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Part 8. OPERATOR INFORMATION (For disposal site, if operator is different from land owner, attach lease or other agreement) <br />TYPE OF BUSINESS: <br />FISOLE PROPRIETORSHIP F]PARTNERSHIP DCORPORATION 191 GOVERNMENT AGENCY <br />FACILITY OPERATOR(S) <br />(Name): <br />San Joaquin County, Public Works Department, Solid Waste Division <br />San Joaquin County <br />Department of Public Works <br />Attention Solid Waste Division <br />1810 East Hazelton Ave. <br />Stockton CA 95205 <br />ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br />1810 East Hazelton Way, Stockton CA <br />Part 9. SIGNATURE BLOCK <br />SSN OR TAX ID #: 6800-14563 <br />TELEPHONE #: <br />209-468-3066 (Solid Waste Dil <br />209-468-3078 1 <br />E-MAIL ADDRESS: <br />Solid Waste Division <br />W. Michael Carroll <br />Owner: <br />I certify under penalty of perjury that the information I provided for this application and for any attachments is true and accurate to the best of my knowledge and belief. I am <br />aware that the operator intends to operate a solid waste facility at the site specified above pursuant to this application and understand that I may be responsible for the site <br />should the operator fail to meet applicable requirements. <br />SIGNATURE (LAND OWNER OR AGENT): <br />PRINTED NAME: DesiReno <br />TITLE: Integrated Waste Manager <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 />SIGNATURE (kACILIT7"0NrK0R OR AGENT): <br />PRINTED NAME: DesiReno <br />SAME AS ABOVE <br />TITLE: Integrated Waste Manager DATE: <br />Part 10. OTHER (Attach additional sheets to explain any responses that need clarification). <br />Page 4 <br />