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Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> EISOLE PROPRIETORSHIP ®PARTNERSHIP ECORPORATION ❑GOVERNMENT AGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX to#: <br /> (Name); <br /> Forward, Inc. 941544481 <br /> ADDRESS,CITY.STATE,ZIP TELEPHONE#' <br /> 209-982-4298 <br /> FAX#: <br /> 209-982-1009 <br /> 9999 S. Austin Road, Manteca, CA 95336 E-MAIL ADDRESS: <br /> EFanning@republicservices.com <br /> CONTACT PERSON(Print Name): <br /> Erin Fanning <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 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 belief. I <br /> 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 responsible for the <br /> site should the operator fail to meet 2enable requirements. <br /> SIGNAT�W(LAND OWNER'OR AGENT): <br /> Kevin Basso <br /> PRINTED NAME: <br /> General Manager 3 <br /> TITLE: DATE: <br /> Operator' <br /> I certify under penffiWIO peque information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. <br /> SlpN' JRE(FACT OPERATOR OR AGENTI <br /> Kevin Basso <br /> PRINTED NAME: <br /> General Manager <br /> TITLE: DATE! <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br />