Laserfiche WebLink
t . i. <br /> Twin City Water Clinic Laboratory Test Report Minnesota State Laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-10117 <br /> Client: Don Stodola Well Drilling Co Report Number: 12-11967 Twin City Water Clinic Inc. <br /> Sample Collection Date: io/zz/sz 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time:, roo Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: so/zz/i2 Phone: (952)935-3556 <br /> Report Issue Date: 10/22/12 Fax:(952)935-5077 <br /> Laborato Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sampie ID Date Time Date Time Results Units <br /> 12-11967 Coliform Drinking Water 10/22/12 14:27 Absent <br /> 12-11967 Nitrate/N Drinking Water 30/23/12 14:43 <1.0 mg/I <br /> 12-11967 Arsenic Drinking Water 10/22/12 9:40 10/23/12 13:50 7.02 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 791997 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by�subcontracted Sample pt: <br /> laboretory. [Laboratory name;address;MDH Lab ID#].The Well Adr: 1700 Shoreline Dr Orono,MN <br /> subcontracted laboretory maintains MDH Certification for the Owner: Irvin Jacobs <br /> field(s)of testing performed. � <br /> Owner Adr: <br /> Sample Conditions: <br /> Sample Temperature: 13 °C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples <br /> listed above have the following reporting levels: Maximum contaminant levels: <br /> Coliform-<1 cfu/100 ml <br /> SM9222B-Coliform, 1 cfu/100 ml Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic,l0.o µg/1 <br /> SM3113B-Arsenic,2.0µg/I lead,15.0µg/I <br /> SM31136-Lead,2.0µg/I <br /> t�,k��7� <br /> 1'',✓;;/ C� d _. <br /> Sample Collected by: X Client _TCWC Approved By: ;, ` � <br /> eill Van Arsdale Alan Senechal <br /> Laboratory Manager Senior Analyst <br /> The results listed in this report apply only to the above listed samples.All routine quality assurance <br /> procedures were followed, unless otherwise noted.This analytical report must be reported in its entirety. <br /> All methods are certified by the Minnesota Department of Health, unless otherwise noted. <br /> TCWD Rev 1.2 Page 1 of 1 <br />