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>~ <br />Laboratory and Radiation Services <br />8100 Lowry Boulevard, Denver CC <br />US Mail: PO'Box 17123, Denver C <br />(303) 692-3090 fax (303) 344-997 <br />Control Number <br />INO-2004001738 <br />5/20/2004 1033:OOAM <br />5 <br />REI~UEST FOR ANALYTICAL Sl <br />-ystog~"D .D1y I St oTt t7r m7~v~ts~ z. <br />~ (Name :~ ~ t~,~~ ~~ ~.y~'~ <br />AMiress: 3,DJ S1t.liu'` ~" `l S~' <br />City/Sf2'ry: '1~~ ~ <br />C:ontactSF'~~i'~t-P~D~C~ <br />Phone <br />PWS 10: <br />Sample Location: <br />Cesciption: <br />Address: <br />City: <br />~~ Collected: ~,n ~~ ~/~j ~ j/{rte ~ak 1, ~ Time: II II/l I.ic II.~ i ^Pm. <br />3~S ~I~~b1Y~J~J~J L~ILYMJat~: uu ~Jy_l <br />T1$ ^ Surface Water <br />^ Ground Water <br />~ ^ Treated Water <br />Purpose : ^ Routine ^ Special Purpose ^ Repeat <br />St Zap: <br />Chlorine residual: ~ a ^ ^ MG/L Temp., Water. ^ ~ F <br />Comments: hA4494'04 P11 ~L22 d~0~f~ <br />TEST ORDER (Check approp"ate box) : ~ <br />CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />^ Alkalinity, Phenolphthalein ^ Motybdenum ~ ^ Carbamates ^ Alphal8eta, Gross <br />CI Aikafinity, Total ^ Nickel ~ ^ VOC ^ Ame"dum <br />CI Aluminum ^ N'drogen, Ammonia D'st ^ THM ^ Carbon-14 <br />CI Antunony ^ Ntogen, IGekiahl ^ BTIX ^ Gamma Screen <br />CI Arsenic ^ Nitrogen, Total ^ DIQUAT Gamma Spectrometry, <br />CI Barium ^ N'itrate/Ndrite OC ^ NuGide Specific <br />[I Berytlium ^ Niuite ^ VOC ^ Leak Test <br />CI BOO ^ pH ^ Pes ^ Plutonium <br />CI Boron ^ Phosphate, Odho ^ phO ^ Radium 226 <br />CI Cadmium ^ Phosphate, Total Herb' ' ^ Radium 228 <br />CI Caidum ^ Potassium ^ EDB/D ^.Radon <br />CI Chbdde ^ Selenium ~ ^ PCB ^ Thodum <br />[; Chlo"ne, total residual ^ Silicon (silicates) ^ TOC ^ T"[ium <br />^ Chromium ^ ORO ^ Other. <br />^ Silver <br />CI Conductivity I <br />^ HEM (Od Grease) ^ Other. <br />^ Sodium <br />CI Copper ^ Other <br />^ Solids, Dissolved <br />CI Corrosively (record ~rttp ~~ <br />^ <br />MICROBIOLOGY <br />~ <br />~I\Cyanzk:, Dist (~~ ~ ^ Solids, Suspended <br />^ S <br />lid <br />T <br />t <br />l <br />o <br />s, <br />o <br />a <br />^ Fluoride ^ Total Colifortns, PA <br />G Hardness, total ^ Sulfate phase 1,2,5 -ANALYSES ^ Total Coliforms, MTF <br />^ Iron ^ Thallium ~ ^ Heterotrophic Plate Count <br />L Lead ^ Uranium ^ Organ'w (SOC / VOC) ^ Pseudomonas MPN <br />^ Magnesium ^ Zmc ^ Inorganic ^ E. Colt., MPN <br />^ Manganese ^ Other. ^ Other. <br />^ Merwry ^ Other. , . ^ Other. <br />LARS Internet Ad ress: htlpJ/www.cdphestate.co.usArArhom.htm <br />RBpeM1 RLSOFiea, Rev 1?AtFA <br />