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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: 17 PIS Landfill: r+ 7 <br /> Contact: _ — Generator: n _- <br /> Phone#: - Fl Sales Person: . <br /> Quantity: Site: <br /> Reviewed By: �_.( Address: c <br /> Waste Profile Form -B Acce t Job# <br /> Chain of Custody —8-Accept Approval#: <br /> Gasoline Contamination ❑ Ash <br /> TPH-g Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX Accept pH ❑ Accept <br /> TTLC Pb Accept <br /> iesel Oil Contamination ❑ 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 ❑ Accept SVOCs ❑ 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 ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas !,- Antimony Mercury 7 <br /> TPH Diesel ( Arsenic Molybdenum l 1 <br /> TPH Motor Oil ` ^40 Barium r ; % Nickel v <br /> Other: Beryllium Al Selenium ;v? <br /> Benzene 1 Cadmium Silverti <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium -4 / <br /> Total SemiVoc's a Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> F�C1 DATE: LD <br /> DISPOSAL: <CLASS II ❑ S IL <br /> PRE-LIEN YES Check w/ Management <br /> 22 <br /> 6 0J <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 />