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2400 Fox Street - 04-117-23-41-0011
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Last modified
8/22/2023 5:13:30 PM
Creation date
10/19/2016 11:46:04 AM
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x Address Old
House Number
2400
Street Name
Fox
Street Type
Street
Address
2400 Fox St
Document Type
Land Use
PIN
0411723410011
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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 /> CIIEIIt: Don Stodola Well Drilling Co Report Number: io-ozlza Twin City Water Clinic Inc. <br /> Sample Collection Date: io/Za/io 617 13th Avenue South <br /> ACICII'e55: 3841 North Main Street Sample Collection Time: is:oo Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: io/z9/io Phone: (952)935-3556 <br /> Report Issue Date: ii/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 /> 10-10178 Coliform Drinking Water 10/29/10 13:44 Absent <br /> 10-10178 Nitrate/N Drinking Water 10/29/10 14:26 <1.0 mg/I <br /> 10-10178 Arsenic Drinking Water 10/29/10 9:00 11/Ol/10 10:41 <2.0 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> X No samples were subcontracted;or the above test result(s) Sample Conditions/Discussion/Notes: <br /> with'**'designation were produced by a subcontracted <br /> laboratory. Sample Location-#776854 <br /> [Laboratory name;address;MDH Lab IDN]. Charles Cudd 2400 Fox St.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 /> Coliform-<1 cfu/100 ml <br /> SM9222B-Coliform, 1 cfu/100 ml Wisconsin and EPA <br /> Nitrate Nitrogen 10.0 mg/I uidelines for safe <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic, 10.0 µg/I g <br /> SM 3003-Arsenic, 2.0µg/I �ead,15.0µg/I drinking water for the <br /> SM3113-Lead, 2.0 µg/I analytes tested. <br /> '✓'� .:>,;/ �.Cl�.e�.ul�lca���l <br /> Sample Collected by: X Client _TCWC Approved By: „ � `�� � <br /> BiII 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 />
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