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performance of postclosure or any other modification or afteration of an obligation of the operatoruo rsuant to Title 27, California Code of Regulations. <br />Division 2, Subdivision 1. <br />10. Guarantor agrees to remain bound under this guarantee for so long as Operator must comply with the <br />/app icable financial assurance requirements for the above listedfaali except that Guarantor may cancel this guarantee by sending notice by <br />registered or certified mail to CIWMB. and the Ooerator Such cancellation shall become effective no earlier than 120 days after <br />receipt of such notice by CIWMB and the Operator as evidenced by the return receipts. <br />11. Guarantor agrees that if Operator fails to provide alternate financial assurance as <br />specified in 27 CCR sections 22249.5(e)(2) and (3) and section 22228 after a notice of cancellation by Guarantor is received from Guarantor by CIWMB. <br />and the Operator . Guarantor shall provide such alternate financial assurance in the name of <br />Operator in the amount or the applicable current postciosure and/or corrective action cost estimate. <br />12. Guarantor expressly waives notice of acceptance of this guarantee by CIWMB or the Operator <br />Guarantor also expressly waives notice of amendments or modifications of the oostclosure and/or corrective action plan, and of amendments or <br />modifications of the facility permitts). <br />The parties below cer& that this document is being executed in accordance with the requirements of Title 27, California Code of Regulations, <br />Division 2. Subdivision 1. Chapter 6 section 22249.5. <br />Effective date: <br />Name of Guarantor <br />Authorized Signature of Guarantor <br />Typed or Printed Name of Person 'nin <br />Title of Person Si nin <br />s <br />Signature of Witness or Notary and Seal <br />Enam Statement <br />The Information Practices Act (Caldomia Civil Code Section 1798.171 and the Federal Privacy Act (5 U.S.C. 552a(e)(3)) require that this notice be provided <br />when collectingep rsonal information from individuals._ <br />AGENCY REQUESTING INFORMATION. California Integrated Waste Management Board. <br />UNIT RESPONSIBLE FOR MAINTENANCE OF FORM: Financial Assurances Section, California Integrated Waste Management Board. 8800 Cal Center <br />Drive, Sacramento, CA 95826. Contact the Manager, Financial Assurances Section. at (916► 255-2200. <br />AUTHORITY: Public Resources Code section 43600 at sea. <br />PURPOSE: The information provided will be used to verify adequate financial assurance of solid waste disposalfacilities listed. <br />REQUIREMENT Completion of this form is mandatory. The consequence of not completing this form is denial or revocation of a permit to operate a <br />solid waste disposal facility. <br />OTHER INFORMATION: After review of this document you maybe reguested to provide additional information reagr4ing the acceptag& of this <br />mechanism. <br />ACCESS: Information provided in this form maybe provided to the U.S. Environmental Protection Aggnov. State Attorney General, Air Resources Board. <br />California Deoartment of Toxic Substances Control. Enerav Resources Conservation and Development Commission, Water Resources Control Board. and <br />California Regional Water Quality Control Boards. For more information or ageM to Your recordscontact the California Integrated Waste Management <br />Board. 8800 Cal Center Drive, Sacramento. CA 95826. (916) 255-2200. . <br />CIWMB 113 (61971 <br />