Laserfiche WebLink
PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: ,S' Landfill: <br /> Contact: o * Su Generator: <br /> Phone#: ?787 Sales Person: <br /> Quantity: Site: 15 <br /> Reviewed By: Address: <br /> Waste Profile Form VAccept Job# <br /> Chain of Custody WAccept Approval #: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ 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 ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> ❑ Other ❑ 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:':�C(3 Beryllium Selenium <br /> Benzene L=2 v Cadmium Silver <br /> Total T.E.X. Chromium fto.. LP Thallium <br /> Total HVOC's /fit Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other:Q i L-. opper <br /> Lead j.'o <br /> NOTES: <br /> Corp DATE: » c�q <br /> DISPOSAL: CLASS II ❑ SOIL <br /> PRE-LIEN YES NOf Check w/Management <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 />