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PACIFIC REGIONAL I <br /> AN ALLIED WAWE CDNIPANY <br /> Client: P Landfill: a T <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: Dr tx Site: cx� (014lirc <br /> Reviewed By. s Address: S c-, <br /> Waste Profile Form cept 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 0 Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 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 0 Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas QAntimony iv Mercury t <br /> TPH Diesel 37Q 310 Arsenic Mol bdenum N10 <br /> TPH Motor Oil ��9Barium 77 Nickel T7 <br /> Other: Beryllium � Selenium tOD <br /> Benzene NV 0 Np IVP Cadmium K Silver <br /> Total T.E.X. NO IV:9 Chromium IY 7 Thallium ffP <br /> Total HVOC's Np AV Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt ( Zinc 126 <br /> Other: /Us- W Copper <br /> Lead <br /> NOTES: <br /> 0 VA I Ma <br /> awiC S <br /> ® r DATE: 6 U <br /> DISPOSAL' SS II 0 SOIL <br /> PRE-LIEN YES O 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 />