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OPERATOR INFORMATION(For disposal site,if operator is different from land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> ®SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION ®GOVERNMENT AGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX ID#: <br /> (Name): County of_San Joaquin <br /> Department of Public Works, Solid Waste Division 6800-14563 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> Post Office Box 1810 209- 468-3066 <br /> Stockton, California 95201 FAX#: <br /> 209- 468-3078 <br /> E-MAIL ADDRESS: <br /> DReno@sjgov.org <br /> CONTACT PERSON(Print Name): <br /> Desi Reno <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 1810 East Hazelton Avenue, Stockton, California 95205 <br /> Part 9.SIGNATURE BLOCK <br /> Owner. <br /> under'penalty of,petjurythatthe'infatlrrattone)providedfor this application and for any attachments is true and accurate to the•best of,my,kWwiedge and be)ief p. <br /> are that the operator'in#ends to opera#e a solid waste facility at the site specified above pursuant to this application and understand that I,may tre responsibtefor the <br /> s,.._ ,Quid ttje:operatat fail to rriaetappl(rahTe,reztairkmerfEs,_, .r .:�_ , �`° �..`� <br /> A (LA D NER OR AGENT): <br /> PRINTED NAME: . .. <br /> Desi Reno <br /> TITLE: DATE: <br /> Integrated Waste Manager April 2, 2007 <br /> Operator: <br /> I certify under penalty of perjury that,the information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. <br /> SIGN RE( ILI OP TOR OR AGENT): <br /> PRINTED NAME: <br /> Desi Reno <br /> TITLE: DATE: April 2, 2007 <br /> Integrated Waste Manager p <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br />