HYDRO25421

• Permit No: M1980244
• IBM Index Class Name: Hydrology
• Doc Date: 4/22/2002
• Doc Name: Analysis Results 3rd Quarter
• From: WQCD
• To: DMG
• Permit Index Doc Type: Correspondence
• Media Type: D
• Archive: No

- Laboratory artd Radiation Services Division
8100 Lowry Boulevard, Denier CO 80230-6928
• US Mail: PO Box 17123, Denver CO 80217
o ~n ~ °~ [phone] fax [phone]
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REQUEST FOR ANALYTICAL SERVICES
CuslomeriD~l~ (~S~f~01~f Of- /Y1 11J.b~'-~"t,L,S)FcTaD
Name:$G""Qk~ rk~"r r'_~LA6 .w, ~e-
Address: (~Jtaj 'J~~m~ `S~'~t~-n\~'v
cityrsuzro:.p ~1~1 t:2 L OI.D eJCa O ~20~
comad: ,~ m Cs ~
Panne ~ ~'~ ~ ~' 'l~D'~~
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PWS ID: I I I, I ~ I L~ l~ U
Sample Location: L_l/ LL~ ';>-J ~ r
DesaiPtioo: yt~Dt~~Q~i~(..~ISLHrrteC~
Address: ` L ,~ (~' rY) - ry{~~'7
Collection No:
Colleded: ~L`iJ~LJL~J~IV ~ ! Tane. uU'l"J~ ~Pm.
month day year hour min
Collected by. Q,.s_,p~ Matr6c )~
~ ~ surface water
^ Grourd Water
^ Treated Water
Purpose : tJl Routine ^ Spedal Purpose ^ Repeat
ChlorineChlorine residual: ~a ~a MGIL Temp., Water. ^~ F
Comrrrents:
TEST ORDER (Check appropriate box)
CHEMISTRY-INORGANIC I CHEMISTRY- ORGANIC RADIOCHEMISTRY
^ Alkalinity, Phenolphthalein ^ Molybdenum ~ ^ Carbamates ^ Alpha/Beta, Gross
^ Apcafiridy, Total ^ N'~ckel I ^ VOC ^ Americium
^ Aluminum ^ Nitrogen. Ammonia Dist ^ THM I ^ Carbon-14
^ Antinany ^ Nitrogen, ICeldahl ^ BTl7C ^ Gamma Screen
^ Arsenic ^ N!VOgen, Total ^ DIQUAT Gamma Spedraneiry,
^ Barium ^ NitrateM!hite ^ SOC ^ Nudide Specific
^ Berygiwn ^ N ^ SVOC ^ L.eakTest
gpp r^ PH ^ Pesticides ^ Plutonium
^ Boron ^ Phosphate, ONro ^ GhrPhosate ^ Radium 226
^ Cadmium ^ Phosphate, Total ^ Herbiades ^ Radium 228
^ Goldoni ^ Potassium ^ EDBIDBCP ^ .Radon
^ Chkxide ^ Selenium ^ PCB ^ Ttwrium
^ Chkuiro, trial residual
^ Silicon (silicates) ^ TOC ^ Tritium
^ Chromium ^ DRO (] Otirer.
^ Conductivfly ^ SrTrer ! ^ Hi_M (Oil Grease) ^ Other.
^ Copper ^ Sodium [] Other.
^ Solids, Dissolved
^ Corrosivity ( b temp.
^ °~
MICROBIOLOGY
Cyanide, Dist~~~~~ ^ Solids, Suspended
^ Fluoride ^ Solids, Total ^ Total Colifomrs, PA
^ Hardness, total ^ Sulfate phase 1,2,5 -ANALYSES ^ Total Colifortns, MTF
^ Iron ^ Thallium ~ ^ Heterobophie Plate Count
Lead ^ Uranium ! ^ Organic (SOC / VOC) ^ Pseudomonas MPN
Magnesium ^ Zinc ^ Inorganic ^ E. Coli., MPN
I
^ Manganese ^ ~~ ^ Other.
Mercury ^ Other. ^ Other.
LABS Internet Address: http-l/www.cdphe.state.co.usfldlrhom.htm '
Repot 1250Rep. Rev 1brY1FJ9