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2845 Lillian Lane - 33-118-23-34-0018 - New Address
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Well & Boring Construction Record
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Last modified
8/22/2023 4:51:02 PM
Creation date
2/8/2019 8:57:31 AM
Metadata
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Template:
x Address Old
House Number
2845
Street Name
Lillian
Street Type
Lane
Address
2845 Lillian Lane
Document Type
Land Use
PIN
3311823340018
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Minnesota State Laboratory ID#027=053-119 <br /> Twin City Water Clinic Laboratory Test Report Wisconsin State Laboratory ID#105-10117 <br /> Wisconsin DNR Lab ID#399073400 <br /> Client: Don Stodola Well Drilling Report Number: 18-16343 Twin City Water Clinic Inc. <br /> Sample Collection Date: 12/13/18 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 15:30 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 12/14/18 Phone: (952)935-3556 <br /> Report Issue Date: 12/17/18 Fax: (952)935-5077 <br /> Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 18-16343 Coliform Drinking Water 12/14/18 11:46 Absent <br /> 18-16343 Nitrate/N Drinking Water 12/14/18 11:57 <1.0 mg/L <br /> 18-16343 Arsenic Drinking Water 12/14/18 10:35 12/17/18 10:17 4.53 µg/L <br /> Lead Drinking Water µg/L <br /> Well No.: 827846 <br /> X No samples were subcontracted;or the above test result(s) Sample pt: well <br /> with'**'designation were produced by a subcontracted <br /> laboratory. [Laboratory name;address;MDH Lab ID#], The Well Adr: 2845 Lillian Lane;Orono, MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Chamberlain Fine Custom Homes <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 the samples listed above have <br /> the following reporting levels: Maximum contaminant levels: <br /> SM9222B-Coliform,1 cfu/100 ml Coliform-<1 cfu/100 ml Nitrate <br /> EPA 353.2-Nitrate Nitrogen expressed as NO3+NO2, 1.0 mg/L Nitrogen 10.0 mg/L Arsenic,10.0 <br /> SM3113B-Arsenic,2.0µg/I,Lead,2.0 µg/L µg/L Lead, 15.0µg/L <br /> EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L <br /> Sample Collected by: X Client TCWC Approved By: <br /> Bill Van Arsdale <br /> Laboratory Manager <br /> The results listed in this report apply only to the above listed samples.All routine quality 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 /> TCWD Rev 4.0 Page 1 of 1 <br />
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