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PACIFIC REGIONAL LANDFILL <br /> &MYAN ALLIED WASTE COMPANY <br /> Client:///, y� Landfill: <br /> Contact: Generator: <br /> Phone #: Sales Person: <br /> Quantity: /D 7" Site: <br /> Reviewed By: '�(,-, Address:1:2.2 fs�a <br /> Waste Profile Form ,a Accept Job# <br /> Chain of Custody ,B-Accept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> 0 Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf 0 Accept <br /> BTEX 0 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 0 Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> E <br /> Cs ❑ Accept Paint Filter 0 Accept <br /> Cs ❑ Acce t TPH 0 Accept <br /> C CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> s 0 Accept <br /> ther 7 0 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: Be Ilium Selenium <br /> Benzene fit/Q 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 /> APPROVED BY: S Q ; DATE: /0 <br /> DISPOSAL: ❑ CLASS II SOIL <br /> PRE-LIEN YES NO 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 />