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w <br /> MINNESOTA DEPARTMENT OF HEALTH GROUND-WATER MONITORING - VOC SAMPLE/ANALYSIS REPORT <br /> Form SSU-3 Rev. 9-85 <br /> S. SAMPLE INFORNATION <br /> Site I.O. Field Well \ Mater System <br /> Number Z d Number ��3 Name (Public System) <br /> Collection Time Owner Name 8V-tat� �_ PU 1AAPt! _ <br /> Date 19 17 1 (24-hr. clock) Facility Address <br /> M M D 0 r r N N M M -� <br /> 1 _ (St., Rte. or P.O. Box) 3505 �aY2a <br /> Collected by �- \AAjQSQV\ City and Zip Code .6 <br /> Sample ype (check vone) Lab Budget <br /> l '�I�I I1 I-ICS I ISI <br /> Untreated Water Number <br /> ❑ T Treated Water-Treatment Type Lable Field BlankI <br /> C] 0 Other Number 7 0 7 7 Number LJ_L7 O 6 <br /> sampl igUP�LekOesc"inption1^ MeV-L S�VI`l�- <br /> �` Y 1 Date Date <br /> Received Analyzed <br /> M N 0 0 r r <br /> Analysi Type (check v one) M M D 0 r r <br /> Initial Sample ❑ C Check Sample Date Date <br /> ❑ 0 Other Confirmed Reported Z <br /> M M D D Y Y N M D D Y Y <br /> Split Sample? ❑ Yes [-No <br /> 6. PARANIM AND CONCENTRATION INFORMATION <br /> `'a4 �w0 <br /> Analysis Requested - Volatile Ny ocarbon - Code 465 Code VOC `�` *0`� <br /> VOC's Detected? [:] Yes No d� aF Result (ug/1) <br /> chlorodibromomethane ❑ E I — — — — — — <br /> cis-1.3-dichloro- <br /> ������° 1-propene ❑ 11 — — — — — — <br /> 2-chloroethylvinyl ether <br /> Code VOC d' d Result (ug/1) ❑ — — — - -- _ <br /> acetone ❑ — — — — — 1,1,1,2-tetrachloroethane ❑ — — — — — — <br /> ethyl ether ❑ 1,1,2.2-tetrachloroethane ❑ 11 — — — - -- — <br /> benzene ❑ — — — — — — pentachloroethane ❑ E I — — — — — — <br /> toluene ❑ — 1,1,2-trichlorotri- <br /> cumene <br /> ❑ _ _ _ _ _ — fluoroethane Cl Cl <br /> 1,2-dichlorobenzene E] <br /> m-xylene ❑ — — — — — — <br /> tetrahydrofuran trichlorofluoromethane 1:1❑ — — — — •— — <br /> — — — —•— — 1,1-dichloroethylene ❑ _ _ _ _ _ _ <br /> methyl ethyl ketone ❑ — — — — — — trans-1.2- <br /> methyl isobutyl ketone ❑ 1 — — — — — — dichloroethylene ❑ _ _ _ _ _ _ <br /> ethyl benzene ❑ 11 — — — --- <br /> - chloroform El <br /> o-xylene ❑ — — — --- <br /> — dibromomethane 1:1 11 <br /> p-xylene ❑ _ — carbon tetrachloride El _ _ _ _ _ _ <br /> chloromethane ❑ �T_UANTIFII.— — dichloroacetonitrile ❑ _ _ _ _ _ _ <br /> vinyl chloride ❑ LT"11FIED] .— — 1,2-dichloropropane ❑ _ _ _ _ _ _ <br /> chloroethane ❑ LT_VANTIF11.— — trans-1,3-dichloro- <br /> dichlorodifluoromethane ❑ OT�IAIITIFI1.— — 1-propene ❑ 11 <br /> bromomethane ❑ LT IIANTIF11.— — 1,3-dichloropropane ❑ 11 <br /> dichlorofluoromethane ❑ LT UMTIF11.— — 1,1.2-trichloroethane ❑ 11 <br /> methylene chloride ❑ — — — --- — 1,2-dibromoethane ❑ I I _ _ _ _ _ _ <br /> allylchloride ❑ — — — --- — bromoform ❑ E I _ <br /> 1,1-dichloroethane ❑ — — — --- — 1,2,3-trichloropropane ❑ _ _ _ _ _ _ <br /> cis-1,2-dichloroethylene ❑ — — — — — — 1,1,2,2- <br /> 1,2-dichloroethane ❑ — — — —.— — tetrachloroethylene ❑ _ _ _ _ _ _ <br /> 1.1.1-trichloroethane ❑ Cl — — — --- — chlorobenzene ❑ _ _ _ _ _ _ <br /> bromodichloromethane ❑ Cl — — — — — — 1,3-dichlorobenzene ❑ _ _ _ _ _ _ <br /> 2.3-dichloro-l-propene ❑ E I — — — --- — 1,4-dichlorobenzene Cl <br /> 1,1-dichloro-l-propene ❑ Cl —— — — — — — ❑ 1:1 — — - _ _ _ <br /> 1.1,2-trichloroethylene <br /> Analyses Result (mg/l unless Analyses Result (mg/1 unless <br /> Requested Code Parameter otherwise noted) Requested Code Parameter otherwise noted) <br /> ❑ nitrate«nitrite nitrogen C — �. _ ❑ specific conductance Z Q. <br /> F-1 —ammonia nitrogen _ — �. who/cm.EIchloride _ _ _ Z — ❑ pH — Z . <br /> ❑ sulfate _ — ❑ — — —— — — <br /> ❑ iron - - �. Z ❑ — - -- -- <br />