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� �r <br /> TW111 Clt�/W8tE1' C�II11C L8bOP8t01"�/TeSt R2pOP't Minnesota State Laboratory ID#027-053-119 <br /> Wisconsin State Laboratory ID#105-10117 <br /> Client: Don Stodola Well Drilling Co Report Number: 13-13528 Twin City Water Clinic Inc. <br /> Sample Collection Date: 10/30/13 61713th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 15:30 Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 30/31/13 Phone:(952)935-3556 <br /> Report Issue Date: 11/Ol/13 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 /> 13-13528 Coliform Drinking Water 30/31/13 12:46 Absent <br /> 13-13528 Nitrate/N Drinking Water 10/31/13 12:02 <1.0 mg/I <br /> 13-13528 Arsenic Drinking Water 10/31/13 10:40 li/Ol/13 1129 2.24 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 799023 <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by a subcontreded Sample pt: <br /> laboretory. [Laboretory name;address;MDH Lab ID#].The Well Adr: 475 Oxford Rd Orono,MN <br /> subcontracted laboratory maintains MDH Certification for the Owner: Thomas Bren Homes <br /> field(s)of testing performed. <br /> Owner Adr. <br /> Sample Conditions: <br /> Sample Temperature: 11 'C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing the samples <br /> listed above have the following reporting levels: Maximum contaminant levels: <br /> SM9222B-Coliform, 1 cfu/100 ml Coliform-<1 cfu/100 ml <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Nitrate Nitrogen 10.0 mg/I <br /> Arsenic,10.0 µg/I <br /> SM3113B-Arsenic,2.0µg/I Lead,15.0µg/t <br /> SM31136-Lead,2.Oµg/I <br /> � �� �� � �; ��. � <br /> Sample Collected by: X Client _TCWC Approved By: ;;` `��f <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 />