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� . , <br /> Twin City Water Clinic Laboratory Test Report Minnesota State Laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-l0117 <br /> ' Client: Don Stodola Well Drilling Co Report Number: 13-13475 Twin City Water Clinic Inc. <br /> Sample Collection Date: 30/23/13 617 13th Avenue South <br /> Address: asai North nnatr,street Sample Collection Time: ii:so Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: io/za/is Phone: (952)935-3556 <br /> Report Issue Date: io/zs/ia 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 /> 13-13475 Coliform Drinking Water 10/24/13 13:12 Absent <br /> 13-13475 Nitrate/N Drinking Water 10/24/13 13:12 <1.0 mg/I <br /> 13-13475 Arsenic Drinking Water 10/24/13 10:00 10/25/13 13:08 3.11 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 799022 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by a subcontrected Sample pt: <br /> laboretory. [Laboratory name;address;MDH Lab ID#].The Well Adr: 1699 Northfarm Rd Orono,MN <br /> subcontracted laboretory maintains MDH Certification for the Owner: Richard Perkins <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: <br /> Sample Temperature: 8 °C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples <br /> listed above have the following reporting levels: Maximum contaminant tevels: <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,lo.0 µg/I <br /> SM3113B-Arsenic,2.0µg/I Lead,15.0µg/I <br /> SM31136-Lead,2.0µg/I <br /> � '�,,��pr,� �� ����'""-.l''"E�%` <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 />