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, Minnesota State Laboratory ID#027-053-119 <br /> Twin City Water Clinic Laboratory Test Report w�s�o�5��state�anorator,,�oa�05-�0��� <br /> Wisconsin DNR Lab ID#399073400 <br /> Client: Don stodola well orilling Report Number: 15-14522 Twin City Water Clinic Inc. <br /> Sample Collection Date: 12/13/15 617 13th Avenue South <br /> Address: 3841 North nnain Street Sample Collection Time: 14:00 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 12/14/15 Phone: (952)935-3556 <br /> Report Issue Date: 12/15/15 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 /> 15-14522 Coliform Drinking Water 12/14/15 11:51 Absent <br /> 15-14522 Nitrate/N Drinking Water 12/15/15 11:35 <1.0 mg/L <br /> 15-14522 Arsenic Drinking Water 12/14/15 8:15 12/15/15 11:55 5.66 µg/L <br /> Lead prinking Water µg/L <br /> fSitrite/N Dr�.^.kl:�g�J�ldt2r, III��L <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 818004 <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: 4565 Bayside Road;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Denali Custom <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: Sample Temp: 14°C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples listed Maximum contaminant levels: <br /> above have the following reporting levels: Coliform-<1 cfu/100 ml <br /> SM92228-Coliform,1 cfu/100 ml Nitrate Nitrogen 10.0 mg/IL <br /> SM4500F or EPA 353.2-Nitrate Nitrogen,1.0 mg/L Arsenic,10.0 µg/L <br /> SM3113B-Arsenic,2.0µg/I,Lead,2.0 µg/L Lead,15.0µg/L <br /> EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L <br /> ) /;� 7/,? <br /> .��L i�,� ;'./ � !�:.<.xs'.���.r.,Lt'�,c�-^/''. <br /> Sample Collected by: X Client _TCWC Approved By: � "� <br /> 1 <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 procedures were foltowed,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 /> TCWD Rev 2.0 Page 1 of 1 <br />