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Part 6.OPERATOR INFORMATION(For disposal site,if operator Is different iron land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> OSOLE PROPRIETORSHIP EIPARTNERSHIP EJCORP0RATIO?q EIGOVERNMENT AGENCY <br /> FACILITY OPERATOR(S' ISSN OR TAX to 0 <br /> fNarne): <br /> Forward, Inc. 941544481 <br /> ADDRESS..CITY.STATE ZIP TELEPHONE 0 <br /> 209-982-4298 <br /> 209-982-1009 <br /> 9999 S. Austin Road, Manteca, CA 95336 T`KIA L ADDRESS <br /> E f:anning @ repuMcsfervices.com <br /> --6-PJTATPE-,S N(PriNN;,re <br /> Erin Fanning <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED. <br /> 9999 S.Austin Road, Manteca,CA 95335 <br /> Part 9. SIGNATURE BLOCK <br /> Owner: <br /> I cerfly under panafly of perjury that the informallon I provided for this application and for any attachments is true and accurate to the best of my knowledge and belief I <br /> err,aviare that the operator intends jo operate a solid waste facility at the site specified above pursuant to this appl cation and unde,sland that I may be.responsible for the <br /> site should the operator fail to meet p-platrtaNa requirements <br /> S1(',NAT UW(I-AND C"VIRO R AGENTI <br /> Kevin Basso <br /> PRINTED NAME: <br /> Genera Manager <br /> TITLE: DATE <br /> Operator: <br /> I certify under p0na4,-51'pqqury_t!�a<, ne Information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. <br /> . <br /> SIGN A.PJPE(FACE W<OnERATOR OR AGEN7i <br /> Kevin Basso <br /> PRINTED NMIF <br /> Genejra Manager .. <br /> TITLE DATE <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need claniication) <br /> Page 4 <br />