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PACIFIC REGIONAL 1 <br /> AN ALLIED WASTE COMPANY <br /> Client: ,S r,� Landfill: q <br /> Contact: Generator: <br /> Phone#: _ Sales Person: <br /> Quantity: t Q 16,7 Y1- Site: a J . <br /> L 14 <br /> Reviewed By: J_ Address: LT a e q C <br /> Waste Profile Form 71wccept Job# <br /> Chain of Custody ,HlAccept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd Accept TPH-hf ❑ Accept <br /> BTEX XAccept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel N!) <!Q Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. t7 Chromium Thallium <br /> Total HVOC's IV U Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> C�<P ProV.4DATE: l y 4 4 <br /> AL: XCLASS II ❑ SOIL <br /> PRE-LIEN YE NO Check w/Management <br /> 4 <br /> 1145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKfON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal.com <br />