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PACIFIC REGIONAL LANDFILL <br /> ZTZWAN ALLIED WASTE COMPANY <br /> Client: - To- Landfill: R)At &f, V <br /> Contact: _— _ - Generator: <br /> Phone#: . L-3 tg%_le , Sales Person: <br /> Quantity: <br /> Reviewed By: Address:4 B <br /> Waste Profile Form Accept Job# j <br /> C in of Custody VAccept Approval#:&fjpy,00'¢ `67 37r.? <br /> Gasoline Contamination 0 Ash <br /> TPH-g FXccept TTLC CAM 17 Metals 0 Accept <br /> BTEX IIrAccept pH 0 Accept <br /> TTLC Pb EYAccept <br /> 9 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd Accept TPH-hf 0 Accept <br /> BTEX VAccept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs 0 Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH ❑ 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 2'-:763 Antimony Mercury <br /> TPH Diesel �W Arsenic Molybdenum <br /> TPH Motor Oil AIQ Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene A,10 Cadmium Silver <br /> Total T.E.X. /L/,o Chromium //Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: d. 3 7 . a9C2 0,:2 <br /> APPROVED BY: DATE: <br /> DISPOSAL: /CLASS II ❑ SOIL <br /> PRE-LIEN SZYET NO Check w/Management <br /> 0 <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 />