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Well/Boring Construction Record
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8/22/2023 3:11:06 PM
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0500 Willow Dr S
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Minnesota State LaboratoryID#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: 17-06996 Twin City Water Clinic Inc. <br /> Sample Collection Date: 06/18/17 617 13th Avenue South <br /> Address: 3841 N Main Street Sample Collection Time: 14:00 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 06/19/17 Phone: (952)935-3556 <br /> Report Issue Date: 06/21/17 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 /> 17-06996 Coliform Drinking Water 06/19/17 12:16 Present <br /> 17-06996 Nitrate/N Drinking Water 06/19/17 12:55 <1.0 mg/L <br /> 17-06996 Arsenic Drinking Water 06/19/17 9:00 06/20/17 10:52 3.01 itg/L <br /> Lead Drinking Water <br /> Nitrite/N Drinking Water <br /> E.coli Drinking Water <br /> Well No.: 823471 <br /> X No samples were subcontracted;or the above test result(s) Sample t <br /> with"designation were produced by a subcontracted p p well <br /> laboratory. [Laboratory name;address;MDH Lab ID#]. The Well Adr: 500 Willow Drive S;Orono,MN <br /> subcontracted laboratory maintains MDH Certification forthe Owner: Nor-Son Inc. <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: Sample Temp: 18 `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 /> SM92226-Coliform,1 cfu/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 /> SM31138-Arsenic,2.0 pg/1,Lead,2.0 µg/L Arsenic,10.0 L/L <br /> Lead,15.0 ug/L <br /> EPA 353.2-Nitrite Nitrogen,1.0 mg/L <br /> 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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