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PACIFIC REGIONAL LANDFILL <br /> IF <br /> AN ALLIED WASTE COMPANY <br /> Client: r Landfill: a <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: o Q fa,J- Site: , <br /> Reviewed By: Address: <br /> Waste Profile Form 24ccept Job# <br /> Chain of Custody Accept Approval #: CT <br /> 0 Gasoline Contamination 0 Ash 'id <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Acce t Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> her 0 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 f 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: D Dov,4 Copper <br /> Lead <br /> NOTES: <br /> C r fa V.0 DATE: 7/0 6k <br /> DISPOSAL: 0 CLASS II 90IL <br /> PRE-LIEN YES NO Check w/Management <br /> 1145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKfON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal.com <br />