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PACIFIC / LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: - Landfill: --moi F 2j <br /> Contact: vGenerator: <br /> Phone#: 3 _ Sales Person: <br /> Quantity: Site: /,2 0C <br /> Reviewed By: J Address: C <br /> Waste Profile Form Accept Job# <br /> C ain of Custody Accept Approval#: <br /> Gasoline Contamination 1 ❑ Ash <br /> TPH-g . Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX Accept pH 0 Accept <br /> TTLC Pb Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter D Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas 77o Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. Ivr Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> DO(CAT Q0 DATE: (� <br /> SAL: LA S II ❑ IL <br /> PRE-LIEN YES NQ1 Check w/Management <br /> c) <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 />