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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> ® Client: <br /> � Landfill: W Z <br /> Contact: Generator: ` Knr k 17erar-t <br /> Phone#: Sales Person: <br /> Quantity: Site: Q kA <br /> Reviewed By: J- Address: <br /> Waste Profile Form cce t Job# <br /> Chain of Custodyccept Approval#: <br /> asoline Contamination ❑ Ash <br /> TPH-g T Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Accept pH 0 Accept <br /> TTLC Pb Accept <br /> Diesel/V' i Contamination ❑ Hydraulic Fluid <br /> TPHd Accept TPH-hf ❑ Accept <br /> BTEX Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> qw PCBs ❑ Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel o(2 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene 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 /> qC Lead <br /> NOTES: <br /> 4 re DATE: la 7 <br /> DISPOSAL: CLASS II ❑ SOIL <br /> PRE-LIEN YES Check w/Management <br /> 1145 WEST CHARTER WAY, POST OFFICE BOX-6336 <br /> STOCKfON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal.com <br />