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11/08/18 Well and Boring Sealing Record
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11/08/18 Well and Boring Sealing Record
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Last modified
8/22/2023 5:29:11 PM
Creation date
7/8/2019 2:38:46 PM
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x Address Old
House Number
780
Street Name
Lakeview
Street Type
Parkway
Address
780 Lakeview Pkwy
Document Type
Land Use
PIN
0611723430021
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Minnesota State Laboratory ID#027-053-119: <br /> Twin City.Water Clinic Laboratory.Test Report Wisconsin state Laboratory ID#10540117 <br /> Wisconsin,DNR Lab.ID.#399073400 <br /> Client: Don Stodola Well Drilling Report Number: 19-00393 Twin City Water Clinic Inc. <br /> Sample Collection Date: 01/09/19 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 15:00 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 01/10/19 Phone: (952)935-3556 <br /> Report Issue Date: 01/11/19 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 /> 19-00393 Coliform Drinking Water 01/10/19 13:41 Absent <br /> 19-00393 Nitrate/N Drinking Water 01/10/19 13:36 <1.0 riig/L <br /> 19-00393 Arsenic Drinking Water 01/10/19 12:05 01/11/19 12:10 6.95 tg/L <br /> Lead Drinking Waterg/L <br /> Nitrite/N Drinking Water mg/L <br /> E.coli Drinking Water <br /> Well No.: 839614 <br /> X:No samples were subcontracted iti the above test results) <br /> designation were produced.by a subcontractedSample pt: Well <br /> laboratory, [Laboratory name;:address;:MDH Lab-ID#). The;; s Well Adr: 780 Lakeview Pkwy;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Norton Homes <br /> fields)of testing performed <br /> Owner Adr: <br /> Sample Conditions: Sample Temp: 8 °C <br /> Discussion: <br /> Notes: <br /> Approved methods used ih analyzing the samples listed above have _ - <br /> th`e following reporting levels Maximum contaminant levels: <br /> 5M9222B Coliform 1 cfu/100 ml ' Colifoi'rh <1 cfu/100 ml <br /> EPA 353 2-Nitrate Nitrogen expressed as Nb9+Not,1 0 Mg/ <br /> Nitrate Nitrogen 10 0 mg/L- <br /> L <br /> SM31136 'Arsenic"2 0 /I Lead,2 0 L Arsenic 10r0 µg/L <br /> µPQ. Lead,15 0µg/,L <br /> EPA 353.2:-NitriteNitrogen,1 0 mg/1_ <br /> „ Nitrite;!1 mg/L '. <br /> Sample Collected by: X Client TCWC Approved By: 0 <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 Thisanalytical 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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