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Part 8. OPERATOR INFORMATION (For disposal s it e ,if operat or isdifferentfrom l and owner,a ttach l ease orother agreement) T Y P EE O FF B U S I N E S S :: S O L EE P R O P R I E T O R S HIPP P A R T N E R S HIPP C O R P O R A T I O NN G O V E R N M E N TT A G E N C YY F A C IL IT Y O P E R A T O R (S) (N a m e ):: S S N O R T A X ID #: A D D R E S S ,C I T Y ,S T A T E ,ZIP T E L E P H O N E #: F A XX #:: E -M A ILL A D D R E S S : C O N T A C TT P E R S O NN (P r i n t N a m e ):: A D D R E S SS W H E R EE L E G A LL N O T I C EE M A YY B EE S E R V E D :: Part 9. SIGNATURE BLOCK Owner: Icertif y under penal tyof perjury thatthe i nformation I provided for th isapplicati on and for any attachment s i s true and accurat e t o t he best of my knowl edge and belie f.Iam aware thatthe operator i nt ends t ooperat easolidwaste f acilityatthe sit especifi ed above pursuantto th isapplication and underst and t hat I may be responsi bl e for the sit e should the operat or f a il t omeet applicabl erequirement s . S I G N A T U R E (L A N D O W N E R O R A G E N T): P R I N T E D N A M E : TTIT L E :D A T E :: Lessee: Icertif y under penal tyof perjury thatthe i nformation I provided for th isapplicati on and for any attachment s i s true and accurat e t o t he best of my knowl edge and belie f.Iam aware thatthe operator i nt ends t ooperat easolidwaste f acilityatthe sit especifi ed above pursuantto th isapplication. S I G N A T U R E (L E S S E E ): P R I N T E D N A M E : TTIT L E :D A T E :: Operator: Icertif y under penal tyof perjury thatthe i nformation cont a ined i n t hi sapplication and all a ttachment saretrue and accurat e to the best o f my knowl edge and belie f. S I G N A T U R E (F A C IL I T Y O P E R A T O R O R A G E N T):: P R I N T E D N A M E : TIT L E :: D A T E :: Part 10. OTHER (Attach additi onal sheet s toexpla inanyresponsesthat need cl arificati on). Page 4 I G N A T UUUUUUUUUUUUUUUUUUUUU R E (L A N D O W N EEEEEEEEEEEEEEEEEEEEEEEEEEEE RRRRRRRRRRRRR O R A G E N T): R I N TTTTTTTTTTTTTTTTT EEEEE D N A M E : IT L E : Lessee: c e rtif y u n d e r p e n a l ty o f p e rjury th a t th e i nfo w a r e th a t t h e o p e r a tor i nt e n d s t o o p e r a t e a I G N A T U R E (L E S S E E ): R I N T E D N A M E : IT L E : Operator: c e rtif y u n d e r p e n a l ty o f p e rjury th a t th e i nfo I G N AAAAAAAAAAAA TTTTTTTTTTTTTTTTTTTTTT UUUUUUUUUUU R E (F A C IL I T Y OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO P E R A T O R O R A GGGGGG EE N T R I NNNNNNNNNNNNNNNNNNNN T E D N A M E : ✔ County of San Joaquin, Public Works Department 946000531 San Joaquin County Department of Public Works Attention: Solid Waste Division 1810 East Hazelton Ave. Stockton, CA 95205 2094683066 2094683078 mhoughton@sjgov.org Mark Houghton San Joaquin County Public Works (Solid Waste Division) Bryce Howard Integrated Waste Manager 12/04/2025 Bryce Howard Integrated Waste Manager 12/04/2025