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oylo1Lt977 10:.1b Vlb-373-1172 WALTON ENGINEERING PAGE eS <br /> 06/29/2907 12:45 916-111111w WALTON ENGINES! ; PAGE U2 <br /> v <br /> THIRD PARTY SIGNATURE AUTHORIZATION <br /> for Solid Waste Disposal <br /> Nw: <br /> To Whom It May CfmccM: <br /> Please be a6.0ed that the follow ng company/indlvidnal hos been appointed to work as our agerix for purposes of <br /> roM9'n9wasta materials that we MAY gonerara <br /> 2NM0:01A,*t3tWFA1'pgnt _ Title <br /> � c / <br /> oaz'ttnba <br /> The above IT'okorAbdit7dual is authorized to act w our authorized agar fbr the following purposes, <br /> Q COrnplete and sign Generator Waste Profile Sheets. <br /> O Complete aad siMl Generator Warta Profile Sheet-RecerdfleaE ow, <br /> Q Authorize amendments to Generator Wtmate Profile Shoots, <br /> Q Sign corttrace to dfapeae and/or transport material. <br /> Sig wrliifioations neceasarY to c=PTY mft landfill requirements. <br /> ❑ Sign manifests to initiate shipment to disposal facilities. <br /> our dr+u�auditNize brehig eel"g t will"061!V us prior to any actiou stated above_, nod velli provide us with,rnpies of my <br /> 1Vmne arOsacaun(pr <br /> !✓ .� d 7•tk <br /> me <br /> arF <br /> 9il=am TalepFoxNuts m .d74 Tjr! <br />