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,~~''.~ <br />IC rrC <br />~ F <br />~ ~I <br />t'1 <br />System ID <br />Collection Date <br />Control Number <br />INO-2007005539 <br />11 /1 /2007 10: OO:OOq~,t <br />200 <br />REQUEST FOR ANAtY I n..t.~ ~~... _ _ <br />Cust«nerl0 ~F~U ~ ~ ~'~ 1 <br />Name : ~~ ~ r <br />Address : 1313 S~'16`R.My'~S~- ~-.~ S <br />~`'~~ ~D ~l ~ ~ ~~ a~ac~3 <br />Phone <br />PWS 10: <br />Sample Location: ~~~~ <br />_~ C ~ <br />~ City: SC Zip: <br />~= uuuu~ <br />. . <br />Collected: f 1 / O ~ / ~ T <br />mo+rtl- ~dayy~,~` ~ year <br />Collected by: '~~~-Y N 11 ~ Matruc <br />e: ~~ . L~JL.S.d ~ p m. <br />hour min m' <br />Surface Water <br />Ground Water <br />^ Treated Water <br />Purpose : ^ Routine ^ Speaal Purpose ^ Repeat <br />Chlorine residual: ~ e u a MGJL TemPM Water: ~ ^ F <br />Comments: <br />TEST ORDER (Check appmpriabe box) : ~ <br />CHEMISTRY- INORGANIC I CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />^ Allcarrnity, Phenolphthalein <br />D Alkarmity, Total <br />D Aluminum <br />^ Antirr7ony <br />D Arsenic <br />O Barium <br />^ ~~~ <br />O BOD <br />^ Boron <br />^ Cadmium <br />^ Calcium <br />D Chbride <br />^ Chlorine, total residual <br />D Chromium <br />^ Conducdvdy <br />D Copper <br />.[^ Fluoride <br />O Hardness, total <br />O Iron <br />^ Lead <br />D Magnesium <br />^ Manganese <br />^ Mercury <br />^ Molybdenum <br />^ N'idcei <br />^ N'drogen, Ammonia 0'~st. <br />O Nitrogen, iCeldahl <br />D Nitrogen, Total <br />O N'drate/Nitrite <br />^ Nitrite <br />^ pH <br />^ Phosphate, Ortho <br />^ Phosphate, Total <br />D Potassium <br />D Selenium <br />^ SGicon (silicates) <br />O Sever <br />^ Sod'n~m <br />^ Solids, Dissohred <br />~ Soros, suspended <br />^ Sorids, Total <br />^ Sulfate <br />D Thamum <br />^ Uranium <br />^ Zinc <br />^ Other. <br />^ Other: <br />O Carbamates <br />^ VOC . <br />D THM <br />^ BTEX <br />D DIQUAT <br />^ SOC <br />^ SVOC <br />^ Pesticides <br />^ Glyphosate <br />^ Herbicides <br />^ EDB/DBCP <br />p PCB <br />p TOC <br />^ DRO <br />^ HEM (O~ Grease) <br />^ ~~ . <br />^ Other. <br />Phase 7,2,5 -ANALYSES <br />^ Orgariic (SOC / VOC) <br />O Inorganic <br /> <br />^ Alpha/8eta, Gross <br />^ Americium <br />^ Carbon-14 <br />^ Gamma Screen <br />^ G ~ S PedrometrY, <br />^ Leak Test <br />^ Plutonium <br />O Radium 226 <br />^ Radium 228 <br />^ .Radon <br />^ Thorium <br />p Tritium <br />^ Other. <br />^ Other. <br />MICROBIOLOGY <br />D Total Coliforms, PA <br />^ Total CorAorms, MTF <br />^ Heterotrophic Plate Count <br />^ Pseudomonas MPN k,__ <br />^ E. Coti., MPN r= <br />^ Other. r;~ <br />4. _ <br />f_7 other: <br />~ ~ ~ • ~ ~~ ~ <br />~- <br />:~} <br />LARS Internet Address: http://www.cdphe.state.oo.us/IrArhom.htm ~ ~; <br />Report f25DRe4. Rsv 7207/99 <br /> <br />