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Part & OPERATOR INFORMATION (For dispos0, if operator is different from land owner, attach lease C&r agreement) Now TYPE OF BUSINESS: 11 SOLE PROPRIETORSHIP ® PARTNERSHIP ® CORPORATION IMEF El GOVERNMENTAGENCY FACILITY OPERATOR(S) (Name): Foothill Sanitary Landfill, Inc. SSN OR TAX ID #: ADDRESS, CITY, STATE, ZIP 939 West Charter Way, Stockton, CA 95206 TELEPHONE #: (209) 465-5883 FAX #: (209)465-3956 E-MAIL ADDRESS: n m Ics acbell.net CONTACT PERSON (Print Name): Dante Nomellini Jr. ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: Part 9. SIGNATURE BLOCK Owner: 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 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 should the operator fail to meet applicable requirements. SIGNATURE (LAND OWNER OR AGENT): PRINTED NAME: Desi Reno TITLE: Integrated Waste Manager Lessee: DATE: 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 aware that the operator intends to operate a solid waste facility at the site specified above pursuant to this application. SIGNATURE (LESSEE): PRINTED NAME: TITLE: Operator: DATE: I certify under ty of pe '± that the information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. = A � SIGNATURE (FACILITY OPERATOR OR AGENT): Desi Reno PRINTED NAME: Integrated Waste Manager TITLE: DATE: Part 10. OTHER (Attach additional sheets to explain any responses that need clarification). Page 4