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e <br /> Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> ❑SOLE PROPRIETORSHIP ®PARTNERSHIP CORPORATION ®GOVERNMENT AGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX ID#: <br /> (Name):Forward,Inc. 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: Kevin.Basso@awin.com <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 /> 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 should the operator fail to meet applicable requirements. <br /> SIGN RE(LAND OWN6 OR AGENT): <br /> Kevin Basso <br /> PRINTED NAME: 1 / <br /> General Managers//� raG( ? <br /> TITLE: DATE: <br /> Operator: <br /> I certify under ppalty 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 /> S ATURE(FA ITY OPERATOR OR AGENT): <br /> Kevin Basso <br /> PRINTED NAME: <br /> General Manager 1 4� a <br /> TITLE: DATE;/ <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br /> s <br />