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07/13/2021 Well Lab Test Report
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07/13/2021 Well Lab Test Report
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Last modified
8/22/2023 4:56:02 PM
Creation date
5/9/2022 1:46:15 PM
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x Address Old
House Number
730
Street Name
Dickey Lake
Street Type
Drive
Address
730 Dickey Lake Drive
Document Type
Land Use
PIN
3411823220004
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Twin City Water Clinic Laboratory Test Report <br />Minnesota State Laboratory ID# 027-053-119 <br />Wisconsin State Laboratory ID# 105-10117 <br />Wisconsin DNR Lab ID #399073400 <br />Client: <br />Address: <br />Don Stodola Well Drilling <br />3841 North Main Street <br />St. Bonifacius, MN 55375 <br />Report Number: 21-06162 <br />Sample Collection Date: 07/12/21 <br />Sample Collection Time: 7:30 <br />Sample Receipt Date: 07/13/21 <br />Report Issue Date: 07/15/21 <br />Twin City Water Clinic Inc. <br />61713th Avenue South <br />Hopkins, MN 55343 <br />Phone: (952)935-3556 <br />Fax: (952)935-5077 <br />LaboratorV <br />Analyte Client ID <br />Parameter Sample Prep <br />Sample Analysis Test <br />Sample ID <br />Date Time <br />Date Time Results Units <br />21-06162 <br />Coliform <br />Drinking Water <br />07/13/21 13:14 Present <br />21-06162 <br />Nitrate / N <br />Drinking Water <br />07/13/21 12:41 <1.0 mg/L <br />21-06162 <br />Arsenic <br />Drinking Water 07/13/21 9:00 <br />1 07/14/21 11:14 2.60 pg/L <br />Lead <br />Drinking Water <br />pg/L <br />X No samples were subcontracted; or the above test result(s) Well No.: 857044 <br />with'"' designation were produced by a subcontracted Sample pt: well <br />laboratory. (Laboratory name; address; MDH Lab ID#]. The Well Adr: 736 Dickey Lake Road; Long Lake, MN <br />subcontracted laboratory maintains MDH Certification for the Owner: James Joseph <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 <br />following reporting levels: <br />SM9222B - Coliform, 1 cfu / 100 ml <br />EPA 353.2 - Nitrate Nitrogen expressed as NO3+ NO2, 1.0 mg / L <br />SM3113B - Arsenic, 2.0 pg / L, Lead, 2.0 pg/ L <br />EPA 353.2 - Nitrite Nitrogen, 1.0 mg/L <br />MCL is defined as the Maximum Contaminant Level allowed by the <br />Safe Drinking Water Act. The analyzed parameters have following <br />MCL: <br />Coliform, < 1 cfu /100 ml Nitrate Nitrogen, 10.0 mg/L <br />Arsenic, 10.0 pg / L Lead, 15.0 pg / L <br />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 />rhe 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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