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RECYCLING <br />142 S, Aurora St, Stockton, Ca 95202 <br />(209) 463-7600 Fax (209) 463-7600 <br />VICTOR MANUEL GONZALEZ <br />793 LA MESA CT. <br />MANTECA Ca 95336 <br />Phone Number: NONE <br />Employer Name: <br />Employer Phone: <br />ID NBR: <br />VehicleTag/St/VIN: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />02B <br />- MISC EWASTE <br />(.05) <br />PC: 0 <br />Weight: 140 <br />Rate: .06 <br />$8.40 <br />CASH <br />SETTLEMENT <br />TktNbr: <br />26693 Date: <br />1/16/2013 <br />Time: 11:00:37 <br />$8.40 <br />ACKNOWLEDGMENT OF SELLER <br />Seller hereby 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 possess 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 />Sellercertifies that prior to entering Tri Valley Recycling <br />that all CFC'a have been properly removed to allow legal, safe, and responsible recycling <br />under Section 608(H)(1) of the Clean Air Act. <br />Seller Signature: <br />RECEIVED <br />NOV 0 4 2013 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />