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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Is <br /> Client: Landfill: - ' <br /> Contact: Generator: <br /> Phone#: / Sales Person: ' <br /> Quantity: 3 L► Site: <br /> Reviewed By: Address: A ` c . <br /> Waste Profile Form EAccept Job# f <br /> Chain of Custody EkAccept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> iesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd Accept TPH-hf ❑ Accept <br /> BTEX EKAccept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs ❑ Accept LReactivity, <br /> t Filter 0 Accept <br /> SVOCs ❑ Accept 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept pH 0 Accept <br /> PCBs ❑Accept <br /> Other eated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel j Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene N Cadmium Silver <br /> Total T.E.X. a IY4 Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> or DATE: tot Oip <br /> DISPOSAL: _,^ CLASS II 0 SOIL <br /> PRE-LIEN YES NO Check w/Management <br /> 0 13 <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 />