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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANW <br /> Client: Landfill: or Wa r <br /> Contact: Lot i Generator: 4rraXo ros i' L <br /> Phone#: 767 2 Sales Person: g <br /> Quantity: 700 C 'r Site: I,3 O <br /> Reviewed By: Address: <br /> Waste Profile Form Accept Job# <br /> Chain of Custody -E-Accept Approval#: <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 /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Acce t Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑ Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony p Mercury <br /> TPH Diesel Q Arsenic J5 Molybdenum lV <br /> TPH Motor Oil Barium IM Nickel 1510 <br /> Other: Be IliumNp <br /> (� Selenium <br /> Benzene NO CadmiumAD Silver NP <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper 3 <br /> Lead <br /> NOTES: <br /> �� DATE: <br /> DISP SAL: CLASS II ❑ SOIL <br /> PRE-LIEN YES NO Check w/Management <br /> It 73 <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 />