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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> ® Client: Landfill: F <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: Site: tc rhmtvl <br /> 'lk KJ <br /> Reviewed By: G Address: g Q,r1 <br /> Waste Profile Form ,2-Accept Job# <br /> Chain of Custody 'Accept Approval #: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept ISVOCS ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> ❑ Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Y Antimony Mercury <br /> TPH Diesel 7 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene 442Cadmium Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Coer <br /> Lead <br /> NOTES: <br /> ,a r �r/ Q V y DATE: Id �-f 4 <P <br /> DISP9SAL: LASS II ❑ 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 /> d <br />