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. gent of Natural Resources • ••--- - .._.. „ _ <br /> Fro'in 3300-65 , <br /> I.D. Waamtee r <br /> System /12,/ ^Y felfjcianCi2_1' • <br /> er 3 (! V <br /> P.O.or <br /> Municipality --- <br /> Ale e 1 County � � Sample Source Address <br /> Collection _ .21 0_1125 (or)Well No.--- <br /> Date Y H n Pon / <br /> M M D p it .e57/> ,1( ,4 <br />■ Sampling <br /> Description <br /> Ti 0 <br /> me Field No. <br /> (24 Hr.Clock) H H• M ---g <br /> - <br /> Water Water System Type(check ✓ one) <br /> N• <br /> Send 1' t` iii '" / ViC ❑ M Community - Municipal <br /> Report 0 0 Community - Other Than Municipal <br /> To: �� �'%If+ R ~�y ,� 0 N Non Community <br /> cicy,su 7: Cod. S-37�1 /150 Private <br /> ;�! � �, `� 0 X Non-Potable Well <br /> j /T S ple Type(check r one) <br /> Collected 717abu4,_ ,D Distribution Sample <br /> Account By 0 b 0 0 3 ❑W Raw Water <br /> Account F �- <br /> I Number An yeis Type(check r one) <br /> F«1.b u»oMy kGCIMS Screening <br /> Detection Limits uB11)are �yo�� (ugh) ❑ Confirmation of GC/MS --�-- <br /> Indicated in brackets[J ��e��u� Screening Sample Dumber(fill in) <br /> O 007 Aerolein[50) 0 11 -- •- ❑ Other(Follow Up. Misc. <br /> ❑ • Detd�De w ugh <br /> D 009 Acrylonitrile(20] --' - <br /> O 025 Benzene(1.0) O 1 • O 183 cis-1,3-Dichloropropene(2.5] ❑ I ---•- <br /> 1 ❑ 046 Bromobenzene(4.0] ❑ 1 -- •- ❑ 185 trans•1,3-Dichloropropene(2.5] 0 I• ---•- <br /> j -•- ❑ 233 Ethylbenzene(1.0] ❑ 1- --- •- <br /> j ❑ 051 Bromodichloromethane(1.6J ❑ 11 -- <br /> i 0 053 Brotnoform(5.0] 0 11 ----•- D 427 Fluorotrichloromethane(1.01 ❑ 11 ---• <br /> O 055 Bromomethane(50] <br /> ❑ 11 ----•- 0 298 Isopropylbenzene[1.0] 0 1- --••_- <br /> ❑• 063 n-Butylacetate(0.5) ❑ 1' --- •-' ❑ 319 Methylethylketone IMEK)(121 ❑ -- • <br /> I ❑ �� •- ❑ 393 Styrene[2.0] 0 Is ---•- <br /> O 071 Carbon Disulfide[5.0] - <br /> ❑ 073 Carbon Tetrachloride11.5J O 1 --- - ❑ 396 1,1,1,2•Tetrachlor0ethane[3.0) ❑ <br /> O 083 Chlorobenzene(2.0] 0 1 ---•- <br /> 0 397 1,1,2.2•Tetrachloroethane(3.0) ❑ 1 ---•- <br /> ❑ 087 Chloroethane(20] O is - •- - ❑ 1 --•- <br /> 0 399 Tetrachlorcethylene[1.0] <br /> D 093 2•Chloroethylvinyl Etber(4.0J O 11 _._----•- ❑ 401 Tetrahydrofuran(THF)(200] ❑ ---•.- <br /> O 095 Chloroforna11.01 ❑ 1 --"-•- <br /> 1 0 411 Toluene11.0J <br /> ❑ • <br /> • <br /> O 421 1,1,1 Ttichlorcethane[1.0] O - - • <br /> D 110 p-Chlorotoluene[1.0] ❑ 11 -- •- ❑ I -• <br /> O 423 1,1,2•Irichloroethane(1.5) <br /> D 147 Dibromochloromethane12.0] ❑ 11 --- • <br /> (not quantified) 0 425 Trichloroethylene(1.0) ❑ •- <br /> D 148 1,2-Dibromo-3-Chloropropane O --- ❑ 428 Trichlorotrifluorcethane(3.0) 0 •- <br /> 11 • (not quantified` <br /> ❑ 163 o-Dichlorobenzene[2.0] 0 ---•- 0 434 Vinyl Chloride ❑ -- <br /> • ❑ 155 m•Dichlorobenzene12.0J 0 11 -• -• ❑ ----- •- <br /> 0 437 Xylenes[2.0J <br /> O 157 p-Dicworobenzene[2.01 ❑ 11 ---•- <br /> G --- •- <br /> O 165 11 Dicoroe . -- • ❑ . ----•- <br /> G <br /> O 167 1,2•Dichlorcethane(1.OJ ❑ 1 ---•- • '�& <br /> Comments i -- <br /> i 0 189 1,1•D(ehloroethylafletl,0) Q 11 -_____•--- ,04c:.. /4 .1...* <br /> ! 0 I - - •- � !•'•.-,1 `.�_-. :: <br /> ,O 171 1,2-Dichloroethylene(1.0] (not quantified) ' <br /> Dote Received L$5- •o i l i 1 • [ �L 0 174 Dichloroiodomethane 0 11 --- and Sample Nei•:_-�.,14 '-•_:;•L=.,+y i... <br /> 4 0 181 1,2•Dichloropropane(1.0) ❑ 1• - --•- -- <br /> Date Reported _Dp-0- ^ <br /> R.H. Laessig. PhD. Director -1-,� 1,.,.^, L� <br /> Wisconsin State Laboratory of Hygiene �SO/ E.5. :�17 <br />