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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 /> CI1211L: Don Stodola Well Drilling Co Report Number: i2-iz�59 Twin City Water Clinic Inc. <br /> Sample Collection Date: ii/i2/iz 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: ii/is/ii Phone: (952)935-3556 <br /> Report Issue Date: 11/ia/i2 Fax: (952)935-5077 <br /> Laborator Analyte Client ID Parameter Sample Prep Sample Analysis Test <br /> Sample ID Date Time Date Time Results Units <br /> 12-12769 Coliform Drinking Water 11/13/12 12:53 Absent <br /> 12-12769 Nitrate/N Drinking Water 11/13/12 13:42 <1.0 mg/I <br /> 12-12769 Arsenic Drinking Water 11/13/12 9:30 11/14/12 16:15 2.49 µg/I <br /> Lead Drinking Water µg/I <br /> Drinking Water <br /> Drinking Water <br /> Drinking Water <br /> Well No.: <br /> X No samples were subcontracted;or the above test result(s) <br /> with'**'designation were produced by.a subcontracted Sampl2 pt: <br /> laboratory. [Laboratory name;address;MDH Lab ID#].The Well Adr: 4495 Bayside Rd,Orono,MN <br /> subcontracted laboratory mainfains MDH Certification for the Owner: Katherine Taylor <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 /> Nitrate Nitrogen 10.0 mg/I <br /> SM4500D-Nitrate Nitrogen, 1.0 mg/I Arsenic, 10.0 µg/I <br /> SM3113B-Arsenic, 2.0µg/I Lead,15.0µg/I <br /> SM31136-Lead, 2.0µg/I <br /> , ,) ;i , <br /> � ,r � <br /> �,%." , � ��,�3.u..rc -�car fi"f <br /> 1 V:� <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 />