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~O Laboratory and Radiation Services Divisron <br />8100 Lowry Boulevard, Denver CO 80234&928 <br />~• US Mait: PO Box 17123, Denver CO 81)217 <br />ca~a•~m•w (303)692-3090 fax (303)344-9989 <br />GrrYSIK rrOrir, <br />MO Fm,wmml <br />2 SlflO <br />REQUEST FOR ANALYTICAL SERVICES <br />~ • <br />.. <br />p Customerlo t p-~aC rpC._~ <br />~-~' Name ~ ~\~ , ` , ` W`~~"CZ~ <br />Address : 13th C(-I E= t~y1~1 ~-A,~ S~"' ~'('~-11 <br />Phone : (~ ~ ~ ~ "'_ ~ ~-~- <br />~ • <br />PWS ID: ~ I I ~ a l <br />Sample Location: <br />iL i r <br />8 Address: l ~(r ~ ~ ~, L~ <br />Cdy: St Zrp. <br />System ID INO-2007002880 <br />Collection Date 1/1/1900 12:0O:OOAM <br />Control Number 403 <br />Cdlection No: <br />Colleded:f ~ II-T I{ / IY_ 1~in1171 Time. L/Jl_1'l! JLJ ~Pm. <br />monm L~-daffy J UyeLar~J h~ mm <br />Collected ny: ~ Matra: . <br />^ Surface Water <br />^ Ground Water <br />^ Treated Water <br />Purpose: ^ Routine ^ SpedalPUrpose ^ Repeat <br />Chlorine residual: ~ a ^ ~ MGIL Temp., Water. ^ ^ F <br />Commems: <br />TEST ORDER (Cheek appropriate box) : Q <br />CHEMISTRY- INORGANIC I CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />^ Alkalinity, Phenolphthalein ^ Molybdenum ~ ^ Caroamates ~ D Alphal8eta, Gross <br />^ Alkalmity, Trial ^ N'rdcel ^ VOC ^ Ameriaum <br />^ Aluminum ^ Nitrogen, Ammonia Drst. ^ THM ^ Carbon-14 <br />^ Antimony ^ Nitrogen. Kleldahl ^ BTIX ^ Gamma Screen <br />^ Arsenic ^ Nitrogen, Totat ^ DIQUAT Gamma Spectrometry, <br />^ Barium ^ Nitrate/Nitrite ^ SOC ^ Nud'We Specific <br />^ Berypnmr ^ N'trrbe ^ SVOC ^ Leak Test <br />^ BOD ^ pH ^ Pesticides ^ Plutonium <br />^ Boron ^ Phosphate, Orttro ^ Glyplwsate ^ Radium 2'16 <br />^ Cadmium ^ phosphate, Total p HerbiiSdes ^ Radium 228 <br />^ Calcium ^ Potassium ^ EDBIDBCP ^.Radon <br />^ Chbrde G Selenium ^ pC8 ^ Thorium <br />^ Chkxine, total residual ^ Silicon (silicates) ^ TOC ^ Tritium <br />^ Chromium ^ DRO ^ Other. <br />^ Conductiviyr ^ ST'er ^ HEM (Oct Grease) ^ Other. <br />^ Copper ^ Sodkun ^ Other . <br />^ Solids, Dissolved ^ Other <br />MICROBIOLOGY <br /> <br />d solds, Suspended <br />Cyanide, Dist <br />Fluo e ^ Sous, Total p Total Col'rforms, PA <br />^ Hardness, teal ^ SuHate Phase 1,2,5 -ANALYSES ^ Total Colifomrs, MTF <br />^ Iron ^ Thallium ~ ^ Heterotrophie Plate Count <br />Lead -^ Uranium ^ Organic (SOC / VOC) p P,seudomonas MPN <br />C Magnesium ^ Zinc ^ Inorganic ^ ~COIi., MPN <br />^ Manganese ^ Other. ^ Other. <br />L, Memory ^ Other: ~ ^ Other. <br /> <br />/~ G ~ ' ~ ' <br />„.. <br /> <br />u~r, <br /> <br /> <br />