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PACIFIC 1 <br /> ,MrAll ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: Generator: <br /> Phone#: 1,7 9-1. _ 5237--Sales Person: <br /> Quantity: C Site: n < <br /> Reviewed By: '�_ Address: a c <br /> Waste Profile Form crept Job# <br /> Chain of Custody cept Approval#: (13 <br /> asoline Contamination 0 Ash <br /> TPH-g Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Accept pH 0 Accept <br /> TTLC Pb Accept <br /> 10 <br /> ❑ DieselNirgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals Q Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivit H ❑ Accept <br /> PCBs 0 Acce t <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas 1, '70 Antimony Mercury <br /> TPH Diesel 3 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene 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 /> a r P a � DATE: (� <br /> DISPOSAL: -_ GLASS II 0 OIL <br /> PRE-LIEN YES no 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 />