2008-10-24_REVISION - M1980244 ‎(5)‎

• Permit No: M1980244
• IBM Index Class Name: REVISION
• Doc Date: 10/24/2008
• Doc Name: 4th Quarter Results
• From: CDPHE
• To: DRMS
• Type & Sequence: AM9
• Email Name: BMK
• Media Type: D
• Archive: No

Laboratory and Radiation Services_
8100 Lowry Bouleva"
US Mail: PO Box 171 INO_2008005144 1RY USE ONLY
celwedoDep?eaK [phone] fax System ID
ofPubk Heft Collection Date 1017/2008 9:30:00AM
Control Number 5
REQUEST FOR ANALY1 _
No: Uu?a? ]FIL CUST•
-
ME
INFORMATION
64 SAMPLE Customerm ?, Coileded l O ! d Time: ? am.
. Name : R> k,
morrtir day year hour ? P•m.
Address kk b L 3 S I t ?M 1?1\! St- lo?l?1 Collected br Matte r?1SMke&
Contact ? surface water
ASf m cz- ?(30? t-3 N
???
Pfiore ?3-tt?rCJ -bD- V3-around Water
? Treated Water
IZZ, a ?? - .? ,. ,.
PViIS ID: u(u H U U 1-i
Address: t C??
? City: r4p•
Purpose : )&Routine ? Special Purpose ? Repeat
Chlorine residual. 11.F111 MGIL TemP- water: [][]F
Comments:
TEST ORDER (Chec k appropriate box)
CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY
? Alkalinity, Phenolphthalein ? Molybdenum ? Carbamates ? Alphal'Bets. Gross
? Alkalinity, Total ? Nidkel ? VOC Amerkaum
-- --
- -0-Aluminum ©-N&vgen-Ammonia-DI ?-THM _
? Carbon-14
? Antimony ? Nitrogen, Igeldahl
? Arsenic ? Nitrogen, Total' ? BTEX
? DIQUAT ? Gamma Screen
Gamma Spectrometry,
?
? Barium ? Nitrate/Nitrite
? Beryllium ? Nitrife ? S?

G Nuclide Specific
? Leak Test
? BOO ? pH IC7
?
` ? Plutonium
? Boron ? Phosphate, Ortho ? Glyphosate .?. Radium 226
? Cadmium ? Phosphate, Total ? Herbicides ? Radium 228
? Calcium ? Potassium ? EDBIDBCP ? . Radon
? Chloride ? Selenium ? PCB ? Thorium
? Chlorine, total residual ? SAicon (silicates) ? TOC ? To"
? Chromium ? DRO ? Other.
? Conductivty ? Silver ? HEM (Oct Grease) ? Other.
? Copper ? Sodium ? Other
rd temp.) ? Solids, Dissolved ? other MICROBIOLOGY
ide pjob. CD Solids, Suspended
uoride ? Solids, Total ? Total Coldomns, PA
? Hardness, total ? Sulfate Phase 1,2,5 -ANALYSES ? Total Coliforms, MTF
? Iron ? Thallium ? Heterotrophic Plate Count
0 Lead ? Uranium ? Organic (SOC / VOC) ? Pseudomonas MPN
? Magnesium ? Zinc ? Inorganic ? E. Coll., MPN
? Manganese ? Other: ? Other.
? Mercury ? Other. ? Other.

?

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LARS Internet Address: http://www.cdphe.state.co.us/ir/lrhom_htm y
Report 029DReq, Rev 1701M