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MINNESOTA DEPARTMENT OF HEALTH GROUND-HATER MONITORING - VOC SAMPLE/ANALYSIS REPOR <br />Form SSU-3 9.31 <br />$. SMTU tNFOMTIW <br />slu I.or <br />ColltCtlOM <br />QiU <br />2-7 <br />118 P-o <br />H N 01 0 T r <br />M«1d 1^11 Uli lag <br />(2«-hr. clock) <br />N M <br />ColltcUd by " \ <br />(chtck k^ont) <br />Q-<I UntrtAtfd Miter <br />n T Tffittd Miter • Treetnent Type <br />Q 0 Other_ ____________________ <br />SiiijHng Point Oeicrlotion <br />_ I LqvAV <br />Miter Systea <br />Mime (Public System), <br />(Mier Mime 'X o\a\A <br />Facility Address 1 . \ <br />(St.. Ate. or P.O. Boa) WMO tfOjA <br />City and Zip Code lX.\n'Y^ci~^(X, <br />Lab Audfct <br />»r laJild iLiiK <br />Aral^ls Type (check i.'one) <br />CJt Initial Saaple Qc Check Sample <br />□ 0 Other^_________________________ <br />Split Saaplel Q res Q^o <br />i. AMAIC1U AMO COMCCNTMTION INFOMNATION <br />Q^alyili Aequested * Volatile Hydrocarbon - Code 465 <br />/OC’s Detected? Q tea Q^(o <br />Code <br />acetone <br />ethyl ether <br />beniene <br />toluene <br />cumene <br />m*xylene <br />tetrihydrofuren <br />methyl ethyl ketone <br />methyl Isobutyl ketone <br />ethyl benzene <br />o-iylene <br />p-xylene <br />chloromethine <br />vinyl chloride <br />Chioroethine <br />dich1orodlfluoromethine <br />bromomethine <br />d1chIorof1uoromethine <br />methylene chloride <br />illylchlorlde <br />lal-dIchYoroethine <br />c1t*1p^•d1chlofOithy1ene <br />1 a{*d1chioroethine <br />Ip Itl-tr1chioroethine <br />b romod 1 ch 10 rome t hi ne <br />Itl*d1Ch1ore*1•propone <br />l.l-d1chloro*l-prfkoene <br />1 a Ia2«tr1chloro Ifne <br />o ffi -□ C3 _□ C] _ <br />□ C] __□ C] _□ Cl _□ <br />□ 0 <br />□ □□ □ <br />Result (uo/1) <br />8 <br />c <br />&□ <br />□ Cj laTiWAiifitsi <br />□ [] tSTJUMTiriCOi <br />U [] iaTjjjjnmtioi <br />D 0 (not yatrinco) <br />InoT (wanTimp) <br />(.apt nuapTifnp) <br />Lib SempU <br />Muaber <br />Oite <br />Received <br />Oite <br />Confl <br />lot:; / q f:'? <br />h n I 0 0 T f <br />M M 0 D f f <br />Field Slink <br />Mumber ) hbkh 12. <br />Oite <br />Rflilyied lOitLnS^ I <br />M I M 0 0 Y ! T ' <br />Oite <br />Reported 1 p* « 0 ID <br />Analysat <br />kaaotstad <br />□ <br />^ . Result (mf/1 unless <br />Perimeter otherwise noted) <br />nltrite^nltrlto nltrofon <, 0.^1 O <br />MSOfili altrooen _____ 0.7^ <br />_______ <br />igifato _____HS- _ <br />___-L-2_ <br />Code VOC <br />ch10rod1bromomethine <br />c1s-l»3-d1chloro- <br />I-propene <br />2-chloroethylvinyl ether Q <br />iplpla^-tetrichloroethine Q (] <br />lal.?a?*tetrichloroethine Q (] <br />pentichloroethine D ID <br />lplp2-tr1chlorotr1- ^ <br />fluoroethine O [] <br />1 a2-d1chlorobenzene DC] <br />trlchlorofluoromethine DC] <br />1 a l*d1chloroethylene DC] <br />trens-1,2- <br />d1chioroethylene D D <br />chloroform D [3 <br />dlbromomethene D D <br />cirbon tetrecMorlde QJ <br />dlrhloroicetonl tn le D <br />1t2-d1chloropropine Q <br />trens-I,3*d1chloro- , <br />l-propene D [3 <br />ta3-d1chloropropine [~J [ ] <br />lal p2*tr1chloroethine DC] <br />la2-dlbromoethine DC] <br />bromoform DC] <br />i.2»3*tr1chloropropine DC] <br />lpl.2.2- <br />tetrichloroethylene <br />chlorobenzene <br />Ip 3-d1chlorobenzene <br />Ip4-d1chlorobenzene <br />Result (ug/1) <br />□ _ <br />Analysts <br />Atqutsttd <br />□□□ <br />Result (mg/i ynt?$s <br />Paremeter otherwise noted) <br />specific conductence ^ Q ♦ <br />umha/cSr <br />i i