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12-16-2018 Well & Boring Construction Record
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12-16-2018 Well & Boring Construction Record
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Last modified
8/22/2023 3:18:27 PM
Creation date
10/3/2019 10:35:39 AM
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x Address Old
House Number
980
Street Name
Heritage
Street Type
Lane
Address
980 Heritage Lane
Document Type
Land Use
PIN
1011723110004
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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: 18-16431 Twin City Water Clinic Inc. <br /> Sample Collection Date: 12/16/18 617 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: 12/17/18 Phone: (952)935-3556 <br /> Report Issue Date: 12/18/18 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 /> 18-16431 Coliform Drinking Water 12/17/18 14:08 Absent <br /> 18-16431 Nitrate/N Drinking Water 12/17/18 13:19 <1.0 mg/L <br /> 18-16431 Arsenic Drinking Water 12/17/18 11:25 12/18/18 10:59 3.17 .tg/L <br /> Lead Drinking Water .ig/L <br /> Drinking Water <br /> Well No.: 827829 <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 ID#].The Well Adr: 980 Heritage Lane;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Tom Potter Construction <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: Sample Temp: 13°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 l g/L Lead,15.0 vg/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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