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PACIFIC REGIONAL LANDFILL <br /> 2ZYAN ALLIED WASTE COMPANY <br /> Client: Landfill: 7777 W <br /> Contact: Q Generator: �S- <br /> Phone#: Sales Person: <br /> Quantity: 'c-- So f Site: o <br /> Reviewed By: Address: <br /> Waste Profile Form ce t Job# <br /> Chain of Custody Accept Approval #: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPI-Id 0 Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Fitter 0 Accept <br /> SVOCs ❑ Accept TPH 0 Acce t <br /> TTLC CAM 5 Metals ❑ Acce tReactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> Other " -au ❑ 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 Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc.5 Cobalt Zinc <br /> Other: lCopper <br /> NOTES: Lead <br /> DATE: <br /> DISPOSAL: CLASS II ❑ SOIL <br /> PRE-LIEN YES NO Check w/Management <br /> 0q <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 />