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1 <br /> JNL3`1 -D 3111 <br /> T 1 / 7 r/ ( (�7 ¶ Y HAZARDGUS WASTl, <br /> _i r'�`C Yd C L�iBLE 1�L1'll.rll �!REI1's1LS 1LZ1.1L'1dC OR k� —' PAGE 2 <br /> FOR EXCLUDED OR EXEMPTED MATERIALS ONLY <br /> (one description per material recycled attach additional pages,if needed) ; <br /> TOTAL NUMBER OF RECYCLABLE MATERIALS 519 <br /> v Pale 12—.f <br /> FACILITY ID# I BUSINESS NAME(SameasFACILITY NAME orDBA—DoinaBusiness As) 3 <br /> IV.RECYCLABLE MATERIAL INFORMATION <br /> A.DESCRIPTION <br /> RECYCLABLE 520 COMMON NAME OF RECYCLABLE 521 QUANTITY DURING 522 523 <br /> MATERIAL NUMBER MATERIALTWO YEAR REPORTING UNITS Ra.Gallons F]o. Tons <br /> 1NI��0 L �� 0��',19P PERIOD <br /> ❑b.Pounds ❑d.Kilograms <br /> SSW eel&Y c JW7-&1 0kCC <br /> RECYCLABLE MATERIAL DESCRIPTION 524 <br /> sa etzpipmt, ag e° oxk Sa l-- POWO-tTe ok ftaa- R(Ftl1e=3 <br /> RECYCLING PROCESS AND BENEFICIAL USE OF RECYCLABLE MATERIAL 525 <br /> b 5T1 LLA-rs,�- uy a _ NO <br /> AUTHORIZING PROVISION OF HSC SECTION 25143.2 526 BASIS FOR CLAIM TO AN EXCLUSION OR EXEMPTION 527 <br /> SES AAAT-dP -ZS ReXC!�14C40 AeuD RG USD <br /> ��� C, Ar Tu sAmtz r-Aa�rk 4r �ms�� wr <br /> t--/AS iSlUF-RAT-60 <br /> B.PRODUCT AND CONSTITUENT INFORMATION: OFFSITE ONLY <br /> Only complete if recyclable material was used to make or substitute for a product and operating pursuant to HSC Section 25143.2(b)or(d)(5)or(6). <br /> HAZARDOUS CONSTITUENT LIST FINAL PRODUCT(S)MADE FROM THIS <br /> HAZARDOUS CONSTITUENT RECYCLABLE MATERIAL AND BENEFICIAL USE <br /> In Recyclable Material In Final Product OF FINAL PRODUCT(S)528 529 531 533 <br /> UNITS 530 UNITS 532 <br /> ❑apercent❑b ppm ❑a percent ❑b ppm <br /> 534 535 537 539 <br /> UNITS 536 UNITS 538 <br /> ❑a percent❑b ppm ❑a percent❑b ppm <br /> 540 541 543 545 <br /> UNITS 542 UNITS 544 <br /> ❑a percent❑b ppm ❑a percent❑b ppm <br /> 546 547 549 551 <br /> UNITS 548 UNITS 550 <br /> ❑a percent❑b ppm ❑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 552 <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) <br />