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PACIFIC REGIONAL LANDFILL <br /> X�VAN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: , Generator: <br /> Phone#: �2 —p J 1 1 Sales Person: <br /> Quantity: -,;L Site: 10 3 g i_.'vx <br /> Reviewed By: Address: e <br /> Waste Profile Form Accept Job# <br /> Chain of Custody HAccept Approval#: P73 3 <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 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 ❑ Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> ❑ Other ❑ 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: lBeryllium Selenium <br /> Benzene NJ 0 Cadmium 0 Silver <br /> Total T.E.X. L42Chromium a Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead I <br /> NOTES: <br /> APPROVED BY: CtiQ DATE: 14 <br /> DISPOSAL: LASS II ❑ SOIL <br /> PRE-LIEN YES N Check w/Management <br /> 1_/ V � X3313 <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 />