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PACIFIC REGIONAL <br /> AN AELBE®WASTE COMPANY <br /> Client: r a U,'f, Landfill: For tc� r <br /> Contact Generator. s'a,,' Al" <br /> Phone#: c - 3 3 Sales Person: e3 <br /> Quantity: Q C r_r Site: v <br /> Reviewed By. 5,7-&_. Address: <br /> Waste Profile Form Accept Job# <br /> Chain of Custody ccept Approval#: <br /> D Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX ❑ Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> ❑ DieselNirgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf ❑ Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals 0 Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept _ <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs ❑ Accept <br /> VOCs 0 Accept Paint Filter 0 Accept <br /> SVOCs ❑ Accept TPH D Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> then (Gc,w, ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony Mercury < 1 <br /> TPH Diesel Arsenic I Molybdenum I <br /> TPH Motor Oil Barium 0 Nickel <br /> Other: Beryllium I Selenium <br /> Benzene Cadmium L I Silver No <br /> Total T.E.X. Chromium r7 Thallium D <br /> Total HVOC's Chromium 6 Vanadium 7& <br /> Total SemiVoc's Cobalt Zinc <br /> Other: lCo per <br /> Lead j <br /> NOTES: <br /> .SQ a DATE: 4 O <br /> DISPOSAL: ❑ CLASS II AKSOIL <br /> PRE-LIEN S 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 />