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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: Generator: <br /> Phone#: `70 7 Q Sales Person: (3 <br /> Quantity: ( Site: (,3 <br /> Reviewed By: J�(r. Address: Sac <br /> Waste Profile Form Accept Job# <br /> Chain of Custody 2a2cept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> ❑ DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals Q Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs ❑Acce t <br /> XOther ❑ 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 140 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 />