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Laboratory and Radiation Services Div' <br />5100 Lowry Boulevard, Denver CO 80: <br />US Mail: PO Box 77123, Denver CO 81 System ID INO-2007000959 <br />cawMonap+ba. (303) 692-3090 td7( (303) 344-9989 Collection Date 2127{2007 9:55:OOAM <br />r~.r~aa.d Control Number 101 <br />REQUEST FOR ANALYTICAL SER`...~., caleaonNe: <br />• <br />crstanerto ~ _ colleued: n i / <br />Tma: <br />Address ~ ~~n,~ k-~~ ll f~'~~~~~ ~~ i~,a°~ ~',,,><~ Oam. <br />17J~3St4~QM~j~^'•~" R1~1,~f Coilecfeaby 11tri7,..te.a I f Matra ~-~ <br />Cily/StIZfD: 'U ~t,ts.yLllLt1-v~~ <br />Cantart ~~t'~~t-1~ ~ 1 ,, !~ ^ surface wa4er <br />Pfane:t~~3~ ~O~-`FE7^l ~ ~ Treated tlVamr <br />PWS ID: <br />tY <br />Purpose : ^ RouBne ^ Spacial Purpose ^ Repeat <br />sampb Location: ~-~,p `r- ft <br />p c•_ ~ I~ r.~y~ . <br />D~ 1 Q s~tl~I ~p t.~t Lt 1-~y Chorine reslduak e ~ MGfL*-.. Semp:,,YVatei:~ ~^ " ~ ~ ~ rF. <br />Address: <br />St Zq: <br />Commerce: <br />TEST oRDeR (cheek appropriate box) : O <br />CHEMISTRY- /NORGAN/C CHEM/STRY-ORGAN/C RAD/OCHEM/STRY <br />^ Akaenib. Pnenolph8mleln ^ Aeoybderrum ^ carbamates ^ AlphalBeta, Gross <br />^ AecaenHy, TWaI ^ Niclcd p VOC ~ ~] Amerktium <br />p Aluminum ^ Nibogen, Ammonia Dkt. ^ THM ^ Carbon-74 <br />p Arrtanony ^ Nerogen, Kleklald p BTE ( p Gamma Screen <br />p Arsenic ^ Nibogen, Total ^ DIQUAT Gamma Spectromeby, <br />^ <br />^ Barium ^ NersteMdrge ^ SOC NudWe SpecHk <br />^ 8eryeium ^ NifniDa ^ SVOC ^ Leakiest <br />^ BOD ^ pH ^ PesticWes ^ Plutonium <br />p Boron p PMsphaM, ONa p GHp~~ p tiadium 726 <br />p ~~~ ^ Plwsphate, Total p Herbicides p Radium 228 <br />^ Caklrxn p Pohsshxn ^ EDBIDBCP ^.Radon <br />^ Chloride p Selenium ^ PCa ^ Thorium <br />p Chkdne, tafal residual p Saxon (silicates) p TOC ^ Tre'wm <br />p Chromium ^ DRO ^ other: <br />^ ~~~ p Sever ^ HEM (08 Grease) l] Otlrer. <br />p Copper ^ Sodum ^ Older. <br />c~ tee) ^ Soeds, Dissolved <br />. b Solids Suspended <br />cyanide <br />Dist. ~ ~' . ^ Other. <br />MICROBIOLOGY <br />, <br />Fluoride p Soeds, Total ^ Total Cofifams, PA <br />D Herdnass, moral O SuKate Phase t,2,5 -ANALYSES p TO~I oOrtOnf1e~ ttrF <br />p Iron p ThatTwm ^ Heterorrophic Plate Count <br />p Lead p Uranium p Organk (SOC / VOC) ^ Pseudomonas MPN <br />C Magnesium ^ Zine D Inorgank O E. Co6., MPN <br />D Manganese ^ OUier: ^ Other. <br />C M~~Y ^ CMror:~ ~ . ^ Other. <br />LARS Internet Addre <br />wean essonw R.. iaor9s <br />