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oc•co <br /> <br /> Colorado Department of Public Health and Environment <br /> <br />? /876 } Compliance Assurance & Data Management Unit <br />Colorado D[Q]nn tt <br />of Publk Health REPORTING FORM FOR INORGANIC CHEMICALS ANALYSES <br />and Frvimnmau <br />SAMPLER: FILL OU f ONE. FORM - F'OR EACI I INDIVIDL!AL SAMPLING POINT or COMPOSITE SET <br />Are these results to be used to fulfill Compliance nxmiu>ring requirements:' ) ES? NO ? <br />Is this a check or Contirnrltion Sample''/AEIYES [ o <br />PWSID -e COUNTY: __(' y1f???yL" DA I'E COLLECTED: <br />Vj- <br />SYSI EM ESTABLISI IMENT NAME:I JUM /"?- <br />SYSTEM MAILING ADORES <br />Snea add sv Box CITY STATE ZIP <br />CONI ACT PLRSON: PI IONS: ( )?f +d o1 <br />SAMPLE COLLEC TED BY: I IME COLLECTED: WATER TYPE: RAW ,n,,; a.rm.,.r,xlr u:aun;ni ? CI ILORINATEll OTI IER TREATMENT J <br />SAMPLE POINT: LOCATION: Address SOURCEOS REPRESE(NTE <br />L <br />- jai <br /> <br />DO SAMPLES NEED TO BE CONIPOSITED BY THE LABORATORY" ITS ? NO? <br />CHECK OR CONFIRMATION SAMPLES CANNO'C BE COMPOSITED <br />f'nr Luhuraton- Use 0rrl1' 8clnlr This Line <br />LABORATORY SAMI'LL -- A5?=Q ;1-1 CLIENT NAME or lll- ` -S ?/ t?f?Gln/(/( C?'C,Q/? <br />LABORATORY NAME g!?4'ill In 8.13 N IONS t `1? 1 tit (l--&113-1 <br />DALE RECEIVED IN LABORATORY - DA 7'E.?NALYLEll <br />COMMENTS: <br />PARAMETER RESULT in MCL in STANDARD Lab MDL in <br /> (m /L m /L) METHOD m /L <br />COPPER 1.3' M s" Z? Cu O.L? <br />LEAD 0.015* ,SM3so? 3?38?6 O.GUa-- <br />BDL = Indicantes that the compound was analyzed for, but was below the Lab MDL <br />NT - Not Tested for Compound <br />mg/L = Milligrams per liter <br />MCL = Maximum Contaminant Level <br />FF= Hotting time has been exceeded <br />= Not and MCL, "Action Level" <br />Lab MDL = Laboratory Method Detection Limit <br />2 <br />to <br />MAIL RESULTS TO: CDPHE. WQCD-CADM-B2, 4300 Cherry Creek Drive South, Denver, CO 80246-1530 <br />N r_: ..d