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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: r i— <br /> Contact: Ca rQ Generator: <br /> Phone#: Sales Person: <br /> Quantity: QQ Site: 0Yfft2 < <br /> Reviewed By: ( Address: ca <br /> Waste Profile Form 9-Accept Job# <br /> Chain of Custody 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 /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept 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 T3 YQ 1 in jtjo Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene C- Cadmium Silver <br /> Total T.E.X. IVU A'l Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> [NOTES: <br /> ther: Co per <br /> Lead P P 1 *1 { <br /> - c- _ 777 <br /> CaVA DATE: <br /> DISPOSAL: ❑ CLASS II SOIL <br /> PRE-LIEN YES NO Check w/Management <br /> 0 V 76 <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 />