Laserfiche WebLink
PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: Generator: <br /> Phone#: Sales Person: g <br /> Quantity: c Site: <br /> Reviewed By: — Address: <br /> Waste Profile Form Accept - Job# <br /> Chain of Custody KAccept Approval#: 03 <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> ITPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> qp TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony 777 Mercury 777-5 <br /> TPH Diesel Arsenic Molybdenum 70 <br /> TPH Motor Oil Barium (p® Nickel <br /> Other: Beryllium A Selenium /U0 <br /> Benzene Cadmium Silver A.ZO <br /> Total T.E.X. Chromium Thallium j, <br /> Total HVOC's Chromium 6 Vanadium 5 <br /> Total SemiVoc's Cobalt Zinc <br /> Other: fopper <br /> ead <br /> NOTES: <br /> Ca( 8 DATE: 05 <br /> DISPOSAL: 0 CLASS II SOI <br /> PRE-LIEN YES Check LManagement <br /> LY( <br /> 1 145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKTON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> wvvw.disposal.com <br />