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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> ® Client: Landfill: a rw 1 r <br /> Contact: L Generator: eSf GSW <br /> Phone#: Sales Person: <br /> ISite:Quantity: f ® 2 r hef <br /> Reviewed By: Address: G C <br /> Waste Profile Form Accept Job# <br /> Chain of Custody Accept Approval#: p <br /> e'Gasoline Contamination ❑ Ash <br /> TPH-g Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Accept pH ❑ Accept <br /> TTLC Pb Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 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 ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, 2H ❑ Accept <br /> PCBs 0 Accept <br /> ❑ Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas 0 Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene 0 7q 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 /> .. tp DATE: 10 f-/7 <br /> DISP SAL: LASS II 0 SOIL <br /> PRE-LIEN YES NO Check w/Management <br /> 0 X04 Y6 1'?_6gg <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 />