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�rM.. - � -mac wcL 9 :46 DF'_TA CONT FORWARD INC209�6506ZI <br /> � - P. 03 <br /> f <br /> SECTION E= ASBESTOS <br /> Indicate containMent for asbestos; <br /> C3 bags Q cartons ❑ rums 0 wrappingII� <br /> w ❑ other 1 <br /> NOTE: Al asbestos must be prepared for transportation to and disposal at the <br /> Forward Landfill in accordance with all applicable <br /> ,;regvlatory requirements. <br /> SECTION Fs SHIPPING INFORMATION <br /> Methods © Bulk Liquid J7 Bulk Solid <br /> Q. Containerized (type) ; , <br /> Quantity: _1,S_- S' <br /> Cubic yards 0 gallons!f <br /> per ;❑ other month 0 ear one time only <br /> Y <br /> NOTE: All shipments must be approved by the Forward, Inc. Environmental <br /> Compliance Officer cr Solid Waste Coordinator prior to delivery. <br /> SECTION G: CERTIFICATION/INDEMNIFICATION STATEMENT <br /> } <br /> THE BELOW-NAND COMPANY WARRANTS THAT THE ABOVE AND ANY ATTACHED OR SUBMITTED <br /> WASTE CHAIACTERIZATION IS COMPLETE AND ACCURATE AND THAT BASED UPON TESTING AND <br /> ANALYSIS PERFORMED ON THE WASTE MATERIALS, NONE OF THE WASTE MATERIALS ARE r <br /> HAZARDOUS AS DEFINED BY 40 CFR, PART 261, AND THE CALIFORNIA CODE OF REGULATIONS, <br /> TITLE 22. WITH-THE EXCEPTION OF ASBESTOS WHICH I5 PROPERLY DESCRIBED IN SECTIONS <br /> E AND F,,ABOVE. IN THE EVENT THAT ANY PORTION OF THE WASTE MATERIALS (OTHER THAN <br /> ;. ASBESTOS PROPERLY DESCRIBED IN SECTIONS E AND F ABOVE) IS DETERMINED TO BE <br /> HAZARDOUS ("HAZARDOUS MATERIALS") ACCORDING TO ANY OF THE ABOVE MENTIONED <br /> REGULATIONS, EACH PARTY SHALL NOTIFY THE OTHER IN WRITING IMMEDIATELY UPON <br /> LEARNING OF SUCH DETERMINATION. THE BELOW-NAMED COMPANY SHALT, WITHIN TEN (10) <br /> DAYS AFTER RECEIVING SUCH WRITTEN NOTIFICATION REGARDING A HAZARDOUS <br /> DETERMINATION, AND AT THE BELOW-NAMED COMPANY IS 'SOLE EXPENSE, REMOVE THE � <br /> HAZARDOUS MATERIAL FROM THE FORWARD LANDFILL AND;; PROPERLY DISPOSE OF THU � <br /> ELSEWHERE. " THE BELOW-NAMED COMPANY WARRANTS THAT ANY ASBESTOS DELIVERED TO TEE <br /> FORWARD LANDFILL HAS BEEN PROPERLY DESCRIBED IN SECTIONS E AND F ABOVE AND HAS <br /> BEEN PREPARED FOR TRANSPORTATION TO AND DISPOSAL AT THE FORWARD LANDFILL IN FULL <br /> COMPLIANCE WITH APPLICABLE. REGULATORY REQUIREMENTS. ` <br /> THE BELOW-NAND COMPANY SHALL DEFEND, INDEMNIFY AND SAVE HARMLESS FORWARD, INC., <br /> ITS AFFILIATES, THEIR OFFICERS, DIRECTORS, AGENTS, REPRESENTATIVES AND EMPLOYEES <br /> AND THEIR SUCCESSORS AND ASSIGNS FROM ANY LIABILITY, CLAIMS, LOSSES, DAMAGES, <br /> COSTS, LIENS, JUDGMENTS, ORDERS, GOVERNMENT DIRECTIVES, OR EXPENSES OF-ANY KIND <br /> IN CONNECTION WITH THE HAZARDOUS MATERIALS AND/OR NON-CONFORMING WASTE AND IN <br /> CONNECTION WITH RNY BREACH OF THE BELOW-NAMED COMPANY'S WARRANTIES GIVEN OR THE <br /> BELOW-NAKED COMPANY'$ OBLIGATIONS UNDERTAKEN HEREIN <br /> THE BELOW-NAMED COMPANY AGREES THAT, IN THE EVENT THAT IT LEARNS THAT THE WASTE <br /> CONSTITUENTS VARY FROM THOSE SET FORTH ABOVE OR ON ANY ATTACHED .OR SUBMITTED <br /> DOCUMENTS, JT WILL IMMEDIATELY SUBMIT A CORRECTED WASTE CHARACTERIZATION FORM. <br /> COMPANY s Ger' it L nvcr t�t J-.- } # <br /> BY: (Pr i a) TITLE: ��� <br /> c. <br /> .7� <br /> SIGNATU DATE: <br /> IfEf <br /> F <br />