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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: 7n 4 9 72- Landfill: <br /> Contact: Generator: o C <br /> Phone#: Sales Person: S. <br /> Quantity: S' Site: <br /> Reviewed By: �(f, Address: Sorg <br /> Waste Profile Form eB'Accept Job# <br /> Chain of Custody .-Accept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb 0 Accept <br /> iesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd AAccept TPH-hf 0 Accept <br /> BTEX ccept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> ❑ Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH DieselZ 61 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. c..t Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> C..rP n DATE: 11 9& <br /> DISPOSAL: LASS II 0 SOIL <br /> PRE-LIEN YES 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 />