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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: a t o Landfill: <br /> Contact: ( a- Generator: M Ar p <br /> Phone#: Sales Person: <br /> Quantity: oQ Site: QQ 2rr <br /> Reviewed By: -6, Address: <br /> Waste Profile Form cce t Job# <br /> Chain of Custody ccept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Acce t VOCs 0 Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Acce tReactivity, pH ❑ Acce t <br /> PCs 0 A ept <br /> XQthero �`, ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury AX7 <br /> TPH Diesel ArsenicMolybdenum p <br /> TPH Motor Oil Barium IOQ Nickel A(2 <br /> Other: Beryllium ISelenium AID <br /> Benzene Cadmium AQ Silver <br /> Total T.E.X. Chromium Thallium WD <br /> Total HVOC's Chromium 6 Vanadium 1/0 <br /> Total SemiVoc's Cobalt Zinc <br /> Other: 96 q ,' Co per <br /> Lead <br /> NOTES: <br /> /OM 6 DATE: <br /> DISPOSAL:` 0 CLASS II SOI <br /> PRE-LIEN YES NO Check w/ Management <br /> o a <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 />