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PACIFIC ILANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: F;r w <br /> Contact: ti.o Generator: <br /> Phone#: Sales Person: <br /> Quantity: C Site: I-enih <br /> Reviewed By: j Address: c <br /> Waste Profile Form Accept Job# <br /> Chain of Custodyccept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> 4 ac <br /> ieselNContamination ❑ Hydraulic Fluid <br /> TPHd Accept TPH-hf ❑ Accept <br /> BTEX g-Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 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 0 Accept Reactivity, pH ❑ Accept <br /> r <br /> s 0 Acce t <br /> they S ,' 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel '7 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene wg&je Se n g,,mSAS 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 /> DATE: <br /> DISPOSAL: 0 CLASS II SOIL <br /> PRE-LIEN S2 NO Check w/Management <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 />