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i � <br /> Twin City Water Clinic Laboratory Test Report Minnesota State Laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-10117 <br /> Clll'11t: Don Stodola Well Drilling Co Report Number: io-o2i2a Twin City Water Clinic Inc. <br /> Sample Collection Date: io/zs/io 617 13th Avenue South <br /> ACIdC255: 3841 North Main Street Sample Collection Time: ia:oo Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: io/z9/io Phone: (952)935-3556 <br /> Report Issue Date: 11/oi/io 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 /> 10-10177 Coliform Drinking Ulater 10/29/10 13:43 Absent <br /> 10-10177 Nitrate/N Drinking Water 10/29/10 14:24 <1.0 mg/I <br /> 10-10177 Arsenic Drinking Water 10/29/10 9:00 11/O1/10 10:35 2.79 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 su6contracted <br /> laboratory. Sample Location-#776870 <br /> [Laboratory name;address;MDH Lab ID#i]. Denal:Custom Homes 515�erndale Rd N.Orono,MN <br /> The subcontracted laboratory maintains MDH Certification for <br /> the field(s)of testing performed. Sample Temperature: 4 °C <br /> Sample Conditions: <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples This Sample meets the <br /> listed above have the following reporting levels: Maximum contaminant levels: State of Minnesota, <br /> SM9222B-Coliform, 1 cfu/100 ml Coliform-<1 cfu/100 ml Wisconsin and EPA <br /> Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic, 10.0 µg/I guidelines for safe <br /> SM 3003-Arsenic, 2.0µg/I Lead,15.0µg/I drinking water for the <br /> SM3113- Lead, 2.0µg/I analytes tested. <br /> ` � � � ,�,���,.�i 7 <br /> � ,, %� �1� <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 />