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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 />SOLE PROPRIETORSHIP ā¯‘PARTNERSHIP ā¯‘CORPORATION ®GOVERNMENT AGENCY <br />FACILITY OPERATOR(S) <br />(Name): San Joaquin County <br />Department of Public Works, Solid Waste Division <br />Post Office Box 1810 <br />Stockton, California 95201 <br />OR TAX ID # <br />209-468-3066 <br />FAX #: <br />209-468-3078 <br />E-MAIL ADDRESS: <br />Dreno@sjgov.org <br />TACT PERSON (Print Name): <br />si Reno <br />ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br />same as above <br />Part 9. SIGNATURE BLOCK <br />Owner: <br />I certify under penalty'of perjury thatthe information I provided for this application and for any attachments'is true and accurate to the -best of.my knowledge and belief. -,.I <br />am aware that the' operator'intends to operate a "solid waste facility at the site specified above pursuant to this application and understand that hmay be responsible for the <br />site should the operator fail tQmeetapplicable requirements. <br />SIGNAT RE (LA WN R OR NT): <br />PRINTED NAME: . - _........ <br />.Desi Reno <br />TITLE: Integrated Waste Manager DATE: <br />true and accurate to the best of my knowledge and bel <br />SIGNATURE (FACILITY OPERATOR OR AGENT): <br />same as above <br />PRINTED NAME: <br />same as above <br />TITLE: DATE: <br />Part 10. OTHER (Attach additional sheets to explain any responses that need clarification) <br />Page 4 <br />