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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: p Q,n f- Landfill: r w r <br /> Contact: Generator: s <br /> Phone#: Sales Person: S <br /> Quantity: C S Site: S' <br /> Reviewed By: �,js Address: _574A <br /> Waste Profile Form 2-Accept Job# <br /> Chain of Custody effrAccept Approval#: <br /> asoline Contamination 0 Ash <br /> TPH-g Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Accept pH ❑ Accept <br /> TTLC Pb Accept <br /> eOoDesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd Accept TPH-hf 0 Accept <br /> BTEX Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPN-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> 1pTTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <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: V7 H Beryllium Selenium <br /> Benzene d Cadmium Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Eq 6- jcopper <br /> Lead <br /> NOTES: <br /> Co rQ DATE: I Q f 3 GD <br /> DISPOSAL: KLASS II ❑ SOIL <br /> PRE-LIEN YESO Check w/Management <br /> Olt \& <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 />