Laserfiche WebLink
CITATION CIRCUITS INC. ''"' 1950 WEST FREMONT STREI"f <br /> 209-466-4000 STOCKTON, CA 95203 <br /> =asssassasaaaaasasaaaasasssssaaasaaaaaaaaaaaaaaaaaaaaaaasaa ssssaaasasasassas�= <br /> PRE-TREATMENT PROGRAM - CUSTODY TAG <br /> Test Requirements: ( ) - pH (EPA 150. 1 ) . <br /> ( ) - Trace metals, Total (EPA 200. 7) . <br /> ( ) - Cyanide, Total (EPA 9010) . <br /> ( ) - Total Toxic Or anics. <br /> Other: _ (, _ — <br /> Sample Type: ( ) - Grab. <br /> ( ) - 24 Hours Composite. <br /> ( ) - City Split. <br /> ( > - at Point of Discharge <br /> Other: dS c 1� rtPC� <br /> Sample Collection Periods From. . . . . . . <br /> Sample Collection Times . . (Time)To . . . . . . . l <br /> (Date) . . . ..: . . (Time) <br /> Preservative <br /> Preservative Addeds ( ) - Nitric Acid <br /> BY ( Inst. ) : . . . . . . . . . <br /> ( ) - Sulfuric Acid Date: . . . . . . . . . . . . <br /> ( ) - Sodium/Potassium Hydroxide <br /> :wassssaaasasssasaasaasasaassasasasassasaaaasasasaaaaaaaaaasaasaassasassassasmc <br /> CONTAINER �a L_ /n Time Date Sam 1 d By : <br /> V rC\ p Sa ure ) <br /> ; LOT NUMBERt ( <br /> -------------- _-- - �_ <br /> ; Rel ' quished Sys (Sig ure) ; Time _ Date ; Rec y : (Signature ) <br /> '. Relinqui ed Bys (Signature) ; Time i Date a •i • Sys (Signature ) <br /> ----------------------1-------- <br /> . Relinquished By : (Signature) ; Time Date ; Received By : (Signature ) <br /> ------------------------- ' <br /> Relinquished Sy : (Signature) ; Time Date ;Received Sys (Signature ) <br /> -asasssaaaaaaaaaasaassasarasaaaasssaasaaaaaaaaaaaaaasaasaaasaaa sasasasasaassaac <br /> In House WESTON Result <br /> Result Sample Not . . . . . . . . . . . . . . . . . . <br /> pH Cz <br /> Cu, total (mg/1 ) It <br /> -------------------------------- <br /> Pb, total (mg/1 ) <br /> -------------------------------- <br /> Other (mg/1 ) <br /> ----- --------------------- <br />