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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: aamve f Landfill: y,J ,- <br /> Contact: Generator: <br /> Phone#: Sales Person: g <br /> Quantity: acyl Site: '] J <br /> Reviewed By: Address: <br /> Waste Profile FormAcce t Job# <br /> Chain of Custody Accept Approval#: Lt <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> Diesel/fig tefrr,ontamination 0 Hydraulic Fluid <br /> TPHd Accept TPH-hf 0 Accept <br /> BTEX .accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accet 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 <br /> TPH Diesel Q 0 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene N D Cadmium Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> r Abpm U9- DATE: i 11,3al Q(O <br /> DISPOSAL: CLASS II 0 SIL <br /> PRE-LIEN YES NO Check w/Management <br /> V <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 />