Laserfiche WebLink
M ~ a- <br />- Laboratory and Radiation ~ ~ "~-~- <br />• 8100 Lowry Boulevard., DE <br />US Mail: PO'Box 17123, C ~ <br />(303) 692-3090 fax (303) System ID INO-2007005542 <br />" ~ Collection Date 11/l/2007 8:40:OOAM <br />Control Number 203 <br />REQ EST FOR ANALYTIC ,,,,,,,~,,,,,a , ll ll lr a ~f-1(-lr <br />~ <br />.s • - , _-- ~ <br /> Customerl0 ll, Collected: ~ / ~ am. <br />/ ~ / Time: • <br /> <br />Name : <br />~~.xc.Kr~ k.s~r-~~ <br />Address : <br />7 <br />~ ; <br />i morrUr LZJL~J <br />day year hour min ^ p'm' <br /> ~ <br />j ~ 3 Std F;~a~t"(~SY ~~ ~ <br />~ Collected by: Matruc <br />^ Surfa <br />W <br />t <br /> Contact: / ce <br />a <br />er <br /> Phone : ~ l ~L <br />~J C~D~ ^ ~(~~ ~- ^ Ground Water <br />^ Treated Water <br />~ • ~ ~ <br />~ PV11S ID: ~ ~ ~ a <br /> ~ - w ~ ~~~ ~ <br />S <br />ti <br />l <br />L Purpose . ^ Rou tlne ^ Speaal Pu~wse ^ Repeat <br /> amp <br />e <br />oca <br />on: Y/Vl <br />Chlorine n3sidual: <br />a <br />D <br />~ <br />MG/L Temp., Water. a^ F <br />x a <br /> Address: Commerce: <br /> Cdy: St: Zp. <br />TEST ORDER (Che ck appropriate box) : ~ <br />CHEMISTRY- INORGANIC CHEMISTRY- ORGAN/C RADIOCHEMISTRY <br />^ Alkarinigr, Phenolphthalein ^ Molybdenum ^ Carbamates ^ Alpha/Beta, Gross <br />^ AlkafmRy, Total ^ N'~ckel ^ VOC ^ Amerkium <br />^ Aluminum ^ Nitrogen. Ammonia Dist ^ THM ^ Carbon-14 <br />O Antrnwny ^ Nitrogen, ICjeldahl ^ BTIX ^ Gamma Screen <br />D Arsenic O Nitrogen, Total• ^ DIQUAT ^ Ga <br />mmasrometry, <br />^ Barium O NitratelNitrite ^ SOC ~ <br />^ Beryllnun ^ N'dnite ^ SVOC ^ leak Test ` <br />^ BOD ^ PH ^ Pesticides ^ Plutonium <br />O ~~ ^ Phosphate, Ortho ^ Glyphosate ^ Radium 226 <br />^ ~~~ ^ Phosphate, Total ^ Herbiades ^ Radium 228 <br />^ Caidum ^ Potassium ^ EDB/DBCP ^ .Radon <br />^ Chbride O Selenium ^ PCB ^ Thorium <br />^ Chlorine, total residual ^ Silicon (silicates) ^ TOC ^ Tritium <br />^ Chromium ^ DRO ^ Other. <br />O Sliver <br />^ ~~~~ HEM (O~ Grease) <br />^ <br />^ Other. <br />Sodium <br />^ Other <br />^ Corrosivity (record temp.) ^ Solids. Dissolved ~ ~~. <br />MICROBIOLOGY <br /> <br />b Soros, suspended <br />Cyanide, Dis (,V <br />Fluoride ^ Sor~ds, Total ^ Total CoGfomu, PA <br />^ Hardness, total O Sulfate Phase 1,2,5 -ANALYSES ^ Total Corifom-s, MTF <br />O Iron ^ Thamum - ^ Heterotrophic Plate Count rt <br />^ Lead ^ Uranium ^ Organic (SOC / VOC) ^ Pseudomonas MPN '~~ <br />^ Magnesium ^ Zinc ^ Inorganic p E. Coli., MPN <br />^ Manganese ^ Other: ^ Other. ' <br />[; Mercury ^ Other. a <br />~L ^ Other. ~ <br />- <br /> <br /> <br />~y~ <br />5 <br />i • <br />r =- <br />4? <br />LARS Internet Address: http://www.cdphe.state.co.us/ldlfiom.htm <br />Rsport ~r250Req, Rsv 1?A1/99 <br />