Laserfiche WebLink
PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: ^dz Generator: r� <br /> Phone#: Sales Person: ,5"- <br /> Quantity: C Site: z,Gr tfe <br /> Reviewed By: j Address: <br /> Waste Profile Form ,a`Accept Job# <br /> Chain of Custody ccept Approval #: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination ydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ccept <br /> BTEX ❑ Accept BTEX ccept <br /> TTLC CAM 5 Metals cept <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 ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> 0 Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel 00 Arsenic 8 Molybdenum )00 <br /> TPH Motor Oil 3(2a Barium Nickel 1,9 <br /> Other: Beryllium < Selenium <br /> Benzene Cadmium Silver VD <br /> Total T.E.X. Chromium 1 ,00 Thallium IVO <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc '�;' <br /> Other: Copper / <br /> Lead <br /> NOTES: <br /> C�rPfaVa DATE: <br /> DISPOSAL: SS 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 />