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PACIFIC REGIONAL LANDFILL <br /> L IFAN ALLIED WASTE COMPANY <br /> is <br /> Client: Fa r(M S Landfill: ` w2 C <br /> Contact: a r Lz= Generator: S` <r- Fa F wt J— <br /> Phone#: Sales Person: <br /> Quantity: p QQQ Site: oT <br /> Reviewed By: (s- , Address: <br /> Waste Profile Form ,0'Acce t Job# <br /> Chain of Custody ZAccept Approval#: 51 <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX 0 Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> ❑ Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX 0 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 ❑ Acce t <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH 0 Accept <br /> PCBs 0 Accept <br /> 0 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 Q,p JVD IV Ath 0047 Cadmium Silver <br /> Total T.E.X. c 3 Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> ]Lead <br /> NOTES: <br /> G�f P P®MA DATE: ./ g <br /> DISPOSAL: ❑ CLASS II ❑ SOIL X S70 <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 />