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ft 96 <br />Part 8. OPERATOR INFORMATION (For dis site, if operator is different from land owner, attach leasever agreement) <br />TYPE OF BUSINESS: <br />FISOLE PROPRIETORSHIP PARTNERSHIP r7CORPORATiON ®GOVERNMENTAGENCY <br />FACILITY OPERATOR(S) <br />(Name): <br />Mike <br />Tracy Material Recovery and Transfer Facility <br />30703 S. MacArthur Drive Tracy CA 95376 <br />ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br />30703 S. MacArthur Drive, Tracy CA 95376 <br />Part 9. SIGNATURE BLOCK <br />SSN OR TAX ID #: <br />#680293953 <br />TELEPHONE #: <br />(209)835-0601 <br />FAX #: <br />(209)835-7729 <br />E-MAIL ADDRESS: <br />miker@tdswm.com <br />CONTACT PERSON (Print Name): <br />Mike Repetto <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 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 applicable requirements. <br />SIGNATURE (LAND OWNW OR <br />PRINTED NAME: <br />Mike Repetto <br />TITLE: Director 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 />SIGNATURE (FACILITY QPZRATOR OR AGENT): <br />PRINTED NAME: <br />Mike Repetto /// <br />TITLE: Director DATE: <br />�� /� <br />Part 10. OTHER (Attach additional sheets to explain any responses that need clarification). <br />Page 4 <br />