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� ' Minnesota State Laboratory lp#027-053-119 <br /> � TWI11'Clty�at8r C�1111C'�abOPat01"�/TESt Re�701't wisconsin state laboratory ID#105-10117 <br /> Wisconsirr DNR lab ID#399073400 <br /> CIle11t: Don Stodola Well Drilling Report Number: 15-13892 TWI11 Clty Wetel'CI1111C It1C. <br /> Sample Collection Date: 11/30/15 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: �:00 Hopkins,MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: ii/30/15 PhOne:(952)935-3556 <br /> Report Issue Date: �z/o1/�5 Fax: (952)935-5077 <br /> Laborata Analyte Client ID Parameter -Sample Prep Sample Analysis Test <br /> Sample ID Date ' Time Date Time Results Units <br /> 15-13892 Coliform Drinking Water il/30/15 1420 Absent <br /> 15-13892 Nitrate/N Drinking Water 11/30/15 14:30 <1.0 mg/L <br /> 15-13892 Arsenic Drinking Water 11/30/15 9:30 12/01/15 13:47 <2.0 µg/L <br /> Lead Drinking Water µg�� <br /> Nitrite/N Drinking Water mg�L <br /> Drinking Water <br /> Drinking Water <br /> ' Well No.: 818003 <br /> X No samples were subcontracted;or the above test resuk(s) ' Sample pt: Well <br /> with'*•'designation were produced by a subcontracted <br /> laboratory. [Laborato�y name;address;MDH Lab 1D#]. The Well Adr: 75 Stubbs Bay Road N;Orono,MN <br /> subco�tracted lahoratory rnaintains MDH Certification for the Owner: Bruce Malby <br /> field(s)of testing performed. ` <br /> ' Owner Adr: <br /> Sample Conditions: Sample Temp: 14°C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the sampleslisted Maximum contaminant levels: <br /> above heve the following reporEing levels:' Coliform-�1 cfu/100 ml ' <br /> SM92228-Coliform,l cfu/100m1 Nitrate Nitrogen 10.0 mg/IL <br /> SM4500F or EPA 3532-Nitrate Nitrogen,l.0 mg/L Arsenic,l0A µg/L � <br /> SM31136-Arsenic,2Aµg/I,Lead,2.0 µg/L Lead,15.0µg/L , <br /> EPA 353'.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L <br /> r �� <br /> Sample Collected by: X Client _TCWC Approved By: ' �`��'vf� `"���`��� <br /> � <br /> Bill Van Arsdale Alan Senechal <br /> Laboretory Manager Senior Analyst <br /> The results listed in this report apply only tq the above listed samples,AO routine quality assurance procedures were followed,Unless otherwise <br /> noted.This a�alytical report must be reported in its entirety.All methods,are certified by the Minnesota Department of Health,unless otherwise � <br /> noted. <br /> TCWD Rev 2.0 - '` Page 1 of 1 <br />