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05-03-2019 Well & Boring Construction Record
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05-03-2019 Well & Boring Construction Record
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Last modified
8/22/2023 5:27:07 PM
Creation date
10/3/2019 10:34:06 AM
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x Address Old
House Number
4775
Street Name
Augusta
Street Type
Street
Address
4775 Augusta St
Document Type
Land Use
PIN
0611723330010
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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: 19-04876 Twin City Water Clinic Inc. <br /> Sample Collection Date: 05/06/19 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 14:00 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 05/07/19 Phone: (952)935-3556 <br /> Report Issue Date: 05/08/19 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 /> 19-04876 Coliform Drinking Water 05/07/19 12:46 Absent <br /> 19-04876 Nitrate/N Drinking Water 05/07/19 12:50 <1.0 mg/L <br /> 19-04876 Arsenic Drinking Water 05/07/19 9:00 05/08/19 10:18 3.01 µg/L <br /> Lead Drinking Water µg/L <br /> Well No.: 839619 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by a subcontracted Sample pt. well <br /> laboratory. [Laboratory name;address;MDH Lab lD#1. The Well Adr: 4775 Augusta Street;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Norton Homes <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: Sample Temp: 4 °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 /> •SM92228-Coliform,1 cfu/100 ml Coll-fort/1 <1 cfu/100 ml <br /> EPA 353.2-Nitrate Nitrogen expressed as NO3+I\102,1.0 mg/I Nitrate Nitrogen 10.0 mg/L <br /> SM3113B-Arsenic,2.0µg/I,Lead,2.0 }1g%L Arsenic,10.0 µg/L <br /> EPA 353.2-Nitrite Nitrogen,1.0 mg/L Lead,15.0µg/L' <br /> Nitrite,1 mg/L <br /> Sample Collected by: X Client TCWC Approved By: ;F' 1'16 <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;,procedureswere 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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