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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: W <br /> Contact: Generator: _ <br /> Phone#: Sales Person: <br /> Quantity: ( Site: q i <br /> Reviewed By: _ Address: -S'ac(- C <br /> Waste Profile Form ccept Job# <br /> Chain of Custody Accept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPI-Id ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX 0 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 ❑ Accept SVOCs ❑ A ept <br /> VOCs 0 Accept Paint Filter ❑ A cept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> her C s 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony 00 Mercury 7. 77 <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Igo Nickel 1119 <br /> Other: Beryllium NO Selenium ND <br /> Benzene 012 Cadmium Silver <br /> Total T.E.X. IVY Chromium /V Thallium Np <br /> Total HVOC's Chromium 6 srcc Vanadium 550 <br /> Total SemiVoc's Cobalt 3 Zinc <br /> Other: Copper <br /> NOTES: Lead <br /> p; DATE: <br /> DISPOSAL: 0 CLASS II PZSOIL <br /> PRE-LIEN YES 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 />