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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> is Client: 7 77 Landfill: F77(,c,�2 r 3 -7- <br /> Contact: <br /> Contact: Generator: <br /> Phone#: Sales Person: B <br /> Quantity: { Site: l t{O p A k' <br /> Reviewed By: �,G Address: 2- <br /> Waste <br /> Waste Profile Form cept Job# <br /> Chain of Custody Accept Approval#: <br /> Gasoline Contamination ❑ Ash <br /> PH-g Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Accept pH ❑ Accept <br /> TTLC Pb Accept <br /> Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> T Hd ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLPPPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: ase-v%& Be llium 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: Co per <br /> Lead <br /> NOTES: <br /> o rPP DATE: <br /> DISPOLL: CLASS II ❑ SOIL <br /> PRE-LIEN YES NO 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 />