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PACIFIC REGIONAL LANDFILL <br /> j AN ALLIED WASTE COMPANY <br /> Client: Landfill: <br /> Contact: –77A, Llg Generator: . /7 <br /> Z- -5 <br /> Phone#: / / / Sales Person: <br /> Quantity: C Site: <br /> Reviewed By: Address: b <br /> Waste Profile Form 7Accept Job# <br /> Chain of Custody ZAccept Approval#: 69 L( <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> STEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas ATV Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium O Silver <br /> Total T.E.X. ti Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: p —.r Copper <br /> ]Lead .S'TL C <br /> NOTES: <br /> Q C Q Q DATE: '� 5' (p <br /> DISPOSAL: VCLASS II ❑ SOIL <br /> PRE-LIEN YES NO 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 />