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. <br /> , <br /> l <br /> Minnesota State L�aboratory ID#027-053-119 <br /> TWI11 Clt�/Wat@P C�1171C L8b01'atOP�/T@St Rep01"t wisconsin state I.aboratory ID#io5-1o1i7 <br /> Wisconsin DNR Lab ID#399073400 <br /> Client: Don Stodola Well Drilling Report Number: 15-01776 TWltl Clty WeteP CI1111C 117C. <br /> Sample Collection Date: 02/12/15 61713th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 13:0o Hopkins, MN 55343 <br /> st.Bonifacius,MN 55375 Sample Receipt Date: 02/13/15 Phone: (952)935-3556 <br /> Report Issue Date: oz/16/15 Fax: (952)935-5077 <br /> Laborato Analy#e Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 15-01776 Coliform Drinking Water 02/13/15 12:31 Absent <br /> 15-01776 Nitrate/N Drinking Water 02/13/15 13:05 ' <1.0 mg/L <br /> 15-01776 Arsenic Drinking Water 0�/13/15 8:15 02/16/15 10:19 Q.0 µg/L . <br /> Lead Drinking Water µg/� <br /> Nitrite/N Drinking Water mg/L <br /> Drinking Water <br /> Drinking Water <br /> X No samples were subcontrected;or the above test result(s) Well No.: 810857 <br /> with'**'designation were produced by a subcontreded Sample pt: Well <br /> laboratory._, Well Adr. 1005 Huntfarm Rd;Orono,MN <br /> [I.aboratoryhame;address;MDH Lab ID#]. Owner. Steve Perisian <br /> The subcontractedJaboratorymaintains MDH Certificatio�for <br /> the field(s)of testing perFormed. Owner Adr: <br /> Sample Conditions: Sample Temp: 7°C <br /> Discussion: <br /> Notes: <br /> pprove met o s use in ana yzing t e samp es <br /> listed above have the following reporting levels: Maximum contaminant levels: <br /> SM9222B-Coliform,1 cfu/100 ml Coliform-<1 cfu/100 ml <br /> Nitrate Nitrogen 10.0 mg/IL <br /> SM4500F or EPA 353.2-Nitrate Nitrogen, 1.0 mg/ qrsenic,10.0 µg/L <br /> L SM3113B-Arsenic,2.0 Lead,15.0µg/L <br /> µg/I, Lead,2.0 µg/L Nitrite,l mg/L <br /> EPA 353.2-Nitrite Nitro en 1.0 m L <br /> " ��' ,f�� �.,,�-� <br /> Sample Collected by: X Client _TCWC Approved By: ;�"��!f `" `=�'�`'-"�-- "` "- <br /> Bill Van Arsdale Alan Senechal <br /> Laboratory Manager SeniorAnalyst <br /> The results listed in this report apply only to the above listed samples.All routine quality assurence procedures were foL'owed,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 />