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Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from land owner,attach lease or other agreemerd) <br /> TYPE OF BUSINESS: <br /> SOLE PROPRIETORSHIP ®PARTNERSHIP XDCORPORATION ❑GOVERNMENT AGENCY <br /> FACILITY OPERATORS) SSN OR TAX ID k <br /> (Name) <br /> Forward, Inc. 941544481 <br /> ADDRESS CITY.STATE..ZIP TELEPHONE 9 <br /> 209.982.4298 <br /> FAX a <br /> 209.982.1009 <br /> 9999 S.Austin Road, Manteca, CA 95336 E MAIL ADDRESS <br /> d(itchfield(&-reoublicservices.com <br /> CONTACT PERSON(Pont Name) <br /> Don Litchfield <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED <br /> 9999 S Austin Road,Manteca,CA 95336 <br /> Part 9.SIGNATURE BLOCK <br /> Owner: <br /> I certify under penally 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 belief I am <br /> aware that the operator intends to operate a solid waste faclflty at the site specified above pursuant to this application and understand that I may be responsible for die site <br /> should the operator fad to meet applicable requirements <br /> SIGNATURE(LAND OWNER OR GENT). <br /> PRINTED NAME <br /> TITLE � DATE <br /> Operator: <br /> I certify under penalty of perjury that the information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. <br /> SIGNATURE(FACILITY OPER&TOR OR AGENT) <br /> PRINTED NAME <br /> TITLE �r^' �^ DATE a I <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification) <br /> Revised JTD pages include Section 2.2,4.6,and 4.7;Shts 1,2,3,4,5,9,10,11,and 13 of 14;Figures 7 and 10;Table 8,and Appendix C <br /> Page 4 <br />