12-07-2020 Well and Boring Construction Record

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Twin City Water Clinic Laboratory Test Report Minnesota State Laboratory ID# 027-053-119 Wisconsin State Laboratory ID# 105-10117 Wisconsin DNR Lab ID #399073400 Client: Address: Don Stodola Well Drilling 3841 North Main Street St. Bonifacius, MN 55375 Report Number: 20-13270 Sample Collection Date: 12/07/20 Sample Collection Time: 16:00 Sample Receipt Date: 12/08/20 Report Issue Date: 12/09/20 Twin City Water Clinic Inc. 617 13th Avenue South Hopkins, MN 55343 Phone: (952)935-3556 Fax: (952)935-5077 LaboratorV Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID 900 Forest Arm Lane; Orono, MN Date Time Date Time Results Units 20-13270 Coliform Drinking Water 12/08/20 12:35 Absent 20-13270 Nitrate / N Drinking Water 12/08/20 12:39 <1.0 mg/L 20-13270 Arsenic Drinking Water 12/08/20 10:50 12/09/20 12:55 <2.0 1 mg/L Lead Drinking Water µg/L Sample Conditions: Sample received on ice. Sample Temp: 6°C Discussion: Notes: Approved methods used in analyzing the samples listed above have the following reporting levels: SM9222B - Coliform, 1 cfu / 100 ml EPA 353.2 - Nitrate Nitrogen expressed as NO3+ NO2, 1.0 mg / L SM3113B - Arsenic, 2.0 pg / L, Lead, 2.0 pg/ L EPA 353.2 - Nitrite Nitrogen, 1.0 mg/L MCL is defined as the Maximum Contaminant Level allowed by the Safe Drinking Water Act. The analyzed parameters have following MCL: Coliform, < 1 cfu /100 ml Nitrate Nitrogen, 10.0 mg/L Arsenic, 10.0 pg / L Lead, 15.0 pp / L Nitrite, 1 mg/L For further information call your state health department or call the EPA Safe Drinking Water Hotline 1-800-426-4791. Sample Collected by: X Client _ TCWC Approved By: Bill Van Arsdale Laboratory Manager The results listed in this report apply only to the above listed samples. All routine quality assurance procedures were followed, unless otherwise noted. This analytical report must be reported in its entirety. All methods are certified by the Minnesota Department of Health, unless otherwise noted. TCWC Rev 7.0 (9/19) Page 1 of 1 Well No.: 848566 X No samples were subcontracted; or the above test result(s) Sample pt: well with" designation were produced by a subcontracted laboratory. [Laboratory name; address; MDH Lab ID#]. The Well Adr: 900 Forest Arm Lane; Orono, MN subcontracted laboratory maintains MDH Certification for the Owner: CRJ Construction field(s) of testing performed. Owner Adr: Sample Conditions: Sample received on ice. Sample Temp: 6°C Discussion: Notes: Approved methods used in analyzing the samples listed above have the following reporting levels: SM9222B - Coliform, 1 cfu / 100 ml EPA 353.2 - Nitrate Nitrogen expressed as NO3+ NO2, 1.0 mg / L SM3113B - Arsenic, 2.0 pg / L, Lead, 2.0 pg/ L EPA 353.2 - Nitrite Nitrogen, 1.0 mg/L MCL is defined as the Maximum Contaminant Level allowed by the Safe Drinking Water Act. The analyzed parameters have following MCL: Coliform, < 1 cfu /100 ml Nitrate Nitrogen, 10.0 mg/L Arsenic, 10.0 pg / L Lead, 15.0 pp / L Nitrite, 1 mg/L For further information call your state health department or call the EPA Safe Drinking Water Hotline 1-800-426-4791. Sample Collected by: X Client _ TCWC Approved By: Bill Van Arsdale Laboratory Manager The results listed in this report apply only to the above listed samples. All routine quality assurance procedures were followed, unless otherwise noted. This analytical report must be reported in its entirety. All methods are certified by the Minnesota Department of Health, unless otherwise noted. TCWC Rev 7.0 (9/19) Page 1 of 1