Laserfiche WebLink
PACIFIC REGIONAL LANDFILL <br /> MAN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: 01, Generator: ,Vvl a N <br /> Phone#: Sales Person: <br /> Quantity: q C f' Site: / co <br /> Reviewed By: Address: �1 <br /> Waste Profile Form _--R�ce t Job# <br /> Chain of Custody 8-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 ydraulic Fluid —U' ,'n.. <br /> TPHd ❑ Accept TPH-hf ccept <br /> BTEX ❑ Accept BTEX accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Acce t <br /> ❑ Other ❑ 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: ODQ Beryllium Selenium <br /> Benzehb Cadmium Silver <br /> Total T.E.X. NO Chromium Thallium <br /> Total HVOC's c Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> Qfp �p/z1V� DATE: <br /> DISPOSAL: GG LASS II ❑ SOIL <br /> PRE-LIEN YES O 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 />