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ab~~sa~ <br />Laboratory and Radiation Services D' lion <br />8100 Lowry Boulevard, Denver CO 80230-6928 <br />• ~' ~.><' US Mail: PO Box 17123, Denver CO 80217 <br />c dpi ~ (303) 692-3090 fax (303) 344-9989 <br />~ raro~em <br />REQUEST FOR ANALYTICAL SERVICES ~„~,,,.,,; <br />E <br />CuslomerlD .~'`' ~,, p ~~,..~ _ \ <br />Name : V G~.ri Il\V~ ' ~iLU <br />Address: 1313 ~~ ~ 5"~' °~` <br />CitylStlLP: ~st~t.~l~~C-~,,Q ;~50~3 <br />Comact ~h~rvtL~ ~ ~®~Ci <br />P'r°^~~3 03~ 8.66 ~-o'~. ~- <br />ColleUed: <br />Collected by. "~'--'~ <br />I Torre: ~ I am. <br />r Ohour min ' <br />Matrb:: <br />(Surface Water <br />^ Ground Water <br />^ Treated Water <br />r-1 <br />tj <br />8 <br />a. <br />PYVS ID: <br />Sample Location: 7TC ~ _L <br />DeStriPtio^: P1 Pc$ t ~` /~-S cr1.R'RQ~" <br />Address: TGC~ V <br />city: '~ LC~Up se 7up: ~~r1 <br />Purpose : ^ Routine ^ Special Purpose ^ Repeat <br />Chlorine residual: ~a ^ ^ MG/L Temp., Water. ^ ~ F <br />CommeMS: <br />TEST ORDER (Cheek appropriate box) : ~ <br />CHEMISTRY-INORGANIC I CHEMISTRY-ORGANIC RADIOCHEMISTRY <br />^ Alkalinity, Phenolphthalein ^ Motybdenum ~ ^ Carbarnates ^ AlphalBeta, Gross <br />^ Alkarmily, Total ^ Nickel I n VOC ^ Ameddum <br />^ Aluminum ^ N~9en, Arrunonia Dist ^ THM ^ Carbon-74 <br />^ Antimony ^ Nitrogen, IGeMahl ^ DTEX ~ Gamma Sueen <br />^ Arsenic ^ Nitrogen, Total ^ DIQUAT Gamma Spectrometry, <br />^ Nudide Specific <br />^ Barium ^ NibateMdrite ^ SOC <br />^ Beryllium ^ Nitrite ^ SVOC ^ Leak Test <br />^ gpp rJ- ~{ ^ Pesticides ^ PWtonium <br />^ Boron ^ Phosphate, Ortho ^ Glyphosale ^ Radium 226 <br />^ Cadmium ^ phosphate, Total ^ Herbiddes ^ Radium 228 <br />^ Cak:ium ^ Potastium ^ EDB/DBCP ^.Radon <br />^ ~~~ ^ Selenium ^ PCB ^ Thorium <br />^ Chforirre, loUl residual <br />^ SIIICefI (SIGWteS) ^ TOC ^ Tritium <br />^ Chromium I ^ DRO ^ Other. <br />^ Conductivity ^ Silver ^ HEM (Oil Grease) I] Other. <br />^ Copper ^ Sodium ^ Oti~r <br />^ solids, Dissolved <br />^ Conosivdy (record lem .) <br />^ Other. MICROBIOLOGY <br />Cyanide, Dist~W ~~ ^ Solids, Suspended <br />Total <br />^ Sol'xls <br />^ Total Coliforms <br />PA <br />, <br />Fluoride , <br />^ Hardness, total ^ Su1(ate Phase 1,2,5 -ANALYSES ^ Total Colifomis, MiF <br />^ Iron ^ Thallium I ^ Heterotrophic Plate Count <br />I~ Lead ^ Uranium ^ Organic (SOC / VOC) ^ Pseudomonas MPN <br />^ Magnesium ^ me <br />^ <br />„ , (~ ^ Inorgank: ^ E. Coli., MPN <br />Il <br />~ <br />^ Manganese r. 1 LAL ^ Other. <br />n Mercury ^ Other. ^ Other. <br />LARS Internet Address: httpl/www.cdphe.state.co.us/IrArhom.htm <br />Repot fS5Me0. Rav 7?A199 <br />