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Minnesota State Laboratory ID# 027-053-119 <br />Twin City Water ClinicLaboratory Test Report Wisconsin State Laboratory ID# 105-10117 <br />Wisconsin DNR Lab ID #399073400 <br />Client: Don Stodola Well Drilling <br />Address: 3841 North Main Street <br />St. Bonifacius, MN 55375 <br />Report Number: 19-08476 <br />Sample Collection Date: 08/08/19 <br />Sample Collection Time: 17:00 <br />Sample Receipt Date: 08/09/19 <br />Report Issue Date: 08/12/19 <br />Twin City Water Clinic Inc. <br />617 13th Avenue South <br />Hopkins, MN 55343 <br />Phone: (952)935-3556 <br />Fax: (952)935-5077 <br />Laborator Analyte Client ID <br />Parameter Sample`Peep <br />Sample Analysis Test <br />Sample ID <br />Date Time <br />Date Time Results Units <br />19-08476 Coliform <br />Drinking Water <br />08/09/19 14:22 Absent <br />19-08476 Nitrate / N <br />Drinking Water <br />08/09/19 15:15 <1.0 mg/L <br />19-08476 Arsenic <br />Drinking Water 08/09/19 8:20 <br />1 08/12/19 11:21 11.10 Itg/L <br />Lead <br />Drinking Water <br />µg/L <br />Sample Conditions: Sample received on ice <br />Discussion: <br />Notes: <br />Sample Temp: 3'C <br />Sample Collected by: X Client _ TCWC Approved By: " 'r <br />JY <br />Hill Van Arsdale <br />Laboratory Manager <br />The results listed Inthis report apply only to the above listed samples: All routine quality assurance procedures were followed, unless otherwise <br />noted. This analytical reportmust 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 />Well No.: <br />839622 <br />X No samples were subcontracted; or the above test result(s) <br />Sample pt: <br />WeII <br />with'**' designation Were produced by a subcontracted <br />laboratory, (Laboratory name; address;'MDH Lab'Ib#b The <br />Well Adr: <br />1600 Bohns Point Road; Orono, MN <br />subcontracted laboratory maintains MDH Certification for theO <br />Ener: <br />Nor -Son Inc. <br />fields) oftesting performed: <br />Owner Adr: <br />Sample Conditions: Sample received on ice <br />Discussion: <br />Notes: <br />Sample Temp: 3'C <br />Sample Collected by: X Client _ TCWC Approved By: " 'r <br />JY <br />Hill Van Arsdale <br />Laboratory Manager <br />The results listed Inthis report apply only to the above listed samples: All routine quality assurance procedures were followed, unless otherwise <br />noted. This analytical reportmust 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 />