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_ a . <br /> Minnesota State Laboratory ID#027-053-119 <br /> TWII1 CI��I ws'�ter C�It11C La�J01'8t01'�/TeSt R@p01"t wisconsin state I.aboratory ID#105-20117 <br /> Wisconsin DNR Lab ID#399073400 <br /> Client' Don Stodola Well Drilling Report Number: 17-14052 TWI�City Wdt21'CI1111C I�C. <br /> Sample Collection Date: 11/16/17 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 15:30 Hopkins, MN 55343 <br /> st.sonifacius,MN 55375 Sample Receipt Date: 11/17/17 Phone:(952)935-3556 <br /> Report Issue Date: 1�/zo/�7 Fax: (952)935-5077 <br /> Labarato Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 17-14052 Coliform Drinking Water il/17/17 12:40 Absent <br /> 17-14052 Nitrate/N Drinking Water 11/17/17 12:00 <1.0 mg/L <br /> 17-14052 Arsenic Drinking Water 11/17/17 9:00 il/20/17 11:40 5.23 µg/L <br /> Lead Drinking Water µg/L <br /> mg/L <br /> . weU No.: $26661 <br /> X No samples were subcontraded;or the above test resulf(s) <br /> with'**'designetion were produced by a subcont�acted Sample pt: well <br /> laboratory. [Laboratory name;address;MDH Lab IDqj. The Well Adr. 1760 Shoreline Drive;Orono,MN <br /> subcontracted laboratory maintains MDH Certificationfor.the; Owner. Nor-Son Inc. <br /> field(s)of#esting performed. <br /> Owner Adr: <br /> Sample Conditions: Sample Temp: 12°C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples listed above have <br /> the following reporting levels: Maximum contaminant levels <br /> SM9222B-Colifo�m,1 cfu/100 ml Coliform-<1 cfu/100 ml Nitrate <br /> EPA 353.2-Nitratie Nitrogen expres�ed as NO3+rv02,1.0 mg/L Nitrogen 10.0 mg/L Arsenic,I0.0 ` <br /> SM31136-Arsenic,2.0µg/I,Lead,2.0 µg/L µg/L Lead,15.0µg/L <br /> EPA 3531-Nitrite Nitrogen,1.0 mg/L Nitrite,l mg/L <br /> Sample Collected by: X Client _TCWC Approved By: �A=��^€�'`� <br /> Bill Van Arsdale <br /> Laboratory Manager <br /> The results listed in this report apply only to the:above listed samptes:All routine quality aswrence procedures were followed,unless oth�rwise <br /> noted.This analyticai report must be reported in its enYirety.Ail methods are certified by the Minnesota Department of Health,unless otherwise <br /> noted. <br /> TCWD Rev 4.0 Page 1 of 1 <br />