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SAN .JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 EAST HAZELTON AVENUE , STOCKTON , CA 95205 (209 ) 468 - 3420 FAX (209 ) 468-0138 UNIVERSAL WASTE AEROSOL CAN PROCESSING NOTIFICATION This notification shall be submitted in person or by certified mail, with return receipt requested I . FACILITY INFORMATION FACILITY NAME : EPA ID NUMBER: Chrisp Company CAL000299414 LOCATION/MAILING ADDRESS : FACILITY PHONE NO : 1001 Stokes Ave . (209 ) 948-2175 CITY: ZIP CODE: Stockton 952154023 FACILITY CONTACT NAME: CONTACT PHONE NO: Edison Eisho (209 ) 948-3038 II . PROCESS DESCRIPTION TYPE OF AEROSOL CANS : Down spray traffic paint marking paint . ESTIMATED VOLUMES OR QUANTITIES TO BE PROCESSED MONTHLY: 200 aerosol spray cans per month . -orn TREATMENT PROCESS OR PROCESSES DESCRIPTION : Q Pucnture aerosol can in Newstripe AeroVent Standard ( product manual and Stc* and VpercAlMb Procedure [SOP] are attached to this document . rn orn EQUIPMENT DESCRIPTION : Newstri e AeroVent 1X Single Aerosol Can Disposal System . v o EQUIPMENT DESIGN CAPACITIES : One ( 1 ) aerosol can at a time . III . HAZARDOUS WASTE TREATMENT RESIDUALS DESCRIPTION OF THE CHARACTERISTICS OF HAZARDOUS TREATMENT RESIDUALS : The Safety Data Sheet (SDS ) for Aervoe Professional Choice Tree Marking Paint used for down spray aerosol cans is attached to this doucment . DESCRIPTION OF MANAGEMENT OF ANY HAZARDOUS TREATMENT RESIDUALS: Aerosol cans are punctured which drains into a 55-gallon steel drum labeled with the proper hazardous Waste label and filled out properly IV . CERTIFICATION I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted . Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information , the information submitted is , to be the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information , including the possibility of fine and imprisonment for knowing violations. SIGN*. DATE : �yy� 09/25/2019 NAME OF PERSON SIGNING CERTIFICATION (PRI ): TITLE: William Buckman Safety Director 'Note : Per the CA Code of Regulations, Title 22, section 66270. 11 , this notification must be signed as follows : • For a corporation: by a responsible corporate officer, e.g . president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function , or any other person authorized to perform similar policy or decision-making functions , which govern the operation of the regulated facility, for the corporation . • For a partnership or sole proprietorship: by a general partner or the proprietor, respectively • For a municipality, State, Federal , or other public agency: by either a principal executive officer or ranking elected official . For purposes of this section , a principal executive officer of a Federal agency includes: the chief executive officer of the agency, or a senior executive officer having responsibility for the overall operations of a principal geographic unit of thea enc e. . , Regional Administrators of USEPA .