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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: C=nr w Q <br /> Contact: Generator: <br /> Phone#: ]Sales Person: <br /> Quantity: -r— Site: <br /> Reviewed By: Address: <br /> Waste Profile Form cept Job# <br /> Chain of Custody �- ' ccept Approval #: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ 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 0 Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> qw 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 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Be Ilium Selenium <br /> Benzene 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 /> Cr6 4 ._ DATE: la QG <br /> DIP SAL: ❑ CLASS II __t4/IL <br /> PRE-LIEN YES NO Check w/ Management <br /> 1 145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKTON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www,disposal.com <br />