HYDRO24153

• Permit No: M1980244
• IBM Index Class Name: Hydrology
• Doc Date: 8/11/2005
• Doc Name: Third quarter from under drain
• From: Lab services
• To: DMG
• Media Type: D
• Archive: No

Laboratory ar>$Radiation Services Division
8100 Lowry 8outevard, Denver CO 80230-6928
~' rt' + US Mail: PO Boz 17123, Denver CO 80217
~^~ [phone] fax [phone]
eanr~ aam
and Evvnmmmt
REQUEST FOR ANALYTICAL SERVICES
~ •
~ Addrese: 1313 SLR ~ S1~fZM~~
Contact
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PWS ID: I I I 1 i I LJ L-J ~;
Sample Location: ~~ c ~ 1T \ 9 ~ ~, ~`~
Description: \~
~ ~ Cfly:
St Zrp:
system ID INO-2005003146
Collection Date 7/7/2005 8:55:OOAtv1
Control Number 1
Collected: 6~J' LiJ~L~)t,.~J~LJtLI Tune: u~~~ ~,j~--t aPm.
month day year hour min J
Colleded by `~ Matroc.
,~ Surface water
~^ round Water
^ Treated Water
Purpose : ^ Routine ^ Special Purpose ^ Repeat
Chlorine residual: ~ a a ^ MGIL Temp., Water. ~ ~ F
Comments:
TEST ORDER (Cheek appropriate box) : ~ I.
CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY
^ Alkalinity, Phenolphthalein ^ Motybdenum ~ ^ Carbamates ^ AlphaBeta, Gross
p Alkalinity, Total ^ Nickel f ^ VOC ^ Americium
^ AWminum ^ Nitrogen, Ammonia Dist. ^ THM ^ Carbon-14
^ Antimony ^ Nitrogen, tGeklahl ^ BTEX ^ Gamma Screen
^ Arsenic ^ Nitrogen, Total ^ DIQUAT Gamma Spectrometry,
^ Barium ^ Nflrate/Nitrite ^ SOC ^ Nudide Specific
^ Beryllium ^ NiUite ^ SVOC ^ Leak Test
^ BOD ^ PH ^ Pesticides ^ Pfulonium
^ Boron ^ phosphate, ONa ^ Glyphosate ^ Radium 226
^ Cadmium ^ phosphate, Total ^ Herbicides ^ Radium 228
^ Caldum ^ Potassium ^ EDB/DBCP ^.Radon
^ Chbride ^ Selenium ^ PCB ^ Thorium
^ Chtodne, total residual
^ Silicon (siliptes) ^ TOC ^ Tritium
^ Chromium ^ DRO ^ Other.
^ Corldudivily ^ SiNer ^ HEM (Oil Grease) ^ Other.
~
^ Copper ^ Sodium ^ Ot~c
^ rd etn J` ^ Solids, Dissohed ^ Other.
MICROB/OLOGY

W 1~tl1\ll d Solids, Suspended
^ C 'de Dist.
u e ^ Solids, Total ^ Total Colifonns, PA
^ Hardness, total ^ SuHate phase 1,2,5 -ANALYSES ^ Total Cofifonns, MTF
^ Iron ^ Thallium ~ ^ Heterotrophic Plate Count
Lead ^ Uranium I ^ Organic (SOC / VOC) ^ Pseudomonas MPN
^ Magnesium ^ Z1nc ^ Inorganic ^ E. Coli., MPN
^ Manganese C Other. ^ Other:
^ Mercury - ^ er. ~ . ^ Other.
I~ ~
L'ARS Internet Address: http-J/www.cdphestate.co.usArArhom.htm
RepM /]SORe0. Rev 1201199
Address: