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07-16-19 Well and Boring Construction Record
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07-16-19 Well and Boring Construction Record
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Last modified
8/22/2023 5:29:02 PM
Creation date
1/6/2020 3:40:26 PM
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x Address Old
House Number
4315
Street Name
Lakeview
Street Type
Court
Address
4315 Lakeview Ct
Document Type
Land Use
PIN
0611723430015
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• <br /> • <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: 19-07565 Twin City Water Clinic Inc. <br /> Sample Collection Date: 07/16/19 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 13:00 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 07/17/19 Phone: (952)935-3556 <br /> Report Issue Date: 07/18/19 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 /> 19-07565 Coliform Drinking Water 07/17/19 13:04 Absent <br /> 19-07565 Nitrate/N Drinking Water 07/17/19 13:46 <1.0 mg/L <br /> 19-07565 Arsenic Drinking Water 07/17/19 9:20 07/18/19 11:38 5.55 Ilg/L <br /> Lead Drinking Water i <br /> Well No.: 839589 <br /> X No samples were subcontracted;or the abovetest result(s), p Sample t <br /> with'**'designation were produced by a`,subcontracted. p . well <br /> laboratory. (Laboratory name;address;MDH Lab 1D4#1. The Well Adr: 4315 Lakeview Court;Orono,MN <br /> subcontracted laboratory maintains MOH Certification,for the Owner: Swanson Homes <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: Sample received on ice. Sample Temp: 6°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 mlColiform <1 cfu/100 ml <br /> EPA 353.2-Nitrate Nitrogen expressed as NC?3k Np2,1 fl mg/1. <br /> Nitrate Nitrogen 10.0 mg/L <br /> 5iV13113$-Arsenic;'2.0-µg/{ Lead, ugi.L <br /> ,rsenic,,10,0 µg'/L <br /> EPA 353.2 Nitrite Nitrogen,1.0 mg/L <br /> Lead,15 <br /> Nitrite,1.mg/Lr, . <br /> n r --- <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 /> TCW D Rev 4.0 Page 1 of 1 <br />
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