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PACIFIC <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: c <br /> Contact: Generator: v <br /> Phone#: Sales Person: <br /> Quantity: Site: 2y a 14 e <br /> Reviewed By: Address: IL g <br /> Waste Profile Form Accept Job# <br /> Chain of Custody Accept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb 0 Accept <br /> a PON iesel Contamination ❑ Hydraulic Fluid <br /> TPHd ccept TPH-hf ❑ Accept <br /> BTEX ccept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> PCBs ❑ Acce t <br /> Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel 25 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. AQ Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> Garp (7-fl1iIra <br /> DATE: <br /> DISPOSAL: CLASS II SOIL <br /> PRE-LIEN YES LN01 Check w/Management 007 <br /> 0 `Z ! e ( o�- <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 />