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PACIFIC LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: AV g c Landfill: zi a <br /> Contact: ,' e Generator: c �,' -s- <br /> Phone <br /> Phone#: L(Ix 4 4 Sales Person: <br /> Quantity: q Site: ZA Q-3 ,y <br /> Reviewed By: j Address: _ �K <br /> Waste Profile Form 77ccept Job# <br /> Chain of Custody Accept Approval#: <br /> asoline Contamination 0 Ash <br /> TPH-g Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX Accept pH ❑ Accept <br /> TTLC Pb Accept <br /> 0 DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination ❑ Sludge . <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept _ <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Acce t <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> CQrr DATE: <br /> DISPOSAL: CLASS II 0 SOIL <br /> PRE-LIEN YES Check w/Management <br /> \& <br /> 1145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKTON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal.com <br />