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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: Landfill: o <br /> Contact: 01Generator: / <br /> Phone #: 13 Z.-Z- -7 1*70 Sales Person: <br /> Quantity: c Site: <br /> Reviewed By: Address: / o <br /> Waste Profile Form cce t Job# <br /> Chain of Custody &rAccept Approval #: ca <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb 0 Accept <br /> Diesel/Virgin Oil Contamina 'on ❑ Hydraulic Fluid <br /> TPHd A ept TPH-hf ❑ Accept <br /> BTEX li^ccept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH 0 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 Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene 7VOi 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 /> <2` I DATE: ?Iq 6 <br /> DISP�SAL: <94B-L—ASS II ❑ SOI <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 />