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Laboratory and Radiation Services <br />• 8100 Lowy- <br />• .,. US Mail: F <br />c ~ (303) 692• System ID <br />ae°E'^O"°'m' ColleclionlYate <br />Control Number <br />REQUEST FOR A <br />INO-2006003415 <br />8/25/2006 12:30:OOPM <br />1 <br />Address : 131 S~ ~ 2~~ <br />citr~sv~v: k~P, .1~vrtv, fA ~3 <br />contact ENCA ~7~ <br />Phone : 2j®j„~p • 49'U ~ <br />PWS 10: <br />a. <br />Sample Loeatbn: <br /> <br />ti /i <br />: <br />Address: (~r~~~;n i1'llte. <br />~.~no~ Gnu sr Zup: <br />TEST ORDER (Check appropriate bob : ~ <br />CHEMISTRY- INORGANIC I CHEMISTRY- ORGANIC RAD/OCHEMISTRY <br />^ Alkalinity, Phenolphthalein ^ Molybdenum p Carbamates O Afphal6eta, Gross <br />^ AAcafmity, Total ^ Nickel ~ <br />p VOC ~ ^ Americium <br />{Aluminum ^ NiWgen, Ammonia Dist, p THM p Carbw~l4 <br />^ Antirtrony ^ Nitrogen, Igeklahi ^ BTIX ^ Gamma Screen <br />~I Arsenic ^ N'Arogen, Total ^ DIQUAT Gamma Spectrometry, <br />^ Barium ^ NitratdNibite ^ SOC ^ Nudide Specific <br />^ Berytiirnrr ^ Nitrite ^ SVOC ^ Leak Test <br />^ BOD ^ PH ^ Pesticides ^ Plutonium <br />^ Boron ^ Phosphate, Oruro ^ Glyplasate p Radium 226 <br />^ Cadmium ^ Phosphate, Taal ^ Merbiades ^ Radium 228 <br />^ Caklum ^ Potassium p EDB/DBCP ^.Radon <br />^ Chkxide ^ Selenium ~ ^ PCB ^ Thorium <br />p Chkxine, total residual <br />^ Silicon (siliptes) ^ TOC ^ Tritium <br />p Chromium p DRO <br />^ Other. <br />^ SBver <br />^ Conductivity ^ (e) ^ Other. <br />^ Copper ^ Sodium ^ c . <br />^ Corrosivity (record temp) ^ raids, Dissolved ~ MICROBIOLOGY <br />^ Cyanide. Dist C Sofds, Suspended <br />^ Fluoride ^ Saids, Total p Total Cofiforms, PA <br />^ Hardness, foal ^ Sulfate <br />hose 1,2,5-ANALYSES ^ Total Cofdomrs, MiF <br />^ Thamum <br />Imn ^ Heterotrophic Plate Count <br />Lead ~^ Uranium ^ Organic (SOC / VOC) ^ Pseudomonas MPN <br />C Magnesium ^ Zinc ^ Inorganic ^ E. Colt., MPN <br />^ Manganese C Other. ^ Other. <br />~D! Merwry ~ ^ Offer: . ^ Other. <br />S <br />, I <br />C y /(erJ, ~,Fi( ,~ <br />LARS Internet Addre: <br />nopon irtsorsoa. R.,,,ao,ws <br />_. ~'~ttfrrcot.a. -r-d <br />U <br />Caleaed: ?1110I~I~I (C'i~1 /)II/.,I Tme: u~l'L~JLJ~m. <br />Co1leUea br: ~Se/f_'J L"JLJMa6vc: <br />surface Water <br />^ GmuM water <br />^ Treated Water <br />Purpose : ~ Routine ~Spedal Purpose ^ Repeat <br />l~~I 0~I' <br />Chlorine residual: Ja ^~ MG/L ~~Tem~~P~~.~~,~~Water. ^®r' v <br />Comments: ~ ~r~,t di1K/.Y!?.y70Y~ <br />8 <br /> <br />vrt ~ce..P~t~~ ~ mks. ';z- ~ ~ ~(x. ku-Q" o-c. ,~. <br />