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PACIFIC REGIONAL LANDFILL <br /> 22-YAN ALLIED WASTE COMPANY <br /> Client: Landfill: Q w.3 <br /> Contact: Generator: = K <br /> Phone#: Sales Person: or j5 <br /> Quantity: c- Site: 4K <br /> Reviewed By: Address: <br /> Waste Profile Form ti-Accept Job# <br /> Chain of Custody 2--Accept Approval#: <br /> 0 Gasoline Contamination 0 Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ 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 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Acce t TPN ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> Reactivity, pH ❑ Accept <br /> PCBs ❑ Accept <br /> Other 0 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 Barium Nickel <br /> Other: -.Beryllium Selenium <br /> Benzene Cadmium NO Silver <br /> Total T.E.X. Q Chromium 7 Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Coeper <br /> Lead 3 <br /> NOTES: <br /> DATE: <br /> DISPOSAL: 5LASS 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 />