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it of Health Services <br /> SAMPLE FOR CHEMICAL AfvHLTaw _ System Number ;Serial Number <br /> o+rvve�evofrario Address Include city and ccoo'uun(tty)]',�/� r 02680/�ct`` Q O <br /> Collected b <br /> Date and Hour Collecte[d, o tem = chane l <br /> y <br /> Sling PointIVA/--/—A r 10 <br /> Send WSS Dist. a�7 County HD <br /> Type of ❑ Raw Surface Water ❑Waste water. Report nNational Park Serv. <br /> Sample .DX Drinking Water ❑Raw ❑Chlorinated To ❑DOT Dist. N <br /> (!''N Raw Trade Waste RWOCB k n Other <br /> E)Treated ❑Other S � / <br /> Result�OA <br /> expressed as mgll unless specified f, <br /> ❑GENERAL MINERAL ANALYSIS ACE ELEMENTS Other analyses desired(specify): <br /> mg as Ca CO3) •J./ <br /> Hard- `/•yE'Iw <br /> ❑Ca ❑Hess ❑Ay e <br /> cS <br /> (�� ❑As Toy vl��"G <br /> El Mg Lam— ❑HCO3 — ^C, <br /> ❑Total ❑CO3 ❑Cd TUU �7 <br /> ❑Cr / fisted <br /> ❑Mn E]OH rt-^ wf <br /> ❑Na L� ❑TTotal O Hg 6�I <br /> ❑K FEI- ❑CI ❑Ni <br /> ❑PH m El SO4 ❑Se <br /> m Total ❑F ❑Zn v <br /> cv ❑Dls- ❑ - rted lyst <br /> o solved ❑NO3 <br /> o Solids <br /> rb <br /> b 7Turb <br /> TU ❑NH 3-N ❑BOD Susp Solids ❑PO4to SYY 1J <br /> E Spec.Cond. ❑Grease ❑set Solids ❑MBAS <br /> µmc Conn ❑ORG-N ml/1/tour <br /> Place an "X" in box to delete all data for this station/date/time. <br /> REPORTING CONSTITUENT T STOREY ANALYSES DETECTION <br /> UNITS T CODE RESULTS LIMIT <br /> Date Analyses Completed 73672 <br /> Y Y M M D D <br /> Analyzing Agency Code Lab 28 <br /> Intensive Survey Number 116 <br /> u L Benzene 34030 /Y ' 0 5 0 <br /> u L Bromodichloromethane 32101 1 1 1 1 1 101 - 1510 <br /> u L Bromoform 32104101 - 1510 <br /> u L Bromomethane 34413 1 101 - 1510 <br /> u L Carbon tetrachloride 32102 1 101 . 15 0 <br /> u L Chlorobenzene 34301 1 101 . 1510 <br /> u L Chloroethane 34311 1 i0 5 0 <br /> u L 2-Chloroeth loin 1 ether 34576 1 111 - 1010 <br /> u L Chloroform 32106 1 101 . 1510 <br /> u L Chloromethane 34418 1 101 . 1510 <br /> u L bis 2-Chloroeth 1 ether 34273 1 151 . 10 0 <br /> u L Dibromochloromethane 32105 1 101 . 1510 <br /> u L 1, 2-Dichlorobenzene 34536 1 101 . 1510 <br /> u L 1, 3-Dichlorobenzene 34566 1 101 . 1510 <br /> u L 1, 4-Dichlorobenzene 34571 1 101 . 15JO <br /> u L Dichlorodifluoromethane 34668 1 101 . 1510 <br /> u L 1 1-Dichloroethane (1, 1-DCA) 34496 1 101 . 1510 <br /> u L 1 2-Dichloroethane (1, 2-DCA) 34531 1 101 . 15J_Q <br /> u L 1 1-Dichloroethene 1 1-DCE 34501 0 2 0 <br /> U L trans-1 2-Dichloroethene 34546 0 15101 <br /> DHS 8351 A (3/87) <br />