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PACIFIC REGIONAL LANDFILL <br /> ` rAN ALLIED WASTE COMPANY <br /> ® Client: �,� Landfill: F <br /> Contact: ' ,, Generator: <br /> Phone#: Sales Person: 0. <br /> Quantity: t J Site: Q 2 <br /> Reviewed By: — Address: <br /> Waste Profile FormAcce t Job# <br /> Chain of Custody t Accept Approval#: rj <br /> 0 Gasoline 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 Accept TPH-hf 0 Accept <br /> BTEX Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d 0 Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs ❑Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Dieself 9 n Arsenic Molybdenum <br /> TPH Motor Oil O Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene O . 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 /> G,nr DATE: (a/( 4 <br /> DISPOSAL: CLASS II 0 SOIL <br /> PRE-LIEN YES Check w/Management <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 />