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r <br />Laboratory and Radii8100 Lowry Boulevan US Mail: PO Box 171 System ID ENV-2009006787 <br />Cdor&aoneu- (303) 692-3090 fax Collection Date 7/2/2009 <br />OfwicHe" Con 9:00:00AM <br />° Enviranw-` trol Number -i6 <br />REQUEST FOR ANALYTICAL Ocrx <br />CUSTOMER <br />Customer ; CAReded Z57MROM Tune• ?/. (? am. <br />n <br />? ?m• ? ?iJd rtrarlh clay year lour m? P.m. <br />Address : k 3 `->a S 4 Q.IA `i- ?1, 4 C-Niiec:ted by. Maw <br />contact (?? Q ( *-? ? Surface Water <br />Phone V iors \ ? Ground Water <br />'? o? <br />? Treated Water <br />I:C . ?? <br />PWS ID: u Li U U U .J <br />Sample Location: ?, tom? i <br />x Description. _Low 'lo L <br />t? <br />g Address: <br />City: Sic -zip. E36 <br />Purpose : ? Routine ? Special Purpose ? Repeat <br />Chlorine residual. ne ?[] MG/L Temp, Water: 1111 F <br />Comments: •-' y <br />TEST ORDER (Chec k appropriate box) : <br />CHEMISTRY- INORGANIC CHEMISTRY- ORGANIC RADIOCHEMISTRY <br />? Alkalinity, Phenolphthalein ? Molybdenum ? Carbamates ? Alpha/Sets. Gross <br />- p Alkalmdy, Total ? Nickel ? VOC ? Americium <br />_ <br />O Aluminum ? Nitrogen, Ammonia Dist. - 0 THM - - `? Carbon-14 - - - -- <br />O Antimony ? Nitrogen, Igeldahl ? STEX <br />t <br />i O Gamma Screen <br />? Arsenic ? Nitrogen, Total• IQ T <br />e Gamma Spectrometry, <br />O Barium ? NitrateAVitrite OC ? Nuclide Specific <br />? Beryllium O Nitrite O Leak Test <br />C3 BOD ? pH esticides ? Plutonium <br />O Boron O Phosphate, <br />#* O Glyphosate ?, Radium 226 <br />? Cadmium ? Phosphate, T A Herbic,i/des ? Radium 228 <br />? Calcium ? Potassium ? EDBA)BCP ? .Radon <br />? Chloride <br />O Selenium O PCB O Thorium <br />C Chlorine, total residual <br />? Silicon (silicates) ? TOC ? Tritium <br />? Chromium ? DRO ? Other <br />? Conductivity O Silver ? HEM (00 Grease) ? Other. <br />? Copper ? Sodium ? Other <br />? Corrosiv' (record temp-) ? Solids, Dissolved ? Other <br />MICROBIOLOGY <br /> <br />? Solids, Suspended <br />Cyanide, Dist <br />? Fluoride ? Solids, Total ? Total Coliforms, PA <br />O Hardness, total ? Sulfate phase 1,2,5 -ANALYSES ? Taal Conforms, MTF <br />O Iron O Thallium ? Heterarophic Plate Count <br />I:1 Lead ? Uranium ? Organic (SOC / VOC) ? Pseudomonas MPN <br />? Magnesium ? Zinc ? Inorganic ? E. Coll.. MPN <br />? Manganese ? Other: ? Other <br />G+ Mercury ? Other: .0 Other. <br />t <br /> <br /> <br /> <br />LARS Internet Addre <br />R.pat 029DRft Rev 12MI99 <br />http://www.odphe.state.co.usAr/lrhom.htm <br />i? <br />0.?