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PACIFIC REGIONAL LANDFILL <br /> )EWAN ALLIED WASTE COMPANY <br /> Client: r rrlh e , Landfill: d l s-A <br /> Contact: Generator: ^p ! rf <br /> Phone#: Sales Person: <br /> Quantity: Site: <br /> Reviewed By: r_j� Address: f< <br /> Waste Profile Form Accept Job# <br /> Chain of Custody ccept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> 0 Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPI-Id 0 Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> 0 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 01. Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene A M Cadmium. Silver <br /> Total T.E.X. !V Chromium kfa Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc f <br /> Other: lCopper <br /> Lead , <br /> NOTES: <br /> r - DATE: 7 / QGp <br /> DISPOSAL: ASS II 0 SOI <br /> PRE-LIEN YES , NO Check w/Management <br /> 1 145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKTON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal.com <br />