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<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />TIi1ti f� I.+ u;cu rtnurusxlit•: v„L, <br />iCI'4ab t:7.:.! t'�. .. .a".... ,. ,_.. ••., _ ..i�'Iti,.�•.'_ :t': ,..�. _.... II <br />1• ,_�:�nrtt. �_:>.!'.'. d.l4rLt:,, �•. n tr. uii:, u; .' f :'tu_u ...::! i;' <br />tlu i'altli�rtst t r?c;�ann en t>i' � tsLxt titsti Z_ rl ui;t: I <br />I <br />, I <br />06 - <br />E -WASTE 1-400LB (.01) <br />PC: 0 <br />Weight: 461 <br />Rate: .02 <br />$9.22 <br />01 - <br />CRT **** (.05) <br />PC: 7 <br />Weight: 486 <br />Rate: .06 <br />$29.16 <br />05 - <br />CPU Tower **** (.07) <br />PC: 0 <br />Weight: 238 <br />Rate: .08 <br />$19.04 <br />CASH <br />SETTLEMENT TktNbr: <br />25962 Date: <br />12/7/2012 <br />Time: 13:32:40 <br />$57.42 <br />ACKNOWLEDGMENT OF SELLER <br />Seller her warrants and certifies by his signature or check endorsement that <br />he/she is rightful owner or agent of the property described above and has the <br />right to possass and sell the property and has never been convicted of a scrap crime. <br />The seller further warrants that material delivered for sale does not contain <br />hazardous or dangerous properties as defined under current Federal and State regulation. <br />Seller certifies that prior to entering Tri Valley Recycling <br />that all CFC'" have been properly removed to allow legal, safe, and responsible recycling <br />under Section 608(8)(1) of the Clean Air Act. <br />Seller Signature: <br />RECEIVED <br />NOV 0 4 2013 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />