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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: 0 VV Landfill: rwa <br /> Contact: em /I, Generator: <br /> Phone#: 1( - dor !� Sales Person: <br /> Quantity: , `/j- Site: C' a,'r a f <br /> Reviewed By: 3 Address: <br /> Waste Profile Form /-M-Accept Job# <br /> Chain of Custody �-,�cept Approval#: p <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 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 ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, 2H 0 Accept <br /> qr PCBs 0 Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum 9 <br /> TPH Motor Oil X f2YBarium S& Nickel <br /> Other: BerylliumVp Selenium <br /> Benzene 1V9 Cadmium Q Silver <br /> Total T.E.X. No Chromium Thallium <br /> Total HVOC's NV Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: S e! <br /> er <br /> ' Lead <br /> NOTES: <br /> ='rrDATE: <br /> DISPOSAL: ❑ CLASS II XSOI <br /> PRE-LIEN YES NO Che( w/ anageme It <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 />