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04-30-2019 Well & Boring Construction Record
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04-30-2019 Well & Boring Construction Record
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Last modified
8/22/2023 5:26:46 PM
Creation date
2/24/2020 2:47:05 PM
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x Address Old
House Number
4710
Street Name
Augusta
Street Type
Street
Address
4710 Augusta St
Document Type
Land Use
PIN
0611723320011
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Client: Don Stodola Well Drilling <br />Report Number: <br />19-09641 <br />l <br />Twin City Water Clinic Inc. <br />Absent <br />Sample Collection Date: <br />09/03/19 <br />Drinking Water <br />617 13th Avenue South <br />Address. 3841 North Main Street <br />Sample Collection Time: <br />12:54 <br />;Owner: <br />Hopkins, MN 55343 <br />St. Bonifacius, MN 55375 <br />Sample Receipt Date: <br />09/03/19 <br />Lead <br />Phone: (952)935-3556 <br />Drinking Water <br />Report Issue Date: <br />09/04/19 <br />µg/� <br />Fax: (952)935-5077 <br />19-09641 1 Coliform <br />Well No.: <br />Drinking Water <br />x No samples were Subcontracted, or the"above test result($) . <br />09/03/19 14:46 <br />Absent <br />19-09641 Nitrate / N <br />Sample pt: <br />Drinking Water <br />laboratory., [Laboratory name; oddress; MDN b, 0#].Jhe <br />09/04/19 12:53 <br /><1.0 mg/L <br />19-09641 Arsenic <br />;Owner: <br />Drinking Water 09/03/19 <br />13:44 <br />09/04/19 13:59 <br />2.32 µg/L <br />Lead <br />Owner Adr: <br />Drinking Water <br />µg/� <br />Sample Conditions: Sample received on ice. Sample Temp: 16 °C <br />Discussion: <br />Notes: <br />Sample Collected by: X Client _TCWC Approved By: <br />Bill Van Arsdale <br />Laboratory Manager <br />TCWD Rev 4.0 Page 1 of 1 <br />Well No.: <br />839620 <br />x No samples were Subcontracted, or the"above test result($) . <br />7. <br />with"*�'desgnation Were produced by a'subcohtracted <br />Sample pt: <br />Well <br />laboratory., [Laboratory name; oddress; MDN b, 0#].Jhe <br />Well Adr: <br />4710 Augusta Street; Orono, MN <br />subcontracted laboratory maintains, DH Certificatfon for the , <br />;Owner: <br />Norton Homes <br />field($) of testmg'perfotmec): <br />Owner Adr: <br />Sample Conditions: Sample received on ice. Sample Temp: 16 °C <br />Discussion: <br />Notes: <br />Sample Collected by: X Client _TCWC Approved By: <br />Bill Van Arsdale <br />Laboratory Manager <br />TCWD Rev 4.0 Page 1 of 1 <br />
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