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PACIFIC REGIONAL LANDFILL <br /> 11=AN ALLIED WASTE COMPANY <br /> Client: Landfill: -zs <br /> /.V a- <br /> Contact: Generator: AA s/t <br /> Phone#: Sales Person: <br /> Quantity: �,M s Site: r al�* 17. <br /> Reviewed By: Address: S <br /> Waste Profile Form e-ff-Accept Job# <br /> Chain of Custody eI Accept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb 0 Accept <br /> Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf 0 Accept <br /> BTEX krAccept BTEX 0 Accept <br /> TTLC CAM 5 Metals C Accept <br /> Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> Bs ❑ Accept <br /> er ❑ 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: 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 /> Lead <br /> NOTES: <br /> DATE: to �3q(160 <br /> DISPOSAL: ❑ CLASS 11 SOIL <br /> PRE-LIEN YES NO Check w/ Management <br /> 0 <br /> 1 145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKTON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal,com <br />