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Minnesota State laboratory ID#A27-053-119 <br /> TWI11 Clt�/WatEC C�1111C LabOCatOP�/TESt RBpOrt wisconsin 5tate Laboratory ID#to5-1o117 <br /> Wisconsin DNR Lab ID#399073400 <br /> Client: Don Stodola Well Drilling Report Number: 16-15866 Twin City Water Clinic Inc. <br /> Sample Collection Date: 10/30/16 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: �a:oo Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 10/31/16 PhOne:(952)935-3556 <br /> Report Issue Date: �i/o�/�e Fax:(952)935-5077 <br /> Laborato Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID ' Date Time Date Time Results Units <br /> 16-15866 Coliform Drinking Water 10/31/16 13:51 Absent <br /> 16-15866 Nitrate/N Drinking Water 10/31/16 14:04 <1.0 mg/L <br /> 16-15866 Arsenic Drinking Water 10/31/16 8:30 11/01/16 13:24 30.20 µg/L <br /> Lead Drinking Water µg/L <br /> Nitrite/N Drinking Water mg/L <br /> Drinking Water <br /> Drinking Water <br /> - Well No.: 823444 <br /> X No samples were subco�trected;or the above test result(s) Sample pt: Well <br /> with'**'designation were produced by a subcontracted <br /> labo�atory. [Laboratory name;address;MDH Lab ID#J. The Well Adr. 3099 Fairview Lane;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner. Laura Gibson <br /> field(s)of testing performed. ' " <br /> Owner Adr: <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 /> SM92228-'Coliform,1 cfu J 100 ml Nitrate Nitrogen l0A mg/IL <br /> SM4500F or EPA 353.2-Nitrate Nitrogen,1.D mg/L ' Arsenic,10.0 µg/L ' <br /> SM3113B-'Arsenic,2.0µg/I,Lead,2.0 µg/L ; Lead,15.0µg J L <br /> EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/C <br /> ^. <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 aesurarace procedures were followed,unless otherwise ' <br /> noted.This analytical report must be reported in its entirety.Allmethods are certified by the Minnesota Department of Health,unless othervvise <br /> noted. _ <br /> TCWD Rev 2.0 Page 1 of 1 <br />