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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client:, Landfill: <br /> Contact: c. . 1 �,/ Generator: <br /> Phone#: Sales Person: <br /> Quantity: %'L Site: <br /> Reviewed By: Address: f, -7— <br /> Waste <br /> Waste Profile Form Accept Job# <br /> C ain of Custody 19 Accept Approval#: <br /> Gasoline Contamination ❑ Ash <br /> TPH-g MAccept TTLC CAM 17 Metals 0 Accept <br /> BTEXAccept pH 0 Accept <br /> TTLC Pb Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPI-Id 0 Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> D Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Acce t VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter D Accept <br /> SVOCs ❑ Acce t TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept, Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> 0 Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel r Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Icopper <br /> NOTES: Lead <br /> APPROVED BY: DATE: 3 <br /> �ISPOSAL: SS II D OIL <br /> PRE-LIEN YES NO 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 />