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�- REPUBLIC <br /> SERVICES, INC. <br /> FAX <br /> Date:03/03/15 <br /> From: Patricia Moreno TO: Colin Kelley <br /> Fax: 209466-1067 Company:George W.Lowry I c. <br /> Email:pmoreno@republieservices.com Fax/email: , 1 /l��r ,p— <br /> Re: Waste Approval 4204153365 �/ IV. V11.._. <br /> Important: **Service Agreement Attached** APR 0 S 2015 <br /> ENVIRONMENTAL <br /> Please Read This Document! HEALTH f)FPggTMFNT <br /> We are pleased to inform you that waste profile 4204153365 has been approved to FORWARD LANDFILL for disposal. <br /> s is a two page document. Please carefully review the attached Special Waste Service Agreement as well as the <br /> Cws and conditions on page 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 corner of <br /> the Service Agreement. <br /> • Initial and date the terms and conditions page in the lower left corner of the page. <br /> Return the service agreement via email to the sender or Fax to: 209-466-9067. <br /> Failure to return properly executed documents in a timely manner could delay our ability to <br /> provide you with excellent service. <br /> SchDdulina Shipments & Non-Hazardous Waste Manifests: <br /> • Please schedule large quantity shipments 24 to 48 hours in advance. <br /> • Each load must be accompanied by a signed and datedRepublic 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: pmoreno@republicservices,com <br /> • A"wet' signature and shipment date is required by the authorized signatory on each manifest. <br /> Any loads that arrive without a wet signature or the proper documentation will be rejected. <br /> Please call your representative with any questions concerns. Thank you for your business! <br />