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Old Crystal Bay Road South
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1000 Old Crystal Bay Road South- 09-117-23-11-0009
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Last modified
8/22/2023 5:48:41 PM
Creation date
4/6/2018 11:40:50 AM
Metadata
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x Address Old
House Number
1000
Street Name
Old Crystal Bay
Street Type
Road
Street Direction
South
Address
1000 Old Crystal Bay Rd S
Document Type
Land Use
PIN
0911723110009
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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: 10-02471 Twin City Water Clinic Inc. <br /> Sample Collection Date: 12/21/10 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 13:30 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 12/22/10 Phone: (952)935-3556 <br /> Report Issue Date: 12/23/10 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 /> 10-11748 Coliform Drinking Water 12/22/10 14:11 Absent <br /> Nitrate/N Drinking Water mg/I <br /> Arsenic Drinking Water pg/I <br /> Lead Drinking Water p.g/I <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#770025 1000 old Crystal Bay Rd 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: 15 °C <br /> Sample Conditions: <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 /> SM9222B-Coliform, 1 cfu/100 ml Wisconsin and EPA <br /> Nitrate Nitrogen 10.0 mg/I <br /> 5M4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic, 10.0 µg/I guidelines for safe <br /> SM 3003-Arsenic,2.014/ILead,15.0µg/I drinking water for the <br /> SM3113-Lead, 2.0 pg/I analytes tested. <br /> 7 <br /> v �J/ Ili at <br /> Sample Collected by: X Client _TCWC Approved By: C <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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