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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: wA r <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: / Site: I 4 r <br /> Reviewed By: �,_ Address: <br /> Waste Profile Form B-Accept Job# <br /> Chain of Custody accept Approval #: <br /> asoline Contamination ❑ Ash <br /> TPH-g Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Accept pH 0 Accept <br /> TTLC Pb Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> Aft TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> P <br /> PCBs 0 Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas 70 Antimon 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's Cobalt Zinc <br /> Other: Copper <br /> Lead .— <br /> N,OTES: <br /> �arP DATE: <br /> DISPOSAL: SS II 0 SIOIL <br /> PRE-LIEN YES NO Check w/ Management c� <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 />