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w ifUNIFIED <br />PROGRAM CONSOLIDATED FO <br />HAZARDOUS WASTE <br />RECYCLABLE MATERIALS REPORT - PAGE 2 <br />FOR EXCLUDED OR EXEMPTED MATERIALS ONLY <br />(ane deuri cion r material rzc cled, attach additional es if needed) <br />TOTAL NUMBER OF RECYCLABLE MATERIALS 519 P,6 f <br />FACILITY ID# <br />l <br />NEESS NME(SFACILITY NAME or DBA—Coin Business As) 3 <br />BUSIIAame as <br />Pi <br />IV. RECYCLABLE MATERIAL INFORMATION <br />A. DESCRIPTION <br />RECYCLABLE 520 <br />MATERIAL NUMBER <br />COMMON NAME OF RECYCLABLE 521 <br />MATERIAL <br />QUANTITY DURING 522 <br />TWO YEAR REPORTING <br />R3 <br />UNITS [I a. Gallons ❑c. Tons <br />r� <br />�^ `n 1 � o�S � <br />W <br />PERIOD <br />El b. Pounds [Id. Kilograms <br />RECYCLABLE MATERIAL DESCRIPTION _p� ,t . 524 <br />MSK (� `L"�'j �MILOkrI0.Y �aiw� lC6LL(0 � <br />RECYCLING PROCESS AND BENEFICIAL USE OF RECYCLABLE MATFrRIAL, I 523 <br />Ci I <br />k LV.AL. ns, Me1< re-wLzLa, a-S %ex- CL-1 rakj <br />-res4. MEK POLA <br />Wo-c.d S O e <br />AUTHORIZING PROVISION OF HSC SECTION 25143.2 526 <br />DAMS FOR CLAIM TO AN EXCLUSION OR EXEMPTION $21 <br />B. PRODUCT AND CONSTITUENT INFORMATION: OFFSITE ONLY <br />Only complete if recyclable material was used tc make or substitute for a product and operating pursuant to HSC Section 25143.2(b) or (d)(5) or (6). <br />HAZARDOUS CONSTITUENT <br />LIST FINAL PRODUCT(S) MADE FROM THIS <br />HAZARDOUS CONSTITUENT <br />In Recyclable Material In Final Product <br />RECYCLABLE MATERIAL AND BENEFICIAL USE <br />OF FINAL PRODUCT(S) <br />528 <br />529 <br />531 <br />533 <br />UNITS 530 <br />UNITS 532 <br />❑ a percent ❑ b ppm <br />❑ a percent ❑ b ppm <br />534 <br />535 <br />531 <br />539 <br />UNITS 536 <br />UNITS 538 <br />❑ a percent ❑ b ppm <br />❑ a percent ❑ b ppm <br />540 <br />541 <br />543 <br />545 <br />UNITS 54' <br />UNITS 504 <br />❑ a percent ❑ b ppm <br />❑ a percent ❑ b ppm <br />546 <br />541 <br />549 <br />551 <br />UNITS 508 <br />UNITS 550 <br />❑ a percent ❑ b ppm <br />❑ a percent ❑ b ppm <br />If more than four constituents are recycled, attach additional sheets using this same format. <br />V. DOCUMENTATION OF KNOWN MARKET (Offsite recyclers only) <br />❑ DOCUMENTATION IS ATTACHED: Offsite recyclers must attach documentation that there was a known market for disposition of the recyclable <br />material and any products manufactured from the recyclable materials and provide copy of this report to the generator when the report is submitted to <br />the CUPA. HSC Section 25143.10 a 3 A <br />UPCF (1/99 revised) 181 <br />