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10-11-19 Well & Boring Construction Record
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10-11-19 Well & Boring Construction Record
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8/22/2023 3:18:14 PM
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0799 Old Crystal Bay Rd S
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Land Use
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0911723210017
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Twin City Water Clinic Laboratory Test Report <br />Minnesota State Laboratory ID# 027-053-119, <br />Wisconsin state Laboratory ID# 105-10117 <br />Wisconsin DNR Lab ID #399073400 <br />Client: <br />Address: <br />Don Stodola Well Drilling <br />3841 North Main Street <br />St. Bonifacius, MN 55375 <br />Report Number: 20-00307 <br />Sample Collection Date: 01/08/20 <br />Sample Collection Time: 9:00 <br />Sample Receipt Date: 01/09/20 <br />Report Issue Date: 01/10/20 <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 />LaboratorV <br />Analyte Client ID <br />Parameter, Sample Prep '' <br />Sample AnalysisTest <br />Sample ID <br />799 Old Crystal Bay Rd; Orono, MN <br />Date Time <br />Date Time Results Units <br />20-00307 <br />Coliform <br />Drinking Water <br />01/09/20 12:52 Absent <br />Nitrate / N <br />Drinking Water <br />mg/L <br />Arsenic <br />Drinking Water <br />µg/L <br />Lead <br />Drinking Water <br />µg/L <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 the MCL is defined as the Maximum contaminant Level allowed by the <br />following reporting levels: Safe Drinking Water Acta The analyzed parameters have following'; <br />SM92229 - 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 µg / L, Lead, 2.0 µg/ L Arsenic,.10.0 11g / L Lead, 15.0 Vg / L <br />EPA 353.2 - Nitrite Nitrogen, 1.O mg/L Nitrite, 1 mg/L <br />Forfurther 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 (9/19) Page 1 of 1 <br />Well No.: <br />839625 <br />X No samples were subcontracted; or the above test results) <br />with'**' designation were produced by a subcontracted <br />Sample pt: <br />well <br />laboratory". {laboratory name; address; MDH Lab ID#], The <br />Well Adr: <br />799 Old Crystal Bay Rd; Orono, MN <br />subcontracted laboratory maintains MDH Certification forthe '- <br />Owner: <br />Streeter <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 the MCL is defined as the Maximum contaminant Level allowed by the <br />following reporting levels: Safe Drinking Water Acta The analyzed parameters have following'; <br />SM92229 - 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 µg / L, Lead, 2.0 µg/ L Arsenic,.10.0 11g / L Lead, 15.0 Vg / L <br />EPA 353.2 - Nitrite Nitrogen, 1.O mg/L Nitrite, 1 mg/L <br />Forfurther 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 (9/19) Page 1 of 1 <br />
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