Laserfiche WebLink
PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: r;S ac Generator: AA-k—F<-t , <br /> Phone#: 9 7 Sales Person: .g <br /> Quantity: 7-4 C-y J Site: 3 a N#1e! <br /> Reviewed By: Address: Go0.; c <br /> Waste Profile Form ,Engccept Job# <br /> Chain of Custody ccept Approval#: <br /> 0 Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> FT�PH-d <br /> Contamination ❑ Sludge <br /> ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> 0 Acce t VOCs ❑ Acce t <br /> ❑ Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH ❑ Accept <br /> PCBs ❑ Acce t <br /> Z,Qther ,S'�,; — Dr 'I 1 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas YP Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene /V D Cadmium Silver <br /> Total T.E.X. /V Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: s — <br /> II <br /> w 42 <br /> Sc; DATE: I I 4flO 0 <br /> DIS OSAL: 0 CLASS If 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 />