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Minnesota State Laboratory ID#027-053-119 <br /> Twin City Water Clinic Laboratory Test Report Wisconsin State Laboratory ID#105-10117 <br /> Wisconsin DNR Lab ID#399073400 <br /> Client: Don Stodola Well Drilling Report Number: 17-10336 Twin City Water Clinic Inc. <br /> Sample Collection Date: 08/30/17 617 13th Avenue South <br /> Address: 3841 N Main Street Sample Collection Time: 13:30 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 08/31/17 Phone:(952)935-3556 <br /> Report Issue Date: 09/01/17 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 /> 17-10336 Coliform Drinking Water 08/31/17 13:36 Absent <br /> 17-10336 Nitrate/N Drinking Water 08/31/17 12:05 <1.0 mg/L <br /> 17-10336 Arsenic Drinking Water 08/31/17 8:30 09/01/17 10:34 4.35 p.g/L <br /> Lead Drinking Water µg/L <br /> mg/L <br /> Well No.: 826639 <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. [Laboratory name;address;MDH Lab ID#]. The Well Adr: 4005 North Shore Drive;Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Jim&Vicki Splinter <br /> field(s)of testing performed. <br /> Owner Adr: <br /> Sample Conditions: Sample Temp: 16°C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples listed above have. <br /> the following reporting levels: Maximum contaminant levels: <br /> SM9222B-Coliform;1 cfu/100 ml Coliform-<1 cfu/100 ml Nitrate <br /> EPA 353.2-Nitrate Nitrogen expressed as NO3+NO2,1.0 mg/L Nitrogen 10.0 mg/L Arsenic,10.0 <br /> 5M31138-Arsenic,2.0µg/I,Lead,2.0 µg/L µg/L Lead,15.0 Lig/L <br /> EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L <br /> Sample Collected by: X Client TCWC Approved By: / <br /> Bill Van Arsdale <br /> Laboratory Manager <br /> The results listed in this report apply only to the above listed samples.All routine quality assurance procedures were followed,unless otherwise <br /> noted.This analytical report must be reported in its entirety.All methods are certified by the Minnesota Department of Health,unless otherwise <br /> noted. <br /> TCWD Rev 4.0 Page 1 of 1 <br />