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Pati 8. OPERATOR INFORMATION (For disposal site, if operator is different from land owner, attach lease or other agreement) <br />TYPE OF BUSINESS: <br />0SOLE PROPRIETORSHIP El 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 />SIGNATURE (LAND OWNER OR AGENT): <br />Kevin Basso <br />PRINTED NAME: S v <br />General Manager <br />TITLE: DATE: <br />Operator: <br />1 certify under penalty 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 />OR AGENT): <br />Kevin Basso <br />PRINTED NAME: <br />General Manager <br />G e/ <br />TITLE: <br />DATE: <br />Part 10. OTHER (Attach additional sheets to explain any responses that need clarification). <br />Page 4 <br />