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Twin City Water Clinic Laboratory Test Report Minnesota State Laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-10117 <br /> Client: Don Stodola Well Drillin Report Number: ia-ions Twin City Water Clinic Inc. <br /> Sample Collection Date: o9/zs/ia 61713th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: ia:oo Hopkins, MN 55343 <br /> 5t.eonifacius,MN 55375 Sample Receipt Date: 09/29/14 Phone: (952)935-3556 <br /> Report Issue Date: 09/30/14 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 /> 14-10728 Coliform Drinking Water 09/29/14 15:12 Absent <br /> 14-10728 Nitrate/N Drinking Water 09/30/14 14:48 <3.0 mg/I <br /> 14-10728 Arsenic Drinking Water 09/29/14 11:00 09/30/14 14:38 5.53 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 799036 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by a subcontracted Sample pt: Well <br /> laboratory. [Laboretory name;address;MDH Lab ID�i].The Well Adr: 1065 Linden Lane;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Swansen Homes <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: <br /> Sample Temperature: 6 °C <br /> Discussion: <br /> Notes: � <br /> Approved methods used in analyzing the samples <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/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic,10.0 µg/I <br /> SM3113B-Arsenic,2.0µg/I Lead,15.0µg/I <br /> SM31136-Lead,2.0µg/I <br /> , , � , , <br /> , � <br /> / ,/��� <br /> '✓r�,,,�;'/ �.' ��t'a-�� . <br /> Sample Collected by: X Client _TCWC Approved By: �: ' �� <br /> Bill Van Arsdale Alan Senechal <br /> Laboretory 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 />