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Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from landowner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> OSOLE PROPRIETORSHIP OPARTNERSHIP ®CORPORATION FIGOVERNMENTAGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX ID P. <br /> (Name): <br /> ff y P0 Aj 9-K Co ie P0 Je r-"r-ri OAJ <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE 0- <br /> 009 - e)07_ 38 4 S- <br /> FLON1 lZcl FAX 0: <br /> L I f'j CV 0 1,3 1 CA 9523G Z-09 - 9 07- 383 t) <br /> E-MAIL ADDRESS: <br /> bi-e-nt. b o(,t0,\J 9 Scv-trS- Cd 4.'A <br /> CONTACT PERSON(Print Name): <br /> 6 LT6 AJ <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 23390 FL 4 Od d L c A 9 s- 3 <br /> Part 9.SIGNATURE BLOCK <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 <br /> am 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 <br /> site should the operator fail to�a licable requirements. <br /> SIGNATURE(LAND OWNER OR AGENT): <br /> —0 (-&�-t L-T-,-tJ <br /> PRINTED NAME: <br /> I-jew,1 6 7 <br /> Z-A 0� rKA tQ 14 C-SE�1L- �z <br /> TITLE: DATE: <br /> Operator: <br /> I certify gg&ggalty of peju�that the Information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. <br /> SIGNATURE(FACILITY OPERATOR OR AGENT): <br /> PRINTED NAME: <br /> 10, <br /> 1 r1AA Li c�r— ZZ2 la 7 <br /> TITLE: ( DAYE. <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need Clarification). <br /> A7rqcdIzFj docum �T,5 FOR Ai77'(1OF A-4dMioAlA L A-CXICVtTLJX,+1- W&STF <br /> A L 50, A-ArAL-\1"Ti c-AL- P-f7sut7s r-(:vQ pl+p,5-x r-t1,jE-1P <br /> Page 4 <br />