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system ID INO-2005005023 <br />ColledionDate 10/11/2005 10:30:OOt~1 <br />Control Number 200 <br />^.s <br />__ _ _......r...e ..vr+~. ocRVIVC.7 CWlection No: <br />Collected: l I ii1 1/I f fyl f i/1 T lf.! T'"m~e: u~ ; ~ ~ ~j• ~ i O P m. <br />Collected tLLt,y J 1~ ®lt lt- M Iah'vc: .. <br />^ Surface water <br />^ Ground Water <br />^ Treated Water <br />/j CustomerlD 1 C p~~ <br />-1; Name : ' FJL'~-~'t.~fl~ t~~~iT`i G/-(}l~ <br />~ Address : ~'~,~'~ 5 n ~m,kr~1 st R.M 2-l j <br />Gty'surm: ~ ~l u l~j LO ~bc~'~o 3 <br />Conrad ~p(~~P~. <br />Pfxme: '~ L~" rV1~ <br />e <br />F-F PVYS ID: <br />+ Sample Locatan: <br />1 <br />. ~ Description: <br /> Address: <br />/ CAy. <br />LJ?LQJ(~ L-: Purpose: []Routine ^SpeaalPUrpose ^ Repea! <br />'~ J U <br />r . 1 ~{-~ Chlorine residual: ~a ^ ^ MGIL Temp., Water. ^ ~ F <br />t.lJ r ~ r Lx~ I Comments: <br />St: Zip: <br />TEST ORDER (Check appropriate box) : ~ <br />CHEMISTRY- INORGANIC I CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />^ Alkalinity, Phenolphthalein ^ Motybdenum +~ ^ Carbamates ^ Alpha/Beta, Gross <br />^ Alkalinity, Total ^ Nickel ~ ^ VOC - ^ Americium <br />^ Aluminum ^ Nitogen, Ammonia Dist. ^ THM p Carbon-14 <br />^ Antimony ^ N'Rrogen, ICeklahl ^ BTDC ^ Gamma Screen <br />^ Arsenic ^ Nitrogen, Total ^ DIQUAT Gamma Spectrometry, <br />^ Barium ^ Nitrate/Nitrite ^ SOC ^ Nudide Specific <br />^ Beryllium ^ N'Rrite ^ SVOC ^ Leak Test <br />^ BOO ^ PH ^ Pesticides ^ Plutonium <br />^ Boron ^ Phosphate, Ortho ^ Glyphosate ^ Radium 226 <br />^ Cadmium ^ Phosphate, Total ^ HerbicSdes ^ Radium 228 <br />^ Cakxum ^ Potassium ^ EDB/DBCP ^ .Radon <br />^ Chiodde ^ Selenium ~ ^ PCB ^ Thorium <br />^ Chlorine, total residual <br />^ SUicon (silicates) ^ TOC ^ Trkium <br />^ Chromium ~ ^ DRO ^ Other. <br />^ Silver <br />^ Condudivdy ^ HEM (Oct Grease) ^ Other. <br />I <br />^ Copper ^ Sodium ^ Other <br />- .. Q Solids, Dissolved ^ Othec <br />MICROS/OLOGY <br />l5 Solids <br />Suspended <br /> <br />, <br />Cyanide, Dist <br />~ ^ Solids, Total ^ Total Colifomu, PA <br />^ Hardness, total ^ Sulfate phase 1,2,5 -ANALYSES ^ Total Coliforms, MTF <br />^ Iron ^ Thallium ~ p Heterotrophic Plate Count <br />L Lead ^ Uranium ^ Orgadic (SOC/ VOC) ^ Pseudomores MPN <br />C Magnesium ^ Zno <br />^ Manganese C Other. ^ Ino <br /> <br />~ <br />~ ^ E. Coli., MPN <br />^ Other. <br />^ Mercury ^ Other. ~ <br />~ - . ^ other. <br />o%~/~.~' <br />O <br />CARS Internet Addre <br />Repel!]SORe9. Rev 1?AfA9 <br />