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Update:December2019 <br /> <br />THIRD PARTY AUTHORIZATION <br />for Special Waste Disposal <br />Date: ___________________ <br />This Authorization is only valid <br />for 3 years from the above date. <br />To Whom it May Concern: <br />Please be advised that the following company/ individual has been appointed to work as our <br />agent for purposes of managing waste materials that we generate. <br />Name of Authorized Agent: (FCE PM) Title: <br />Project Manager <br />Name of Company: <br />First Call Environmental, LLC. <br />Telephone Number: <br />800-646-1290 <br />The above broker/individual is authorized to act as our authorized agent for the following <br />purposes: <br />9 Complete and sign Special Waste Profile. <br />9 Complete and sign Special Waste Profile- Recertification. <br />9 Authorize amendments to Special Waste Profile. <br />9 Sign Contracts to dispose and/or transport material. <br />9 Sign Certifications necessary to comply with landfill requirements. <br />9 Sign manifests to initiate shipment to disposal facilities. <br />Our authorized agent will notify us prior to any action stated above, and will provide us with <br />copies of any documents bearing our name. <br />Name of Company Mailing Address <br />Generator Contact (Print Name) Title <br />Signature Telephone Number <br />12/11/24 <br />Orange County, NC 300 West Tryon St., Hillsborough, NC 27278 <br />W. Kirby Saunders Director of Emergency Services <br />919-245-6123 <br />Docusign Envelope ID: 76E6B9B7-1C69-49DA-B222-E031D8127002