Laserfiche WebLink
PACIFIC LANDFILL <br /> AN ALUE®WASTE COMPANY <br /> Client: ar— Landfill: ❑ s 1— <br /> Contact: 'ss� v C Generator: �� ce J_ c v <br /> Phone#: Sales Person: <br /> Quantity: J^ Site: <br /> Reviewed By: J (}- Address: a n 2 dr- C <br /> Waste Profile Form erAccept Job# <br /> Chain of Custody 2±cGept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g _ ❑ Accept TTLC CAM 17 Metals ❑Accept <br /> BTEX 0 Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> ❑ DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX 0 Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination 0 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 0 Accept Paint Filter 0 Accept <br /> SVOCs ❑ Acce t TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> Other =222 it 1 ❑ 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 Cadmium Silver <br /> Total T.E.X. D Chromium Thallium <br /> Total HVOC's NO 62, Q Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: lCopeer <br /> Lead <br /> NOTES: <br /> DATE: 1 9 4!q <br /> DIS OSAL: ❑ CLASS II SOIL <br /> PRE-LIEN ES 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 />