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r <br /> ✓� <br /> Minnesota State Laboratory ID#027-053-119 <br /> TWI11 Clty W8t2C C�II11C �ab01'at01'�/TeSt Rep01't Wisconsin State Laboratory ID#105-10117 <br /> Wisconsin DNR Lab ID#399073400 <br /> Ciient: Don Stodola Well Drilling Report Number: 16-o9iai Twin City Water Clinic Inc. <br /> Sample Collection Date: 07/05/16 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: Za:oo Hopkins,MN 55343 <br /> St.Bonffacius,MN 55375 Sample Receipt Date: o7/oe/�5 Phone: (952)935-3556 <br /> Report Issue Date: 07/07/16 Fax:(952)935-5077 <br /> Laborato Anatyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 16-09141 Coliform Drinking Water 07/06/16 14:11 Absent <br /> 16-09141 Nitrate/N Drinking Water 07/06/16 1321 <1.0 mg/L <br /> 16-09141 Arsenic Drinking Water 07/06/16 8:30 07/07/16 13:35 3.10 µg/L <br /> Lead Drinking Water µg/L <br /> Nitrite/N Drinking Water mg/L <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 818041 <br /> X No samples were subcontracted;or the above test result(s) <br /> with"*'designation were produced by a subcontracted Sample pt: Well <br /> laboretory. [Laboratory name;address;MDH Lab ID#]. The Well Adr: 3585 Sixth Avenue N;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Rich Anderson <br /> field(s)of teSting performed. � <br /> Owner Adr: <br /> Sample Conditions: Sample Temp: 12°C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing thesamples listed Maximum contaminant levels: <br /> abovehave the following reporting levels Cotiform-<1 cfu/100 ml <br /> SM92226-Coliform;1 cfu/100 ml ' Nitrate Nitrogen 10.0 mg/IL ` <br /> SM4500F or EPA 353.2-Nit�ate Nitrogen,1.0 mg J L Arsenic,10.0 µg/L <br /> SM31136-Arsenic,2.0{rg/;1,Lead,2.0 µg/L' Lead,15.0µg/L <br /> EPA 353.2-Nitrite Nitrogen;l.0 mg/L Nitrite,1 mg/L <br /> .4 '�� [�'4��i��.a.c.+c.�^'^�",� <br /> Sample Collected by: X Client _TCWC Approved By: J'���,/� <br /> Bill Van Arsdale Alan Senechal <br /> Laboratory Manager Senior Analyst <br /> The reeultslisted in this report apply only to the above listed samples.All routine qualiry assurance procedures were followed,unless otherwise <br /> noted.This analytical report must be reported in its entirety.All methods are certified by the Minnesota Department of Health,unless otherwise <br /> noted. � <br /> TCW D Rev 2.0 Page 1 of 1 <br />