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. �. <br /> Twin City Water Clinic Laboratory Test Report Minnesota State laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID�i 105-10317 <br /> Client: Don Stodola Well Drilling Co Report Number: ia-a�os Twin City Water Clinic Inc. <br /> Sample Collection Date: 04/i6/13 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: is:oo Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: oa/i�/is Phone:(952)935-3556 <br /> Report Issue Date: oa/is/ia Fax: (952)935-5077 <br /> Laborato Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 13-4709 Coliform Drinking Water 04/17/13 13:50 Absent <br /> 13-4709 Nitrate/N Drinking Water 04/17/13 13:44 <1.0 mg/I <br /> 13-4709 Arsenic Drinking Water 04/17/16 830 04/18/13 10:24 2.97 µg/I <br /> Lead Drinking Water �L��I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 792016 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'*"'designation were produced bya subcontracted Sample pt: <br /> laboratory. [Laboratory name;address;MDH Lab ID#].The Well Adr: 3515 Sixth Ave N;Orono,MN <br /> subcontracted laboretory maintains MDH Certification for the Owner: Dale Pete�son <br /> field(s)of testing performed. <br /> Owner Adr. <br /> Sample Conditions: <br /> Sample Temperature: 9 '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 /> SM92226-Coliform,1 cfu/100 ml <br /> Coliform-<1 cfu/100 rr�l <br /> Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic,10.0 µg/I <br /> SM3113B-Arsenic,2.0µg/I Lead,15.0µg/I <br /> SM3113B-Lead,2.0µg/I , <br /> n 1 �,,1���w'�;��.kl�t�_ `�--. <br /> j,�,���t <br /> Sample Collected by: X Client _TCWC Approved By: ,_ � <br /> Bill 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 mustbe 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 />