SITE INFORMATION AND CORRESPONDENCE

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i SECTION E: ASBESTOS + i Indicate containment for asbestos: ❑ bags ❑ cartons ❑ drums ❑ wrapping ❑ other NOTE: Al asbestos must be prepared for transportation to and disposal at the Forward Landfill in accordance with all applicable regulatory requirements. SECTION F: SHIPPING INFORMATION Method: ❑ Bulk Liquid 9 Bulk solid ❑ Containerized (type): Quantity: 50 0 Cubic yards ❑.gallons i per ❑ month D year 0 one time only ❑ other NOTE: All shipments must be approved by the Forward, Inc. Environmental Compliance Officer or Solid waste Coordinator prior to delivery. i SECTION G: CERTIFICATION/INDEMNIFICATION STATEMENT The below-named company warrants that the above and any attached or submitted waste characterization is complete and accurate and that based upon testing and I analysis performed on the waste materials, none of the waste materials are hazardous as defined by 40 CFR, Part 261, and the California Code of Regulations, I Title 22. with the exception of asbestos which is properly described in sections E and F above. In the event that any portion of the waste materials (other than asbestos properly described in sections E and F above) is determined to be hazardous ("Hazardous Materials") according to any of the above mentioned regulations, each party shall notify the other in writing immediately upon learning of such determination. The below--named company shall within ten (10) days after receiving such written notification regarding a hazardous determination, and at the below-named company's sole expense, from the Forward Landfill and properly dispose of them elsewhere. The below-named company warrants that any asbestos delivered to the Forward Landfill has been properly described in sections E and F above and has been prepared for transportation to and disposal at the Forward Landfill in', full compliance, with applicable regulatory requirements. The below-named company shall defend, indemnify and save harmless Forward, Inc. , its affiliates, their officers, directors, agents, representatives and employees and their successors and assigns from any liability, claims, losses, damages, costs, liens, judgments, orders, government directives, or expenses of any kind in connection with the hazardous materials -and/or non-conforming waste and in connection with any breach of the below-named company's warranties given or the below-named company's obligations undertaken- herein.. The below-named company agrees that, in the event that it learns that the waste constituents vary from those set forth. above or on any attached or submitted documents, it will immediately submit a corrected waste characterization form. COMPANY: Time Oil i BY: (Print Name) _ c`�-12,Fc OL- TITLE: y - PC S I GNATURE: DATE-.' 112619 "Z i