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� � Y <br /> Minnesota State Laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-10117 <br /> Client: Don Stodola Report Number: iz-�os Twin City Water Clinic Inc. <br /> Sample Collection Date: oa/Zs/iz 617 13th Avenue South <br /> Address: 3841 N Main St Sample Collection Time: io:oo Hopkins, MN 55343 <br /> st,Bonifacius,MN 55375 Sample Receipt Date: oa/z6/ii Phone:(952)935-3556 <br /> Report Issue Date: oa/z�/iz Fax:(952�935-5077 <br /> Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 12-04305 Coliform Drinking Water 04/26/12 12:23 Absent <br /> 12-04305 Nitrate Drinking Water 04/26/12 12:03 <1.0 mg/I <br /> 12-04305 Arsenic Drinking Water 04/26/12 9:00 04/27/12 10:04 <2.o µg/I <br /> Lead Drinking Water µg/� <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> , X No samples were subcontracted;or the above test result(s) Well No.: 788240 <br /> with'**'designation were produced by a subcontracted Sample pt: <br /> laboratory. [Laboratory name; Well Adr: 75 Leaf St Orono,MN <br /> address;MDH Lab ID#). The subcontracted <br /> laboratory maintains MDH Certification for the field(s)of testing Owner: BOyer Bldg <br /> performed. Owner Adr: <br /> Sample Conditions: <br /> Sample Temperature: 7 °C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples This Sample meets the <br /> listed above have the foliowing reporting levels: Maximum contaminant levels: State of Minnesota, <br /> SM92226-Coliform, 1 cfu/100 ml Coliform-<1 cfu/100 ml Wisconsin and EPA <br /> Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic,10.0 µg/I guidelines for safe <br /> SM 3003-Arsenic, 2.0µg/I Lead,15.0µg/I drinking water for the <br /> SM3113-Lead,2.0µg/I analytes tested. <br /> 1 � \ � <br /> � � /�///Jj� ` I <br /> 'V//� / L:4�GOHJ'�5�^GS��f���_ <br /> Sample Coilected by: X Client _TCWC Approved By: ,,� " � <br /> Bill Van Arsdale Afan 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 />