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PACIFIC REGIONAL LANDFILL <br /> � SAN ALLIED WASTE COMPANY <br /> Client: Landfill: 77 �r <br /> CE <br /> Contact: �� Generator: ar ► <br /> Phone#: Sales Person: <br /> Quantity: /r ; Site: <br /> Reviewed By: Address: ; w 12 <br /> Waste Profile Form ccept Job# <br /> Chain of Custody 4e-Accept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Acce t Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury y 111 <br /> TPH Diesel / n Arsenic 60 Molybdenum V <br /> TPH Motor Oil ! Barium Nickel <br /> Other: Beryllium Selenium il^� <br /> Benzene Cadmium ( Silver <br /> Total T.E.X. Chromium j` (4j. Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead � <br /> NOTES: <br /> {" DATE: ZY <br /> DISPOSAL: fikCLASS li ❑ SJOIL <br /> PRE-LIEN YES NO Check w/Management <br /> 0 <br /> (� 31 <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 />