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Minnesota State Laboratory ID#027-053-119 <br /> Twin City Water Clinic Laboratory Test Report Wisconsin State Laboratory ID#105-10117 <br /> Wisconsin DNR Lab ID#399073400 <br /> Cli2nt: Don Stodola Well Drilling Report Number: 16-07063 Twin City Water Clinic Inc. <br /> Sample Collection Date: 05/19/16 617 13th Avenue South <br /> ACICII'ESS: 3841 North Main Street Sample Collection Time: 16:0o Hopkins, MN 55343 <br /> st.sonifacius,MN 55375 Sample Receipt Date: o5/zo/15 Phone: (952)935-3556 <br /> Report Issue Date: o5/z3/16 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 /> 16-07063 Coliform Drinking Water 05/20/16 13:01 Absent <br /> 16-07063 Nitrate/N Drinking Water 05/20/16 13:17 <1.0 mg/L <br /> 16-07063 Arsenic Drinking Water 05/20/16 8:00 05/23/16 10:57 21.30 µg/L <br /> Lead Drinking Water µg/L <br /> Nitrite/N Drinking Water mg�L <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 818028 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by a subcontracted Sample pt: Well <br /> laboratory. [Laboratory name;address;MDH Lab ID#]. The Well Adr: 1449 Bay Ridge Road;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Tom Otteson <br /> field{s)of testing performed. <br /> OwnerAdr: <br /> Sample Conditions: Sample Temp: 8°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 /> SM9222B-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,2A µg/L Lead,15.0µg/L <br /> EPA 353.2-Nitrite Nitrogen, 1.0 mg/L Nitrite,1 mg/L <br /> ,r1 � - <br /> Sample Collected by: X Client _TCWC Approved By: t� � � `�'""��""w`'�'`'�`"`"'`` �{�f�f <br /> , ` <br /> BiIIVVan 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 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 /> TCWD Rev 2.0 Page 1 of 1 <br />