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PACIFIC <br /> AN ALLIED WASTE COMPANY <br /> Client: ' F-4►1 Landfill: a t <br /> Contact: F ; eX ttck Generator: Sew a a r2 V0( <br /> Phone#: Sales Person: <br /> Quantity: C-Y Site: <br /> Reviewed BAddress: �-- <br /> Waste Profile Form jZALzept Job# <br /> Chain of Custody 2Lccept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> selnr"Contamination 0 Hydraulic Fluid <br /> TPHd Xccept TPH-hf ❑ Accept <br /> BTEX yAccept 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 0 Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> ❑ Other 0 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. py Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> Ca r� �l�ixCLASS <br /> DATE: Co vy t2�DIS OSA II ❑ SOIL <br /> PRE-LIEN YES NO Check w/Management <br /> O V r7 V? <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 />