Name: Mike Gonzalez
11/16/07 Address: 1002 N King Street R non-working TV 3
City / Zip: Santa Ana, CA 92703
Name: Hugh Lamond
11/16/07 Address: 13435 N Cook Ct R non-working TV 2
City / Zip: Tustin, CA 92782
Name: Keim Tat
11/16/07 Address: 19321 Cindy Ln R non-working TV 1
City / Zip: Huntington Beach, CA 92646
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