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12/10/2003 14:28 20946834?' FIFTH FLOOR PAGE 04 <br /> UNIFIED PROGRAM CONSOLIDA'T'ED FORM <br /> HAZARDOUS WASTE <br /> RECYCLABLE MATERIALS REPORT - PAGE Z <br /> FOR EXCLUDED OR EXEMP'T'ED MATERIALS ONLY <br /> (me dead don maerisl rte eka,atrea 4dditiena airneadN3 <br /> TOTAL NIMER OF RBCYLLABLE MATFAIALS Sl9 Poee—or^ <br /> FACILITYI119 BUSD:ESSNAME{Sxnsm F/AG7LIIYF NEmDBA-Dein <br /> U5' — 0.1 a a t <br /> IV.RF'•CYCLABLE MATERIAL INFORMATION <br /> A.DESCRIPTION <br /> RECYCLABLE VA COMMON NAME OF RECYCLABLE 3_'I QUA.NTITY DURING 5:1 523 <br /> MATERIAL NUMBER MATERIALUNITS X3.Gallons ❑c. Toes <br /> e e Two t7iAR REPORTING <br /> PERIOD <br /> /O' y� Q b.Pounds ❑d.Yilagtams <br /> Od 6 Fe - 1 <,):44— <br /> RECYCLABLE MATERIAL DESCRIPTIIO/N� <br /> t% ���PH.� Gn Tt'ls�yto�. / �B�,Q yes,-4 {'►aa-Kr.,.. l ,. <br /> RECYCLING PROCE��SS'S AND BENEFICIAL USE <br /> /1OF RECYCLABLE MATERIAL <br /> 'aGe- GL4jl rlL eP Vim` �'+-ty a i <br /> AUTHORIZING FROVISLON OF HSC SECTION 25143.7 3-'6 BASIS FOR CLAIM TO/AN EXCLUSION OR EXEMPTION s31 <br /> �f�v/GYv�T I S vcUS��. AS at1 <br /> 2f�sc- as��c3 . a� b5c �1 rY,St��er,� —;Y,,aP.,E,uss fl...LVt <br /> S.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 251432(6)or(d)(5)or(6). <br /> HAZARDOCS CONSTITUENT UST FINAL PRODUCTIS)MADE PROM THIS <br /> HAZARDOUS CONSTITUENT RECYCLABLE MATERIAL AND BENEFICIAL USE <br /> In Recyclable Material In Final Product OF FINAL PRODUCT($) <br /> Izu 539 SIr 533 <br /> UNITS 530 UNITS ss' <br /> ❑a percent❑b ppm ❑a percent ❑b Ppm <br /> 134 535 537 Us <br /> UNITS 536 UNITS 53e <br /> ❑a percent❑6 ppm ❑a percent❑b ppm <br /> 540 RI 543 345 <br /> UNITS 54= UNITS sa <br /> 0 a percent❑6 ppm ❑a percent p Is ppm <br /> 546 sn 549 331 <br /> UNITS s+s UNITS 150 <br /> ❑a percent❑b ppm ❑a percent❑b ppm <br /> If more than four constituents are recycled,atmeh additional sheets using this same fomnaL <br /> V.DOCUMENTATION OF KNOWN MARKET (Offsite reeyclers only) <br /> DOCUMENTATION IS ATTACHED: Offsite racyelers must aaach documentation that there was a known market for dispasition of the recyclable <br /> rrmterial and any pmducts manufactured from the recyclable materials and provide copy of this report to the generator when the report is submitted to <br /> the CUPA. NSC Section 25143.10(a 3)(A)) <br /> UPCF(1199 revised) 181 <br />