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PACIFIC REGIONAL LANDFILL <br /> '., AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: Generator: <br /> ur <br /> Phone#: Sales Person: <br /> Quantity: '1 Site: U <br /> Reviewed By: 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 0 Accept <br /> Waste Oil Contamination ❑ 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 0 Accept <br /> Aft TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> qW PCBs 0 Accept <br /> Other r ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. Chromium 2. Thallium <br /> Total HVOC's Chromium 6 S -0, Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> NOTES: Lead <br /> rr '(Q V'a DATE: <br /> DIS P SAL. ❑ CLASS 11 S IL <br /> PRE-LIEN YES NO Check w/Management <br /> L/ <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 />