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CITATION CIRCUITS INC. 1950 WEST FREMONT STRI <br /> 209-466-4000 STOCKTON, CA 95203 <br /> =vassaaaaaasamsasaaaama:saasasaasasasaaaaaaaaaaaataaaassasaaasaaazasaasz=�aa__ <br /> PRE-TREATMENT PROGRAM - CUSTODY TAG <br /> Test Requirements: ( ) - pH (EPA 150. 1 ) . <br /> ()U - Trace metals, Total (EPA 200 . 7) . S� <br /> ( ) - Cyanide, Total (EPA 9010) . <br /> ( ) - Total Toxic Organics. <br /> ( ) - Other: / <br /> Sample Types (,X) - Grab. r �) ` 1 <br /> ( ) - 24 Hou Com site. <br /> O — City split. 9 3 10 S U 0 8 <br /> ( ) - at Point of Discharge <br /> ( ) - Others f� Q� <br /> Sample Collection Period: From. . . . . l':/. . . . . . .To. . . . . . . . . . <br /> Sample Collection Time: (Date) . . .-.: q `A . . . . . . (Time) . . .:; ; {e <br /> Preservative Added : ( ) - Nitric AcidBy ( Init <br /> �� . . <br /> ( ) - Sulfuric Acid / `� � Date: . . . . . . . . . . <br /> ( ) - Sodium/Potassium Hydroxide <br /> _==aaaaaaassaaaasasaasaaaasssasaasaasasssaaasasasaasaaasasa esasaasasaaaaoe===: <br /> '. CONTAINER ; Time ; Date ; S m 6 'Sy : Signature ) <br /> LOT NUMBER: (i u q_ 3 ; <br /> ; Relirt he By ignature) ; Time Date ; R c ive �` ur <br /> 8y� CSi n t e ) <br /> -----q- --- ----1--- --; -9 3L ------ <br /> Re 'n is ( nature) ; Tim ; Date Yee i ed ys (Signature ) <br /> Relin ished By : (Signature) ; Time ; Date ;Received BY : gnature ) <br /> : Relinquished Byt (Signature) ; Time ; Date ;Received Bys (Signature ) <br /> :aasasassssasasassass:aaasamsasaassaaaasaaaaaasaaaassaaaaaasasasasasaaaaaoae==: <br /> In House WESTON Result Z <br /> Result Sample No: . . . . . . . . . . . . . . . . . . <br /> PH <br /> Cu, total (mg/1 ) ; <br /> ---------------- <br /> Pb, total (mg/1 ) ; <br /> ---------------- <br /> Other (mg/ 1 ) ; <br />