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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> 0 <br /> Client: , E' Landfill: r-wa-f, <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: Site: <br /> (sq 77 w <br /> Reviewed By: Address: <br /> Waste Profile Form ,accept Job# <br /> Chain of Custody accept Approval#: <br /> oline Contamination ❑ 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 /> TPI-Id ❑ Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Acce t TTLC CAM 17 Metals ❑ Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas 777,70 Antimony Mercury <br /> TPH Diesel zi 7Q Arsenic Molybdenum <br /> TPH Motor Oil Q Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene IV Cadmium r5 Silver <br /> Total T.E.X. 2. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> DATE: jQ a) Gt <br /> DISPOSAL: CLASS II 0 SOIL <br /> PRE-LIEN YES rN 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 />