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F Laboratory and R ivision ???M <br />8100 Lowry Boul( US Mail: PO Box Svstem <br />c (303) 692-3090 ENV-2009006786 <br />ornuerK Heft Collection Date 7/212009 9. <br />n/ EwArom"M 05: OOAM <br />ControrNumber 45 <br />REQUEST FOR ANAL <br /> CUSTOMER <br />- IN <br />FORMATION <br /> customeriO Corieded: / <br />mre? - - am <br />Time: <br />11 <br /> Address: <br />1?J?3 SM r.n??a..t mono day year <br />Collected by. (e Matri P•m• <br />hour min <br />c <br /> ??? ? / ? ??? <br /> contact <br /> <br />contact <br />? Surface water <br />'?+ Phone ?3) a ° Treated Water Water <br /> SAMPLE SITE COMMENT S <br /> PWS 10: i I <br />LJ <br /> <br />sam <br />le Location: L <br />S A <br />)- <br />\ ( Purpose : ? Routine ? Special Purpose ? Repeat <br /> _ <br />C <br />p <br />,- <br /> Description: Lott) 0 l,. I?p i Chlorine residuah a MG& Temp., water: a F <br />g <br /> Address: Comments: <br /> Cry. Zip' <br />TEST ORDER (Chec k appropriate box) : <br />CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />? Alkalinity, Phenolphthalein ? Molybdenum ? Carbamates ? Alpha/Beta, Gross <br />O Alkalinity, Total ? Ifickel ? VOC <br />O AmPricium <br />- - - --- - <br />? Akm*wm -.z -[7 Nitrogen; AmmonWDist - - <br />O THM <br />? Carbon-14 <br />? Antimony ? Nitrogen, lgekdatd <br />? Arsenic ? Nitrogen, Total* TEX <br />DI UAT ? Gamma Screen <br />Gamma <br />Spectrometry <br /> <br />? Barium O Nitrate/N' ? N? <br />, <br />? S <br />i ? Beryllium ? Ntriatie O SVOC ? Leak Test <br />O SOD ? pH O Pesticides ? Plutonium <br />? Boron ? Phosphate ? Glyphosate .0, Radium 226 <br />? Cadmium ? Phosphate, Total ? Herbicides ? Radium 228 <br />O Calcium ? Potassium O EDBIDBCP ? .Radon <br />? Chloride O Selenium ? PCB ? Thorium <br />? Chbdne, total residual ? Silicon (silicates) ? TOC ? Tritium <br />? Chromium ? DRO ? Other. <br />O Conductivity O Solver ? HEM (OR Grease) <br />? Other. <br />? Sodium <br />? Copper ? Other <br />rd fain .) O Solids, Dissolved O Other. <br />? Cyanide, Dist b Solids, Suspended MICROBIOLOGY <br />? Fluoride ? SoCds, Total ? Total Conforms, PA <br />O Hardness, total ? Sulfate Phase 1,2,5 -ANALYSES O Total Cordbrms, MTF <br />O Iron ? Thallium ? Heterotrophic Plate Count <br />1:1 Lead ? Uranium ? Organic (SOC / VOC) ? Pseudomonas MPN <br />O Magnesium O Zinc ? Inorganic ? E. Cori., MPN <br />? Manganese ? Other ? Other. <br />[; Mercury ? Other .0 Other. <br /> <br /> <br />'/_w0w000V- <br /> <br />CARS Intemet Address: httpJ/www.cdphe.state.co.us/ir/lrhom.htm <br />Repot VMP@q, R.v 12 MM <br />ti <br />NO <br />t°, r