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Laboratory a' System ID INO-2005000554 <br />8100 Lowry I <br />•' •><'~ US Mail: PO Collection Date (10(2005 9:15:OOAM <br />d~~K ~'°~°" (303) 692-30 Control Number Z <br />w rs.;,e,~,~ <br />REQUEST FOR AN.__....,r.~ xKVtc:ES Collection No: <br />~~ • <br />.~ <br />CustonredD t ~/ <br />-l' Name : $1.~~ k~ T"'`~ u -~; ~,~;~ <br />~ Addmss: ~ 313 S Ft~1`U'l 61-)l.(SI- ',~a-,~ <br />'' cityisnzip:~~~~ /' ~-~ ~ <br />Contact ,J ~--LJ $db-p~ <br />Phone <br /> <br />e <br /> PWS ID: <br /> Sample Location: <br /> <br /> Desuiption: <br /> Address: <br /> CAy. <br />/ <br />Collectedly ~/I, ILJ/I~JIJ Tm1e: ~~~c/ ~'~ I ~~ ^pm. <br />mon~((th() Ud~~a~y ~y~ear hourL(J LmJin <br />Collected by: ~` Matra. <br />^ surface water <br />^ Ground Water <br />^ Treated Water <br />Purpose : ^ Routine ^ Spedal Purpose ^ Repeat <br />Chlorine residual: ~rr^~ MGrL Temp., Water. ^~F <br />Comments: <br /> TEST ORDER (Check appropriate box) : ~ ~, <br />CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RAOlOCHEMISTRY <br />^ Alkalinity, Phenolphthalein ^ Molybdenum ~ ^ Carbamates ^ Alpha/beta, Gross <br />^ Alkalinity, Total ^ Ni<*el ~ __ ^ VOC ^ Americium <br />^ Aluminum ^ Nirogen, Ammonia Dist. ^ THM ^ Carhon-14 <br />D Antimony ^ Nitrogen, IGeklahl ^ BTEX D Gamma Screen <br />^ Arsenic ^ NBrogen, Total ^ DIQUAT Gamma Spectrometry, <br />^ <br />^ Barium ^ Nitrate/Niuite ^ SOC NuGide Specific <br />^ Beryllium ^ Nilribe ^ SVOC ^ Leak Test <br />^ BOD ^ pH ^ Pesticides ^ Plutonium <br />^ Boron ^ Phosphate, Ortho ^ Glyphosate ^ Radium 226 <br />^ Cadmium ^ Phosphate, Total ^ Herbicides ^ Radium 228 <br />^ Caldum ^ Potassium ^ EDB/DBCP ^.Radon <br />^ Chbride C Selenium ~ ^ PCB ^ Thorium <br />^ Chlorine, total residual <br />^ Silicon (siliptes) ^ TOC ^ Tritium <br />^ Chromium ~ ^ DRO ^ Other. <br />^ Conductiv'rly ^ Silver ^ HEM (Oil Grease) ^ Other. <br />^ Copper ^ Sodium ^ r <br />^ Corrosivily (record tem. p.) ^ Solids, Dissolved ^ r <br />MICROBIOLOGY <br /> <br />yd\~r'~tt <br />^ Cyanide, Dist ~,} <br />d Sorws, Suspended <br />^ Fluoride ^ Solids, To ^ Total Coliforms, PA <br />^ Hardness, total ^ SuHate <br />1,2,5 -ANALYSES ^ Total Coliforms, MTF <br />D Iron D Thatlium ~ <br />i <br />^ U ~ <br />SOC / VOC <br />i ^ Heterotrophic PWte Count ~ <br />onas MPN <br />- <br />^ Ps <br />ud <br />D Lead ran <br />um ) <br />^ Organ <br />c ( e <br />om l7 <br />i <br />D Magnesium ^ Zinc ^ Inorganic ^ E. Coli., MPN m <br />D Manganese C Other. I ^ Other. ~ <br />_n, Mercury ^ Other. ^ Other._ ~ <br /> <br /> <br />0 <br />LABS intemet Addre~. <br />Rapal iL50Rey Rw 1201!99 <br />~\ <br />St rip: <br />