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-HWD FRONT REV. 3 (1-93) PO. ar '54 STATE OF CALIFORNIA <br /> SACR,`_ .CA 94291-2754 BOARD OF EQUALIZATION <br /> (916)323-9555 <br /> HAZARDOUS WASTE DISPOSAL FEE RETURN ENViROMENTAL 14FAI TI, <br /> BOARD USE ONLY <br /> REG RR PR <br /> DUE ON OR BEFORE FOR 1cc <br /> 10/31/93 JULY - SEPT BER 1993 <br /> TR AUD NR <br /> Account u ' 7 REF OD PI <br /> Mail To: HwCA RVHW02 3393 HA HQ 36-006312 <br /> STATE BOARD OF EQUALIZATION <br /> ENVIRONMENTAL FEES DIVISION I NDY ELECTRONICS INC. FILE <br /> PO BOX 942754 P. 0. BOX 2301 <br /> SACRAMENTO CA 94291-2754 MANTECA CA 95336 PN <br /> READ INSTRUCTIONS <br /> BEFORE PREPARING <br /> CAT000646182 Make changes if name <br /> 400 INDUSTRIAL PARK DRIVE, MANTECA or address is incorrect. <br /> A B C D <br /> —] <br /> TOTAL TONNAGE TAXABLE TONNAGE FEE RATE AMOUNT <br /> CATEGORIES DISPOSED OF <br /> (Definitions enclosed) (Round up to OF FEE <br /> BY CATEGORY whole ton.) (col.B x C) <br /> 1. Recycled (excludes used oil removed from a motor 1. <br /> vehicle) 2 0 0.00 c 0 <br /> 2. Non-RCRA regulated hazardous waste (generally 2. <br /> includes asbestos) 26-25 <br /> 3. Mining waste 3. <br /> 13.65 <br /> 4. Extremely hazardous waste 4. <br /> 210.00 <br /> 5. Restricted waste 5. 210.00 <br /> 6. Hazardous waste 6 <br /> -42.43 <br /> 7. Transported out of state 7. 0.00 <br /> 2 O 0 <br /> 8. Residues from incineration or dechlorination 8, <br /> of hazardous waste 5.2 . <br /> 9. Total fee (add lines 1 through 8 in Column D) 9 <br /> 10.Penalty (muttipty <br /> he 9 by 10% (.10)if payment is made after due date indicated above) PENALTY 10. <br /> 11. INTEREST OF 10% PER ANNUM (0.008333 PER MONTH) INTEREST 11. <br /> 12.TOTAL AMOUNT DUE AND PAYABLE (add lines 9,10, and 11) 12 $ 0 <br /> I hereby certify that this return.mGuding any accompanying schedWes and statements. has been <br /> examined by me and to the best of my knowledge and belief is a true, correct and complete return. <br /> William L.Price, Safety/Envir. Spec. I/ j-W T� « (209)825-8314 10/19/93 <br /> Al—......ws._..__�_..�_._�__._-_ _•__. _ _-. .. _ . <br />