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AMACHME+T "C" <br /> DECLARATION <br /> Before The: STATE SOLID WASTE <br /> MANAGEMENT BOARD <br /> Solid Waste Facility Permit <br /> No. 39-AA-002 <br /> Declaration of Exemption From <br /> Surcharge Pursuant to California <br /> Government Code Section 66796.22 <br /> I, the undersigned, say: <br /> 1. I am the operator of the following named solid waste <br /> operator/owner <br /> disposal site: French Camp disposal site <br /> Address: 1465 South Lincoln Street <br /> City, County: Stockton, San Joaquin zip: 95206 <br /> Telephone: 944-8420 <br /> 2. - I hereby certify that I am eligible .for an exemption from the surcharge imposed <br /> by Government Code section 66796.22 because I have satisfied and will continue <br /> to satisfy at least one of the requirements of subdivision (c) of section 66796.22, <br /> as indicated: <br /> t_�__.ia. (All) (Part of) the solid wastes disposed of at the above-mentioned <br /> solid waste disposal site cannot be practically or economically disposed <br /> of other than by burial at a solid waste disposal site. (Government <br /> Code section 66796.22 (c) (1) ) <br /> Comments: <br /> b. (All) (Part of) the solid wastes disposed of at the above named disposal <br /> site are disposed of by persons who engage in practical and economical <br /> separation prior to final disposal in a manner which minimizes the amount <br /> of wastes disposed of by burial. (Government Code section 66796.22 (c) <br /> (2) ) <br /> Comments: <br /> 3. I will inform the Executive Officer of the State Solid Waste Management Board in <br /> the event the conditions qualifying the above exemption change. I understand that <br /> if I no longer am satisfying the requirements of Government Code section 66796.22 <br /> (c) I shall be required to pay the surcharge. <br /> 4'. I certify that I will make available upon request during normal work hours all <br /> records which document and authenticate any exemption granted under provision 2. <br /> �• On January 19 1979 , declarant requests from the State Solid Waste Management <br /> Board an exemption from surcharge pursuant to Government Code section 66796.22. <br /> 6. Under penalty of revocation of such exemption I attest that all above statements, <br /> claims and information are true and correct. <br /> ROBERT F. THORESON <br /> DIRECTOR OF PUBLIC WORKS <br /> CITY OF STOCKTON <br /> SWMB Form 9 Typed Name Owner/Operator Signature <br />