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U4/U4/1U1Jb UJ: 44 2U'J82bb19d AIM MAIL CENTER 42 PAGE 04/08 <br /> state of camornin-California EnvimnrnonM PratectiOn AgmcY Departmlnt of Toxic Substances control <br /> 2: Name ECS Refining Phone(408) 9 700 Ex I Bare CRTs <br /> r—' CRT Devices <br /> Address 705 Reed St. Santa Clara CA 95060 1:�,j CRT Glass <br /> street City State Zip I.R UWEDr. <br /> Country United States Phone — EX] universal Waste Batteries <br /> 0 Universal Waste Lamps <br /> Maiiing Address 705 Reed St. Santa Clara CA 95050 Exempt Circuit Boards <br /> street city state Zip Other Scrap Metal <br /> Country United States <br /> EPA ID number CAD003963592 (if appricable) <br /> 3: Name Universal Service*RecYcling Phone 209) 944-9655 Bare CRTs <br /> L] CRT Devices <br /> Address 3200 S. El Dorado$t. Stockton CA 96206 C1 CRT Glass <br /> street city state Zip UWEDs <br /> Country United States Phone 209) D44-9655 universal Waste Batteries <br /> E] Universal Waste Lamps <br /> Mailing Address 3200 S. El Dorado St. Stockton CA 05206 0 Exempt Circuit Boards <br /> Street city state Zip EX.,] Other Scrap Metal <br /> Country United States <br /> EPA 0 number (;f applieabie) <br /> D. Exports. if you intend to export,please refer to the requirements found in 22 CCR swcticm 6627320(small <br /> quantity handier),66273-40(large quantity handier).andjor 60173M(CRT material harwwr). Please specify <br /> the name of the facility that will export material(s)you haw received and the type of materials intended for <br /> export. -- <br /> Facility That Will Export Material Materials Exported <br /> (check all ti-et apply) <br /> 1, Name Phone Bare ORTS <br /> CRT Devices <br /> Address E] CRT Glass <br /> Street City State Zip UWEDs <br /> Country Phone Universal Waste Batteries <br /> E] Universal Waste Lamps <br /> Mailing Address E] Exempt Circuit Boards <br /> street 'City State Zip E] Other Zcrap Metal <br /> Country <br /> EPA ID number (if app#C4-0e) <br /> 2: Name Phone C_) Bare CRTs <br /> CRT Devices <br /> Address CRT Glass <br /> Street city State Zip UWEDs <br /> Country Phone Universal Waste Batteries <br /> Universal Waste Lamps <br /> Mailing Address Exempt Circuit Boards <br /> street city State Zip Other Scrap Metal <br /> Country <br /> EPA ID number (if appkable) <br /> T)TSC 7388(11116104) Pa"2 of$ <br />