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45 -DAY OWNER OR OPERATOR TRANSFER N CE Information Required on Notification f Change of Owner or Operator at a Solid Ste Facility (PRC, Section 44005 )caner Transfer. ® Operator Transfer: ® (check one or both) -acility Name: French Camp Landfill SWIS #: ' 39 -AA -0002 Address/Location: 3335 Manthey Road Stockton CA 95206 Phone Number: None ew Operator: Forward, Inc. Mailing Address: P.O. Box 6336 Stockton CA 95206 Attn: Kevin Basso Phone Number: ( 209) 466-5192 New Land Owner: Forward, Inc. Mailing Address: P.O. Box 6336 Stockton CA 95206 Attn: Kevin Basso Phone Number: ( 209) 466-5192 Date of Anticipated Transfer: 3/31/00 or when sale closes Operation Information: (Complete if facility is a solid waste landfill) 1.Submitted Closure & Postclosure Maintenance Plan (C&PMP): Preliminary 6/94 Final Approval Date for Revised C & PMP (per Title 14, CCR, Section 18276): 12/5/94 Approval Date of Amended Financial Assurances Demonstration: Financial Assurances (per Title 14, CCR, Article 3.5): pending Operating Liability (per Title 14, CCR, Article 3.3): pending of Facility Information (RFI) Governing Current Design & Operation: Date: 2/93 ERTIFICATION: I hereby certify under the penalty of perjury that the information provided is true and correct to the best of my knowledge and belief. Furthermore, I hereby certify that I assume entirely, the facility design and operations described in the current RFI; that there will be no physical changes above and beyond what is described in the RFI; and that the facility will be operated in compliance with the terms and conditions of the approved permit and all other applicable requirements. Signature of Land Owner. Date: Signature of Operator.5,�= Date: �y Completion of this form is not required by regulation. It will provide the CIWMB and EA with the information required by PRC, Section 44005.