2011-11-10_HYDROLOGY - M1980244 - Laserfiche WebLink

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�ustomerlD : Jame : 00009830 Department of Natural Resources 4ddress : 1313 Sherman Street Room 215 Denver CO 80203 Collected: `• J _ ry� I V I Time 1 ° —I a.m ❑ p.m Collected by: o nth day year hour min �E ?2 tiJ Water Type: cs--� amity /St/Zip S hone : 303 =mail: .ontact : =ax: SAMPLE SITE ) 1/VS ID : COO iystem Name: • C - Berhan i k? 866 -3567 M Keffelow 3T — j 1 9 - 5 Purpose: I� R outine 17 \ Compliance Chlorine residual: Fluoride a J Special Purpose 0 fl Personal Information -� mg /L Water Temperature I LILIfl mg /L • Repeat -..y oC Temperature at Receipt: Comments: /1 1• 1►7 S kddress: City 1 County State � A Zip `) D escription:, v I Jt � "LJv ` `lam j Location Source ill C" < v ,. _} t.,•�,_ OReal Estate /HUD (Coliform Bacteria, Lead, Nitrate and Nitrite) ❑Annual Colorado Package (Coliform Bacteria, Nitrate /Nitrite) ❑Expanded Annual Colorado Package (Coliform Bacteria, - - pHDS) - - _ Nitrate` /Nitrite �T ❑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. ❑Metals Scan: (Aluminum, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Uranium, Zinc) COMPLIANCE DRINKING WATER TEST Organic Chemicals Rule Inoipaiiic Parameters = Organic Parameters °Alkalinity ❑ BOD ❑CBOD ❑DO ❑Chemical Oxygen Demand (COD) ❑Chloride ❑Chlorine __❑Chro.mium,,hexavalent (Cr +e ) ❑Corrosivity (Langlier) Cyanide ❑ Direct ❑ Distilled ❑ WAD 0 Fluoride ❑Hardness 0 Mercury Individual Metals ❑Aluminum ❑Antimony ❑Arsenic ❑Barium ❑Beryllium ❑Cadmium ❑Calcium ❑Chromium ❑Cobalt 0 Copper ❑Iron ❑Lead ❑Magnesium ❑Manganese ❑Molybdenum ❑Nickel ❑Potassium ❑Selenium ❑Silver ❑Sodium ❑Strontium ❑Sulfur ❑Thallium OTin ❑Tungsten ❑Uranium VZinc Nitrogen, ❑Ammonia ❑ Nitrate /Nitrite ❑ Total Kjeldahl ❑Nitrate ❑ Nitrite 0 p ❑ Phenol Phosphorus ❑Phosphate, Ortho ❑Phosphate, Total ❑Sodium Adsorption Ratio Solids Z Dissolved ❑Settleable ❑Suspended OTotal ❑Volatile ❑Specific Conductance l�T„Sulfate Sulfide ❑Turbidity ❑Other Inorganic: ❑Oil and Grease ❑VOCs Screen ❑SVOCS /Pesticide Screen OBTEX Radiochemistry ❑EDB /DBCP ❑Chlorinates esti • ❑PC: . .0 ontr - ❑Mori -, s - ❑ of •rga Compounds (VOCs)_., -_. ❑Semivolatile Organic Compounds (SVOCs) OCarbamate Pesticides ❑Diquat (Subcontracted) ❑Endothall OGlyphosate inorganic Chemicals Rule ❑Gross Alpha /Beta ❑Radium 226 ❑Radium 228 ❑Uranium 0C -14 ❑Radon ❑Ni -63 ❑Gamma Spectromel Specific Isotopes (list) ❑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 Food Testing ❑Equilibrium pH ❑Starch ❑Fat OWater Activity Preservatives (list): ❑Lead and Copper Radionuclides Rule ❑Gross Alpha /Beta ❑Radium 226 ❑Radium 228 ❑Uranium Disinfection Byproducts ❑Mercury. Metals (list): ❑Total Trihalomethanes (TTHMs) ❑Haloacetic Acids (HAA5s) • . ❑Alkalinity ❑Bromate ❑Bromide ❑ Bromie ❑Chlorate ❑Chlorite Organic Carbon OTotal ❑ Dissolved ❑UV @ 254 Total Coliform Rule (Microbiology /Bacteria) ❑Bacteria in Food Suspect: Suspect: Miscellaneous ❑Soils /Filters - XRF metals (list): ❑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: ❑Unknown Substance Identification (FTIR) CHAIN OF CUSTODY: RELINQUISHED BY: DATE/TIME: RECEIVED BY: DATE /TIME: RELINQUISHED BY: DATE/TIME: RECEIVED BY: /AA m / i �,?o RELINQUISHED BY: DATE/TIME: RECEIVED BY: Colorado of Public and Envirn REQUE Laboratory Services Division .. 8100 Lowry Boulevard, US Mail: PO Box 17123, (303) 692 -3090 fax (3 OR ANALYTR CUSTOMER System ID ENV -20I 1013080 Collection Date 10/21/2011 10:47:00AM Control Number 27 LSD Interent Address: http:// www .cdphe.state.co.us /lr /lrhom.htm Report #250Req 1 SPECIMEN INFORMATION