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PACIFIC REGIONAL LANDFILL <br /> 2=7AN ALLIED WASTE COMPANY <br /> Client: C4 -/ Landfill: <br /> Contact: Generator: <br /> Phone#: I. Sales Person: <br /> Quantity: _ Site: <br /> Reviewed By: Address: <br /> Waste Profile Form ept Job# <br /> C ain of Custody Accept Approval #: <br /> Gasoline Contamination ❑ Ash <br /> TPH-g Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX P6,Lkccept pH ❑ Accept <br /> TTLC Pb Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑ Accept <br /> Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas I i Antimony 7717 Mercury <br /> TPH Diesel Arsenic / Molybdenum V <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium fVU <br /> Benzene 6 " 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 /> q(. t DATE: � a( CA <br /> IS CAL: SS II 0 SOIL <br /> PRE-LIEN YES Check w/ Management <br /> 0 ti ,7 � 3 <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 />