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45-DAY OWNER OR OPERATOR TRANSFER NOTICE <br /> Information Required on Notification for a Change of Owner or Operator at a Solid Waste Facility (PRC, Section 44005) <br /> Owner Transfer. ® Operator Transfer. ® (check one or both) <br /> Facility Name: Austin Road Landfill SWIS#: 39-AA-0001 -7d( 44— <br /> Address/Location: <br /> 9069 S. Austin Road <br /> Stockton CA 95215 <br /> Phone Number None <br /> New Operator. Forward, Inc. New Land Owner: Forward, Inc. <br /> Mailing Address: Mailing Address: <br /> P.O. Box 6336 P.O. Box 6336 <br /> Stockton CA 95206 Stockton CA 95206 <br /> i <br /> Phone Number. (209) 466-5192 Phone Number' (209) 466-5192 <br /> Date of Anticipated Transfer.. 3/31/00 or when sale closes <br /> O enation Information: (Complete if facility <br /> p ( p ty is a solid waste landfill) <br /> 1.Submitted Closure& Postclosure Maintenance Plan (C&PMP): Preliminary18/9/951' : FCB 2 2000 <br /> Final - <br /> Approval Date for Revised C & PMP (per Title 14, CCR, Section 18276): <br /> 2.Approval Date of Amended Financial Assurances Demonstration: <br /> Financial Assurances (per Title 14, CCR, Article 3.5): pending <br /> Operating Liability (per Title 14, CCR,Article 3.3): pending <br /> Report of Facility Information (RFI)Governing Current Design & Operation: Dater 11/96, amendments: <br /> /97, 1077T— <br /> CERTIFICATION: <br /> I hereby certify under the penalty of perjury that the information provided is true and correct to the best of <br /> my knowledge and belief. Furthermore, I hereby certify that I assume entirely, the facility design and <br /> operations described in the current RFI; that there will be no physical changes above=and beyond what is <br /> described in the RFI; and that the facility will be operated in compliance with the terms and conditions of <br /> the approved permit and all-o er app icable requirements. <br /> Signature of Land Owner. Date: 0� <br /> Signature of Operator. _ Date: <br /> Completion of this form is not required by regulation. It will provide the CIWMB and EA with the information required by PRC,Section 44005. <br />