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08-25-2020 well & boring construction record
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08-25-2020 well & boring construction record
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Last modified
8/22/2023 3:19:02 PM
Creation date
2/4/2021 10:03:37 AM
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Template:
x Address Old
House Number
1150
Street Name
Heritage
Street Type
Lane
Address
1150 Heritage Lane
Document Type
Land Use
PIN
1011723130004
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. <br /> Minnesota State Laboratory ID#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: 20-12197 Twin City Water Clinic Inc. <br /> Sample Collection Date: 11/04/20 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 14:20 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 11/05/20 Phone: (952)935-3556 <br /> Report Issue Date: 11/06/20 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 /> 20-12197 Coliform Drinking Water 11/05/20 13:35 Absent <br /> Nitrate/N Drinking Water mg/L <br /> Arsenic Drinking Water µg/L <br /> Lead Drinking Water µg/L <br /> Well No.: 848530 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by a subcontracted Sample pt: well <br /> laboratory. [Laboratory name;address;MDH Lab ID#]. The Well Adr: 1150 Heritage Lane;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: West Bay Homes <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 Act. The analyzed parameters have following <br /> SM9222B-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,2.0µg/L,Lead,2.0 µg/L Arsenic,10.0 lig/L Lead,15.0 mg/L <br /> EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L <br /> For further 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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