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09-16-19 Well & Boring Construction Record
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09-16-19 Well & Boring Construction Record
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Last modified
8/22/2023 4:13:27 PM
Creation date
11/6/2019 11:20:58 AM
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x Address Old
House Number
360
Street Name
Big Island
Address
360 Big Island
Document Type
Land Use
PIN
2311723320060
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• <br /> • <br /> t R <br /> 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: 19-10057 Twin City Water Clinic Inc. <br /> Sample Collection Date: 09/16/19 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 16:00 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 09/17/19 Phone: (952)935-3556 <br /> Report Issue Date: 09/18/19 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 /> 19-10057 Coliform Drinking Water 09/17/19 12:16 Absent <br /> 19-10057 Nitrate/N Drinking Water 09/17/19 14:01 <1.0 mg/L <br /> 19-10057 Arsenic Drinking Water 09/17/19 8:50 09/18/19 10:13 2.42 µg/L <br /> Lead Drinking Water µg/L <br /> Well No.: 844780 <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 104]. The Well Adr: 360 Big Island;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: Samples received on ice. Sample Temp: 6°C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples listed above have the MCL is defined as the Maximum Contaminant Level allowed by the <br /> following reporting levels: Safe Drinking Water Act. The analyzed parameters have following <br /> SM9222B-Coliform,1 cfu/100 ml MCL: <br /> EPA 353.2 Nitrate Nitrogen expressed as NO3+NO2,1.0 mg/L Coliform,<1 cfu/100 ml Nitrate Nitrogen, 10.0 mg/L <br /> SM3113B Arsenic,2.0 pg/L,Lead,2.0 pg/L Arsenic,10.0 pg/L Lead,15.0 pg/L <br /> EPA 353.2 Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/! <br /> For further information call your state health department or call the <br /> EPA Safe Drinking Water Hotline 1-800-426-4791. <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 /> TCWC Rev 7.0 19/19) Page 1 of 1 <br />
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