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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: ' Landfill: <br /> Contact: Generator: 11. <br /> Phone#: Q3 Sales Person: <br /> Quantity: r L&A,-\ Site: p Co u <br /> 4 TZ 79-9:22 <br /> Reviewed By: Address: <br /> Waste Profile Form cce t Job# <br /> Chain of Custody ,R-Accept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX 0 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 0 Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> ther 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony G Mercury <br /> TPH Diesel Arsenic Molybdenum < <br /> TPH Motor Oil Barium Ze�L Nickel 3 <br /> Other: Beryllium Selenium <br /> Benzene Cadmium `/ Silver -4 <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's M Chromium 6 c Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper p <br /> 9- <br /> NOTES: Lead <br /> <�rp �ro VA DATE: <br /> DISPOSAL: LASS II 0 SOL <br /> PRE-LIEN YES NO Check w/Management <br /> y� CJUL <br /> OTTe <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 />