Laserfiche WebLink
PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> prt4:1--5-41e) <br /> Client: Landfill r <br /> Contact: 4--nd rg Generator: <br /> Phone#: Sales Person: <br /> Quantity: Site: cL..(�'SS <br /> Reviewed By: Address: C <br /> Waste Profile Form ❑ Accept Job# <br /> Chain of Custody ❑ 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 /> TPHd ❑ 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 ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Acce t Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> ,XQther ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury 1V <br /> TPH Diesel Arsenic (.7- Molybdenum 3 <br /> TPH Motor Oil Barium 15 Nickel <br /> Other: Beryllium W9 Selenium n!p <br /> Benzene Cadmium &10 Silver <br /> Total T.E.X. Chromium 2p Thallium <br /> Total HVOC's Chromium 6 Vanadium 0 <br /> Total SemiVoc's Cobalt 51 Zinc <br /> Other: `-Ll L2 o �� -� Co erQ s iLc <br /> Lead <br /> NOTES: za <br /> ss 1c <br /> CQ p Q DATE: a <br /> DISPOSAL: S II ❑ S YL <br /> PRE-LIEN YES O Check w/Management <br /> 0 <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 />