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08-17-19 Well & Boring Construction Record
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08-17-19 Well & Boring Construction Record
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Last modified
8/22/2023 4:12:30 PM
Creation date
11/6/2019 11:18:13 AM
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x Address Old
House Number
750
Street Name
Big Island
Address
750 Big Island
Document Type
Land Use
PIN
2311723220009
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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: 19-08896 Twin City Water Clinic Inc. <br /> Sample Collection Date: 08/18/19 617 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: 08/19/19 Phone: (952)935-3556 <br /> Report Issue Date: 08/20/19 Fax: (952)935-5077 <br /> Laboratory Analyte Client ID Parameter Semple Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 19-08896 Coliform Drinking Water 08/19/19 12:19 Absent <br /> 19-08896 Nitrate/N Drinking Water 08/19/19 12:49 <1.0 mg/L <br /> 19-08896 Arsenic Drinking Water 08/19/19 11:00 08/20/19 11:30 4.31 µg/L <br /> Lead _ Drinking Water µg/L <br /> Well No.: 839586 <br /> X No samples were subcontracted;or the above test result(s) <br /> with.**'designation produced by a subcontracted Sample pt: well <br /> laboratory. [Laboratory name;address;MDH Lab ID#j, The Well Adr: 750 Big Island,Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Terry Deggendorf <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: Sample received on ice. 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 du/100 ml Coliform-<1.cfu/100 ml <br /> EPA 353.2"-Nitrate Nitrogen expressed as NO3+NO2,1.0 mg/L Nitrate Nitrogen 10.0 mg/L <br /> Arsenic,10.0 µg/IL <br /> SM3113B-Arsenic,2.0µg/I,Lead,2.0 µg/L Lead,15.0µg/L " <br /> EPA 353.2 =Nitrite Nitrogen, LO mg/L <br /> Nitrite;1 trig/L <br /> :,fit L <br /> Sample Collected by: X Client _TCWC Approved By: <br /> Hill Van Arsdale <br /> Laboratory Manager <br /> The results listed in this report apply only tothe 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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