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PACIFIC REGIONALFI <br /> AN ALLIED WASTE COMPANY <br /> PFS 53C737 <br /> Client: Landfill: r- <br /> Contact: :Y; /)IA(qkn Generator: <br /> Phone#: — Sales Person: #F <br /> Quantity: Site: 300 40C . <br /> Reviewed By: U , Address: C <br /> Waste Profile Form Accept Job# <br /> Chain of Custody2-Accept Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> 0 DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPI-Id 0 Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> 2.t2ther 57 77 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas NIP Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene D Cadmium Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: lCopper <br /> Lead <br /> NOTES: <br /> a , DATE: <br /> DISPOSAL: 0 CLASS II t9r'—'S0IL <br /> PRE-LIEN YES N 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 />