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• <br /> r*4 <br /> RECYCLIN <br /> ' 142 S. Aurora St. Stockton, Ca 5202 <br /> y: (209)463-7600 Fax(209)463 7600 <br /> BRIAN LEWIS HANSON <br /> 2638 BLACK BART DR <br /> VALLEY SPRINGS Ca 95252 <br /> Phone Number: NO <br /> Employer Name: <br /> Employer Phone : <br /> ID NBR: 0 <br /> VehicleTag/St/VIN: <br /> r L t, t C.' <br /> �' .btat 05 $12.00 <br /> PC. 0 Weight ' 1 <br /> 19 - Battery' iPs (.�05) m 4 J 4.80 <br /> 09 - Motherbo� (.80) `' ;�. PC: 0 Weight: � Rate: .04 $1.60 <br /> MZSC PC: 0 Weight: ' 0`� <br /> 02B ;. <br /> CASH SETTLEMENt E, Tk't*br: 37966 ate: 4/16/2014 Time: 12:14:40 $18.40 <br /> ACKNOW GME QE $ R <br /> �" is ea ur •ick en orsement that <br /> Seller hereby warrants and certnfaeg• <br /> he/ahs is rightful owner or agent o�jth roper eec d above and has the <br /> n ght to possess and sell the propel• a d has novez been convect of a scrap crime. <br /> for sa <br /> The Beller further warrants thatt masedef defial ned underveredcurrentl redera not andStateregulation. <br /> hazardous or dangerous proper Recycling <br /> Seller certi flee that prior to entering Tri .alloy <br /> that all CFC's have been properly removed to allow legal, safe, a d reeponeibl0 recycling <br /> under Section 648(01(1) of the Clean Air Act. <br /> Seller Signature: (I.— �– <br /> RE,--- <br /> EIVED <br /> MAY 0 7 2014 <br /> ENVIRONMENTAL NEALTI., <br /> DEPARTMENT <br />