INSPEC42314

• Permit No: M1984036
• IBM Index Class Name: Inspection
• Doc Name: Inspection Report
• From: DMG
• To: Tusco Inc.
• Inspection Date: 1/27/2004
• Media Type: D
• Archive: No

Laboratory and Radiation Services Division
8100 Lowry Boulevard, Denver CO 80230-6928
•' •n` • US Mail: PO~BOx 17123, Denver CO 80217
cep oar [phone] fax [phone]
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W Fmimmrtaxt
REQUEST FOR ANALYTICAL SERVICES
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(r CustomerlD
Name:
Address
City/St/Zp:
Contact
Phone:

PWS ID:
Sample Locatan:

Deseriptbn:

Address:
/ Cdy.
St rip:
Collection No:
Collected: I I I I I I II ~/ I I I I Time. I I I I' I I I I UO p m.
L-lmomri~l L~JLy~ \U~aLrJ t hJour~l LmJinLJ
Collected by. ~ Matri+::
^ surface water
^ Ground Water
^ Treated Water
Purpose : ^ Routine ^ Special Puryose ^ Repeat
Chlorine residual: ~a ^ ~ MGrL Temp., Water. ^ ^ F
Comments:
TEST ORDER (Check appropriate box)
CHEMISTRY- INORGANIC ~ CHEMISTRY- ORGANIC RADIOCHEMISTRY
^ Aikalinily, Phenolphthalein ^ Molybdenum ~ ^ Carbamates ^ Alpha/BeW, Gross
^ Alkalinity, Total ^ Nickel I ^ VOC - ^ Amerfdum
^ Aluminum ^ Nitrogen, Ammonia D'xt. ^ THM ^ Carbon-t4
^ Antimony ^ Nitrogen, IGeldahl ^ BTDC ^ Gamma Screen
^ Arsenic ^ Nitrogen, Total ^ DIQUAT Gamma Spectrometry,
^ Barium ^ NitratrlNitrite ^ SOC ^ Nudide Specfie
^ Beryllium ^ Nitrite ^ SVOC ^ Leak Test
^ BOD ^ PH ^ Pesticides ^ Plutonium
^ Boron ^ Phosphate, Ortho ^ ~ Gyphasate ^ Radium 226
' ^ Cadmium ^ Phosphate, Total ^ Herbiades ^ Radium 228
^ Calcium ^ Potassium ^ EDBlDBCP ^ .Radon
^ Chlodde ^ Selenium ~ ^ PC8 ^ Thorium
^ Chrodne, total residual ^ Silicon (silicates) ^ TOC ^ Tritium
^ Chromium ^ DRO ^ Other.
^ Conductivity O Srlver ^. HEM (Oil Grease) l7 Other.
^ Copper ^ Sodium ^ Other.
^ Cotrosivity (record temp) ^ Solids, Dissolved ~ ^ Othen
MICROBIOLOGY

b Soikfs, Suspended
^ Cyanide, Dist
^ Fluoride ^ Solids, Total ^ Total CoGfomrs,~PA
^ Hardness, total ^ SuKate Pitase 1,2,5 -ANALYSES ^ Total Colifonns, MTF
^ Iron ^ Thalrium ~ ^ Heterotrophic Plate Count
^ Lead ~^ Uranium ^ Organic (SOC! VOC) ^ Pseudomonas MPN
I
C Magnesium ^ Zinc ^ Inorganic ^ E. Coll., MPN
^ Manganese C Other. ^ Other.
[~ Mercury ^ Other. ,
i - . ^ Other.
LARS Internet Ad ress: httpJ/www.cdphe.state.co.usllrAfiom.htm
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