Spreadsheet: fb880a7e-b2a2-4dc1-9a20-55338d791f7e
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6
Facility Name _________________________________ |  |  | ORC ______________________________
Date of sampling ________________ |  |  | Phone  ________________________
Analytical Laboratory _________________________________
Parameter | Sample   Type | Analytical Method | Quantitation Level | Sample Result | Units of Measurement | Number of samples
Ammonia (as N) | Composite
Dissolved oxygen | Grab
Nitrate/Nitrite | Composite
Total Kjeldahl nitrogen | Composite
Total Phosphorus | Composite
Total dissolved solids | Composite
Hardness | Composite
Chlorine (total residual, TRC) | Grab
Oil and grease | Grab
Metals (total recoverable), cyanide and total phenols
Antimony | Composite
Arsenic | Composite
Beryllium | Composite
Cadmium | Composite
Chromium | Composite
Copper | Composite
Lead | Composite
Mercury | Composite
Nickel | Composite
Selenium | Composite
Silver | Composite
Thallium | Composite
Zinc | Composite
Cyanide | Grab
Total phenolic compounds | Grab
Volatile organic compounds
[NAME] | Grab
Acrylonitrile | Grab
Benzene | Grab
Bromoform | Grab
Carbon tetrachloride | Grab
Chlorobenzene | Grab
Chlorodibromomethane | Grab
Chloroethane | Grab
2-chloroethylvinyl ether | Grab
[NAME] | Grab
[NAME] | Grab
1,1-dichloroethane | Grab
1,2-dichloroethane | Grab
Trans-1,2-dichloroethylene | Grab
Parameter | Sample   Type | Analytical Method | Quantitation Level | Sample Result | Units of Measurement | Number of samples
Volatile organic compounds (Cont.)
1,1-dichloroethylene | Grab
1,2-dichloropropane | Grab
1,3-dichloropropylene | Grab
Ethylbenzene | Grab
Methyl bromide | Grab
Methyl chloride | Grab
Methylene chloride | Grab
1,1,2,2-tetrachloroethane | Grab
Tetrachloroethylene | Grab
Toluene | Grab
1,1,1-trichloroethane | Grab
1,1,2-trichloroethane | Grab
Trichloroethylene | Grab
Vinyl chloride | Grab
Acid-extractable compounds
P-chloro-m-creso | Grab
2-chlorophenol | Grab
2,4-dichlorophenol | Grab
2,4-dimethylphenol | Grab
4,6-dinitro-o-cresol | Grab
2,4-dinitrophenol | Grab
2-nitrophenol | Grab
4-nitrophenol | Grab
Pentachlorophenol | Grab
Phenol | Grab
2,4,6-trichlorophenol | Grab
Base-neutral compounds
Acenaphthene | Grab
[NAME] | Grab
Anthracene | Grab
Benzidine | Grab
Benzo(a)anthracene | Grab
[NAME] | Grab
3,4 benzofluoranthene | Grab
Benzo(ghi)perylene | Grab
Benzo(k)fluoranthene | Grab
Bis (2-chloroethoxy) methane | Grab
Bis (2-chloroethyl) ether | Grab
Bis (2-chloroisopropyl) ether | Grab
Bis (2-ethylhexyl) phthalate | Grab
4-bromophenyl phenyl ether | Grab
Butyl benzyl phthalate | Grab
2-chloronaphthalene | Grab
4-chlorophenyl phenyl ether | Grab
Parameter | Sample   Type | Analytical Method | Quantitation Level | Sample Result | Units of Measurement | Number of samples
Base-neutral compounds (cont.)
Chrysene | Grab
Di-n-butyl phthalate | Grab
Di-n-octyl phthalate | Grab
Dibenzo(a,h)anthracene | Grab
1,2-dichlorobenzene | Grab
1,3-dichlorobenzene | Grab
1,4-dichlorobenzene | Grab
3,3-dichlorobenzidine | Grab
Diethyl phthalate | Grab
Dimethyl phthalate | Grab
2,4-dinitrotoluene | Grab
2,6-dinitrotoluene | Grab
1,2-diphenylhydrazine | Grab
Fluoranthene | Grab
[NAME] | Grab
Hexachlorobenzene | Grab
Hexachlorobutadiene | Grab
Hexachlorocyclo-pentadiene | Grab
Hexachloroethane | Grab
Indeno(1,2,3-cd)pyrene | Grab
Isophorone | Grab
Naphthalene | Grab
Nitrobenzene | Grab
N-nitrosodi-n-propylamine | Grab
N-nitrosodimethylamine | Grab
N-nitrosodiphenylamine | Grab
Phenanthrene | Grab
[NAME] | Grab
1,2,4,-trichlorobenzene | Grab
I certify under penalty of law that this document and all attachments were prepared under my direction
and supervision in accordance with a system to design to assure that qualified perdonnel properly
gather and evaluat the information submitted.  Based on my inquiry of the person or persons that
manage the system, or those persons directly responsibel for gathering the information, the
information submitted is , to the best of my knowledge and belief, true, accurate and complete.  I am
aware that there are significant penalties for submitting false information, including  the
possibility of fines and imprisonment for knowing violations.
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