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PACIFIC REGIONAL <br /> AN ALLIED WASTE COMP <br /> Client: V1 tTI K S` Landfill: r w a-r <br /> o act: u- Generator:- <br /> Phone <br /> Contact: a-r ✓t <br /> U � C <br /> Phone#: Sales Person: S. <br /> Quantity: Site: 2e-ra .S <br /> d <br /> Reviewed By: Address: <br /> Sa rt 4 San- <br /> Waste Profile Form cce t Job# <br /> cce A #: <br /> Chain of Custody pt Approval <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> ❑ DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> - - TTLC CAM 5 Metals ❑Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs 0 Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> IIIIIIM <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> RIF PCBs ❑Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS L /TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury a 79 .7 <br /> TPH Diesel 141 le 4V Arsenic 7-- Molybdenum /-�L 73 <br /> TPH Motor Oil On Barium lip 634 Nickel gg <br /> Other: Beryllium Ato Q0 Selenium MA IV9 <br /> Benzene CadmiumSilver <br /> Total T.E.X. Chromium STOZ Thallium No 1#0 <br /> Total HVOC's Chromium 6 Vanadium Q 17 <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper.­.- /14-4d <br /> Lead j <br /> NOTES: <br /> are DATE: Qo <br /> DISPOSAL: ❑ CLASS II >AOIL <br /> PRE-LIEN YES Chec 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 />