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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> PR-k-,��(�19z <br /> Client: Landfill: <br /> Contact: Generator: <br /> Phone#: 07 Sales Person: <br /> Quantity: EQ r Site: <br /> Reviewed By: 77—6--, Address: <br /> Waste Profile Form 2-Accept Job# <br /> Chain of Custody -e-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 ❑ Hydraulic Fluid <br /> TPI-Id ❑ 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 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs Q Accept <br /> Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas 7713 Antimony Mercury .D <br /> TPH Diesel n Arsenic I Molybdenum "D <br /> TPH Motor Oil Barium q Nickel <br /> Other: Beryllium OZ2 Selenium (VV'.D <br /> BenzeneAk Cadmium Silver 00 <br /> Total T.E.X. M) Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: c Copper <br /> Lead <br /> NOTES: <br /> DATE: <br /> DIS OSA L: ❑ CLASS II <br /> PRE-LIEN YES NO Check w/Management <br /> 2�3 � <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 />