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� 'v <br /> Minnesota State Laboratory ID#027-053-119 <br /> TWI17 CitY WBteP��1111C �dbOP8t01'y teSt R8p01't yyisconsin5tate Laboratory ID11105-101i7 <br /> Client: Don Stodola WeII,Drilling Report Number: ia-i2aso Twin City Water Clinic Inc. <br /> Sampie Collection Date: 11/06/14 61713th Avenue South <br /> Address: 3s41 North Main street Sample Collection Time: 15:0o Hopkins, MN 55343 <br /> st.sonifacius,MN 55375 Sample Receipt Date: ��/o�/�a Phone:(952)935-3556 <br /> Report Issue Date: ��/�o/�a Fax:(952)935-5077 <br /> Laborato Analyte ' (i�nt`ID Parameter 'Sample Prep> Sample Analysis Test <br /> Sample tD Date Time Date Time Results Units <br /> 14-12430 Coliform Drinking Water 11/07/14 13:31 Absent <br /> 14-12430 Nitrate/N Drinking Water 11/07/14 13:35 <2.0 mg/I <br /> 1412430 Arsenic Drinking Water il/07/14 8:00 11/10/14 12:14 2.90 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> Well No.: 804568 <br /> �No samples were subcontracEed;or the abave test result�s) <br /> with""designation were produc�d by a,5ubcontracted ` Sample pt: Well <br /> laboratory.;{Laboratory name;atlltlresr,MDH Lab 1D#j.The Well Adr. 1135 Pine View Dr;Orono,MN <br /> subcontracted laboratory maintains IVIDH Certification for the ' Owner: Mark D Williams Homes <br /> field(s)of TesCing perFarmed. <br /> Owner Adr: <br /> Sample Conditions: <br /> Sample Temperature: 7 'C <br /> Discussion: <br /> Notes: <br /> Approved'methods used in analyzing thesamples <br /> listed above have the follo ing reporting fevels: : Maximum contaminant levels; <br /> Coliform-<1 cfu/100 ml <br /> SM9222B-Goliform,1 cfu 100 ml Nitrate Nitrogen 10.0'rng{l <br /> SM4500D-Nitrate Ni�rogett,I.0 mg/1 ' <br /> Arsenic,1b.0 µg/I <br /> SM3113B-Arser�i ,2.bµg/I ' <br /> � Lead,15.0µg/I <br /> SIN3113B=�.ead,�.(�µg/I <br /> � �1 .+��_. <br /> Sam le Collected b : X Client TCWC A roved B : '�_ ` "�-� <br /> p Y _. _ PP Y � <br /> Bill Van Arsdale Alan Senechal <br /> Laboratory Manager Senior Analyst <br /> The results listed in this r�port apply only to;the above listed samples.All routine quality assurance <br /> procedures were followeid, unless otheruuise noted..This analyticel report must be reported in its entirety.:' <br /> All methods are:certified by the Minnesota Department of Nealth, unless otherwise noted. <br /> TCWD Rev 1.2 ' Page 1 of 1 <br />