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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> 2,5; <br /> Client: Landfill: <br /> Contact: 7 Generator: a if ' <br /> Phone#: Sales Person: 11 <br /> Quantity: Site: Q._. J; <br /> Reviewed By: �(� Address: 7 <br /> Waste Profile Form ccept Job# <br /> Chain of Custody 4�=Accept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 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 0 Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs 0 Accept TPH 0Acce t <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, H ❑ Accept <br /> PCBs ❑ Accept <br /> er Q ; ❑ Treated Wood <br /> ORGANICS TTLC/TPPM 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 CadmiumSilver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: _lCopper <br /> NOTES: Lead <br /> e t'P DATE: sr^ <br /> DISPOSAL: El CLASS II6IL <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 />