ࡱ> ?A>#` <bjbj 8". DDD8|$"h!!!!!!!$#h%!!!X!!V$ @  pq7D|d !!<"p T}&w}& }& !!%"$ d  Arizona Department of Environmental Quality Drinking Water Radionuclides Adjusted Gross Alpha, Radium 226 & 228, Uranium Analysis Report ***Samples To Be Taken At Entry Point Into Distribution System (EPDS) Only*** PWS ID#: AZ04 _______________ PWS Name: _________________________________________ ____________ _______:_______ (24 hr clock) (_____) _____________________________________________ Sample Date Sample Time Owner/Contact Person (_____)_______________________ (_____)_____________________________________________ Owner/Contact Fax Number Owner/Contact Phone Number Sample Collection Point ( EPDS # ___________________ COMPLIANCE SAMPLE TYPE: Date Q1 Collected ____________ Reduced Monitoring Date Q2 Collected ___________ Quarterly Date Q3 Collected ___________ Composite of four quarterly samples Date Q4 Collected ___________ ***RADIONUCLIDE ANALYSIS*** (((To be filled out by laboratory personnel((( ***Combined Uranium must be reported in micrograms per liter*** Analysis MCL Reporting Contaminant Cont. Analysis Result Exceeds Method Limit Name Code Run Date MCL ______ 15 pCi/L Adjusted Gross Alpha 4000 ________ ________ _______ ______ 3 pCi/L Gross Alpha 4002 ________ ________ ______ Radon 4004 ________ ________ ______ 30 g/L 1 g/L Combined Uranium 4006 ________ ________ g/L _______ ______ Uranium 234 4007 ________ ________ ______ Uranium 235 4008 ________ ________ ______ Uranium 238 4009 ________ ________ _______ ______ 5 pCi/L 1 pCi/L Combined Radium (226,228) 4010 ________ ________ ______ 1 pCi/L Raduim 226 4020 ________ ________ ______ 1 pCi/L Raduim 228 4030 ________ ________ ***LABORATORY INFORMATION*** (((To be filled out by laboratory personnel((( Specimen Number: _______________________________________ Lab ID Number: _________________________________________ Lab Name: _____________________________________________ Printed Name and Phone Number of Lab Contact:___________________________________________________________________ Comments: _________________________________________________________________________________________________ Authorized Signature: ________________________________________________________________________________________ Date Public Water System Notified: _________________________ DWAR 6: 11/2007     ,@{ / L M Z [ s t   , - P o p q żŇۇ͇ŇyphH5CJ\h 4hH5CJ\aJh 4hJuCJaJ jh hfCJ h hfh hf5CJaJh hfCJaJh hfCJh 4CJaJh 4hJu5CJ\aJhURCJaJh 4hHCJaJhUR h%6h%6 h%6hH(,/ 8 $ Z [ s ^`gdURgdf$a$$a$gdHgdH$a$gd 4.; - p n$I & FEƀܻFgdHI & FEƀܻFgdHF & FEƀܻFp q r B k Y 0c 8p  8p dhgdH 8p &dPgdH 8p gdH$-^-a$q r z  B P d e j k    ! " 3 J K P Y /0···¬֑֝֝֗֋օvp֑j֝ hJuCJ hMBCJhMBhMBCJ h8LCJ hJuCJ hURCJ hi{CJ hgCJ hHCJhMB5CJ\hJu5CJ\aJh5CJ\aJhMB5CJ\aJ j<hJuCJ hJuCJ j>hJuCJhUR5CJ\hJu5CJ\h 45CJ\)0:TUV'mno&(),-./124578;<˘ːh[jh[U hT#ZCJ h;CJ hi{CJ h+!CJhjCJaJh+!CJaJhYDh+!CJaJ hJuCJ j<hJu5\ hJu5\ j>hJu5\h\hJu h 4CJ hJuCJ-Vo.0134679:;<-^-gdH-^-gd+!-^-gd]6&P1h:p 4/ =!"#$% @@@ NormalCJ_HaJmH sH tH >@> Heading 1$@& 5CJ\D@D Heading 2$$@&a$ 5CJ\L@L Heading 3$$-@&^-a$ 5CJ\DA@D Default Paragraph FontViV  Table Normal :V 44 la (k(No List 2>@2 Title$a$5\4@4 Header  !4 @4 Footer  !:B@": H Body Text$a$5\H2H +! Balloon TextCJOJQJ^JaJB'AB R_Comment ReferenceCJaJ<R< R_ Comment TextCJaJ@jQR@ R_Comment Subject5\FV`qF  FollowedHyperlink >*B* ph< ",/8$Z[s-pqrBk Y0cVo  . 0 3 6 9 = 0@0@00@000000000000@00 0 0 0@0@0@0@000@00@0@0@00@0@0@0@0@0@00@0(@0@0@000@0@0@00@00@0@0@0@0 00,/8$Z[s-pqrBk Y0cVo  . 1 4 7 : = 000000000&000000000000000 0000 00 000X600000000000000000000000G2000 l 00 008]0000@00000000000@0@000H0000000000< q 0<  p < ; 8@0(  B S  ?- . . 0 0 1 1 3 4 6 7 9 : = IM- . . 0 0 1 1 3 4 6 7 9 : = 333,qqz8899::AAde  !JPXY//   & ) , - = ,U& - . . 0 0 1 1 3 4 6 7 9 : = @"~B3W1~BCR\Fgp^`5OJPJQJ^Jo( ee^e`OJQJo(o 55^5`OJQJo(   ^ `OJQJo(   ^ `OJQJo(o ^`OJQJo( uu^u`OJQJo( EE^E`OJQJo(o ^`OJQJo(^`5OJPJQJ^Jo( ee^e`OJQJo(o 55^5`OJQJo(   ^ `OJQJo(   ^ `OJQJo(o ^`OJQJo( uu^u`OJQJo( EE^E`OJQJo(o ^`OJQJo(h hh^h`OJQJo(h 88^8`OJQJo(oh ^`OJQJo(h   ^ `OJQJo(h   ^ `OJQJo(oh xx^x`OJQJo(h HH^H`OJQJo(h ^`OJQJo(oh ^`OJQJo(CR\3W1@"2N                 +*ni} ^ f *J&|/%67]L7MBH8LNURT#Z]*bR_[ 4)\{;CJuslj+!I*gEW,Mi{~@_< @UnknownDMLGz Times New Roman5Symbol3& z Arial5& zaTahoma?5 z Courier New;Wingdings"1h+f+f{-.5-.5)4d  2QHX?i{2,DRINKING WATER RADIOCHEMICAL ANALYSIS REPORTrg2ADEQ   Oh+'0 ,8 X d p |0DRINKING WATER RADIOCHEMICAL ANALYSIS REPORTrg2 Normal.dotADEQ2Microsoft Office Word@@\@ -tq7@ -tq7-՜.+,D՜.+,\ hp  ADEQ5.  -DRINKING WATER RADIOCHEMICAL ANALYSIS REPORT Title@_TentativeReviewCycleID_ReviewCycleID_NewReviewCycle_EmailEntryID_ReviewingToolsShownOnce~~0000000022AF4C5C44301E499AEB5350A3E3574107005746424A65ACC14387EFF28BCDDEC16900000005074200001ACDFCC558680243B3BC77E50303EE490000001F630E0000  !"#$%&'()*+,-/012345789:;<=@Root Entry F@q7BData 1Table&WordDocument8"SummaryInformation(.DocumentSummaryInformation86CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q