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9Q07S453 ,) � + <br /> CITATION CIRCUITS INC. `•"• 1950 WEST FREMONT STREl <br /> 209-466-4000 STOCKTON, CA 95203 <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 ,Orr nics. <br /> Other: �/ X-.(?_ - 0,-�- P <br /> Sample Type: ( ) - Grab. <br /> ( ) - 24 Hours Composite. <br /> ( ) - City Split. <br /> ( ) - at Point of Dicharge <br /> (�V - Other: � M-5 (7F //M///LL <br /> Sample Collection Period : From. . . . . . . . . . .To. .IVA <br /> Sample Collection Timet <br /> (Date) �; � � ' • • • • • • <br /> . . . . . . (Time) . . <br /> Preservative Added : ( ) - Nitric Acid By ( Init. ) t . . . . . . . . . <br /> ( ) - Sulfuric Acid Date: . . . . . . . . . . . . <br /> Sodium/Potassium Hydroxide <br /> CONTAINER --- - Time Daaiatei <br /> is.rsp ad <br /> Bi (S ' <br /> : LOT a �isto r e ) <br /> ----- �----- a ° r <br /> _ '= -�--m---�- - <br /> u--- <br /> - <br /> ; Relnquishe B ' e) Date Rpce ed <br /> Z' ;natre ) <br /> iQ-- -------------- a c -- -- - - x` <br /> Relinq shed Hy : (Signature) ; Time Data eceived By : (Signature ) <br /> --------------------------------------------------- ------------------------- <br /> Relinquished Sys (Signature) ; Time Date ; Received By : (Signature ) <br /> ----------------------------- --------------------- <br /> . Relinquished Byt (Signature) ; Time ; Date ; Received Sys (Signature ) <br /> _laiitiatiiitiliiiiiitita�itatiataaaaaiaatisiiaf ataiatitaiiiii ii iititiaitii i=i c <br /> In House WESTON Result <br /> Result Sample Not . . . . . . . . . . . . . . . . . . <br /> pH <br /> Cu, total (mg/1 ) <br /> -------------------------------- <br /> Pb, total <br /> -------------------- <br /> Other (mg/1 ) <br /> ------ <br />