2008-06-10_HYDROLOGY - M1978091UG

• Permit No: M1978091UG
• IBM Index Class Name: HYDROLOGY
• Doc Date: 6/10/2008
• Doc Name: Water Samples Collected 5/6/08
• From: DRMS
• To: File
• Permit Index Doc Type: Hydrology Report
• Email Name: AJW
• Media Type: D
• Archive: No

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Laboratory and Radiation Services Division
• 8100 Lowry Boulevard, Denver CO 80230-6928
US Mail: PO Box 17123, Denver CO 80217
rK [phone] fax [phone]
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REQUEST FOR ANALYTICAL SERVICES

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Address: \313 SSA; >?w- sF??Y1?A1
City/SUZp: O 4%AV l(-?7 ?? ?3
Contact'?'an?.W c?\It(N J ?^u ?a?. LCP'z`?'v
Phone :
PWS ID:
Sample Location:
Description: _111\ -1 ° -l K D a r G
Address. 'd 09 - 02
City: St Zip:
Svstem ID 1N0-2008001914
Collection Date 5/6`2008 1:10:00PNj
Control Number 19
Collection No: t: t I,i ! I tf) ?ISC I?IL IIF?1?=_1 I
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Collected: 0 MS-1/10(- j!1 n jJ
month day?Jyear
Collected by. Matroc
e: ML
?J•UJLJ ?am.
hots min DIfm.
? Surface Water
? Ground Water
? Treated Water
Purpose : ? Routine 2-Special Purpose ? Repeat
Chlorine residual: El. to ? ? MG/L Temp., Water. F IF] F
Comments: q R.r> r b H3 OC,
TEST ORDER (Che ck appropriate box): Fop, LAM u 15. ON
CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY
? Alkalinity, Phenolphthalein
?MSlybdenum ? Carba ? Alpha/Beta, Gross
_
? Alkalinity, Total Mace` r,J"• VOC ? Americium
Aluminum ? Nitrogen, Ammonia Dist ? THM ? Carbon-14
? Antimony ? Nitrogen, Igeklahl ? BTEX ? Gamma Screen
Ip'Arsenic ? Nitrogen, Total' ? DIQUAT Gamma Spectrometry,

? Barium ? Nifivie/Nitrite
? SOC am
? Beryllium ? N'dr).te ? SVOC ? Leak Test
? BOD ?pH ? Pesticides ? Plutonium
? Boron ? Phosphate, Ortho ? Glyphosate ? Radium 226
? Cadmium ? Phosphate, Total ? Herbicides °r ? Radium 228
? Calcium ? Potassium ? EDBIDBCP ? . Radon
? Chloride ? Selenium ? PCB ? Thorium
? Chkuine, total residual ? Silicon (silicates) ? TOC ? Tritium
? Chromium ? DRO ? Other.
[?r`Condudivh O Silver ? HEM (Ol Grease)
? Other.
[}Copper ? Sodium ? Other
? Comosivity (record temp.) ? Solids, Dissolved ? Other
MICROBIOLOGY

tD Solids, Suspended
? Cyanide, Dist
? Fluoride ? Solids, Total ? Total Cordbrms, PA
VSulfate
? Hardness, total Phase 1,2,5 -ANALYSES ? Total Coliforms, MTF
0Iron ? Thafflum ? HeterobWhic Plate Count
q?"Lead O tanium ? Organ pM "Op Pseudomonas MPN
? Magnesium Zinc ? Inorganic ? E. Coll., MPN
(Tri nganese ? ?r ? Other
Mercury ? Other .0 Other.
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LARS Internet Address: http.//www.cdphe.state.co.usArArhom.htm
Report 02SORM Rev 1281/99 i'
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