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PACIFIC REGIONAL LANDFILL <br /> JM7AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: Site: v/ <br /> Reviewed By: Address: <br /> Waste Profile Form cce t Job# <br /> Chain of Custody VAccept Approval#: 773 <br /> Gasoline Contamination 0 Ash <br /> TPH-g 9 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX IV Acce pt pH ❑ Accept <br /> TTLC Pb IV Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd fl Accept TPH-hf 0 Accept <br /> BTEX B'Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> Alk TTLC CAM 5 Metals ❑ Acce t Reactivity, pH ❑ Accept <br /> PCBs ❑ Accept <br /> ❑ Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Antimony Mercu <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: M 115-c) Beryllium Selenium <br /> Benzene 3, 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 /> <=®r r DATE: fu <br /> DISPOSAL: -GLASS II 0 SO L <br /> PRE-LIEN YES O 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 />