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Laboratory and Radiation Services Civision system ID ORG-2003000016 <br />~` 8100 Lowry Boulevard, Denver CO 80230-8S28 <br />.~.: Collec4ion I?a4e <br />US Mail: PO Box 17123. Denver CO 802 i7 8/6/200, ?:I S:OOPM <br />- ed,.=eoo (303) 692-3090 iaz (303j 344-9989 Control Nuueber I <br />,r. ,, adm <br />:a ee.:~. ` ~ 1 <br />REQUEST FOR. AI~~.LYTICAL SERVICES calecti«iNO: ( II II II n .I .. ~~ , <br />CustomerlD ~ ~ Cdlect&l: I Ih Tune: ~~`J I~I~L I.m. <br />Name : M p ~ZM ~ ~S-~L'.IGL.~~ ~-c- ~I month day year hour ria p.m. <br />P.ddress : Z~(O r (0 ~! i~~~ ~e.~ Zt~Z Colle^...ed d : ( ' ' ~ i Mama: ~ ~9 ,~/• - <br />Gty/St2ip-~N.~.A~J.~ 1 ~ gtJZ3~ ~I Y I~~~~ ~ ~ Icy Surface Wafer <br />11'~ ^ Ground Waver <br />Phone : ~ ~-3- Ctsb~-(~ flO I ^ Tn:ated Water <br />Do you wish resultr Faxed io you? Yes (]No ~. If "Yes- provide your <br />dedi~ted Fax ~ .Initials <br />•e t e II PI r <br />PW510: I. -~ I_...I _I .. .I <br />- ~ L_ ! _.,~I U I ,.o ~ urpose : [] Routine ^ Spedal Purp se ~kepeat <br />Sample LOtation: y~ ~ (~ Q_~e ~~~^~^ <br />~` _.-. ! r--, '-'ter, <br />p „_I _ ~ ~, ~ ,~~ r ~ MG/L Tom Water. <br />Description: I~SaE<r ~, i ~ Chlorine residual: ; ~ ( p•, I ~ F <br />~ n~ v ~ n <br />Address: r~f~~~~~ )~ =GLv~ ;~q'(..~~~J~ommerrcs: ©~Z%Sccv~.:Q Se.~w~~"; c~-."~pT>X f~r/-w. <br />C'A'~..Arlcre ri.Xt^~S St Zo: I <br />--------- C.o ~z~3 N <br /> TST ORDER (Check appropriate hox) <br />CFfEM(SiRY- <br />d iNORGANlC I CiiEivI1STRY-ORG.4N1C I RADiOCNE:JIlSiRY <br />F <br />;] Alkalinity, Phenolphttalein ^ MofySCerum I ^ Cad;amates ^ Alpna/Beta. Gmss <br />'~ Alkalinity, Total ^ Niceel ~ ~ ^ VOC j ^ Amedaum <br />. `' Aluminum ^ Nitrogen, Ammonia Dist I ^ THM ^ Camon-t4 <br />Antimony ^ Ntrcgan, Ketdahl i r, B; ~< ^ Gamma Steen <br />_~ Arsenic G Nitroeen, Total ^ DIQUAT _ Gamma SpeC.IOme'ry, <br />Barium I <br />^ Nitrte/Nimte "SCC t-' Nu~ide Specfo <br />^ Beryllium - ^ Nimte ^ SVOC ^ Leak Tsi <br />^ BOD ^ pH ^ Pesticdes ^ Plutonium <br />G Boron ^ Phosphate, Ortho ^ Glyphosate ^ Radium 725 <br />^ Cadmium ^ phosphate, Total ^ Herbicrdes ^ Radium ?28 <br />Calcum ~j potassium ^ ED8/DBCP ^ Roden <br />Chladde <br />p Seienu:m n PC3 n Thcdum <br />-' Chlohne, fatal reSiCUaI ^ TOC n Tritium <br />''. Chromium ~= SBicon (silicates) ~ ^ DRO - ^ 01her. <br />Carlductivity ~ ^ Silver ~ I ^ HEM (Oil .Grease) ^ Opte; ~, <br />_. Capper ^; Sodium ~ Cher. 7 t r-+ P <br /> <br />''. C:,rresivity (retard temp.) ^~ Solids, Dissolved <br />I <br />^ Gther. <br />MICROBIOLOGY <br />:_.. Cjanide, Dist ^ Solids, Suspended ~ <br />F?ucdde ^ Solds, Total i ^ Total Califorms. P,4 <br />.:! Hardness, !oral ^ Sulfate ! phase 1,2,5 -ANALYSES I ^ Total Col'rfonns, MTF <br />Iron ^ Thallium ! ~ ^ Hetemtroghic Plate Gaunt <br />^ Lead ^ Urnium ;] Organic (SCC / VOC) ^ Fseudomoras MPN <br />Magnesium ^ Zinc ~ ^ Inorganic ~ ^ E. Cali., MPN <br />-_ Manganese J Other. ~ ^ GL7er. <br />-. Merc:ry ^ Comer. <br />i ^ Other. <br />_.. <br />LAFZS intemet Andress: httpJAxww.cdphe.sfate.ca.usllrAmom.iitm <br />ac~m roman. ae. am trco . . <br />y, <br />