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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: _y,z�;, /,r�s� <br /> Landfill: <br /> Contact: - 7— <br /> Generator: <br /> Phone#: - Sales Person: ;off <br /> Quantity Site: ✓l <br /> Reviewed By: Address: <br /> Waste Profile Form ccept Job# <br /> Chain of Custody ccept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 11 Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> ther q ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony 77-7 Mercury // <br /> TPH Diesel 0 ( Arsenic Molybdenum <br /> TPH Motor Oil - jj o Barium 25` Nickel <br /> Other: Qom= Be Ilium y Selenium <br /> Benzene Cadmium , Silver <br /> Total T.E.X. Chromium Thallium v� <br /> Total HVOC's /V Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> NOTES: Lead <br /> �►�� PM�'� DATE: <br /> DISPOS L: ❑ CLASS II SOIL <br /> PRE-LIEN YES NO Check anagement <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 />