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PACIFIC REGIONALLANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: a <br /> V,' ,'a �® Generator: <br /> Contact: 1 <br /> Phone#: Sales Person: OW S' <br /> Quantity: Q Site: I o <br /> Reviewed By: Address: S�'► r <br /> Waste Profile Form crept Job# <br /> Chain of Custody Accept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> 0 DieselNirgin 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 /> Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals O Accept Reactivity, pH 0 Accept <br /> PCBs 0 Acce t <br /> !T-Other ❑ 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: Be Ilium Selenium <br /> Benzene M Cadmium Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Coeeer <br /> Lead <br /> NOTES: <br /> 0 r I rto M DATE: &1 (9 4 (0 <br /> DISPOSAL: CLASS II 0 SOIL <br /> PRE-LIEN YES 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 />