Laserfiche WebLink
PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: C C7 ' Landfill: 6or WA f <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: tycl Cr r Site: <br /> Reviewed By: —_ Address: 42 <br /> n <br /> Waste Profile Form ccept Job# <br /> Chain of Custody cept Approval #: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> 0 DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 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 0 Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> Other _ Cw ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony D Mercury G A110 <br /> TPH Diesel Arsenic (, Molybdenum 41 IVP <br /> TPH Motor Oil Barium (? Nickel <br /> Other: Beryllium s/ Selenium ; <br /> Benzene Cadmium #0 &p Silver A10 Q <br /> Total T.E.X. D IVChromium ( (Q Thallium p <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Co per <br /> Lead <br /> NOTES: <br /> a DATE: 7 7 It/0 C� <br /> DAPOSAL: ❑ CLASS II OIL F _ <br /> PRE-LIEN YES NO Check w/ aanagement <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 />