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PACIFIC REGIONAL LANDFILL <br /> `AN ALLIED WASTE COMPANY <br /> Client: _r h 4-r h �'� Landfill: Far w a r <br /> Contact: A r Generator: �'::: - <br /> Phone#: Sales Person: <br /> Quantity: Site: <br /> Reviewed By: Address: <br /> Waste Profile FormAccept Job# <br /> Chain of Custody Accept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb 0 Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ 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 /> PCPs ❑ Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas < Antimony IV2 Mercury < <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil j np Barium g I Nickel <br /> Other: Beryllium < Selenium Alp <br /> Benzene Cadmium < Silver <br /> Total T.E.X. L p,On Chromium Thallium IV <br /> Total HVOC's tv P Chromium 6 Vanadium IQ <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Co per <br /> Lead <br /> NOTES: _ u _q <br /> DISPOSAL: P« � SS I DATE: 0 0IL <br /> � (J <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 />