A-~ L1. ~o(~-~ !~i. ~) ~ -~ ~ ~ ~~ Pa e 1 of 24. Form NR Wãtér Supply Engineering B~ureaa Safe Drinking Water Act ~_c~r~c~ i~4~ / Exhibit 12

Transcription

1 NOU g3 ~~~~ 15:42 ~) ~ -~ ~ ~ ~~ Pa e 1 of 24 Form NR Wãtér Supply Engineering B~ureaa Safe Drinking Water Act ~_c~r~c~ i~4~ / ~P EZ~A au~&~ ID L~b~me~ A-~ L1 T~w~ Loc~on: ~~ u L3bC~ntEcterso~ ~JU1~r\. i~)t) ~ -~4 ~b?hon~ ~1 ~mp1ing ~ ~pkca~i~~y ~zl ~+il &Y~AJ J~ ~!~i LabS~kID ~o(~-~ Daze Lab Wc& C~pk~d ~ 1 9 Lab SIgnatuEe~ -I cgd~ts.& CONrAMINANTS ills in MGt - L4fl M]~THOD LOGY Axu~ony -Bayilltm 36-Njc~cj as-mau~m 24..Cyanide IO3z~rju~ - -~-~ LC~dmj~ ~-c11tuuuum -~-~-~ 5 - Me~y ~5~-Se~uii ~flu~ ~5-A~~iG ~- 5-7-ci~ ~-h~ Z-!~g~me~ O-Sib,~ ~ 5.-~Thc

2 NOtJ :42 NHDES i~ise3 FAXED AUG Page 2 of 24 E032715L l P.10/19 IOC Reporting Form NH Water S~ipp1y Engineering Burea~i Safe Drinking Water Act Sy~zem Name:. - - ~ ~ ~Thu~ Semp~Taken: ~ 0 ~ I ~YLA ~ Lab 2~1eme P~ L~ ~- ~ ~i&a~inç V~L-~ Town Lo~dou: Sem~ Agent ~Y~v LAY7AJL~4 (?)~?/v?~ a S&mpUng Agcnt Daytime?hcne ~: - S~p1big Catego~ ~O 1) ~ T~P~/ ei~r~ oo1.+ )~ Lab Contact P~t~o~t~ Lab Phone Certtticd L~, ED #~. Lati ~ Ifl~ Dzre Lab WLx~ Lab ~\ A1f~ 2 ~SDJ CODES.& CONTAMINANTS RESULTS IN MCL LAB METHODOLOGY IO74~Amimcny i~75 BexyUiuir~ 1e36-Nidca ~ l5-t1iai1~zim l~24 Cya~iide -~ _.~ ~ IfllO-~urjuin 1flt5~C~~ju~n - 1O-throm~ 1O3S-M~t~- ~. -~- ~-.~ -... ~~.- ~ Q25- flut~1dr 4 lao5-s~i~z Su1~(e Othxide LO2~-~ l~2-~g~ ~2 ~ - ~

3 ~ Services FAX E D Page3of24 AUG NitratefNilñte Reporting Form NR Water Supply Engineering Bureau Safe Drinking Water Act y~cn~. Nom~; Po~- e-~a Daze ~ Thn~ ~m~t~k~: ~ ~ ~ g ~ awn ~ ~: an~ga~ ~ ga~td~zep~io~ ~C~actPez~onz JOV~ D~ v ~ Certi~cdLabID~: ~D1 Lth S~npIe!12 ~GDPO~1~ ~ Ti PH/ei~-~ 00 ~) 4 i () D~v~ Dazc L~J, Work Cowple~z ~6 D ~S~gnatm~ ~- COD!~S.& OWTAM~N4~TS I RESULTS IN MGIL LA~ MgTHCI)OLOGY 140 N~ 4 - ~ ~ ~~1.

4 V Page 4 of 24 Nou g3 19~ 15:42 NHDES ~ P A x 5n32715L~i P ~~Env~xonmenta1 Services Sy~t~n N~r~e EPAudSourc~ll#~~ ~O~2t~ Town Lc~ou: SAgc~ft C~Y ~V t&yi~k}~ ~ Mc ~Lporting ~rm NH Water Supply Engineering B~t.reaa Safe Drinking Water Act Date ~ Thnc S~zrip~ LabN~: P~ L~ L fr~afrv~ ti~j_~ LabcaPer~an t~ LabPh~nc: ~ip~7 _1~H~~5L~{ Cezti&d Lab TD #~ ~unp~ngc2~ S~kPc~E~ 1~/P~)~ oh ~- i~ pv~c~t Lab S~mp1c!D~ D~Lab~ Lab ~ ~--- VV-~-- ~.- -~ COD~S4~ contaminants RESUL1S in MCL LAB M]rTBODOLOGV 1074-Antimony lo7s-bezy~m 1036 Nk*cI 108S-TbzU~n Cyarz*ie I0-.3~zizn.~ IGIS - 1~0-c1iroz~thm im~ * d~j~t RU~V IO05-Am~ik~ V 1055 Su1f~at~ ~h1crj4c. V L02~-Iio~ LQ32-~4tig~ lq~o-sj1yer ~ 109S-~ V052- So4i2trri V

5 ~OU-ø3-19~33 15:42 NHDES 1J~3 Page 5 of 24 ~32z15171 P.ie~~ Ei~vL~Jnment~1 ~iar~ ~ e~r ds#~5~ Q~O Tows L-ocuio~i: SainplJng ~.4cflt C-O~ ~ LtJ~\J/\ ~ç:: X H Siuipthig A.g~u Dayoine?hcne ~ ~<~9 V) SgC~tegory ç2\q ~L~) Sample CoUecüon Point D \Qi-~ ~ f) J P~)4 / ~ JOC Reporting Form NH Water &tpply Engineering Bur ~ SafeD ~g ateract Dat~cSamp~cTa1~n: ~1~-~)n~ Lab Name: 1~-~Oi) ~ L, LokA~1r~ t ~v~ o~ctpcr~on.~\t91n t~j~e~~c LabPhone ~P] ~ CcrtificdLablD# LabSamp1eID~ ~Q~L1) D~eLabW~kCompl~d~ ~13~O~6 Lab S1pan~re: U I 1 4.4&T~!nwwly erylltum ?4ickel ~Thal1ium Cyauide LAB MUR000LOGY fl~ct~e 1O05-~ Sulfate 10t7 -O~1~4e 2 101O-Bi~ium Ced~niun, Mcra~ry Saver Sodliun

6 ~ Ofl~ijta1 ~ Servi~e~ Page 6 of 24 ~itratefnitrite Reporting Form NH Water Supply Engineering Burea~i Safe Drinkiimg Water Act ~m Nem~ ~ U ~~ OS)~O ~ 1 -. DTj~eSLeT~ken:~ LthNanic DWII?~mpI~ng Ag*tic - ~mp1iug Agent Daycirn~ Phon.~ 6 (~ h ~ ~ Catc~y~ 0 ~npie Cc~a~on Poi~j~ 1~u~p I P~~-~/ ~ L~O\ ~ (~ Lab Con~ct D~ Laone:_~EV 1~t5?~L~~ Cczti~cdjabID~: LthS~pl~2L~ D~ie Lab Work Comp1et~th 1 ~ ~ [b ~ Lab ~ C~T~M1NA~ L RL~S~MGI L~W~L~ZJ ~4O-Ne f ~LO ~ --

7 Page 7 24 Granite State Analytical, LLC Main Office / Laboratory 22 Manchester Rd. / Rt. 28 Derry, NH (603) Lab Contact: Donald A. D Anjou, Ph. D., Laboratory Director DATE PRINTED: 1/8/2008 CHEMICAL RESULTS FOR THE 4th QUARTER 2007 NH LABORATORY ID#: 1015 DRINKING WATER COMPLIANCE REPORT SAMPLE ID#: DATE & TIME COLLECTED: 12/18/07 8:30 am 22j2~~ SAMPLED BY: F X Lyons DATE & TIME RECEIVED: 12/19/07 11:22 am SAMPLE CATEGORY: RoutIne Sample SYSTEM EPA ID NUMBER: SYSTEM NAME: Forest Edge WATER SYSTEM TYPE: Community SAMPLE AGENT #: SYSTEM TOWN: Conway RECEIPT TEMPERATURE: ON ICE 7.0 CELSIUS SAMPLE LOCATION: 501 DEP Tap/Pumphouse/Blend 001 BAR CODE NUMBER: And 102 Deepnd Test ~ MDL Method Aj ~1~ Date & I~i3~Jy.~~ MCL Specific Conductance* 134 umhos/cm 1.0 EPA EO 12/19/07 12:29 Barium* <0.01 mg/l 0.01 EPA ES 12/27/07 12: mg/l Beryllium* <0.002 mg/l EPA 200,7 EB 12/27/07 17: mg/l Cadmium* <0.002 mg/l EPA EB 12/27/07 17: mg/l Calcium* 12.4 mg/l 1 EPA EB 12/27/07 17:28 Chromium* <0.01 mg/l 0.01 EPA ES 12/27/07 17: mg/l Copper* <0.01 mg/l 0.01 EPA EB 12/27/07 17: mg/l Hardness (calc)* 31.1 mg CaCO3/L 2 EPA ES 12/27/07 17:28 Iron* mg/l 0.01 EPA ES 12/27/07 17: mg/l Magnesium* <1 mg/l 1 EPA EB 12/27/07 17:28 Manganese* <0.01 mg/l 0.01 EPA EB 12/27/07 17: mg/l Nickel* <0.01 mg/l 0.01 EPA ES 12/27/07 17: mg/l Silver* <0.004 mg/l EPA ES 12/27/07 12: mg/l Sodium* 13.2 mg/l 1 EPA EB 12/27/07 17:28 Zinc* <0.01 mg/l 0.01 EPA ES 12/27/07 17: mg/l Mercury* < mg/l EPA /3/08 0: mg/l Antimony* <0.002 mg/l EPA EB 1/8/08 13: mg/l ArsenIc~ <0.002 mg/l EPA ES 12/20/07 11: mg/l Lead* <0.005 mg/l EPA ES 12/27/07 18: mg/l Selenium* <0.005 mg/l EPA SB 1/7/08 13: mg/l ThaIIium* <0.001 mg/l EPA ES 12/27/07 12: mg/l Chloride* 7 mg/l 2 EPA EO 12/19/07 17: mg/l Fluoride* 3.09 mg/l 0.20 EPA EO 12/19/07 17: mg/l Sulfate* 3,1 mg/l 1.3 EPA SO 12/19/07 17: mg/l Total Alkalinity* 46.0 mg CaCO3/L 5 SM EO 12/26/07 10:40 ph 6.84 SU SM 4500 H B RL 12/19/07 12: SU Cyanide, Total* <0.02mg/L 0.02 SM4500CN-E /21/07 8: mg/l Hydrogen sulfide 0.46 mg/l 0.02 SM4500 S2 H SO 12/20/07 11:43 Sulfide 0.8 mg/l 0.2 SM4500-S-F EO 12/20/07 11:43 The results presented in this report relate to the samples listed above in the condition in which they were received. \~4 ACC0~.0 0,. ~ i~ *NELAC Accredited Analysis. A list of our certifications is available upon request. Q Donald A. DAnjou, Ph.D. Laboratory Director This analysis meets NELAC requirements except as noted. ~ 4l?hht ~certiflcate shall not be reproduced, except in full, without the written approval of Granite State Analytical, LLC - Page 1 of 1 + Chain of Custody

8 O1/O4/2Ou~ 10:25 F~X ~003/003 jjuu~1 LABORATORY REPORT Eastern Analytical, Inc. ID#: Client: Granite State Analytical Client Designation: None Sample ID: Lab Sample ld~ 5~8~401 Matrix: aqueous Date Sampled: AnalytIcal Date of OatR Received: 12/20/07 Matrix Units Analysis Method AnalysL Mercury A~Tot rng/l 1/3/ DS eastern analytical, inc. Phone: (803)

9 01/0~/ :25 FAX ~oo2/oo3 LABORATORY REPORT Page9of24 Eastern Analytical, Inc. JD~: Client: Granite State Analytical Client Designation: None Sample ID: Lab Sample ID: 6~ Matrix: aqueous Date Sampted: 12/18107 Analysis Date Received: 12)20/07 Units Date Time Method AnalySt Cyanide Total <0,02 mg/l 12/21/07 8: CNE SEL eastern analytical, Inc. Phone: (603)

10 C i~,.orcu~-)j~~ flccoi~ BOLD ~:ILLDS REQUIRED PLEASE CIRCLE REQUESTED ANALYSIS Page 10 of24 SAI1I ii I. D. 2~t I. I S i~ M LI NO DA1 I. I Co~.ic~~ s. II3IECATI Di STARE I Ti~-ir OP ;1 N01~ li1)i~ /..~. II 110tH Si S Sot;. OW G~ow,y W~ii 1. SW SoRioli Won E OW Dniooi, Wino. WI! Wont i~nio ii 115,4 HOfl. SI cii: ~ IDI)H, 0 MEOIL ~RAI Th~ SIflTEANRLyTlcA~sr~c~ Ponji ii MANIE,i ~ 22 MANCHESTER ROAD/RE 28 (0iii..NY [ie(?jcy NH (II S1~i /ip [11:1,1. [XI tj ~i :.;~ 7 P~o ~ L~i I 1 IA ME Vi 0I~~ 1~0 1Si05 ~~ l / SW DA1 r P NEEDED QAIQC I0000ioTIt,G OX 1l0~~ REPORTING LEVEL S1~W Vrç GB Ho A B C Ii Sn 1o~ PIG PUS OR ELEC IRONIC OPTIONS MAMCP Ny Six [1/OIL 095 Fiut F~RLSUMPJiv[ Cs RAIN ii SANu I[R(c) 2~&1-~ ~2 /,:~i3 7~ ;&6~~ OLIHQUISH[ut B~ lute lpo~ Rupiivnj 11 RN INQUISIILD Dy 110? ~I 0 liiyii.00(01 lips 11,1111 io to Dliii PSI lot DIlloloiS Ii All Eni St 1 (II Soiitn Di SOuGh bus Iii [lilt loin, II 1)11111 II RI LINQIJISIILE DV. DOE i R~itiii~ B~ ()astern ~naiyt~cai. inc. ~ ~<.~ ~ :1(11 ~i ~:~ ).RI(~2~ ~...) -i~ (V/HI EL. 0 1IGlN~,1 0 REIN. PIVOJLC I

11 Drinking Water and Groundwater Bureau Page 11 of 24 f ~ Analysis Request Form Environmental CHEMLCAL December 12, 2007 ~ Services Page 1 o12 Compliance Sample Site(s) per Master Sampling Schedule EPA ID: Collected By:/~./ ~;z~ ~ ~ (Pr lilt NdTio) System Name: FOREST EDGE - Signature:~ PWS Town CONWAY ceo ~ ~ ~~anpiest~kn 0 1 l~d ow a II if in toil p o d don this form to the tab is valid. Date/Time Sample(s) Taken: ~ - ~ 2 Phone Number: ~ - I.~ Locator ID#: 501 Sample Site Location: DEP TAPIPUMPHOUSE1BLEND 001 AND 102 DEEPND Sample Period: QI Q2 Q3 04 ~H Year:~~~ Sample Category: Routine Confirmation Make-up Analysis Requested 1/ of Lab Sample ID # # of j Lab Sample ID # Check Test(s) Requested Containers (Lab Use Only) Check Test(s) Requested / Compliance Gross Alpha SOC ) ~, I ~.ornbined Radium ~ ~-il -.,~LZr : ~2~L.._ loc ~. \~,/ 4 Llranium mass ~ 1;~-z~c ~. NITRITE * NITRATE* OTHER: ~ ~l -~-_.-----~ _. j -~ - - * NOTE: Samples collected for NITRATEINITRITE analysis MAY NEED to be collected prior to chlorination. Check with Lab. ** CYANIDE samples MAY NEED to be collected prior to chlorination. Check with Lab. I.1 Laboratory Name Responsible for Analysis ~LC ~ ~ -~ ~ L:boratory Ce~ ID# Laborato~ Phone #: /~( ~yqyy2~ Received at Laborato~by: -

12 Page 12 of 24 HAZ~N Hazen Research, Inc Indiana Street Golden, CO USA Tel: (303) Fax: (303) DATE HRI PROJECT HRI SERIES NO DATE REC D, CUST, P.O.# January 18, L248/07 12/20/2007 None Recd F. X. Lyons, Inc. Mimi Trenkova P.O. Box 280 Intervale, NH REPORT OF ANALYSIS SAMPLE NO. L248/07-1 SAMPLE IDENTIFICATION: Forest Edge - Site: DEP Tap / PH / Blend deepnd sampled on 0830 by Gerald E. Ford DETECTION PARAMETER RESULT LIMIT METHOD Gross Alpha (+~Precision*), pci/i (T) 21 (+-4) 1.3 EPA Gross Alpha (+~Precision*), pci/i ~ 9(+-4) 1.3 EPA Radium-226 (+~Precision*), pci/i (T) O.1(+-0.3) 0.2 SM 7500-Ra B Radium-228 (+~Precision*), pci/i (T) 0.0(+-O.7) 0.7 EPA Ra-O5 Uranium, pci/i (T)** ASTM D Uranium, ugh (fl ASTM D29O7-97 ANALYSIS DATE ANALYST AW AW EDF AW LH LH *Variability of the radioactive decay process (counting error) at the 95% confidence level, 1.96 sigma. Certification ID s: CO/EPA C000008; CT PH-0152; KY 90076; KS E-10265; NH A; NYELAP 11417; PADEP ; RI LA000284; WI **Uranium results reported assuming the activity of natural U ***Less Radon and Uranium x 10-7 Ci/gm. Results reported herein relate only to discrete samples submitted by the client. Hazen Research, Inc. does not warrant that the results are representative of anything other than the samples that were received in the laboratory. CODES: (T) Total (D) Dissolved (S) Suspended (R) Total Recoverable (PD) = Potentially Dissolved <= Less Than By: Robert Rostad Laboratory Manager Page 1 of 1 An Empbyee-Owned Company

13 Page 13 of24 Granite State Analytical, LLC Main Office / Laboratory 22 Manchester Rd. / Rt. 28 Derry, NH (603) Lab Contact: Donald A. D Anjou, Ph. D., Laboratory Director DATE PRINTED: 1/16/2008 CHEMICAL RESULTS FOR THE 4th QUARTER 2007 NH LABORATORY ID#: 1015 DRINKING WATER COMPLIANCE REPORT SAMPLE ID#: DATE & TIME COLLECTED: 12/26/07 8:30 am SAMPLED BY: F X Lyons DATE & TIME RECEIVED: 12/27/07 12:05 pm SAMPLE CATEGORY: Routine Sample SYSTEM EPA ID NUMBER: SYSTEM NAME: Forest Edge WATER SYSTEM TYPE: Community SAMPLE AGENT #: SYSTEM TOWN: Conway RECEIPT TEMPERATURE: ON ICE 4.5 CELSIUS SAMPLE LOCATION: 501 DEP Tap/Pumphouse/Blend 001 BAR CODE NUMBER: And 102 Deepnd Test Description Results Test Units MDL Method Analyst Date & Time Analyzed MCL 1,2-Dibromo-3-chloropropane (DBCP)* <0.02 ug/l 0.02 EPA DD 1/4/08 20: ug/l Date Extracted Completed EPA EB 1/4/08 10:00 Ethylene Dibromide (EDB)* <0.02 ug/l 0.02 EPA DD 1/4/08 20: ug/l Chlordane <0.4 ug/l 0.4 EPA 505 DD 1/5/08 6: ug/l Date Extracted Completed EPA 505 EB 1/4/08 10:00 Toxaphene <2 ug/l 2.0 EPA 505 DD 1/5/08 6:04 3 ug/l 24,5-TP (Silvex)* <0.25 ug/l 0.25 EPA DD 12/29/07 6:05 50 ug/l 2,4~D* <1 ug/l 1 EPA DD 12/29/07 6:05 70 ug/l. 2,4-Dichlorophenylacetic acid 98 % EPA DD 12/29/07 6:05 Date Extracted Completed EPA DD 12/27/07 10:00 Dicamba* <0.5 ug/l 0.5 EPA DD 12/29/07 6:05 Dinoseb* <1 ug/l 1 EPA DD 12/29/07 6:05 7 ug/l PentachIorophenoI~ <0.1 ug/l 0.1 EPA 515,3 DD 12/29/07 6:05 1 ug/l Picloram* <2 ug/l 2 EPA DD 12/29/07 6: ug/l Alachlor* <0,1 ug/l 0.1 EPA DD 1/4/08 15:28 2 ug/l Aldrin* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 Atrazine* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 3 ug/l Benzo(a)pyrene~ <0.1 ug/l 0.1 EPA DD 1)4/08 15: ug/l Butachlor* <0,1 ug/l 0.1 EPA DD 1/4/08 15:28 Date Extracted Completed EPA DD 1/3/08 9:25 Di(2~ethylhexyl)adipate* <1 ug/l I EPA DD 1/4/08 15: ugfl Di(2~ethyIhexyl)phthalate* <1 ug/l 1 EPA DD 1/4/08 15:28 6 ug/l Dieldrin* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 Endrin* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 2 ug/l Heptachlor Epoxide* <0.1 ug/l 0.1 EPA DD 1/4/08 15: ug/l Heptachlor* <0.1 ug/l 0.1 EPA DD 1/4/08 15: ug/l Hexachlorobenzene* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 1 ug/l Hexachlorocyclopentadiene* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 50 ug/l Lindane* <0.1 ug/l 0.1 EPA DD 1/4/08 15: ug/l Methoxychlor* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 40 ug/l Metolachlor* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 Metribuzin* <0.1 ugfl 0.1 EPA DD 1/4/08 15:28 The results presented in this report relate to the samples listed above in the condition in which they were received. ~ AGO0,9 NELAC Accredited Analysis <~ ~ ~ A list of our certifications is available upon request. ~ Donald A. D Anjou, Ph.D. Laboratory Director This analysis meets NELAC requirements except as noted. This certificate shall not be reproduced, except in full, without the written approval of Granite State Analytical, LLC Page 1 of 2 ± Chain of Custody H 44 0

14 Page 14 of24 Granite State Analytical, LLC Main Office / Laboratory 22 Manchester Rd. / Rt. 28 Deny, NH (603) Lab Contact: Donald A. D~Anjou, Ph. D., Laboratory Director DATE PRINTED: 1/16/2008 CHEMICAL RESULTS FOR THE 4th QUARTER 2007 NH LABORATORY ID#: 1015 DRINKING WATER COMPLIANCE REPORT SAMPLE ID#: DATE & TIME COLLECTED: 12/26/07 8:30 am SAMPLED BY: FX Lyons DATE & TIME RECEIVED: 12/27/07 12:05 pm SAMPLE CATEGORY: Routine Sample SYSTEM EPA ID NUMBER: SYSTEM NAME: Forest Edge WATER SYSTEM TYPE: Community SAMPLE AGENT #: SYSTEM TOWN: Conway RECEIPT TEMPERATURE: ON ICE 4.5 CELSIUS SAMPLE LOCATION: 501 DEP Tap/Pumphouse/Blend 001 BAR CODE NUMBER: And 102 Deepnd Test Description Results Test Units MDL Method Analyst Date & Time Analyzed MCL Propachlor* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 Simazine* <0.1 ug/l 0.1 EPA DD 1/4/08 15:28 4 ug/l 1.3-Dimethyl-2-nitrobenzene 100 % EPA SS DD 1/4/08 15:28 Perylene-d % EPA SS DD 1/4/08 15:28 Pyrene-dlO 94 % EPA SS DD 1/4/08 15:28 Triphenylphosphate 106 % EPA SS DD 1/4/08 15:28 3~Hydroxycarbofuran* <1 ug/l I EPA DD 1/15/08 3:33 Aldicarb Sulfone* <1 ug/l 1 EPA DD 1/15/08 3:33 Aldicarb Sulfoxide* <1 ug/l 1 EPA DD 1/15/08 3:33 Aldicarb <1 ug/l I EPA DD 1/15/08 3:33 Carbaryl* <1 ug/l 1 EPA DD 1/15/08 3:33 Carbofuran* <1 ug/l 1 EPA DD 1/15/08 3:33 40 ug/l Methiocarb* <1 ug/l 1 EPA DD 1/15/08 3:33 Methomyl* <1 ug/l 1 EPA DD 1/15/08 3:33 Oxamyl(Vydate)* <1 ug/l 1 EPA DD 1/15/08 3: ug/l Propoxur (Baygon)* <1 ug/l 1 EPA DD 1/15/08 3:33 Glyphosate* <10 ug/l 10 EPA 547 DD 12/29/07 2: ug/l The results presented in this report relate to the samples listed above in the condition in which they were received. ~4 ACC~.~4. ~. ~ ~- <0~ * NELAC Accredited Analysis ~ ~ ~ A list of our certifications is available upon request. o ~ ~ ~ Donald A. DAnjou, Ph.D. Laboratory Director This analysis meets NELAC requirements except as noted. This ccrtificate shall not be reproduced, except in full, without the written approval of Granite State Analytical. LLC Page 2 of 2 + Chain of Custody

15 NfW tiampsiiire DEPMtTM fist OF ~ Environmental ~ Services EPA ID: System Name: FOREST EDGE PWS Town: CONWAY DatelTime Sample(s) Taken: )2]2~LQ7 Drinking Water and Groundwater Bureau Analysis Request Form CHEMICAL Compliance Sample Site(s) per Master Sampling Schedule Collected By: Signature: Locator ID#: 501 Sample Site Location: DEP TAP/PUMPHOUSEIBLEND 001 AND 102 DEEPND _j~~~)e( (Print Name( certify that all samples taken are from the site Irsted below and all information provided on this form to the tab is valid. Phone Number: ~ 7~ 7 C - Page 15 of24 December12, 2007 Page 1 of 2 Sample Period: Qi Q2 Q3 Li ~ Year: Sample Category: Analysis Requested Routine Confirmation Make-up ~ LI LI if of Lab Sample ID if if of Lab Sample ID if Check Test(s) Requested Containers (Lab Use Only) Check Test(s) Requested Containers (Lab Use Only) 3Jc~ Compliance Gross Alpha SOC V 70 Combined Radium - IOC ** Uranium mass NITRITE* OTHER: NITRATE * * NOTE: Samples collected for NITRATE!NIFRITE analysis MAY NEED to be collected prior to chlorination. Check with Lab. CYANIDE samples MAY NEED to be collected prior to chlorination. Check with Lab. Laboratory Name Responsible for Analysis: Laboratory Phone if: a9 3,2- ~9~,Y / Received at Laboratory by: Laboratory Cert. ID#: 1 \~J \ N

16 Page 16 of24 Granite State Analytical, LLC Main Office / Laboratory 22 Manchester Rd. / Rt. 28 Derry, NH (603) Lab Contact: Donald A. D Anjou, Ph. D., Laboratory Director DATE PRINTED: 1/10/2008 CHEMICAL RESULTS FOR THE 4th QUARTER 2007 NH LABORATORY ID#: 1015 DRINKING WATER COMPLIANCE REPORT SAMPLE ID#: 071 2~ l DATE & TIME COLLECTED: 12/18/07 8:30 am SAMPLED BY: F X Lyons DATE & TIME RECEIVED: 12/19/07 10:56 am SAMPLE CATEGORY: Routine Sample SYSTEM EPA ID NUMBER: SYSTEM NAME: Forest Edge WATER SYSTEM TYPE: Community SAMPLE AGENT #: SYSTEM TOWN: Conway RECEIPT TEMPERATURE: ON ICE 7.5 CELSIUS SAMPLE LOCATION: 501 DEP Tap/Pumphouse/Blend 001 BAR CODE NUMBER: And 102 Deepnd Test Description Results Test Units MDL Method Analyst Date & Time Analyzed MCL 1,11,2~TetrachIoroethane* <0.5 ug/l 0.5 EPA /31/07 0:00 1,1,1-Trichloroethan& <0.5 ug/l 0.5 EPA /31/07 0: ug/l 11,22.Tetrachloroethane* <0.5 ug/l 0.5 EPA /31/07 0:00 1,1,2~TrichIoroethane* <0.5 ug/l 0.5 EPA /31/07 0:00 5 ug/l 11.Dichloroethane* <0.5 ug/l 0.5 EPA /31/07 0:00 1,1~DichloroethyIene* <0.5 ug/l 0.5 EPA /31/07 0:00 7 ug/l 1.1~DichloropropyIene* <0.5 ug/l 0.5 EPA /31/07 0:00 1,2,3~TrichIorobenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 1,2,3~Trichloropropane* <0.5 ug/l 0.5 EPA /31/07 0:00 1,2,4~Trichlorobenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 70 ug/l 1,2,4~Trimethylbenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 1,2-Dibromo-3-chloropropane <0.5 ug/l 0.5 EPA /31/07 0: ug/l 12-Dibromoethane <0.5 ug/l 0.5 EPA /31/07 0: ug/l 1,2~Dichlorobenzene* <0.5 ug/l 0.5 EPA /31/07 0: ug/l 12~Dichloroethane* <0.5 ug/l 0.5 EPA /31/07 0:00 5 ug/l 12-DichIoropropane~ <0.5 ug/l 0.5 EPA /31/07 0:00 5 ug/l 1,35~Trimethylbenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 1,3.Dichlorobenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 1,3~Dichloropropane* <0.5 ug/l 0.5 EPA /31/07 0:00 l4~dichiorobenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 75 ug/l 22~DichIoropropane* <0.5 ug/l 0.5 EPA /31/07 0:00 2-Butanone (MEK) <10 ug/l 10 EPA /31/07 0:00 2~ChlorotoIuene* <0.5 ug/l 0.5 EPA /31/07 0:00 2-Hexanone <10 ug/l 10 EPA /31/07 0:00 4~Chlorotoluene* <0.5 ug/l 0.5 EPA /31/07 0:00 4~IsopropyItoluene* <0.5 ug/l 0.5 EPA /31/07 0:00 4-Methyl-2-pentanone (MIBK) <10 ug/l 10 EPA /31/07 0:00 Acetone <10 ug/l 10 EPA /31/07 0:00 Benzene* <0.5 ug/l 0.5 EPA /31/07 0:00 5 ug/l Bromobenzene* <0,5 ug/l 0.5 EPA /31/07 0:00 Bromochloromethane* <0.5 ug/l 0.5 EPA /31/07 0:00 Bromodichloromethane* <0.5 ug/l 0.5 EPA /31/07 0:00 The results presented in this report relate to the samples listed above in the condition in which they were received. \\ ~ ~cco,;,ô NELAC Accredited Analysis A list of our certifications is available upon request. ~. Donald A. DAnjou, Ph.D. Laboratory Director This analysis meets NELAC requirements except as noted. Thi~ceitificate shall not be icproduced e\cept in lull ~~tthout the ~~ritten appro~al of Gianite Statc Analytical LLC Page 1 of 3 ± Chain of Custody

17 Page 17 of 24 Granite State Analytical, LLC Main Office / Laboratory 22 Manchester Rd. / Rt. 28 Derry, NH (603) Lab Contact: Donald A. D Anjou, Ph. D, Laboratory Director DATE PRINTED: 1/10/2008 CHEMICAL RESULTS FOR THE 4th QUARTER 2007 NH LABORATORY ID#: 1015 DRINKING WATER COMPLIANCE REPORT SAMPLE ID#: DATE & TIME COLLECTED: 12/18/07 8:30 am SAMPLED BY: F X Lyons DATE & TIME RECEIVED: 12/19/07 10:56 am SAMPLE CATEGORY: Routine Sample SYSTEM EPA ID NUMBER: SYSTEM NAME: Forest Edge WATER SYSTEM TYPE: Community SAMPLE AGENT #: SYSTEM TOWN: Conway RECEIPT TEMPERATURE: ON ICE 7.5 CELSIUS SAMPLE LOCATION: 501 DEP Tap/Pumphouse/Blend 001 BAR CODE NUMBER: And 102 Deepnd Test Description Results Test Units MDL Method Analyst Date & Time Analyzed MCL Bromoform* <0.5 ugjl 0.5 EPA /31/07 0:00 Bromomethane* <0.5 ug/l 0.5 EPA /31/07 0:00 Carbon disulfide <2 ug/l 0.5 EPA /31/07 0:00 Carbon tetrachloride* <0.5 ug/l 0.5 EPA /31/07 0:00 5 ug/l Chlorobenzene~ <0.5 ug/l 0.5 EPA /31/07 0: ug/l Chloroethane* <0.5 ug/l 0.5 EPA /31/07 0:00 Chloroform <0.5 ug/l 0.5 EPA /31/07 0:00 Chloromethane* <0.5 ug/l 0.5 EPA /31/07 0:00 cis~1,2~dichloroethylene* <0.5 ugjl 0.5 EPA /31/07 0:00 70 ug/l cis~13~dichloropropylene* <0.5 ug/l 0.5 EPA /31/07 0:00 Dibromochloromethane* <0.5 ug/l 0.5 EPA /31/07 0:00 Dibromomethane <0.5 ug/l 0.5 EPA 524, /31/07 0:00 Dichlorodifluoromethane* <0.5 ug/l 0.5 EPA /31/07 0:00 Diethyl ether <5 ug/l 0.5 EPA /31/07 0:00 Dilsopropyl ether (DIPE) <0.5 ug/l 0.5 EPA /31/07 0:00 Ethyl tert-butyl ether (ETBE)* <0.5 ug/l 0.5 EPA /31/07 0:00 Ethylbenzene <0.5 ug/l 0,5 EPA /31/07 0: ug/l Hexachlorobutadiene ~0.5 ug/l 0.5 EPA /31/07 0:00 Isopropylbenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 m&p-xylenes <0.5 ug/l 0.5 EPA /31/07 0:00 Methyltert~butylether(MTBE)* <0.5 ug/l 0.5 EPA /31/07 0:00 Methylene chloride* <0.5 ug/l 0.5 EPA /31/07 0:00 5 ug/l Naphthalene <0,6 ug/l 0.5 EPA /31/07 0:00 n~butylbenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 Nitrobenzene <10 ug/l 10 EPA /31/07 0:00 n-propylbenzene <0.5 ug/l 0.5 EPA /31/07 0:00 o-xylene <0.5 ug/l 0.5 EPA /31/07 0:00 sec-butylbenzene <0.5 ug/l 0.5 EPA /31/07 0:00 Styrene* <0.5 ug/l 0.5 EPA /31/07 0: ug/l tert-amyl methyl ether (TAME)* <0.5 ug/l 0.5 EPA /31/07 0:00 tert-butyl alcohol (TBA)* <10 ug/l 10 EPA /31/07 0:00 tert~butyibenzene* <0.5 ug/l 0.5 EPA /31/07 0:00 The results presented in this report relate to the samples listed above in the condition in which they were received. ~ NELAC Accredited Analysis ~ ~ ACCo~ A list of our certifications is available upon request. ~ ~,. Donald A. DAnjou, Ph.D. Laboratory Director This analysis meets NELAC requirements except as noted. ~...This.certificate shall not be reproduced, except in full, without the written approval of Granite State Analytical, LLC Page 2 of 3 + Chain of Custody <~

18 Page 18 of24 Granite State Analytical, LLC Main Office / Laboratory 22 Manchester Rd. / Rt. 28 Derry, NH (603) Lab Contact: Donald A. D Anjou, Ph. D., Laboratory Director DATE PRINTED: 1/10/2008 CHEMICAL RESULTS FOR THE 4th QUARTER 2007 NH LABORATORY ID#: 1015 DRINKING WATER COMPLIANCE REPORT SAMPLE ID#: DATE & TIME COLLECTED: 12/18/07 8:30 am SAMPLED BY: F X Lyons DATE & TIME RECEIVED: 12/19/07 10:56 am SAMPLE CATEGORY: Routine Sample SYSTEM EPA ID NUMBER: SYSTEM NAME: Forest Edge WATER SYSTEM TYPE: Community SAMPLE AGENT #: SYSTEM TOWN: Conway RECEIPT TEMPERATURE: ON ICE 7.5 CELSIUS SAMPLE LOCATION: 501 DEP Tap/Pumphouse/Blend 001 BAR CODE NUMBER: And 102 Deepnd Test Description Results Test Units MDL Method Analyst Date & Time Analyzed MCL Tetrachloroethylene* <0.5 ug/l 0.5 EPA /31/07 0:00 5 ug/l Tetrahydrofuran (THF) <10 ug/l 10 EPA /31/07 0:00 Toiuene~ <0.5 ug/l 0.5 EPA /31/07 0: ug/l Total THM5* <0.5 ug/l 0.5 EPA /31/07 0:00 80 ug/l Total xylenes* <0.5 ug/l 0.5 EPA /31/07 0: ug/l trans~1,2~dichloroethylene* <0.5 ug/l 0.5 EPA /31/07 0: ugjl trans~1,3~dichloropropyiene* <0.5 ug/l 0.5 EPA /31/07 0:00 Trichloroethylene* <0.5 ug/l 0.5 EPA /31/07 0:00 5 ug/l Trichlorofluoromethane* <0.5 ug/l 0.5 EPA /31/07 0:00 Vinyl chloride* <0.5 ug/l 0.5 EPA /31/07 0:00 2 ug/l 12-Dichlorobenzene-d4 124 % EPA SS /31/07 0:00 4-Bromofluorobenzene 109 % EPA SS /31/07 0:00 The results presented in this report relate to the samples listed above in the condition in which they were received. \~ p.cc0,.,,~., ~c 51 NELAC Accredited Analysis A list of our certifications is available upon request. ~, Donald A. DAnjou, Ph.D. Laboratory Director This analysis meets NELAC requirements except as noted.,~l hiscertificate shall not be reproduced, except in full, without the written approval of Granite State Analytical. LLC Page 3 of 3 + Chain of Custody

19 o 1/1O/2Uu~. 11:55 F ~ ~ 002/004 Eastern Analytical, inc. ID#: Client: Granite State Analytical Client Designation: None Sample ID: Lab Sample ID: Matrix: aqueous aqueous aqueous Date Sampled: 12/18/ /07 12/27/07 Dale Received: /27/ /07 UnIts: ugh ugh ugh Date of Analysis: 12/31/07 12/31/07 12/31/07 Analyst: SAM SAM SAM Method: Dilution Factor: Dichiorodlfluoromethane <.0.5 <0.5 <0.5 Chloromethane Vinyl chloride <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Bromomethane <0,5 <0.5 <0.5 Chloroethane <0.5 <0,5 <0.5 Trichlorofluorornethane <0.5 <0.5 <0.5 Diethyl Ether <5 <5 c 5 Acetone < 10 <10 <10 1,1-Dichloroethene <0.5 <0.5 <0.5 tert-butyl Alcohol (TBA) <30 <30 <30 Methylene chloride <0,5 <0.5 <0.5 Carbon disulfide <2 <2 <2 Methyl-t-butyl ether(m1se) <0.5 < Ethyl-t.butyl ~ther(etbe) <0.5 <0.5 <0.5 Isopropyl ether(dipe). <0,5. <0.5 <0.5 tert-amyl methyl ether(tame) <0.5 <0.5 <0.5 irans-1,2-dichloroethene <0.5 <0.5 <0.5 Vinyl acetate <10 < 10 < Dichioroothano <0.5 <0.5 <0.5 2,2.Dichlomproparie <0.5 <05 <0.5 cis-1,2-dichloroethene <0.5 <0.5 <0.5 2~Butanone(MEK) <5 <5 <5 Bromochloromethane <0.5 <0,5 <0,5 Tetrahydrofuran(THF) <5 <5 Chloroform <0.5 <0.5 < Trichloroethane <0.5 <0.5 <0.5 Carbon tetrachlaride <0.5 <0.5 < Dichloropropone <0.5 <0.5 <0.5 l3enzene <0.5 <0.5 <0,5 1,2-Dlchloroethane <0.5 <0.5 <0.5 Trichloroethene <0.5 <0.5 <0.5 l2-dichloropropane <0.5 <0.5 <0.5 Dlbromornethane <0.5 <0.5 <0.5 l3romodichloromethane <0.5 <0.5 <0.5 2-Chloroethylvinylether <2 <2 <2 4-Methyl-2-pentanone(MI8K) <5 <5 <5 ois-1,3-dichloropropene <0.5 <0.5 <0.5 Toluene <0.5 <0,5 <0.5 trans-1,3-dichloropropene <0.5 <0.5 < Trichloroothane <0.5 <0.5 <0.5 2-Hexanone <5 <5 <6 Thtrachioroethene <0.5 < 0.5 <0.5 I,3-Dlchloropropane <0.5 <0,5 <0.5 ldibromochjorom~than <0.5 <0.5 <0.5 1,2-Dibromoothano(EDB) <0.5 <0.5 <0.5 Chlorobenzene <0.5 < 0.5 <0.5 eastern analytical, iflc., Phone: (603)

20 01j1O/2O~8 11:55 FP.X ~OO3f004 IAjuI LABORATORY REPORT Page2Oof24 Eastern Analytical, Inc. ID#: Client: Granite State Analytical Client Designation: None Sample ID: Lab Sample 1D: ,04 MatrIx: aqueous aqueous aqueous Date Sampled: 12/18/07 12/27/07 12/27/07 Date Receivod: 12/27/07 12/27/07 12/27/07 Units: ug/l u911 ugh Date of AnalysIs: 12/31/07 12/31/07 12/31/07 Analyst: ~AM SAM SAM Mothod: Dilution Factor: ~1,1,2~TetrachIoroethane <0.5 <0.5 <0.5 Ethylbenzene <0.5 <0.5 <0.5 mp-xylene <0,5 <0,5 <0.5 o-xylon6 <0,5 <0,5 <0.5 Styrene <0.5 <0.5 <0.5 Bromoform <0.5 <0.5 <0.5 sopro~ylbenzene <0.5 <0.5 <0.5 5romobenzenc~ <0.5 <0.5 <0.5 1,12,2-Tetrachloroethans <0,5 <0,5 <0,5 1,2,3-Trichloropropane <0.5. <0.5 <0.5 n-propylbenzene <0.5 <0.5 < o.s 2-Chlorotolueno <0.5 <0,5 <0.5 4-Chlorotoluene <0.5 <0.5 <0.5 l,3,5-trimethylbenzene <0.5 <0.5 <0.5 lert-butylbonzene <0.5 <0.5 <0,5 12,4-Trimethylbenzene <0,5 <0,5 <0.5 sec.butylbenzene <0.5 <0.5 <0.5 1,3-Dichloroben?.ene <0.5 <0,5 <0.5 p-lsopropyltoluene <0.5 C 0.5 <0.5 1,4.Dichlorobenzene <0.5 <0,5 <0,5 1,2-Dichlorobenzene <0.5 <0.5 <0.5 o-butylbenzene <0.5 <0.5 <0,5 1,2-Dibromo.3-chloropropane <0.5 <0.5 <0.5 1,2,4-Trichlorobonzono <0.5 <0,5 <0.5 Hexachlorobutadieno <0,5 <0,5 <0,5 Naphthalene <0.5 <0.5 <0.5 1,2,3-Trich,lorobenzene <0.5 <0.5 <0.5 4-Bromofluorobenzeno (surr) 109 %R 112 %R 110 %R 1,2-Dichlorobenzene-d4 (surr) 124 %R 126 %R 124 %R e~storn analyticai~ iflc. Phone: (603)

21 BOLD HLLUS REQUIRLD C or Cu~ r~~y Pt UAS[ CIITCLL RLQUES-[LD ANALYSIS. Page 21 of24 SAMPLING 0 DAr,~ ITI,il ~Lc COMPOSITE : El 1 IDICATF SrART SAMPLO LD. DAT JTi~ir ~fr~ic~ - No Il s IliOll Vo // o ~ ~; - - ~ :~~- I ~/~7/o7 /~2C(~ ~ ~ - - / lo: -~ ~ H!lo~,x A Ai~ S 5th LW Gtpptrj WAIIT. SW StROll Woo, DW-Dtpioti, Woo WW Woo VOIlE , lao 1-IHQ, IN. N~-Nafl)l- M-~[0lf Oloiji (I MAT4AGI 22 MANCHES len k0ad/1~i 28 C000Mly UERW~ NH A tii II. a ~i~s~/- ~/ ~ 7 Slit NInt t~i~ NH MA ML VT ii iot ~ JAG F 1 1 N Pt),1 st rn malytica in C ill, o NEouoo QA!QC REPORTING LEVEL A PRTSLJT-1IIIVL SAM! FL S (S B DR MA MCP C CERTAINTY ~ 7 RELI000ISHEIT By- Tilt RELIHQUISIIEII By- B EPOII ring OP I IONS P os No II NIt P01 ELECTRONIC OPTIONS No ~oo F-lit i SW rile! ICE? Alt No [001 (101 SoothE Ei 1 Inn RIOIVIII To B ELDIQU tion By Doll Lot RIlilOt Br ~ Ill Ill 101 I~, AC Ti 101, I VIII) tt 1fl5~, j TI) -i~ )I I (WHITLO OlIIGIV,~.L G000N P~~oj~~i MANAGLR) MI_IRI_t IPLA I) I lot Pt 0111! R Pit lilt DItlololD Moat Ito Nil 0. (~i STIIIII DI il(iiijli Etlill. Hitoit lilt,. ii DlIEE1HI

22 NEW ItAMI SBIRE OEt ertctenrof ~ Environmental ~ Services Drinking Water and Groundwater Bureau Analysis Request Form CHEMICAL Compliance Sample Site(s) per Master Sampling Schedule Page 22 of 24 December 12, 2007 Page 1 of 2 EPA ID: System Name: FOREST EDGE PWS Town: CONWAY DatelTime Sample(s) Taken: /~2 /c~7o 7 Collected By:7-~/ 1~y~ (Print Name) ~ certify that Phone Number: amples taken are from the site listed below and all information provided on this form to the tab is valid. ~2,~ ~D~L:?~~ ~ Locator ID#: 501 Sample Site Location: DEP TAP/PUMPHOUSE/BLEND 00~t AND 102 DEEPND Sample Period: QI EJ Q2 El ~ El Q4 ~] Year:~ ~5~32 Analysis Requested Sample Category: Routine Confirmation El Make-up E] #of LabSamplelD# #of LabSamplelD# Check Test(s) Requested Containers~ (Lab Use Only) Check Test(s) Requested Containers1 (Lab Use Only) VOC / Compliance Gross )~ ~ ~ Alpha SOC V j () Combined Radium J~c~J~L_ loc~~ /~ 5D Uranium mass NITRITE * OTHER: NITRATE * * NOTE: Samples collected for NITRATEINITRITE analysis MAY NEED to be collected prior to chlorination. Check with Lab. ** CYANIDE samples MAY NEED to be collected prior to chlorination. Check with Lab. Laboratory Name Responsible for Analysis: Laboratory Phone # ~ ~ Received at Laborato~by: Laboratory Cert. ID#: -

23 ~~ ~c~ ~ ~ N~.W~ -U ~ ~ - nmental Services Nitrate/Nitrite Reportiug Form NH Water Supply Ei~gii~eering &ireau1 Safe Ur~ukiug Water Act Page 23 of 24 ~3tenz N~xr~ V~?/~7I~ ~-A4~e_~ ~ Date~TSeT~k~n: ~JO~ St~t~ - Lth~ ~~ own ~mpl~g Agencj ~Ji~ ~JE Lth Concac~ D ~npthig Ag~ut Daytime Ptjou~, ~: 36 ~ ce~&dlabw#: ~ Y1~YL~?~~ ample Co~tioaPoS~Z~ ~,~ P ~1 / 6 t~aa~l V Le.b S~mpIe Il~:~~ ~p~\ ~L ~ L~b Work Couzp1e~ 13 \ 0 ot~oe&pm~k Lab Signature ~ - ~ CODES & contjj~unalcrs KESULMGJL L ~ ~ ~~ -~ ~ Niwi~ I ~ ~ t)

24 H~ZEN HAZEN RESEARCH, INC IN DIANA STREET GOLDEN, Co Phone - (303) Fax - (303) Page 24 of 24 CHAIN OF CUSTODY RECORD Customer Information Client Name: F. X. Lyons Contact: Mimi Trenkova Address: PC Box 280 Intervale, NH Billing Information (If different) Billing Name: Billing Contact: Billing Address: Phone: Fax: PO#: Project#: /2 Samplers Name(s) (Print) (~-~,~ 4x~O /~ ~ ~4~LI (Signature)~ /z-~.-e~ ~ Sample Identification O5~2-Q~o ~o~b EA1~~ Q~ ~ ~ -l Sample Date and Time ; 2-/~~-o~? ~?c~ /Th -D Co CD x ci~ Cr, 0 c~ E 0 C-) )1) 02. >~ I ~ BCa C,) D1A. 4 aa,,0 a 0 C-) CO a) > ca?~ a) 0) a) 0~ I Analyses Required P U Gross Alpha, Ra 226, Ra 228, U * (1) DW=Drinking Water WW=Wastewater SW=Surface Water SO=Sot GW=Ground Water SL=Sludge HZ=Hazardous O=Other (2) P=Ptastic G=Glass O=Other (3) N=Nitric Acid u=unpreserved C=Cooted S=Sulfuric Acid B=Sodium Hydroxide T=Sodium Thiosulfate Z=Zinc Acetate O=Other ~ Relinquished by, ~ Date! Time Received by Date! Time L~rccCd ~rd ~ II:c~~ 1LII~/~i i(:tz~ Relinquished by Date! Time Received by Date! Time )~- (~u 1~4~ U~O I/~ )Z)J~/D7I / Relinquished by Date! Time Received by Date! Time I / Shipped by, Date! Time Re~i~ed for Lab by Date! Time ~Tc~i~v~ ~zjj~/ iui~~ ~ Method of Shipment r~ ~ Re uested Turnaround Time i.a.4 ~) 2. t~j~l~j ~3j. ~._/ Standard Rush (Must be approved, additional charges apply) Lab use only (3 Shipped t~ shipped on: 06/16/06 At 16/302 at Woodland Pines * Acidify the sample with shipping charge: billed lntervale, NH nitric acid upon receipt at Hazen. COC Alpha PaSSe Ra255 U FX Lyons.xla