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MINNESOTA DEPARTMENT OF HEALTH GROUND -WATER MONITORING - VOC SAMPLE/ANALYSIS REPOR <br />Form SSU-3 Rev. 9-E <br />S. WAIM 1NFOWTiON <br />Site 1.0. Field dell <br />z- <br />I �� <br />Number Muedor <br />Callectiom Time <br />Date <br />g <br />Q <br />7 <br />(24-hr. clock) <br />ImANI <br />0 <br />T <br />T <br />N N N N <br />-0 1 <br />Cal Iacted by --T, ) \bV-k <br />Simple Type (check vane) <br />Untreated Water <br />'Treated Water -Treatment Type <br />❑ 0 Other <br />Sapli q Point Description <br />� �e- <br />Malyyix Typ (check vone) <br />9 Initial Sawle <br />❑ 0 Other <br />Split Simple? O yet <br />❑ C Check Sample <br />Water System <br />Name (Public System) <br />Owner Name Tk �A <br />f- sA & <br />e \1 SO V\ <br />Facility Address <br />(St.. ate. or P.O. box) <br />Z2 R p Ro <br />1 -I <br />X S�t>ree�T <br />City and tip Code .. v <br />Lam, CP <br />S S 3 6 <br />`u <br />I� <br />1c-iM1 <br />ber°'eLWAIN <br />11r� <br />pie <br />' <br />FieldBlankr <br />t <br />Number <br />O ` <br />Q � <br />Da <br />Received <br />I O <br />S <br />Ana yzed <br />8 <br />8 <br />N N <br />O 0 <br />T r <br />N N <br />D T T <br />Data, <br />ate <br />Con f i rsxtd <br />IReported(` <br />N I N <br />I D I D <br />r <br />i r <br />N N <br />D + <br />i. P11141, M AND DOK MIN '"M INFONINT1411 <br />�s <br />Mslysls Requested - Volatile <br />Hydrocarbon - Code 465 <br />Code <br />VOC <br />qF` 4!F64` Result (uq/1) <br />IOC's Detected? ❑ Yes <br />chlorodibrowowethane <br />❑ <br />I I— — — — — <br />�� <br />cis-1.3-dichloro- <br />I -propene <br />❑ <br />11 <br />Code VOC <br />04 <br />r0 Result (mg/1) <br />2-chloroethylvinyl ether <br />❑ <br />11 <br />acotoM <br />❑ <br />1.1.1.2-tetrachloroeth4ne ❑ <br />11` <br />ethyl other <br />❑ <br />— _ _ — — — <br />1.1.2.2-tetrachlorotthane ❑ <br />— — — — <br />11— — — <br />benzene <br />❑ <br />_ _ <br />pentachloroethane <br />❑ <br />— <br />1 <br />toluene <br />❑ <br />_ — — — — — <br />1.1.2-trichlorotri- <br />ne <br />❑ <br />'- — — — — — <br />fluorotthane <br />❑ <br />�>!ne <br />❑ <br />1.2-dlchiorobenzene <br />❑ <br />11— <br />N <br />tetrohydrofuran <br />❑ <br />— — — — — — <br />trichlorofluorowethane <br />❑ <br />11 <br />methyl ethyl ketone <br />❑ <br />1.1-dichloroethylene <br />❑ <br />11— — — — — <br />methyl isObutyl ketone <br />— _ — -- — <br />trans-1,2- <br />dichloroethylene <br />❑ <br />11 <br />ethyl benzene <br />❑ <br />— — — — — — <br />chloroform <br />❑ <br />— — — — <br />0-xylene <br />❑ <br />— — — — — — <br />dibromomethane <br />❑_— <br />p-xylene <br />chlo. thane <br />❑ <br />❑ <br />— — <br />IgT�IW1T1►lE�. <br />carbon tetrachlorid. <br />❑ <br />vinyl chloride <br />❑ <br />— — <br />LT W 1FIin — — <br />dlchloroacetonitrile <br />1,2-dichloropropane <br />❑ <br />❑ <br />— — — — — <br />chloroethans <br />❑ <br />w U u-i"01 - <br />dlchlorodifluorowethane <br />❑ <br />— — <br />IRS? 1YWJFIP1 - — — <br />trans-1.3-dichloro-— <br />I -propene <br />❑ <br />bromomethan@ <br />❑ <br />LT LIF-Im . — — <br />1.3-dichloropropane <br />❑ <br />— — <br />dichloroftuoromlthant <br />❑ <br />(W�uANT�_Flej _ — <br />1,1.2-trichlorotthane <br />❑ <br />_— _— —_— <br />methyltne chloride <br />(] <br />_• — — , — <br />1.2-dibromoethene <br />❑ <br />— — — — — — <br />allylchloride <br />❑ <br />_ — — — — — <br />browofore <br />❑- <br />1.1-dlchlorotthene <br />❑ <br />— — — — — — <br />1.2.3-trichloropropane <br />❑ <br />— <br />cis-1.2-dlchloroethylene <br />❑ <br />1.1,2.2- <br />— — — — — — <br />1.2-dichloroothant <br />❑ <br />tetrachloroothylene <br />❑ <br />1.1.1-trlchloroethane <br />❑ <br />_ — _ _ — — <br />chlorobenzene <br />❑ <br />— — — — — — <br />bromodichloromethane <br />❑ <br />_ _ — — — — <br />1.3-dichlorobentene <br />❑_- <br />2.3-dichloro-l-propene <br />__ <br />1.4-dichlorobonzene <br />— <br />1.1-dichloro-l-Propene <br />a <br />= _ _ -- — <br />a <br />— — _ <br />❑ _ — — — <br />1.1.2-trichlorotthylent <br />❑ <br />_ — — — — — <br />❑ <br />❑ — — — — — <br />Analyses <br />Requested Code Parameter <br />Result (Wag/l unless <br />otherwise noted) <br />Analyses <br />Requested Code Parameter <br />Result (mg/l unless <br />otherwise notea) <br />❑ nitrate nitrite <br />nitrogen C _ O . L O <br />❑ <br />specific conductance > <br />Cl ammonia nitrogen <br />T2. O Z <br />_ — <br />,mho/cm. <br />❑ chloride <br />_ — <br />L . Z <br />❑ <br />PH <br />Z • g <br />❑ sulfate <br />_ _ _ <br />Z �, <br />❑- <br />— <br />0 Iron <br />_ — — <br />--�• <br />❑ <br />---- -- <br />