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PACIFIC E I <br /> ZZVAN ALLIED WASTE COMPANY <br /> Client: Landfill: ®r -a <br /> Contact: Generator: U r e <br /> Phone#: Sales Person: <br /> Quantity: r VA-t- — Site: Q ®u <br /> Reviewed By: Address: <br /> Waste Profile Form cce t Job# <br /> Chain of Custody ccept Approval#: (19 <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> ❑ DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> - TTLC CAM 5 Metals 0 Accept - <br /> 0 Waste Oil Contamination - - ❑ Sludge - <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑Accept <br /> TOG ❑ Accept SVOCS ❑Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCS ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> F.ther ,"y, kms. j ❑ 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. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> ]Lead <br /> NOTES: <br /> j o i jt DATE: <br /> DISPOSAL: &ASS II 0 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 />