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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANT <br /> Client: Landfill: t�U <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: CG1 Site: <br /> Reviewed By: Address: A J6 Aj�d C <br /> Waste Profile Form Acce t Job# , <br /> Chain of Custody Accept 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 0 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 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Acce t TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas V A Antimony D Mercury AID <br /> TPH Diesel _? Arsenic Molybdenum <br /> TPH Motor Oil g D Barium 911 Nickel '7 <br /> Other: Be Ilium <br /> f7 Selenium <br /> Benzene P <br /> Cadmium /V� Silver ep <br /> Total T.E.X. M Chromium Thallium ,!a <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt 9 Zinc <br /> Other: S <br /> Copper <br /> NOTES: Lead <br /> ,4 r DATE: <br /> ISPOSAL: ❑ CLASS II SOIL <br /> PRE-LIEN YES NO Check /Management <br /> Vy� 1©363 <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 />