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PACIFIC REGIONAL LANDFILL <br /> ,raVAN ALLIED WASTE COMPANY <br /> V41- <br /> VN' I <br /> Client: Landfill: v� <br /> Contact: Generator: <br /> Phone#: Sales Person: <br /> Quantity: ZT03 ,S Site: <br /> Reviewed By: Address: <br /> Waste Profile Form ❑ Accept Job# <br /> Chain of Custody ❑ Accept Approval#: <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d 0 Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> PCBs 0 Acce t <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel goo Arsenic V0Molybdenum <br /> TPH Motor Oil Barium & Nickel (� <br /> Other: Beryllium < < Selenium fV <br /> Benzene Cadmium V0 V r Silver <br /> Total T.E.X. Chromium Zo Thallium <br /> Total HVOC's Chromium 6 Vanadium Q <br /> Total SemiVoc's Cobalt Zinc <br /> Other: p Copper Q <br /> Lead <br /> NOTES: <br /> q L DATE: 7 a-y Q <br /> DIS SAL: LASS II 0 SOIL <br /> PRE-LIENF- 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 />