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PACIFIC REGIONAL <br /> AN ALLIED WASTE COMPANY <br /> Client: Han'3y<r Landfill: F3 rw.a1 <br /> Contact: _ZQ J W('VA Generator: V, `2t j a rc <br /> Phone#: 5 3 34/ 1 - ( 3 3 3 Sales Person: g6�. <br /> Quantity: o C S Site: <br /> Reviewed By: Address: 2 <br /> Waste Profile Form 0-Accept Job# <br /> Chain of Custody etrAucept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g . ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> ❑ DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX ❑Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Acce t <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. �'t Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> '5S a; DATE: G 6'6 <br /> DISPOSAL: 0 CLASS II SOIL <br /> PRE-LIEN YES 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 />