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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: c �n-viS Landfill: -Fr War <br /> Contact: — Generator: F�o__ zr F-a r MS <br /> Phone #: 2-99 Sales Person: 0(_3 <br /> Quant it : 4 e^J— Site: (� . m <br /> fj <br /> Reviewed By: 5 Address: ��.,1 C <br /> Waste Profile Form ccept Job# <br /> Chain of Custody Accept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> iesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ccept TPH-hf ❑ Accept <br /> BTEX ccept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals Q Accept _ <br /> TPH-d 0 Accept VOCs ❑ Acce pt <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs 0 Acce t TPH 0 Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, eH ❑ Accept <br /> PCBs 0 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: Beryllium Selenium <br /> Benzene A/_0 Cadmium Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Co per <br /> Lead <br /> NOTES: <br /> C�rp DATE: <br /> DISPOSAL: CLASS II ❑ SOIL <br /> PRE-LIEN YES 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 />