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CITATION CIRCUITS INC. 1"w 1950 WEST FREMONT STREET <br /> 201-466-4000 STOCKTON, CA 95203 <br /> .............................................................................. <br /> PRE-TREATMENT PROGRAM - CUSTODY TAO <br /> Test Requirements ( ) - pH (EPA 150. 1 ) . <br /> (X) - Trace metals, Total (EPA 200.7) . <br /> f ) - Cyanide, Total (EPA 9010) . <br /> ( ) - Total Toxic Organics. <br /> ( ) - Others <br /> Sample Types VA - Grab. <br /> ( ) - 24 Hours Composite. <br /> ( ) - City Split. <br /> ( ) - at Point of Discharge <br /> ( ) - Others ^ / �. <br /> Sample Collection Periods From. . . . . .*04 .-f : . . . *Too . . . . . . . . . . . . . . . . . . 0 <br /> Sample Collection Times (Date) . . . .4.:? :(@-#7 . . . (Time) . . . . . . . . . . . . . . . . <br /> Preservative Addeds ( ) - Nitric Acid <br /> (( ) - ` U . I // By ( Init. ) s . . . . . . . . .Sulfuric Acid � ) <br /> Dates . . . . . . . . . . . . <br /> ( ) - Sodium/Potassium Hydroxide <br /> ...........................Mann..mammon aa ..Date.....s`.... 8_•_ _t9a= tureen.. <br /> Time: CONTAINER / <br /> LOT NUMBER t Z --7-_-------3_ ---- _ - <br /> ; Reli h (Signature) ; Time 1 Date : R eived gn t e ) ; <br /> -- --- --- --------------d �° -8-=?=f <br /> -: --- - <br /> i <br /> '. Rel ---q ishe ( i�na,,t�ure) : Time <br /> p ', Date >'Rti d B (Si at re ) ; <br /> ; Relinqu shed Bys (Signature) ', Time ', Date :Received Bys ign tura ) ; <br /> --- 1 ------------------------- ; <br /> ; Relinquished Bys (Signature) : Time 1 Date :Received Bys (Signature ) <br /> • In House WESTON Result <br /> Result Sample NO{ . . . . . . . . . . . . . . . . . . <br /> PH <br /> Cu, total (mg/1 ) : <br /> ------ ---------------------- <br /> Pb, total (mg/1 ) ', <br /> -- <br /> Other (mg/1 ) : <br />