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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANT <br /> Client: - �? Landfill: F—��f if :j r- <br /> Contact: iw� v,' , %w / Generator: ( ;�-��.� t <br /> Phone#: Sales Person: <br /> Quantity: Site: q f:: / r <br /> Reviewed By: s. C� - Address: i�— <br /> Waste Profile Form Accept Job# <br /> Chain of Custody _;-Accept Approval #: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> Diesel ontamination ❑ Hydraulic Fluid <br /> TPHd Accept TPH-hf ❑ Accept <br /> BTEX Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs ❑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: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. VV Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: lCopper <br /> Lead <br /> NOTES: <br /> Grp DATE: <br /> DISP- SAL: CLASS II 0 SOIL <br /> PRE-LIEN YES NO Check w/Management <br /> y tpy <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 />