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<br />? <br />' <br />N <br />: Colorado Department of Public Health and Environment <br />f'`'?'' <br />? X876 ? Compliance Assurance & Data Management Unit <br />Colorado Deparmtatt <br />ofPubkHnlth REPORTING FORM FOR INORGANIC CHEMICALS ANALYSES <br />and Envirot n=r. <br />SAMPLER: FILL OU I ONE FORM - FOR EACI I INDIA- IDUAL SAMPLING POINT or COMPOSITE SLIT <br />Are these results to he LLtied to fulfill C0l1)p1iM1Ce nu>nitorin<_* requirements:' YES `1rd' NO ? <br />Is this a Check ur Contirnrition sample'' ? YES [ O <br />0 ^/ <br />IIV SID r: 4"-q 0 COUN-I-Y: DA FE CQLLECTED: 610 1111A?" <br />7 <br />SYSTEM ESTABLISI]MENFNAM <br />SYSTEM MAILING ADDRESS: <br />Sava adds Po CITY STATE ZIP <br />CON TACT PERSON: P <br />14 " 4W4 !'I LONE: (5! <br />SAMPLE COLLLCTED BY: TIME COLLECT ELY. i an pm i--0:1 W <br />WATER TYPE: RA1V .?,,;IINfIIKVI MIAYII:JIp1.YlU [] C-11LORINA-1 Ell OTI I E R TREATMEN.1 jQ <br />SAMPLE POINT. LOCATION. Address // SOURCE(S) REPRESENTED <br />EPTDS- J p 03 <br />DO SAMPLES NEED TO BE COMPOSITED BY THE LABORATORY? YES ? N <br />CHECK OR CONFIRMATION SAMPLES CANNOT BE COMPOSITED <br />G7 /? For Luhorworr CW Onh• Helunv Thi.+ Lire <br />LABORATORY SAMPLE _ DU %7? CLIENT NAME or I D1 ?Qnnll/ <br />LABORAFORY NAME ? V,1TL?/J?L( eA-" i4 4iB PIIONE r; t`7ll?r sx ((XJy <br />DATE RECEIVED IN LABORA7 ORY ?` DA I-E ANALYLEll 7 <br />COMMENTS: <br />PARAMETER RESULT in <br />(m /L MCL in <br />m /L) STANDARD <br />METHOD Lab MDL in <br />m /L <br />COPPER 1.3* 918 (' 01 ?V. <br />[LEAD L? 0.015* 35x7 3???81?.? d .i <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 />H= Holding time has been exceeded <br />= Not and MCL, "Action Level" <br />Lab MDL = Laboratory Method Detection Limit <br />Date <br />MAIL RESULTS TO: CDPHE. WQCD-CADM-B2, 4300 Cherry Creek Drive South, Denver, CO 80246-1530 <br />w. ,1 2