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r <br /> stm of callfornla — catltornle Environmental Protection Agency <br /> Department of TOXIC Subatanoas Control <br /> Orahan ADolignee Mont R002 F <br /> Please send this document on a monthly basis to DTSC by mailing to; <br /> Attn : Consumer Products 5ectian <br /> Department of Toxic Substances Control <br /> office of Pollution Prevention and Green Technology <br /> 1001 , In Street, 11th Floor <br /> P . O . Box 806 <br /> sacramento, California 95812-0808 <br /> Month : } ' Year : 4,03 ?" S �� 9 E(:= y/c L / A) ;i r Aj <br /> V1ERS�' <br /> Name of scrap recycling facility : fST� CI� `� C' <br /> Facility address : 4�7��' <br /> Name of CAR : (JJJIV tQ ¢ L S � fZV y«agCAR it - <br /> rN r4 <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 : Boilers: <br /> Fr7eezers: r Furnaces : <br /> Microwaves : Water Heaters : . <br /> Washers : Air conditioners : <br /> Dryers . Trash compactors : <br /> Ovens. <br /> Other (please specify) : <br /> The names and addresses of each person who transported , delivered , or sold "orphan" <br /> , <br /> appliances to this scrap recycling facility is Included on the following additional pages . <br /> This information has also been submitted to my COPA . <br /> Sincerely . ___------_ ----------- --__ <br /> Universal Service Recycling, Inc. <br /> Paul Bwhotberger 4 0 4 0 " <br /> Name Environmental Health & Safety <br /> 209 . 944 . 9555 <br /> FAX : 209 . 944 . 5552 <br /> CELL: 209 . 855 . 1715 <br /> Contact inform< 3200 Stu, El Dorado Street, Stockton , CA 95206 <br /> E-mail : Pbiwhofberget@usrscrap.com <br /> orae Form 068 ('111111www.usrscrap.com PaQa 1 0! 1 <br />