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<br />,.K <br />to ~„~, <br />u~ rrnw, <br />.m ~~~ <br />Laboratory and Radiation Services Divi <br />8100 Lowry Boulevard, Denver CO 80: <br />US Mail: PO'Box 17123, Denver CO 8( <br />(303) 692-3090 tax (303) 3449989 <br />System ID INO-2005003147 <br />Collection Date 7/7/2005 9: ] O:OOAM <br />Control Number 2 <br />' REQUEST FOR ANALYTICAL SER...,~.. <br />~~ • <br />•~ <br />wuearon rvu. <br /> <br />-t CtatomerlD ~~~ <br />Name: <br />~ !I Collected: ~~/1~ [r( I/{~ ~~~-{~ Tmie: ~ (~f'~ / ~~ )! OPm. <br />~{.i LJ <br />J lJ <br />`L/J <br />LLJ lS/J <br />U <br />~/J <br />: ~['~c <br />p ..k~~ <br />O ~Y <br />~a <br />r <br />~m ~ <br />min <br /> ~. <br />1 <br />j <br />3 <br />J((~1~p~ <br />tf --~~ Il I <br />1 <br />~ <br />~ <br />ry~ <br />~ Collected by. ~ <br />~ Matrbc: <br /> ~ <br />G <br />f <br />: <br />/~_ ~ <br />~~n <br />'~ <br />y~ <br />Q <br />,~ <br />Contact ~ `'~ ~~J W,U UJ ~`~O~! ( L ter <br />~ <br /> ~0~ ~ ~ ~ ~.~ ~ -~~ / i Ground W <br />^ Treated Water <br />~~ • <br />~ PWS ID: ~ ~ I ) I <br />P <br /> P urpose: ~ Routine ^ Spedal Purpo se ^ Repeat <br />• Sample location: . <br />^ ~ MG/L <br />Chlorine residual: ~ <br />Temp., Water. ^ ^ F <br /> ~ rr <br />' Address: Comments: <br />p- Cgy: St Lp: <br />TEST ORDER (Check appropriate box) : ~ !- <br />CHEMISTRY- INORGANIC I CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />p Alkalinity, Phenolphthalein ^ Motybdenum ~ ^ Carbamates ^ AlphaBeta, Gross <br />^ Alkatmdy, Total ^ Nickel ~ ^ VOC Q Americium <br />^ Aluminum ^ Nitregen, Ammonia DtsL ^ THM ^ Carbon-14 <br />^ Antimony ^ N'nrogen, Kleklahl ^ BTIX ~, Gamma Sereen <br />^ Arsenic ^ Nitrogen, Total ^ DIQUAT Gamma spectrometry, <br />O Barium ^ Nitrate/NRdte ^ SOC ^ NuGide Specific <br />^ Beryllium ^ Nifrlte ^ SVOC ^ Leak Test <br />^ gpp ^ PH ^ Pesticides ^ Plutonium <br />^ Boron ^ Phosphate, Ortiw ^ Glyphosate ^ Radium 226 <br />^ Cadmium ^ phosphate, Total ^ Herb'rpdes p Radium 228 <br />^ Caldum ^ Potassium ^ EDBIDBCP ^.Radon <br />p Chbride ^ Selenium ^ PCB ^ Thorium <br />^ Chtodne, total residual <br />^ Silicon (silidtes) ^ TOC ^ Tritium <br />^ Chromium ~ ^ DRO (] Other. <br />^ Srlver <br />p Conductiv'rly ^ HEM (Oil Grease) ^ Other. <br />p Copper ^ Sodium ^ Otryef <br />Q ., ~,____ ^ Solids, Dissolved <br />1 <br />' <br />r <br />~'(P ^ ~~ <br />MICROBIOLOGY <br />, <br />p~ <br />, d So~ids,Suspended <br />j t t <br />C snide, Dist IN J,t /\ <br />pride ~ '~/F~ ^ Soids, Total p Total Coldortns, PA <br />^ Hardness, total ^ SuHate Phase 1,2,5 -ANALYSES Q Total Colifonns, MTF <br />^ Iron ^ Thallium ~ ^ Heterotrophic PWte Count <br />^ Lead ~^ Uranium I ^ Organic (SOC/VOC) ^ Pseudomonas.MPN <br />i C Magnesium ^ Zinc ^ Inorganic ^ E. Cofi., MPN , <br />I <br />^ Manganese ^ Other: ^ Other. <br />^ Mercury ^ Other. , ~ ^ Other. <br />i <br />LARS Internet Address: http:/lwww.cdphe.state.co,usllrllmom.mm <br />Report KZ`Ane4. Rev 1?RIA9 <br />