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Laboratory and Radiation
<br />(31 System II)
<br />Collection Date
<br />Control Number
<br />INO-2004003991
<br />9/13/2004 5:30:OOPM
<br />9
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<br />REQUEST F( Collection No: ~ ~ ~ ~ ~ ~ a
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<br />/~ Water Type: ~W_ Mi
<br />Collected by: S't'
<br />Contact Phone: 3~3
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<br />PWS ID : C~~ ~ ^ ^ ^ ^ ^ ~ ^ ^ ^ Purpose: Routine Special Purpose ~ Repeat
<br />Name: aEw /Va ~' M,I^t Chlorine residual: ~'~~ mg/L Temp., Water ~~o
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<br />Description: f'9 ~ IJ~i4 I/tS(.~a fb~
<br />Location Source Point of location
<br /> TEST ORDER (Check appropriate box):
<br />CHEMISTRY-INORGANIC CHEMISTRY-ORGANIC RADIOCHEMISTRY
<br />^ Alkalinity, Phenolpathalein ^ ICP Scan ^ Solids, Total ^ Phase 1
<br />2
<br />5 ^ Alpha/Beta, Gross
<br />.Alkalinity, Total ^ Lead ,Sulfa ,
<br />,
<br />^ VOC (Regulated) ^ Americium
<br />O-Aluminum- -- - '-^ Lithium --- - -O Thallium- O SOC (Regulated) ^ Gamma Spectrometry,
<br />^ Antimony ^ Magnesium ^ Uranium ^ DBP (Regulated) Nuclide Specific
<br />^ Arsenic ^ Manganese ^ Zinc VOC Screen ^ Plutonium
<br />^ Barium ^ Mandatory Ot er: SVOC Scree
<br />~
<br />( ^ Radium 226
<br />^ Be Ilium
<br />ry (Phase I, II, V) AZC3dL rZua(-
<br />^ Mercury - -
<br />^ HEM (Oil & Grease) ^ Ratlium 228
<br />
<br />^ BOD ~
<br />^ Molybdenum
<br />^ THM ^ Radon
<br />^ Boron ~SGL FI ~ E
<br />^ Nickel ^ BTEX ^ Thorium
<br />^ Cadmium
<br />^ Automated ^ TOC ^ Uranium
<br />^ Calcium (Carbonate) Ammonia ^ Other: ^ Leak Test
<br />Chloride ^ Nitrogen, Kjeldahl ^ Other: ^ Alpha/beta, Gross
<br />^ Chlorine, Total residual ^ Nitrogen, Total ^ Other: ^ Carbon-14
<br />^ Chromium ~N_~itrogen Nitrate/Nitrite ^ Other: ^
<br />
<br />^ Chromium Hexavalent
<br />^ Nitrogen, Nitrite
<br />^ Other: Ni-63
<br />^ H-3
<br />^ Conductivity ,~
<br />~ ^ Other:
<br />^ Copper ^ Phosphate, Ortho ^ Other:
<br />^ Corrosivity (Langlier) ^ Phosphate, Total MICROBIOLOGY
<br />^ Cyanide, Distilled ^ Potassium ^ Total Coliforms, PA ^ Other:
<br />^ Cyanide, Direct ^ Selenium ^ Total Coliforms, MTF CPD
<br />^ Cyanide, WAD ^ Silicon (silicates) ^ Fecal Coliforms, MTF
<br />^ Fluoride ^ Silver ^ E.Coli., MPN ^ VOC
<br />^ Hardness total ^ Sodium ^ Heterotrophic Plate Count ^ Fat+ preservatives In Meat
<br /> ^ Pseudomonas Culture ^ Water Activity
<br />^ ea M Is iss Ived Oth
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<br />Oth rr er:
<br />ISPOSITION C I F C O Y
<br />RELIN DATE /TIME EIVED AT TIME
<br />RELIN D BY: DATE /TIM ~ E ~ D /TIME
<br />RELINQUISHED BY: DATE /TIME RECEIVED BY: 1ME
<br />LARS Interent Address: http://vvvvw.cdphestate.co.us/Ir/Irhom.htm Report #250Req, Date of Modification:9/10/2004
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