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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANT <br /> J <br /> Client: v Landfill: <br /> Contact: Generator: S Cr <br /> Phone#: Sales Person: <br /> Quantity: Site: a-(� <br /> Reviewed By: " Address: <br /> Waste Profile Form Accept Job# <br /> Chain of Custody 3 Accept Approval#: 17 <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 0 Hydraulic Fluid <br /> TPI-Id 0 Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> ther Cc �4 p r pt¢_ 7 77- 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH GasAntimon Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Q Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. NV Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead 91 <br /> NOTES: <br /> ,lpp <7().3 DATE: <br /> DISPOSAL: XCLASS II 0 SOIL <br /> PRE-LIEN ES 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 />