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A29 134�t f _ �� 1 J� --"'- ;r� N.C. Departmenf •�f Health and Human Services PETR01-EUM PRODUCSS Division of Public Health State Laboratory of Public Health P.O. Box 28047, 306 N. Wilmington St., Raleigh, NC 27611'=804`T�� L.� ��+�'�'�`�q'�'�`1��!)��r�'�'' ,c�/'1 YITs"iJ `i.�i:i�.�..i71� �.d f IV� Environmental Sciences Analysis Report �� `�sO �� Name of Owner, Patient �!r OrSupply: k�.J o�i�� ..u.�P�h�� Address• �V^ 1 ` ��71�� 're � • X or0 � C. z�P: �� s T 3 Telephone # (�� a " �� County: IlZ��N ■�e�s��e��e�� Report to: �Ol'YIQi� �,OtLj 10Y1 Telephone # �( ��l �� 1 � � 1 �� Address• �� ' MO �'i4,►� �f : : �—o x �oorfl V`�1C ,� 'l3 Collected By: � � � �"� Telephone # � '�� 1 � � 7 `d Date Collected• �� ^ I� � � � Analysis Desired• �� '�'� `�'�� ' Laboratory Number Sam le # Sam le Descri tion or Remarks Results In �"��p'� NO PETROLEURA PRQDUCTS � ACHED SHEEi' ' v d � d. � — G� � ACH�D � - .� . ,,,, .- ,,,. ,�.., .- � �� n . �.� Date Received• `� � � � '— � / w� Date Extracted: "%�_ �� iV�'1 DHHS Form 2364 Laboratory (Rev.06/99) F_anlrpt DateReported: F�g 2 7 2001 � c5c l h � � ///��,,,,,, Date Analyzed: z- L3 u � 1�,.� , �lo ��11 Reported B ' . .t n L. Neat, SupetvisoP nvi�onmental O;ganic Chemtstr�r ,. � N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF LABORATORY SERVICES-ENVIRONMENTAL SCIENCES P O BOX 28047 - 306 N. WILMINGTON ST., RALEIGH, NC 27611 Date of Analysis � � � Laboratory No. � �� / COMPOUND DICI3LORODIFLUOROMETHANE CHLOROMETHANE � VINYL CI3LORIDE BROMOMETHANE CHLOROETHANE TRICHLOROFLUOROMETHANE � 1,1-DICHLOROETIIl'LENE METHYLENE CHLORIDE METHYL tert-BUTYL ETHER � trans-1,2 DICHLOROETHYLENE ISOPROPYL ETHER 1,1-DICHLOROETHANE 2,2-DICHLOROPROPANE � CIS-1,2-DICHLOROETHYLENE CHLOROFORM (BCA'n BROMOCHLOROMETHANE � 1,1,1-TRICHLOROETHANE 1,1-DICHLOROPROPENE � CARBON TETRACHLORIDE � BENZENE � 1,2-DICHLOROETHANE �ITRICHLOROETHYLENE � 1,2-DICHLOROPROPANE BROMODICHLOROMETHANE DIBROMETHANE � TOLUENE 1,1,2-TRICHLOROETHANE �ITETRACHLOROETHYLENE 1,3-DICALOROPROPANE DIBROMOCHLOROMETHANE 1,2-DIBROMOETHANE (EDB) 1-CHLOROHEXANE Pu�rgeable Compounds P8� COMPOUND �ICHLOROBENZENE � ETHYLBENZENE 1,1,1,2-TETRACHLOROETIiANE � p-XYLENE � m-XYLENE �I aXYLENE � STYRENE BROMOFORM ISOPROPYLBENZENE 1,1,2,2-TETRACHLOROETHANE BROMOBENZENE n-PROPYLBENZENE 1,2,3-TRICHLOROPROPANE 2-CHLOROTOLUENE 1,3,5-TRIMETHYLBENZENE 4-CHLOROTOLUENE tert-BUTYL BENZENE PENTACHLOROETHANE 1,2,4-TRIMETHYLBENZENE sec - BUTYL BENZENE p-ISOPROPYLTOLUENE 1,3-DICHLOROBENZENE � 1,4-DICHLOROBENZENE n-BUTYLBENZENE � 1,2-DICHLOROBENZENE BIS (2-CHLOROISOPROPYL) ETHER 1,2-DIBROMO-3-CHLOROPROPANE 1,2,4-TRICHLOROBENZENE HEXACHLORQBUTADIENE NAPIi�HALENE 1,2,3-TRICHLOROBENZENE COMMENTS: NO VOIATIIE COMrQ{1NDS IUEbTIFIEb NIDL - MINIMUM DETECTION LIMIT FOR WATER (EPA METHOD 502.2), IS 1.0 µG/L. U— MATERIAL WAS ANALYZED FOR, BUT NOT DETECTED. J - ESTIMATED VALUE. K- ACTUAL VALUE IS KNOWN TO BE LESS THAN VALUE GIVEN. L- ACTUAL VALUE IS KNOWN TO BE GREATER THAN VALUE GIVEN. NA - NOT ANALYZED. ll - TENTATIVE IDENTIFICATION. � — REGULATED VOC T — TRIHALOMEHTANE �tt , � 4�'�4�'• n . `` �� \\ �,�.+s `�\\� L��rL `� v �4��_r � �' � DHHS 3068-0 �V, �� Purgcoml.frm N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES �•. ; DMSION OF LABORATORY SERVICES-ENVIRONII�NTAL SCIENCES P O BOX 28047 - 306 N. WII.MINGTON ST., RALEIGH, NC 27611 Laboratory Na �� )Q`,� K// /3 f� � 1 Pu�rgeable �ompounds Date of Analysis �� / ( / / COMPOUND DICHLORODIFLUOROMETHANE CHLOROMETHANE �I VINYL CHLORIDE BROMOMETHANE CHLOROETHANE TRICHLOROFLUOROMETHANE � 1,1-DICHLOROETHYLENE METHYLENE CHLORIDE METHYL tert-BUTYL ETHER � trans-1,2 DICIILOROETHYLENE ISOPROPYL ETHER 1,1-DICHLOROETHANE 2,2-DICHLOROPROPANE � CIS-1,2-DICHLOROETIiYLENE CHLOROFORM (BCA� BROMOCHLOROMETHANE �I 1,1,1-TRICHLOROETHANE 1,1-DICHLOROPROPENE � CARBON TETRACHLORIDE �IBENZENE � 1,2-DICHLOROETHANE � TRICHLOROETHYLENE � 1,2-DICHLOROPROPANE BROMODICHLOROMETHANE DIBROMETHANE �ITOLUENE 1,1,2-TRICHLOROETHANE �iTETRACHLOROETHYLENE 1,3-DICHLOROPROPANE DIBROMOCHLOROMETHANE 1,2-DIBROMOETHANE (EDB) 1-CHLOROHEXANE µP� COMPOUND � CFILOROBENZENE � ETIiYLBENZENE 1,1,1,2-TETRACHLOROETHANE � p-XYLENE �I m-XYLENE � o-XYLENE � STYRENE BROMOFORM ISOPROPYLBENZENE 1,1,2,2-TETRACHLOROETHANE BROMOBENZENE n-PROPYLBENZENE 1,2,3-TRICHLOROPROPANE 2-CHLOROTOLUENE 1,3,5-TRIMETHYLBENZENE 4-CHLOROTOLUENE tert-BUTl'L BENZENE PENTACHLOROETHANE 1,2,4-TRIMETHYLBENZENE sec - BUTYL BENZENE p-ISOPROPYLTOLUENE 1,3-DICHLOROBENZENE � 1,4-DICHLOROBENZENE n-BUTYLBENZENE � 1,2-DICHLOROBENZENE BIS (2-CHLOROISOPROPYL) ETHER 1,2-DIBROMO-3-CHLOROPROPANE 1,2,4-TRICHLOROBENZENE . HEXACHLOROBUTADIENE NAPHTHALENE 1,2,3-TRICHLOROBENZENE COMMENTS: �0 YOUTILE CO�f�QUPlDS IDENTIFIED MDL - MINIMUM DETECTION LIMIT FOR WATER (EPA METHOD 502.2), IS 1.0 µG/L. U— MATERIAL WAS ANALYZED FOR, BUT NOT DETECTED. J - ESTIMATED VALUE. K- ACTUAL VALUE IS KNOWN TO BE LESS THAN VALUE GIVEN. L- ACTUAL VALUE IS KNOWN TO BE GREATER THAN VALUE GIVEN. NA - NOT ANALYZED. l/ - TENTATIVE IDENTIFICATION. �I — REGULATED VOC T — TRIHALOMEHTANE DHHS 3068-0 REV: 8/00 � Purgcoml.frm