2008-10-16_HYDROLOGY - M1999034

• Permit No: M1999034
• IBM Index Class Name: HYDROLOGY
• Doc Date: 10/16/2008
• Doc Name: Postponing Aggregate DIMP Sampling Program
• From: Molen & Associates, LLC
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: DB2
• Media Type: D
• Archive: No

Laborary and Radiation Services Division
e ORG-2008000091
8100 LL O wry Box Boulevard, Denver, CO 80230.6928 system ID
7
[phone] fax [phone] Collection Date 6/10.%2b0$ I :45:OOPM
CaleAvdoD?r?Oegr Control Number
REQUEST FOR ANALYTICAL SERVICES -- -? Li U U LJ U U U U
• - .
CustomerlD : WI-1013698
Name : Molen and Associates LLC Collected: Time ° ® ? a.m
Address : 2090 East 104th 11202 month day year hour ° min *'m
City/SUZip : Thornton Co 80233 0? 1`1?? - [([111 IIE ? a.m
Phone : Received LJ Time ° 10 0
303-450-1600 month day year hour min p_m
Contact : Murk Molen _
Contact Phone : Collected by. Water Type:
I? •
PWS ID : COa ? ? ? J f ? 1 I ? purpose: Routine ? Special Purpose Repeat
u u ?
Name: ryn
Chlorine residual: mg/L Temp., Water I A IoG
Address: LLLLLLlll111LLLLLLJJJJJJ LLL JJJLLLJJJ
'M&&A:S C49 Gv Temperature at Receipt:
City ;.;natQ;- P
Comments:
Description: t> N f t?tLS LGi 1 ?w oVt
Location fur-- ? aRn} o oce ion
TESTORDER (Check appropriatc box):
CHEMISTRY-INORGANIC CHEMISTRY-ORGANIC RADIOCHEMISTRY
O Alkalinity, Phenolpathatein ? 1CP Scan ? Solids, Total
C] Alkalinity, Total 13 Lead ? Suffate 13 C3 VOC Phase 1, 2, t ? A m Gross
E3 Aluminum (Regulated) 13 Americium ? Lithium ? Thallium ? SOC (Regulated) ? Gamma Spectrometry,
? Antimony ? Magnesium ? Uranium ? DBP Nuclide Specific
13 Arsenic Q Manganese O Zinc (Regulated)
E3 Barium ? VOC (Screen) ? Plutonium
? Mandatory ? Other., ? SVOC E3 Radium 226
? Beryllium (Phase t, ll, V) (Screen)
O BOD ? Mercury ?-- ? HEM (Oil & Grease) ? Radium 228
? BOD, Carbonaceous ? Molybdenum ? THM ? Radon
? Boron ? Nickel ? BTEX ? Thorium
Cadmium ? Automated Ammonia ,erg, TOC ? Uranium
? Nitrogen, Kjeldahl her: D I N`?
? Calcium (Carbonate) 13 Leak Test
13 C3 Nitrogen, Total 13 Other:
Chloride El Other: ? Alpha/Beta, Gross
? Chlorine, Total residual ? Nitrogen, Nitrate/Nitrite 13 Carbon-14
13 13 Nitrogen, Nitrite h
Chromium r ? Ni-63
? Conductivity 13 Nitrogen, Nitrate r -: ? H-3
13 Copper Q pH- O r,
? Corrosivity (Langlier} 13 Phosphate, Ortho MICROBIOLOGY Other:
13 Cyanide, Distilled 13 Phosphate, Total ? Total Coliforms, PA a Other:
? Cyanide, Direct C3 Potassium E3 Total Coliforms, MTF
? Cyanide, WAD ? Selenium ? Fecal Coliforms, MTF 61D
? Fluoride ? Silicon (silicates) ? E.Cofi., MPN P VOC
E3 Hardness total 13 Silver E3 Heterotrophic Plate Count LI Fat+ Preservatives In Meat
? Heavy 13 Sodium p ,•:
Pseudomonas Culture `? Water Activity
O Iron ? Solids, Dissolved ? Other; ? Other:
? Solids, Suspended ? Other:
ISPOSTTION 11 CHAIN OF CUSTODY
RF HL
B .
6C V DBY: DES/ TI
IED BS'
RE!INQUISIMD
TIME` REC) IVFD BY: DATE: I IME• RELHY: DATE / TIME RECEIVED BY:
DATE ! 'f1MC
LARS Interent Address: http://www.cdphe.state-co.us/Ir/lrhom,htm Report #250Req, Date of Modification.-6/2/2008