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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WAST[COMPANY <br /> Client: Landfill: r w a r <br /> Contact: S!- 1c Generator: kJa �6tc, <br /> Phone#: - Sales Person: Fia <br /> Quantity: Site: loll <br /> Reviewed By: }_� , Address: r'd f- c <br /> Waste Profile Form p'Accept Job# <br /> Chain of Custody .Accept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> P Bs 0 Accept <br /> then a,� j El Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas h/'p Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene /Vp Cadmium Silver <br /> Total T.E.X. 0 Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> ,Sq ; 7 DATE: W 00 <br /> DISPOSAL: CLASS If <br /> PRE-LIEN YES Check wl&Knagknent <br /> i <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 />