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Twin Cit� UVater Clinie Laboratory Test fteport Minnesota State laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-10117 <br /> Clletlt: Don Stodola Well Drilling Co Report Number: i2-o9i69 Twin City Water Clinic Inc. <br /> 5ample Collection Date: os/zz/iz 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 13:30 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: os/23/12 Phone: (952)935-3556 <br /> Report Issue Date: os/za/iz Fax: (952)935-5077 <br /> Laborator Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 12-09169 Coliform Drinking Water 08/23/12 13:02 Absent <br /> 12-09169 Nitrate/N Drinking Water 08/23/12 13:11 2.98 mg/I <br /> 12-09169 Arsenic Drinking Water 08/23/12 8:00 O8/24/1Z 14:08 13.70 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 791983 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced bq,a submntracted Sample pt: <br /> laboratory. [Laboratory name;address;MDH Lab ID#�.The Well Adr: 1473 Bay Ridge Rd,Orono, MN <br /> subcontracted laboratory mainf�ins MDH Certification for the Owner: Tom McCune <br /> field(s)of testing performed. <br /> Owner Adr: Same <br /> Sample Conditions: <br /> Sample Temperature: 9 °C <br /> Discussion: <br /> Notes: The arsenic level exceeds the Minnesota MCL for this sample. <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 qrsenic,10.0 µg/I <br /> SM3113B-Arsenic, 2.0µg/I Lead,15.0µg/I <br /> SM31136-Lead, 2.0 µg/I <br /> , ,� ,f 1 ,'} ;;� <br /> l.�l 1 �, 4. „�,�,4.t...t4,.f�CA'-f s <br /> Sampie 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 />