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Laboratory and Radiation Servioes Division <br />8100 Lowry Boulevard, Denver CO 80230-6928 <br />US Mail: PO Box 17123, Denver CO 80217 <br />(303) 692-3090 fax (303) 3449989 <br />o <br />rrem ne <br />ernes <br />REQUEST FOR ANALYTICAL SERVICES <br />a CUSTOMEF <br />Customerm <br />Nam: Adclress: <br />CAY=Zip,DG\LQ ca', C 0 <br />Conte <br />PVV5 ID: A HHUHHH <br />Sample Location: k (r t:c <br />g Address: <br />? Gty <br />System ID INO-2008002821 <br />Collection Date 111/1900 12:00:OOAM <br />Control Number 28 <br />Collection No: nnnnnnni i <br />Collede& UI !/ 1 JU/ H T'n*. LJU'LJU ? am- <br />more m. <br />uuday year ?? min <br />Collected brr. Matrix 1 -7 <br />? Surface Water <br />? Ground Wager <br />? Treated Wager <br />Purpose : ? Routine ? Special Purpose ? Repeat <br />Chlorine residual. [].n[] MGIL Temp., Water. ? D F <br />Comments: <br /> TEST ORDER (Che ck appropriate box) : FOP, IN U se On <br />CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />? ANcaGnity, Phenolphthalein ? Molybdenum ? Carbamates ? Alpha/Seta, Gross <br />? AMcarmky, Total ? Nickel O VOC ? Americium <br />E3 AWminurn O Nftrogan. Ar wnia DW ? Carbon o-14 <br />O Antimony O N'Rrogen, Kjeldahl ? STEX O Gamma Screen <br />O Arsenic O Nitrogen, Total* ? DIQUAT Gamma Spectrometry. <br />? <br />? Barium ? Nitrate/Nk o ? SOC <br />Nuclide Specific <br />? Beryllium ? N'bhe ? SVOC ? Leak Test <br />? SOD ? pH / P /1 <br />VI <br />So ? Plutonium <br />? Boron O Phosphate, OrIll r <br />Glyp Radium 226 <br />? Cadmium ? Phosphate, Total O He ? Radium 228 <br />? Calcium O Potassium O EDSIDBCP ? . Radon <br />O Chloride O Selenium ? PCB ? ThorWm <br />? Chlorine, total residual <br />(silicates) <br />? Silicon O TOC ? Tritium <br />? Chromium [3 DRO ? Other. <br />C] Conductivity O Silver ? HEM (Oil Grease) ? Other. <br />? Copper ? Sodium ? ow-; <br />O Corrosively (record ternp.) Dissolved <br />0 Solids, ? Other. MICROBIOLOGY <br /> Solids, s <br />b <br />e uoride O Solids. Total ? Total Co6forms, PA <br />O Hardness, total ? Sulfate Phase 1,2,5 -ANALYSES O Total Cordorms, MTF <br />O Iron O ThaEum ? Heterotrophic Plate Count <br />L Lead ? Uranium ? Organic (SOC / VOC) ? Pseudomonas MPN <br />O Magnesium ? Zinc O Inorganic O E. Col., MPN <br />? Manganese ? Other O Other. <br />O Mercury ? Other .0 Other. <br />, <br />LARS Internet Address: httpYMww.cdphe.state.co.us/ir/lrhom.htm ? <br />Report 025OReq, n.v 1201W