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' <br />GINNING DATE (1) 1 I. IDENTIFICATION (3) PAGE 1 OFO <br />BUSINESS NAME (4) BUSINESS PHONE (5) <br />Forward Landfill Inc. [T2709)982-4298 <br />SITE ADDRESS (6) <br />CITY <br />DUN & <br />BRADSTREET <br />OPERATOR <br />NAME <br />9999 Austin Rd._ ^ <br />Jtreet No. UlreGtlon atreet ivame oUCCt 1 yNC nyuaiiu iouttc <br />(7) STATE (8) ZIP (9) <br />Manteca CA 95336 <br />(10) SIC CODE (4 DIGIT #).(11) <br />05-618-3791 7538 <br />OPERATOR PHONE (13) <br />It ' <br />OWNER NAME (14) I OWNER PHONE (15) <br />[Allied Waste Ind. <br />OWNER ADDRESS (16) <br />(If different from Entries #6 or #4 1) 15880 N. Greenway -Hyden Loop, Suite 100 <br />CITY (17) STATE (18) ZIP (19) F <br />Scttsdale AZ [785260 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) CONTACT PHONE (21 ) <br />Lawrence Butch Stefani (209) 982-4298 <br />)NTACT ADDRESS (22) <br />tlf different from Entries #b <br />or #41) Street No. 11 Direction Streett Name StreetApt/Iild IL <br />/.Suite <br />T1Pe_. Suite <br />CITY (23) STATE (24)..I 1 ZIP (25)1 <br />NAME (26) <br />Lawrence Butch Stefani <br />TITLE (27) <br />BUSINESS PHONE (28) <br />24-HOUR PHONE (29) <br />(After Business Hours) ' <br />PAGER # (30) F— <br />209)982-4298 <br />ENCY CONTACTS <br />11 NAME (31) l <br />Ruben Ramirez <br />TITLE (32) I <br />Foreman <br />BUSINESS PHONE (33) <br />(209) 982-4298 <br />24-HOUR PHONE <br />-2937 (After Business Hours) L(209) 969-9952 <br />PAGER # (35) <br />ON-SITE EHS (36)® YES NO If yes, and above Threshold Quantities, attach a sheet of paper with a general <br />description of the process and principle equipment. <br />ADDITIONAL LOCALLY COLLECTED INFORMATION (37) . Provide information requested on the back of this form <br />"TAME OF DOCUMENT PREPARER (38) <br />Lawrence Butch Stefani <br />NAME OF OWNER/OPERATOR (39) DATE (40) <br />SJC 12/00 <br />