Laserfiche WebLink
4,FORW,g�q® <br /> \�vQ� <,y2Q <br /> r <br /> NORTHERN CALIFORNIAOFFICE <br /> zForward • Keller Canyon • Newby Island • Ox Mountain <br /> ALLIED WASTE COMPANIES <br /> 'yo.t4o��'do <br /> Client: 7 r2 n ' e (So P, o Landfill: F=�ALJ and <br /> Contact: c h ee- a4q Generator: <br /> Phone#: - 716 Sales Person: <br /> Quantity: Site: 30 9Q <br /> Reviewed By: Address: <br /> Waste Profile Form 0 Accept Job# <br /> Chain of Custody 0 Accept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g . 0 Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> 0 Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd 0 Accept TPH-hf ❑ Accept <br /> BTEX 0 Accept BTEX 0 Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs 0 Accept_.__ Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals 0 Accept Reactivity, pH 0 Accept <br /> 0 Other 0 Treated Wood <br /> ORGANICS TTLC/TCI-P PPM Metals TTLC/STLC PPM <br /> TPH Gas TO Antimony Mercury GI. <br /> TPH Diesel Arsenic Molybdenum 11/0 <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium I'd Selenium <br /> Benzene Cadmium '0 Silver <br /> Total T.E.X. go Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVo ' G ( Cobalt Zi c <br /> Other: PU 7. Copper <br /> r Lead I <br /> NOTES: <br /> APPROVED BY: DATE: <br /> DISPOSAL: ❑ CLASS II 0 CLASS II(Cover) 0 CLASS III <br /> PRE-LIEN YES NO Check w/Management <br /> 1145 West Charter Way, Stockton, CA 95206 Phone 800.204.4242 Fax_209.466.1067 <br />