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08/04/95 10:03 FAX 209 46 1067 FORWARD INC. [a 003/005
<br /> Yy PRO1�'IVING FO$M CQMPLIETIQN 1�NST�ti7CTIQNS
<br /> A.GENERAL INFORMATION
<br /> The address,representative,and phone number are required for the generator,consultant,and transporter. The billing address must
<br /> also be specified.
<br /> B.WASTE STREAM IDEMMKCATION
<br /> The physical address of the site generating the waste must be filled in under"Site Address". A general description of the waste and
<br /> the process generating the waste must also be specified in this section.
<br /> C.WAsm STRFAm DrscRtrartort
<br /> This section is used to more accurately describes the characteristics of the waste. Please fill out each section based on site knowledge
<br /> and/or analytical results. If a specified item does not apply to the submitted waste,please indicate with a"N/A" in the space provided.
<br /> Do not leave a space blank.
<br /> D.ANAx-yncAL StJn mAxty
<br /> Fill in the sections that apply to the subrpitted waste, if there is more than one sample,please fill in the average value in the"AVG"
<br /> column and the highest value in the"HIGH"column. If there is only one sample,these numbers will be the same. In the"Units"col-
<br /> umn,enter the units for the value(e.g.mg/kg,mg/I). Where appropriate, list all detected analytes and specify method. Also, list other
<br /> analytical methods performed in the space provided.
<br /> M TERMs AND CoKDmoNs
<br /> This section must be signed by the generator or their approved agent,
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<br /> :ACC I EILIX
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<br /> Forward can accept waste for disposal with levels of metals and petroleum hydrocarbons below the.,listed limits.
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