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� <br /> • ' <br /> MINNESOTA DEPARTMENT OF HEALTH GROUND-WATER MONITORING - VOC SAMPLE/ANALYSIS REPOR <br /> Form SSU-3 Rev. 9-8 <br /> S. SAIPL.E IMFORlMTIOl1 <br /> Site I.O. �I Field 11e11 � Yater System <br /> Mrber �} ( Nuiber � I IZ 7 Name (Publ ic System) <br /> Collectioe Tioe Owner Name 1�G�� S t 1�P �V�QtA� <br /> �� �7 (24-hr, clock) � <br /> M M o o r r H N n n Facility Address � <br /> —�� (St., Rte. or P.O. Box) �6 S �o.� �v�WN .� <br /> CollecteE Dy �• I VtU W�p.Sp�/�, City and Zip Code z S S <br /> Saaple Type (cAeck v one) Lab Budget <br /> Q-l�Untreated Water tl�ber I� �I nl I �. 1 �OI � _IIMI <br /> � T Treated Water- Treatment Type lab Sampte Field Blank I <br /> ❑ 0 Other Nua�ber 7 (� U Number � � � Z( <br /> Samplin Point Oescriptio <br /> n�TSrC�e �0.UcP� S�)�'t� Sc C�e f�'� �oUse Date Date <br /> �- Received g � �{ � Analyzed � <br /> Md� S S T M M D D T Y M M � 0 'f Y <br /> Y ype (check v o�e) <br /> Initial Sample [] C Check Sample Date Date <br /> ❑ 0 Other Confi►med Reported � � <br /> M M D D Y Y M M D D Y Y <br /> Split Sample? � Yes [��lo <br /> 6. PARAIETER AND COIICEATRATION INFORMATION <br /> �e° ��° <br /> Analysis Requested - Volatile Hydrocarbon - Code 465 �� o� c° <br /> VOC's Detected? � Yes ��jo Code VOC cF` �cF` Result (ua/1) <br /> chloroGibromomethane � _ _ _ <br /> e �e cis-1,3-dichloro- — <br /> �,� � �� 1-propene � <br /> Code VOC cr`' �ct`� Result (uq/1) 2-chloroethylvinyl ether � <br /> acetone � _ _ _ _ 1,1,1,2-tetrachloroethane � <br /> ethyl ether � _ _ _ _ _ 1,1,2,2-tetrachloroethane � <br /> benzene � _ _ _ _ pentachloroethane � <br /> toluene � _ 1,1,2-trichlorotri- <br /> cumene � _ _ fluoroethane � _ _ _ _ _ _ <br /> m-xylene (� _ _ _ 1.2-dichlorobenzene � _ _ _ _ _ _ <br /> tetrahydrofuran � — trichlorofluoromethane � <br /> methyl ethyl ketone � _ _ _ 1,1-dichloroethylene � _ _ _ _ _ _ <br /> methyl isobutyl ketone � _ trans-1,2- <br /> a — — — — — — dichloroethylene (� <br /> e[hyl benzene _ _ _ chloroform � <br /> o-xylene � _ _ _ _ • _ _ <br /> � — — — — — — dibromomethane � _ _ <br /> p-xylene • — _ carbon tetrachloride � <br /> chloromethane � [NOT QuANTIFIE� . _ _ dichloroacetonitrile � <br /> vinyl chloride � NOT�l1ANTIFIED . _ _ 1,2-dichloropropane � <br /> chloroethane � NOT UANTIFIEO . _ trans-1,3-dichloro- <br /> dichlorodifluoromethane � NOT�AlITIFIED ._ _ 1-propene � <br /> bromomethane � NOT�IlANTIF[EO ._ _ 1,3-dichloropropane � <br /> dichlorofluoromethane � NOT UANTIFIE�._ _ 1,1,2-trichloroethane � <br /> methylene chloride � _ _ _ _ _ 1,2-dibramoethane � <br /> allylchloride � — — — — • — — <br /> ❑ _ _ — — — — bromofo►m � <br /> 1,1-dichloroethane _ _ _ _ 1,2,3-trichloropropane � <br /> cis-1,2-dichloroethylene (] _ _ _ _ _ 1,1,2,2- — — <br /> 1,2-dichlaroethane Q — — _ _ _ _ tetrachloroethylene � <br /> 1,1,1-trichloroethane chlorobenzene � — <br /> bromodichloromethane ❑ _ _ _ _ _ _ 1,3-dichlorobenzene � <br /> 2,3-dichloro-l-propene � _ _ _ _ _ _ 1,4-dichlorobenzene � <br /> 1.1-dichloro-i-propene � _ _ _ _ � � _ — — — — — <br /> 1,1,2-trichloroethylene � _ _ _ _ _ _ � � _ — — — — — <br /> Analyses Result (mg/1 unless Analyses Result (mg/1 unless <br /> Requested Code Parameter otherwise noted) Requested Code Parameter otherwise noted) <br /> ❑ nitrate+nitrite nitrogen L_ � , � � � specific conductance <br /> ❑ amnonia nitrogen �j , � — — Q ' — — <br /> ❑ Chloride _ — — �j � � � pH — �umh9/cm. <br /> ❑ sulfa[e �� <br /> ❑ iron - - zQ ' - - a - - -- - - <br /> - - -1 � - - - -- -- <br />