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Laboratory Services Division <br />8100 Lowry Boulevard, Denver, CO 80230 -6928 <br />US Mail: PO Box 17123, Denver, C - - -- <br />(303) 692 -3090 fax (303) 344 -� <br />REQUEST FOR ANALYTICAL <br />System ID ENV - 2009012310 <br />Collection Date 10/26/2009 11:05:OOAM <br />Control Number 25 <br />CustomerlD : 00009830 <br />Name: Department of Natural Resources <br />LL- _ 16 ©© o ]T— a.m <br />Collected: I - I V I Time 0 p m <br />Address : 1313 Sherman Street Room 215 <br />month d ear hour min <br />y y <br />City /St/Zip : Denver CO 80203 <br />Collected by: Water Type: <br />Phone: 303 - 866 -3567 <br />Purpose: ❑ Routine ❑ Special Purpose Repeat <br />Email: <br />Contact : Berhan Keffelow <br />Fax: <br />❑ Compliance F1 Personal Information <br />S AMPLE <br />Chlorine residual: 0 m 9 /L Water Temperature <br />° C <br />PWS ID: coo ❑ ❑ ❑ <br />Fluoride 11 0110 m 9 /L <br />System Name: C <br />Address: <br />2 <br />Temperature at Receipt: <br />Comments: <br />City County State /-Ip <br />- <br />Description: <br />Location Source <br />❑Real Estate /HUD (Coliform Bacteria, <br />COMPLIANCE DRINKING WATER TESTS <br />Inorganic Parameters <br />Organic Parameters <br />Lead, Nitrate and Nitrite) <br />_Organic Chemicals Rule <br />❑Alkalinity <br />❑Oil and Grease <br />[]Annual Colorado Package <br />❑EDB /DBCP <br />❑ BOD ❑CBOD ❑DO <br />❑VOCs Screen <br />(Coliform Bacteria, Nitrate /Nitrite) <br />[]Chlorinated Pesticides <br />❑Chemical Oxygen Demand (COD) <br />❑SVOCS /Pesticide <br />❑Expanded Annual Colorado <br />❑PCBs (Subcontracted) <br />❑Chloride <br />Screen <br />Package (Coliform Bacteria, <br />❑Chlorinated Herbicides <br />❑Chlorine <br />❑BTEX <br />Nitr /Nit rite, p H, TDS) <br />❑Volatile Organic ComPounds_(.V_QCs) _ <br />_❑ .Chromium,- hexavalent- (Gr —L) - -- <br />- Radiochemistry <br />-- ❑General Colorado Package <br />❑Semivolat'ile Orga 'c Compounds (SVOCs) <br />❑Corrosivity (Langlier) <br />❑Gross Alpha /Beta <br />(Arsenic, Coliform Bacteria, Hardness, <br />❑Garb ate Pe des <br />Cyanide ❑ Direct ❑ Distilled <br />❑Radium 226 <br />Copper, Fluoride, Iron, Lead, <br />iq tracted) <br />❑ WAD <br />❑Radium 228 <br />Nitrate /Nitrite, Uranium) <br />❑Deluxe Colorado Package SO <br />t <br />lyphosate <br />❑Fluoride <br />❑Hardness <br />❑Uranium <br />❑C -14 <br />(Alkalinity, Arsenic, Cadmium, Ca um, <br />Coliform Bacteria, Chloride, <br />Inorganic Chemicals Rule <br />❑Primary Metals (Sb, As, Ba, Be, Cd, Cr, Hg, <br />❑Mercury <br />Individual Metals ❑Aluminum <br />[-]Radon <br />❑Ni -63 <br />Conductivity, Copper, Corrosivity, <br />Ni, Se, Na TI) + Fluoride <br />❑Antimony ❑Arsenic ❑Barium <br />❑Gamma Spectrometi <br />Fluoride, Hardness, Iron, Lead, <br />❑Primary Metals (Sb, As, Ba, Be, Cd, Cr, Hg, <br />❑Beryllium ❑Cadmium ❑Calcium <br />Specific Isotopes (list): <br />Magnesium, Manganese, <br />Ni, Se, Na TI) + Fluoride + Cyanide <br />❑Chromium ❑Cobalt ❑Copper <br />_ <br />Nitrate /Nitrite, pH, Sodium, Sodium <br />Nitrogen, ❑Nitrate ❑ Nitrite <br />❑Iron ❑Lead ❑Magnesium <br />Food Testtng <br />Adsorption Ratio, Sulfate, Total <br />Lead and Copper Rule <br />❑Manganese ❑Molybdenum <br />Dissolved Solids, Uranium, Zinc) <br />❑Lead and Copper <br />❑Nickel []Potassium ❑Selenium <br />❑Equilibrium pH <br />❑Mining Baseline Package (pH, <br />Radionuclides Rule <br />❑Silver ❑Sodium ❑Strontium <br />❑Starch <br />Nitrate/ Nitrite, Aluminum, Arsenic, <br />❑Gross Alpha /Beta <br />❑Sulfur ❑Thallium ❑Tin <br />❑Fat <br />Cadmiun, Copper, Iron, Lead, <br />❑Radium 226 <br />❑Tungsten ❑Uranium ❑Zinc <br />❑Water Activity <br />Magnesium, Manganese, Potassium, <br />❑Radium 228 <br />Nitrogen, ❑Ammonia <br />Preservatives (list): <br />Selenium, Sodium, Sulfur, Uranium, <br />❑Uranium <br />❑ Nitrate /Nitrite ❑ Total Kjeldahl <br />Sulfate, Gross Alpha /Beta) <br />Disinfection Byproducts <br />❑Nitrate ❑ Nitrite <br />❑Total Trihalomethanes (TTHMs) <br />_ <br />❑Mercury <br />❑Mining Baseline Package without <br />❑pH <br />Gross Alpha /Beta <br />❑Haloacetic Acids (HAA5s) <br />❑Phenol <br />Metals (list): <br />❑Drilling Baseline Package (Volatile <br />❑Alkalinity <br />Phosphorus <br />❑Bacteria in Food <br />Organic Compound Screen, pH, Total <br />Dissolved Solids, Chloride, Fluoride, <br />❑Bromate ❑Bromide ❑ Bromie <br />❑Chlorate ❑Chlorite <br />❑Phosphate, Ortho <br />❑Phosphate, Total <br />Alkalinity, Sulfate, Nitrate /Nitrite, <br />Organic Carbon ❑Total ❑ Dissolved <br />❑Sodium Adsorption Ratio <br />Suspect:_ <br />Arsenic, Barium, Calcium, Chromium, <br />❑UV @ 254 <br />Solids ❑Dissolved ❑Settleable <br />Suspect:_ <br />Iron, Magnesium, Selenium, Sodium, <br />Total Coliform Rule Microbiolo /Bacteria <br />❑Suspended ❑Total ❑Volatile <br />Miscellaneous <br />❑Total Coliform (Present/Absent, w/ E. coli) <br />Sulfur, and Uranium) <br />❑Specific Conductance <br />❑Soils /Filters - XRF <br />❑Drilling Baseline Package without <br />VOC screen. <br />❑E. coli (Enumerated, w/ Total Coliform) <br />❑Total Coliform (Multiple Tube enumeration) <br />7Silfate <br />❑Sulfide <br />metals (list): <br />[]Metals Scan: (Aluminum, Arsenic, <br />❑Coliform, Fecal (Multiple Tube enumeration) <br />❑ Turbid ity <br />❑Unknown Substance <br />Identification (FTIR) <br />Barium, Beryllium, Cadmium, Calcium, <br />Chromium, Copper, Iron, Lead, <br />❑Heterotrophic Plate Count <br />❑Other Microbiology: <br />❑Other Inorganic: <br />Magnesium, Manganese, Molybdenum, <br />Nickel, Potassium, Selenium, Silver, <br />Sodium, Uranium, Zinc)�= <br />C <br />CHAIN OF CUSTODY; <br />RELINQUISHED BY: <br />DATE /TIME: RECEIVED <br />BY: ff ALWNJP <br />DAT E: <br />RECEIVED BY: W' I DAT <br />LSD Interent Address: http:// www .cdphe.state.co.us /lr /lrhom.htm Report 9250Req �p <br />LP <br />