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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: a <br /> Contact: 'fflcr Generator: <br /> Phone#: Sales Person: P <br /> Quantity: Site: <br /> Reviewed By: Address: <br /> Waste Profile Form cce t Job# <br /> Chain of Custody sept Approval#: <br /> Gasoline Contamination 0 Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> P <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb <br /> ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept p 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 ❑ Acce t <br /> TOG ❑ A <br /> cce t SVOCs <br /> p ❑ Accept <br /> VOCs <br /> ❑ Accept <br /> Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Acce t Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> Other /,J 0 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's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> DATE: <br /> DISPOSAL: CLASS II <br /> PRE-LIEN YES OWN Check / gement <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 />