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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 O✓CORPORATION ®GOVERNMENT AGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX 10#: <br /> (Name): Forward,Inc. <br /> 941544481 <br /> ADDRESS,CITY,STATE,ZIP: 9999 S.Austin Road,Manteca,CA 95336 TELEPHONE#:(209)982.4298 <br /> FAX#: (209)982-1009 <br /> E-MAIL ADDRESS: <br /> CONTACT PERSON(Print Name): <br /> Kevin Basso <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 9999 S.Austin Road,Manteca,CA 95336 <br /> m <br /> Part 9.SIGNATURE BLOCK <br /> Owner: <br /> I certify under penalty of perjury that the information i provided for this application and for any attachments is true and accurate to the best of my knowledge and <br /> belief. I am aware that the operator intends to operate a solid waste facility at the site specified above pursuant to this application and understand that i may be <br /> responsible for the site shq&the operator fail ta=et applicable.requirements. <br /> SIG E(LAND OWNER OR AG ): <br /> f.� s® <br /> PRINTED NAME: <br /> .a7C� f o'fes✓! C'.�- ��® "" <br /> TITLE: DATE: <br /> O rator: <br /> I certify under penalty of perjury that the 102n contained in this application and all attachments are true and agate to the best of my knowledge and belief. <br /> SIGN �IACIIIIRATOR OR AGENT): <br /> PRINTED NAME: <br /> TITLE. DATE: <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> ' e <br /> Page 4 <br />