2009-11-18_HYDROLOGY - M1980244 - Laserfiche WebLink

Home Browse Search

Laboratory Services Division' ` 8100 Lowry Boulevard, Denver, COP I? " - US Mail: PO Box 17123, Denver, CO (303) 692 -3090 fax (303) 344 -991f Syst x o Collecti D ENV 2009p1 audEb Cont" N"n1ber Z4 )/26/200y 1� 4 00 AM REQUEST FOR ANALYTICAL SEKvli..__ !CUST F111111 — CustomerlD: 00009830 o a.m ® - Sd�l � - 7✓JL�1 LI�.LI Name: Department of Natural Resources Collected: � inlo 0 .m Wj 5 Address : 1313 Sherman Street Room 215 month �'7 �day yea r hour min Collected by: i��G•]L[Z Water Type: ;ity /St/Zip : Denver CO 80203 'hone : 303 - 866 -3567 Purpose: ❑ Routine Special Purpose Repeat :mail: :ontact : Berhan Keffelow Compliance personal Information :ax: SAMPLE SITE Chlorine residual: 0 JT mg /L Water Temperature @® QC WS ID: coo ❑ [1011 - 111111 Fluoride [1- 111111 mg /L ystem Name: G Temperature at Receipt: `, ,ddress: Comments: City County State zip lescription: Location Source -- ❑Real Estate /HUD (Coliform Bacteria, COMPLIANCE DRINKING WATER TESTS Inorganic Parameters ' '' - Organic Parameters Lead, Nitrate and Nitrite) Organic Chemicals Rule ❑Alkalinity ❑Oil and Grease ❑Annual Colorado Package ❑EDB /DBCP ❑ BOD ❑CBOD ❑DO ❑VOCs Screen (Coliform Bacteria, Nitrate /Nitrite) ❑Chlorinated Pesticides ❑Chemical Oxygen Demand (COD) ❑SVOCS /Pesticide ❑Expanded Annual Colorado ❑PCBs (Subcontracted) El Chloride Screen Package (Coliform Bacteria, ❑Chlorinated Herbicides ❑Chlorine a ❑BTEX Nitrate /Nitrite, pH, TDS) ❑Vo O rganic Compounds (VOCs)_ _ — _❑_Chro:mium- hexavalent -(Cr -) - Radiochemistry - ❑G'eneral Colorado Package - _ - QSemivolatile Organic Compounds (SVOCs) ❑Corrosivity (Langlier) ❑Gross Alpha /Beta (Arsenic, Coliform Bacteria, Hardness, ❑Carbamate Pesticides Cyanide ❑ Direct ❑ Distilled ❑Radium 226 Copper, Fluoride, Iron, Lead, ❑Diqu (Subcontracted) ❑ WAD ❑Radium 228 Nitrate /Nitrite, Uranium) ❑Endo all ❑Fluoride ❑Uranium ❑Deluxe Colorado Package Gly h ❑Hardness ❑C -14 (Alkalinity, Arsenic, Cadmium, Icium, n sa fcals Rule ❑Mercury ❑Radon Coliform Bacteria, Chloride, n Br Metals (Sb, As, Ba, Be, Cd, Cr, Hg, Individual Metals ❑Aluminum ❑Ni -63 Conductivity, Copper, Corrosivit Se, Na TI) + Fluoride ❑Antimony ❑Arsenic ❑Barium ❑Gamma Spectrometr Fluoride, Hardness, Iron, Lead, ❑Primary Metals (Sb, As, Ba, Be, Cd, Cr, Hg, ❑Beryllium ❑Cadmium ❑Calcium Specific Isotopes (list): Magnesium, Manganese, Ni, Se, Na TI) + Fluoride + Cyanide ❑Chromium ❑Cobalt ❑Copper — —__— Nitrate/Nitrite, pH, Sodium, Sodium Nitrogen, ❑Nitrate ❑ Nitrite ❑Iron ❑Lead ❑Magnesium — Adsorption Ratio, Sulfate, Total Lead and Copper Rule ❑Manganese ❑Molybdenum Food Testin_q Dissolved Solids, Uranium, Zinc) ❑Lead and Copper []Nickel ❑Potassium ❑Selenium ❑Equilibrium pH ❑Mining Baseline Package (pH, Radionuclides Rule ❑Silver ❑Sodium ❑Strontium ❑Starch Nitrate /Nitrite, Aluminum, Arsenic, ❑Gross Alpha /Beta ❑Sulfur ❑Thallium ❑Tin ❑Fat Cadmiun, Copper, Iron, Lead, ❑Radium 226 ❑Tungsten ❑Uranium ❑Zinc ❑Water Activity Magnesium, Manganese, Potassium, ❑Radium 228 Nitrogen, ❑Ammonia Preservatives (list): Selenium, Sodium, Sulfur, Uranium, ❑Uranium ❑ Nitrate /Nitrite ❑ Total Kjeldahl — - -- Sulfate, Gross Alpha /Beta) Disinfection Byproducts ❑Nitrate ❑ Nitrite —_ ❑Mining Baseline Package without ❑Total Trihalomethanes (TTHMs) ❑pH []Mercury Gross Alpha /Beta ❑Haloacetic Acids (HAA5s) ❑Phenol Metals (list): ❑Drilling Baseline Package (Volatile ❑Alkalinity Phosphorus — — Organic Compound Screen, pH, Total ❑Bromate ❑Bromide ❑ Bromie ❑Phosphate, Ortho Dissolved Solids, Chloride, Fluoride, ❑Chlorate []Chlorite ❑Phosphate, Total ❑Bacteria in Food Alkalinity, Sulfate, Nitrate /Nitrite, Organic Carbon ❑Total ❑ Dissolved ❑Sodium Adsorption Ratio Suspect: — Arsenic, Barium, Calcium, Chromium, ❑UV @ 254 Solids ❑Dissolved ❑Settleable Suspect: Iron, Magnesium, Selenium, Sodium, Total Coliform Rule Microbiolo /Bacteria ❑Suspended []Total ❑Volatile Miscellaneous Sulfur, and Uranium) []Total Coliform (Present/Absent, w/ E. coli) ❑Specific Conductance ❑Soils /Filters - XRF ❑Drilling Baseline Package without ❑E. coli (Enumerated, w /Total Coliform) NrSulfate metals (list): VOC screen. ❑Total Coliform (Multiple Tube enumeration) ❑Sulfide — — ❑Metals Scan: (Aluminum, Arsenic, ❑Coliform, Fecal (Multiple Tube enumeration) ❑Turbidity Barium, Beryllium, Cadmium, Calcium, ❑Heterotrophic Plate Count ❑Other Inorganic: ❑Unknown Substance Chromium, Copper, Iron, Lead, ❑Other Microbiology: - -_ -- Identification (FTIR) Magnesium, Manganese, Molybdenum, -- - - - - - - -- -- C Nickel, Potassium, Selenium, Silver, - - -- - - -- — - - -- - Sodium, Uranium, Zinc CHAIN OF CUSTODY: RELINQUISHED BY: DATE /TIME: RECEIVED BY: DATE /TIME: RELINQUISHED BY: DATE /TIME: RECEIVED BY: DAT /T tNI� la b RELINQUISHED BY: DATE /TIME: RECEIVED BY: DATE /TIME: f LSD Interent Address: http:// www .cdphe.state.co.us /Ir /lrhom.htm Report #250Req f LSD Interent Address: http:// www .cdphe.state.co.us /Ir /lrhom.htm Report #250Req