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PACIFIC REGI® FILL <br /> � SAN ALLIED 47W <br /> Client: P Landfill: —Q r W d r" <br /> Contact: a �,� Generator: ,-(= <br /> Phone#: Sales Person: <br /> Quantity: Site: tv <br /> Reviewed By: ,Cr_ Address: , <br /> Waste Profile Form ,Accept Job# <br /> Chain of Custody a-Accept Approval #: Ci <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 Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination 0 Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑ Accept <br /> 59-Other Q ; 0 Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas UP p 'Antimony Mercury <br /> TPH Diesel )- G 600 Arsenic Molybdenum <br /> TPH Motor Oil -T7 go lQ Y ,3& Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. .4 1 < 1 I -/ M <br /> thromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: S 3 - - S - S S 3 - - <br /> - - - - D5 ' <br /> �r P Pt-,Q va- DATE: 7 j-q (-0 <br /> DISPOSAL: 0 CLASS II OIL <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 />