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. . � <br /> 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: io-oza�a Twin City Water Clinic Inc. <br /> Sample Collection Date: i2/zi/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: i2/zz/io Phone: (952)935-3556 <br /> Report Issue Date: iz/z3/io 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 /> 10-11750 Coliform Drinking Water 12/22/10 14:13 Absent <br /> Nitrate/N Drinking Water mg/I <br /> Arsenic Drinking Water µg/� <br /> Lead Drinking Water µg/� <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#776855 915 Partenwood 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. Sdmple 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 /> SM92226-Coliform, 1 cfu/100 ml Coliform-<1 cfu/100 ml N►isconsin and EPA <br /> Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic,10.0 µg/I guidelines for 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 /> , � �; <br /> �,,,�/ !� , � <br /> Sample Collected by: X Client _TCWC Approved By: ,;' " � <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 />