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Part 8. OPERATOR INFORMATION (For disposal site, if operator is different from landowner, attach lease or other agreement) <br />TYPE OF BUSINESS: <br />❑SOLE PROPRIETORSHIP ❑PARTNERSHIP ®CORPORATION RX GOVERNMENT <br />FACILITY OPERATOR(S) <br />SSN OR TAX ID #: 6800-14563 <br />(Name): <br />San Joaquin County, Public Works Department, Solid Waste Division <br />ADDRESS, CITY, STATE, ZIP <br />TELEPHONE #: <br />San Joaquin County <br />Department of Public Works <br />209-468-3066 (Solid Waste Division) <br />Attention Solid Waste Division <br />FAX #: <br />1810 East Hazelton Ave. <br />209-468-3078 (Solid Waste Division) <br />Stockton CA 95205 <br />E-MAIL ADDRESS: <br />IW. Michael Carroll <br />ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br />1810 East Hazelton Way, Stockton CA <br />Part 9. SIGNATURE BLOCK <br />'=- <br />SIGNATURE (LAND OW A ENT): <br />� it log <br />PRINTED NAME: DesiReno <br />TITLE: Integrated Waste Manager <br />Operator: <br />SIGNATURE (FA ILITY O)PCATO OR <br />PRINTED NAME: DesiReno <br />SAME AS ABOVE /I flcq <br />TITLE: Integrated Waste Manager DAT : <br />Part 10. OTHER (Attach additional sheets to explain any responses that need clarification) <br />Page 4 <br />