2003-04-24_REVISION - M1980244

• Permit No: M1980244
• IBM Index Class Name: Revision
• Doc Date: 4/24/2003
• Doc Name: Under drain Analysis Resv
• From: CDOH&E
• To: DMG
• Type & Sequence: AM8
• Media Type: D
• Archive: No

Laboratory and Radiation Services Division
8100 Lowry Boulevard, Denver CO 80230-6928
• ~.K' • US Mail: PO Box 17123, Denver CO 80217
c^~+~ ^~ [phone] fax [phone]
dwsiKr~ ~~313 ~ ~
REQUEST FOR ANALYTICAL SERVICES
CuseomerlD ~\c~lA .lo!- MI~i,S~•, !~L ~G-~~a .
Name : 3 ERtt ~ F6KT.l-fir
Address: ~ 3\3 sHNIS~- Rnn at ~
CityiSt~-np: ~e-.t~ l CA QioaO3
Co tntactSr,.tnE ~t~p~~It~aNa
Pfxrree : (3 03 ~ CJlj,4i ~"' ~07~'
Pws ID: ~ I I I ~`I l~ IL J ,p~,~~ I,
Sample location: Sort 1 1~~~ D3t-LT3~
Description: _ - - - - - _ - - -- - -
Address:
City:
St Tap:
calection No:
Collected: Isn 11e11 / i) I I~ I/ [+f 1 /~ tone: I 1~t I ; lA I~t+L`
LmJanLtlZr LdJaYNJ ~YeJar UhourilJJ L'mlin P.m.
Cdlected by: t~ Matroc.
Surface Water
^`Ground Water
^ Treated Water
Purpose : ^ Routine ^ Special Pupose ^ Repeat I~
Chlorine residual: - ~~ ^^-MGIL- Temp., Water. ^! I F
Comments:
TEST ORDER (Check appropriate box) : O
CHEMISTRY- INORGANIC ~ CHEMISTRY- ORGANIC RADIOCHEMISTRY
^ Alkalinity, Phendphthaleirn ^ Molybdenum ~ ^ Carbamates ^ Alphal6eta, Gross
_^ Alkalinity. Total - _ _ _ -_ ^ Nickel _ _ ~
' -, ~ VOC ~„ __ _
- - ^ .Ameriaum_ -- ,---„
- ^ Aluminum a Nifruge^• ~^^~ ~~ ~ C THM ^ Carbolrl4
^ Antirtwny ^ N'nrogen, lyeklahl ^ BTdt ^ Gamma Snxeen
^ Arsenic ^ Nitrogen, Total ^ DIQUAT Gamma Spectromeby,
^ Barium ^ Nibate/Nitrite ^ SOC ^ Nuclide Specific
^ Beryllium ^ Nitrite ^ SV~ ^ LeakTest
^ gpp ^ ~ ^ Pesticides ^ Plutonium
^ Boron ^ Phosphate, Odho ^ Glyphosate ^ Radium 226
^ Cadmium ^ Phosphate, Total ^ Herbicides ^ Radkrm 228
^ Caldum
^ Potassnum ^ EDB/DBCP ^.Radon
^ Chbride I
C Selenium ^ PCB ^ Thorium
^ Chforirre, total residual ^ Silicen (silicates) ^ TOC ^ Tritium
^ Chromium ' ^ DRO ^ Other.
^ Colductivity _ - - - - ^ SiNer __ _ _ --^ HEM,(Od Grease) _ _ . ^ Other. -- _ --
^ Copper ^ Sodium ^ O~c
^ Corrosivily (recoM temp.) ^ Solds, Dissolved ^ OUler. MICROBIOLOGY
Cyanide, Dist C Solids, Suspended
^ Flu e ^ Solids, Total ~ p Total Col'donns, PA
^ Hardness. total ^ Sulfate
Phase 1;2,5 -ANALYSES ^ Total Col'domu, MTF
^ Iron
^ Thallium
^ Heterctrophic Plate Count
^ Lead ^ Uranium ! ^ Organic (SOC / VOC) ^ Pseudomonas MPN
^ Magnesium ^ Zinc ^ Inorganic ^ E. Coli., MPN
^ Manganese ^ Otfier: ~ ~ ^ Other.
n, Mercury ^ Othec
- C Other.
-r
LARS Internet Address: httpJ/www.cdphe.state,co.us/IrArhom.htm
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