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ATTACHMENT A TO ORDER NO. RS-2018-0017 <br /> CALIFORNIA REGIONAL WATER QUALITY CONTROL BOARD 4P1,Or c""Oqa <br /> CENTRAL VALLEY REGION a -a <br /> Sacramento Office: Fresno Once: Redding Office:11020 3 O <br /> Rancho un CenteCordo", <br /> O 95600 16115no,CA 9t 364 xnoil CA 6002 Suite 205 <br /> Rancho CoNova,CA 95670 Fresno,CA 93706 Redding,CA 96002 $�-r <br /> ky <br /> ode <br /> NOTICE OF INTENT °" <br /> TO COMPLY WITH <br /> CONDITIONAL WAIVER OF WASTE DISCHARGE REQUIREMENTS <br /> FOR DISASTER-RELATED WASTES DURING A STATE OF EMERGENCY <br /> WITHIN THE CENTRAL VALLEY REGION <br /> I. PROPERTY/FACILITY INFORMATION <br /> Property/Facility Name: Forward Landfill <br /> Property/Facility Contact: Kevin Basso <br /> Property/FacilityAddress: 9999 S Austin Rd <br /> city: Manteca County: an Joaquin state: CA zip: 95336 <br /> Telephone: 209-982-4298 Fax: 209-982-1009 Email: kbasso@republicsemices.com <br /> Assessor Parcel Number(s): tai-159-07,181-150-06,151-150-10,201-060-01.201-060oz.201-060-03.201-060-04.201-070-01 <br /> II. PROPERTY/FACILITY OWNER INFORMATION <br /> Property/Facility Owner Name: Forward, Inc. <br /> Property/Facility Owner Mailing Address: 1145 W Charter Way <br /> city: tockton County: San Joaquin state: CA zip: 95206 <br /> Telephone: 209-982-4298Fax: 209-982-1009 Email: kbasso@republicservIws.com <br /> III. PROPERT WFACILITY OPERATOR INFORMATION <br /> Property/Facility Operator Name: Forward, Inc. <br /> Mailing Address: 1145 W Charter Way <br /> City: tockton county: San Joaquin state: CA zip: 95206 <br /> Telephone: 209-982-4298 Fax: 209-982-1009 Email: kbasso@republicservices.com <br /> IV. DESCRIPTION OF DISCHARGE <br /> Describe the discharge(i.e., source(s)of discharge, pollutants of concem,period and frequency, etc.). <br /> Use additional pagesas needed. Provide a map of the propertyllacility. <br /> Forward Land ill may receive diiisaster related and mass mortality wastes from the recent fires. <br /> Wastes will be accepted during normal operating hours in the near future and will be <br /> terminated in accordance with Section A.3 of R -2018-0017. Please see attached letter for <br /> additional information and Attachment B for a site map of Forward Landfill. <br /> Page 7 of 2 <br />