COMPLIANCE INFO_1997-2000 - Laserfiche WebLink

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45-DAOWNER OR OPERATOR TRANSFER N ,E Information Required on Notification fora Change of Owner or Operator at a Solid Waste Facility(PRC, Section 44005) Owner Transfer: Operator Transfer: ® (check one or both) Facility Name: Austin Road Landfill SWIS#: 39-AA-0001 Address/Location: 9069 S. Austin Road Stockton CA 95215 Phone Number: None New Operator: Forward, Inc. New Land Owner: Forward, Inc. Mailing Address: Mailing Address: P.O. Box 6336 P.O. Box 6336 Stockton CA 95206 Stockton CA 95206 Phone Number: (209) 466-5192 Phone Number: (209) 466-5192 Date of Anticipated Transfer:. 3/31/00 or when sale closes Operation Information: (Complete if facility is a solid waste landfill) 1.Submitted Closure& Postclosure Maintenance Plan (C&PMP): Preliminary g g 95 Final Approval Date for Revised C& PMP (per Title 14, CCR, Section 18276): 9/27/96 2. Approval Date of Amended Financial Assurances Demonstration: Financial Assurances (per Title 14, CCR, Article 3.5): _pending Operating Liability (per Title 14, CCR,Article 3.3): pending Report of Facility Information (RFI) Governing Current Design & Operation: Date: 11/96, amendments: 6/97, 179T- CERTIFICATION: I hereby certify under the penalty of perjury that the information provided is true and correct to the best of my knowledge and belief. Furthermore, I hereby certify that I assume entirely, the facility design and operations described in the current RFI; that there will be no physical changes above and beyond what is described in the RFI; and that the facility will be operated in compliance with the terms and conditions of the approved permit and all.other app icable requirements. Signature of Land Owner: Date: Signature of Operator: Date: -�� Completion of this form is not required by regulation. It will provide the CIWMB and EA with the information'required by PRC,Section 44005. ' a