2011-08-02_HYDROLOGY - M1980244 - Laserfiche WebLink

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Co nd Dcparnn of Public dr a en''' nd Farvimnment '''S ES FO Name: Address : City /St/Zip : Phone : Email: Contact : Fax: ��j1 PWS ID : COO System Name: Address: Laboratory Services Division 8100 Lowry Boulevard, Denver, CO f US Mail: PO Box 17123, Denver, CO (303) 692 - 3090 fax (303) 344 -998 Department of Natural Resources 1313 Sherman Street Room 215 Denver CO 80203 303 - 866 -3567 Berhan Keffelow System ID Collection Date Control Number REQU R ANALYTICAL SEkvic. CustomerlD : 00009830 Collected: Collected by: Purpose LSD Interent Address: http:// www .cdphe.state.co.us /lr /lrhom.htm Report #250Req ENV - 2011007893 7/14/2011 10:30:OOAM 33 SPECIMEN INFORMATION VVIIGNl1V,I 1\V. montfi da yJ' 17 ear Routine 0 Compliance uu I Time hour Water Type: O Special Purpose O Personal Information Chlorine residual: n nn mg /L Water Temperature min 0 Repeat OMercury Metals (list): DATE /TIME: DATE /TIME: DATER a.m P. m L[ oc escription: City oun C Lti B Location Source ❑Real Estate /HUD (Coliform Bacteria, Lead, Nitrate and Nitrite) ❑Annual Colorado Package (Coliform Bacteria, Nitrate /Nitrite) ❑Expanded Annual Colorado Package (Coliform Bacteria, Nitrate /Nitrite, pH, TDS) ❑General Colorado Package (Arsenic, Coliform Bacteria, Hardness, Copper, Fluoride, Iron, Lead, Nitrate /Nitrite, Uranium) ODeluxe Colorado Package (Alkalinity, Arsenic, Cadmium, Calcium, Coliform Bacteria, Chloride, Conductivity, Copper, Corrosivity, Fluoride, Hardness, Iron, Lead, Magnesium, Manganese, Nitrate /Nitrite, pH, Sodium, Sodium Adsorption Ratio, Sulfate, Total Dissolved Solids, Uranium, Zinc) ❑Mining Baseline Package (pH, Nitrate /Nitrite, Aluminum, Arsenic, Cadmiun, Copper, Iron, Lead, Magnesium, Manganese, Potassium, Selenium, Sodium, Sulfur, Uranium, Sulfate, Gross Alpha /Beta) ❑Mining Baseline Package without Gross Alpha /Beta ❑Drilling Baseline Package (Volatile Organic Compound Screen, pH, Total Dissolved Solids, Chloride, Fluoride, Alkalinity, Sulfate, Nitrate /Nitrite, Arsenic, Barium, Calcium, Chromium, Iron, Magnesium, Selenium, Sodium, Sulfur, and Uranium) ❑Drilling Baseline Package without VOC screen. OMetals Scan: (Aluminum, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Uranium, Zinc) CHAIN OF CUSTODY: ae RELINQUISHED BY: RELINQUISHED BY: RELINQUISHED BY: Fluoride Temperature at Receipt: Comments: COMPLIANCE DRINKING WATER TESTS Organic Chemicals Rule ❑EDB /DBCP ❑Chl nated P sticides ❑PC (Subc tracted) ❑Ch rir�� • 'des ❑V tile Org c ompourTds (VOC S)- ---- ❑Se ivolatile Organic Compounds (SVOCs) ❑Carbamate Pesticides ❑Diquat (Subcontracted) ❑Endothall ❑Glyphosate Inorganic Chemicals Rule ❑Primary Metals (Sb, As, Ba, Be, Cd, Cr, Hg, Ni, Se, Na TI) + Fluoride ❑Primary Metals (Sb, As, Ba, Be, Cd, Cr, Hg, . Ni, Se, Na TI) + Fluoride + Cyanide Nitrogen, ❑Nitrate ❑ Nitrite Lead and Copper Rule ❑Lead and Copper Radionuclides Rule ❑Gross Alpha /Beta ❑Radium 226 ❑Radium 228 ❑Uranium Disinfection Byproducts ❑Total Trihalomethanes (TTHMs) ❑Haloacetic Acids (HAA5s) ❑Alkalinity ❑Bromate ❑Bromide ❑ Bromie ❑Chlorate ❑Chlorite Organic Carbon OTotal ❑ Dissolved ❑UV @ 254 Total Coliform Rule (Microbiology /Bacterial ❑Total Coliform (Present/Absent, w/ E. coli) ❑E. coil (Enumerated, w/ Total Coliform) ❑Total Coliform (Multiple Tube enumeration) ❑ Coliform, Fecal (Multiple Tube enumeration) ❑Heterotrophic Plate Count ❑Other Microbiology: DATE/TIME: DATE /TIME: DATE/TIME: o E , EEL mg /L �# (1* Inorganic Parameters ❑Alkalinity ❑ BOD ❑CBOD ❑DO 0 Chemical Oxygen Demand (COD) ❑ Chloride ❑Chlorine ❑ Chromium, hexavalent (Cr' ) ❑ Corrosivity (Langlier) - Cyanide ❑ Direct ❑ Distilled ❑ WAD ❑ Fluoride ❑ Hardness ❑ Mercury Individual Metals ❑Aluminum ❑Antimony ❑Arsenic ❑Barium ❑Beryllium 0 Cadmium OCalcium ❑Chromium ❑Cobalt ❑Copper ❑Iron ❑Lead ❑Magnesium ❑Manganese ❑Molybdenum ❑Nickel ❑Potassium ❑Selenium ❑Silver ❑Sodium 0 Strontium ❑Sulfur ❑Thallium ❑Tin ❑Tungsten ❑Uranium ❑Zinc Nitrogen, ❑Ammonia ❑ Nitrate /Nitrite ❑ Total Kjeldahl ❑Nitrate ❑ Nitrite ❑ pH ❑ Phenol Phosphorus ❑Phosphate, Ortho ❑Phosphate, Total ❑ Sodium Adsorption Ratio Solids ODissolved ❑Settleable ❑Suspended ❑Total ❑Volatile c Conductance Sulfate ❑ Sulfide ❑ Turbidity 0 Other Inorganic: RECEIVED BY: RECEIVED BY: RECEIVED BY: Organic Parameters ❑ Oil and Grease ❑VOCs Screen ❑SVOCS /Pesticide Screen ❑BTEX Radiochemistry - ❑G ross /Beta ❑Radium 226 ❑Radium 228 ❑Uranium ❑C -14 ❑Radon ❑ N i -63 ❑Gamma Spectromet Specific Isotopes (list) Food Testing ❑Equilibrium pH ❑Starch ❑Fat ❑ Water Activity Preservatives (list): ❑Bacteria in Food Suspect: Suspect: Miscellaneous ❑Soils /Filters - XRF metals (list): ❑Unknown Substance Identification (FTIR) kit g ; op