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V <br />Laboratory and Radiati, <br />8100 Lowry Boulevard, <br />US Mail: PO'Box 1712: <br />(303) 692-3090 fax (3 <br />FOR ANALYTI! <br />System ID ENV-2009006784 <br />Collection Date 7/2/2009 9:30:00AM <br />Control Number 43 <br />• - SAMPLE INFORMATION <br />Customerl0 Cofiectcd Time: 3 T ? am. L 9 .0 <br />+ Adder V1.12 t q--,\ k °t` .,o . _ 1 marrlh day VAar minV 11 P' <br />A ,, : 1-bk 3 5H MM "\S Collected by: Mafruc <br />ball , j C-0 flo?3 s ? Surface water <br />Contact ? Ground Water <br />4 Phone '? ? Treated Water <br />AMPLE SITE <br />01-1 PWS 10: <br />Sample location <br />l't <br />Description. <br />Address: <br />Cily zip- <br />Purpose : ? Routine ? Spedal Purpose ? Repeat <br />Chlorine residual- [].r][] MG/L Temp., Water: ? F <br />Comments: <br />TEST ORDER (Che ck appropriate box) : <br />11 A, IN. Use OALY> <br />CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />? Allcalinky, Phenolphthalein ? Molybdenum ? Carbamates ? Alpha/Beta. Gross <br />? Alicarmily, Total ? Nickel ? <br />- - ? Americium -- <br />- <br />- -? Aluminum - -' -? Nrtrogen, AmmonFaDi - <br />_ -? ? Carbon-14 <br />O Antimony ? Nitrogen, Neldahl ? Gamma Screen <br />? Arsenic ? Nitrogen, To ? DIQUAT , Gamma Spectrometry, <br />? Barium ? N'drate/Nitrite ? SOC ? Nudide Specific <br />? Be~ ? Nitric ? SVOC ? Leak Test <br />? BOD ? pH ? Pesticides ? Plutonium <br />? Boron ? Phosphate, Ortho ? Glyphosate .0, Radium 226 <br />? Cadmium ? Phosphate, Total ? Herbicides ? Radium 228 <br />? Calcium ? Potassium ? EDSWCP ? .Radon <br />? Chloride ? Selenium <br />e <br />e ? PCB ? Thorium <br />? Chlorine, total residual ? S <br />l <br />n (silicates) ? TOC ? Tritium <br />? Chromium ? DRO ? Other. <br />? Conductivity ? Silver ? HEM (ON Grease) <br />? Other. <br />? Copper ? Sodium ? Other <br />? tom) ? Solids, Dissolved ? Other <br />MICROBIOLOGY <br /> <br />b Solids, Suspended <br />snide, Dist. <br />? Fluoride ? Solids, Total ? Total Cordbrms, PA <br />? Hardness, total ? Sulfate Phase 1,2,5 -ANALYSES ? Total Cordorms, MTF <br />? Iron ? Thallium ? Heterotrophic Plate Count <br />1:1 Lead ? Uranium ? Organic (SOC / VOC) ? Pseudomonas MPN <br />? Magnesium ? Zinc ? Inorganic ? E. Col., MPN <br />? Manganese ? Other: ? Other <br />? Mercury ? Other ? Other. <br /> <br /> <br /> <br />ter <br />b L <br />LARS Internet Address: http://www.cdphe.state.co.usAr/lrhom.htm <br />Rport 02SDRM Rev 12MJ99 <br /> <br />Pay ;? <br /> <br />