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PACIFIC REGIONAL L <br /> AN ALOE®WASTE COMPANY <br /> to <br /> Client: ]Landfill: p a <br /> Contact: a c 9c e Generator: a "0 2. ung h S r�t <br /> Phone#: / / Sales Person: <br /> Quantity: Y r Site: ® _5 <br /> Reviewed By: Address: e <br /> Waste Profile Form 2Acce t Job# <br /> Chain of Custody ,Accept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb ❑ Accept <br /> ese Contamination ❑ Hydraulic Fluid <br /> TPHd Accept TPH-hf ❑ Accept <br /> BTEX Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> ❑ Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals Q Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs 0 Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury <br /> TPH Diesel Q Arsenic Molybdenum <br /> TPH Motor Oil Barium Nickel <br /> Other: Beryllium Selenium <br /> Benzene Cadmium Silver <br /> Total T.E.X. NP Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium <br /> Total SemiVoc's Cobalt Zinc <br /> Other: Copper <br /> Lead <br /> NOTES: <br /> �'4�� �° DATE: ((�. <br /> DISPOSAL: SOIL <br /> PRE-LIEN YES NO 2 dev Check w/Management <br /> 1145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKfON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal,com <br />