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Orange County DAA PN: R00592-226N <br />C&D Landfill Phase 2 Construction April 2021 <br /> BQS - 4/4 <br />(a) The Business is a <br /> <br />(b) The address of principal place of business is: <br /> <br /> <br /> <br />(c) Phone number <br /> <br />(d) The name of the corporate officers, or partners, or individuals doing business under a trade <br />name, are as follows: <br /> <br /> <br /> <br /> <br /> <br /> _________________________________________________________________________ <br /> <br /> <br />13. Dated at this <br /> <br /> day of 20 . <br /> <br /> <br /> <br /> <br /> <br /> By <br /> <br /> Attest <br /> (Seal) <br />DocuSign Envelope ID: 0844D1D6-E311-4FC5-8B5B-BB1E27A908ED