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PACIFIC 1LANDFILL <br /> A@1 ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: A I r�h a. Generator: <br /> Phone#: Sales Person: t':F�' <br /> Quantity: O Site: 112 <br /> Reviewed By: "5 Address: a. rL <br /> Waste Profile Form Accept Job# <br /> Chain of Custody ccept Approval#: S a2 <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> ❑ DieselNirgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept 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 ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept_ <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> PCBs 0 A222Lt_ <br /> er 0 Treated Wood <br /> ORGANICS TTLCJTCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony l) Mercury At D <br /> TPH Diesel 7 Arsenic Molybdenum <br /> TPH Motor Oil Barium 130 Nickel 6 Z3 <br /> Other: <br /> Beryllium z I Selenium <br /> Benzene Cadmium 1JP Silver VP <br /> Total T.E.X. ® Chromium , Cc ThalliumAl <br /> Total HVOC's INIF Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: - Copper 114 <br /> Lead <br /> NOTES: <br /> DATE: <br /> DISPO AL: ❑ CLASS II >< SOIL <br /> PRE-LIEN YES O 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 />