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PACIFIC REGIONAL LANDFILL <br /> = AN ALLIED WASTE COMPANY <br /> Client: 7 J C Landfill: o or- <br /> r <br /> Contact: Generator: F' -EL <br /> Phone#: Sales Person, S <br /> Quantity: Sys Site: Vz <br /> vel- <br /> Reviewed By: Address: - <br /> Waste Profile Form Job# <br /> Chain of Custody -Accept Approval #: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCS ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, H ❑ Accept <br /> PCBs 0 Accept <br /> ❑ Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury a, <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium 7 Nickel g <br /> Other: Beryllium * '_ Selenium <br /> Benzene CadmiumSilver NO <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium :2 <br /> Total SemiVoc's -F Cobalt Zinc <br /> Other: Copper 7 <br /> Lead 2,,'5 <br /> NOTES: <br /> �o rp DATE: /47 <br /> DISPOSAL: 4__�_71_ASS II ❑ SOIL 4 <br /> PRE-LIEN YES NO 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 />