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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 D✓CORPORATION GOVERNMENT AGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX ID#: <br /> (Name): County of Orange 941544481 <br /> ADDRESS,CITY,STATE,ZIP: 9999 S.Austin Road,Manteca,CA 95336 TELEPHONE#:(209)982-4298 <br /> FAX#: <br /> E-MAIL ADDRESS: <br /> CONTACT PERSON(Print Name): <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 9999 S.Austin Road,Manteca,CA 95336 <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 <br /> 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 <br /> responsible for the site hould the operaterlail to meet applicable requirements. <br /> i <br /> SIGVJ <br /> �URE(LAND OWNER AGENT): <br /> PRINTED NAME: /f ! <br /> TITLE: V <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 /> --� ' ice--_ <br /> SIGNATURE(FACILITY OPERATOR OR AGENT): <br /> e01.� <br /> PRINTED NAME: <br /> 6r l? , <br /> TITLE: DATE: <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br />