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HomeMy WebLinkAboutWQ0001026_Residual Annual Report 2015_20160205MA esources, Inc. RECE!�r � n 1 P! r, � � QJ O R February 2, 2016 e,1r''Ste`k5 f�f. E e' DENR/Water Quality Section FFR 0 5 2016 Non -Discharge Compliance Unit 1617 Mail Service Center r Raleigh, NC 27699-1617 Re: 2015 Annual Report - Washington Treatment and Land Application of Residuals Permit No. WQ0001026 Dear Sir or Madam: Enclosed are three copies of the 2015 Annual Report for the above referenced land application permit. FEB - 5 2016 Non-D i;charge Permitting Unit During 2015 EMA Resources, Inc. land applied 203.39 dry tons of wastewater residuals to 113 acres of private farmland. Please contact Brent Collins - Director of Technical Services if you have any further questions regarding this report. Sincerely, dt;440� Director of Technical Services Brent collinskemaresourcesinc.com Phone 336-751.1441 — Fax 336-751.1442 755 Yadkinville Road — Mocksville, NC 27028 City of Washington 2015 Annual Report Residuals Land Application Permit No. WQ0001026 Prepared By: EMA Resources, Inc. Phone 3369751.1441 — Fax 336*751.1442 755 Yadkinville Rd — Mocksville, NC 27028 RECEI`�ED��,1rnrrr DWR FEB - 5 201-0 Non-Discharg? Permitting unit ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0001026 County: : Beaufort County, NC Facility Name (as shown on permit): Land Application Operator: Year: 2015 City of Washington EN IA Resources Inc. Phone: 336-751-1441 Land application of residuals as allowed by the permit occurred during the past calendar year? R1 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 how the residuals were handled. Part A - Residuals Application Summary: Total number of application fields in the pe it: 54 Total number of fields utilized for land application during the year: 5 Total amount of dry tons applied during the year for all application sites: 203.39 Total number of acres utilizes for land application during the year: 113 -Part B - Annual Compiance Statement: Facility was compliant during calendar year 2015 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Quality. 0 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 were performed on each site receiving residuals during the past 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 Limits in 15A NCAC 02T. I 105(a) or the Pollutant Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) 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 remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I 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." Adam Waters - Water Resources Superintendent Permittee Name and Title (type or print) 11ZL —26-16 Signature of Permittee Date Z: 1/11/2016 Signature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: WQ0001026 Laboratory: 1) Facility Name: City of Washington 2) Residual Source WQ # or NCO020648 3) NPDES #: 4) WWTP Name: Washington WWTP 5) Residual Analvcic Dntn A&L Laboratories Parameter (mg/kg) Conc. Limit (mg/kga Sample or Composite Date 4/29/15 5/21/15 10/12/15 12/17/15 Percent Solids (%) NA 3.88 3.75 4.15 4.04 Arsenic 75 6 5 6 5 Cadmium 85 2 2 3 2 Copper 4,300 294 280 290 207 Chromium NA 57 51 44 54 Lead 840 30 39 35 20 Mercury 57 1.5 1.5 1.7 1.2 Molybdenum 75 6 6 7 11 Nickel 420 27 29 24 29 Selenium 100 5 5 5 5 Zinc 7,500 730 708 800 610 Total Phosphorus NA 23600 21800 17800 22100 TKN NA 50800 51500 32000 42800 Ammonia -Nitrogen NA 5930 6130 6750 6680 Nitrate and Nitrite NA 2 2 2 2 r or surrace aisposai racnities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "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." r, Signature of Preparer * Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year. Use additional forms as needed. WQ Permit Number: WQ0001026 Laboratory: 1) Facility Name: City of Washington 2) Residual Source NCO020648 3) NPDES # or WQ#: 4) WWTP Name: Washington WWTP 5) Residual Analvsis Data A&L Laboratories Parameter g_• Sample or Composite Date ®®®Potassium "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." Z L--> - f c� Signature of Preparer * Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF - B (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Washington Total Dry Tons Applied (Annual): termit #: WQ0001026 Cation Exchange Capacity (non 503 only): erator: Hunter Roost Farms Owner: Hunter Roost Farms Predominant Soil Series: ".cres Used: 16.5 Acres Permitted: 16.5 Site #: BF210 Field #: 30.11 CrB residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date q2 5/21/15 12/17/15 3 L 4 1 51 L6J7 8 9 10 11 12 o Solids 3.75 4.04 Arsenic 5 5 Cadmium 2 2 �opper 280 207 c:tiromiun 51 54 Lead 39 20 Qercury 1.5 1.2 Molyb- denum 6 11 Nickel 29 29 selenium 5 5 Zinc 708 610 Total Phos- nhorus 21800 22100 nnual Heavy Metal Field Loadings (Calculated in lbs/acre): Total nT/Ac./ App. Event 1 0.43 2 1.39 3 4 5 6 7 8 9 10 11 12 o 14 Arsenic 0.004 0.014 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 1 0.018 admium 0.002 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Copper 0.241 0.577 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.818 '' romiurn 0.044 0.151 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.195 Lead 0.034 0.056 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.089 Mercury 0.001 0.003 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 '✓Iolyb- ienum 0.005 0.031 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 Nickel 0.025 0.081 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.106 0?1enium 0.004 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.018 Zinc 0.610 1.701 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.311 Total Phos- )horns 18.792 61.615 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 80.406 "1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance ith a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. im aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 1/11 /2016 Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Washington WQ Permit #: WQ0001026 Field #: 1 Acres Utilized: Hunter Roost Farms Annual Dry Tons Applied: 30.11 Site #: BF210 Acres Permitted: Operator: Hunter Roost Farms Crop 1 Name: Small Grain Predominant Soil Series: CrB Crop 1 Max. PAN: 93 Crop 2 Name: Cation Exchange Capacity (non 503): Small Grain Crop 2 Max. PAN: 16.5 16.5 0 50 ° y o c� Q Volume applied PP enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches o 0 cc � o oa m o n � * S C 7 w -� "= * =. * 0 TKN mg/kg Z 9 o � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of CropType yp ReceivingResidual Application Crop 1 Crop 2 Crop 1 Crop 2 5/19 45500 3.75 0.431 Washington D <.5" S 0.5 0.3 51500 6130 2 14.384 NA SG 12/14 45500 4.04 0.465 Washington D <.5" S 0.5 0.3 42800 6680 2 Na '" 13.173 SG 12/15 52000 4.04 0.531 Washington D <.5" S 0.5 0.3 42800 6680 2 Na 15.055 SG 12/16 39000 4.04 _ 0.398 Washington D <.5" S 0.5 0.3 42800 6680 2 Na ' 11.291 SG 0.000 0.000 0.000 ` 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 -0.000 0.000 - 0.000 0.000 0.000 0.000. 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTAL&I 01 182000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 14.38a 39.519 Lime Applied Annual lbs/acre 0.018 0 0.018 1 36 0.007 0 0.007 34 0.818 0 0.818 1338 : 0.195 0 0.195 0.089 0 1- 0.089 267 0.005 0 0.005 '1 15 0.036 0 0.036 0.106 0 1 0.106 374 " 0.018 0 0.018 89 2.311 0 2.311 2498 80.406 :: Date lbs/ac Prior Years Cumulative lbs/ac 1.00D Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1st/2nd Crop 93 50 "1 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." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2016 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report acility Name: City of Washington Total Dry Tons Applied (Annual): ermit #: WQ0001026 Cation Exchange Capacity (non 503 only): Operator: Hunter Roost Farms Owner: Hunter Roost Farms Predominant Soil Series: .ores Used: 27.5 Acres Permitted: 27.5 Site #: BF210 Field #: 20.82 GoA 2 _residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- Iposite Date 1 1 12/17/15 2 3j L 4 5 6 7 8 9 10 11 12 o Solids 4.04 Arsenic 5 2 kadmium opper 207 Chromiur 54 Lead 20 4ercury 1.2 I Molyb- denum 11 Nickel 29 Selenium 5 Zinc 610 Total Phos- horus 22100 nnual Heavy Metal Field Loadings (Calculated in lbs/acre): ITotal ')T/Ac./ App . Event 1 0.76 2 3 L4j 5 6 1 L_7j8j L_9j 10 11 j 12 c " Arsenic 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 admium 0.003 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.003 Copper 0.313 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.313 irornium 0.082 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.082 Lead 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 Mercury 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 Oolyb- Jenum 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Nickel 0.044 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.044 eleniurn 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 0.924 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.924 ITotal Phos- chorus 33.459 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 33.459 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance ith a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 1/11/2016 Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Washington WQ Permit #: WQ0001026 Field #: 2 Acres Utilized: Hunter Roost Farms Annual Dry Tons Applied: 20.82 Site #: BF210 Acres Permitted: Hunter Roost Farms Predominant Soil Series: GoA Cation Exchange Capacity (non 503): Crop 1 Name: Small Grain Crop 1 Max. PAN: 120 Crop 2 Name: Small Grain Crop 2 Max. PAN: 27.5 27.5 0 50 ° a) o Q Volume applied pP enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per PP p Acre (Dry Tons/AC) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches Y o o� w * o �, � w " * TKN mg/kg z > �o o �, �. mg/kg Nitrate and Nitrite mg/kg PAN Applied lbs/acre ) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 12/16 84500 1 4.04 0.518 Washington D <.5" S 0.5 0.3 42800 6680 2 14.679 NA SG 12/17 39000 4.04 0.239 Washington D <.5" S 0.5 0.3 42800 6680 2 6.775 NA `> SG 0000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 : 0.000 0.000 0.000 0.000 0.000 0.000 0.000' 0.000 0.000 0.000' 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 ` '0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: Of 123500 As Cd Cu Cr Pb Hg Mo Ni Se Zn I P 21.453'' 0.000` Lime Applied Annuallbs/acre 0.008 0 0.008 36 0.003 0 0.003 34 0.313 0 0.313 1338 0.082 0 0.082 0.030 0 0.030 267 0.002- 0 0.002 15 0.017 0 0.017 0.044 0 0.044 374 0.008 0 0.008 89 0.924 0 0.924 2498 33.459 :: ............................ Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2n Cro p o P 120 - 50 "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." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2016 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: ermit #: Operator: '.cres Used: City of Washington Total Dry Tons Applied (Annual): WQ0001026 Cation Exchange Capacity (non 503 only): Hunter Roost Farms Owner: Hunter Roost Farms Predominant Soil Series: 16 Acres Permitted: 16 Site #: BF210 Field #: 59.97 Ra _residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or 1 2 j 3 j L4]51 L6 J 7 8 9 10 11 12 Com- 5/21/15 Iposite Date 'o Solids 3.75 Arsenic 5 Cadmium 2 Copper 280 Chromium 51 Lead 39 ✓tercury 1.5 Molyb- I 6 denum Nickel 29 Selenium 5 Zinc 708 Total Phos- 21800 phorus nnual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 L2 3 4 5 6 7 8 9 10 11 12 ')T/Ac./ o App. Event 3.75 Arsenic 0.037 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.037 admium 0.015 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.015 Copper 2.099 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.099 ^iiromium 0.382 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.382 Lead 0.292 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.292 Mercury 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 -Aolyb- 0.045 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 lenum Nickel 0.217 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.217 ;lenium 0.037 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.037 Zinc 5.307 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.307 Total Phos- 163.413 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 163.413 )horus "t certifv. under Denaltv of law. that this document was nrenared under my direetinn nr cnnervicinn in neenrdane,, ---ith a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. im aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Z-z 1 / 11 /2016 Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Washington WQ Permit #: WQ0001026 Field #: 5 Acres Utilized: Land Owner: Hunter Roost Farms Annual Dry Tons Applied: 59.97 Site #: BF210 Acres Permitted: Operator: Hunter Roost Farms Predominant Soil Series: Ra Cation Exchange Capacity (non 503): Crop 1 Name: Bermuda -Pasture Crop I Max. PAN: 145 Crop 2 Name: Crop 2 Max. PAN: 16 16 0 � ° y ° Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources NPDES #, W #, ( Q Fert., Animal Waste, etc) Soil Cond. (Dry' Wet, Moist) Precip. Past 24 Hrs. inches Y a � o w a -• * o 7y ?: N' * o' � 4 w * * " � TKN mg/kg z Y o c°Qo w mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/17 58500 3.75 0.572 Washington D <.5" S 0.5 0.3 51500 6130 2 19.071 NA Bermuda 5/18 234000 3.75 2.287 Washington D <.5" S 0.5 0.3 51500 6130 2 76.285 NA Bermuda 5/19 91000 3.75 0.889 Washington D <.5" S 0.5 0.3 51500 6130 2 29.666 NA Bermuda 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000_ 0.000 - 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 -' 0.000 0.000 0.000 0.000-' 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000' 0.000 TOTALS: 01 383500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P I 125.022 0.000 ` Lime Applied Annual lbs/acre 0.037 0.015 2.099 0.382 0.292 0.011 ' 0.045' 0.217 0.037 5.307 163.413 Date lbs/ac Prior Years Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 0 Current Cumulative lbs/ac 0.037 0.015 ` 2.099 ' _0.382 0.292 0.011 0.045 0.2.17 0.037 5.307 Permitted C. P. L. R.**** 36 34 1 1338 1 1 267 1 15 374 1 89 1 2498 Permit PAN Limit 1st/2nd Crop 145 "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." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2016 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: ermit #: Operator: ".cres Used: City of Washington Total Dry Tons Applied (Annual): WQ0001026 Cation Exchange Capacity (non 503 only): Hunter Roost Farms Owner: Hunter Roost Farms Predominant Soil Series: 27.5 Acres Permitted: 27.5 Site #: BF210 Field #: 40.65 GoA 12 residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or 1 2 3 4 5 6 7 8 911 11 12 Com- 5/21/15 posite Date 6 Solids 3.75 Arsenic 5 Cadmium 2 �opper 280 lChromiurn 51 Lead 39 Mercury 1.5 Molyb- I 6 Jenum Nickel 29 Selenium 5 Zinc 708 Total IPhos- 21800 nhorus nnual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 L7 8 9 10 11 12 r)T/Ac./ p App. Event 1.48 Arsenic 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 admium 0.006 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.006 Copper 0.828 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.828 `-romiun 0.151 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.151 Lead 0.115 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.115 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- 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 lenum Nickel 0.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.086 0,leniun 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Zinc 2.093 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.093 Total Phos- 64.441 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 64.441 )horus "1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance ---ith a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. im aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Z; fG;: ; 1/11/2016 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Washington WQ Permit #: WQ0001026 Field #: 12 Acres Utilized: Hunter Roost Farms Annual Dry Tons Applied: 40.65 Site #: BF210 Acres Permitted: Hunter Roost Farms Predominant Soil Series: GoA Cation Exchange Capacity (non 503): Crop 1 Name: Small Grain Crop 1 Max. PAN: 120 Cron 2 Name: Cron 2 Max_ PAN - 27.5 27.5 0 0 = ° V o c� Q Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume A hed er PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches Y 4 ,�° a o � C o �y _ ° * N 0 ;� ?3 `. � 0 TKN mg/kg y z > o °q ° 2. mg/kg Nitrate and Nitrite mg/kg PAN Applied Ibs/acre ( ) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/16 1 78000 3.75 0.444 Washington D <.5" S 0.5 0.3 51500 6130 2 14.795 NA SG 5/17 182000 3.75 1.035 Washington D <.5" S 0.5 0.3 51500 6130 2 34.521 NA SG 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 260000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 49.315 0.000 Lime Applied Annual Ibs/acre 0.015 0 0.015 36 0.006 0 0.006 34 0.828 0 0.828 1338 0.151 0 0.151 0.115 0 0.115 267 0.004 0 0.004 15 0.018 0 0.018 0.086 0 0.086 374 0.015 0 0.015 89 2.093 0 2.093 2498 64441 :::: :: ....., . Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop 120 --i certjty, unaer 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." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2016 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Washington Total Dry Tons Applied (Annual): ermit #: WQ0001026 Cation Exchange Capacity (non 503 only): Operator: Hunter Roost Farms Owner: Hunter Roost Farms Predominant Soil Series: ores Used: 25.5 Acres Permitted: 25.5 Site #: BF210 Field #: 51.84 CrA 16 _residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): sample or 1 1 2 3 4 5 L 6 7 8 9 10 11 12 Com- 5/21/15 posite Date o Solids 3.75 Arsenic 5 cadmium 2 Copper 280 lChromium 51 Lead 39 ✓lercury 1.5 ' Molyb- 6 denum Nickel 29 Selenium 5 Zinc 708 Total Phos- 21800 horus ,nnual Heavy Metal Field Loadings (Calculated in lbs/acre): Total F 1 2 3 4 5 6 71 L-81 9 10 11 12 17T/Ac./ H 0 App. Event 2.03 Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 .admium 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 Copper 1.138 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.138 1-hromium 0.207 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.207 Lead 0.159 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.159 Mercury 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 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 denum denum Nickel 0.118 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.118 ".elenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 2.879 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 2.879 Total Phos- 88.639 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 88.639 horus "1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance 7ith a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Z./ 1/11/2016 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Washington WQ Permit #: WQ0001026 Field #: 16 Acres Utilized: Hunter Roost Farms Annual Dry Tons Applied: 51.84 Site #: BF210 Acres Permitted: Hunter Roost Farms Predominant Soil Series: C rA Cation Exchange Capacity (non 5031: Crop 1 Name: Small Grain Crop 1 Max. PAN: 95 Crop 2 Name: Crop 2 Max. PAN: 25.5 25.5 0 y o(Dry,5 Q Volume applied pp (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., AnimalHrs. Waste, etc) Soil Cond. Wet, Moist) Precip. Past 24 inches a F � �. o� w o o 77 m � * �' C CD E * N• w TKN mg/kg Z Y � ° � P. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of CropType yp Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5115 208000 3.75 1.276 Washington D <.5" S 0.5 0.3 51500 6130 2 42.547 NA SG 5/16 123500 3.75 0.757 Washington D <.5" S 0.5 0.3 51500 6130 2 25.262 NA SG 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0;000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this for 0.000 0.000 TOTALS: 01 331500 ::::::::::::: As Cd Cu Cr Pb Hg Mo Ni Se Zn P 67.809 1 0.000 Lime Applied Annual lbs/acre 0.020 0.008s 1.138 0.207 0.159 0.006 - 0.024 0.118 0.020 2.879 88.639 :: 0 0 0 0 0 0 0 0 0 0 0.020 0.008 1.138 0.207 -0.159 0.006 0.024 0.118 0.020 2.879 36 34 1 1338 1 267 1 15 1 374 1 89 1 2498 95 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1st/2nd Crop "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." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2016 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) Page: i of 2 Report Number: 15-120-0204 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 61685 Sample Id: WASHINGTON NC WWTP L A&L Eastern Laboratories, Inc. 7621 Whitepine Road Richmond, Virginia 23237 (804) 743-9401 Fax (804) 271-6446 www.aleastem.com Project: WASHINGTON,NC NC CERT#257 REPORT OF ANALYSIS Date Sampled: 4/29/2015 10:00:00 Date Received: 04/30/2015 00:00 Date Reported: 05/05/2015 Total Solids * 3.88 38800 100.0 JM 04/30/2015 14:44 SM-2540G Moisture * 96.12 100.0 JM 04/30/2015 14:44 SM-2540G Total Kjeldahl Nitrogen 5.08 50800 10.0 JM 05/01/2015 08:55 SM-4500-NH3C-TKN Total Phosphorus 2.36 23600 100 KM 05/01/2015 12:11 SW 6010C Total Potassium 0.24 2400 100 KM 05/01/2015 12:11 SW 6010C Total Sulfur 0.77 7670 100 KM 05/01/2015 12:11 SW 6010C Total Calcium 2.09 20900 100 KM 05/01/2015 12:11 SW 6010C Total Magnesium 0.24 2420 100 KM 05/01/2015 12:11 SW 6010C Total Sodium 0.22 2200 100 KM 05/01/2015 12:11 SW 6010C Total Iron 47500 100 KM 05/01/2015 12:11 SW 6010C Total Aluminum 34000 100 KM 05/01/2015 12:11 SW 6010C Total Manganese 687 5 KM 05/01/2015 12:11 SW 6010C Total Copper 294 5 KM 05/01/2015 12:11 SW 6010C Total Zinc 730 5 KM 05/01/2015 12:11 SW 6010C Ammonia Nitrogen 0.59 5930 10.0 JM 05/01/2015 08:55 SM-4500-NH3C Organic N 4.49 44870 10.0 05/01/2015 08:55 CALCULATION Nitrate+Nitrite-N <2.00 2.00 JM 05/04/2015 09:30 SM-450ONO3F Total Cadmium 2.0 2.0 KM 05/01/2015 12:11 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part. nor may any reference be made to the work, the results, or the company in any advertising, news release, or otherpublic announcements without obtaining ourprior written authorization. Debbie Holt Page: 2 of 2 Report Number: 15-120-0204 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 61685 Sample Id: WASHINGTON NC WWTP L A&L Eastern Laboratories, Inc. 7621 Whitepine Road Richmond, Virginia 23237 (804) 743-9401 Fax (804) 271-WS wwwaleastern.com Project: WASHINGTON,NC NC CERT#257 REPORT OFANALYSIS Date Sampled: 4/29/2015 10:00:00 Date Received: 04/30/2015 00:00 Date Reported: 05/05/2015 Total Chromium 57 5 KM 05/01/2015 12:11 SW 6010C Total Nickel 27 5 KM 05/01/2015 12:11 SW 6010C Total Lead 30 5 KM 05/01/2015 12:11 SW 6010C Total Arsenic 6.0 3.0 KM 05/01/2015 12:11 SW 6010C Total Mercury 1.5 0.4 KM 05/04/2015 09:00 SW-7471 B Total Selenium <5.0 5.0 KM 05/01/2015 12:11 SW 6010C pH (Standard Units) * 7.46 2.00 JM 05/01/2015 08:55 SW-9045D Total Volatile Solids 57.00 570000 100.0 JM 04/30/2015 14:44 SM-2540G Total Molybdenum 6 5 KM 05/01/2015 12:11 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt BIOSOUDS SAMPLE TRH NSMI1 . `• %+n.-rr � r,T crrnr�v _ m_ ABcL Eastern II��NI�i�NIi�NI�NIN N 15-12"204 7621 Whitepine Road Richmond VA 23237 Tel: 804 -0t32,1 �A.�II�I���II� EMA RESOURCES INC 04 30-2015 Customer Informati+ WASHINr3TON,NC 13:41:54 w, Submittec{ By EMA Resotilrces Inc EMA Resources Inc 755 Yadkinville Rd 755 Yadliinville Rd Mockwipe, NC 27028 Mocksville, NC 27028 Project _ Sample Info 6tan I_ab Number Collect on Information — Container Information PlEase Check Desired Test; Sample Ip (Lab Use — e Only) Type Date 7m1e Number or Battles Type Volume SL1 SL2 603 Metals Nitrogen Series PHFWE A0 ci Volatile Solids others �e Grab ✓composite �/,%aQ/s' )�:on)TA i Glass cz t y/ ✓ Lo1 _ Grab Blass --- oz — Composite — Plastic ._pint — Grab Glass — oa -- Composite `plastic --pint t — Grab Glass --- dz Comp�ite Plastic -----pint t ,�,,.. ,..- frau ca rwrl AN c.- L:l ► W �" t?ei l`lnsk�uct orts or Remarks L1. Total Solids (Moisture) Total Kleldahl Nitiogen, Phosphonrs and Potassium S1,2; Basie'Pest SL t plus Suitor, Calcium, Magnesium,Sodiuru, Iron, Aluminum, Manganese, Copper And Zinc 603 Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Selenium. (Copper & Zinc included in St2) Nitrogen Scries: Total Kicidahi, Ammonium, Nitrate & Organic Nitrogen, CCE. Calcium Carbonate Equivalent or Total neutralization Value (For Lime Treated Sludge) Page: 1 of 2 Report Number: 15-142-0204 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 62107 Sample Id: WASHINGTON NC WWTP L A&L Eastern Laboratories, Inc. 7621 Whitepine Road Richmond, Virginia 23237 (604) 743-9401 Fax (804) 271-6446 www.aleastern.com Project: WASHINGTON,NC NC CERT#257 REPORT OF ANALYSIS Date Sampled: 5/21/2015 14:00:00 Date Received: 05/22/2015 00:00 Date Reported: 05/28/2015 Total Solids " 3.75 37500 100.0 JM 05/26/2015 09:24 SM-254OG Moisture ` 96.25 100.0 JM 05/26/2015 09:24 SM-2540G Total Kjeldahl Nitrogen 5.15 51500 10.0 JM 05/26/2015 09:04 SM-4500-NH3C-TKN Total Phosphorus 2.18 21800 100 KM 05/26/2015 14:54 SW 6010C Total Potassium 0.24 2360 100 KM 05/26/2015 14:54 SW 6010C Total Sulfur 0.75 7470 100 KM 05/26/2015 14:54 SW 6010C Total Calcium 1.88 18800 100 KM 05/26/2015 14:54 SW 6010C Total Magnesium 0.23 2320 100 KM 05/26/2015 14:54 SW 6010C Total Sodium 0.20 1960 100 KM 05/26/2015 14:54 SW 6010C Total Iron 46200 100 KM 05/26/2015 14:54 SW 6010C Total Aluminum 34300 100 KM 05/26/2015 14:54 SW 6010C Total Manganese 669 5 KM 05/26/2015 14:54 SW 6010C Total Copper 280 5 KM 05/26/2015 14:54 SW 6010C Total Zinc 708 5 KM 05/26/2015 14:54 SW 6010C Ammonia Nitrogen 0.61 6130 10.0 JM 05/26/2015 09:04 SM-4500-NH3C Organic N 4.54 45370 10.0 05/26/2015 09:04 CALCULATION Nitrate+ N itrite-N <2.00 2.00 JM 05/27/2015 08:50 SM-450ONO3F Total Cadmium 2.0 2.0 KM 05/26/2015 14:54 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or art nor ma an reference be made p Y P part, Y Y to the work, the results, or the company in any advertising, news release, or otherpublic announcements without obtaining ourprior written authorization. Debbie Holt Page: 2 of 2 Report Number: 15-142-0204 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 62107 Sample Id: WASHINGTON NC WWTP Total Chromium Total Nickel Total Lead Total Arsenic Total Mercury Total Selenium pH (Standard Units) Total Volatile Solids Total Molybdenum L A&L Eastern Laboratories, Inc. 7621 Whitepine Road Richmond, Virginia 23237 (604) 743-9401 Fax (604) 271.6446 www.aleastem.com Project: WASHINGTON,NC NC CERT#257 REPORT OF ANALYSIS Date Sampled: 5/21/2015 14:00:00 Date Received: 05/22/2015 00:00 Date Reported: 05/28/2015 51 5 KM 05/26/2015 14:54 SW 6010C 29 5 KM 05/26/2015 14:54 SW 6010C 39 5 KM 05/26/2015 14:54 SW 6010C 5.0 3.0 KM 05/26/2015 14:54 SW 6010C 1.5 0.4 KM 05/26/2015 09:00 SW-7471 B <5.0 5.0 KM 05/26/2015 14:54 SW 6010C 7.42 2.00 JM 05/26/2015 09:04 SW-9045D 56,52 565200 100.0 JM 05/26/2015 09:24 SM-2540G 6 5 KM 05/26/2015 14:54 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt B10SOUDS S A-MPLE'FRANSMITTA w- A " F f-Ni, riT I­0rt`i-1V-%%,- AL A&L Easterr I NI Il IIIIH 15-142-0204 7621 Whiwpine. Road Richmond VA 23217 Tel-, 80 05-2248245 4015 EMARESOURMS INC 14:0812 164� WASHINGTONAG Customer Submitted By AV.: 01111111101 F, I ENIA Resources Inc EMA Resources Inc 755 Yadkinville Rd 755 Yadkinville Rd Mocksvifle, NC 27028 Mocksvdlcy NC 27028 PmjeCt JV Account # Sample Information Lab Number Colk-ction Information Container Information Please Check Desired'i-csts Sam[Ap ID (Lab Use Only) Type Date TKTe Number Pe Type Volume SI-1 9 3L9 — 503 Nitrogen Pill GGE Ag Cl Volatile 1, Other. of Battles Metals Series Solids ez W ---,-Grab cornposlw "16 !ilo "'v piot Glass G 0z / V/ L t Grab Glass oz Composite, Plastic ---pint Grab Glass 02 Composite plastic _____pint at Grab Glass — oz Composite Flastir, ____pint at WUi '`di C'W IL 14q10, 4vik%ETg'WMI WRXFtYMW W-' :v -.0 vr4 o*** 6: �#, SLI - Total Solids (moisture)'Tofal Kjeldahl Nitrogen, Phosphorus and Potassium SL2. BAsic Tust SLI plus Sulfur, Calciurn, Magn*,Sh1rnSodiWn, Iron, Aluminum, Manganese, Copper And Zino 603 Metals. Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, NicW, Selenium. (Copper & Zino included In SL2) Nitrogen Series- J'otat fjeldahl, Ammonium, Nitrate & Organic Nitrogen. CCE. Calcium Carbonate Equivalent or Total neutralization Value (For Lime Treated Sludge) r Page: 1 of 2 Report Number: 15-286-0200 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 64707 Sample Id: WASHINGTON WWTP (2) Waypoi nt_M ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Project: WASHINGTON NC INC CERT# 257 REPORT OF ANALYSIS Date Sampled: 10/12/2015 09:15:00 Date Received: 10/13/2015 00:00 Date Reported: 10/19/2015 Total Solids 4.15 41500 100.0 JM 10/13/2015 15:00 SM-2540G Moisture * 95.85 100.0 JM 10/13/2015 15:00 SM-2540G Total Kjeldahl Nitrogen 3.20 32000 10.0 JM 10/14/2015 08:35 SM-4500-NH3C-TKN Total Phosphorus 1.78 17800 100 KM 10/15/2015 13:05 SW 6010C Total Potassium 0.22 2190 100 KM 10/15/2015 13:05 SW 6010C Total Sulfur 0.69 6910 100 KM 10/15/2015 13:05 SW 6010C Total Calcium 1.60 16000 100 KM 10/15/2015 13:05 SW 6010C Total Magnesium 0.27 2690 100 KM 10/15/2015 13:05 SW 6010C Total Sodium 0.20 1960 100 KM 10/15/2015 13:05 SW 6010C Total Iron 93800 100 KM 10/15/2015 13:05 SW 6010C Total Aluminum 39800 100 KM 10/15/2015 13:05 SW 6010C Total Manganese 982 5 KM 10/15/2015 13:05 SW 6010C Total Copper 290 5 KM 10/15/2015 13:05 SW 6010C Total Zinc 800 5 KM 10/15/2015 13:05 SW 6010C Ammonia Nitrogen 0.68 6750 10.0 JM 10/14/2015 08:35 SM-4500-NH3C Organic N 2.52 25250 10.0 10/14/2015 08:35 CALCULATION Nitrate+ N itrite-N <2.00 2.00 JM 10/14/2015 08:35 SM-450ONO3F Total Cadmium 3.0 2.0 KM 10/15/2015 13:05 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part. nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt Page: 2 of 2 Report Number: 15-286-0200 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 64707 Sample Id : WASHINGTON WWTP (2) Waypoint ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Project: WASHINGTON NC NC CERT# 257 REPORT OF ANALYSIS Date Sampled: 10/12/2015 09:15:00 Date Received: 10/13/2015 00:00 Date Reported: 10/19/2015 Total Chromium 44 5 KM 10/15/2015 13:05 SW 6010C Total Nickel 24 5 KM 10/15/2015 13:05 SW 6010C Total Lead 35 5 KM 10/15/2015 13:05 SW 6010C Total Arsenic 6.0 3.0 KM 10/15/2015 13:05 SW 6010C Total Mercury 1.7 0.4 KM 10/14/2015 09:00 SW-7471 B Total Selenium <5.0 5.0 KM 10/15/2015 13:05 SW 6010C pH (Standard Units) * 7.51 2.00 JM 10/14/2015 08:35 SW-9045D Total Volatile Solids 42.76 427600 100.0 JM 10/13/2015 15:00 SM-2540G Total Molybdenum 7 5 KM 10/15/2015 13:05 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al". THE MSD WAS OUT OF LIMITS FOR "K", "Mg", AND "Na". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt R�IOS�OL D��S SAMPLE M . . 1 ° A&L Eastern AgdcuituT age 1621 Whitepine Road Richmond VA 23237 TO: 804-743-9401 t'nx: I lJill III aIIII1IiIfIIIiI1II III1II 1I1 6246 EMA RnClUt20ES INC WASHINGTON NC 11:13:56 ,A6c;;u,nt' Stt),�1� F ON !Mr.,nQd Hy v. a . - „ ha COPY To „ r EMA Resources Inc EMA Resources Inc 755 Yadkinville Rd 755 Y adkinville Rd Mocksville, NC 27028 Mocksville, NC 27028 AIC TS � l�f' L l > TM, Rr� I L " Number „ Co1.4� tior lnfomia t n Catatai 'r„ltifa r rn " Pia �` � Cie „ �Qsfs� . ,. � ^ - � ,. ase Chaos sirbti " ID Lab use :• bar x ° ° Qrlfyj rFYp Date t J Mjne° erg ° '�3!p �lJ „5 1 L2 e� � p g y k w Qtk N .tom Ay rab � Composite %�� � t C� , j ,� Glass Y Rla sfic �oz nt Grab _ Composite _ Glass Plastic — oz ---tnt at Grab — oz — Composite —Glass Plastic —pint Ot _, Grab ,_ _ Composite _ Glass plastic °Z --pint t �t% �r �faemarks; I"d i dttire Tkne Received w ",`i nature), __. Date . , TestfPa�ke a t?eiWifs t S �ci� ltt�t`, SL1: • Total Solids (Moisture) Total Kjcldaltl Nilragen, F'iaospharus surd Potassium SL2: Busic Tesl SLI plus So{fur. Calcium; MagnesivrOodiurn, Iron, Alu mhos, Manganese, ConperAnd Zinc 503 Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Selenium_ (Copper & Zinc included in 512) Nitrogen Series: Toth! Kjeldahl• Ammonium, Nittute & Organic Nitrogen. CCE: Calcium Carbonate Equivalent or Total neutralization Value (For Lime Treated Sludge) Page: 1 of 2 Report Number: 15-355-0204 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 (2) Waypoi nt M ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Project: WASHINGTON NC WWTP NC CERT#257 REPORT OFANALYSIS Date Sampled: 12/17/2015 10:15:00 Lab Number: 65893 Date Received: 12/21/2015 00:00 Sample Id : WASHINGTON NC WWTP Date Reported: 12/23/2015 RESULT RESULT QUANTITATION PARAMETER METHOD Total Solids 4.04 40400 100.0 JM 12/21/2015 14:10 SM-2540G Moisture * 95.96 100.0 JM 12/21/2015 14:10 SM-2540G Total Kjeldahl Nitrogen 4.28 42800 10.0 JM 12/22/2015 08:24 SM-4500-NH3C-TKN Total Phosphorus 2.21 22100 100 KM 12/22/2015 11:21 SW 6010C Total Potassium 0.34 3390 100 KM 12/22/2015 11:21 SW 6010C Total Sulfur 0.88 8840 100 KM 12/22/2015 11:21 SW 6010C Total Calcium 1.48 14800 100 KM 12/22/2015 11:21 SW 6010C Total Magnesium 0.37 3690 100 KM 12/22/2015 11:21 SW 6010C Total Sodium 0.21 2080 100 KM 12/22/2015 11:21 SW 6010C Total Iron 49300 100 KM 12/22/2015 11:21 SW 6010C Total Aluminum 36100 100 KM 12/22/2015 11:21 SW 6010C Total Manganese 610 5 KM 12/22/2015 11:21 SW 6010C Total Copper 207 5 KM 12/22/2015 11:21 SW 6010C Total Zinc 610 5 KM 12/22/2015 11:21 SW 6010C Ammonia Nitrogen 0.67 6680 10.0 JM 12/22/2015 08:24 SM-4500-NH3C Organic N 3.61 36120 10.0 12/22/2015 08:24 CALCULATION Nitrate+Nitrite-N <2.00 2.00 JM 12/22/2015 08:25 SM-450ONO3F Total Cadmium 2.0 2.0 KM 12/22/2015 11:21 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our r'epons and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt Page: 2 of 2 Report Number: 15-355-0204 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 65893 Sample Id : WASHINGTON NC WWTP (2) Waypoi nt ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° fax 804-271-6446 www.waypointanalytical.com Project: WASHINGTON NC WWTP NC CERT#257 REPORT OF ANALYSIS Date Sampled: 12/17/2015 10:15:00 Date Received: 12/21/2015 00:00 Date Reported: 12/23/2015 Total Chromium 54 5 KM 12/22/2015 11:21 SW 6010C Total Nickel 29 5 KM 12/22/2015 11:21 SW 6010C Total Lead 20 5 KM 12/22/2015 11:21 SW 6010C Total Arsenic 5.0 3.0 KM 12/22/2015 11:21 SW 6010C Total Mercury 1.2 0.4 KM 12/23/2015 09:00 SW-7471 B Total Selenium <5.0 5.0 KM 12/22/2015 11:21 SW 6010C pH (Standard Units) * 7.53 2.00 JM 12/22/2015 08:24 SW-9045D Total Volatile Solids 58.76 587600 100.0 JM 12/21/2015 14:10 SM-2540G Total Molybdenum 11 5 KM 12/22/2015 11:21 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "Cr", "Fe", "Ni", AND "P". THE MSD WAS OUT OF LIMITS FOR "Cr". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients. and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt OESC 1 Mr. Brent Collins E4A Resources 755 Yadkinville Road Mocksville, NC 27028 Report Summary Friday May 01, 2015 Report Number: L760696 Samples Received: 04/22/15 Client Project: Description: Washington NC 12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 1 - 800-767-5859 Fax (615) 758-5859 Tax I.D. 62-0814289 Est. 1970 The analytical results in this report are based upon information supplied by you, the client, and are for your exclusive use. If you have an questions regarding this data package, please do not hesitate to caly l. Entire Report Reviewed By: L/��'�`�•/',�E��TOI. J Leslie Newton , ESC Representative Laboratory Certification Numbers A2LA - 1461-01, AIHA - 100789, AL - 40660, CA - 01157CA, CT - PH-0197, FL - E87487, GA - 923, IN - C-TN-01, KY - 90010, KYUST - 0016, NC - ENV375/DW21704/BI0041, ND - R-140. NJ - TN002, NJ NELAP - TN002, SC - 84004, TN - 2006, VA - 460132, WV - 233, AZ - 0612, MN - 047-999-395, NY - 11742, WI - 998093910, NV - TN000032011-1, TX - T104704245-11-3, OK - 9915, PA - 68-02979, IA Lab #364, EPA - TNO02 Accreditation is only applicable to the test methods specified on each scope of accreditation held by ESC Lab Sciences. This report may not be reproduced, except in full, without written approval from ESC Lab Sciences. Where applicable, sampling conducted by ESC is performed per guidance provided in laboratory standard operating procedures: 060302, 060303, and 060304. Page 1 of 3 1 REPORT OF ANALYSIS Mr. Brent Collins EMA Resources 755 Yadkinville Road Mocksville, NC 27028 May 01,2015 12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 1-800-767-5859 Fax (615) 758-5859 Tax I.D. 62-0814289 Est. 1970 ESC Sample # L760696-01 Date Received April 22, 2015 Description Washington NC Site ID Sample ID WASHINGTON WWTP Project Collected By Roy Whitaker Collection Date 04/21/15 08:45 Parameter Result Det. Limit Units Limit Method Date/Time By Dil Corrosivity Non-Corrosiv 9045D 04/27/15 1534 KBC 1 Ignitability DNI at 170 F Deg. F D93/101 04/27/15 1048 DR 1 Reactive CN (SW846 7.3.3.2) BDL 0.125 mg/kg 9012B/S 04/28/15 1627 ASK 1 Reactive Sulf.(SW846 7.3.4.1) BDL 25. mg/kg 9034/90 04/25/15 1250 DR 1 TCLP Extraction - 1311 04/25/15 1502 LJN 1 Mercury BDL 0.010 mg/l 0.20 7470A 04/27/15 2217 MPT 1 Arsenic BDL 0.45 mg/l 5.0 6010C 04/27/15 1255 LTB 1 Barium BDL 1.4 mg/l 100 6010C 04/27/15 1255 LTB 1 Cadmium BDL 0.45 mg/1 1.0 6010C 04/27/15 1255 LTB 1 Chromium BDL 0.45 mg/1 5.0 6010C 04/27/15 1255 LTB 1 Lead BDL 0.45 mg/1 5.0 6010C 04/27/15 1255 LTB 1 Selenium BDL 0.45 mg/1 1.0 6010C 04/27/15 1255 LTB 1 Silver BDL 0.45 mg/1 5.0 6010C 04/27/15 1255 LTB 1 TCLP ZHE Extraction - 1311 04/26/15 1650 LJN 1 TCLP Volatiles Benzene BDL 0.050 mg/1 0.50 8260B 04/27/15 1924 MCB 1 Carbon tetrachloride BDL 0.050 mg/l 0.50 8260B 04/27/15 1924 MCB 1 Chlorobenzene BDL 0.050 mg/l 100 8260B 04/27/15 1924 MCB 1 Chloroform BDL 0.25 mg/l 6.0 8260B 04/27/15 1924 MCB 1 1,2-Dichloroethane BDL 0.050 mg/1 0.50 8260B 04/27/15 1924 MCB 1 1,1-Dichloroethene BDL 0.050 mg/l 0.70 8260B 04/27/15 1924 MCB 1 2-Butanone (MEK) BDL 0.50 mg/1 200 8260B 04/27/15 1924 MCB 1 Tetrachloroethene BDL 0.050 mg/1 0.70 8260B 04/27/15 1924 MCB 1 Trichloroethene BDL 0.050 mg/1 0.50 8260B 04/27/15 1924 MCB 1 Vinyl chloride BDL 0.050 mg/l 0.20 8260B 04/27/15 1924 MCB 1 Surrogate Recovery Toluene-d8 108. % Rec. 114. 8260B 04/27/15 1924 MCB 1 Dibromofluoromethane 98.5 % Rec. 125. 8260B 04/27/15 1924 MCB 1 a,a,a-Trifluorotoluene 102. % Rec. 114. 8260B 04/27/15 1924 MCB 1 4-Bromofluorobenzene 99.8 % Rec. 128. 8260B 04/27/15 1924 MCB 1 TCLP Pesticides Chlordane BDL 0.0050 mg/l 0.030 8081 04/30/15 1221 LKD 1 Endrin BDL 0.0050 mg/1 0.020 8081 04/30/15 1221 LKD 1 Heptachlor BDL 0.0050 mg/1 0.0080 8081 04/30/15 1221 LKD 1 Page 2 of 3 Mr. Brent Collins EMA Resources 755 Yadkinville Road Mocksville, NC 27028 Date Received April 22, 2015 Description Washington NC Sample ID Collected By Collection Date WASHINGTON WWTP Roy Whitaker 04/21/15 08:45 REPORT OF ANALYSIS 12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 1-800-767-5859 Fax (615) 758-5859 Tax I.D. 62-0814289 Est. 1970 May 01,2015 ESC Sample # L760696-01 Site ID Project Parameter Result Det. Limit Units Limit Method Date/Time By Dil Lindane BDL 0.0050 mg/l 0.40 8081 04/30/15 1221 LKD 1 Methoxychlor BDL 0.0050 mg/1 10. 8081 04/30/15 1221 LKD 1 Toxaphene BDL 0.010 mg/1 0.50 8081 04/30/15 1221 LKD 1 Surrogate Recovery Decachlorobiphenyl 79.7 Rec. 123. 8081 04/30/15 1221 LKD 1 Tetrachloro-m-xylene 78.3 Rec. 114. 8081 04/30/15 1221 LKD 1 TCLP Herbicides 2,4,5-TP (Silvex) 2,4-D Surrogate Recovery 2,4-Dichlorophenyl Acetic Acid TCLP Semi-Volatiles 1,4-Dichlorobenzene 2,4-Dinitrotoluene Hexachlorobenzene Hexachloro-1,3-butadiene Hexachloroethane Nitrobenzene Pyridine 3&4-Methyl Phenol 2-Methylphenol Pentachlorophenol 2,4,5-Trichlorophenol 2,4,6-Trichlorophenol Surrogate Recovery 2-Fluorophenol Phenol-d5 Nitrobenzene-d5 2-Fluorobiphenyl 2,4,6-Tribromophenol p-Terphenyl-d14 BDL 0.0020 mg/l 1.0 8151A 04/30/15 1804 KLM 1 BDL 0.0020 mg/l 10. 8151A 04/30/15 1804 KLM 1 77.8 Rec. 8151A 04/30/15 1804 KLM 1 BDL 0.10 mg/l 7.5 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 0.13 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 0.13 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 0.50 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 3.0 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 2.0 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 5.0 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 400 8270D 04/27/15 0336 ADF 1 BDL 0.10 mg/l 200 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 100 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 400 8270D 04/27/15 0338 ADF 1 BDL 0.10 mg/l 2.0 8270D 04/27/15 0338 ADF 1 46.8 g Rec. 87.0 8270D 04/27/15 0338 ADF 1 35.6 Rec. 67.0 8270D 04/27/15 0338 ADF 1 64.6 Rec. 120. 8270D 04/27/15 033E ADF 1 65.0 °s Rec. 122. 8270D 04/27/15 0338 ADF 1 67.8 t Rec. 148. 8270D 04/27/15 0338 ADF 1 72.2 % Rec. 149. 8270D 04/27/15 0338 ADF 1 BDL - Below Detection Limit Det. Limit - Estimated Quantitation Limit(EQL) Limit - Maximum Contaminant Level as established by the US EPA Note: The reported analytical results relate only to the sample submitted. This report shall not be reproduced, except in full, without the written approval from ESC. Reported: 05/01/15 12:57 Printed: 05/01/15 14:20 Page 3 of 3 EM,Ai Resources 755 Yadkinville Road Mocksville, NC 27029 Report to: Mr, Brent Collins Description: Phan,: 336-751-1441 Fax; 336.751-1442 on ke N y Sample ID III - Analysis / Container / Preservatill Chain of Custody Billing information;I*ES _ Mr. Brent Collins 71, 755 Yadkinviile Road C- MoCksviile, NC 27028 EMOM 1 SiaSS Letanan Rd Email To,brent.Collins@vntarasourceisirye.c+ot►a. I Mo"!61S-ura 56.0sal I tt l Morw� 6ds-'se-�95t lent Pi cilict # Lala Project All tepaclilty ID # P.i). # a a rd, z at �'- Date Results Needed ri U Rush? (Lab MUST Be Notified) ..J Same MY ........._...............2CKM z r4 Next Pay ............................ 100% Email? NO X _Yes Two Day .... .........50% FA7f7 No Yes •— No r ii Three Day .... .......... 254L -^— of ,-+ Sy Comp/Grab Matrix Depth Date Time :titre F 1ClP ,'/ I, z x ` x Matrix; 5S - Soll Gw - Groundwater WW - Wastewater OW Drinkirgg Water [XT •Other — emarks: Date: Time: Received by (Sign'te) lelinqui e Time:. Received bV (Sigr.�OtuIP) telinquishe bY: Da Date: Time: Re ci _d i,r ia� ny: {. prat e Rellnquished by: ,, 1 h `1 pAenr. !"JO-➢67-5539 Far:615-PSi5STi9 � - ry Bi28 �4 Accteroum: Eib'CAi2E5 ` T11413 r P496950 I .ft: GEt 'ierrle fudge { RlllsjCnnUflShim 5�rnpl¢ M itab nnhr,5� I Islam .� pH Temp "Old rJ Flow Other _ Samples r urned via: 13 UPS oil daion edEx. 13 Courier Temp:��a�rottieS' ad: f COC SLJ!rtact: _.__Y _,___NA Ga c Trt.e; Pft Checkr� 6ai F: lJJ ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) JJ ,wP i a� I a Facility Name: City of Washington WWTP Name: Washington WWTP Monitoring Period: From 5/5/2015 WQ Permit Number: WQ0001026 NPDES Number: NCO020648 To 5/5/2015 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ Alt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ra ❑ y Gamma Ra ❑ Y Past u ' e rization ❑ Class B: Alt. (1) Fecal Density 0 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic bic Digestion If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g �' Number o Excee- dences Frequency of Analysis Sample Type Analytical Tech-nique MinimumGeo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN 4839 7311 12195 MPN/g 0 Quarterly G CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) vector Attraction Reduction (15A N AC; 02T .1107) -Please indicate alternative nerformed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) Alt. 4 (Spec. 02 uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ 1 Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑. No vector attraction reduction alternatives were performed ❑ C ER'1'1FICATION STATEMENT (please check the appropriate statement) 0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation 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 pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Adam Waters - Water Resources Superintendent Preparer Name and Title (type or print) _ GL� Signature of Preparer* Brent Collins; Director of Technical Services Land Applier Name and Title (if applicable)(type or print) t- Z6y b Z�Z 1/11/2016 Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Washington WQ Permit Number: WQ0001026 WWTP Name: Washington WWTP NPDES Number: NCO020648 Monitoring Period: From 5/19/2015 To 5/19/2015 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ He Treatment ❑ Thermophilic ❑ Beta R Ray ❑ Y G aroma Ra Y Pasteurization Class B: Alt. (1) Fecal Density R1 F—A-7. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic Digestion tion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- Frequency of Analysis Y Sample Type Analytical Tech-ni ue q Minimum Geo. Mean axim Unitsences Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN 9828 14366 19797 MPN/g 0 Quartery G CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) 0 I Alt. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ JAIL 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 21 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ " I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation 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 pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Adam Waters - Water Resources Superintendent Preparer Name and Title (type or print) Signature of Preparer* Brent Collins; Director of Technical Services Land Applier Name and Title (if applicable)(type or print) /- ZG-iv zl-e� 1/11/2016 Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name:, City of Washington WQ Permit Number: WQ0001026 WWTP Name: Washington WWTP NPDES Number: NCO020648 Monitoring Period: From 10/16/2015 To 10/16/2015 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ Alt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic El Beta Ra ❑ Y Gamma Ra Y ❑ e o Past ux7zati n ❑ Class B: Alt. (1) Fecal Density 21 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ er Ana obic Digestion ❑ g :::...:::::::.....:..:..::::::..:.................... . <::::::::<:::::::::::<:: .........::.....:.::::::....:.:................ . If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- FrequencySample of Analysis y Type Analytical Tech-ni ue q Minimum Geo. Mean Maximum Unitsences Fecal Coliform 2 x 10 to the 6th power per gram of total solids NTN 4878 5024 5114 MPN/g 0 Quartery G CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) 211 Alt. 4 (Spec. 02 uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) • ❑ No vector attraction reduction alternatives were perfornied ❑ CERTIFICATION STATEMENT (please check the appropriate statement) ® "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation 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 pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Adam Waters - Water Resources Superintendent Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Signature of Preparer* Land Applier Name and Title(ifapplicable)(type or print) �41e � 1/11/2016 Date Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Washington WWTP Name: Washington WWTP Monitoring Period: From 12/21/2015 To WQ Permit Number: WQ0001026 NPDES Number:-NC0020648 12/21/2015 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ .............. If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Theirnophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization Class B: jAlt. (1) Fecal Density 21 Alt. (2) Process to Significantly Reduce Pathogens ❑ .............. If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic,i Digestion g .............................................................................................................. . If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g Number o Excee- Frequency of Analysis Sample Type Analytical Tech-nique Minimum Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids WN 5028 7378 21727 MPN/g 0 Quarterly G CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) � Alt. 4 (Spec. Oz uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 21 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation 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 pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Adam Waters - Water Resources Superintendent Brent Collins; Director of Technical Services Preparer Name and Title (type or print) i Signature of Preparer* Land Applier Name and Title (if applicable)(type or print) l-a6-16 Z,- e -� 1/11/2016 Date Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) Summary Sheet Fecal Coliforma Pathogen Reduction Date s ` S -15 Location # MPN/g Log . 6 2-) 3, &8-* 3,68q T �. 0 Geometric Means/g Total Dry Solids (� OL Signature Sampled By Received By Analyzed By Calculated By Recorded By Checked By Temp 951- 5°C DATE / TJ0 R �(IY•�n' °C /. c€) ABA Sample Location 24 hr. Check tf, Sample Tyke: Grab x Composite 48 hr. Check Lfl&reservation � I1 ,, f f4m 72 hr. Check do,", FECAL CAL COLEFORM TEST 22nd edition Standard Methods 9221 C E-2006WN)(Aqueous) Presumptive Test mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 MPN 24 hours _ 33 487hours1-42— _ —1 1 --j -71 1 1 1 1 JEI I I Ij 1 k Y --� 3{ 3 Fecal Coliform Test mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 Nm'N 24 hours -^ e Q AWN Fecal Coli%rm/g = 10 x MPN index 1100 ml MYN/g = 10 x largest volume X % dry solids tested D. CO 1 ,3. Co 9 C1nri1'vkv f nn4rnl Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 ntL Dilution Water Blank Standard Methods Agar Dilution Water Blank Quality Control Tubes Double Stren h S Control Single Strength (S Control i EC Broth Control Revised 2,-28-13 TeMp35� OC ----�" DATE / TEE dth �° oC Sampled By G,0jt- t Sample Location Received By 4-9 un 24 hr. Check _2� _ J 13 Sample Type: Grab x Composite Analyzed By 48 hr. Check 7—( 4/3�i Preservation Calculated By 72 hr. Check Z-!(_`� J Recorded By YU- 5-5 ) Si Checked By FECAL CAS. C®LIFORM VEST 22nd edition Standard Methods 9221 C E-2006(MPN)(Aqueous) 1Precmmntive TL-%t Fecal Coliform Test mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 MPN 24 hours '"'~ MPN Fecal Coliform/g = 10 x MPN index 1100 ml MPN/g = 10 x Y. J,- — t S = 1 ; r 19 5 wN f o largest volume X % dry solids tested 0. DO i � 3.6 O. 063 f. cl Cterility rnntrnl Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank 4 Standard Methods Agar t Dilution Water Blank Quality Control Tubes Double Streugth (DS) Control Sin le Strength (SS) Control / EC Broth Control Revised 2-28-93 Sampled By Received By Analyzed By Calculated By Recorded By Checked By Tempi -,6 °C DATE / T O Iq/�. & ° C ? , dD Sample Location 24 hr. Check 4 '`10 �'�5 ,1 1y Sample Type: Grab x Composite 4 -ni-15 ' f�441 48 hr. Check I(T '2 (-`4jt/e ation 72 hr. Check' FECAL COLI'ORM TEST 22nd edition Standard Methods 9221 C E-2006(WN)(Aqueous) Precmmntive Tect 1 111 � 1 IIII. b l I Idd ' 1 11114I' i• I II I I I1 � 1' Fecal Coliform Test mL Sample 0.001 1 0.0001 1 0.00001 0.000001 1 0.0000001 1 0.00000001 MIPN 24 hours MPN Fecal Coliform/g = 10 x MPN index 1100 ml MPN/g = 10 x r — "`� largest volume X % dry solids tested 0. O®1 -x- 3 . Cterility irnntral Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank G Standard Methods Agar L Dilution Water Blank t Control Tubes Double EC Broth Control Revised 2-28-13 Sampled By Received By Analyzed By Calculated By Recorded By Checked By Temp 35 y.�f. oC DATE / T1; O °C Sample Location Z 2b-i-K - FS- %A 24 hr. Check 4- 4 !2-Iga -2 i Sample Type: Grab x Composite i 148 hr. Check —t. I : Preservation 'YL.flyLe--J $--s- 172 hr. Check FECAL CO LI'®RM TEST 22nd edition Standard Methods 9221 C E-2006(MPN)(Aqueous) Presumptive Test Fecal Coliform Test mL Sample 0.001 0.0001 0.00001 1 0.000001 0.0000001 0.00060001 MPN 24 hours �. MPN Fecal Coliform/g = 10 x MPN index / 106 ml MPN/g = 10 x 1,8 — - largest volume X % dry solids tested D. Ob i * 3 , '-T a — (3. 0 0-3 �,L Sterility Control Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank < Standard Methods Agar G Dilution Water Blank G Quality Control Tubes Double Stren h (D§2 Control Single Strength (SS) Control t EC Broth Control v Revised 2-28-1$ Sampled By Received By Analyzed By Calculated By Recorded By Checked By Temper °C DATE / TM ° C Sample Location otp'i 8:�a�t 24 hr. CheckL. Q -IS = Sample Type: Grab x Composite 48 hr. Check Er�'aL�- S 1 ',`e I Preservation 72 hr. Check tii"41— FECAL COLEFORMt TEST 22nd edition Standard Methods 9221 C E-2006WN)(Aqueous) Presumntive Test • I iL''�l�C�/:�iCIGa�°11COi��C�iOCC�iii�iiiii�® ' • : , iiiii©iioO�iiG�IDO©i'�iiG�iiiiiaiiiii Fecal Coliform Test mL Sample 0.001 0.000f 0.00001 1 0.000001 5.0000001 0.00000001 MPN 24 hours 4 - . MPN Fecal Coliform/g = 10 x MPN index / 100 ml WN/g = 10 x largest volume X % d solids tested g dry V. Ubf '�" Sterility Control Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank C Standard Methods Agar C Dilation Water Blank < Quality Control Tubes Double Strength (DS) Control Single Strength (SS) Control EC Broth Control Revised 2-28-13 Sampled By Received By Analyzed By Calculated By Recorded By Checked By Temp 45136•5 °C �% — DATE I TUV E kk °C '� 2 /-!`- ���✓� Sample Location 4.2b-1—a.4gupt 24 hr. Check -1.5 Sample Type: Grab x Composite 48 hr. Check 'reservation "t7' 72 hr. Check 'r- - I t - �- 5' FECAL COLIFORM TEST 22nd edition Standard Methods 9221 C 1E-20060VN)(Aqueous) Presumntive Test n n I 1111 1 11 11 ■ I III , I I ,�; Millis#.i.,i1.Irl, - '" GGG;GGG©G;GGGG�t.GGGG,� ]Fecal Coliform Test mL Sample 0.001 0.0001 0.00001 1 0.000001 0.0000001 0.00000001 MPN 24 hours / r MPN Fecal Coliform/g = 10 x WN index 1100 ml largest volume X % dry solids tested Ml'N/g = 10 x 1 • - — J �j � WI&J Sterilitv Control Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank Standard Methods Agar Dilution Water Blank Quality Control Tubes Double Strength (DS) Control EC Broth Control Revised 2-28-13 Sampled By Received By Analyzed By Calculated By Recorded By Checked By Temp35/3tb °C DATE / TZ E f_., A6l - G ° C Sample Location 4-2b-1 K 9: WaYA 24 hr. Check 13 J S��ple Type: Grab x Composite 4-w:-1s' ®r /J'M 48 hr. Check tr' - ~� ���reservation 72 hr. Check Lt - Y - ►' 4-°1 FECAL C®LI F ORM TEST 22nd edition Standard Methods 9221 C E-2006(M PN)(Aqueous) Presumutive Test '•; a ni I II � I I11 I hlll 11ltll :- 1111111 } I IIIllll; Fecal Coliform Test ML Sample 0.001 0.0001 0.00001 1 0.000001 0.0000001 0.00000001 MPN 24 hours MPN Fecal Coliform/g = 10 x MPN index / 100 ml MPN/g = 10 x Lt- • = 4 S 2 b a tvt largest volume X % dry solids tested p , pp ( AL '3 • O '-T Sferility Control Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank < Standard Methods Agar G i Dilution Water Blank uality Control Tubes le Strength (DS) Control e Strength (SS) Control EC Broth Control Revised 2-28-13 Summary Sheet Fecal Coiiforms Pathogen Reduction Date wf q-1 Location # MPN/g Log /0!3>v 41 3 If, 2 4:3 4, 'Z ,-8 / Gl L+.21-3 (G Geometric Means/g Total Dry Solids &,a-,JKw6A Signature :L _ — -- 1 t—� �- - Sampled By Received By Analyzed By Calculated By Recorded By Checked By NAME 'r DATE / TIME 5-1 557, r915ka. s TemP3s:S„ °C Oc Sample Location �_�(.�z-�_ �i 24 hr. Check 2S�4N Sample Type.- Crab x�Coomposite -" 48 hr. Check 3:o reservation _ 72 hr. Check t-18-1`r FECAL C®LIFORM TEST 22nd edition Standard Methods 9221 C E-2006(NON)(Aqueous) Prnciemntnvr Ti-e ' mL Sample 0_001 0.00001 0.000001 0.0000001 0.00000001 M1PN 24 hours + — -f- +—— II.0I.0=00 -F .-- 48 hours + -- - -,i-. -- — rg-raf Pnlifnrm TAC+ mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 MPN. 24 hours -- 341e �,1 MPN Fecal Coliform/g = 10 x MPN index / 100 ml largest volume X % dry solids tested IY TN/g = 10 x Sterility Control It"NO Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL )Dilution Water Blank Standard Methods Apr Dilution Water Blank t Quality Control Tubes Double Strength (DS) Control Single Strength (SS) Control. EC Broth Control may,A J� Revised 2-28-13 _ye'� Sampled By Received By Analyzed By Calculated By Recorded By Checked By NAME DATE / TIME i fAI -fti (�Fk`ram�jyv,.. Temp36=S °C Sample Location _c cc�Q 24 hr. Check -14, ! =3(ap �ple Type: Grab x Composite 48 hr. Check 70-kS �: r , reservation 72 hr. Check 5-1Y~ii :.3G FECAL COLIFORM 'VEST 22nd edition Standard Methods 9221 C E-2006WN)(Aqueous) Presumptive Test mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 MPN 24 hours — l �-- }- E + + liC? 48 hours 1. 1 — I I i . Fecal Conform Test mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 MPN 24 hours „- 1 -^ 4 I I — / .. fl- MPN Fecal Coliform/g 10 x WN index / 100 ml largest volume X % dry solids tested WN/g= 10x Rtpr;iity Cnnfrnl Reterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank �- Standard Methods Agar Dilution Water Blank - Quality Control rubes Double Strength (DS) Control EC Broth Control Revised 2-28-13 Temp'rs.S °C NAME DATE / T1ME 1: ���"�� yy � oC Sampled By t�n,�.z /�6�lcrrS� —t-1?; fL�.. Sample Location Received By,1 ! j 51S'l,� a: aOm 24 hr. Cheep S C-�� ,? Sample Type: Grab x Composite f---- ---c - N Analyzed By c, Q S S-! S, 07 ,7 '/�J 48 hr. Check j �7'7-y5-+3.'r Preservation Calculated By 4111, } s -{� `lJ`� �f:�' �%�` 72 hr. Check 5-13-15, 3t -,hwjj Recorded By (261 5), Checked By FECAL C®LEFORM TEST 22nd edition Standard Methods 9221 C E 2006{MPN)(Aqueous) Presumptive Test mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 JMom" 24 hours + + -t -}- — 48 hours. _ Fecal Coliform Test mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000041 MFN 24 hours ..� -I- r MPN Fecal Coliform/g = 10 x MPN index / 100 ml largest volume X % dry solids tested NYN/g = 10 x 6 c3 - too c+.Ar.+.. ram,. f—I Heterotrophic Plate Count 10 mL ✓1 mL 0.1 mL 0.01 mL Dilution Water Blank Z— j Standard Methods Agar L Dilution Water Blank Quality Control Tubes Double Strength (IDS) Control Single Strength (SS) Control EC Broth Control Revised 2 28-13 f _ NAME DATE / TDM I:�. Sampled By ��+�.� /n%ao f rs •� �-r ~lam'' :y! .Received By Analyzed By v �rQw t 5-15. S OgIA,-1 Calculated By .� cS� S-�.' . c�' � d �)v- e Recorded By Checked By Temp-ZS--S, °C 4. OC Sample Location 24 hr. Check s�f -tZ a , , �, Sample Type: Grab x Composite 48 hr. Check - `t?rtN �reservation-------- � i 72 hr. CheckS-R-c5 3;310 FECAL C®LIFORM TEST 22nd edition Standard Methods 9Z21 C E-2006QiiPN)(Aqueous) ]Presumptive Test mL Sample 0.001 0.0001 0-OOnnl I a Mnnni I U %wn%T Fecal Coliform Test mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 1V.IDPN 7-4 hours -t- .j. N.1PN Fecal Coliform/g = 10 x 1V1CPN index 1100 ml MPN/g = 10 x largest volume X % dry solids tested 0 x 3,~� I Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank f Standard Methods Agar Z. Dilution Water Blank f Quality Control Tubes ]Double Stren h (DS) Control Single Strength (SS) Control EC Broth Controlr-�� Revised 2 28-13 Sampled By Received By Analyzed By Calculated By Recorded By Checked By mL Sampl 24 hours 48 hours NAMM iDATE / T&ME Temper S �C° t4. q- �t�n -, /�%o f cs.. % S'rS l ,,J-Sample Location. = r2-a 5 1�'.d�,^, 24 hr. Check 16 •(r' a •'S1 Sample Type: Grab x Composite -tS-i�,v=zs-oi(\ 48hr. Check s•C�y5;3:Zt�,r��reservation 46CA - to`- 72 hr. Check-T-rg-(F. '936Ole FECAL C®LI+®RM 'VEST 22nd edition Standard Methods 9Z21 C E-2006(1VIlL'N)(Aqueous) Presumptive Test 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 WN Fermi 6_nlii'nrm Ti-ct mL Sample 0.001 0.0001 0.00001 0.000001 0.0000007-1 0.00000001 MPN 24 hours _- MPN Fecal Coliform/g = 10 x MPN index / 100 ml largest volume X % dry solids tested //'-OCRt >C �f,i� C• f.ovo7i J Heterotrophic Plate Count 10 mL y) mL 0.1 mL 0.01 mL Dilution Water Blank Standard Methods Agar96 �- Dilution Water Blank Revised 2-28-13 Sampled By Received By Analyzed By Calculated By Recorded By Checked By Tempa5--S- °C G "v n NAME DATE / TLC f : S� y.y, �►- ° C Sample Location OILy�-0 24 hr. Check l I.3 nm Sample Type: Grab x Composite 48 hr. Check S-f'I — 3, ... Preservation -- A A 9� 72 hr. Check, FECAL C®LIFORM TEST 22nd edition Standard Methods 9221 C E-2006(MPN)(Aqueous) Presumptive Test mx, 3ampie I u.uujl 0.0001 0.00001 0.000001 0.0000001 0.00000001 MPN 24 hours + +- 48 hoursI -f- I ARN Fecal Coliform/g = 10 x WN index / 100 ml largest volume X % dry solids tested Fecal Colit'orm Test lYPPN/g = 10 x (�: Z- = — / L O.00 1 X 3..� �S b,0 J g 7. Heterotrophic Plate Count 10 mL +1 mL 0.1 mL 0.01 mL ][Dilution Water Blank G � Standard Methods Agar Dilution Water Blank Quality Control Tubes Double Strength S) Control Single Strength (SS) Control rto f EC Broth Control, u Revised 2-28-13 ri Sampled By Received By Analyzed By Calculated By Recorded By Checked By DATE /TDO Temp�,S`_S °C y �} °C � Sample Location �_�[� 24 hr. Check 64-fS 3:v Sample Type: Grab x Composite 48 hr. Cheek 5�f7-Jjr 3,�reservation 72 hr. Check FECAL C®LIF®RM TEST 22nd edition Standard Methods 9221 C E-2006(NTN)(Aqueous) Presumptive Test --F— I . VJL v.vvv a U.utl00Il 0.000001 1 0.0000001 0.00000001 YON 24 hours 48 hours mL Sample 0.001 0.0001 0.00001 .. W`0.000001 0.0000001 0.00000001 MPN 24 hours !;Z• �2 MTN Fecal Coliform/g = 10 x MPN index / 100 ml largest volume X % dry solids tested M(PN/g = 10 x 2 0 Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank f Standard Methods Agar G 1 Dilution Water )Blank �. ! Quality Control Tubes Double Strength (DS) Control Sin-,Ie Strength (SS) Control EC Broth Control Revised 2-28-13 Date l 2 -16 v / S Location # cSCL-11- k Summary Sheet Fecal conforms Pathogen Reduction MPNIg f)� 5 any gDID 69 q Log 3,Ogg (019 b f 3 . ---k04S; Geometric Means/g Total Dry Solids Signature N DATE / TIME Sampled By Received By 1 al - to -a -/5 I /,5 Analyzed By � � �D--1�-a�' ' '30 Calculated By Checked By J 42_.!4��---`- 4 35/3S" D Temp c ` C • Sample Location 24 hr. Check J!�: il-i 57 II.Wt5ASample Type: Grab x Composite 48 hr. Check ia-1W-1si tq D� reservation 1y 4' 72 hr. Check S7 101�55W'1 FECAL C®LIFORM TEST 22nd edition Standard Methods 9221 C E-2006(MPN)(Aqueous) Presumptive Test mL Sample 3 0.001 D5 Sj 0.0001 S5 C- 0.00001 VS CG 0.000001 S5 0.0000001 0.00000001 MPN 24 hours _ _ -- - - - _ r tq I I I I �(? I - 48 hours ' . - Fecal Coliform Test mL Sample 01001 0.0001 0.00001 0.000001 70000001 0.00000001 MPN 24 hours -- M PN ]Fecal Coliform/g = 10 x NII PN index 1100 ml D"N/g = fl0 x � I • g _ J f - 5 j i j + All- /a largest volume X % dry solids tested Q, o O ! a4- j , �-��- 0 , 0 035 9, J e'� sterility enntrni Heterotrophic Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank e Standard ]Methods Agar G Dilution Water ]Blank �- Quality Control Tubes Double Strength (dDS) Control Single Strength (SS) Control EC Broth Control a ve--- Revised 2-28-13 N DATL / TZM Sampled By Ira -1.2-/5 ' 4 ?A OA- Received By QPeu• 01a�t Analyzed By Calculated By Checked By `ti-•� . �-'- � "� /� -/lam--ice. /��.CU mL Sample 0.001 24 hours 48 hours -_ mL Sample 1• 0.001 24 hours Temp 35 °C QQ 44.5 °C Sample Location J 24 hr. Check 60..�3-1 ti 62-`'�1 Sample Type: Grab x Composite J �68hr.Check-�ir•.�5 D - -5 reservation Cr&ekA - 72hr.Checkl01S-1S 10'd5''� FECAL ComFORM TEST 22nd edition Standard Methods 9221 C 1E-2006WN)( iqueous) Presumptive Test 0-0001 SS C 0.00001 G a.00000l o.aaoaoal 0.0001 AWN Fecal Coliform/g - 10 x WX-index / 100 ml largest volume X % dry solids tested Fecal Coliform Test Infi, T 0.000001 YTNlg = 10 x S S o.Oo1 3.&0 Sterility Control hie Plate Count 10 UIL 1 UIL Water Blank Dilution Water Blank Revised 2-28-13 0.1 niL 0.00000001 11 0.00000001 b MPN f� d • OC& 10 0.01 mL 9 AME DATE / T1ME Sampled By ][deceived By Z. 0to� (V -12 Analyzed By= 7-1 Calculated By " , ! 0 -16-1 1 CZ \ Checked By mL Sample j`�j 0.001 24 hours — 48 hours mL Sample 0.001 24 hours Temp 35 oC QQ y q. 5 °C Sample Location J 24 hr. Check ta-�3'l , t&.w2, Sample Type: Grab x Composite 48 hr. Check O 1 reservation Ova ro�l�iS i - 72 hr. Check FECAL COLIF01M TEST 22nd edition Standard Methods 021 C E 2006WN)(Aqueous) Presumptive Test C- 0.00001 V> c 0.000001 S5 O.o000001 0.0001 D"N Fecal Coli£orm ig = 10 x B N index 1100 and largest volume X % dry solids tested ]Fecal Coli%rm Test 0.00001 1 0.000001 YRN/g = , 10 x { 0 , C> a at 3,(>0 0.00000001 MOPN v 0.00000001 S MPN 19Y . 003 b I 14 5, po0 Aj`o°/ axerwLy 4-watxva. P(eterotrophie Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank Standard Methods Agar G Dilution Water Blank L t Control Tubes Double Strength Pb) C;OntrO _Single Strength (SS) Control EC Broth Control Revised 2-28-13 a Sampled By Received By Analyzed By Calculated By Checked By N ][DATE / TEE !n -lam : S�iswc 22nd edition Standard Methods 9221. C E-2046(1UN)(Aqueous) MTN Fecal Coli%rm/g = A0 x WN index 1100 ml largest volume X % dry solids tested Revised 2 28-13 Fecal Coliiform `Pest Nlg L0 x Z.1, $ = 0.00t'& 3.53�11- Sterility Control 0 "IL A mL laic Plate Count 1L i water Blank Methods Agar � l 0.1. ML Temp 35 °C yd 3 °C Sample Location �e P� g -� --- S le T e. Grab x Composite 24 hr. Check 12:- 3 t13 53mp yp o 4$ hr. Check Preservation ��,�__._1�f-.iS .'�� ,+a-3 72 hr. Check om nods Sampled By Received By Analyzed By Calculated By Checked By AIL Sampl 24 hours 48 hours mL Samp] 24 hours 0.001 A DATE / TUVIE S7 lh-� &K- Ib-1(o"c IS2, FECAL (C®LIFOWN1. T AN 22nd edition Standard Methods 9221 C E-2006(.1�eN)(Aqueous) Presumptive Test 0.0001 S� G 0.00001 �S G 0-000001 155 0.0001 iV$)PN'!E'ecal Colifor®/g = 90 x 1VIPN index / 100 ml largest volume X % dry solids tested Fecal Coliform Test 0.00001 Temp ge; O oC Owr"OC Sample Location ----- lt 24 hr. Check 106:jq n&? ample Type: Grab x Composite 48 hr. Check reservation `"-- -- � o -�1�-� 5 f�5 72 hr. Check 0.0000001 1YN/g= 10x Z-1' g p,pp1 - 3�5bfv Sterility Control (eterotrophic Plate Count 10 mL 1 HIL L( Dilution Water ]Blank Standard Methods Agar i G� ,nn..fdn,. Water blank Revised 2-28-13 0.1 mL T0.00000001 WN 13 0.00000001 1 N'N 1Y _ 35� r '� r55 � ���/ � p,o D 0.01 mL N , DATE / TDN Sampled By Received By Analyzed By 1~9 LU—l4,-rS 1s2� Calculated. By Checked By FECAL C®LI'®RM TEST 22nd edition Standard Methods 9221 C E-2006(16' N)(Aqueous) Presumptive Test o.000l sS c o.00001 Ds a.aa000l �S mL Sample -Ir 24 hours 48 hours TT--Ar ,anL Samnple 1 0.001 24 hours Fecal Coliform Test o.oaol 0.00001 o.00000l MPN Fecal Colil'orm/g = lox i Wade- / 100 and largest volume X % dry solids tested Temp 55, 1) °C pp � oC Sample Location 24 hr. Check q Sample Type: Grab x Composite — O'' S Preservation 48 hr. Clxecl:lo-t+�-1� L7�2 72 hr. Check 0-1 ) D 0.0000001 0.00000001 WN St 0.0000001 0.00000001 MPN YTN/g= 10x 3' ��'9 1 W0035 Sterility Control l0mL 1mL terotrophic ]Plate CountL I (Dilution, Water Blank tandard Methods Agar L i L( Revised 2 28-13 0.1 mL 0.01 mL Sampled By Received By Analyzed By Calculated By Checked BY mL Sampl 24 hours 48 hours mL Sampl 24 hours DATE / TIME rn -r2-1 :o FECAL COLIFO TEST 22nd edition Standard Methods 9221. C E-2006(I0DN)(Aqueous) Presumptive Test L 4.00001 - n nnnnfil 0.001 'p5 0.0001 s5 Fecal Coliform Test 0.001 0.0001 0.00001 0.000001 WN ]Fecal Colid'orm/g = 10 x 1v1Y'N index 1100 ml largest volume X %airy solids tested leterotrophic Plate Count 10 mL Dilation Water Blank Standard Methods Agar L- Dilution Water dank Revised 2-28-13 Temp :3,--,,o °C gq,5"oC n Sample Location 24 hr. Check fo-II-Is 1 1U. "-Sample Type: Grab x _. Composite 48 hr. Check -D-t'l--15 10 - � //reservation 72 hr. Check !O-t S-t toy 0.0000001 4. S_.. 0 0000001 0.00000001 M3PN —'I— -T c t. tS N1PN/g = 1.0 x 1, 21.>Is`�'"s G O�� � — -�) Q�`�"D o, oo 1�- 3,6 1 p.o Control ImL C, 0.1. ML 0.01 mL Summary Sheet Fecal Coliforms Pathogen Reduction Date 9 --1 Location # MPNIg Log Si Lck e 1 o Z2 (A 2- �g �e 73 5ol- -L �2-� �1 t- (+ 5525_ !,3 f V -�,3',-E' Geometric Meanslg Total Dry Solids Signature NAN E DATE / TOO Sampled By ; Z/ ' po Received By .Analyzed By f;�; 12-15-1S ir.5-.!L Calculated By `��J �1�� /[�vc;. i-l�-is� Recorded By T------ Checked By Temp 'j v °C Sample Location (3�-- 5* 24 hr. Check 12,-16-t�; J� O Sample Type- Grab x Composite 481ir. Check 1351 '-"preservation 72 hr. Check-i_T-iZ FECAL CAL C®LIFORM TEST 22nd edition Standard Methods 9221 C E-2006(1P1)(Aqueous) Pre+eeamntiva Tp..ci ML Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 1VD.'N I24 hours + + 4- �}- J �- ±H 48 hours + I mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 WN 24 hours 4. 8 INN Fecal Colilorm/g = 10 x NTN index 1100 ml largest volume X %4 dry solids tested v �r NTN/g = lox i - 8 — 55C S 1vL�i<i� _ C3 �:b3C8 C • jai � :3 5Q Ctnril;+v rnnfrni Heterotrophic Plate Count 10 mL 1 ML 0.1 mL 0.01 mL Dilution Water Blank 41 Standard Methods :Agar Dilution Water Blank Quality Control Tubes Double Strength (DS) Control Single Strength (SS) Control EC Broth Control Revised 2-28-13 NANMJ DATE / T Sampled By il� z/ ✓ i �`! � 13 , i Z�� Received By � � J;kf�-)c 6 31 D Analyzed By Calculated By Recorded By Checked By e . � � Temr�-_- °C _n tt�� p� f� ••..t C Sample Location c 4 �l (d-IT e;),- .Is 24 hr. Check E2-,b_ _15DA Sample Type: Grab x Composite 48hr. CheclQZ- M-e'3N 135�4reservation �,^� 72 hr. Chec%�-d�'E-- Flj CAL COLI'®RM TEST 22nd edition Standard Methods 9221 C ]E-2006WN)(Agneous) fL_.____—t— rp..nd mL Sample 0.001 0.0001 0_00001 0.000001 0.0000001 0.00000001 lVld'N 24 hou.rs i- $ -!- i - 4. hours - + - - —1 mml[, Sannple 0.001 0.0001 0.00061 y w 0.006001 0.0000001 0.00000001 l�ii'N a 24 hours -4- — MPN Fecal Coliforun/g = 1.0 x MPN index / 100 and largest volume X % dry solids tested MpN/g = lox q - D = A0= 15 C � j /v-f ej C�Ens.:ii.t.r R•'n.e�rnll Heterotrophic date Count 10 mL J1 mL 0.1 mL 0.01 mL Dilution dater Blank 4 • Standard Methods Agar Dilution dater Blank Quality Control 'pubes Double Strength (DS) Control 11-e, %,�r % . Single Strength (w Control EC Broth Control ` Cr tL`•. Revised 2-28-13 NAMMI DATE, / TIMM' Sampled By i1= � i�~LS ]� 1.2,46 Received By � , A. A, 1310 Analyzed By Calculated By a �1S-1Sf Ik3,( Recorded By - Checked By Temp 2 °C oC Sample Location At se, 3 Is U 24 hr. Check 12,-16-1a (70 Sample Tame: Crab x Composite 48 hr. Check b9 J%:3.�4reservatiou 1 —� 72 hr. Check r ria-i' s � FECAL COLIFORM TEST 22nd edition Standard Methods 9221 C 3E 2006WN)(A.queous) m.. .,ae. a rro,e mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 24 hours �' �' 4 -� -"' _d EIAeN al0 49 hours -1- 1. �', Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 NTN 24 hours WN Fecal ColiformIg = 10 x MTN index 1100 ml largest volume X % dry solids tested MTN/g = 10 x ) , T — JT -r -:::. D Lf-P, IVkf D,o4} G+nr;➢i+v d^rut+rrnfl Heterotrophic Plate Count 10 mL 1 mL 0.1 ML 0.01 mL Dilution Water Blank Standard Methods Agar $ Dilution Water Flank Quality Control Tubes Double Strength (IDS) Control 'fit Single Strength (SS) Control h� EC Broth Control Revised 2-28-13 NAM DATE, / Td)1E Sampled Byy } ' iS 1 %z Received By _-- Analyzed By c_. 12-1r Calculated By ��.�� Recorded By Checked By Temp °C //�� J�cc Sample Location & 4 ;uk3 24 hr. Check M-16 * 1s- /,5o Sample Type: Grab 1 Composite 48 hr. Check la-1-)- a / 4'363s4reservation 72 hr. Check 1_ �-iSs�a' /��r' 5- FECAL CAL COLIFORM TEST 22nd edition Standard Methods 9221 C ] 2006(N Ti)(Agueous) mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 NTN 24 hours 49 hours _ mL Sample 0.001 0.0001 0.00001 -- - - --- 0.000001 0.0000001 0.00000001 lil[l.'N 24 hours -F — e2 O YIPN Fecal Coliform/g = 10 x MPN index / 100 ml WN/g = lox 55,25 w (',J largest volume X % dry solids tested Warili Heterotrophie Plate Conant 10 mL .1 ML 0.1 mL 0.01 ML, Dilution Water Blank 4 � Standard Methods Agar Dilution Water Blank L � Quality Control Tubes Double Strength (]fDS) Control Single Strength (SS) Control EC Broth Control U Revised 2 28-13 DATE / TEVM Sampled BY 1 2••5.8 Received By � - i�.-1�-17 i3 r o Analyzed By Calculated By Recorded By - Checked B By C: Temp_ °C °C Sample Location ;M3 24 hr. Cheek Zp It�-aj $e�d� Sample Type: Grab a Composite 43 hr. Check J'Z- n-'Fj [ ''4reservation �w � 72 hr. Check i-aSr-r" 124- FE CAL COLIEFORM TEST 22nd edition Standard Methods 9221 C B-2006(10N)(Aqueous) mL Sample 0.001 0.0001 0-00001 0.000001 0.0000001 0.00000001 WN 24 hours dE -1 1 1 L tj I I I . . = 48 hours — +- + 1 -1 1 1 EL SnMp➢e 0.001 - 0.0001 0.00001 0.000001 0.0000001 0.00000001 11 24 hours _ M PN Fecal Co➢iform/g = 10 x NTN index 1100 ml largest volume X % dry solids tested wN/g = 10 x �.y � t� 0 14 Pi (D. Oc) �4na-iliAv 6'nntceai Heterotrophie ]Plate Count 10 mL 1 mL 0.1 mL 0.01 mL Dilution Water Blank Standard Methods .Agar Dilution dater dank Quality Control Tubes Double Strength (ADS) Control Single Strength (SS) Control EC Broth Control Revised 2-28-13 r { r NAME' DATE' / TJ[IlO Sampled By �— l�`15I�� /30Z Received By � , L �-,_, i � 13/0 Analyzed By �4 � _ ;2-�1 =�� � /609 Calculated By 2r1�Gu. 1]?'!�-!$ Recorded By Checked By � r� s2��[ -➢�, 1*',7 4 Temp °C t� C Sample Location 15 PII� w 6 413 24 hr. Check 150 - Sample Type: Grab x Composite 48 hr. Check PZ-P-!`9S /, ,3 55'PPreservatloAn 72 hr. Check i-''9-15 134 So IFE CAL COLIEFO T�ST 22nd edition Standard Methods 9221 C E-2006(A411,N)(Aqueous) VMAr'lmn ilm Toef nag, Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 1V�N 24 hours - 48 hours -aF w L Sample 0.001 0.0001 0.00001 0.0DOOR 0.0000001 0.00000001 Nl"1'N 11 24 hours -r — -rI — I I — =� MPN Fecal Co➢ifform/g = 10 x DPN index / 100 ml largest volume % % dry solids tested M PNIg = 10 x 11� S- = 2 (S- pv fu-f ij D.p©3� gNwHity r..nntrnl Heterotrophie Plate Count 10 mL 1 mL 0.1 ML 0.01 mL Dilution Water Blank z:- � Standard Methods Agar Dilution Water ]Blank Quality Control Tubes Double Strength (IDS) Control Single Strength (SS) Control Pn �. `c, -$4t �— A,C Broth Control b Fevised`2-284Z NAME DATE' /TIME Sampled By Received By l0/0 Analyzed By .i� ��-E� d1 � 1609 Calculated By ���� DZ -)�-d5, A3 9 Recorded By _-------- Checked By � �i�� i2"2d—lb ; �'�ZO Temp h °C Q �] U oC Sample Location c h Ld�& c -tf -' —U_ 24 hr. Check 1-2,4,-'�; /50S Sample Type: Grab x Composite 48 hr. Check b2- o-)I!Fj /35654reservation (VSJ 72 hr. Check -is-g; 13lr FECAL COLIFORM TEST 22nd edition Standard Methods 9221 C F-20060VI N)(Agueons) �11'/+feeefR Ye+64JP `�'PC�' mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 l�A]PN 24 hours 48 hours`- mL Sample 0.001 0.0001 0.00001 0.000001 0.0000001 0.00000001 NTN 24laours --d -- -7• 8 NEPN ]Fecal Coliforna/g = 10 x YTN index / 100 and IkVN/g 10 x � . � _ — � -;:7 Peo) largest volume X % dry solids tested . O a 1 '-Ie- 3 . v, QD s 5� -�"+e+re9e+er 6"'nxe+e-nQ H{eterotrophic ]Plate Count 10 ML 1 ML 0.1 mL 0.01 mL Dilution Water Blank Standard Methods Agar $ Dilution Water Blank Quality Control Tubes Double Strength MS) Control Va-� '�'�►v�, . Single Strength (SS) Control - EC Broth Control •�,�, �.;L Revised"2 28-1'3 4` Analytital Results EMA Resources, Inc. 755 Yadkinvitle Rd. Mocksyille, NG 27028 -; Recelve Date; 04123/2015 Reported: 05/26/2015, For: Washington WWTP Comments: Sample Number Pararrieter Sample ID Result Unit Method Analyzed Analyst 150'423-15'01 30'Da}+`Seitchscal.6 137-'' "ado EPA625-R-92/0. 04J24/2(11:5 WL Respectfully submiffed; i Dena.Myers. NC .Cent #440, NCDW`Cei t #37755, EPA #NCO0909 PO Box 228 * Statesville, NC28687 •704/872/4697 Page 1 of 2 Client: �/ p t F�� t� d -STATESViLLE ANALYTICAL 122,Court Street - P.O. Box 228 Statesville, NC 28687 Address: ~•.,. to e- �=' � F . yp 'ifl 1f F� ( i Lr / t/ (70.4) 872.4G97 7. Chalin of , 6s'tQdy $eeord Contact Person, Phone # FAX# POI �5 Requisitioned by: {Time Date), ., Customer Sample IDN Lab -ID# Tim®Sampldei (Grab Only) Date Sampled (Grab Only) 0 Matrix - p rameters, requested for analysis 9 y. Is,096 I w ww 1 V s 4 -4 V 3iA / its �j C= STP't CL.a.G'f trc� CFI.lS' c r c� rv. 1 i i Relinquished by: Received by: Relinquished by: Received by: Composite Sampling Time begin Time end Composite Sampling Time begin Time end ,/ l4✓ G #`l: am, pm Date / / . am, pm Date ^/ / #2: am, pm Date am, pm Date /_/ �`-- T- Ime . L)S am pm. Da Sampled ! Sampled by: t f/) s'L.df/l1 �; Time f r , pm Date; /� Transported by: �yc//�� ,rPl i Time am, pm Date_1 sh Holding times met: Time am, pm Date I f_____. Compliance work: I. Non-compliance work: i Lab Comments: Analytical. Results EMA Resources, Inc. 755,Y;adkinville Rd. Mocks.ville-,.-NC 27028 Rweive Date, 10/13/2016 Report ed-. 111/09/201'5 For:. Washington WWTP Comments: Sample Number Parameter Sample ID Result r Y, 16T Washington .,,,, Respe6ffully, submitted, Dena Myers NC 66ii #440, NCDW Cert #37765, EPA,#NCO0909 Unit Method EPA62!; Analyzed Analyst 111,3/2015 WL PO Box 228 - StatesVille, NC 28687- 704/872/4697 Page 1 of 1 Client: STATESVILLE ANALYTICAL Street - Address: 'Couri P.O.Box 228 Statesville, NC 28687 (704) M-4697 0 Contact Person: IPhone # FAX# Chain of PO �J431i( Requisitioned by: /V C- Date), Custody Record ,:-,16 7-6 A/ Customer Sample 10# Lab-11) 0 Time Sampled (Grab Only), Date -Sampled (Grab Only) W Matrix S11WOO W WW -" rameters re F� quested for analysis WWY 3 & N3 es cq4ir.e.relZ PIA, A -D;/ f lie' 7 Relinquished by: Time to Cam>T, Date-�()/ Sampled b :4 'y Received by: )y. Time Cam ,)O m Date 1"'cl 1,31 Transported by: Relinquished by: Time am, pm 'ate Holding times met:_ Received by: Time am, pm Date Compliance Composite Sampling #11: work: ITime begin- am, pm Date Non-compliance work: Time end' am, pm Date Lab Comments: Composite Sampling #2: Time begin- am, pm Date I Time end am, pm Date Page 1 of 1 Report Number: 15-355-0708 Account Number: 46245 Waypoint 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 a Fax 804-271-6446 Send To: EMA RESOURCES INC ANALYTICAL www.waypointanalytiical.com 755 YADKINVILLE RD 'Every acre... Every year. Grower: HARVEY WILLIAMSON MOCKSVILLE NC 27028 HUNTER'S ROOST FARM SOIL ANALYSIS REPORT Analytical Method(s): Date Received: 12/21/2015 Date Of Analysis: 12/22/2015 Date Of Report: 12/22/2015 Mehlich 3 ID OM WN .ENR Phosphorus Rotassium," Magnesium Calciurrr Soduim` pH . `° °.' . • ' -Acidity C E.0 ; •Sample Field ID , ..Lab Number o --" �0, : Soil Ibs/A Mehiich a Reserve K: Mg , . Ca Na , : Soil Buffer H ' Rate . ;Class ;; ppm ;. Rate ppm 'Rate ppm s , ;Rate; ppm _ -Rate ppm Rate -ppm q 'Rate, pW . Index ..meq/1O0g meg7100g 2 22336 16 110 93 H 131 H 220 H 953 M 23 VL 5.9 6.78 1.5 8.5 MIN M NC = 77 NC = 67 Percent Base Saturation Nitrate Sulfur Zmc Marig'anese :dron.. ` Copper Boron SoiubieSalts .., Chloride . Aluminum =Sample ID Field ID K Mg Ca Na;: H ..: NO3N S Zn Mn Fe Cu B' SS „ Cl ` AI:. %� % ppm -' Rate` ppm '-Rate ,ppm °; Ratc 'ppm :;'� Rate Rpm f2ate p'pm ° Rate .ppm Rate ms/cm Rate" ;ppm , '-Rate ,:ppm,= 2 20 M 4.1 H 7 L 295 VH 1.3 M 0.3 VL 0.07 VL 4.0 21.6 56.1 1.2 17.6 NC=42 NC=102.5 NC=44 NC=65.0 Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. � H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm �i x 2 = Ibs/A, Soluble by: 1 Wt . or G C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Analysis prepared by: WaypointAnalAcal Virginia, Inc. Pauric McGroary Page 1 of I Report Number: 15-155-0616 Account Number: 46245 Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE NC 27028 (� _A&L Ea-stem-Laboratoduo. 7621'Whitepine Road Richmond, Virginia 23237 (804),*-9461_ Fax (804)27i-Wg vAmaleastem.com Grower: HUNTER'S ROOST FARMS Farm ID: SOIL ANALYSIS REPORT Analytical Method(s): Mehlich 3 Date Received: 06/04/2015 Date Of Analysis: 06/05/2015 Date Of Report: 06/0512015 "Every acre... Every year. TIVI 11 'Sample ,,Organic Matter :,Phosphorus ,PotassiumMagnesium .Calcium "So PH ACI Ity C.E.C ID, rield,113- Lab u Number- ENR Rate, `F,"46serve­'..' Ca" Na Buffer. ,H, ppm Rate , , ;ppm ',Rate .Rate PrT 14 P ate, t -Opirn Ra e ppm Rat e p",,", Index meq11"9'0g meq/100'6' 13786 2.2 L 84 53 H 134 H 110 M 1100 H 24 VL 6.6 0.4 7.3 NC 44 NC 69 5 13787 8.8 VH 150 25 VH 318 VH 1338 M 1 3214 H 138 VL 1 6.5 1 1 1.6 21.5 NC 104 NC 163 12 13788 2.4 L 90 199 I VH 156 VH 71 M 685 M 21 VL 6.0 6.85 I 0.8 I5.3 NC 166 NC = 80 16 13789 2.3 L 86 127 VH 147 H 130 H 1010 H 22 VL 6.7 0.3 6.9 NC10 6 NC = 75 Fqrcent,Base Saturation' Nktratii_­,,1111,�', S Sulfur 'Zind," " Manganese 1ron", opper�,�.: Boron: �Sqllub e.Sla Salts Chloride Aluminum Sample ID Field ID'.. K M' Na;9' Mn B SS CV Al % 0 X 0 X 9 pm;. _R P 'Ot6 in Rate ppi f­ 'ppm�!­. Rate, ppm % ppm Rate p te, ppm a e, `pprri, �,Raile'pprrii Rate mslcm'�Rate� P Rate pm,, ppm P 20 M 4.5 H 14 M 163 VH 2.1 H 0.4 L 0.12 VL 4.7 12.6 75.3 1.4 5.9 1 NC 42 1 NC = 112.5 1 NC = 88 NC = 105.0 1 1 5 VH VH 1O M 1 VH 99 2.4 H 0.7 M 0.46 VL 3.8 13.1 74.7 0.8 7.4 �66 18.9 NC I 37 NC = 222.5 NC = 63 NC = 120.0 12 M H 6 L 280 VH H 0.3 VL 0.08 VL I 7.5 11.2 I 64.6 I 1.7 I 15.5 122 13.7 �2.0 NC 46 NC= 9 2.5 NC=38 NC=100.0 16 18 M 2.7 M L VH 1.7H 0.4 L 0.1 VL I 5.5 15.7 I 73.2 I 1.4 I 4.5 � 16 1170 I NC 37 NC = 67.5 NC = 38 NC = 85.0 Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), lbs/A This report applies to sampie(s) tested. Samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = lbs/A, Soluble Analysis prepared by: A&L Eastern Laboratories, Inc. by: Pxa,. or GovC.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = porn. Pauric McGroary