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PACIFIC REGIONAL LANDFILL <br /> SAN ALLIED WASTE COMPANY <br /> Client: �� ,� Landfill: Q- I <br /> Contact: ,' Generator: S g <br /> Phone#: :p 50 �0 — a Sales Person: .� 4 <br /> Quantity: �t?�� X1.5 Site: 1�,1. 2[ ec ®� �CC? <br /> Reviewed By: I , Address: Q <br /> Waste Profile Form Acce t Job# <br /> Chain of Custody Accept Approval #: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> iesel r ' Contamination ❑ Hydraulic Fluid <br /> TPHd Accept TPH-hf ❑ 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 ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑ Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel �0 e , Arsenic Molybdenum <br /> TPH Motor Oil Barium V Nickel <br /> Other: Beryllium Selenium <br /> Benzene V Cadmium Silver <br /> Total T.E.X. Chromium V, Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> DATE: 7 3 <br /> DISPOSAL: CLASS II ❑ SOIL <br /> PRE-LIEN YES NOI 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 />