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~av~s~~ ~ <br />Laboratory and Radiation Services Division <br />8100 Lowry Boulevard, Denier CO 80230-6928 <br />• .+• US Mail: PO Box 17123, Denver CO 80217 <br />~^~~~ (303) 692-3090 fax (303) 344-9989 <br />dMIk FINS, <br />~S Favi+o®m <br />REQUEST FOR ANALYTICAL SERVICES Cdlection No: <br />.. <br />r~ <br /> <br />custornedD ~~`~.1~'VQ'yl~'St ph1, Oj'-- M 11y~2(-l~'~ ~~(1- <br />Address:: IoS~3~ ~ ~ ~Ma.1~ <br />Gh~: 9 V <br />contact ~Sr1 rv \CC ~ ~p ( <br />Phone f ~~2 ~ v7 f_A _ r ~ ~1 1_ <br />~°"~d~ II Iln!/I o ~1 i/b IV I Tm~: <br />Collected by-. Q~ Matrbc: <br />~L~~1+-~~,F~~--IF~M~.~~~Surface Water <br />Ground Wafer <br />^ Treated Wafer <br /> <br />t:C <br />_8 <br />~- <br />P1Ar5 10: <br />Sample location: <br />Description: I (Pc'~ .D l S C H~ <br />Address: C.'C "' 1 <br />CaY: \~ I ~~~ ~ Zip:' YK~r1 <br />Purpose : ^ Routine ^ Special Purpose ^ Repeat ~'-~ <br />Clrlorirre residual: ~ a ^ ~ MGA. Temp., Water. ^ I I F <br />CommeMS: <br />TEST ORDER (Check appropriaEe box) : ~ <br />CHEMISTRY-INORGANIC CHEMISTRY-ORGANIC RADIOCHEMISTRY <br />I <br />^ Alkalinity, Phenolphthalein ^ Molybdenum , ^ Carbamates ^ Alpha/Beta, Gross <br />^ Aaarmily, Total ^ Nickel I n yOC ^ Americium <br />^ Aluminum ^ Nitrogen, Anvrioriia Dist ^ THM ^ Carbon-14 <br />^ Antimony ^ Nitrogen, IGekiaN ^ BTEX ^ Gamma Screen <br />^ Arsenic ^ Nitrogen, Total ^ DIOUAT Gamma Spectrometry, <br />^ Barium ^ Nttrate/NitrAe ^ SOC ^ Nuclide Specific <br />^ Beryllium ^ Nitrite ^ SVOC ^ Leak Test <br />^ BOD r^ ~ ^ Pesficirks ^ Plutonium <br />^ Boroo ^ Phosphate. Odho ^ Gyphosate ^ Radium 226 <br />^ Cadmium ^ phosphate, Total ^ ~~~~ ^ Radium 228 <br />^ Caldum ^ Protassiutn ^ EDBlDBCP ^ Radon <br />^ Chloride <br />^ Selenium ^ PCB ^ Thorium <br />^ Chlorine, total residual <br />^ Silicon (sitirates) ^ T~ ^ Tritium <br />^ Chromium ^ DRO ^ Other. <br />O Silver <br />^ Conductivity ^ HEM (Oil Grease) ^ pyRr <br /> <br />^ Sodium <br />^ Copper <br />^ py~c <br />^ raids, otssroWed <br />^ Cortasiv'dy (record temp.l <br />^ ~ <br />MICROBIOLOGY <br />Cyanide, bist ~ W{~ C Solids, Suspended <br />^ Fluoride ^ Solids, Total ^ Total Caiforms, PA <br />^ Hardness, total ^ Sulfate phase 1,2,5 -ANALYSES ^ Total Colifomss, MTF <br />^ Iron ^ Thatlium I ~ ^ Heterotrophic PWte Count <br />^ Lead ^ Uranium i ^ Organic (SOC / VOC) ^ Pseudomonas MPN <br />^ Magnesium ^ 2inc ^ Inorganic ^ E. Coli., MPN <br />I <br />^ Manganese (Other. ^ Other. <br />n Merary ^ Other. ^ Other. <br />i <br />IARS Intemel Address: http://www.cdphe.state.co.us/IrArhom.htm <br />Rapon f~Re4 Rev 1781199 <br />