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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 /> EISOLE PROPRIETORSHIP PARTNERSHIP ā¯‘CORPORATION ®GOVERNMENT AGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX ID#: 6800-14563 <br /> (Name): <br /> San Joaquin County,Public Works Department,Solid Waste Division <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> San Joaquin County <br /> Department of Public Works 209-468-3066(Solid Waste Division) <br /> Attention Solid Waste Division FAX#: <br /> 1810 East Hazelton Ave. 209468-3078(Solid Waste Division) <br /> Stockton CA 95205 <br /> E-MAIL ADDRESS: <br /> mcarroll@sjgov.org <br /> CONTACT PERSON(Print Name): <br /> W.Michael Carroll <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 1810 East Hazelton Way,Stockton CA <br /> Part 9. SIGNATURE BLOCK <br /> Owner: <br /> I certify under penalty of perjury that the informations I provided for this application and for any attachments is true and accurate to the best of my knowledge and belief. I am <br /> 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 <br /> should the operator fail to meet applicablerequirements. <br /> SIGNATURE(LAND OWNER OR AGENT): <br /> PRINTED NAME: DesiReno <br /> TITLE: Integrated Waste Manager <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 /> SIGNATURE( CILITY OR OR AGENT): <br /> PRINTED NAME: DesiReno ` <br /> SAME AS ABOVE Z <br /> TITLE: Integrated Waste Manager DATE: <br /> Part 10. OTHER (Attach additional sheets to explain any responses that need clarification). <br /> i <br /> V <br /> t <br /> i <br /> Page 4 <br />