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CITATION CIRCUITS INC. 1950 WEST FREMONT STREET <br /> 209-466-4000 STOCKTON, CA 95203 <br /> ciaaa:aaaaaaaaaaaaaaaaailaaalalaaaasaaaaaaaaaaaaaaaaaaaasaaaaaaasiaaaala:a:aa. <br /> PRE-TREATMENT PROGRAM - CUSTODY TAG <br /> 9 30 9 S 74 1 <br /> Test Requirements pH (EPA 150. 1 ) . <br /> lr ��• )� � <br /> ( - Trace metals, Total (EPA 200. 7) . <br /> t ) - Cyanide, Total (EPA 9010) . <br /> ( ) - Total Toxic Organics. <br /> t ) - Others <br /> Sample Types Grab. <br /> ( ) - 24 Hours Composite. <br /> ( ) - City Split. <br /> ( ) - at Point of Discharge <br /> ( ) - Others <br /> Sample Collection Periods From. . . . .�. . ,.:4}} . . . .To. . . . . . . . . . . . . . . . . . . <br /> Sample Collection Times (Date) . . . —. . . . . (Time) . . . . . . . . . . . . . . . . <br /> Preservative Addeds ( ) - Nitric Acid \ By ( Init. ) s . . . . . . . . . <br /> ( ) - Sulfuric Acid � � n/ Dates . . . . . . . . . . . . <br /> ( I - Sodium/Potassium Hydroxid <br /> 3!lila aaaiaaaaiaiaaa iafitiiaaaaaafaaf aaaaaaatiaaf o;amB <br /> aCONTAINER -- Time ; Date ; y Si atLOT NUMBER s �rT I rd1�/ ; ; q _L_ a--------- ------- -- ------------ j Relinq e B ( nature) ; Tppime Date ; (S ' qn e ) <br /> ------- -- ------- ---------� ISCI�- <br /> ' R inq ishq�ature) ; Time ; Date ; Receiv�B s (Signa ure ) <br /> Relin shed (Signature) : Date ' Rsic v <br /> q Byt Time d Hys ignat re ) <br /> Relinquished Byt (Signature) ; Time ; Date ;Received Byt (y�i nature ) <br /> -1alasaaaaaaaaaaaaaaaaaaaraaaaalaaaaaaafaaaaafaaaaaaaaaaaaaaaaaaaaaaaaaaaaaiacc <br /> In House WESTON Result <br /> Result Sample Nos . . . . . . . . . . . . . . . . . . <br /> pH <br /> ----------------- <br /> Cu, total (mg/1 ) ; <br /> Pb, total (mg/1 ) ; <br /> -------------------------------- <br /> Other (mg/1 ) ; <br /> r <br />