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� <br /> Minnesota State Laboratory ID#027-053-119 <br /> TWI11 Clt�/�/at@1' C�IIIIC �a�70PatOP�/TeSt REp01't wisconsin state�aboratory ID#to6-1o117 <br /> Wisconsin DNR Lab ID#399073400 <br /> Client: Don Stodola Well Drilling Report NumbeP: 15-11046 Twin City Water Clinic Inc. <br /> � Sample Collection Date: 09/15/15 617 13th Avenue South <br /> Address: 3841 North Main Street Sample Collection Time: 15:0o Hopkins, MN 55343 <br /> St.Bonifacius,MN 55375 Sample Receipt Date: 09/16/15 Phone: (952)935-3556 <br /> Report Issue Date: 09/17/15 Fax:(952)935-5077 <br /> Laborato Analyte Client ID Farameter Sample Prep Sample Analysis Test <br /> Sample'ID Date Time Date Time Results Units <br /> 15-11046 Coliform Drinking Water 09/16/15 14:05 Absent <br /> 15-13046 Nitrate/N Drinking Water 09/16/15 13:01 <1.0 mg/L <br /> 15-11046 Arsenic Drinking Water 09/16/15 8:30 09/17/15 13:03 2.96 µg/L <br /> Lead Drinking Water µg/L <br /> Nitrite/N Drinking Water mg/L <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 810890 <br /> X No samples were subcont�acted;or the above test result(s) <br /> with'""designation were produced by a subcontracted Sample pt: Well ' <br /> laboratory. [Laboratoryname;address;MDH Lab ID#]. The Well Adr. 559 Park Lane;Orono,MN <br /> subcontracted laboretory maintains MDH Certification forthe Owner. Atlas Construction r�Hr u � � !"3 <br /> field(s)of testing performed. <br /> Owner Adr: <br /> OF ORONO <br /> Sample Conditions: Sample Temp: 14°C <br /> Discussion: <br /> Notes: <br /> Approved methods used in analyzing tt�e samples listed Maximum contaminant leveis: ' <br /> above have the#ollowing reporting levels: Coliform-z1 cfu/100 ml <br /> SM92228-Coliform,1 cfu/100 mf Nitrate Nitrogen 10.0 mg/IL <br /> SM4500E or EPA 353.2-Nitrate Nitrogen,1:O mg/L Arsenic,10.0 µg/t ' <br /> SM31136=Arsenic,2.0µg/J,Lead,2.0 µg/L Lead,15.0µg/L <br /> EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L <br /> Sample Collected by: X Client _TCWC Approved By: �,'�'LU/� �`'��`�'�"��'`"""� <br /> � <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 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 2.0 Page 1 of 1 <br />