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PACIFIC REGIONAL LANDFILL <br /> =7AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: Generator: <br /> Phone#: Sales Person: , <br /> Quantity: 1' Site: '�)- 7 <br /> Reviewed By: r-_ Address: 14"102- <br /> Waste Profile Form 'Accept Job# <br /> Chain of Custody Accept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> 1p TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> P Bs ❑ Accept <br /> r ❑ 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. 4 Lk Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> DATE: :..a fL (s2 <br /> DISPOSAL: ❑ CLASS II IL <br /> PRE-LIEN YES 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 />