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PA 'IF C REGIONAL LANDFILL <br /> ,1 AN ALLIED WASTE COMPANY <br /> h� <br /> VD <br /> e <br /> Client: 07 79MT OS Landfill: <br /> Contact: ; n T Generator: <br /> 2 n ?-Ower n ute <br /> Phone#: Sales Person: <br /> Quantity: Q &1 f' Site: Z e� <br /> Reviewed By: Z76 Address: <br /> Waste Profile Form Accept Job# <br /> Chain of Custody ZAccept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ 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 ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ 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 ❑ Acce t <br /> PCBs ❑Accept <br /> Other 7 ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas 30 NO NO Antimony Mercury , / X <br /> TPH Diesel 000 1yo Arsenic Molybdenum MQ <br /> TPH Motor Barium 10 (30 97 /10 Nickel t3 43 <br /> Other: eryllium NP u q Selenium N'0 <br /> Benzene NO /V D — D / Cadmium D K q Silver 1110 x <br /> Total T.E.X. g < Chromium 3 0 53Thallium Q g <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt 7 ff Zinc <br /> Other: r7-T.< Co er ?L3 (� <br /> ]Lead <br /> NOTES: 7T-C "pr 197� <br /> CS 7 <br /> ND L c4 47 <br /> s <br /> Qi DATE: 17/0 <br /> JXSPOSAL: ❑ CLASS II SOIL <br /> PRE-LIEN YES NO 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 />