WQ0004825_Residual Annual Report 2021_20220224

Non-Discharge Branch Upload/Submittal Form �.
NORTH CAROLINA
EnWrvnmenfol Quoity
Version 2-Revised June 23,2020
Initial Review
Reviewer Thornburg,Nathaniel D
Is this submittal an application?(Excluding additional information.)*
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Annual Report Year* 2021
Permit Number(IR)* WQ0004825
Applicant/Permittee City of Randleman
Email Notifications
Does this need review by the hydrogeologist?* Yes • No
Regional Office Winston-Salem
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal,confirmation of receipt,and other correspondence.
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Name* Lysa Finnerty
Email Address* Phone Number*
[e-mail] 14105376150
Project Information
Application/Document Type* New(Fee Required) Modification-Minor
Modification-Major(Fee Required) Renewal
Renewal with Major Modification(Fee GW-59, NDMR,NDMLR, NDAR-1,
Required) NDAR-2
Annual Report Residual Annual Report
Additional Information Change of Ownership
Other
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deg.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:* Wastewater Irrigation High-Rate Infiltration
Other Wastewater Reclaimed Water
Closed-Loop Recycle Residuals
Single-Family Residence Wastewater Other
Irrigation
Permit Number:* WQ0004825
Has Current Existing permit number
Applicant/Permittee Address* 435 Williams Court,Ste 100,Baltimore,MD 21220
Facility Name* City of Randleman Class B Residuals Program
Please provide comments/notes on your current submittal below.
2021 Annual Report for City of Randleman,NC
At this time,paper copies are no longer required.If you have any questions about what is required,please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form,Engineering Plans,Specifications,Calculations,Etc.)
Randleman NC 2021 Annual Report FINAL.pdf 9.5MB
Upload only 1 PDF document(less than 250 MB).Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be
accepted for pre-review until the fee(if required)has been received by the Non-
Discharge Branch.Application fees must be submitted by check or money order and
made payable to the North Carolina Department of Environmental Quality(NCDEQ).
I also confirm that the uploaded document is a single PDF with all parts of the
application in correct order(as specified by the application).
Mail payment to:
NCDEQ—Division of Water Resources
Attn:Non-Discharge Branch
1617 Mail Service Center
Raleigh,NC 27699-1617
Signature
Ly9�rtitruy
Submission Date 2/24/2022

435 Williams Court,Suite 100
Baltimore,MD 21220 SYNAG R
www.synagro.com
FEBRUARY 24,2022
NCDEQ
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: 2021 Annual Report for Permit No.WQ0004825
Dear NCDEQ:
Synagro is submitting one electronic copy of the above referenced report on behalf of the City
of Randleman, NC.
If you have any questions or need additional information,please do not hesitate to contact Nick
Holcomb at(336) 495-7500 or Ryan Copeland at(336) 607-4494.
Sincerely,
l e't ic& Sfiiva'c 25
Derrick Shivar
Environmental Compliance Manager
Enclosures
cc: Nick Holcomb, City of Randleman
Ryan Copeland, Synagro
YOUR PARTNER FORA CLEANER,GREENER WORLD

CITY OF RANDLEMAN, NC
RESIDUALS LAND APPLICATION PROGRAM
Permit No. WQ0004825
2021 ANNUAL REPORT

City of Randleman, NC
Residuals Land Application Program
2021 Annual Report
TABLE OF CONTENTS
1. Certification Form and Annual Operations Summary
2. Annual Residual Sampling Summary Forms and Residuals
Analyses
3. Annual Land Application Field Summary Forms & Metals Field
Loading Summary Forms
4. TCLP Analysis
5. Pathogen ReductionNector Attraction Reduction
6. Soil pH & Lime Application Records
7. Soil Analyses

SECTION 1

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: W00004625 County Randolph Year 2020
Facility Name(as shown on permit)City of Randleman WWTP NPDES No.NC0025445
Land Application Operator Synagro Phoned 13361998-7150
Land application of residuals as allowed by the above permit occurred during the pass calendar year's
X YES NO. If NO,skip Part A.and Part B and proceed to Part C. Also,if residuals were generated but not land applied.
please attach an explanation on bow the residuals were handled.
Part A—Residuals Application Summary:
Total number of application fields in the permit: L
Total number of fields utilized for land application during the year:
Total amount of dry ions applied during the year fur all application sites: 131.74
Total number of acres utilized for land application during the year.54.70
Part 8—Annual Compliance Statement:
Facility was compliant during calendar year 2020 with all conditions of the land application permit(including but not limited to items
1-13 below)issued by the Division of Water Quality X YES NO.
if no,please provide a written description why the facility was not compliant,the dates,and explain corrective action taken.
1. Only residuals approved for this permit were applied to the permitted sites.
2, Soil pH was adjusted as specified in the permit and lime was applied(if needed)to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3. Annual soils analysis was performed on each site receiving residuals during thepast calendar year and three(3)copies of
laboratory results are attached.
4. Annual TCLP analysis(if required)was performed and three(3)copies of certified laboratory results are attached.
5. All other monitoring was performed in accordance with the permit and reported during the year as required and three(3)
copies of certified laboratory results are attached
6. The facility did not exceed any of the Pollutant Concentration I mite in 15A NCAC 02T.1105(a)or the Pollutant Loading
Rates in 15A NCAC 02T.1 105(b)(Applicable to 40 CFR Part 503 regulated facilities),
7. All general requirements as specified in the Land Application Permit were complied with(applicable to 40 CFR Part 503
regulated facilities).
5. All monitoring and reporting requirements in 15A NCAC 02T.1111 were complied with(applicable to 40 CFR Part 503
regulated facilities).
9, All operations and maintenance requirements in the permit were complied with or,in the case of a deviation,prior
authorization was received from the Division of Water Quality.
10. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and mediations.
€I. Vegetative cover was maintained and proper crop management was performed on cash site receiving residuals,as specified
in the permit.
12. No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
E 3. All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C—Certification:
"1 certify,under penalty of law,that the above information is,to the best of my knowledge and belief.true,accurate,and complete. i
am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations,"
Michael Glass.Plant Superintendent
Permittee Name and Title(type or print) Signature of Permit c Date
Signature ofPreparer* Date Si d tier Date2022
(if different from Permittcc) (if different m Pcrmittec and Preparer)
`Preparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 02T.1102(26) DENR FORM ACF(1212006)

OPERATIONS SUMMARY-LAND APPLICATION - NORTH CAROLINA
ALL COUNTIES -ALL SITES
DATE RANGE: 1/1/2021 - 12/31/2021
RANDLEMAN,NC
RANDLEMAN,NC RANDLEMAN WWTP LIQUID
MONTH/YEAR AMOUNT UNIT DRY TONS UNIT DRY METRIC TONS
March 2021 235,600.00 G 40.38 D 36.62
June 2021 266,600.00 G 45.69 D 41.44
August 2021 266,600.00 G 45.69 D 41.44
TOTAL 768,800.00 G 131.76 D 119.51
Units Key: D-Dry Tons; G—Gallons;W—Wet Tons;Y—Cubic Yards
Report Date:2/3/2022 12:46:23 PM

SECTION 2

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Pace Analytical
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Ryan Copeland
Project Name: Randleman VWVTP
Lot Number:WC26037
Date Completed:04/02/2021
04/06/2021 8:28 AM
Approved and released by:
Project Manager II: Lucas Odom
MILB
Q PCCR�c��
'ye I ANSI NatonalAccredltatlon Board
ACCREDITEDe0_RAt°,
TESTING LABORATORY
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC.
Pace Analytical Services, LLC(formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172
Tel: [phone] Fax: [phone] www.pacelabs.com
Page 1 of 7

PACE ANALYTICAL SERVICES, LLC
SC DHEC No:32010001 NELAC No: E87653 NC DENR No:329 NC Field Parameters No:5639
Case Narrative
Synagro
Lot Number: WC26037
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved The NELAC Institute (TNI) standards, the Pace Analytical Services, LLC ("Pace")
Laboratory Quality Manual, standard operating procedures (SOPs), and Pace policies. Any exceptions to
the TNI standards, the Laboratory Quality Manual, SOPs or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample results (including LOQ and DL if requested) are corrected for dry weight
unless flagged with a "W"qualifier.
If you have any questions regarding this report please contact the Pace Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Inorganic Non-Metals
The following sample was diluted due to the nature of the sample matrix: WC26037-001. The LOQ has
been elevated to reflect the dilution.
Due to limited sample volume, the analysis of CCE was not performed as requested on the COC.
Pace Analytical Services,LLC(formerly ShealyEnvironmetal Services,Inc.)
106 Vantage Point Drive West Columbia,SC 29172(803)791-9700 Fax[phone] www.pacelabs.com
Page 2of7

Client:Synagro Laboratory ID:WC26037-001
Description:RANDLEMAN WWTP Matrix:Solid
Date Sampled:03/25/2021 0902 % Solids: 4.11 03/29/2021 2117
Date Received:03/26/2021
Inorganic non-metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (% Solids)SM 2540G 1 03/29/2021 2117 MOM 87239
1 350.1 (Ammonia-N )350.1 10 04/01/2021 1402 KFE 87597
1 (Nitrate-N )9056A 5 03/31/2021 0300 AMR 87625
1 (Nitrite-N )9056A 5 03/31/2021 0300 AMR 87626
1 (Phosphorus)365.1 25 03/30/2021 1440 DMA 03/27/2021 0820 87068
1 (Soil pH meas)9045D 1 03/31/2021 1335 NBW 87485
1 351.4 (TKN)351.2 2 03/30/2021 1905 DMA 03/27/2021 0820 87067
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
% Solids SM 2540G 4.11 % 1
Ammonia-N (gas diffusion) 350.1 6800 240 130 mg/kg 1
Nitrate-N (soluble) 9056A 150 61 12 mg/kg 1
Nitrite-N (soluble) 9056A ND 24 12 mg/kg 1
Phosphorus 7723-14-0 365.1 15000 3000 610 mg/kg 1
Soil pH measured in water @ 19.7° C 9045D 11.4 su 1
TKN 351.2 37000 1200 1200 mg/kg 1
CVAA
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 7471B 7471B 1 04/01/2021 1814 CMS2 04/01/2021 1540 87571
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Mercury 7439-97-6 7471B ND 1.9 0.46 mg/kg 1
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3050B 6010D 1 03/31/2021 1451 KSH2 03/30/2021 1157 87144
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Aluminum 7429-90-5 6010D 8200 160 60 mg/kg 1
Arsenic 7440-38-2 6010D 3.3 J 6.0 2.0 mg/kg 1
Cadmium 7440-43-9 6010D 0.60 J 2.0 0.51 mg/kg 1
Calcium 7440-70-2 6010D 100000 2000 250 mg/kg 1
Chromium 7440-47-3 6010D 23 4.0 1.0 mg/kg 1
Copper 7440-50-8 6010D 330 4.0 1.8 mg/kg 1
Iron 7439-89-6 6010D 11000 40 18 mg/kg 1
Lead 7439-92-1 6010D 240 4.0 1.8 mg/kg 1
Magnesium 7439-95-4 6010D 10000 2000 250 mg/kg 1
Manganese 7439-96-5 6010D 320 6.0 2.4 mg/kg 1
Molybdenum 7439-98-7 6010D 8.8 J 16 4.0 mg/kg 1
Nickel 7440-02-0 6010D 15 J 16 4.2 mg/kg 1
LOQ=Limit of Quantitation B=Detected in the method blank E=Quantitation of compound exceeded the calibration range DL=Detection Limit Q=Surrogate failure
ND=Not detected at or above the DL N=Recovery is out of criteria P=The RPD between two GC columns exceeds 40% J=Estimated result<LOQ and>DL L=LCS/LCSD failure
H=Out of holding time W=Reported on wet weight basis S=MS/MSD failure
Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.)
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.pacelabs.com
Page 3of7

Client:Synagro Laboratory ID:WC26037-001
Description:RANDLEMAN WWTP Matrix:Solid
Date Sampled:03/25/2021 0902 % Solids: 4.11 03/29/2021 2117
Date Received:03/26/2021
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3050B 6010D 1 03/31/2021 1451 KSH2 03/30/2021 1157 87144
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Potassium 7440-09-7 6010D 2300 2000 250 mg/kg 1
Selenium 7782-49-2 6010D 4.2 J 8.1 3.3 mg/kg 1
Sodium 7440-23-5 6010D 1200 J 2000 250 mg/kg 1
Zinc 7440-66-6 6010D 340 20 5.0 mg/kg 1
LOQ=Limit of Quantitation B=Detected in the method blank E=Quantitation of compound exceeded the calibration range DL=Detection Limit Q=Surrogate failure
ND=Not detected at or above the DL N=Recovery is out of criteria P=The RPD between two GC columns exceeds 40% J=Estimated result<LOQ and>DL L=LCS/LCSD failure
H=Out of holding time W=Reported on wet weight basis S=MS/MSD failure
Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.)
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.pacelabs.com
Page 4of7

Chain of Custody
and
Miscellaneous Documents
Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.)
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.pacelabs.com
Page 5 of 7

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Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.)
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.pacelabs.com
Page 6 of 7

PACE ANALYTICAL SERVICES, LLC
SBruples Receipt Checklist[seri Ilemoninic-15) Reaisnd_909J2020
irriliZzlnaty1.44 Issuing Aukharity;Pace tom-WCCL page 1 of 1
Sample Receipt Checklist (SRC)
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Mc in.3 of receipt: Pace 01=11E UPS ! FedEx II C ther:
r.Yes Q TO I. Were custody scats present on the woke?
■ Yes • No 112 NA 2. I1 custody seats were prese were they:eater and unCo oke.n.?
pH Strip ID; ^ _ C:i[arinc Snip ID: H.. + Tested by:EIAt 'mH.
iginal temperatarc upon receipt i Deri' cI(Corrected)temperature upon receipt %Solid Snap-Cup ID: NA
4-5 )d.5 ac NA ?NA 'EC NA 1 NA QC NA I Nh EC
Method:©i'ernperaliirs Blank [J4�y;eiosl]3ottles lR(Jun JD: 6 _ [iL Gun Correction Factor_ U Pc
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i-J Yes N+4 -?. Ts1[a o0mmeroio]ovuricr'spack3n sli elred to this(coin^.•
J v4's FINo S. Were proper erutody pra.cedltreS(reli 1quiti1301.1 P,rztved)I'd keercd?
V Yes No tS. Were scruple ID. limed on the COC'?
'es 1 o 7. Wm€angle I IJs fisted on ail sample con:Ana-3?
* i'cs I Ir>;o 1l. Was col.k.vtion date&:time listed on Jiff COC'+
Ycs IJNo 0. Was collection date&boric listed on all Sample containers'_
El Yet [J io' '0, Did a!]container label i_ifo-ynj4on(ID,date, limn)agree.with the COC? •
•0 Yes I No 11.IVc c zcsts to he performed I fisted on the C?
Q Yes Z Na 12. Did all 5arnp]es ar.five in th.proper contuir.crs for each test elultor fir-good con didnn
(unbroken,lids cis,el.c.)7
,{]Yes-UM 13. Was adequate sai!Ip't!volume available?
Eir Yes T No N.Wom all samples received within 14 the holding time or 48 6ouis_wlaieicev i- ores first?
iDYps I1INn_ 15, Were arty 5arripie3 containers missinW4xccss(circle one)samples Not listed on COO?
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us ❑ !v �7;A 15, Per VOA and RSIC�175 samples,were hubbies present'"pea-siz t°o;e"(i &nun in di-meter)
in(any of the VOA vials?
_.Y:.s U No J NA 17. Were al[DR.OlmetriLslnutrier�t samples received at a pH of<2?2? .
'c,s l NA 1S.Were all cyanide samples received at ate�]1> 17 and sultr€e staIDples received at a pH>92
In
No nhl.4 19. Were a I appliepblo N1i 1I'KN. vainrdelp[u~raQUC2.5.1.'60g.; (.D.SnL)srunRles tte of .
not ual chlorine?
El Yes' �]Nu ]NA 20. Were client rer arla'- quests(i.e.retquested di=uli,ms,AfS/MSp dcsi.gmeiurr. nEG...) '
correctly trensetibed Crum this cOC::ntp the comment scctio:i in I..]MS1
I❑Yt3 ❑, h o 1.], Was, tlfe 9 note n urnhe:r Listed oy the container label??]=yes,Quote# -
Samp1e Preservation (Must be completed f,,r env salrrtp;ee)inc0rpectly served or xi[h headspslrt,-)Sample(s) N,3 were c.ived fill orrccfly preserved- and wore adjusted ccgordingly
:n sample rer.,ivin ,ti,'rit:i l'k __III OfoircLe one: H2SO4, IlNO �H01,Nut7E1 min SR 'A
Time o=l+rvsnrwatiar NA _ Pt more than one preservative is needed,please note in the ecru cents below-
5arnp'.c(sj wcrL received with bubbles ,mom is aiiatneier,
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adjusted ec4 orilingly in sample receiving with so;litlm thiilsrslf to(N S s)with She.;rly ID: VA
R.barcode labels applied E ; !t' i2 Date: 3t2622011.
Comments:
Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.)
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.pacelabs.com
Page 7 of 7

w°
Wapoi nt 7621 Whitepine Road,Richmond,VA 23237
Main 804-743-9401°Fax [phone]
ANALYTICAL www.waypointanalytical.com
7/27/2021
Synagro Central LLC/Randleman
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 21-200-0005
Project Description: Randleman
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 7/19/2021 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub-contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP)were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as-
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
�auA.r,t 11 c &fvaiyl
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 5

•
VS/aypoint - 7621 Whitepine Road,Richmond,VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL www.waypointanalyticalcom
Sample Summary Table
Report Number: 21-200-0005
Client Project Description: Randleman
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
77174 Randleman Solids 07/14/2021 09:40 07/19/2021 SM-2540G WP MTN
77174 Randleman Solids 07/14/2021 09:40 07/19/2021 9045D WP MTN
77174 Randleman Solids 07/14/2021 09:40 07/19/2021 AOAC 955.01 WP MTN
WP MTN-Memphis,TN: Waypoint Analytical-TN,Memphis,TN
Page 2 of 5

0
Waypoint 7621 White pine Road,Richmond,VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL www.waypointanalyticalcom
46483
Synagro Central LLC/Randleman Project Randleman
Mary Brewer Report Date : 07/27/2021
284 Boger Road Information : Received :07/19/2021
Mocksville , NC 27028
awie frl Grow
Report Number :21-200-0005 REPORT OF ANALYSIS Pauric Mc Groary Ph.D.,CPA
Agronomist
Lab No : 77174 Matrix: Solids
Sample ID : Randleman Sampled: 7/14/2021 9:40
Test Results Units MQL DF Date/Time By Analytical
Analyzed Method
Total Solids 4.06 % 0.010 1 07/20/21 16:46 FMM SM-2540G
pH 11.8 s.u. 1 07/22/21 16:10 DRS 9045D
Calcium Carbonate Equivalent 18.4 % 0.1 1 07/26/21 13:00 DXT AOAC 955.01
Analytical Method: SM-2540G
Test Results Units MQL DF Date/Time By Analytical
Analyzed Batch
Moisture 95.9 % 0.010 1 07/20/21 16:46 FMM L564714
Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit
Definitions
Page 3 of 5

s YV
Wa4pOiflt.. 7621 Whitepine Read,Richmond,VA 23237
Main 804-743-9401°Fax [phone]
ANALYTICAL www.waypointanalytica l.com
Shipment Receipt Form
Customer Number:46483
Customer Name: Synagro Central LLC/ Randleman
Report Number: 21-200-0005
Shipping Method
0 Fed Ex 0 US Postal 0 Lab 0 Other :
0 UPS 0 Client 0 Courier Thermometer ID:
Shipping container/cooler uncompromised? 0 Yes O No
Number of coolers/boxes received
Custody seals intact on shipping container/cooler? 0 Yes 0 No 0 Not Present
Custody seals intact on sample bottles? 0 Yes 0 No 0 Not Present
Chain of Custody(COC) present? 0 Yes 0 No
COC agrees with sample label(s)? 0 Yes 0 No
COC properly completed 0 Yes 0 No
Samples in proper containers? 0 Yes 0 No
Sample containers intact? 0 Yes 0 No
Sufficient sample volume for indicated test(s)? 0 Yes 0 No
All samples received within holding time? 0 Yes 0 No
Cooler temperature in compliance? 0 Yes 0 No
Cooler/Samples arrived at the laboratory on ice. 0 Yes 0 No
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved 0 Yes 0 No 0 N/A
Water- VOA vials free of headspace 0 Yes 0 No 0 N/A
Trip Blanks received with VOAs 0 Yes 0 No 0 N/A
Soil VOA method 5035—compliance criteria met 0 Yes 0 No 0 N/A
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low conc pre-weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes 0 No
Comments:
Signature: Brandi Watson Date &Time: 07/19/2021 12:18:06
Page 4 of 5

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LL

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Randleman,NC Total Dry Tons Applied(Annual): 86.07
Permit#: WQ0004825 Cation Exchange Capacity(non 503 only):
Operator: W. Howard Fields Owner: W. Howard Fields Predominant Soil Series: Coronica
Acres Used: 18.9 Acres Permitted: 18.9 Site#: NC RD 00018 Field#: RD 00018 0003
Residual Analysis Data(Heavy Metals and Total Phosphorus use mg/kg, °A Solids use Raw Percent#):
Sample or 2 4 5. 6 Ji ' 81 9 10 11 ; 12
Com-
posite
Date 3/25/21
%Solids 4.11
Arsenic 3.3
Cadmium 0.6
Copper 330
Chromium 23 _
Lead 240 _
Mercury 0.46
Molyb 8.8
denum
Nickel 15
Selenium 4.2
Zinc 340 -
Total
Phos- 15000
phorus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total 1_1 _12 3J 4 5 6 7 8 9 10 11 12
DT/Ac./
App' rn
Event 4.55
Arsenic 0.030 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030
Cadmium 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005
Copper 3.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.005
Chromium 0.209 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.209
Lead 2.185 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.185
Mercury 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004
Molyb- 0.080 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.080
denum
Nickel 0.137 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.137
Selenium 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.038
Zinc 3.096 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.096
Total
Phos- 136.590 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 136.590
phorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information,including the possibility of fines and
imprisonment foreknowing violations".
)2Y/W .240/ZZ
l
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Randleman.NC Total Dry Tons Applied (Annual): 15.94
Permit#: WQ0004825 Cation Exchange Capacity(non 503 only):
Operator: Roy Holder Owner: Roy Holder Predominant Soil Series: Appling
Acres Used: 17.3 Acres Permitted: 17.3 Site#: NC RD 00019 Field#: RD 00019 0002
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#):
sample or 1 4 I 5 6 7 8' 9 10 11 12
Cam-
posite
Date 3/25/21
%Solids 4.11
Arsenic 3.3
Cadmium 0.6 _
Copper 330
Chromium 23
Lead 240
Mercury 0.46
Molyb- 8 8
denum
Nickel 15
Selenium 4.2
Zinc 340
Total
Phos- 15000
phorus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total 1 f 2 31 4` ' 5' 8 j 7] $ 9 10 11 112
DT/Ac./ o
App.
Event 0.92
Arsenic 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006
Cadmium 0.001 0.000 0.000 0.000 0.000 - 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001
Copper 0.609 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.609
Chromium 0.042 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.042
Lead 0.443 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.443
Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001
Molyb- 0.016 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016
denum _
Nickel 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028
Selenium 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008
Zinc 0.627 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.627
Total
Phos- 27.660 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 27.660
phorus
"I certify, under penalty of law,that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information,including the possibility of fines and
imprisonment for knowing violations".
2//0l zZ
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Randleman,NC Total Dry Tons Applied(Annual): 29.75
Permit#: WQ0004825 Cation Exchange Capacity(non 503 only):
Operator: Roy Holder Owner: Roy Holder Predominant Soil Series: Cecil
Acres Used: 18.5 Acres Permitted: 18.5 Site#: NC RD 00019 Field#: RD 00019 0003
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#):
Sample or 1 2 3 41 5 6 . 71 8 9 10_1 11 121
Com-
posite
Date 3/25/21
%Solids 4.11
Arsenic 3.3
Cadmium 0.6
Copper 330
Chromium 23
Lead 240
Mercury 0.46
Molyb- 8 8
denum
Nickel 15
Selenium 4.2
Zinc 340
Total
Phos- 15000
phorus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total '1 '_2' 3' 4` ' 5 ' 6 ' 71 a 9 10 `11 '12
DT/Ac./ ^�
App.
Event 1.61
Arsenic 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011
Cadmium 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002
Copper 1.061 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.061
Chromium 0.074 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.074
Lead 0.772 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.772
Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001
Molyb- 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028
denum
Nickel 0.048 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048
Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014
Zinc 1.093 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.093
Total
Phos- 48.240 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 48.240
phorus ,
"I certify, under penalty of law,that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
F(691'3 (019604° 2/Pe f2Z,
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

SECTION 4

S
a i' Summit Environmental Technologies,Inc.
in7r4 331 Wm St.
Arrary01JMLNTALTECIiNOLOd',i S,IF#C Cuyahoga Falls,Ohio 44223
rralyt�cal iaboralorlas TEL:[phone] FAX. [phone]
Website:http://www.settek.com
April 02, 2021
Ryan Copeland
Synagro
284 Boger Rd.
Mocksville,NC 27028
TEL:
FAX:
RE: Randleman WWTP
Dear Ryan Copeland: Order No.: 21031812
Summit Environmental Technologies, Inc. received 1 sample(s) on 3/26/2021 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results,please feel free to call the
laboratory.
Sincerely,
/.....?-74424f4 177��
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls,Ohio 44223
Arkansas 88-0735,California 2943,Colorado,Connecticut PH-0108,Florida NELAC E87688,Idaho OH00923,Illinois 200061,Indiana C-OH-13,Kansas
E-10347,Kentucky(Underground Storage Tank)3,Kentucky 90146,Maryland 339,Michigan 9988,Minnesota 1780279,Nevada OH009232020-1,New
Hampshire 2996,New Jersey OH006,New York 11777,North Carolina 39705 and 631,North Dakota R-201,Ohio DW,Ohio VAP CL0052,Oklahoma
2019-155,Oregon OH200001, Pennsylvania 011,Rhode Island LA000317,South Carolina 92016001,Texas T104704466-19-16,Utah OH009232020-12,
Virginia VELAP 10381,West Virginia 9957C
Page 1 of 34

SUMMITSummit Environmental Technologies,Inc.3310 Win St. Case Narrative
imil*;;:ra ENVIRONMENTAL TECliN❑LOGIES.INC. Cuyahoga Falls,Ohio 44223 WO#: 21031812
MI 4rraly0cal Laboralorlas TEL:[phone] FAX. [phone]
Website:http://www.settek.com Date: 4/2/2021
CLIENT: Synagro
Project: Randleman WWTP
WorkOrder Narrative:
21031812: This report in its entirety consists of the following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain-of-Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
Analytes Report" for accredited analytes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any
comments or problems with the analytical events associated with this report are noted below.
Analytical Sequence Sample Notes:
21031812-OO1A TCLP-VOC-MSTR 8260D: Corresponding QC exhibited high recovery for Vinyl
chloride. Sample is ND
Analytical Sequence QC Notes:
Pest CCV1 500ppb TCLP-SVOC-CPEST(8081B): P: RPD between confirmation column is greater
than 40%.
CCV VOC-MSTR_NPW(8260): CCV exhibits high recovery for Vinyl chloride. Associated samples
are N.D. for this analyte.
LCS-48669 TCLP-VOC-MSTR TCLP(8260): LCS exhibits high recovery for Vinyl chloride.
Associated samples are N.D. for this analyte.
Original
Page 2 of 34

S uiiti IT
Summit Environmental Technologies,Inc. Case Narrative
mu 3310 Ohio Win St.
AnalENVIRONMENTAL calLaoraioriNO LOGI ,INC. Cuyahoga Falls, 44223 WO#: 21031812rrafyt�caf iaboralorlas TEL:[phone] FAX. [phone]
Website:http://www.settek.com Date: 4/2/2021
CLIENT: Synagro
Project: Randleman WWTP
LCS-48669 TCLP-VOC-MSTR TCLP(8260): Possible high bias for Vinyl chloride due to high
recovery in CCV.
Original
Page 3 of 34

•
17 S
Mm i or Summit Environmental Techno3310Wlogies,Ins
Qualifiers and Acronyms
EkiwllxsStJM@N1'nLTecriw❑LOG{ES.INC Cuyahoga Falls,Ohio 442 WO#: 21031812
4rraly0cal Laboralorlas TEL:[phone] FAX. [phone]
Website:http://www.settek.co Date: 4/2/2021
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
U The compound was analyzed for but was not detected.
J The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
H The hold time for sample preparation and/or analysis was exceeded.
D The result is reported from a dilution.
E The result exceeded the linear range of the calibration or is estimated due to interference.
MC The result is below the Minimum Compound Limit.
The result exceeds the Regulatory Limit or Maximum Contamination Limit.
m Manual integration was used to determine the area response.
d Manual integration in which peak was deleted
N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P The second column confirmation exceeded 25%difference.
C The result has been confirmed by GC/MS.
X The result was not confirmed when GC/MS Analysis was performed.
B/MB+ The analyte was detected in the associated blank.
G The ICB or CCB contained reportable amounts of analyte.
QC-/+ The CCV recovery failed low(-)or high(+).
R/QDR The RPD was outside of accepted recovery limits.
QL-/+ The LCS or LCSD recovery failed low(-)or high(+).
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+ The MS or MSD recovery failed low(-)or high(+).
QMR The MS/MSD RPD was outside of accepted recovery limits.
QV-/+ The ICV recovery failed low(-)or high(+).
S The spike result was outside of accepted recovery limits.
Z Deviation;A deviation from the method was performed;Please refer to the Case Narrative for
additional information
Acronyms
ND Not Detected RL Reporting Limit
QC Quality Control MDL Method Detection Limit
MB Method Blank LOD Level of Detection
LCS Laboratory Control Sample LOQ Level of Quantitation
LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit
QCS Quality Control Sample CRQL Contract Required Quantitation Limit
DUP Duplicate PL Permit Limit
MS Matrix Spike RegLvl Regulatory Limit
MSD Matrix Spike Duplicate MCL Maximum Contamination Limit
RPD Relative Percent Different MinCL Minimum Compound Limit
ICV Initial Calibration Verification RA Reanalysis
ICB Initial Calibration Blank RE Reextraction
CCV Continuing Calibration Verification TIC Tentatively Identified Compound
CCB Continuing Calibration Blank RT Retention Time
RLC Reporting Limit Check CF Calibration Factor
DF Dilution Factor RF Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 4 of 34

S t�' Summit Environmental Technologies,Inc. Workorder
3310 Win St.
1.7 ENVIRONMENTAL TECFiNpl,i}C,3ES,pm,
Cuyahoga Falls,Ohio 44223 Sample Summary
rralyt�cal iaboralorlas TEL:[phone] FAX [phone] WO#: 21031812
Website:http://www.settek.com 02-Apr-21
CLIENT: Synagro
Project: Randleman WWTP
Lab SamplelD Client Sample ID Tag No Date Collected Date Received Matrix
21031812-001 Randleman WWTP 3/25/2021 9:10:00 AM 3/26/2021 4:00:00 PM Sludge
Page 5 of 34

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S
M� 331 Win St.Summit Environmental Technologies,Inc. Analytical Report
muEENVIRONMENTAL TECliK10LOG1ES,IN'C Cuyahoga Falls, Ohio 44223 (base report)
�afyt�caf iaboralorfas TEL:[phone] FAX [phone] WON: 21031812
Website:http://www.settek.com Date Reported: 4/2/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 3/25/2021 9:10:00 AM
Lab ID: 21031812-001A
Project: Randleman WWTP
Client Sample ID Randleman WWTP
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW7470A SW7470A Analyst: ERA
TCLP MERCURY ANALYSIS (SW1311/7470)
TCLP Mercury ND 0.0100 mg/L 1 4/2/2021 3:25:00 PM
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW6010D SW3010A Analyst: DNS
TCLP METALS ANALYSIS (SW1311/6010)
TCLP Arsenic(As) ND 0.500 mg/L 1 4/2/2021 1:30:34 PM
TCLP Barium(Ba) ND 5.00 mg/L 1 4/2/2021 1:30:34 PM
TCLP Cadmium(Cd) ND 0.100 mg/L 1 4/2/2021 1:30:34 PM
TCLP Chromium(Cr) ND 0.200 mg/L 1 4/2/2021 1:30:34 PM
TCLP Lead(Pb) ND 0.500 mg/L 1 4/2/2021 1:30:34 PM
TCLP Selenium(Se) ND 0.0500 mg/L 1 4/2/2021 1:30:34 PM
TCLP Silver(Ag) ND 0.500 mg/L 1 4/2/2021 1:30:34 PM
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8270 SW3510C Analyst: SFG
TCLP SEMI-VOLATILES ANALYSIS(SW1311/8270)
1,4-Dichlorobenzene ND 0.500 mg/L 5 4/1/2021 8:26:00 PM
2,4,5-Trichlorophenol ND 1.25 mg/L 5 4/1/2021 8:26:00 PM
2,4,6-Trichlorophenol ND 1.25 mg/L 5 4/1/2021 8:26:00 PM
2,4-Dinitrotoluene ND 0.100 mg/L 5 4/1/2021 8:26:00 PM
Cresols,Total ND 25.0 mg/L 5 4/1/2021 8:26:00 PM
Hexachloro-1,3-butadiene ND 0.100 mg/L 5 4/1/2021 8:26:00 PM
Hexachlorobenzene ND 0.100 mg/L 5 4/1/2021 8:26:00 PM
Hexachloroethane ND 0.500 mg/L 5 4/1/2021 8:26:00 PM
Nitrobenzene ND 0.500 mg/L 5 4/1/2021 8:26:00 PM
Pentachlorophenol ND 1.25 mg/L 5 4/1/2021 8:26:00 PM
Pyridine ND 1.25 mg/L 5 4/1/2021 8:26:00 PM
Surr:2-Fluorophenol 65.1 10-157 %Rec 5 4/1/2021 8:26:00 PM
Surr: Phenol-d6 74.7 10-169 %Rec 5 4/1/2021 8:26:00 PM
Surr: Nitrobenzene-d5 85.2 32.1 -130 %Rec 5 4/1/2021 8:26:00 PM
Surr:2,4,6-Tribromophenol 98.9 45.4-166 %Rec 5 4/1/2021 8:26:00 PM
Surr:2-Fluorobiphenyl 79.8 35.7-130 %Rec 5 4/1/2021 8:26:00 PM
Surr:p-Terphenyl-d14 103 70-145 %Rec 5 4/1/2021 8:26:00 PM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Original
RL Reporting Detection Limit U Samples with CalcVal<MDL
Page 7 of 34

S
M� 331 Win St.Summit Environmental Technologies,Inc. Analytical Report
muEENVIRONMENTAL TECliK10LOG1ES,IN'C Cuyahoga Falls, Ohio 44223 (base report)
�afyt�caf iaboralorfas TEL:[phone] FAX [phone] WON: 21031812
Website:http://www.settek.com Date Reported: 4/2/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 3/25/2021 9:10:00 AM
Lab ID: 21031812-001A
Project: Randleman WWTP
Client Sample ID Randleman WWTP
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8081 SW3510C Analyst: CSS
TCLP PESTICIDES ANALYSIS (SW1311/8081)
Chlordane,total ND 0.0250 mg/L 1 4/1/2021 8:55:00 PM
Toxaphene ND 0.0500 mg/L 1 4/1/2021 8:55:00 PM
Endrin ND 0.00250 mg/L 1 4/1/2021 8:55:00 PM
gamma-BHC ND 0.00250 mg/L 1 4/1/2021 8:55:00 PM
Heptachlor ND 0.00250 mg/L 1 4/1/2021 8:55:00 PM
Heptachlor epoxide ND 0.00250 mg/L 1 4/1/2021 8:55:00 PM
Methoxychlor ND 0.00250 mg/L 1 4/1/2021 8:55:00 PM
Surr:TCMX 64.2 10-119 %Rec 1 4/1/2021 8:55:00 PM
Surr: DCB 71.6 10-119 %Rec 1 4/1/2021 8:55:00 PM
TCLP HERBICIDES BY EPA 8321B SW8321 SW1311 M Analyst: TM
2,4-D ND 0.500 mg/L 50 4/2/2021 12:54:00 AM
2,4,5-TP ND 0.500 mg/L 50 4/2/2021 12:54:00 AM
Surr:2,4-Dichlorophenylacetic aci 85.0 70-130 %Rec 50 4/2/2021 12:54:00 AM
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8260 SW1311M Analyst: MES
TCLP VOLATILES ANALYSIS
1,1-Dichloroethene ND 0.250 mg/L 50 4/1/2021 7:56:00 PM
1,2-Dichloroethane ND 0.250 mg/L 50 4/1/2021 7:56:00 PM
MEK ND 5.00 mg/L 50 4/1/2021 7:56:00 PM
Benzene ND 0.250 mg/L 50 4/1/2021 7:56:00 PM
Carbon tetrachloride ND 0.250 mg/L 50 4/1/2021 7:56:00 PM
Chlorobenzene ND 2.50 mg/L 50 4/1/2021 7:56:00 PM
Chloroform ND 0.250 mg/L 50 4/1/2021 7:56:00 PM
Tetrachloroethene ND 0.250 mg/L 50 4/1/2021 7:56:00 PM
Trichloroethene ND 0.250 mg/L 50 4/1/2021 7:56:00 PM
Vinyl chloride ND 0.100QC+QL+mg/L 50 4/1/2021 7:56:00 PM
Surr:4-Bromofluorobenzene 91.3 70-130 %Rec 50 4/1/2021 7:56:00 PM
Surr: Dibromofluoromethane 97.6 70-130 %Rec 50 4/1/2021 7:56:00 PM
Surr:Toluene-d8 99.1 70-130 %Rec 50 4/1/2021 7:56:00 PM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Original
RL Reporting Detection Limit U Samples with CalcVal<MDL
Page 8 of 34

S
M� 331 Win St.Summit Environmental Technologies,Inc. Analytical Report
muEENVIRONMENTAL TECtiNO�OGIES,IN'C Cuyahoga Falls, Ohio 44223 (base report)
�afyt�caf iaboralorfas TEL:[phone] FAX [phone] WON: 21031812
Website:http://www.settek.com Date Reported: 4/2/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 3/25/2021 9:10:00 AM
Lab ID: 21031812-001A
Project: Randleman WWTP
Client Sample ID Randleman WWTP
Analyses Result RL Qual Units DF Date Analyzed
RCI SW9014 Analyst: MS
REACTIVE CYANIDE(9014/7.3.3.2)-SOLID
Cyanide,Reactive ND 0.490 mg/Kg 1 3/31/2021 2:55:00 PM
IGNITABILITY OF SOLIDS(SW-846: 1030) SW1030 Analyst: KMW
Ignitability nonflammable mm/sec 1 4/1/2021 11:13:20 AM
RCI SW9045D Analyst: ALT
PH (SW9045D)
pH 11.3 s.u.@17.2C 1 3/29/2021 5:36:55 PM
RCI SW9034 Analyst: MS
REACTIVE SULFIDE(9034)/7.3.4.2
Sulfide, Reactive ND 25.0 mg/Kg 1 3/31/2021 2:55:00 PM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Original
RL Reporting Detection Limit U Samples with CalcVal<MDL
Page 9 of 34

SUMMIT Summit Environmental Technologies,Inc. Accreditation Program
3310 Win St. Anal�7teS RenOrt
MI ENVIRONMENTAL TECHNOLOGIES,i Cuyahoga Falls,Ohio 44223 J Y
rral}'t�caf iaboralorlas TEL:[phone] FAX [phone] WO#: 21031812
Website:http://www.settek.com 02 Apr 2l
Client: Synagro State: NW
Project: Randleman WWTP Program Name: NC_WW_SCM
Sample ID Matrix Test Name Analyte Status
21031812-001A Sludge Ignitability of Solids(SW-846:1030) Ignitability A
Sludge pH(SW9045D) Hydrogen Ion(pH) A
Sludge Reactive Cyanide(9014/7.3.3.2)-Solid Cyanide,Reactive U
Sludge Reactive Sulfide(9034)/7.3.4.2 Sulfide,Reactive U
Sludge TCLP Herbicides by EPA 8321B 2,4,5-TP A
Sludge TCLP Herbicides by EPA 8321B 2,4-D A
Sludge TCLP Mercury Analysis(SW1311/7470) Mercury A
Sludge TCLP Metals Analysis(SW1311/6010) Arsenic A
Sludge TCLP Metals Analysis(SW1311/6010) Barium A
Sludge TCLP Metals Analysis(SW1311/6010) Cadmium A
Sludge TCLP Metals Analysis(SW1311/6010) Chromium A
Sludge TCLP Metals Analysis(SW1311/6010) Lead A
Sludge TCLP Metals Analysis(SW1311/6010) Selenium A
Sludge TCLP Metals Analysis(SW1311/6010) Silver A
Sludge TCLP Pesticides Analysis(SW1311/8081) Chlordane,total A
Sludge TCLP Pesticides Analysis(SW1311/8081) Endrin A
Sludge TCLP Pesticides Analysis(SW1311/8081) gamma-BHC A
Sludge TCLP Pesticides Analysis(SW1311/8081) Heptachlor A
Sludge TCLP Pesticides Analysis(SW1311/8081) Heptachlor epoxide A
Sludge TCLP Pesticides Analysis(SW1311/8081) Methoxychlor A
Sludge TCLP Pesticides Analysis(SW1311/8081) Toxaphene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 1,4-Dichlorobenzene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4,5-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4,6-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4-Dinitrotoluene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Cresols,Total A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachlorobenzene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachlorobutadiene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachloroethane A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Nitrobenzene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Pentachlorophenol A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Pyridine A
Key Key
NC WW SCM A Accredited NC WW SCM U Unavailable
Version#2
Page 10 of 34

S UMM'T Summit Environmental Technologies,Inc. Accreditation Program
3310 Win St. Anal�7tes Report
EN ENWIRONM@NtAL TECHNOLociEs,i Cuyahoga Falls,Ohio 44223 Analytes
rral}'0caf iaboralorlas TEL:[phone] FAX [phone] WO#: 21031812
Website:http://www.settek.com 02 Apr 2l
Client: Synagro State: NW
Project: Randleman WWTP Program Name: NC_WW_SCM
Sample ID Matrix Test Name Analyte Status
21031812-001A Sludge TCLP Volatiles Analysis 1,1-Dichloroethene A
Sludge TCLP Volatiles Analysis 1,2-Dichloroethane A
Sludge TCLP Volatiles Analysis 2-Butanone A
Sludge TCLP Volatiles Analysis Benzene A
Sludge TCLP Volatiles Analysis Carbon tetrachloride A
Sludge TCLP Volatiles Analysis Chlorobenzene A
Sludge TCLP Volatiles Analysis Chloroform A
Sludge TCLP Volatiles Analysis Tetrachloroethene A
Sludge TCLP Volatiles Analysis Trichloroethene A
Sludge TCLP Volatiles Analysis Vinyl chloride A
Key Key
NC WW SCM A Accredited NC WW SCM U Unavailable
Version#2
Page 11 of 34

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;.7.:70,11SummIT Summit Environmental Techn3310ologiesW,in Inc.St.
Await ilcal L borafa HNOLOGi S,IF# Cuyahoga Falls, Ohio 44223 Sample Log-In Check List
�irrafyt�ca�LaboralarJas TEL:[phone] FAX. [phone]
Website:http:/Aiww.settek.com
Client Name: SYN-NC-27028 Work Order Number: 21031812 RcptNo: 1
Logged by: Jacqueline Rasile 3/26/2021 4:00:00 PM
Completed By: Jacqueline Rasile 3/28/2021 12:06:49 PM
Reviewed By: Jennifer Woolf 3/29/2021 1:40:05 PM (...710‘7*.?1' M''oaL011,--
Chain of Custody
1. Is Chain of Custody complete? Yes ❑d No ❑ Not Present ❑
2. How was the sample delivered? UPS
Lop In
3. Coolers are present? Yes ❑d No ❑ NA ❑
4. Shipping container/cooler in good condition? Yes d❑ No ❑
Custody seals intact on shipping container/cooler? Yes ❑ No ❑ Not Present V
No. Seal Date: Signed By:
5. Was an attempt made to cool the samples? Yes ❑d No ❑ NA ❑
6. Were all samples received at a temperature of >0°C to 6.0°C Yes ❑d No ❑ NA ❑
7. Sample(s)in proper container(s)? Yes ❑d No ❑
8. Sufficient sample volume for indicated test(s)? Yes ❑d No ❑
g. Are samples(except VOA and ONG)properly preserved? Yes ❑d No ❑
10. Was preservative added to bottles? Yes ❑ No ❑d NA ❑
it Is the headspace in the VOA vials less than 1/4 inch or 6 mm? Yes ❑ No ❑ No VOA Vials V
12.Were any sample containers received broken? Yes ❑ No ❑d
13. Does paperwork match bottle labels? Yes ❑d No ❑
(Note discrepancies on chain of custody)
14.Are matrices correctly identified on Chain of Custody? Yes ❑d No ❑
15. Is it clear what analyses were requested? Yes ❑d No ❑
16. Were all holding times able to be met? Yes ❑d No ❑
(If no,notify customer for authorization.)
Special Handling (if applicable)
17. Was client notified of all discrepancies with this order? Yes ❑ No ❑ NA V
Person Notified: I Date:
By Whom: Via: ❑ eMail ❑ Phone ❑ Fax ❑ In Person
Regarding:
Client Instructions:
18.Additional remarks:
Cooler Information
Cooler No Temp°C Condition Seal Intact Seal No Seal Date Signed By
1 0.6 Good Not Present
Page 34 of 34

SECTION 5

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM(02T Rules)
Facility Name; Town of Randleman WWTP WQ Permit Number: WQ 0004825
WWTP Name: Town of Randleman WWTP NPDES Number NC 0025445
Monitoring Period: Front 01/01/2021 To 12/31/2021
Pathogen Reduction(40 CFR 503_3211SA NCAC 02T.1106)-Please Indicate level achieved and alternative performed:
Class A:
Alt.1/A(time/temp) All.2/F1(Alit Treatment) All 3/C(Prior Testing)
Alt.4/D(No Prior Teat) All 5/Process to Further Reduce Pathogens Alt,6(Equivalent to PFRP)
it applicable to alternative performed(Class A only)indicate"Process to Further Reduce Pathogens";
Compost Heat Drying Heat Treatment Thermophilie _
Beta Ray — Gamma Ray Pasteurization
Class B:
Alt.(I)Fecal Density Alt.(2)Process to Significantly Reduce Pathogens X
If applicable to alternative performed(Class B only)indicate"Process to Significantly Reduce Pathogens":
Lime Stabilization X Air Drying Composting Aerobic Digestion
Anaerobic Digestion
if applicable to alternative performed(Class A or Class B)complete the following monitoring data:
Parameter Allowable Level in Sludge Pathogen Density No.of Frequency Sample Analytical
Excee- of Type Technique
Minimum Geo.Mean Maximum Units dances Analysis
Fecal 2x10to the 6th MPN MPN/g
Colifomt power per gram
of total solids I
CFU CFU/g
1000 MPN per gram of MPN/g
total solids(dry weight)
Salmonella ( 3 MPN per 4 grams total '
bacteria(in solids(dry weight)
lieu of fecal
conform)
Vector Attraction Reduction(40 CFR 503.33/15A NCAC 02T.1107)-Please indicate option/alternative performed:
Option/Att I Option/AIL 2 Option/Alt,3 Option/Alt.4
(VS reduction) (40-day bench) (30-day bench) (Spec.02 uptake)
Option/AIL S Option/AIL 6 Option/A1t.7 Option/Alt S
(14-Day Aerobic) (AN Stabilization) X (Drying—Stable) (Drying—Unstable)
Option/Alt 9 Option/Alt.10
(Injection) (Incorporation) No vector attraction reduction alternatives were performed
CERTIFICATION STATEMENT(please check the appropriate statement)
"1 certify,under penalty of law,that the pathogen requirements in 40 CFR 503.32/1 SA NCAC 02T.1306 and the vector attraction
X reduction requirement m 40 CFR 503.33/15A NCAC 02T.1107 have been met"
"I certify,under penalty of law,that the ppaatthhopgen requirements in 40 CFR 503.32/15A NCAC 02T.1106 and the vector attraction
reduction requirement to 40 CFR 503.33/15A NCAC 02T,1107 have not been met."(Please note if you check this statement attach an
eaplauation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified
personnel properly gather and evaluate the information used to determine that the thogen and vector attraction reduction requirements have
been met lam aware that there are significant penalties for false certification including fine and imprisonment"
Michael Glass,Plant Superintendent
/4Prepa4 Njarne C�nd Title(type or print) Land Applier Name and Title(if applicable)(type or print)
/�/' 2-1f?2_
Signature of Prepare-' Data Signature of Land Applier(if applicable) Date
•Preparer is defined in 40 CFR Part 503,9(r)and 15A NCAC 2T.1102(26)

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SECTION 6

Agricultural Lime Application Log
Year: 2021
Project: Randleman
Field Soil pH Lime Requirement Tons/Acre Date Applied
(state-county-site-field code) (from soil analysis) Applied
RD-18-3 7.1 0.0 tons/ac.
RD-19-2 6.8 0.0 tons/ac.
RD-19-3 6.7 0.0 tons/ac.

SECTION 7

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