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9 <br /> e r, <br /> Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from landowner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> SOLE PROPRIETORSHIP PARTNERSHIP ❑✓CORPORATION GOVERNMENT AGENCY <br /> FACILITYOPERATOR(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)9824298 <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 opergleMil to meet applicable requirements. <br /> SIG URE(LAND OWNER AGENT): <br /> J62-1-1'2 &\5Sd <br /> PRINTED NAME: �f ? <br /> TITLE: DATE: <br /> Operator: <br /> I certify under penalty of peqE that the information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. <br /> SIGNATURE(FACILITY OPERATOR OR AGENT): <br /> Laa <br /> PRINTED NAME: / <br /> TRLE: DATE: <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br />