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Home My WebLink AboutWQ0002378_Residual Annual Report 2021_20220321 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)* WQ0002378 Applicant/Permittee Town of Mooresville Email Notifications Does this need review by the hydrogeologist?* Yes No Regional Office Mooresville 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* Matthew Herman Email Address* Phone Number* mherman@mooresvillenc.gov 704-663-2460 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:* WQ0002378 Has Current Existing permit number Applicant/Permittee Address* 369 Johnson Dairy Rd,Mooresville,NC 28115 Facility Name* Town of Mooresville SDU Please provide comments/notes on your current submittal below. Re-submission of my 2021 Annual Sludge Report. At this time,paper copies are no longer required.If you have any questions about what is required,please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here.* (Application Form,Engineering Plans,Specifications,Calculations,Etc.) 2021 Annual Sludge Report Complete.pdf 5.48MB 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 Submission Date 3/21/2022 0 iN a are ROCKY RIVER W.W.T.P ti�� s4i'f` TELEPHONE(704)662-8470 Town of Mooresville FAX 7a4( )662-8473 ` 1 NORTH CAROLINA POST OFFICE BOX 878 i MOORES VILLE,NC 281I5 la"4.NOW' 2021 Annual Sludge Report, WQ0002378 Rocky River WWTP P.O. Box 878, Mooresville, N.C. 28115 of tA�or� ROCKY RIVER W.W.T.P d,, TELEPHONE(704)662-8470 Town of Mooresville FAX(704)662-8473 / NORTH CAROLINA POST OFFICE BOX 878 MOORESVILLE,NC 28115 lade No t0 NCDENR-DWQ 02/01/22 Information Processing Unit 1617 Mail Service Center Raleigh,NC 27699 Subject:2021 Annual Sludge Report,WQ0002378 Surface Disposal of Class B Residuals Following is the information requested to accompany our annual sludge report. Facility-Rocky River WWTP(Location of onsite monofill) 369 Johnson Dairy Rd. Mooresville,N.C.28115. Phone#704-662-8470. Responsible official and facility operator-Larry Hendren,Biosolids Coordinator P.O.Box 878 Mooresville,NC 28115 Phone#704-799-4063 Dry Metric Tons buried on site-No sludge was buried during 2021.All Class B belt press sludge was dewatered and placed in a lined land fill. Our Methane sampling requirement was removed from our permit in February 2021 thus no methane sampling data is present with this report. Our reclamation efforts were hampered this year with several equipment failures and employee shortages resulting in less residuals removed than precious years. We remain focused and are optimistic 2022 will yield better results. Residuals removed from the surface disposal unit—312.0 tons or 189.3 dry metric tons(See attached hauling summary sheet). Residuals were placed in a lined land fill.We collected a TCLP sample of the monofil reclamation material on 1-19-2021 and a copy of the laboratory results are included in this report. Monitoring well data is not included in this report. All monitoring well data was incorporated into separate reports submitted in June 2021 and December 2021. I certify,under penalty of law that the above information is,to the best of my knowledge and belief,true and 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. Prepared by: Larry Hendren,Biosolids Coordinator Signature: - 31- 22- Date ^� Reviewed by:Jamie Levis,WWTP Plant Manager Signatur . _3 ^ 1' Date o�Moere ROCKY RIVER W.W.T.P �o•*.k 'per,., 4<;;, TELEPHONE(704)662-8470 Town of Mooresville FAX(704)662-8473 NORTH CAROLINA POST OFFICE BOX 878 MOORESVILLE,NC 28115 1 ahe NOVIA a° U.S.EPA Region 7 02/01/22 ATTN:BIOSOLIDS CENTER WWPD/WENF 11201 Renner Boulevard Lenexa,Kansas 66219 Subject:2021 Annual Sludge Report,WQ0002378 Surface Disposal of Class B Residuals Following is the information requested to accompany our annual sludge report. Facility-Rocky River WWTP(Location of onsite monofill) 369 Johnson Dairy Rd. Mooresville,N.C.28115. Phone#704-662-8470. Responsible official and facility operator-Larry Hendren, Biosolids Coordinator P.O.Box 878 Mooresville,NC 28115 Phone#704-799-4063 Dry Metric Tons buried on site-No sludge was buried during 2021.All Class B belt press sludge was dewatered and placed in a lined land fill. Our Methane sampling requirement was removed from our permit in February 2021 thus no methane sampling data is present with this report. Our reclamation efforts were hampered this year with several equipment failures and employee shortages resulting in less residuals removed than precious years. We remain focused and are optimistic 2022 will yield better results. Residuals removed from the surface disposal unit—312.0 tons or 189.3 dry metric tons(See attached hauling summary sheet). Residuals were placed in a lined land fill.We collected a TCLP sample of the monofil reclamation material on 1-19-2021 and a copy of the Iaboratory results are included in this report. Monitoring well data is not included in this report. All monitoring well data was incorporated into separate reports submitted in June 2021 and December 2021. I certify,under penalty of law that the above information is,to the best of my knowledge and belief,true and 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. Prepared by: Larry Hendren,Biosolids Coordinator Signatur k - 3\ - 2-2— Date Reviewed by:Jamie Levis, WWTP Plant Manager Signature. /1 3/ )-o.L Date Town of Mooresville 2021 Monofill Reclamation Hauling Summary Sheet DATE TONS TRANSPORTER DESTINATION COMMENTS 1/4/2021 9.82 Town of Mooresville CMS Landfill 1/12/2021 11.98 Town of Mooresville CMS Landfill 1/12/2021 11.20 Town of Mooresville CMS Landfill 1/12/2021 13.33 Town of Mooresville CMS Landfill 1/13/2021 11.28 Town of Mooresville CMS Landfill 1/13/2021 9.23 Town of Mooresville CMS Landfill 1/13/2021 10.02 Town of Mooresville CMS Landfill 1/13/2021 11.22 Town of Mooresville CMS Landfill 1/13/2021 7.22 Town of Mooresville CMS Landfill 1/13/2021 6.71 Town of Mooresville CMS Landfill 1/14/2021 8.54 Town of Mooresville CMS Landfill _ 1/14/2021 7.45 Town of Mooresville CMS Landfill 1/14/2021 9.19 Town of Mooresville CMS Landfill 1/14/2021 9.78 Town of Mooresville CMS Landfill 1/14/2021 9.85 Town of Mooresville CMS Landfill 11/29/2021 11.61 Town of Mooresville CMS Landfill 11/29/2021 7.77 Town of Mooresville CMS Landfill 12/13/2021 11.26 Town of Mooresville CMS Landfill 12/13/2021 9.87 Town of Mooresville 1 CMS Landfill 12/14/2021 8.83 Town of Mooresville CMS Landfill 12/14/2021 9.29 Town of Mooresville CMS Landfill 12/20/2021 4.62 Town of Mooresville CMS Landfill 12/21/2021 7.08 Town of Mooresville CMS Landfill 12/21/2021 8.87 Town of Mooresville CMS Landfill 12/22/2021 6.90 Town of Mooresville CMS Landfill 12/22/2021 6.96 Town of Mooresville CMS Landfill 12/28/2021 7.61 Town of Mooresville CMS Landfill 12/28/2021 9.20 Town of Mooresville CMS Landfill 12/29/2021 8.69 Town of Mooresville CMS Landfill 12/29/2021 9.60 Town of Mooresville CMS Landfill 12/29/2021 8.97 Town of Mooresville CMS Landfill 12/29/2021 7.30 Town of Mooresville CMS Landfill 12/29/2021 6.81 Town of Mooresville CMS Landfill 12/30/2021 8.87 Town of Mooresville CMS Landfill 12/30/2021 5.02 Town of Mooresville CMS Landfill Town of Mooresville CMS Landfill TOTAL 312.0 tons Solids 0.669 Dry metric 189.3 tons Case Narrative • ■Y NC Certification No.402 Waypoint_ NC Drinking Water Cert No.37735 SC Certification 2/8/21 17:00 ANALYTICAL Certification No.99012 Town of Mooresville/RR WWTP Project: Class B Monofi[I TCLP Whitney Munroe P. O. Box 878 Lab Submittal Date: 01/19/2021 Mooresville, NC 28115 Work Order: 1010285 This data package contains the analytical results for the project identified above and includes a Case Narrative,Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Narrative Notes: Herbicides TCLP analysis was subcontracted to Waypoint Memphis. Laboratory report is attached. Please call if you have any questions relating to this analytical report. Respectfully, WAYPOINT ANALYTICAL r 66a) Terri W. Cole Project Manager Data Qualifiers Key Reference: SM Surrogate is outside of the QC limits due to matrix. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced,except in its entirety, without the written consent of Waypoint Analytical. 449 Springbrook Road-P.O.Box 240543-Charlotte,NC 28224-0543 Phone:7041529-6364-Toll Free Number:1-8001529.6354-Fax:7041525-0409 Page 1 of 14 a Sample Receipt Summary • �1 02/08/2021 Waypoint. Work Order: 1010285 ANALYTICAL Client Sample ID Lab Sample ID Matrix Date/Time Sampled Date/Time Received Class B 1010285-01 Solid 01/19/21 9:04 01/19/21 12:30 Samples were received in good condition at 4.9 degrees C unless otherwise noted. This report should not be reproduced,except in its entirety, without the written consent of Waypoint Analytical. 449 Springbrook Road-P.O.Box 240543-Charlotte,NC 28224-0543 Phone:704/529-6364-Toll Free Number:1-800/529-6364-Fax:7041525.0409 Page 2 of 14 W Laboratory Report Waypoint- 02/08/2021 ANALYTICAL Town of Mooresville/RR WWTP Project: Class B Monofill TCLP Client Sample ID: Class B Attn:Whitney Munroe Sample ID: 1010285-01 P.O. Box 878 Work Order: 1010285 Mooresville, NC 28115 Sample Matrix: Solid Time Collected:01/19/21 09:04 Time Submitted: 01/19/21 12:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters %Solids 66-9 %by 0.100 0.100 1 *SM2540 G 1122/21 13:50 EDV P1A0789 Weight Paint Filter Liquids Pass g 1.0 0.0 1 *9095A 1/28/21 15:35 SLS P1A0961 Polychlorinated Biphenyls(PCBs)by GC/ECD Arocior 1016 BRL mg/kg dry 0.076 0.027 1 '8082A 1/21/21 13:18 NMB P1A0788 Aroclor 1221 BRL mg/kg dry 0.15 0.061 1 "8082A 1/21/21 13:18 NMB P1A0788 Aroclor 1232 BRL mg/kg dry 0.15 0.020 1 "8082A 1/21/21 13:18 NMB P1A0788 Aroclor 1242 BRL mg/kg dry 0.076 0.020 1 '8082A 1/21/21 13:18 NMB P1A0788 Aroclor 1248 BRL mg/kg dry 0.076 0.015 1 "8082A 1/21/21 13:18 NMB P1A0788 Aroclor 1254 BRL mg/kg dry 0.076 0.019 1 '8082A 1/21/21 13:18 NMB P1A0789 Aroclor 1260 BRL mg/kg dry 0.076 0.023 1 "8082A 1/21/21 13:18 NMB P1A0788 Surrogate Recovery Control Limits Tetrachloro-m-xyiene 81% 35-182 Decachlorobiphenyl 19% 34-182 SM TCLP Extraction by EPA 1311 TCLP Extraction Complete N/A 1 '1311 ZHE 1/21/21 6:54 TBL P1A0751 TCLP Extraction Complete N/A 1 "1311 1/22/21 8:10 EDV P1A0798 TCLP Metals Mercury BRL mg/L 0.010 0.000034 1 '7470A 1125121 15:46 EDV P1A0863 Arsenic BRL mglL 0.50 0.021 5 '6020B 1/25/21 23:24 JAB P1A0817 Barium BRL mg/L 5.0 0.079 5 '6020B 1/25/21 23:24 JAB P1A0817 Cadmium BRL mg/L 0.050 0.016 5 "6020B 1/25/21 23:24 JAB P1A0817 Chromium BRL mg/L 0.25 0.023 5 "6020B 1/25/21 23:24 JAB P1A0817 Lead BRL mg/L 0.050 0.011 5 "6020B 1/25/21 23:24 JAB PIA0817 Selenium BRL mglL 0.12 0.024 5 "6020B 1/25/21 23:24 JAB P1A0817 Silver BRL mglL 0.25 0.0084 5 *6020B 1/25/21 23:24 JAB P1A0817 TCLP Organochlorine Pesticides by GCIECD Chlordane BRL mg/L 0.0025 0.00090 1 '8081B 1/25/21 16:59 NMB P1A0849 Dieldrin BRL mg/L 0.00050 0.000068 1 "8081B 1/25/21 16:59 NMB P1A0849 Endrin BRL mg/L 0.00050 0.000068 1 '8081B 1/25/21 16:59 NMB P1A0849 gamma-BHC BRL mg/L 0.00050 0.000030 1 "8081B 1/25/21 16:59 NMB P1A0849 Heptachlor BRL mg/L 0.00050 0.000065 1 "8081B 1/25121 16:59 NMB P1A0849 Heptachlor Epoxide BRL mg/L 0.00050 0.00011 1 "8081B 1/25/21 16:59 NMB P1A0849 Methoxychlor BRL mg/L 0,00050 0.000090 1 *8081B 1/25/21 16:59 NMB P1A0849 Toxaphene BRL mg/L 0.025 0.0018 1 "8081B 1/25121 16:59 NMB P1A0849 Surrogate Recovery Control Limits Decachlorobiphenyl 44% 13-186 Tetrachlore-m-xylene 70% 40-134 TCLP Semivolatile Organic Compounds by GC/MS This report should not be reproduced,except in its entirety, without the written consent of Waypoint Analytical. 449 Springbrook Road-P.O.Box 240543-Charlotte,NC 28224-0543 Phone:7041529-6364-Toll Free Number:1-800/529-6364-Fax:7041525-0409 Page 3 of 14 w Laboratory Report Waypoint. 02/08/2021 ANALYTICAL Town of Mooresville/RR WWTP Project: Class B Monofill TCLP Client Sample ID: Class B Attn:Whitney Munroe Sample ID: 1010285-01 P. O. Box 878 Work Order: 1010285 Mooresville, NC 28115 Sample Matrix:Solid Time Collected:01/19/21 09:04 Time Submitted: 01/19/21 12:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DatefTime ID 2,4,5-Trichlorophenol BRL mg/L 0.25 0.0036 1 *8270E 1/25/21 14:33 JMV P1A0812 2,4,6-Trichlorophenoi BRL mg/L 0.10 0.0045 1 *8270E 1/25/21 14:33 JMV P1A0812 2,4-Dinitrotaluene BRL mg/L 0.012 0.0042 1 *8270E 1/25/21 14:33 JMV P1A0812 2-Methylphenol BRL mg/L 0.050 0.0024 1 *8270E 1/25/21 14:33 JMV P1A0812 314-Methylphenol BRL mg/L 0.050 0.0025 1 *8270E 1/25/21 14:33 JMV P1A0812 Hexachlorobenzene BRL mg/L 0,020 0.0039 1 *8270E 1/25/21 14:33 JMV P1A0812 Hexachlorobutadiene BRL mg/L 0.050 0.0045 1 *8270E 1/25/21 14:33 JMV P1A0812 Hexachloroethane BRL mg/L 0.050 0.0037 1 *8270E 1/25/21 14:33 JMV P1A0812 Nitrobenzene BRL mg/L 0.050 0.0038 1 *8270E 1/25/21 14:33 JMV P1A0812 Pentachlorophenol BRL mg/L 0.25 0.011 1 *8270E 1/25/21 14:33 JMV P1A0812 Pyridine BRL mg/L 0.25 0.0016 1 *8270E 1/25/21 14:33 JMV P1A0812 Surrogate Recovery Control Limits 2,4,6-Tribromophenol 130% 43-140 2-Fluorobiphenyl 96% 44-119 2-Fluorophenol 65% 19-119 Nitrobenzene-d5 86% 44-120 Phenol-d5 46% 11-52 Terphenyl-d14 99% 50-134 TCLP Volatile Organic Compounds by GC/MS 1,1-Dichloroethylene BRL mg/L 0.035 0.00083 10 "8260D 1/22/21 20:13 JLB P1A0831 1,2-Dichloroethane BRL mg/L 0.025 0.00066 10 '8260D 1/22/21 20:13 JLB P1A0831 1,4-Dichlorobenzene BRL mg/L 0.38 0.00050 10 "8260D 1122/21 20:13 JLB P1A0831 Benzene BRL mg/L 0.025 0.00048 10 *8260D 1/22/21 20:13 JLB P1A0831 Carbon Tetrachloride BRL mg/L 0.025 0.0011 10 *8260D 1/22/21 20:13 JLB P1A0831 Chlorobenzene BRL mg/L 5.0 0.00062 10 *8260D 1/22121 20:13 JLB P1A0831 Carbon disulfide BRL mg/L 0.050 0.00075 10 "8260D 1/22/21 20:13 JLB P1A0831 Chloroform BRL mg/L 0.30 0.00076 10 *8260D 1/22121 20:13 JLB P1A0831 Methyl Ethyl Ketone(2-Butanone) BRL mg/L 10 0.0024 10 '8260D 1/22/21 20:13 JLB P1A0831 Tetrachloroethylene BRL mg/L 0.035 0.00098 10 "8260❑ 1122/21 20:13 JLB P1A0831 Trichloroethylene BRL mg/L 0.025 0.00078 10 "8260D 1/22/21 20:13 JLB P1A0831 Vinyl chloride BRL mg/L 0.020 0.00097 10 "8260D 1/2221 20:13 JLB P1A0831 Surrogate Recovery Control Limits 4-Brornofiuorobenzene 101% 80-124 Dibromofluoromethane 104% 75-129 Toluene-d6 96% 77-123 This report should not be reproduced,except in its entirety, without the written consent of Waypoint Analytical. 449 Springbrook Road-P.O.Box 240543-CharEotte,NC 28224-0543 Phone:7041529-6364-Toll Free Number:1-800/529-6364-Fax:704/525-0409 Page 4 of 14 Sample Extraction Data Prep Method:Default Prep GenChem Lab Number Batch Initial Final Date/Time 1010285-01 P1A0961 100 g 100 mL 01/28/21 15:35 Prep Method:Solids,Dry Weight Lab Number Batch Initial Final DaterTime 1010285-01 P1A0789 30 g 30 g 01/21/21 9:57 Prep Method:3546 Lab Number Batch initial Final Date/Time 1010285-01 P1A0788 29.52 g 10 mL 01/21/21 8:55 Prep Method:1311 Lab Number Batch Initial Final Date/Time 1010285-01 P1A0751 12.5 g 250 mL 01/20/21 12:10 1010285-01 P1 A0798 100 g 2000 mL 01/21/21 16:08 Prep Method:3010A Lab Number Batch Initial Final Date/Time 1010285-01 P1A0817 10 mL 50 mL 01/22/21 10:31 Prep Method:7470A Lab Number Batch Initial Final DateMme 1010285-01 P1A0863 20 mL 30 mL 01/25/21 11:08 Prep Method:3510C GC Lab Number Batch Initial Final Date/Time 1010285-01 P1A0849 200 mL 10 mL 01/25/21 8:30 Prep Method:3510C MS Lab Number Batch Initial Final Date/Time 1010285-01 P1A0812 200 mL 1 mL 01/22/21 8:30 Prep Method:5030B Lab Number Batch Initial Final Daternme 1010285-01 P1A0831 10 mL 10 mL 01/22/21 10:00 Subcontracted Analyses The following analyses were subcontracted to Waypoint Analytical Lab Number Analysis 1010285-D I Herbicides TCLP(Sub) This report should not be reproduced,except in its entirety, without the written consent of Waypoint Analytical. 449 Springbrook Road-P.O.Box 240543-Charlotte,NC 28224-0543 Phone:704/529-6364-Toll Free Number:1-800/529-6364-Fax:704/525-0409 Page 5 of 14 W CHAIN OF CUSTODY RECORD LAB USE ONLY Waypo• I YES NO N/A int it PAGE OF . QUOTE E TOENSURE PROPER BILLING: Samples INTACT upon arrival? ------- ANALYTICAL ProjectC_-{ �_ Name; � E. 1vt0 � Received IN ICE? Pho449 ne 704/529-6364 • Faxr17041525.0409 NC 7 Short Hold Analysis a (No) UST Project: (Yes) N&) PROPER PRESERVATIVES indicated? X — 'ilk Please ATTACH any project specific reporting(QC LEV II III IV) Received WITHIN HOLDING TIMES? Client Company Name: 0 `�*�- provisions andlor QC Re uirement�ts A CUSTODY SEALS INTACT? Report To/Contact Name: .1 11� Invoice To: I/1tMl or 1ULDoceszrlL� VOLATILES reed W1OUT HEADSPACE? �' Reporting Address: p,A. �_4g Address: PROPER CONTAINERS used? Iv 4 1 MC,.22.1/6--- TEMP: Therm lD: -117 Observed 4•' 'C/Corr. ivi PI eC Phone"14/8-318lp Fax(Yes)(No): Purchase Order No./Billing Reference TO BE FILLED IN BY CL11E3I ITISAMPLING PERSONNEL Email Address: W I1u.Y1 E ..0.. ocre6u • 41V Requested Due Date ❑1 Day ❑2 Days ❑3 Days ❑4 Days ❑5 Days V- � 9 Certification: NC 5C EDD Type: PDF L Excel Other "Working Days" ❑6-9 Daysgrandard 10 days 0 pu AWpor Mdust Be Site Location Name: Samples received after 15:00 will be processed next business day. Other N/A Site Location Physical Address: Turnaround time is based on business days,excluding weekends and holidays. Water Chlorinated: YES.NO (SEE REVERSE FOR TERMS&CONDITIONS REGARDING SERVICES RENDERED BY wAYPDINT ANALYTICAL,LLC TO CLIENT) Samples Iced Upon Collection: YES NO- TIME MATRIX SAMPLE CONTAINER ANASIS REQUESTED CLIENT DATE COLLECTED (SOIL, PRESERVAA., - SAMPLE DESCRIPTION COLLECTED MILITARY WATER,OR 'TYPE NO. SIZE TIVES Q.11 �+ Rr �� `�� REMARKS ID NO. HOURS SLUDGE) SEE BELOW /� IV Sir a�S B PAMOMI I f ilia[ _ °9 a `f a o • 10. I r ill I. J _. _ ��"�� PRESS DOWN FIRMLY - 2 COPIES • �� Sampler's Signature !V I SIM J (p___- Sampled By(Print Name) .1 'ti"-1 Affiliation f O „ LAB USE ONLY Upon relinquishing,this Chain of Custody is your authorization for Waypoint Analytical to proceed with the analyses as requested above.Any changes must be submitted in writing to the Waypoint Analytical Project Manager.There will be charges for any changes after analyses have been initialized. Site Arrival Time: Relit up il:10y:it'gnatute) A Received lim/ nature) Dale MilitaryIHours Additional Comments: Site Departure Time: 1`�iAtf )'/,'Z1 t/L17 Relinquished ed By:(Signal eceived By:(Signature) Dale Field Tech Fee: Relinquished By:(Signature) Received For Waypoint Analytical By: Date Mileage: Method of Shipment: NOTE:ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. CDC Group No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COG UNTIL RECEIVED AT THE LABORATORY. I 0 F GTO SEE REVERSE FOR ❑Fed Ex R UPS Cl Hand-delivered ypointAnalytical Field Service 4 Other TERMS&CONDITIONS NPDES: UST: GROUNDWATER:[ DRINKING WATER: SOLID WASTE: RC RA: BRWNFLD LANDFILL OTHER: ❑NC❑SC ONC ❑SC ❑NC ❑SC ❑NC CI SC ,IGC 0SC ❑NC CI SC ❑NC ❑SC ❑NC ❑SC IDNC ❑SC Page 6Df14 + ❑ ❑ ID 0 ❑ ❑ ❑ ❑ ..,+....+".-,® *CONTAINER TYPE CODES: A=Amber C=Clear Gn Glass P=Plastic: TL=Teflon-Lined Cap VOA=Volatile Oroanics Analysis(Zero Head Saacel Terms and Conditions The Terms&Conditions set forth below shall be deemed to be incorporated into the agreements and understandings by and between Waypoint Analytical and the Client identified on the facing page hereof,The Terms and Conditions of this Agreement shall not be modified without prior written consent of Waypoint Analytical and'are considered the default Terms&Conditions unless superseded by a separate and fully executed agreement between Client and Waypoint Analytical. Confidentiality:All work will be performed in strict Hazardous Waste: Unless otherwise specified, confidence. Results are released only to the client samples will be held for approximately 30 days. or designated agent.Waypoint must receive a Excessive amounts of waste-samples may be written request frorri client to release data to an returned to the client for disposal or a disposal fee independent third party. Confidentiality - billed to the client. agreements will be gladly provided upon request. Litigation Support:All costs associated with Payment Terms;All invoices are net 30 days. compliance to any subpoena for documents, Invoices are generated for each set of samples testimony and any other services or expenses (Waypoint Order) received.Special invoicing related to work performed for that client shall be arrangements can be made with prior approval paid by that client. from Waypoint. Please contact Client Services. - Payments are accepted via cash, check, VISA, Report/Data Storage:Analytical reports and data MasterCard and American Express.Samples arriving are maintained for a period of 5 years or as for RUSH TAT must be paid in advance (cash, check required by regulatory agencies. Ali reports and or credit card)for clients that do not have approved data are archived using the Waypoint Order credit.Authorization, either written or verbal, of Number(eg.9901-001). Please refer to this number Waypointto perform any service shall be deemed when making inquiries. full and unconditional acceptance of the terms and conditions set forth herein.A minimum charge for RUSH TAT:Available with prior approval from any service requiring a report is$83.00. Prices and Waypoint. Multipliers will be applied as follows: Services are subject to change without notice. Less than 1 Day.-3XJ 1 Day-2X/2 Day— 1.75X/3 Day—1.5X/4 Day-1.25X/5 Day—1.2X. Warrants/Limits of Liability/indemnity: RUSH TCLP analyses are priced higher.TAT is based Waypoint's liability in any claim relating to analyses on business days excluding weekends and holidays. performed shall be limited to, at Waypoint's option, Samples received after 3:00 pm will be considered repeating the analysis in question at Waypoint's received the next business day. expense, or the refund of the charges paid for performance of said analysis.The client shall Force Majeure: Neither party to this agreement will indemnify and hold harmless Waypoint from and • •be liable to the other part for delays in performance against all costs, damages, liabilities and/or other of services nor for the direct or indirect cost(s) claims of any nature, relating in any way to resulting from such delays that may result from Waypoint's performance or failure to perform any labor strikes, riots,war,extraordinary weather services. conditions,terrorism or any natural catastrophe or any other cause beyond the reasonable control of Governing Law:This Agreement shall be governed either party.' in accordance with the laws of the•State of Delaware. Fee Discounts: Fee discounts apply to long-term contractual work, special projects and quotations and large volume requests. Discounts do not apply to RUSH work. • Page 7 of 14 w° Waypou nt,. 2790 Whitten Road,Memphis,TN 38133 Main 901.213.2400°Fax 901.213.2440 ANALYTICAL www.waypointanalytical.com 2/5/2021 Waypoint Analytical Charlotte Ms. Terri Cole P.O. Box 240543 Charlotte, NC, 28224-0543 Ref: Analytical Testing Lab Report Number: 21-029-0084 Client Project Description: Subcontract Order#1010285 Dear Ms. Terri Cole: Waypoint Analytical, LLC. received sample(s) on 1/29/2021 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. Where the laboratory was not responsible for the sampling stage(refer to the chain of custody) results apply to the sample as received. 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 August 2017) and NELAC unless otherwise indicated. Any parameter for which the laboratory is not officially NELAP accredited is indicated by a '-S' symbol. These are not included in the scope because NELAP accreditation is either not available or has not been applied for. Additional certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable. A full list of certifications is available upon request. 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, Andrea R Brownfield Project manager 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.si Page 8 of 14 Page 1 of 7 • w Waypoint, 2790 Whitten Road,Memphis,TN 38133 Pilaf 901.213.2400°Fax 901.213.2440 ANALYTICAL www.waypointanalytical.com Certification Summary Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN State Program Lab ID Expiration Date Alabama State Program 40750 02/28/2021 Arkansas State Program 88-0650 02/07/2021 California State Program 2904 06/30/2021 Florida State Program- NELAP E871157 06/30/2021 Georgia State Program C044 02/18/2023 Georgia State Program 04015 06/30/2021 Illinois State Program- NELAP 200078 10/10/2021 Kentucky State Program 80215 06/30/2021 Kentucky State Program KY90047 12/31/2021 Louisiana State Program-NELAP LA037 12/31/2021 Louisiana State Program- NELAP 04015 06/30/2021 Mississippi State Program MS 02/11/2023 North Carolina State Program 415 12/31/2021 Oklahoma State Program 9311 08/31/2021 Pennsylvania State Program- NELAP 68-03195 05/31/2021 South Carolina State Program 84002 06/30/2021 South Carolina State Program 84002 06/30/2021 Tennessee State Program 02027 02/11/2023 Tennessee A2LA ISO 17025:2017 4313.01 10/31/2021 Texas State Program-NELAP T104704180 09/30/2021 Virginia State Program 00106 06/30/2021 Virginia State Program- NELAP 460181 09/14/2021 Page 1 of 1 000 Page 9 of 14 Page 2 of 7 Vllaypoint,. 2790 Whitten Road,Memphis,TN 38133 Main 901.213.2400°Fax 901.213.2440 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 21-029-0084 Client Project Description: Subcontract Order# 1010285 Lab No Client Sample ID Matrix Date Collected Date Received 91167 Class B Solid 01/19/2021 09:04 01/29/2021 Page 10 of 14 Page 3 of 7 w VVaypo i nt., 2790 Whitten Road,Memphis,TN 38133 Main 901,213.2400°Fax 901.213,2440 ANALYTICAL www.waypointanalytical.com 25657 Waypoint Analytical Charlotte Ms.Terri Cole Project Subcontract Order# 1010285 P.O. Box 240543 Information Charlotte , NC 28224-0543 Report Date : 02/05/2021 Report Number:21-029-0084 REPORT OF ANALYSIS Received : 01/29/2021 Lab No : 91167 Matrix: Solid Sample ID :Class B Sampled: 1/19/2021 9:04 Analytical Method: 1311 Test Results Units MDL MQL DF Date 1 Time By Analytical Analyzed Batch TCLP Herbicide Extraction Leachate 1 02/01/21 16:30 PHE L534263 Analytical Method: 8151A Prep Batch(es): L534722 02/03/21 15:00 Prep Method: 8151A Test Results Units MDL MQL DF Date 1 Time By Analytical Analyzed Batch TCLP 2,4-D <0.0100 mg/L 0.0100 0.0200 1 02/04/21 16:09 VIC L534973 TCLP 2,4,5-TP(Silvex) <0.0010 mg/L 0.0010 0.00213 1 02/04/21 16:09 VIC L534973 Surrogate: DCAA 71,00 Limits: 20-120% 1 02/04/21 16:09 VIC L534973 Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit Definitions Page 11 of14 Page 4 of 7 w Iaypoi nt . 2790 Whitten Road, !Memphis,TN 38133 Main 901.213.2400°Fax 901.213.2440 ANALYTICAL www.waypointanalyticaicom Quality Control Data Client ID: Waypoint Analytical Charlotte Project Description: Subcontract Order# 1010285 Report No: 21-029-0084 QC Prep: L534722 QC Analytical Batch(es): L534973 QC Prep Batch Method: 8151A Analysis Method: 8151A Analysis Description: Phenoxy Acid Herbicides-GC/ECD(TCLP) Lab Reagent Blank LRB-L534722 Matrix:TCL Associated Lab Samples: 91167 Blank MDL MQL Analyzed % % Rec Parameter Units Result Recovery Limits TCLP 2,4-1J mg/L <0.0100 0.0100 0.0200 02/04/21 12:03 TCLP 2,4,5-TP(Silvex) mg/L <0.0010 0.0010 0.0020 02/04/21 12:03 DCAA(S) 02/04/21 12:03 88.8 20-120 Laboratory Control Sample&LCSD LCS-L534722 LCSD-L534722 Spike LCS LCSD LCS LCSD °/a Rec Parameter Units Conc. Result Result %Rec %Rec Limits RPD Max RPD TCLP 2,4-D mg/L 0.1000 0.0808 0.0772 80.8 77.2 20-120 4.5 20,00 TCLP 2,4,5-TP(Silvex) mg/L 0.0100 0.0076 0.0074 76.0 74.0 20-120 2.6 20.00 DCAA(S) 83.8 81.6 20-120 Date: 02/05/2021 03:47 PM Page 12 of 14 Page 5 of 7 Waypoi u t.. 2790 Whitten Road,Memphis,TN 38133 Main 901.213.2400°Fax 901.213.2440 ANALYTICAL www.waypointanaiytical.com Shipment Receipt Form Customer Number:25657 Customer Name: Waypoint Analytical Charlotte Report Number: 21-029-0084 Shipping Method Fed Ex 0 US Postal 0 Lab O Other : 0 UPS 0 Client 0 Courier Thermometer ID: r#100 Shipping container/cooler uncompromised? Yes 0 No Number of coolers/boxes received [j Custody seals intact on shipping container/cooler? 0 Yes 0 No • Not Present Custody seals intact on sample bottles? 0 Yes 0 No • Not Present Chain of Custody(COC) present? • Yes 0 No COC agrees with sample label(s)? 0 Yes 0 No COC properly completed • Yes 0 No Samples in proper containers? 0 Yes 0 No Sample containers intact? • Yes 0 No Sufficient sample volume for indicated test(s)? • Yes 0 No All samples received within holding time? • Yes 0 No Cooler temperature in compliance? • 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 • N/A Water- VOA vials free of headspace 0 Yes 0 No N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035—compliance criteria met 0 Yes 0 No • N/A 7 High concentration container(48 hr) r Low concentration EnCore samplers (48 hr) r High concentration pre-weighed (methanol -14 d) 7 Low cone pre-weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes • No Comments: - Signature: [Tory Phillips Date &Time: 01/29/2021 12:02:55 Page 13 of 14 Page 6 of 7 0 Waypoint. Ynt. ANALYTICAL SUBCONTRACT ORDER Certification: NFLAC USACE_ Waypoin1 Analytical NC X SC_ Other 1010285 N/A SENDING LABORATORY: RECEIVING LABORATORY: ` Way-IxointAnalytical Way point Analytical P.0.BON 240543 2790 Whitten Road Charlotte.NC 28224-0543 Memphis. €N 38133 Phone:800-529-6364 Thane:(901)2 I_;-2400 Fax:704-535-0409 Fax:(901)21.i 2130 Project Manager Terri W.Cole Analysis Due Expires Laboratory ID Comments Sample ID: 1010285-0I Solid Sant OW:01/14/21 09:04 Class B tierbicides"1'CLP(Sub) 02I02121 09(1a ('onrrturers.i'uppired: l L it C_I....7- k,.. r' ,�-Z,� 2 .o C Irv -e Jll l 11 11111ll1114111III1 12569 °20 2°81 LR. ),.. . — - - 1C- ( Suocomract Order d 1010285 115709 2k G ( 04 Re:4 tiPll13)_ Date Received ByDate Released }' Date Received By Date Released By Date Received By Date / 1ogi I 2c3/21 0 : 1S Released By Date Received By (Yale Page 1 of 1 Page 14 of 14 Page 7 of 7