Laserfiche WebLink
TYPE OF BUSINESS: <br />11 SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION <br />F1 GOVERNMENT AGENCY <br />FACILITY OPERATOR(S) <br />SSN OR TAX to t <br />(Name): USA Waste of California Inc. dba Central Valley Waste Services <br />68-0306154 <br />ADDRESS, CITY, STATE, ZIP <br />TELEPHONE IT: <br />1333 East Turner Road, P.O. Box 241001, Lodi, CA 95241 <br />209-333-56" <br />FAX P. <br />E-MAIL ADDRESS: ogineda(5)wrn.co <br />CONTACT PERSON (Print Name): <br />,Gilbert Pineda <br />ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br />1333 East Turner Road, P.O. Box 241001, Lodi, CA 95241 <br />Part 9. SIGNKIVRE BLOCK <br />Owner: <br />I certify under penalty of pequry 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. <br />Gilbert Pineda <br />TITLE: District Manager <br />DATE, 6/6/2017 <br />Lessee: <br />aware that the operator Intends to operate a solid waste facility at the site specified above pursuant to this application. <br />SIGMTURE (LESSEE): <br />PRINTED NAME: <br />TITLE: <br />DATE: <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 />PRINTED NAME: <br />Gilbert Pineda <br />TITLE: District Manager DATE. 6/6/2017 <br />Part 10. OTHER (Attach additional sheets to explain any responses that need clarification). <br />Page 4 <br />