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Fairview Cottage Lane
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1565 Fairview Cottage Lane - 07-117-23-43-0033
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Last modified
8/22/2023 5:39:44 PM
Creation date
5/6/2020 8:05:41 AM
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x Address Old
House Number
1565
Street Name
Fairview Cottage
Street Type
Lane
Address
1565 Fairview Cottage La
Document Type
Land Use
PIN
0711723430033
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Twin City Water Clinic Laboratory Test Report Minnesota State Laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-10117 <br /> ' Client: Don Stodola Well Drilling Co Report Number: 13-11425 Twin City Water Clinic Inc. <br /> Sample Collection Date: 09/15/13 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 14:00 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 09/16/13 Phone: (952)935-3556 <br /> Report Issue Date: 09/17/13 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 /> 13-11425 Coliform Drinking Water 09/16/13 12:23 Absent <br /> 13-11425 Nitrate/N Drinking Water 09/17/13 14:21 <1.0 mg/I <br /> 13-11425 Arsenic Drinking Water 09/16/13 9:00 09/17/13 11:23 13.60 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water I <br /> Drinking Water <br /> Well No.: 792018 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by a subcontracted Sample pt: <br /> laboratory. [Laboratory name;address;MDH Lab ID#].The Well Adr: 1565 Fairview Cottage Ln;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: J Scotty Builders <br /> field(s)of testing performed. <br /> Owner Adr: . <br /> Sample Conditions: <br /> Sample Temperature: 11 °C <br /> Discussion: <br /> Notes: • <br /> Approved methods used in analyzing the samples <br /> listed above have the following reporting levels: Maximum contaminant levels: <br /> SM9222B-Coliform, 1 cfu/100 ml Coliform-<1 cfu/100 ml <br /> Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic,10.0 µg/I <br /> SM3113B-Arsenic,2.014/I Lead,15.0µg/I <br /> SM3113B-Lead, 2.0µg/I <br /> /) <br /> ^ <br /> , <br /> Sample Collected by: X Client _TCWC Approved By: <br /> Bill Van Arsdale Alan Senechal <br /> Laboratory Manager Senior Analyst <br /> The results listed in this report apply only to the above listed samples.All routine quality assurance <br /> procedures were followed, unless otherwise noted.This analytical report must be reported in its entirety. <br /> All methods are certified by the Minnesota Department of Health, unless otherwise noted. <br /> TCWD Rev 1.2 Page 1 of 1 <br />
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