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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: =or La <br /> Contact: — Generator: <br /> Itz� <br /> Phone#: Q7 Sales Person: <br /> Quantity: Qn X0,,1 r Site: i V !� <br /> Reviewed By: Address: a co <br /> Waste Profile Form 2-Accept Job# <br /> Chain of Custody -Accept Approval#: <br /> Gasoline Contamination ❑ Ash <br /> TPH-g Accept TTLC CAM 17 Metals ❑ Mceot <br /> BTEX Accept pH 0 Accept <br /> TTLC Pb Accept <br /> 0 Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Acce t Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> 0-1 Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene 4 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 - 414 <br /> Lead <br /> NOTES: <br /> rP japr0 DATE: to f 9 Ola <br /> DISPOSAL: ,2-CLASS II ❑ SOIL <br /> PRE-LIEN YES NO Check w/Management <br /> 7 <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 />