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2515 North Shore Drive - 09-117-23-41-0002
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Last modified
8/22/2023 5:50:59 PM
Creation date
10/9/2017 3:08:28 PM
Metadata
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Template:
x Address Old
House Number
2515
Street Name
North Shore
Street Type
Drive
Address
2515 North Shore Dr
Document Type
Land Use
PIN
0911723410002
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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 Drilling Co Report Number: iz-i333 Twin City Water Clinic Inc. <br /> Sample Collection Date: 06/13/12 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time:� 13:00 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: oe/ia/iz Phone: (952)935-3556 <br /> Report Issue Date: os/is/iz Fax: (952)935-5077 <br /> Laborator Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 12-06365 Coliform Drinking Water 06/14/12 14:35 Absent <br /> 12-06365 Nitrate/N Drinking Water 06/14/12 14:16 <1.0 mg/I <br /> 12-06365 Arsenic Drinking Water 06/14/12 7:45 06/15/12 11:31 9.79 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> X No samples were subcontracted;or the above test result(s) Well No.: 791976 <br /> with'**'designation were produced by a subcontracted Sample pt: <br /> laboratory. Well Adr: 2515 North Shore Dr.Orono,MN <br /> [Laboratory name;address;MDH Lab ID#]. <br /> The subcontracted laboratory Owner: Mandeep Sodhi <br /> maintains MDH Certification for the field(s)of testing Owner Adr: <br /> Sample Conditions: <br /> Sample Temperature: 11 °C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples This Sample meets the <br /> listed above have the following reporting levels Maximum contaminant levels State of Minnesota, <br /> Coliform-<1 cfu/100 ml <br /> SM92226-Coliform, 1 cfu/100 ml Wisconsin and EPA <br /> Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I qrsenic,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 n/�' �.��%�i`.:�,���� <br /> Sam le Collected by: X Client _TCWC Approved By: ;,� `,��� <br /> p <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 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 />
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