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1 <br /> r I <br /> SECTION E:ASBESTOS <br /> f r� <br /> Indicate containment for asbestos N 1 <br /> ❑ bags ❑ cartons ❑ drums ❑ wrapping <br /> Q other <br /> NOTE Al osbastos must be prepared for transportation to and disposal at the Forward Landfill in accordance with all - <br /> applicable regulatory requirements <br /> SECTION R SHIPPING INFORMATION - <br /> Method; ❑ Bulk Liquid Bulk Solid ❑ Cantainerixed(type): <br /> Quantity. -cubic yards ❑ gallons - <br /> per 13 month ❑ year zone time only ❑ other <br /> NOTE All shipments must be approved by the Forward,Inc.Environmental Compliance Officer prior to delivery. <br /> SECTION G:CERTIRCATION/INDEMNIFICATION STATEMENT <br /> THE BELOW-NAME COMPANY WARRANTS THAT THE ABOVE AND ANY ATTACHED OR SUBMITTED WASTE <br /> CHARACTERIZATION IS COMPLETE AND ACCURATE AND THAT BASED UPON TESTING AND ANALYSIS PERFORMED ` <br /> ON THE WASTE MATERIALS.NONE OF THEWASTE MATERIALS ARE HAZARDOUS AS DEFINED BY40 CFR PART 261 AND <br /> THE CALIFORNIA CODE OF REGULATIONS. TITLE 22.WITH THE EXCEPTION OF ASBESTOS WHICH IS PROPERLY <br /> DESCRIBED IN SECTIONS E AND FABOVE.IN THE EVENITTHATANY PORTION OFTHEWASTE MATERIALS(OTHER THAN s.., <br /> ASBESTOS PROPERLY DESCRIBED IN SECTIONS EAND FABOVE)IS DETERMINED TO BEHAZARDOUS("HAZARDOUS <br /> MATERIALS")ACCORDING TO ANY OF THE ABOVE MENTIONED REGULATIONS.EACH PARTY SHALL NOTIFY THI: .,_• <br /> OTHER IN WRITING IMMEDIATELY UPON LEARNING OF SUCH DETERMINATION.THE BELOW-NAMED COMPANY <br /> SHALL WITHIN TEN (10) DAYS AFTER RECEIVING SUCH WRITTEN NOTIFICATION REGARDING A HAZARDOUS s <br /> DETERMINATION,AND AT THE BELOW-NAMED COMPANY'S SOLE EXPENSE.REMOVETHE HAZARDOUS MATERIALS j <br /> FROM THE FORWARD LANDFILL AND PROPERLY DISPOSE OF THEM ELSEWHERE.THE BELOW-NAMED COMPANY <br /> WARRANTS THAT ANY ASBESTOS DELIVERED TO THE FORWARD LANDFILL HAS BEEN PROPERLY DESCRIBED IN ►'i <br /> SECTIONS E AND F ABOVE AND HAS BEEN PREPARED FOR TRANSPORTATION TO AND DISPOSAL AT THE FORWAr2[.` <br /> LANDFILL IN FULL COMPLIANCE WITH APPLICABLE REGULATORY REQUIREMENTS. <br /> r THE BELOW-NAMED COMPANY SHALL DEFEND.INDEMNIFY AND SAVE HARMLESS FORWARD.INC..ITS AFFILIATES, r- <br /> THEIR OFFICERS,DIRECTORS,AGENTS,REPRESENTATIVES AND EMPLOYEES AND THEIR SUCCESSORS AND ASSIGNS <br /> FROM ANY LIABILITY,CLAIMS.LOSSES,DAMAGES,COSTS,LIENS,JUDGMENTS,ORDERS.GOVERNMEIVTDIRECTIVES, �f r <br /> OR EXPENSES OF ANY KIND IN CONNECTION WITH THE HAZARDOUS MATERIALS AND IN CONNECTION WITH ANY <br /> BREACH OF THE BELOW-NAMED COMPANY'S WARRANTIES GIVEN OR THE BELOW-NAMED COMPANY'S <br /> OBLIGATIONS UNDERTAKEN HEREIN. g,f <br /> THE BELOW-NAMED COMPANY AGREES THAT,IN THE EVENT THAT IT LEARNS THAT THE WASTE CONSTITUENTS VARY <br /> FROM THOSE SET FORTH ABOVE OR ON ANY ATTACHED OR SUBMITTED DOCUMENTS,ITWILL IMMEDIATELY SUBMITA t <br /> CORRECTED WASTE CHARACTERIZATION FORM. <br /> M PANY; <br /> BY:(print name): _. TITLE <br /> SIGNATURE <br /> DATE: + <br />