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PACIFIC REGIONALLANDFILL <br /> AN ALLIED WASTE COMP <br /> Client: g Landfill: <br /> Contact: Generator: <br /> Phone#: 6/ 4taff Sales Person: <br /> Quantity: 'PQ C-rr Site: g19 9 F, t <br /> Reviewed BAddress: <br /> Waste Profile Form ,E Accept Job# <br /> Chain of Custody -8-Accept Approval#: <br /> soline Contamination ❑ Ash <br /> TPH-g Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Accept pH 0 Accept <br /> TTLC Pb Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals Q Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> 0 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 /> t�c+(j7 �fQda DATE: f (26 <br /> DISPOSAL: LASS II 10 SOIL <br /> PRE-LIEN YES Check w/Management <br /> 0 7 y(o <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 />