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� ♦ .1 <br /> Minnesota State Laboratory ID#027-053-119 <br /> Twin City Water Clinic Laboratory Test Report y�/�sconsin State Laboratory ID#105-10117 <br /> Cllellt: Don Stodola Well Drilling Co Report Number: iz-o�z Twin City Water Clinic Inc. <br /> Sample Collection Date: oi/iz/iz 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: is:oo Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: oi/is/iz Phone: (952)935-3556 <br /> Report Issue Date: oi/i6/iz 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 /> 12-00528 Coliform Drinking Water 01/13/12 13:41 Absent <br /> 12-00528 Nitrate/N Drinking Water 01/13/12 13:20 <1.0 mg/I <br /> 12-00528 Arsenic Drinking Water 01/13/12 9:30 OS/16/12 10:40 4.72 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) Well No.: 783502 <br /> with'**'designation were produced by a subcontracted Sample pt: <br /> laboratory. <br /> [Laboratory name;address;MDH Lab ID#�. Well Adr: 3215 Graham Hill Rd.Orono,MN <br /> The subcontracted laboratory Owner: Charles Cudd Denova <br /> maintains MDH Certification for the field(s)of testing Owner Adr: <br /> Sample Conditions: <br /> Sample Temperature: 18 �C <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 <br /> Coliform, 1 cfu/100 ml <br /> Nitrate Nitrogen 10.0 mg/I Wisconsin and EPA <br /> SM4500D- Nitrate Nitrogen, 1.0 mg/I Arsenic, 10.o µg/I guidelines for safe <br /> Lead, 15.0µg/I drinking water for the <br /> SM 3003-Arsenic, 2.0µg/I analytes tested. <br /> , ,� ,� ,7 <br /> v^ � ' '�.u,�.���-(� <br /> �,��i �- - <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 />