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0 0 <br /> Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> FISOLE PROPRIETORSHIP PARTNERSHIP x❑CORPORATION FIGOVERNMENT AGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX ID N: <br /> (Name): <br /> USA Waste of California dba Central Valley Waste Services 68-0306154 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> P.O.Box 241001,1333 East Turner Road,Lodi,California 95241-9501 209-333-5611 <br /> FAX#: <br /> 209.369-6894 <br /> E-MAIL ADDRESS: <br /> Bwaters(@wm-com <br /> CONTACT PERSON(Print Name): <br /> Brian Waters, District Manager <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> CT Corporation Systems,818 W.7th Street,Los Angeles,CA 90017 <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 <br /> 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 <br /> understand that I may be responsible for the site should the operator fail to meet applicable requirements. <br /> SIGNATURE(LAND OWNER O$AGE <br /> PRINTED NAME: <br /> Brian Waters <br /> TITLE: District Manager 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 <br /> and belief. <br /> SIGNATURE(FACILITY OPER RAGE T): <br /> PRINTED NAME: <br /> Brian Waters <br /> TITLE: District Manager DATE: �� ®G <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br />