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*REPUBLIC <br /> SERVICES, INC <br /> FAX RECEIVE- D <br /> DEC 19 2016 <br /> lam:X16 <br /> From: <br /> ENVIRONMENTAL HEALTH <br /> flax Z 2094 -113�57 a Morena TO:Amanda Lithe DEPARTMENT <br /> email:Pobllcservlcas.com orcm4Company:he&VkonmftW Services <br /> FWeraail:(661)393»3834 <br /> Re: Waste Approval 4204165750 <br /> Important; "Service Agreement Attached" <br /> Please Read This D02I menti <br /> We aro plassed to inform you that waste profie 4213418S750 has been approved to FORWARD LANDFILL for disposal. <br /> This Is a two ,page doauwam. Pieria.�Y review the att &Fed Spa I�IVaate Sery Apreernent as well as the <br /> terms and cx Wftions on pale 2. <br /> Please follow the Instructions below prior to scheduling and shipping material to <br /> the landfill: <br /> • Sign and date the Service Agreement in the space provided in the lower bottom left,comer of <br /> tim Service Agreement. <br /> • InftW and date the terms and conditions page in the lower left comer of to page- <br /> • Retum the service agreement via email to the sender or Fax to: 209-466-1037. <br /> • Failure to return properly executed documents in a timely manner could delay our ability to <br /> provide you wfth excellent service. <br /> Sch2dilli "g Ihipm2ft& Mon-H&Urdoj, illus : <br /> • Please schedule large quantity shipments 24 to 48 flours In advance. <br /> • Each load mut be accompanied by a &ned MA Oaied Republic Services Non-Hazardous <br /> Waste Manifest. <br /> • Republic Services will pre-print and supply manifests to you. <br /> • If you have not received a manifest, please request manifests for your project by contacting <br /> Patricia Moreno at 800-204-4242 or via email: pmorenoCrepublicservices,com <br /> • A°fret'signature and shipment date is rewired by the authorized signatory on each manifest. <br /> • Any loads that arrive without a wet signature or the proper documentation will be resected. <br /> Please call your representative with any guW!ons concerns. Thank you for your business! <br />