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i Part 8. OPERATOR INFORMATION (For disposal site, If operator is different from land owner, attach lease or other agreement) TYPE OF BUSINESS: SOLE PROPRIETORSHIP PARTNERSHIP X❑ CORPORATION F] GOVERNMENT AGENCY FACILITY OPERATOR($) SSN OR TAX ID #: (Name): Mike Repetto #680293953 ADDRESS, CITY, STATE, ZIP TELEPHONE #: 30703 S. MacArthur Drive, Tracy, CA 95376 209 835.0601 FAX #: 209) 835-7729 j E-MAIL ADDRESS: miker(DDtdswm . com CONTACT PERSON (Print Name): Mike Repetto ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: 30703 S . MacArthur Drive , Tracy , CA 95376 i Part 9. SIGNATURE BLOCK i Owner: Mike Repetto 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 DOWNER OR AGENT): PRINTED NAME: Mike Repetto TITLE: Director DATE: Lessee: n!a 1 (� 70zlol 3 1 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): I PRINTED NAME: TITLE: DATE: Operator : Mike Repetto i I certify under penalty of peoury that the Information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. SIGNATURE (FACT TY OP TOR OR AGENT): IKZ J�"�"� ~v PRINTED NAME: Mike Repetto TITLE: Director DATE: IDI ;L Z3� Part 10. OTHER (Attach additional sheets to explain any responses that need clarification). Page 4