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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: C Landfill: �,,)a f <br /> Contact: r� Generator: <br /> Phone#: Sales Person: (3 <br /> Quantity: Site: L/q q `a <br /> Reviewed By: Address: ,��! e <br /> Waste Profile Form 77cceFt Job# <br /> Chain of stody Accept Approval#: <br /> TG-atoline Contamination ❑ Ash <br /> TPH-g I I Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX I I Accept pH ❑ Accept <br /> TTLC Pb E I Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> Am TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas ( Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene t) Cadmium Silver <br /> Total T.E.X. URP Chromium Thallium <br /> Total HVOC's NO Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> NOTES: Lead <br /> Lvv <br /> CarP rO DATE: I? <br /> DISPO AL: CLASS II ❑ SOIL <br /> PRE-LIEN YES N Check w/Management <br /> Y6 j®C 11 <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 />