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- + )) ~~ <br />Laboratory and Radiation Services Division! <br />8100 Lowry Boulevard, Denver CO 80230-(1928 System ID INO-200600 1 9 79 <br />x-• US Mail: PO'Box ~ 7123, Denver CO 80217 <br />(303) 692-3090 fax (303) 3449989 Collection Date 6!15/2006 R:35:OOAM <br />d m, Control Number 300 <br />QUEST OR ANALYTICAL SERVICES calewonNo_ nn( (n(~(~~il~ <br />~ • • • <br />pp _ <br />CustomedD t7 +~ ~ (~ II Collected: ~ / ~ s (~ Time: ~ $ • I ~ f~C ~ a.m. <br />-F• Name: ~r,,Z~A~lt1 frct..L1 l1~~i' monthc'~ ~ daY year ~r CmJinNJ DP.m. <br />Address: ~ ~ JLt-UY'~"(J'",_~,", `..JI~i1vn/11 /.`'"'~, Colleced by. ~t-xl~ Matra: <br />CitylSf2p: ~ ~ 1,~'UJ L+.-~t~r-t~!u-t~-J <br />G ~~ S ~~S ,p,~t ~.,~j~(~ Surface Water <br />ri Pho~~~Q~~ r~\~~ ~~~~ ._,- Ground Water <br />~ I .Jt3~1Y~1(?`reated jntaie:~ tD(?d•?©G <br />e <br />Sample Location: t-~-~C~ ~A`~~ Q ~ <br />`~ <br />t1 City: ~ .tf - St Zip: <br />Purpose : ~ Routine ^ Special Purpose Q Repeat <br />Chlorine residual: ~ ^~ MGlL Temp., Water. a~ F <br />Comments: <br />TEST ORDl1t (Check appropriate box) : O <br />CHEMISTRY-INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY <br /> ,.. <br />^ Alkalinity, Phenolphthalein ^ Moh/bdenum ~ ^ Carbama ~[] {Up <br /> <br />^ Alkalinity, Total - ~ Nickel ~ .. <br />I ^ VOC <br />p <br />~ <br />^ Aluminum - - -- ' ~ ~ Nitrogen, Ammonia D"si - ^ THM <br />^ Antimony ^ Niitrogen, lyekiahl ^ BTIX ~ - Gamma Screen <br />^ Arsenic ^ NBrogeq Total ^ DIQUAT Gamma Spectrometry, <br />^ Barium ^ Nifrate/N"drite - ^ SOC ^ NuGide Specific <br />^ Beryllium p Nitrite ^ SVOC ^ LeakTest <br />l] BOD ~ ^ pH (~ ~ i] Pestiddes ^ Plutonium <br />^ Boron D Phosphate, Ortho ^ Glyphosate ^ Radium 226 <br />^ Cadmmrn D Phosphate, Total ^ Herbicides ^ Radium 228 <br />^ Caldum ^ Potassium ^ EDBIDBCP ^ .Radon <br />^ Chbride D Selenium ^ PCB ^ Thorium <br />^ Chlorine, total residual ~ ^ Sfiicon (silicates) ^ TOC p Tritium <br />Gi Chromium ^ DRO ^ Other. <br />Q Conduclivdy ^ Silver Q HEM (Od Grease) ^ Other. <br />^ Copper ^ Sodium ^ Other. <br />^ Conosiv' (record temp-) ^ Solids, Dissolved <br />~ ~ d Solids, Suspended <br />yamde <br />Dist Q Other. <br />MICROBIOtOGY <br />, <br />^ Solids, Total ^ Total Colifomis,PA <br />^ Hardness, total ^ Sulfate Phase l,2,5 -ANALYSES ^ Total Colifomu, MTF <br />^ Iron ^ Thallium ~ ^ Heterotrophic Plate Count <br />^ Lead ^ Uranium ^ Orgadic (SOC / VOC) ^ Pseudomonas MPN <br />C Magnesium ^ Zinc I ^ Inorganic ^ E. Colt., MPN <br />q Manganese C Other. ^ Other. <br />n Mercury - d Other. , <br />i ^ Other. <br />~l~s~ <br />LARS Internet Add'~e: <br />Ropnt f2kiReq, Rw 190199 <br />` ~\ <br />