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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: <br /> Landfill: <br /> Contact: K Vo Generator: <br /> Phone#: Sales Person: <br /> Quantity: C S- tI hAvi Site: IW/ <br /> Reviewed By: Address: <br /> Waste Profile Form 43' ccept Job# <br /> Chain of Custody Accept Approval #: p <br /> Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> iesel ' ontamination 0 Hydraulic Fluid <br /> TPHd ccept TPH-hf 0 Accept <br /> 53 <br /> BTEX ccept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel Arsenic Af Molybdenum <br /> TPH Motor Oil Barium Nickel AIP <br /> Other: Beryllium 1A Selenium " i, <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: Co2per <br /> Lead <br /> NOTES: <br /> DATE: /(J 13 <br /> DISPOSAL: LASS II 0 S IL <br /> PRE-LIEN YES NO Check w/Management <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 />