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� <br /> Twin City Water Clinic Laboratory Test Report Minnesota State Laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-10117 <br /> CI1211t: Don Stodola Well Drilling Co Report Number: ii-oa61 Twin City Water Clinic Inc. <br /> Sample Collection Date: on/ii/is 617 13th Avenue South <br /> ACICII'255: 3841 North Main Street Sample Collection Time: ia:oo Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: oa/iz/ii Phone: (952)935-3556 <br /> Report �ssue Date: oa/i3/ii 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 /> 11-02986 Coliform Drinking Water 04/12/11 13:38 Absent <br /> 11-02986 Nitrate/N Drinking Water 04/12/11 11:54 65.36 mg/I <br /> i1-02986 Arsenic Drinking Water 04/12/11 8:45 04/13/11 11:33 <2.0 µg/I <br /> Lead Drinking Water µg/� <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> X No samples were subcontracted;or the above test result(s) <br /> Sample Conditions/Discussion/Notes: <br /> with'**'designation were produced by a subcontracted <br /> laboratory. Sample Location-Well#783503 Tom Lutz 258 Cygnet Place Orono,MN <br /> (Laboratory name;address;MDH Lab ID#j. <br /> The subcontracted laboratory maintains MDH Certification for <br /> the field(s)of testing performed. Sample Temperature: 9 °C <br /> Sample Conditions: <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples This Sample does not <br /> listed above have the following reporting levels: Maximum contaminant levels: meet the State Af <br /> SM92226-Coliform, 1 cfu/ 100 ml Coliform-<1 cfu/100,ml <br /> Minnesota,Wisconsin <br /> Nitrate Nitrogen 10.0 mg/I <br /> SM4500D- Nitrate Nitrogen, 1.0 mg/I Arsenic, 10.0 µg/I and EPA guidelines for <br /> SM 3003-Arsenic, 2.0µg/I Lead, 15.0µg/I safe drinking water for <br /> SM3113-Lead, 2.0µg/I the analytes tested. <br /> ,� � � <br /> , :�.�.:��.� <br /> , <br /> �'�,� / �. � _. <br /> Sample 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 />