Laserfiche WebLink
Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from landowner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION 0GOVERNMENTAGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX ID#: <br /> (Name): <br /> Mike Repetto #680293953 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE M <br /> Tracy Material Recovery and Transfer Facility (209)835-0601 <br /> 30703 S.MacArthur Drive Tracy CA 95376 <br /> FAx#: <br /> (209)835-7729 <br /> E-MAIL ADDRESS: <br /> miker@_tdswm.com <br /> CONTACT PERSON(Print Name): <br /> Mike Repetto <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 30703 S.MacArthur Drive,Tracy CA 95376 <br /> Part 9.SIGNATURE BLOCK <br /> Owner: <br /> I certify under penalty of perjury that the information 1 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( NO 0 ER ENT): <br /> PRINTED NAME: <br /> Mike Repetto CC / <br /> TITLE: Director DATE: J/��/ �3 <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 FAC OPE o OR AGENT): <br /> PRINTED NAME: <br /> Mike Repetto s// <br /> TITLE: Director DATE: <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br />