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Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from landowner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> QSOL.EPROPRIETORSHIP PARTNERSHIP EDCORPORATION 0GOVERNMENTAGENCY <br /> FACILITY OPERATORS) SSN OR TAX ID#: <br /> (Name):Forward,Inc. 941544481 <br /> ADDRESS,CITY,STATE,ZIP: 9999 S.Austin Road,Manteca,CA 95338 TELEPHONE :(209)982-4298 <br /> FAX k: (209)982-1009 <br /> E-MAIL ADDRESS: Kavin.Basso@awin.com <br /> i <br /> CONTACT PERSON(Print Name): <br /> Kevin Basso <br /> ADDRESS MERE LEGAL NOTICE MAY BE SERVED: <br /> 9999 S.Austin Road,Manteca.CA 95338 <br /> Part 9.SIGNATURE BLOCK <br /> Owner: <br /> I certify under penalty of perjury that the information 1 provided for this application andfor any attachments is true'and aecraate to ttte best of my knowledge and <br /> belief. I am aware that the operator intends to operate a solid waste facility at the sitePecifted atwi a pursuant to this application and understand that I may be <br /> responsible for thp site should the operator fail to meet applicable requirements. <br /> SIGURE(LA06 OWNER OR AGENT): <br /> Kevin Basso <br /> PRINTED NAME: J c <br /> General Manager <br /> TITLE: DATE: <br /> Operator: <br /> I certify under pen y of perjury theJoieinformation contained in this application end ail attachments are true and accurate to the best of my knowledge and belief. <br /> SIG E(FACILITY 4AERATOR OR AGENT): - <br /> Kevin Basso <br /> PRINTED NAME: .. <br /> General Manager <br /> TITLE: DATE: <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br />