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"Attachment C <br /> `rS A N J 0 A 0 U I NEnvironmental Health Department <br /> ----COUNT Y- --- <br /> Greatne�s grows here, <br /> UNIVERSAL WASTE AEROSOL CAN PROCESSING NOTIFICATION <br /> I. FACILITY INFORMATION <br /> FACILITY NAME: EPA ID NUMBER: <br /> Sala LTL SCA CAR000222737 <br /> LOCATION/MAILING ADDRESS: FACILITY PHONE NO: <br /> 4520 S Highway 99 209 390 0585 <br /> CITY: ZIP CODE: <br /> Stockton 95215 <br /> FACILITY CONTACT NAME: CONTACT PHONE NO: <br /> Ray Magallanes 209 390 0585 <br /> 11. PROCESS DESCRIPTION <br /> TYPE OF AEROSOL_CANS: <br /> Flammable, Non flammable and not regulated aerosol <br /> ESTIMATED VOLUMES OR QUANTITIES TO BE PROCESSED MONTHLY: <br /> 25 30 cans <br /> TREATMENT PROCESS OR PROCESSES DESCRIPTION: <br /> -Empty cans are metal recycled <br /> EQUIPMENT DESCRIPTION: <br /> Aerosols unit <br /> EQUIPMENT DESIGN CAPACITIES: <br /> 5" to 9.5" cans <br /> Ill. HAZARDOUS WASTE TREATMENT RESIDUALS <br /> DESCRIPTION OF THE CHARACTERISTICS OF HAZARDOUS TREATMENT RESIDUALS: <br /> Flammable liquid <br /> DESCRIPTION OF MANAGEMENT OF ANY HAZARDOUS TREATMENT RESIDUALS: __.W..._ <br /> IV. CERTIFICATION <br /> I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system <br /> designed to assure that qualified personnel properly gather and evaluate the information submitted,Based on my inquiry of the person or persons <br /> who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to be the best of my <br /> knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting false Information,Including the <br /> possibility of fine and Imprisonment for knowing violations. <br /> SIGNATURE': - DATE: <br /> 5/20/2026 <br /> NAME OF PERSON SIGNIN CERTIFICATION(PRINT): TITLE: <br /> Chris Worden Shop Manager <br /> `Note:Per the CA Code of Regulations,Title 22,section 66270.11,this notification must be signed as follows: <br /> • For a corporation: by a responsible corporate officer,e.g.president,secretary,treasurer,or vice-president of the corporation in charge of a <br /> principal business function,or any other person authorized to perform similar policy or decision-making functions,which govern the operation <br /> of the regulated facility,for the corporation. <br /> • For a partnership or sole proprietorship:by a general partner or the proprietor,respectively <br /> • For a municipality,Slate,Federal,or other public agency;by either a principal executive officer or ranking elected official. For purposes of this <br /> section,a principal executive officer of a Federal agency includes:the chief executive officer of the agency,or a senior executive officer having <br /> responsibility for the overall operations of a principal geographic unit of the agency e. .,Reg lonal Administrators of USEPA. <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br />