Laserfiche WebLink
f k <br /> state of Calla — Califomte Environmental Protection Agency <br /> Department of Toxic Substerims Control <br /> orphan Appliance Mgnthiv Renort Fora A ,. <br /> Please send this document on a monthly basis to DTSC by mailing to: <br /> pi Attn: Consumer Products Section <br /> Department of Toxic Substances Control <br /> office of Pollution Prevention and Green Technology <br /> 1001 " I" Street, 11th Floor <br /> P .A . sox 806 <br /> Sacramento, California 95812 -0808 <br /> Month : ,41 YX/ L Year : �D / Ece Ll �1 r <br /> ' n faciii : �� � vER� �-- S y <br /> Aj <br /> Name of scrap recycling ty S �t A) I(= s <br /> Facility address . <br /> Name of CAR : OPMER540 kcyc41x)41 PCAR # � <br /> rN Ci <br /> Total number of "orphan" appliances received this month ( as indicated by use of DTSC <br /> Form 1459) received . <br /> This information is not required , but is appreciated : <br /> Space Heaters ; Stoves . <br /> Refrigerators: 0^1 oilers : <br /> Furnaces : <br /> Freezers: <br /> Microwaves : Water Heaters: . . <br /> Washers: Air conditioners . <br /> Dryers : Trash compactors : <br /> Ovens : <br /> Other (please specify) : <br /> ho <br /> The names and addre , or sold "orpha <br /> sses of each person Included ono hrtede foHolwing additional pagesn" <br /> appliances to this scrap recycling facility <br /> This information has also been suomitted to my COPA. <br /> Sincerely , <br /> Universal Service Recycling, Inc. <br /> Paul Bischofberger <br /> Name ,v Environmental Health & Safety <br /> 209 . 944 . 9555 <br /> FAX: 209 . 944 . 5552 <br /> CELL: 209 . $55 . 17 15 , . . . . . . . t , • . . , • , • <br /> Contact l nformi 3200 South Et Dorado Street• Stockton , CA 95206 <br /> E-mail: Pbischofberger@usrscrap.com <br /> DTSC gornt 1488 (1 !1 E www.usrscrap.com page 1 of 1 <br />