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PACIFIC REGIONAL LANDFILL <br /> )rZWAN ALLIED WASTE COMPANY <br /> Client: Landfill: or a r <br /> Contact: Generator: <114 <br /> Phone#: Sales Person: g <br /> Quantity: Q Site: O oh74 ve. <br /> Reviewed By: , Address: S a t<Q C_- <br /> Waste Profile Form crept Job# <br /> Chain of Custody crept Approval#: p <br /> ❑ Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH u Accept <br /> TTLC Pb ❑ Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 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 0 Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Acce t <br /> 0 Other 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas c_2 Antimony Mercury <br /> TPH Diesel Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene 4, Cadmium Silver <br /> Total T.E.X. I Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> 77 err � DATE: 7 j �_64 <br /> DISPOSAL: SS II ❑ S IL <br /> PRE-LIEN YES O 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 />