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Part 8. OPERATOR INFORMATION (For disposal site, If operator Is different from land owner, allach lease or other agreement) <br />TYPE OF BUSINESS. <br />❑SOLE PROPRIETORSH. P PARTNERSHIP <br />FACILITY OPERATOR(SI <br />)Name): <br />Forward, Inc. <br />ADDRESS. CITY. STATE ZAP <br />9999 S. Austin Road, Manteca, CA 95336 <br />ADDRESS WHERE LEGAL NOTICE MAY BE SERVED <br />9999 S. Austin Road, Manteca, CA 95336 <br />Part 9. SIGNATURE BLOCK <br />EX CORPORATION ❑GOVERNMENT AGENCY <br />SSH OR TAX t0 N <br />941544481 <br />TELEPHONEN <br />209-982-4298 <br />FAX N. <br />209-982-1009 <br />&MA L —ADDRESS— <br />EFanning@republicservices.com <br />ONTA T PERSON (Pnnl Name: <br />Erin Fanning <br />Owner: <br />I cerlily under penalty of perfury, that the informal!on I provided for the application and for any attachments is true and accurate to the besl of my knowledge and belief I <br />am aware that the operator intends to operate a solid waste facility at the site specibed above pursuant to this appl cation and understand that 1 may be responsible for the <br />Kevin Basso <br />PRINTED NAME <br />General Manager <br />TITLE: DATE <br />Operator: <br />under peIpWf61 penury baMe information contained in this application and all attachments are true and accurate to the best of my knowledge and belief - <br />OPERATOR OR AGENT) <br />Kevin Basso <br />PRINTED NAME <br />DATE <br />AM <br />■ne ■ <br />Part 10.OTHER (Attach additional sheels to explain any responses that need clarification). <br />Page 4 <br />