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PACIFIC REGIONAL LANDFILL <br /> 2EYAN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: ti; Generator: <br /> Phone#: a - '— Sales Person: l` <br /> Quantity: Site: <br /> Reviewed By: Address: A , 77-oy�,--e-f--5 <br /> Waste Profile Form crept Job# <br /> C ain of Custody 9 Accept Approval#: F <br /> Gasoline Contamination z ❑ Ash <br /> TPH-g crept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Mccept pH ❑ Accept <br /> TTLC Pb 11 Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPI-Id ❑ Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs 0 Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> 0 Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel r Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene j 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 /> APPROVED BY: DATE: <br /> DISPOSAL: �CLASS II ❑ SOIL <br /> PRE-LIEN YES Check w/Management <br /> 0 <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 />