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^~, <br />_ J Laboratory and Radiation Services Division <br />c 100 Lowry Boulevard, Denver GO 80231?-6928 <br />3)1 <br />Or K ~ <br />.m ~ System ID INO-2006002888 <br />REQUEST FOB <br />b <br /> <br />it <br />Q- <br />~ I <br />CollectronlYete 1/1/1900 12:0O:OOAM <br />Control Number 105 ~^ l <br />CustomerlD '~"t~lfll~,1 ~.. <br />Nam : 1?~C3 51,E vvt, <br />Aaeress <br />c~rtstt~P: Ul/~ ~ ~ 1~(, 5 3 <br />ca,tad: <br />Phone : r <br />PWS lD: ~ -1 I-1 i i (~ <br />Sample Location: <br />cooo~^ <br />/ I~ <br />~,A/ IlCdkded:^~ !/ ~/ Time:l II `•I ILl^Pm. <br />~ montlr day Year hour min <br />~- ~~~~ <br />Colleded by: ~ Ma6ix. <br />JJ ^ Surface water <br />^ Ground water <br />I ^ treated water <br />Address: <br />Cdy: ~~. (~ =~ ~ St Lp: <br />Purpose : ~ Routine ^ Spedal Purpose ^ Repeat <br />Chlorine residrral: ~ a ~ ~ MGIL Temp., Water: ^ ^ f <br />Commems: <br /> TEST ORDER (Cheek appropriate box) : Q <br />CHEMISTRY- INORGANIC I CHEMISTRY-ORGANIC RADIOCHEMISTRY <br /> <br />^ Alkafinily, Phenolphthalein p Molybdenum ^ Carbamates hims <br />p Alkafmity, Tdal <br />O Aluminum p N'dcei <br />^ Nitrogen, Ammonia Dist ~ <br />^ VOC <br />p THM ~ e <br />Carbon-f4 <br />^ Antimorry ^ Nitrogen, K}e1daN [] BTD( p Gamma Screen <br />^ Arsenic ^ Nitrogen, Total ^ DIQUAT Gamma Spedranetry, <br />^ Barium ^ N'drate/Nitrite ^ SOC ^ Nudide Specific <br />~ Beryllium ^ NitriAi ^ SVOC ^ leak Test <br />~ BOD ^ pH ^ Pestiddes ^ Plutonium <br />p Boron ^ Phosphate, Ortho ^ Glyphosate ^ Radium 226 <br />^ ~^dmn ^ Plxsphate, Total ^ Herbiades ^ Radium 228 <br />^ Caldum p Potassium ^ EDBIOBCP ^.Radon <br />p Chbride ^ Selenium ^ PCB ^ Tlwmun <br />p Chlorine, total residual <br />^ Silicon (silicates) ^ TOC ^ Tritium <br />^ ~~~ ~ ^ DRO ^ Otlrer. <br />^ ~~;~, p Silver p HEM (01 Grease) ^ Other. <br />^ Copper ^ sodium ^ Other. . <br />p ~~~ro ~) ^ solids, Dissoh~ea ^ Darer: M)CROBIOLOGY <br />~C,l Cyanide <br />Dist~~l~~ p Sofds, Susperded <br />, <br />^ Fluoride •• `` p ids, Total ^ Total Colifomu, PA <br />^ Hardness, total ^ SuHate Phase l,2,5 -ANALYSES ^ Total Coliforms, MTF <br />^ Iron ^ Thallium ~ ^ Heterotrophic Plale Count <br />p Lead ^ Uranium ^ Orgari~c (SOC / VOC) ^ Pseudomonas MPN a~ <br />^ Magnesium O tine ^ Inorganic ^ E. Cofi., MPN <br />^ Manganese ^ Other. ^ Other. n <br />_n, Mera <br />ry ^ Other: ^ Other. N <br />,s <br /> b7 <br /> I I ~i <br />41' <br />LARS Internet Addre+ <br />rtapon szrersay a.. rw+ms <br />