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CIWNIB 199 (Revised 1 U06) <br />COVERED ELECTRONIC WASTE (CEW) COLLECTION LOG <br />Handier/ Approved Collector (Organization) Varne: CEW ID #:Primary Contact ,Name: <br />DELTA MATERIALS RECYCLING 110892 CALVIN SMITH <br />Handier/ approved Collector Address (Address. City, Zip) : Location of Collection Event (if dgerent from the Collector's address) : <br />8999 ELK -GROVE FLORIN RD,ELK GROVE 95624 <br />California Integrated Waste <br />Management Board <br />m <br />Telephone i#: m <br />916-685-4334 N <br />CD <br />CD <br />N <br />Material Received From Source Material Received <br />California 1otegrated Waste <br />m <br />w <br />A <br />Lo <br />m <br />m <br />Co <br />m <br />cn <br />LD <br />w <br />Ln <br />CS) <br />^� <br />ror transfers of 5 or more <br />Describe Circumstances of Collection <br />Date Name and Address of Source of Material: <br />units provide <br />and/or Attach Source Information of CRTs <br />Other CEWs' <br />(��y) <br />, <br />F <br />Contact Person & Phone <br />CEWs if Received from Other <br />Name: <br />see 18660.20 ' 1 (C) <br />Collectors and Handlers! Weight Units <br />wrighl <br />Goits <br />PROFLEET TRUCK LUBE <br />FREE DROP OFF <br />4/1;2010 Address: 15453 N. THORTON RD <br />B <br />80 2 <br />City/Zip: LOD] 95242 <br />Name: <br />Address: <br />City / Zip: <br />Name. <br />Address: <br />City / Zip: <br />Name: <br />Address: <br />City / Zip: <br />Name: <br />Address: <br />City / Zip: <br />Name: <br />Address: <br />City / Zip: <br />Name: <br />Address: <br />City/ Zip: <br />dress: <br />:jName: <br />? Zip: <br />State of Calirornia <br />SUBTOTALS 80 <br />Z <br />0 <br />0 <br />California 1otegrated Waste <br />m <br />w <br />A <br />Lo <br />m <br />m <br />Co <br />m <br />cn <br />LD <br />w <br />Ln <br />CS) <br />