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<br />r? <br />A <br /> <br />Laboratc <br />.. 8100 La <br />US Mail: <br />c (303) 6S <br />OrrhlaK ?? ?' <br />Y1I FJVIIOn?ICIt <br />REQUEST <br />Svstem ID ENV-2009004478 <br />Collection Date 5/5/2009 K25:00AM <br />Control plumber 56 <br />Customedo <br />Harm: <br />Address: ,? i3 ??C?AII ? n <br />CNYISvzip: <br />Ck-ko <br />contact I <br />Phone <br />PWS 10: <br />Sample Location: <br />Description: i C 1Z3 Q L J' <br />Address: <br />City: _ St: Zip: <br />Collected. <br />month day 1^ <br />Collected by <br />J Time: <br />r ?how min <br />? Surface Water <br />? Ground Water <br />? Treated Water <br />Purpose : ? Routine ? Special Purpose ? Repeat <br />Chlorine residual- 0. ? 11 MGIL Temp- Water. [IF] F <br />Comments: <br />TEST ORDER (Check appropriate box) : F0? <br />CHEMISTRY- INORGANIC I CHEMISTRY- ORGANIC <br />? Alkalinity, Phenolphthalein <br />p tAalinity. Total <br />O O tnic 2o <br />? Barium <br />? Beryllium <br />? BOD <br />? Boron <br />? Cadmium <br />? Calcium <br />? Chloride <br />? Chlorine, total residual <br />? Chromium <br />? Conductivity <br />O Copper <br />? Corrosivity (record tent' <br />Cyanide, -Dist Wk <br />? Hardness, total <br />? Iron <br />0 Lead <br />0 Magnesium <br />? Manganese <br />? Mercury <br />? Molybdenum <br />? Nickel <br />?- <br />is DisL4j <br />ZI <br />O Nkrate/Nk to <br />? Nitrite <br />O pH <br />O Phosphate, Ortho <br />? Phosphate, Total <br />O Potassium <br />? Selenium <br />? Silicon (silicates) <br />? Silver <br />? Sodium <br />? Solids, Dissolved <br />O Solids, Suspended <br />? Solbs, Total <br />? Sulfate <br />O Thallium <br />O Uranium <br />? Zinc <br />? Other. <br />? Other. <br />? Carbamates <br />? VOC <br />-O-T+iM - - - <br />I? STEX <br />trQ DIQUAT <br />? SOC <br />? SVOC <br />? Pesticides <br />? Glyphosate <br />? Herbicides <br />O EDBIDBCP <br />? PCB <br />? TOC <br />? DRO <br />? HEM (Oil Grease) <br />? Other <br />? other <br />Phase 1,2,5 -ANALYSES <br />? Organic (SOC / VOC) <br />? Inorganic <br />RADIOCHEMISTRY <br />? Alpha/Beta, Gross <br />O Americium <br />O Gamma Screen <br />0 NNuudi?de Spectrometry, <br />Pic <br />? Leak Test <br />? Plutonium <br />?, Radium 226 <br />? Radium 228 <br />? .Radon <br />? Thorium <br />? Tritium <br />? Other. <br />? Other. <br />MICROBIOLOGY <br />? Total Cordbrms, PA <br />? Total Colifonns, MTF <br />? Heterotrophic Plate Count <br />O Pseudomonas MPN <br />O E. Coff., MPN <br />O Other <br />f_1 Other. <br />LARS Intemet Address: http.//www.cdphe.state.co.usAr/lrhom.htm <br />RepW 025opAn R.v IMIN