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PACIFIC 1 <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: Generator: 3 — (f <br /> Phone#: Sales Person: <br /> Quantity: Site: 2 , <br /> Reviewed By: Address: CA- <br /> Waste Profile Form ccept _ Job# <br /> C in of Custody 2±ccept Approval#: <br /> asoline Contamination ❑ Ash <br /> TPH-g _ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX tAccept pH ❑ Accept <br /> TTLC Pb I 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 0 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 ❑ Acce t Reactivity, pH ❑ 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 Cadmium Silver <br /> Total T.E.X. go Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> Co� p(ava DATE: �" 4& <br /> DISP OS L: CLASS 11 ❑ SOIL <br /> PRE-LIEN YES Check w/Management <br /> `f 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 />