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PACIFIC REGIONAL LANDFILL <br /> = AN ALLIED WASTE COMPANY <br /> Client: Landfill: Za. IF <br /> Contact: ® f Generator: 'q r 0..e ; <br /> Phone#: Sales Person: B <br /> Quantity: C Site: „n <br /> Reviewed By: Address: <br /> Waste Profile Form .a-Accept Job# <br /> Chain of Custody Accept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb 0 Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel 4LOArsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. 4 Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> o <br /> r P7 DATE: �. <br /> DISPOSAL: LASS II ROIL <br /> PRE-LIEN YES O 2 Check w/ Management <br /> 0 <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 />