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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 />®SOLE PROPRIETORSHIP ®PARTNERSHIP ®CORPORATIONXā¯‘GOVERNMENTAGENCY <br />FACILITY OPERATOR(S) <br />SSN OR TAX ID #: <br />(Name): <br />6800-14563 <br />San Joaquin County Department of Public Works -Solid Waste Division <br />ADDRESS, CITY, STATE, ZIP <br />TELEPHONE #: <br />1810 East Hazelton Ave, Stockton Ca 95205 <br />(209) 468-3066 <br />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 AVE., STOCKTON, CA 95205 <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 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 />SIGNATOR N AGENT): <br />PRINTED NAME: <br />Desi Reno <br />TITLE: <br />DATE: I / <br />Integrated Waste Manager f/d <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 />OR AGENT): <br />PRINTED NAME: <br />Desi Reno <br />TITLE: Integrated Waste Manager DATE: <br />Part 10. OTHER (Attach additional sheets to explain any responses that need clarification). <br />Page 4 <br />