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3115 North Shore Drive - 09-117-23-32-0013
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Last modified
8/22/2023 5:50:10 PM
Creation date
10/23/2017 1:15:51 PM
Metadata
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Template:
x Address Old
House Number
3115
Street Name
North Shore
Street Type
Drive
Address
3115 North Shore Dr
Document Type
Land Use
PIN
0911723320013
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Twin Cit Water Clinic Laborator Test Re ort Minnesota State Laboratory ID#027-053-119 <br /> y y p Wisconsin State Laboratory ID#105-10117 <br /> Client: Don Stodola Well Drilling Co Report Number: lo-ois5z Twin City Water Clinic Inc. <br /> Sample Collection Date: o9/z�/io 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: is:oo Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: o9/za/io Phone: (952)935-3556 <br /> Report Issue Date: o9/zs/io 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 /> 10-09181 Coliform Drinking Water 09/28/10 1328 Absent <br /> 10-09181 Nitrate/N Drinking Water 09/28/10 13:52 <1.0 mg/I <br /> 10-09181 Arsenic Drinking Water 09/28/10 8:50 09/29/30 12:37 3.87 µg/I <br /> Lead Drinking Water µb/� <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> X No samples were subcontracted;or the above test result(s) <br /> Sample Conditions/Discussion/Notes: <br /> with'**'designation were produced by a subcontracted <br /> laboratory. Sample Location-Well#776881 3115 North Shore Drive Orono,MN <br /> [Laboratory name;address;MDH Lab ID#]. <br /> The subcontracted laboratory maintains MDH Certification for <br /> the field(s)of testing performed. Sample Temperature: 13 °C <br /> Sample Conditions: <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples This 5ample meets the <br /> listed above have the following reporting levels: Maximum contaminant levels: State of Minnesota, <br /> Coliform-<1 cfu/100 ml Wistonsin and EPA <br /> SM92226-Coliform, 1 cfu/100 ml Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I qrsenic,10.0 µg/I guidelines fior 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 /> �^ ,�/ �� ��, <br /> Sample Collected by: X Client _TCWC Approved By: ,;` �v� <br /> Bill Van Arsdale Alan Senechal <br /> Laboratory Manager Senior Analyst <br /> The results listed in this report apply only to the above lis�ed sam�les.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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