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PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: S C Landfill: a W a I' <br /> Contact: o W Generator: G- Lia N a <br /> Phone#: Sales Person: <br /> Quantity: q C S Site: a yi ✓'G <br /> Reviewed By: ,(�-, Address: a V; <br /> Waste Profile Form .0'Accept Job# <br /> Chain of Custody P� Xccept Approval #: <br /> 0 Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH D Accept <br /> TTLC Pb 0 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 /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs 0 Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> PCBs ❑Accept <br /> ther S'c,; 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony c Mercury < <br /> TPH DieselArsenic 3 Molybdenum c <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium D Selenium vp <br /> Benzene A2 X q Cadmium Silver AJO <br /> Total T.E.X. NP .x Chromium Thallium NO <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt ( Zinc <br /> Other: Copper 19-3 <br /> Lead � <br /> NOTES: _ — <br /> sa�� DATE: 7 <br /> DISPOSAL: 0 CLASS IISOIL _ <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 />