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Laboratory and Radiation Services Division <br />8100 Lowry Boulevarcl, Denier CO 80230-6928 <br />' •+• • • US Mail: PO Box 17123, Denver CO 80217 <br />d'~iKx (303) 692-3090 fax (303) 344-9989 <br />"' 2002~b~ <br />REQUEST FOR ANALYTICAL SERVICES <br />~ <br />•~ <br />'#" • <br />CustomedD <br />Name :'~ ~.}~ j('f <br />~~~~~ <br /> Address : l 3 I '.~ ~t'1r;~1t1 ~ ~} `~M 2l 5 <br /> cira'rGp:~~iv~, c~ '~ao3 <br /> contact shm <br />u~ <br />~ h-~oo~~' <br /> \ <br />~] <br />Phone ~3 J UFJ6 -~~~ <br /> <br />,~ PwstD: ^ ^ u <br /> sample location: {'c (-r ~\ d <br /> _ _ <br /> ^ U~4~t~ D~tt~l DtSC~AI~-r~ <br /> Add <br /> ress: <br />~ city: l L StC2J zip: 8t) <br />calection No: <br />Collected: Lam'/ ./I ~~~/I.. II'1 Tmie: ~(1~~.u~ ~Pm. <br />manfhi i LJday uyear~L ~ h-our min <br />Collected by. I~ Matra: <br />®Surface water <br />^ round Water <br />^ Treated Water <br />Purpose : ^ Routine ^ Special Purpose ^ Repeat <br />Chlorine residual: ~ a ^ ^ MGIL Temp.. Water. a ~ F <br />Comments: <br />TEST ORDER (Cheek appropriate box) : 0 <br />CHEMISTRY-INORGANIC CHEMISTRY-ORGANIC RADIOCHEMISTRY <br />^ AtlcaGnity, Phenolphthalein ^ Molybdenum ~ ^ Carbamates ^ Alpha/Beta, Gross <br />^ Nickel <br />^ <br />Alkalin'Ay, Total I n VOC ^ Americium _ _ <br />_ <br />_ _ <br />- rO Aluminum -- O Nitrogen. Ammonia Dist. p THM - ^ Carbon-14 <br />^ Antimony ^ Nitrogen, IGekahl ^ BTIX ^ Gamma Screen <br />^ Arsenic ^ N'itrogen, Total- ^ DIQUAT Gamma Spectrometry, <br />^ Barium ^ NitrateMitrite ^ SOC ^ Nudide Specific <br />^ Beryllium ^ Nitrite ^ SVOC ^ Leak Test <br />G 80D ^ DH ^ Pesbades ^ Plutonium <br />^ Boron ^ phosphate, OMo ^ Gyphosate ^ Radium 226 <br />^ Cadmium ^ Phosphate, Total ^ Herbicides ^ Radium 228 <br />^ Cak:ium <br />^ Potassium ^ EDB/DBCP ^.Radon <br />^ ~~ ^ Selenium ^ PCB ^ Ttadum <br />^ Chtorine, fatal residual ^ Silicon (silicates) ^ TOC ^ Trkium <br />^ Chromium <br />i ^ DRO ^ Other. <br />^ SNer _ <br />_ <br />^ Conductivity <br />^ HEM (Oil-Giease) ~ - -- _ - <br />^ Other. <br />^ Sodium <br />^ Copper ^ ~~ <br />^ ~ ~ ~) ^ Saids, Dissohred ^ Other: MICROBIOLOGY <br />A-~ ^ Solids, Suspended <br />/ ` <br />^ Saids, Total <br />Fluoride ^ Total Coliforms, PA <br />^ Hardness, total ^ Sulfate Phase 1,2,5 -ANALYSES ^ Taal Coliforms, MTF <br />^ Iron ^ Thallium ^ Heterotrophic Plate Count <br />^ Lead ^ Uranium ! ^ Orgadic (SOC / VOC) ^ Pseudomonas MPN <br />^ Magnesium ^ 2rnc ^ Inorganic ^ E. Coli., MPN <br />I <br />^ Manganese C Other. ^ Other. <br />^ Merwry ^ Other. <br />i <br /> <br />I ^ Other. <br />LABS Internet Address: http-J/www.cdphe.state.co.us/IrArhom.htm <br />~n•P,n szwneq rso. rwuss . <br />