WQ0031725_Residual Annual Report 2019_20200302

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Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by MB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
..........................................................................................................................................................................................................................................................................................................................................................................
Name * Corey Carpentier
Email Address*
[e-mail]
Project Information
.........................................................................................
Submittal Type* r New Permit Application
r Renewal
r Annual Report
r Other
Permit Type * r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?
r Yes r Nor N/A
Permit Number* WQ0031725
ApplicantTermittee * Baxter Healthcare Corporation
Facility Name * Baxter Healthcare
Phone Number*
8287566636
r Modification (Major or Minor)
r Additional Information
r Residual Annual Report
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Annual report is attached.
Please attach all information required or requested for this submittal to be review here.
Application Form Engineering Rans, Specifications, Calculations, Etc.)
2019 Annual Sludge Report WQ0031725.pdf 1.74MB
Upload only 1 R7F document. NL@iple documents must be combined into one R7F file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a paper 2-pol cation is required,
be advised, applications accepted for pre -review until both the paper and elect-c-ii.- --ol:ies have been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments {talcs, soils report, specs, etc.]
o One full-size engineering plan set
o One 11x17" engineering plan set
o One extra set of specifications
o Fee (if required)
Mailine address:
Division of Water Resources ! Division of Water Resources
Non -Discharge Branch I Non -Discharge Branch
1617 Mail Service Center I Att: Nathaniel Thornburg, P Floor, Office #942W
- =
Raleigh, NC 27699-1617 S12 N.5alisburySt.
For questions or problems contact Tessa Monday attessa.monday@)ncdenr.Qov or 919.707.3560.
* rJ By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature
Submission Date 2/26/2020

Medical Products
Baxter
February 21, 2020
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, NC27699-1617
RE: 2019 Annual Land Application Report
Permit No. WQ0031725
Baxter Healthcare Corporation
McDowell County
Please find the enclosed annual land application report for calendar year 2019. No non-
compliance or other irregular events occurred in 2019.
If you have any questions or require additional information, please contact me at 828-756-6636.
Sincerely,
Corey Carpentier
Sr. Environmental Engineer
Attachment: 2019 Land Application Report (3 copies with enclosures)
Cc: EHS File Copy

2019
Baxter Healthcare Corporation
2019 Annual Report
Land Application Program
Permit No. WQ0031725

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0031725 County:
Facility Name (as shown on permit):
Land Application Operator:
McDowell
Year: _ 2019
Baxther Healthcare Corporation
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
21 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.
Southern Soil Builders, Inc.
Total number of application fields in the permit:1 10
Total number of fields utilized for land application during the year: 9
Total amount of dry tons applied during the year for all application sites: 160.39
Total number of acres utilizes for land application during the year:1 67.07
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2019 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. 0 Yes LJ 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 . 1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements 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 , I I 1 I were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were cornplied with or, in the case of a deviation, prior
authorization was received frorn the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and rernediations.
1 1) Vegetative cover was maintained and proper crop management was perfnr;,1cd 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."
x[ U + C701� ScorT �-71� . t�t_RgEtrc � YE � 02-1132JZo
Permittee Name and Title (type or print) Signature a ermittee Date
of
- r3 -- Zo 0.,"
Date Si
of Land Applier
a dean
Date
(if different from Permittee) (if different fmm Permittee and Preparer)
*D..,,............. .7,. C....,A... nn r'rn n. en, n. . .,r.... ....... ...-

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: WQ0031725 Laboratory: 1)
Facility Name: Baxter Healthcare -Corporation 2)
Residual Source WQ # or WQ0031725 3)
NPDES #: 4)
WWTP Name: Baxter Healthcare Corporation 5)
Residual Analvsis Data
Waypoint
Conc.
Sample or Composite Date
Parameter
Limit
(mg/kg)
(mg/kg
Percent Solids (%)
NA
149
Arsenic
75
8.81
Cadmium
85
1
Copper
4,300
105
Chromium
NA
119
Lead
840
8.91
Mercury
57
0.0365
Molybdenum
75
5.82
Nickel
420
32.4
Selenium
100
5
Zinc
7,500
102
Total Phosphorus
NA
14300
TKN
NA
83200
Ammonia -Nitrogen
NA
5300
Nitrate and Nitrite
NA 4.67
a
For surface disposal facilities
the ceiling concenrrnt,nn limit, lictail in thic f.,r.,, .,,,t -r,. W. Le ;-A ..:A...J _ _:.
r
"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_"mi>g4alse information, including the possibility of fines and imprisonment for knowing violations."
Signaturf Preparer *
Date

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: WQ003I725
Facility Name: Baxter Healthcare Corporation
Residual Source WQ0031725
NPDES # or WQ#:
WWTP Name: Baxter Healthcare Corporation
Residual Analysis Data
Laboratory: 1) Waypoint
2)
3)
4)
5)
Parameter
(mg/kg)
Sample or .. Date
---
-Elm-
a
®-
"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 penal ' s for su i .ng false information, including the possibility of fines and imprisonment for knowing violations."
- 2 -- /3 -za
Signature of Pr arer * Date
*PrPnnrPr is riafinaA in AA I -PR Part 1,01 Ofr1 -d 1 r A N[r A r 17 1

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxtller Healthcare Corporation Total Dry Tons Applied (Annual): 12.19
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2
Acres Used: 5.5 Acres Permitted: 5.5 Site #: DP Field #: 1A
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 9 10 11 12
Com-
posite
Date 2/4/19
% Solids 14.9
Arsenic 8.81
Cadmium I
Copper 105
Chromium 119
Lead 8.91
Mercury 0.365
Molyb- 5.82
denum
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
horus
Annual Heavy Metal
Field
Loadings (Calculated
in Ibs/acre):
Total 1
DT/Ac. �
App.
Event 2.22
2
3 4
5
6
7
8
gf
10
11
12
�
m
y
Arsenic 0.039
Cadmium 0.004
Copper 0.465
�hrorrliurn 0.527
Lead 0.039
Mercury 0.002
Mnlvh_
0.000 1
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 0.00fl
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 1
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 1
0.000
0.000
0.000
0.039
0.004
0.465
0.000
0.527
0.000
0.000 1
0.039
0.002
denum 10.026 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026
Nickel 0.144 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.144
Selenium 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022
Zinc 0.452 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.452
Total
Phos- 63.378 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 63.378
horus , I
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
'"' ,f
Signature of Land Appher Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxther Healthcare Corporation Total Dry Tons Applied (Annual): 3.44
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2
Acres Used: 1.6 Acres Permitted: 1.6 Site #: DP Field #: Ili
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or Ll J _2j 3j 4 J L5 6 7 8 g 10 LIJ 12
Com-
posite
Date 2M/19
% Solids 14,9
Arsenic 8.81
Cadmium I
Copper 105
�hromium 119
Lead 8.91
Mercury 0.365
Molyb- 5.82
denum
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
Annual Heavy
Total t
DT/Ac.r
App.
Event 2.15
Arsenic 0.038
Cadmium 0.004
Copper 0.451
�hromium 0.511
Lead 0.038
Mercury 0.002
Molyb- 0.025
denum
Nickel 0.139
Selenium 0.021
Zinc 0.438
Total
Phos-
Metal Field Loadings (Calculated in Ibs/acre):
0
sv
0.000
0.000
0.000
0.000
0.00.0
0.000
0.000
0.000
0.000
0.000
0.000
0.038
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.451
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.511
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.038
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
0.000
0.000
0.00o
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.139
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.021
0.000 1
0.000 1
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.438
61.461 10.000 10.000 10.000 1 0.000 1 0.000 1 0.000 1 0.000 10.000 1 0.000 10.000 10.000 161.461
"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".
Signature of Land Applier Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxtlier Healthcare Corporation Total Dry Tons Applied (Annual): 6.60
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2
Acres Used: 3 Acres Permitted: 3 Site #: DP Field #: 1C
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or t 2 3 4 5 6 7 L8J g �p �� 12
Com-
posite
Date 214119
% Solids 14.9
Arsenic 8.81
Cadmium 1
Copper 105
�hromium 119
Lead 8.91
Mercury 0.365
Molyb- 5.82
denum
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
Annual H
Total
DT/Ac.
App.
Event 2.20
Arsenic 0.039
Cadmiujnj 0.004
0.462
0.524
0.039
0.002
0.026
0.143
0.022
0.449
.nromti
Lead
Mercui
Molvb
N ickel
Selenium
Zinc
Total
Phos-
dings (Calculated in lbs/acre):
0
N
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
0.000
0.000
0.000
0.000
0.000
0.000
6.000
1 0.000
1 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 00
0.000
0.000
0.000
0.000
0.000
0.039
0.004
0.462
0.524
0.039
0.0 00
0.002
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.026
0.000
0.000
0.000
0.000 0.000 1
0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.0 00
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 1
0.000
0.000
0.143
0.000
0.022
0.000
0.449
62.9201 0.000 f 0.000 10.000 1 0.000 10.000 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 1 62.920
"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".
1..., 7 ���1 • �aav
Sig ature of Land/ Applier Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Residual Anall
Sample or 1
Corn-
posite
Date 2/4/19
% Solids 14.9
Arsenic 8.81
Cadmium I
Copper 105
'hromium 119
Lead 8.91
Mercury 0.365
denum 5.82
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
Baxther Healthcare Corporation Total Dry Tons Applied (Annual):
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
9.6 Acres Permitted: 9.6 Site #: DP Field #:
sis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent
Annual
Heavy M
Total
t _
DT/Ac./
App.
Event
2.07
Arsenic
0.036
Cadmium
0.004
Copper
0.435
-hro[�Zrp
0.493
Lead
0.037
Mercury
0.002
MnJ"h
ated in lbs/acre):
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.00(
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.00(
o.000
o.000
0.000
0.000
0.000
0.000
0.000
O.00(
0.0 00
0.000
0.000
0.000
0.000
0. 000
0.000
0.00(
0.000
1 0.000
0.000
1 0.000
0.000
0.000
0.000
o.00C
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.00C
0.024 0.000 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 1 o.000 o.0oo
Nickel 0.134 0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
Selenium 0.021 0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
Zinc 0.422 0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
Total
Phos- 59.202 0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
horus
"I certify, under penalty of law that
this do-e
t
19.87
rcL.s
ISO]
Loj
11
12
y
0
y
0.000
0.000
0.000
0.000
0.036
0.000
0.000
0.004
o.000
0.000
0.000
0.000
0.000
0.000
o.000
o.000
0.435
0.0 00
0.000
0.493
0.000
0. 000
0.037
0.000
0.000
0.002�_
0.000
0.000
0.024
0.000
0.000
0.134
0.000
0.000
0.000
0.021
0.000 1
0.000
0.000
0.422
0.000
0.000
0.000
59.202
n was piepared 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".
�-y-coif 0
Signature of Land Applier Date

ANNUAL, METALS FIELD LOADING SOMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxther Healthcare Corporation Total Dry Tons Applied (Annual): 20.30
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 5.887 Acres Permitted: 5.887 Site #: DP Field #: 3-Corn
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
., - -
Com-
posite
Date 2/4/ 19
% Solids 14.9
Arsenic 8.81
Cadmium I
Copper 105
Chromium 119
Lead 8.91
Mercury 0.365
Molyb- 5.82
denum
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
Annual Heavy
Total _J
DT/A c./
App.
Event 3.45
Arsenic 0.061
Cadmium 0.007
Copper 0.724
:hromium 0.821
Lead 0.061
Mercury 0.003
Molyb- 0.040
denum
Nickel 0.223
Selenium 7034
Zinc 0.704
Total
Phos-
Meta
lculated in lbs/acre):
0.000
0.000 0.000
0.00o
o.000
0.00o
0.006
c
0.000
O.Oao o.000
0.00o
0.000
0.000
0.000
c
0.000
0.000 0.000
0.000
0.000
0.000
0.000
c
0.000
0.000 0.000
0.000
0.000
0.000
0.000
c
0.000
0.000 0.000
0.000
0.000
0.000
0.000
C
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0
0.000
0.000 0.000
0.000
0.000
0.000
0.000
1 0
0.000
0.000-1 0.000
0.000
0.000
0.000
0.600
6
0.000
0.000 1 0.000 1
0.000
0.000
0.000
0.000
0
98.641 1 0.000 1 0.000 1 0.000 1 0.0001 0.000 1 0.000 1 0.000 1 0
000
LOJ
Jilli2
0
su
W
0.000
0.000
0.000
0.061
.000
0.000
0.000
0.000
0.007
.000
.000
0.000
0.600
0.000
0.724
0.000
0.000
0.000
0.821
'000
0.000
0.000
0.000
0.061
000
0.000
0.000
0.000
0.003
000
0.000
0.000
0.000
0.040
000
0.000
0.000
0.000
0.223
000
0.000
0.000
0.000
0.034
000
0.000
0.000
0.000
0.704
000
0.000
0.000
0.000
98.641
"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".
Signature of Land A �Iier-
Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxther Healthcare Corporation Total Dry Tons Applied (Annualy 25.39
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator; Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 6.983 Acres Permitted: 6.983 Site #: DP Field #: 3-Grass
........ n..R. j
- uaaa
kaicavy lurtais anu i orat rnospnorus use mg/kg,
% Solids use
Raw Percent #);
Sample or
L21
3 4 5 71 7 1 8j
9 J10
11 J 12
Com-
posite
Date 21019
% Solids 14.9
Arsenic 8.81
Cadmium 1
Copper 105
Chromium 119
Lead 8.91
Mercury 0.365
Molyb-
5.82
denum
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
horus
Total
- ---o- ♦-
3j 4
�-.�...» .....
5
.varnuup
_2j
6
7
8
9
10
11
12
DT/Ac./
,
App.
0
Event 3.64
Arsenic j 0.064
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.064
Tadmiuml 0,007
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.007
Copper 0.764
0.000
1 0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.764
Chromium 0.865
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.865
Lead 0.065
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.065
Mercury 0.003
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
a.o0o
0.003
Molyb
0.042
denum
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.042
Nickel 0.236
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.236-
Selenium 0.036
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.036
Zinc 0.742
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.742
Total
Phos- 103.990
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
103.99(
horus
"I certify, under
penalty of law, that this document was prepared under my direction
with a system designed
to assure that qualified personnel
or supervision
properly gathered and evaluated
in
accordance
I am aware that there are significant penalties
the
for submitting false information, including the
information submitted.
possibility of fines and
imprisonment for knowing violations".
a�y a
Sigi ure of Lai d Ay pplier
Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxther Healthcare Corporation Total Dry Tons Applied (Annual): 24.05
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 8.7 Acres Permitted: 8.7 Site #: DP _ Field #; 4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #);
Sample or L 1-1 L2J L4j 5 6 7 8 9 10 11 12
Com-
posite
Date 21V 19
% Solids 14.9
Arsenic 8.81
Cadmium l
Copper 105
Chronflurni 119
Lead 8.91
Mercury 0.365
Molyb- 5.82
denum
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total 1 ` 2 3, 4 5
S_ 7�
8
9,
10�
111
2
DT/Ac./
App.°
Event 2.76
Arsenic 0.049 0.000 0.000 0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.049
Cadmium 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
Copper 1 0.580 0.000 0.000 0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.580
Chromium 0.658 0.000 0.000 0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.658
Lead 0.049 0.000 0.000 i 0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.049
MolybMercury 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
denuni 0.032 0.000 0.00o 0.000 0.000
enum
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.032
Nickel 0.179 0.000 ---f-0.000 0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.179
Selenium 0.028 0.000 0.000 0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.028
Zinc 0.564 0.000 0.000 0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.564
Total
Phos- 79.050 0.000 0.000 0.000 0.000
h orus
0.000 0.000
0.000
0.000
0.000
0.000
0.000
79
.OSU
"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
rryknowing violations".
Signature of Land Applier
Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxther Healthcare Corporation Total Dry Tons Applied (Annual): 28.21
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FCC2
Acres Used: 15.9 Acres Permitted: 15.9 Site #: DP Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or 1 2 L3J L 4 5 L§J 7 LOJ 9 10 11 12
Com-
posite
Date V4/19
% Solids 14.9
Arsenic 8.81
Cadmium 1
Copper 105
�hrcniium 119
Lead 8.91
Mercury 0.365
Molyb- 5.82
denum
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
Annual Heavy
Total 1
DT/Ac.l
App.
Event 1.77
Arsenic 0.031
Cadmium 0.004
Copper 0.373
Chromium 0.422
Lead 0.032
Mercury 0.001
Molyb- 0.021
denum
Nickel 0.115
Selenium 0.018
Zinc 0.362
Total
Phos-
Metal Field Load
in Ibs/acre
0.000
0.000 0.000
0.000
0.000
0.000
0.00
0.000
0.000 0.000
0.000
0.000
0.000
0.00
0.000
0.000 0.000
0.000
0.000
0.000
0.00
0.000
0.000 0.000
0.000
0.000
0.000
0.00
0.000
0.000 0.000
0.000
0.000
0.000
0.00
0.000
0.000 0.000
0.000
0.000
0.000
0.00
0.000
0.000 0.000
0.000
0.000
0.000
0.00
0.000
0.000 1 0.000
0.000
0.000
0.000
0.00,
0.000
0.000 0.000
0.00
00.000
0.000
0.001
0.000
0.000 o.000
0.000
0.000
0.000
0.001
50.7361 0.000 1 0.000 f 0.000 1 0.000 1 0.000 1 0.000 1 0.001
3
T
}
}
0.000
0.000
0.000
0.000
0.000
0.000
a
w
y
0.000
0.000
0.031
6.000
o.000
0.000
0.004
0.000
0.000
7000
0.373
0.000
2200
0.000
0.422
0.000
0.000
0.000
0.032
1
0.000
0.000
6A00
0. 000
0.001
1
0.000
0.000
0.000
0.000
0.021
I
0.000
0.000
0.000
0.000
0,115
1
0.000
0.000
0.000
0.000
0.018
i
0.000
0.000
0.000
0.000
0.362
0.000
0.000
0.000
0.000
50.736
"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".
Signature of Land Applier Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxther Healthcare Corporation Total Dry Tons Applied (Annual): 10.63
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2
Acres Used: 5.5 Acres Permitted: 5.5 Site #: DP Field #: 6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or 2j 1 31 1 a 5 J I 6 1 g F.
Com-
posite
Date
% Solids
Arsenic
Cadmium
Copper
Chromiuml
Lead
-
214/19
14.9
8.81
I
105
119
8.91
9
Mercury
0.365
Molyb-
5.82
denum
Nickel
32.4
Selenium
5
Zinc
102
Total
Phos-
14300
horus
Annual
Heavy Metal
Field
Loadings (Calculated
in Ibs/acre):
Total
1j
W
2
3 4
5
6
7
g
g
DTfAc./
App.
Event
1.93
Arsenic
0.034
0.000
0.000 0.000
0,000
0.000
0.000
0.000
0.
Cadmium
0,004
0.000
0.000 0.000
0.000
0.000
0.000
0.000 1
0.
Copper
0.406
0.000
0.000 0.000
0.000
4.000
0.000
0.000
0.+
Chromium
0.460
0.000
0.000 0.000
0.004
0.000
0.000
0.000
1
Lead
0.034
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.1
Mercury
0.001
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.1
Molyb
denum
0.022
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.1
Nickel
0.125
0.400
0.000 0.000
0.000
0.000
0.000
0.000
0.(
Selenium
0.019
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.(
Zinc
0.394
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.(
Total
Phos-
55.255
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.(
phorus
300
200
)00
)00
10 j11�
0.000
0.000
0.000
0.000
f2
y
0
as
W
0.000
0.000
0.034
0.000
0.000
0.004
0.000
0.000
0.406
0.000
0.000
0.460
)00
)00
)00
100
0.000
0.000
0.000
0.000
0.034
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.022
0.000
0.000
0.125
100
100
100
0.000
0.000
0.000
0.019
0.000
0.000
0.000
0.394
0.000
0.000
0.000
55.255
"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 [snowing violations".
Signature of Land A plies Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxther Healthcare Corporation Total Dry Tons Applied (Annual): 9.71
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FCC2
Acres Used: 4,4 Acres Permitted: 4.4 Site #: DP Field #: 7
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #}:
Sample or ?. 2 3 4 5 6 7 8 9 10 11 12
Com-
posite
Date
214119
% Solids
14.9
Arsenic
8.81
Cadmium
1
Copper
105
Chromium' 119
Lead 8.91
Mercury 0.365
Molyb- 5.82
denum
Nickel 32.4
Selenium 5
Zinc 102
Total
Phos- 14300
Annual Heavy
Total 1
DT/Ac.l
App.
Event 2.21
Arsenic 0.039
Cadmium OA04
Copper 0.463
Chromium 0,525
Lead 0.039
Mercury 0.002
Molyb- 0 026
denum
Nickel 0.143
Selenium 0,022
Zinc 0.450
Total
Phos-
etal Field Loadings (Calculated in lbs/acre):
2 3 1 1.71 j 5 1 1 6 7
0.000
0.000 o.000
- a.oao
6.066
o.000
a.
0.000
0.000 0.000
0.000
0.0 00
0.000
0.
0.000
0.000 0.000
-00
0.000
0.000
0.000
0.
0.000
To o.oao
0.000
0.000
0.000
0.
0.000
0.000 0.000
0.000
0.000
0.000
0.
0.000
0.000 0.000
0.000
0.000
0.000
0.
0.000
0.000 0.000
0.000
0.000
0.000
0.
0.000
0.000 0.000
0.000
0.000
0,000
0.�
0.000
0.000 1 0.000
0.000
0.000
0.000
0,1
0.000
0.000 0.000
0.oao
TO-0 0-1
0.000
0.1
63.120 f 0.000 1 0.00o 1 0.000 j 0.000 I 0,000 1 0.000 1 o.l
9
10
11
12
0
w
c�
y
000
0.000
0.000
0,000
0.000
0.039
300
0.000
0.000
0.000
0.000
0.004
)00
0,000
0.000
0,000
0,000
0.463
)00
0.000
0.000
500
0.000
0.525
)00
0.000
o.oao
0.000
0.000
0.039
)00
0.000
0.000
0.000
0.000
0.002
)00
0.000
0.000
0,000
0.000
0.026
)00
0.000
0.000
0.000
0.000
0.143
)00
0.000
0.000
0.000
0.000
0.022
100
0.000
0.000
0.000
0.000
0.450
00
0.000
0,000
0.000
0.000
63.120
"I certify, under penaity of law, that this document was prepared under my direction or supervision Nn, 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
)
Signat ire of Land Applier a 6
Date

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 "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE
Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: 1A
Acres Utilized: 5.5
Land Owner: Douglas Poplin Annual Dry Tons Applied: 12.1857 Site #: DP Acres Permitted: 5.5
Operator: Douglas Poplin Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):
Crop I Name: Fescue Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
Volume applied
(enter one) Solids/
O Liquid
Cu. Yds Gallons
-19 97.11
kLS:l 97.11
ual I bs/acre
Volume
Residual Sources
Joif
Applied per
(NPDFS #, WQ#,
Cond
Solids Acre
Fen., Animal
(Dry'
(Dry TonslAc}
Waste, etc)
Wet'
Moist
14.9 2.216
WQ0031725
dry
0.000
0.000
0.000
o.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
r Years Cumulative lbs/ac
•ent Cumulative Ibs/ac
fitted C. P. L. R.****
iit PAN Limit I st/2nd C
Residuals Applic
As
Cd
Cu
0.039
0.004
0.465
0.16
0.051
2.794
0.199
0.055
3.259
36
34
1338
Precip. >
Past 24
Hrs, o
a ^
t Q•
inches
,t
tions totals on FORM FSF
Cr
I Pb I Hg
0.527
0.039
0.002
1.857
0.0242
0.009
2.384
0.064
0.011
NA
267
I5
Nitrate
PAN A Iced
pp
Name of Crop Type
and
]bs/acre}NitriteA
Receiving Residual
U50.
JTKN
lication PP
mg/kg
Ci Crop 2
Crop I Crop 2
3
4.67
115.320 NA
Fescue
ipp ( attach FORM
FSF su
Mo Ni Se
0.026
0.144
0.022
0.124
0.643
0.106
0.150
0.787
0.128
NA
374
89
0.000
0.000
0.000
0.000
o.000
0.000
0.000
0.000
0.000
0.000
0.000
p to this form):
Zn I P 1115.320
0.452 63.378
4.507
4.959
2498
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 Lime Applied
Date lbs/ac
0
158
srtify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
rmation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
?� l+w **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

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: Baxter Healthcare WQ Permit #: WQ003I725
Field #: IB
Land Owner: Douglas Poplin
Annual Dry Tons Applied: 3.4383
Acres Utilized: 1.6
Operator: Douglas Poplin
Predominant Soil Series: FcC2
Site #: DP
Acres Permitted: 1.6
Crop 1 Name:
Fescue Crop I Max. PAN: 158
Cation Exchange
Crop 2 Name:
Capacity (non 503):
Crop 2 Max. PAN:
Volume applied
Volume Soil
Residual Sources Precip.
0 3
z D
15
(enter one Solids/ o
/o
Cond. K
Applied per (Npp£S # WQ#, Past 24 c'o z
»
TICN o y
Nitrate
PAN Applied
Name of Crop Type
Liquid Solids
Acre (Dry, s �'
(Dry, Animal Firs. o w
R = � °�
N' *
o0 o
�,
and
( lbs/acre)
Receiving Residual
Cu. Yds GaIlOr1S
a
Waste, etc Wet' * o
(Dry Tons/Ac) � �
* N'
* • »
"
Nitrite Application
- 14
27.4
Moist } ruches
�
mglkg mg/kg
mg/kg Crop I Cro 2 Cro 7
tit t
,®ram
■�� t t t t �����■���
t t t;
t t t t
�� t t t t ���■���.��
t t t t
t t t
_-
��
�� t t t t �����.■��....
t t;;
t t t t ��
.LS:l 27
ual Ibs/acre
Years Cumulative Ibs/ac
ent Cumulative lbs/ac
fitted C. P. L. R.****
it PAN Limit 1st/2nd C
' r F
supp ( attach FORM FSF supp to this form):
As
Cr36
Cr
Pb
H
Mo
Ni
Se
Zn p
0.038
0.00
0.511
0.038
0.002
0.025
0.139
0.021
0.438 6L461
0.158
0.04
1.734
0.227
0.009
0.118
0.603
0.103
4.193
0.196
0.05
2.245
0265
0.011
0.143
0.742
0.124
4.631
36
341338
NA
267
IS 1
NA 1
374
89
2498
111.8491 0.000 1 LimeApplied
Date Ibs/ac
11-19 1 000
rtify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
'mation, including the possibility of fines and imprisonment for knowing violations."
,„� *Application Method: S - Surface, IN - Injection, INC - Incorporation
D 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

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 "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Heahbcare
WQ Permit #• W 0031725
' Q
Field # I
Acres Utilized:
3
Land Owner: Douglas Poplin
Annual Dry Tons Applied: 6.6004
Site #• Df
Operator: Douglas Poplin
Predominant Soil Series: FcC2
Acres Permitted:
3
Cation
Exchange
Capacity
(non 503):
Crop 1 Name:
Fescue
Crop 1 Max. PAN: 158
Crop 2 Name:
Crop 2 Max. PAN:
Volume applied
PP
Volume
Soil
Residual Sources Precip. y
c
�
z Y
Nitrate
o (enter one) Solid4: ob
Applied per
(NPDES #, WQ# Cond. Past 24
w TKN
_
PAN Applied
Name of Crop Type
Liquid Solids
Acre
(Dry, -
Fert., Animal Hrs. o
N'
�, in
-
o3 o
c, 0
and
( lbs/acre)
Receivin; Residual
Cu. Yds Gallons
Waste, etti s Wet' =
N
Nitrite
Application
(Dry Tan51Ac;
Moist,, inches
mg/kg
mg/kg
mg/kg
Crop I Crop 2
Crop I Crop 2
-19 52.6 14.9
2.200
WQ003172; dry D S
0.5
0.3 83200
5300
4.67
I14.516 NA
Fescue
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 4.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF
0.000 1 0.000
%LS 52.6 0
As
Cd Cu Cr Pb H
Mo 1
supp
Ni I Se
to this
form):
TJ4.51b
uallbs/acre
0.039
0.004 0.462 0.x:24 0.039 0.002
0.026
0.1430.022
Zn
0.449
P
1 0.0o0
Lime Applied
r Years Cumulative !bs/ac
0.739
0.063 3.328 2.11 0.278 0.011
0.142
0.744H0.122
5.608
62.920
Date Ibs/ac
'ent Cumulative Ibs/ac
0.778
7
0.067 3.790 2.634 0.317 0.013
0.168
0.887 0.144
6.057
11-19 1000
Witted C. P. L. R.****
36
34 NA 267 IS
NA
374 89
2498
iit PAN Limit I st/2nd Crop
158
mtify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lifted personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
rmation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**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

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 "NIA" 1N A BLANK OR BOX WHEN NOT APPLICABLE
Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: 1D
Acres Utilized: 9.6
Land Owner: Douglas Poplin Annual Dry Tons Applied: 19.8766 Site #: Dp
Acres Permitted: 9.6
Operator: Douglas Poplin Predominant Soil Series: Cation Exchange Capacity g P Y (non 503):
Crop 1 Name: Fescue Crop I Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
volume applied
Volume
Residual Sources
Soil
Precip.
D
�
�
�
Nitrate
one) Solids!
I� p
App ed er
(NPDES #, WQ#,
Cond.
Past 24
F v
Nz
i KNo0
3/o
J-,��(enter
Liquid Solids
Acre
Animal
(Dry,
lirs.
= �'
o
^, =
"
-
0Fert.,
and
Yds Gallons
(Dry TonslAc)
Waste, etc )
Wet,
p-
,N�,
#
*
�,
Nitrite
-2019 158.4 14.9
2.070
WQ0031725
MoiSt)
dry
inches
0
_
mglkg
mglkg
mglkg
S
0.5
0.3
83200
5300
4.67
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
+--7
"ALS:
Residuals Applications totals on FORM FSF supp ( attach
FORM FSF supp to this form):
158.41 01
As
Cd I Cu I
Cr I
Pb I
Ha I
Mo
Ni I
Se 1
Zn
P
Waal !bs/acre
0.036
0.004 0.435
0.493
0.037
0.002
0.024
0.134
0.021
0.422
59.202
or Years Cumulative Ibs/ac
0.156
0.047 2.606
1.716
0.247
0.007
O.nS
0.58
0.087
3.972
rrent Cumulative Ibs/ac
0.192
0.051 3.041
2.209
0.284
0.009
0.139
0.714
0.108
4.394
miffed C. P. L. R.****
36
34 1338
NA 1
267
15
NA
-nit PAN Limit lst/2nd Crop
374
89 1
2498
PAN Applied
( Ibs/acre)
Crop 1
107.767
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
o.000
0.000
107.767
Crop 2
NA
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.000
0.000
Name of Crop Type
Receiving Residual
Application
Crop I Crop 2
Fescue
0.000 Lime Applied
Date Ibs/ac
0
158
:ertify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
diked personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
)rmation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
aua6_ "Volatilization Rate: Surface - 0.5, Injection/Incorporation - I.0
Signature of Land Applier Date x** 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

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 APPLI
Facility Name: Baxter Healthcare
WQ Permit #: WQ0031725
CABLE.
Field
Land Owner: Dou
Douglas Poplin
g P
#: 3-Corn
Acres Utilized:
5.887
Annual Dry Tons Applied: 20.3033
Site #: DP
Operator: Douglas Poplin
Predominant Soil Series: FcB2
Acres Permitted:
5.887
Crop1 Name:
Cation
Exchange Capacity (non 503 )�
Corn
Crop 1 Max. PAN: 214
Crop 2 Name:
Crop 2 Max. PAN:
i
Volume applied
(enter one Solids/
)
Volume
Soil
Residual Sources Precip. >
Cond.
o
S
Nitrate
i o
o
/o
Liquid Solids
Applied per
Acre
(NPDES #, WQ#, Past 24
(Dry, n
� y
?
z CD
;, TKN
"
o
PAN Applied
and
Name of Crop Type
Receiving
1
Fert., Animal Hrs. 5 a,
(1bs/acre)
Residual
Cu. Yds Gallons
(Dry Tons/Ac)
Wet, a
Waste, etc) o"
*
g m'
Nitrite
Application
2019
161.8 14.9
3.449
Moist) inches
WQ0031725 dry 0
o mg/kg
mgAg
mglkg Crop i Crop _
Crop 1 Crop 2
0.000
Inc
I
0.3 83200
5300
4.67 197.788 NA
Corn
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
o.000
0.000 0.0oo
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
'kLS:1 161.81 p+
ival lbs/acre
r Years Cumulative lbs/ac
•ent Cumulative Ibs/ac
nitted C. P. L. R.****
in PAN Limit Ist/2nd Crop
Residuals App
As
I Cd
Cu
0.061
0.007
0.724
0.395
0.126
1.512
0.456
0.133
2.236
36
34
1338
[ions totals on FORM FSF supp ( attach FORM FSF
Cr I Pb I Ha I Mo I Ni I Se
0.821 0.061 0.003 (?.0400.223 0.034
4.609 0.596 0.02 0.271 1.421 0.568
105.430 0.657 0.023 0.311 NA 267 15
0.000 0.000
1p to this form):
Zn P 197.788 "000 Lime Applied
0.704 98.64] Date lbs/ac
13.144 0
13.848
2498
:rtify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
rmation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
D"W • a` 51kO **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

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: Baxter Healthcare
WQ Permit #: WQ0031725
Field #: 3-Grass
Land Owner: Douglas Poplin
Annual Dry Tons Applied: 25.3942
Acres Utilized: 6.983
Operator: Douglas Poplin
Site #: DP
Acres Permitted: 6.983
Predominant Soil Series:
Crop 1 Name:
Fescue
Cation Exchange Capacity
(non 503):
Crop 1 Max. PAN: 194
Crop 2 Name:
Crop
2 Max. PAN:
Volume applied
� � (enter one) Solids/ o
o /o
Volume
Applied per
Soil
Residual Sources Cond. Precip. �
(NPDES #, WQ#, Past 24 �_ n
o _� z D Nitrate
y fD
PAN Name of crop Type
} - Liquid Solids
Acre
Fert., Animal (Dry' Hrs. o m
w �' TKN o ?
* N ; " Jr, o and
Applied
(lbs/acre)
Receiving Residual
Cu. Yds Gallons
(Dry TonslAc)
Waste, etc Wet, n o
)
R t ^ Nitrite
„ y
'
Application
2019 130.52 14.9
2.345
Moist mcties
WQ0031725 d fy 0
o2 mg/kg mg/kg mg/kg
Cr0 1 Cr0
P p _
Crop I Crop 2
2019 71.85 14.9
1.291
S
WQ0031725 dr0
0.5 0.3 83200 5300 4.67
122.078 NA
Fescue
0.000
y S
0.5 0.3 83200 5300 4.67
67.203 NA Fescue
0.000
0,000 0.000
0.000
0.000 0,000
o.000
0.000 0.000
a.000
o.000 o.00a
0.000
o.oao o.000
0.000
0.000 0.000
0,000
0.000 O.00o
0.000
0.000 0.000
0.000
0.000 0.000
Residuals Applications totals on FORM FSF
supp ( attach FORM FSF
0.000 0.000
4LS: 262.37 0
As
Cd Cu Cr Pb
supp to this form):
ual s/acre
0.064
H
0.007 0,764 0.865 0.065 0.003
Mo Ni
0.042
189.281 0.000 Lime ADD lied
r Years
rs Cumulative ]bs/ac
0.387
0.131 6.904 4.576 0.592
0.236 0,036 0.742 103 990
Date I lbs/ac
-ent Cumulative lbs..ac
0.451
0.02
0.138 7 668 5 441 0 6
0.281 L42 0.581 13 168
0
57 0.02J 0.323 1.656 0.617 13.910
� fitted C. P. L. R. * * * * tit PAN Limit st/2nd 36 34 1338 NA 267
15 NA 374 89 2498
lCrop
-rtify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submittingfalse
-mation, including the possibility of fines and imprisonment for knowing violations."
Jc f *Application Method: S - Surface, IN - Injection, INC - Incorporation
07�`1-Zoac **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

AININ UAL 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: Baxter Healthcare
WQ Permit #: WQ0031715
Field
Land Owner: Dou
Douglas Poplin
g P
#: 4
_ _
Acres Utilized:
8,7
Annual Dry Tons Applied: 24.0427
Site # DP
Operator: Douglas Poplin
Predominant Soil Series: FcB2
Acres Permitted:
8.7
Cation Exchange Capacity
(non 503):
Crop I Name:
Fescue
Crop I Max. PAN: 194
Crop 2 Name:
Crop
2 Max. PAN:
Volume applied
Volume
Residual Sources Soil Preci p'
< K a
..
o
enter one Solids/ o
( ) /o
Applied per
(NPDES #, WQ#, Cond Past 24
O - Z Nitrate
�' 2 c
PAN Applied
Name of Crop Type
Liquid Solids
Acre
Fert„ Animal (Dry, Hrs. a
TKN
�" ° °' rra o and
t �, a
(lbs/acrc)
Receiving Residual
Cu. Yds Gallons
(Dry TortslAc}
Waste, etc) Wet a
*
'� ' iv Nitrite
application
>.019
535 14.9
0.772
Moist) inches
WQ0031725 dry 0
o' m /k
g 9 mglkg mg/kg
Crop 1 Crop 2
Crop ] C2
rop
>019
1381 34.9
1.992
s
WQ0031725 d'0
y
0.5 0.3 83200 5300 4.67
40.164 NA
Fescue
0.000
S
0.5 0.3 83200 5300 4.67
103.676 NA
Fescue
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
070
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
Residuals Applications totals on FORM FSF
0.000 0.000
BLS
191.E o
As
Cd Cu
supp ( attach FORM FSF supp to this form):
uallbs/acre
0.049
Cr Pb Ha
0.006 0.580 0.658 0.049
MO Ni Se Zn P
143.840 00
.00
Lime Applied
r Years Cumulative 165/ac
0.295
0.002
0.094 4.999
0.032 0.179 0.028 0.564 79.050
Date lbs/ac
-ent Cumulative lbs/ac
0.344
3.425 0.42 0.015
0.100 5 579 4 083 0 469
0.206 1.156 0.151 9.532
11-19 1000
0.238 l.335 0.179 l0.096
pitted C. P. L. R.**** 36 34 1338 NA 267 0.017 15 NA 374 89 2498 it PAN Limit Ist/2nd Crop
,rtify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
-mation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**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

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: Baxter Healthcare WQ Permit #: WQ0031725 Field #: 5 Acres Utilized: 15.9
Land Owner: Douglas Poplin Annual Dry Tons Applied: 28.2113 Site #: DP Acres Permitted: 15.9
Operator: Douglas Poplin Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):
Crop 1 Name
Fescue
Crop 1 Max. PAN: 158 Crop 2 Name:
Crop 2 Max. PAN:
Volume applied
pp
Volume
Residual Sources
Soil
Precip.
D
<
o
K
�.
z y
Nitrate
Name of Crop "Type
(enter one) Solids/
%
Applied per
Pp p
(NPDES #, WQ#,
Cond.
Past 24
C
X ?
n, -
z 0
a+
TKN
3
o 3
and
PAN Applied
Receiving Residual
0
Li Liquid
9
Solids
Acre
Fert., Animal
(Dry,
Hrs.
- �'
o
a -
�' �'
tlO °
Nitrite
( Ibs/acre)
Application
Cu. Yds Gallons
{Dry TonslAc)
Waste, etc)
Wet,
Moist)
inches
Q
q O
r
g
mglkg
mglkg
mglkg
Crop 1
Crop 2
Crop 1
Crop 2
!019
83.8
14.9
0.661
WQ0031725
dry
0
S
0.5
03
83200
5300
4.67
34.423
NA
Fescue
!019
14102
14.9
1.113
W00031725
dry
0
S
0.5
03
83200
5300
4.67
57.928
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
o.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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
ALSI
224.821 01
As
Cd
Cu
Cr
Pb
Ho
Mo
Ni
Se
Zn
P 92.351 0.000
Lime Applied
wallbs/acre
0.031
0.257
0.288
36
0.004
0.079
0.083
34
0.373
4.216
4.589
1338
0.422
2.8
3.222
NA
0.032
0.373
0.405
267 1
0.001
0.014
0.015
15 1
0.021
0.174
0.195
NA 1
0.115
0.982
1.097
374 1
0.018
0.117
0.135
89
0.362
8.137
8.499
2498
50.736
Date lbs/ac
►r Years Cumulative lbs/ac
11-19
2000
rent Cumulative lbs/ac
n itted C. P. L. R.* * * *
nit PAN Limit Istl2nd Crop
158
entry, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
,rmation, including the possibility of fines and imprisonment for knowing violations."
�n *Application Method: S - Surface, IN - Injection, INC - Incorporation
**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

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 "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
WQ Permit #: WQ0031725 Field #: ti
Land Owner: Douglas Poplin
Acres Utilized: 5.5
Annual Dry Tons Applied: 10.6260 Site #: DP
Operator: Douglas Poplin
Acres Permitted: S.5
Predominant Soil Series: FcC2
Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue
Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
Volume applied Volume
a o z a Nitrate
Soil Residual Sources PJrs.
enter one Solids/ o
o ) /o Applied per
Cond. Name of CropType
(NPDES #, WQ#, Pa^ a m d fD TKN PAN Applied YP
Liquid Solids Acre
o
(Dry. - �' �, - a, o and (1bs/acre) Receiving Residual
Fen., Animal Ho , N � 0
Cu. Yds Gallons (Dry Tons/Ac}
Nitrite
Waste, etc Wet, n o• w �' Application
) °
019 84.68 14.9 1.932
moiS[) in mglkg mglkg mg/kg Cro I Cro
W 0031725 Crop 1 Crop 2
Q dry
0.000
s 0.5 0.3 83200 53004.67 100.559 NA Fescue
0.000
o.000 o_ooa
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0
0.000 0.000
0.,000 000
0.000 0.000
o.000
0.000 0.000
0.000
0.000 0.000
0.00o
0.000 0.000
0.000
0.000 0.000
0.000 0.000
Residuals Applications totals on FORM FSF supp { attach FORM FSF
iLS: 84.681 01 As
supp to this form):
Cd Cu Cr Pb Ha I Mo Ni I Se I Zn
ual lbs/acre 0.034
P 100.559 O.o00 Lime Applied
0.004 0.406 0,460 0.034 0 001 0.022 0.125 0.019 0.394
Years Cumulative lbs/ac 0.349
55.255 Date lbs/ac
0.106 5.816 4.046 0.532 0.016 0.231 1.135 0.134
ent Cumulative Ibs/ac 0.383
11,233
0.1 10 6.222 4.506 0.566 0.017 0.253 1.260 0.153 11.627 0
fitted C. P. L. R. * * * * 36
34 1338 NA 267 I S NA 374 89 2498
it PAN Limit I st/2nd Crop
158
•rtify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that
ified personnel properly gathered and evaluated the information submitted. I am aware that there are significant for
•mation,
including the possibility of fines
penalties submitting false
and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
9' **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

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: Baxter Healthcare
WQ Permit #: WQ0031725
Field #: 7
Acres Utilized: 4.4
Land Owner: Douglas Poplin
Annual Dry Tons Applied: 9.7124
Site #: DP
Acres Permitted: 4.4
Operator: Douglas Poplin
Predominant Soil Series:
Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue
Crop 1 Max. PAN: 158
Crop
2 Name:
Crop 2 Max. PAN:
Volume applied
pp
Volume
Residual Sources
Soil
Precip.
>
0
3
z D
Nitrate
Name of CropType
YP
y
enter one Solids/
( )
o
/o
Applied per
(Ni PDES #, WQ#,
Cond.
Past 24
K
m v
m ?
y
TKN
o R
and
PAN Applied
pp
ReceivingResidual
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
3
oN"
=
„
S° -
°O o
Nitrite
( Ibs/acre)
Application
Cu. Yds
Gallons
(Dry TonslAc)
Waste, etc)
Wet
Moist)
mches
x
�'
mglkg
mg/kg
mglkg
Crop 1
TCrop 2
Crop 1
Crop 2
?019
T 77.4
4
_-
-__-
-_
NOT, rfl
1 111
_-
-__-
___-
-__-
-__-
-_
_-
-_--
-_--
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
-T-
'ALS.1
nuallbs/acre
77.401
As
0.039
Cd
0.004
Cu
0.463
Cr
0.525
Pb
0.039
Hg
0.002
I Mo
0.026
Ni
0.143
Se
0.022
Zn
0.450
I P 114.892 1 0.000
63.120
Lime Applied
Date Ibs/ac
)r Years Cumulative lbs/ac
0.289
0.084
4.611
3.104
0.413
0.015
0.19
1.085
0.131
8.677
0
-rent Cumulative Ibs/ac
0.328
0.088
5.074
3.629
0.452
0.017
0.216
1.228
0.153
9.127
mitted C. P. L. R. * * * *
36
34 1
1338
1 NA
267
15
NA
374
89
2498
nit PAN Limit lst/2nd Crop I 158
:ertify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
tlified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
)rmation, including the possibility of tines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
-.700 **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

Report Number: 19-037-0200
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
A'm'h
Waypoint
ANALYTICAL
Project : Baxter
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax [phone]
www.way pointanalytical.com
Lab Number: 64662 REPORT OF ANALYSIS Date Sampled: 2/4/2019 14•.00-.00
Sample Id :Baxter
Date Received: 02/06/2019 00:00
__ Date Reported: 02/18/2019
Total Solids
14.90
149000
100.0
CJR
02/11/2019 16:17
Moisture'
85.10
100.0
CJR
02/11/201916.17
Total Kjeldahl Nitrogen
8.32
83200
250
CLP
Phosphorus
02/14/2019 14=
1.43
14300
50.0
CCR
02/1412019 05:02
Potassium
0.69
6880
50.0
KKM
02/1412019 05:02
Sulfur
1.03
10300
50.0
CCR
02/14/2019 05:02
Calcium
0.94
9360
250
CCR
02/1412o19 05:02
Magnesium
0.44
4440
50.0
CCR
02/14/2019 05:02
Sodium
0.36
3610
250
CCR
02/14/2019 05:02
Iron
7670
50.0
CCR
02/14)2019 05:02
Aluminum
Manganese
1450
50.0
KKM
02/14a019 20,32
Copper
102
5.00
KKM
02/14/2019 05-02
Zinc
105
2.50
CCR
02/1412019 05.02
Ammonia Nitrogen
102
12.5
CCR
02/14/2019 05:02
Organic N
0.53
5300
100
ZBD
02/12/2079 13:00
Nitrate+Nitrite N
7.79
77900
250
02/12/2019 13:00
<4.67
4.67
ZBD
02/12/2019 14:30
All values are on a dry weight basis except as noted by asterisk Detection lima on all N series is on a wet basis.
B - Analyte detected in blank H - Beyond Holding Time ,
SM-2540G
SM-254OG
SM-4500-NH3C-TKN
601 OD
601 OD
601 OD
601 OD
6010D
601 OD
601 OD
601 OD
6010D
601 OD
6010D
SM-4500-NH3C
CALCULATION
45001\103P-2011
OF Gor
Pawir Mrrrnarl/

Report Number: 19-037-0200
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River. NC 28669
Waypoint-(D
ANALYTICAL
Project : Baxter
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www-waypointanalytica l.corn
Lab Number: 64662 REPORT OF ANALYSIS Date Sampled: 2,412019 14:00'00
Sample !d :Baxter
Date Received: 02/06/2019 00:00
n..e 0------ A. An 1, n in -
Chromium
--
%.Irl
uU14IZu19 05:02
6010D
Nickel
119
2.50
CCR
02/14/2019 05:02
6010D
Lead
32.4
2.50
CCR
02/14/2019 05 02
601 OD
Arsenic
8.91
3-00
CCR
02/14.2019 05:02
6010D
Mercury
8.81
5-00
CCR
02114,"2019 05:02
6010D
Selenium<5.00
0.0365
0.0155
TJS
02/11 /2019 13.27
SW -7471 B
pH •
5.00
CCR
02/14/2019 05.02
6010D
Molybdenum
7.3
SAJ
021l2J2019 06:49
9045D
Comments:
5.82
250
CCR
02114I2019 05.02
6010D
All values are on a dry weight basis except as noted by asterisk Detection limit on all N series is on a wet basis
B - Analyte detected in blank H - Beyond Holding Time 1"C Gem
P�L4 r
PR ri.- Urr:rnor..

'G►
Rate TKN
NH030 NO3
80
350.3 4.67
PAN Surface
26024.67 mg/kg
52.04934 Ibsld ton
0
lbs total PAN
#DIV10!
Ibs PAN/acre
PAN Injection
28674.67 mg/kg
57.34934 Ibs/d ton
0 Ibs total PAN
#DIV/01 Ibs PANlacre
ry Tons/1000 gal.
0.62133 '�
:t year PAN
Ibs./acre
arFace Ibs•
Surface0
#DIV/OR
t year PAN
Ibs./acre
ecte�d lbs 0
J
injected
--�
#DIV/OR
NO2 % Solids ARREed on
0 0.149
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002=lbs/dry ton
MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8 34 X %solids X s rave "=dry tons/1000gal."
2000

SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L
Ca M /L
M M /L
537.89
1394.64
661.56
Na (ME]
Qp—(ME�.
Mg -(ME)
23.38652
69.732
55.13
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent))0.5 power
SAR = 2.959821 (From Mg/L entered above)
SAR= 0.417061 ](From ME entered below)
Na ME Ca ME Mg OSN
0.29 1 0.328 0.639
The amour
amount of c
Permitting

A�L
Project 1 tix t
��I�I III INIIId����,�lll���[I1II�1[��Illfllllll�i�o '.�°
�
Saaur t2 to 11
Submitted By
Southern Soil Builders, Inc
958 Hoots Road
Roaring River, NC 28669
Charge To
Southern Soil Builders, Inc
958 Hoots Road
Roaring River. NC 28669
Sample Information
FOUY
Copy To
Southern Soil Builders. Inc.
958 Hoots Road
Roaring River, NC 28669
Sampie i3
La'.,m,ber CNkc!.-or. Inljr' 9!,Gr. Cenlainer wa-ma:ion ?!ease Check Des -red Tests
!Lay1JUsc
Orly; YAe mate ',me Number 1 7 5C3 Nitro en
;of 80!tfes YA= Vol��e SLt 5-2 9 .w IESalids,
+ petals Series CC=
i4wL—s `z
Camoosi!e 7 -pa nn i P 'lactc —" 1.41 ;"� V
Gmn
}last
C-ab• ai i
! — Gaass i oz i
I r
Grab
Ij t Glass oZ I
Test Packs a Details
1,.: �.:i:_ I'4"� 4�I � ♦ 1'.. �r'.'' �: "" \!. ._ems �. 1j ,
D3 Metals: A,-W_ti'C. CaC^^
,.+7 w;t-gm�urn-!vie.-�;,y. V �ly':Yen�,T '. eao \,"Chl�. ;•r'-le^,i,l�'.
(Copse- & Zv,c -c..ded ')SLZ2
CE: Car„•�r.: -;"- �;e�x'..' LIP:-..
Cabo;'a;3 Ecu:vatPn'. c• ":!alneuraUza;:orr VaP�e'For _r..•e 'rc:3:a�y 4'uo�e;
Account
46381
Otae,s

Analytical Results
x +�
S
Southern Soil Builders
958 Hoots Roadf
Roaring River, NC 28669
Receive Date: 05/21/2019
Reported: 05/23/2019
For: Baxter
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
190521-41-01
Fecal Coliforms
B-1
113475
MPN/g
SM92210E-2006
05/21+2019
WC
190521-41-01
Percent Solids
B-1
14.11
%
SM25408-2o11
05/22)2019
WC
190521-41-02
Fecal Coliforms
B-2
97561
MPN/g
SM92210E-2008
05121l2019
WC
190521.41-02
Percent Solids
8-2
16.4
%
SM25408-2011
05/22f2019
WC
190521-41-03
Fecal Coliforms
B-3
114286
MPN/g
SM92210E-2008
05/2112019
WC
190521-41-03
Percent Solids
B-3
14
%
SM254OB-2011
05/22/2019
WC
190521-41-04
Fecal Coliforms
8-4
114286
MPN/g
SM02210E•2006
05/21/2019
WC
190521-41-04
Percent Solids
B-4
14.0
%
SM254OB-2011
05/22;'2019
WC
190521-41-05
Fecal Coliforms
B-5
110345
MPN/g
SM92210E-2008
05-121;2019
WC
190521-41-05
Percent Solids
B-5
14.5
%
SM25408-2011
05/22/2019
WC
190521-41-06
Fecal Coliforms
B-6
111889
MPN/g
SM92210E-2006
05/21/2019
WC
190521-41-06
Percent Solids
B-6
14.3
%
SM25409.2011
05/22/2019
WC
190521-41-07
Fecal Coliforms
B-7
113475
MPN/g
SM92210E-2006
05/21/2019
WC
190521-41-07
Percent Solids
B-7
14.1
%
SM25408-2011
05/22/2019
WC
Respectfully submitted,
,.c )i' -" (A,J) )1 !,, ,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

Condition of Receipt
Sample Number 190521-41-01 TeMD on Arrival: 5A
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Collforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190521-41-02 Temp on Arrival: 5.4
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190521-41-03 Tem on Arrival: 5.4
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190521-41-04 Temp on Arrival: 5.4
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190521-41.05 Tem on Arrival: 5.4
Parameter Schedule: Percent Solids
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 4

Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190521-41-06 Temp on Arrival: 5.4
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Collforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190521-41-07 Temp on Arrival: 5.4
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3 of 4

Analytical Results 4r, STATE aVIUr
ANALYTICAL
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 04/11/2019
Reported: 05/2412019
For: Baxter
Comments:
Sample Number parameter Sample ID Result Unit Method Analyzed Analyst
190411-20-01 30 Day Benchscale Baxter 12.9 °'o EPA625•R•9210 Analyzed
An
WC
Respectfully submitted,
,9n wo, J'Y1-,- ,
Dena Myers
NC Cert #440,
NCDW Cert #37765,
EPA #NC00909
PO Box 228 • Statesville, NC 28687. 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 190411-20-01 Temp on Arrival:
Parameter Schedule:
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

14•1
Lab -ID s
A j?C-9S')--+
itioned by.
4`11-�w
IC V)
PX4'M nmqueeed rw .Wyws
Relinquished by: ct
Time /?� a�pm oat, � 1 jj 1
Received by: �� Timezz-6 am, otfp Date y/� Imo/
Relinquished by: Time :1�
am, pm Date /__/
Received by:
24@ow-It-Sam21ing Al
Time begin am, pm Date _! I
Time end am, pm Date._//
9 t2'
Time begin+ am. pm Date ___/___/
Time end am, pm Date
Time am, pm Date
Lab Comments:
STATESVUJXANALMCAL
122 Court Sum • P.O. Bad 228
Sutccsvilk, NC 2SU7
(70C1872A697
Chain of
Custody Record
Sampled by: Z f
Transported by:
Holding limes met:
Compliance work
IVon-ompliance work:
Samples TransPwW On lee:
Initials:
rn
N O
00 M
o a
f`
Ih
DD
lD
00
N
U
Z
a:
w
m
00
N
N
x
O
m
O
a -

Analytical Results.►
t
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 05/21/2019
Reported: 06/10/2019
For: Baxter
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190521-40-01 TCLP Baxter See Attached
05/23/2019 PACE
Respectfully submitted,
r
Dena Myers
NC Cert #440,
NCDW Cert #37755
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 38

Pace Analytical Services, LLC
aceAnalytical a 980010nreyAve 5u,b 10c
�MeWs,cmi Hui Iersvd NG 26978
17041875-9"02
ANALYTICAL RESULTS
Project Baxter
Pace Project No 92430419
Sample- i9052i-40 Lab to: 924304190D1 Collected 0512t119 12 15 Received: 05123/19 12:41 Matrix- Solid
Results reported on a 'dry weight' basis and are adjusted for percenf moisture, sample size and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Oual
6081 TCLP Pesticides RVE
Analytical Method EPA8081 B Preparation Method: EPA 3510C
Leachale Mothod+Date' EPA 1311. 05/30/19 15:30 Initial pH: 5.74; Final pH: 5
gamma-BHC (Lindane)
ND
ug1L
D.50
1 05131119 13:4a 06101119 15,50 56.89.9
Chlordane (Techn cal)
NO
uglL
3.0
1 05f3i119 13-48 06101/19 1550 57.74-9
Endrin
NO
ug. L
050
1 05131/19 13:48 06101/19 15 50 72-20-8
Heplachlor
ND
ug+,
050
1 0513109 13:48 06/01/19 15.50 76-44.8
Heplachlor epoxide
ND
ug/L
050
1 05/31/19 13,48 06101/19 15.50 1024-57.3
Methoxychlor
ND
ug-1
1000
1 05131li913:48 0610111915'50 72.43.5
Toxaphene
ND
u91-
3.0
1 05131/1913:48 0610111915:50 8001.35.2
Surrogates
Oecachlorobiphenyt (S)
68
%
101.138
1 05/31/19 13:48 06/01/19 15'60 2051.24 3
Tetrachloro-m-xylens (S!
78
`h
10010
1 05/31119 13:48 06101/19 15,5D 877.09.8
8082 GCS PCB
Ana ylcal Method: EPA 8082A Preparation Method: EPA 3546
PCB-1016 (Aroclor 1016)
NO
ugfkg
242
1 05/28/19 11:0S 05131/19 19:49 12674.11.2
PCB-1221 (Aroclor 1221)
NO
ug%k9
242
05/2811917:05 M31/1919:49 11104-28.2
PCB-1232 (Aroclor 1232)
ND
ugfkg
242
1 05128/19 17:05 05/31/19 19:49 11141-16-5
P4CB-1242 (Aroclor 1242)
ND
ugfkg
242
1 05128/19 17:05 05/31119 19:49 53469.21.9
PCB-1248 (Aroclor 1248:
NO
ugfkg
242
1 05/28/19 17:05 0513V19 1949.-12672.29-6
PCB-1254 (Aroclor 1254;
ND
uglkg
242
1 05/28119 17.05 05131J19 19A9 11097-69.1
PCB-1260(Amclor 126 .'l
NO
ugfkg
242
1 05/28119 T7:05 05131/1919A9 11096-82-5
Surrogaior
Oecachlorobiphenyl (S)
57
%
10-139
1 05/28/19 17:05 05131/19 19 49 2051.24.3
$082 TCLP PCBs RVE
Anayyicca Method, EPA 8082A Preparation Method EPA3510C
Leachale Method Cate EPA
1311 05Q0;19 1530
nihal pH! 5.74; Final pH 5
PCB-1016 (Aroclor 1016}
NO
ugil-
1000
1 05131/19 13:48 06101/19 2345 12674.11.2
PCB-1221 (Aroclor 1221:
ND
ug/L
1000
1 05131119 13:48 06101/19 23,55 11104-28.2
PCB. 1232 (Aroclor 1232)
ND
uglL
1000
1 OSI31/191348 06101 f192355 71141-16.5
PCB-1242 (Aroclor 1242)
NO
ugiL
1000
1 05131A9 13.48 OW1119 23-55 53469-21.9
PCB-1248 (Aroclor 1248)
ND
ugiL
1000
1 05031019 13:48 06f01119 2355 12672.29-6
PCB-1254 (Aroclor 1254)
ND
ug-1
1000
1 05131f19 13749 05/01/19 23:55 11097.69-1
PCB-1260 (Aroclor 1260)
ND
ug1L
1000
1 05131l19 13:48 06JO1119 23.55 11096.82.5
Surrogates
Decachlorobiphanyl (S)
71
%
10-132
1 05/31119 13:48 06/01119 23'.55 2051-24-3
6010 MET iCP. TCLP
Analytical Method; EPA 6010D Preparation Method. EPA 301 OA
Leachale MelhodlDale, EPA
1311: 05130/19 20:46
Initial pH-7.24; Final pH 4.5
Arsenic
Barium
ND
mgll
0.050
1 05131r1915:50 0610111914:56 7440.38-2
Cadmium
NO
mgfL
0.25
1 05131/1915:50 06101/1914,56 7440.39.3
Chromium
NO
mg1L
0.0050
1 05/31/19 45:50 06/01/19 14,56 7440.43.9
NO
mglL
0.050
1 05131/1915.50 0610111914.56 7440.47.3
Lead
Selenium
NO
mg1L
D.025
1 05131119 15:50 06101119 14 56 7439.92-1
Silver
NO
mg1L
0A0
1 05/31/19 15:50 06/01/19 14 56 7782-49.2
NO
mg1L
O.D25
1 05131119 15:50 06101fl9 14 56 7440-22.4
REPORT OF LABORATORY
ANALYSIS
Date: 05M712019 04:58 PM
Ti
-s repll shall
not tie reprdd-ed, exeept
r fun
wilhoN
the writlen consent
of Pace Analytical Services. LLC
Page 4 0! 35
PO Box 228 a Statesville, NC 28687 o 704/872/4697
Page 7 of 38

Z ,,PaceAnalytical
eww.pacnlrbecar.+
ANALYTICAL. RESULTS
Pace Analytical Strolcea, LLC
9600 Kmcey Ave. Suite 100
Hunteravile. NC 2BD78
[phone]
Project: Baxter
Pace Project No.: 92430419
Sample; 190521-40
Lab ID: 92430419001 Collected: 05121M912:15
Received: 05t2311912=41 Matra, Solid
Results reported on a 'dry weight' basis and are adjusted for perdenI moisture, sampfe size and any dilutions.
Parameters
Results
Units
Report Limit
OF
Prepared Analyzed GAS Np Qual
7470 Mercury, TCLP
Analylical Method: EPA 7470A
Preparation Method: EPA 7470A
Leachale MelhedfDale- EPA 1311. 05/30119 20:46
Initial
pH: 7 24; Final pH: 4 S
Mercury
NO
mg/L
0.00020
1
05/31/19 18:46 OW03/19 11 ❑9 7438.97-6
6270E MSSV TCLP Sap Funnel
Analytical Method: EPA 8270E
Preparation Method
EPA 3510C
i,4-Dichlorobenzene
NO
ugfL
50.0
1
06/04/19 11:34 06/04/19 20 13 106.40.7
2,4-Dintuotoluene
NO
uglL
50.0
1
06104/1911:34 0610411920.13 121-142
Hexachloro-1,3-butadiene
NO
ug/L
50 0
1
06/04719 11:34 06404119 20A3 87.6E-3
Hexachlorobenzene
NO
ug1L
50.0
1
06f04119 11:34 06104119 20:13 11844.1
Hexachloroefhane
NO
ug/L
50.0
1
06/04/19 11,34 08104t19 20 13 67-72-1
2-Melhylphenol(o•Cresol)
NO
ugll-
50.0
1
06/04119 11.34 06104P19 20.13 95-48.7
364-Methylphenol(mHpCresol)
1050
ugfL
100
2
061OV1911.34 06/05t 19 09.26 15831.10.4
Nitrobenzene
NO
ugfL
50-0
1
06/04119 11.34 06/04/19 20.13 98.95.3
Pentachlorophenol
NO
ug/L
100
1
061041191$,34 0610411920:13 87.86-5
Pyridine
NO
ug/L
50.0
1
06/04119 11 34 06/04f192013 110.66-1
2,4,5-Trichlorophenol
NO
ug/L
50.0
1
06104119 11 34 06/04/19 20;13 95-954
2,4,6-Trichloraphenol
NO
ug/L
50.0
1
06J04119 11:34 06ID4119 20:13 88.05.2 L2
Surrogales
Nitrobanzen"fi (S)
82
%
12-102
1
06104119 1134 06/04/19 2013 4165.60.0
2-Fluorobiphenyl (S)
73
%
13.107
1
06104119 11:34 06J04119 20:13 321.60.8
Terphenyl-d14 (S)
78
%
21-132
1
06/0411911;34 06/04/19 20,13 1718.51.0
Phenol-d6 (S)
27
%
10.110
1
06/04/19 1134 06/04119 20 13 13127-88.3
2-Fluorophenol (S)
40
%
10.110
1
06/04/19 1134 06104119 20 13 367.42.4
2,4,6-Tribfomophenot(S)
99
%
27-108
1
06104119 11:34 06104119 20:13 1184"
8260D MSV TCLP
Analytical Method. EPA8260D
Benzene
NO
ugfL
100
20
06106/1904A2 71-43.2
2-Butanone (MEK)
1220
ugrL
20C
20
06/06119 04:42 78.93.3
Carbon tetrachloride
NO
ug11.
100
2:.
06106/19 04:42 56.23.5
Chlorobenzene
NO
ugfL
100
20
06106/19 04:42 108-90-7
Chloroform
NO
ugfL
100
20
06/06/19 04.42 67.66-3
1.4-Od-Jorobenzene
NO
ug1L
100
20
0610611904,42 106-46.7
1,2-Dichloroelhene
NO
ug1L
100
20
46f06119 04:42 107-06.2
1,1-Dichloroelhene
NO
ugrL
100
20
06t0611904A2 75.354
Tetrachloroethene
NO
ug-IL
100
20
06/06/19 04:42 127-18-4
Trichloroethene
NO
ug1L
100
20
06/06/19 04:42 79.01.6
Vinyl chloride
NO
ug-1L
100
20
O6/06119 04:42 75-01.4
Surrogates
1,2-Dichloroalhaned4 (S)
97
%
70.130
20
06106/19 04:42 17060.07.0
Toluene-d8 (S)
100
%
67.135
20
06106/19 04:42 2037.26-5
4-Brarno0uorobenzene(S)
100
%
70.130
20
06/06119 04:42 460-00.4
Percent Moisture
Analytical Method, ASTM 02974.87
Percent Moisture
86 2
%
0 10
1
05/23/19 17:44
REPORT OF LABORATORY ANALYSIS
T. ns repolf shau not be rep" cruced. except ` (u:
Dale 06/07/2019 04'58 PM without the written consent of Pact Analylical Servicea. LLC
Page 5 o(35
PO Box 228 a Statesville, INC 28687 a 704/872/4697
Page 8 Of 38

,1 -I�aceAnalKical9
wwxpeelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave Smile 100
HWnersvine. NC 28078
(7041875.9092
PF*Cl Baxter
Pace Protect No 92430419
Sample, 19/521.40
Lab ID: 92430419001 Collected 051209 12.15 Received- 0523f19 12:41 Matrix, Solid
Results reported on a 'dry weight"
basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Lien t OF Prepared Analyzed CAS No. Qual
1010 Flashpolnt,Closed Cup
Analytical Method EPA 1010A
Flashpoint
>200 deg F 7D 0 1 W03119 11:41
9045 pH Sell
Analytical Method. EPA 9045D
pH at 25 Degrees C
6.9 Sid. Units 14 1 05/26119 17;48 H3
9095 Paint Filter Liquid Test
Analytical Method EPA 90958
Free Liquids
Pass 1 G 1 05/28/19 13:11
733C S Reactive Cyanide
Ana ytical Method EPA9014 Preparation Method SW-846 7 3 3 2
Cyanide, Reactive
NO mglkg 7 2 1 05129+19 15.33 05/30/19 22:08
734S Reactive Sulfide
Analyl c81 Method. SM 4500S2F.00 Prepwatr9n Method: SW-846 7.3A.2
Sulfide,Reactive
NO mg/kg 722 1 05129r'1915:33 0512911915:52 H1,H2
REPORT OF LABORATORY ANALYSIS
This repod shall not be rewoouced. except in W .
Date. 0510712019 04'58 PM wilh4ut the written consent of PaceAnalyticai Servires. L_1:
Page 6 of 35
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 9 of 38

190521-40
SAMPLE RESULTS - 01
C.11-1e4 4a106— 05'21119 12.15
L1102721S
P'e;Jl,r-.11iufl by W-11lod 1.311
Result Qualifier
Prep Batch
Analyte
dote 1 tinm
TCLP(waclion
5130720192:42'17PM KG1288678
I
Auld1
5130/2019 2'4217 PM %VW288678
141int pN 687
5;3UR0192!17'17 PM W078867f.
Final OF 476
U3012019 2A217 PM 49G1788678
C tl,;r -MC-d A,-Icl by MIC'11Tnd 8151A
G'
ReSull Ouali6er
ROL Lino Dilution
Anatysls
Balch
AAalyle ngff
mgtl IN -.
mile 11,1112
2.4.5dPIS+vex1 ND
0.00200 1 1
MVV201917A3
V+G129019
2.4 D ND
0.00200 10 1
05103720t91743
VtG1240019
(S)2.4tok,,. ophe'vaft'4a AcW 55.4
14.0-758
0r,Jig6191743
WGi250011
Page 30 of 35
ACCOUNT: PROJECT: 54}3: oATEMM£" PAGE-
PA[cAnmyka! NO911e15va1e.NC 9243041IJ kIW72< 06.041191038 5cf 10
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 33 of 38

NCDABCS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
7 Client: Doug Poplin
Predictive
594 Austin Little Mtn Rd
Ronda, NC 28670
Soil Report Mehlich-3 Extraction
Sampled County : Wilkes
Links to Helpful Information
Client ID: 160157
Sampled: 10114/2019 Received; 10/23/2019 Completed: 11/01/2019 Farm -
Sample ID: DP1a Recommendations: Lime
Crop (tonslacre) N
Lime History: 1 -Fescue/OGfassfTim, M 00 120-200
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mgldm3]:
HM% W1V CEC BS% Ac pH P-1 K4 Ca% Mg',
0.60 0.91 15.4 91 1.4 6.3 442 260 59 23
SamplelD: dplb Recommendations: Lime
Crop (tonslacre) N
Lime History: 1 Fescue/OGrass/Tim, M 0.0 120-200
2 - 0.0
Test Results [units - WN in g1cm13; CEC and Na in meq/100 cm3; NO3-N in mgldm3]:
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg°
0.51 0.93 12.5 89 1.4 6.1 238 204 55 25
Sample ID: dplc Recommendations: Lime
Crop (tonslacre) N
Lime History: 1 - FescuelOGrass/Tim, M 0.3 120-200
2 - 0.0
Test Results [units - WIV in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg/dnr3]:
HM% WN CEC BS% Ac pH P-I K4 Ca% Mg%
0.51 0.87 11.7 85 1.8 5.9 220 106 56 24
Report No. FY20-SL011364
Advisor; Zach Key
Southern Soil Builders,
Inc.
958 Hoots Rd
Roaring River, NC 28669
Advisor ID: 231531
P205 K20 Mg S Mn Zn Cu B
0 0 0 0 0 0 0 0
Soil Class: Mineral
o S-1 Mn-f Mn All Mn-AI2 Zn-I Zn-AI Cu-I Na
49 142 97 461 461 1057 0.1
Nutrients (Ib/acre)
P205 K20 Mg S Mn Zn Cu B
0 0 0 0 0 0 0 0
Soil Class: Mineral
/, S-1 Mn-I Mn-All Mn Al2 Zn-I Zn-AI Cu-I Na
78 113 83 662 662 694 0.1
Nutrients (lb/acre)
P205 K20 Mg S Mn Zn Cu B
0 0 0 0 0 0 0 0
Information
Note: 12
ESP SS-1 NO3-N
1
More
Information
Note: 12
ESP SS-1 NO3-N
1
More
Information
Note 12
Soil Class: Mineral
S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS4 NO3-N
45 167 117 809 809 1183 0.1 1
North Carolina Reprogramming of the laboratory -information -management system that makes this report possible is being funded
E;* through a grant from the North Carolina Tobacco Trust Fund Commission.
l� Jr.Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
f` Steve Troxler. Commissioner of Aqriculture

CDA CS Agronomic Division Phone: [phone]
Website: *ww.ncagr.gov/agronami/
Doug Poplin
F
Report No.
FY20-SL011364
Sample ID: dpld Recommendations: Lime
Page 2 of 4
Crop (tonslacre)
Lime
Nutrients (lb/acre)
N P205
K20
Mg
History: 1-FesCuelOGrass/Tim, M 0.0
120-200 0
0
S Mn
Information
2- 0.0
0 0 0
=CuMore
Note. 12
Test Results [units - WN in glcm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3j:
HM% WN CEC BS% Ac PH P-1 K-I
Ca% Mg% S-1
Soil Class: Mineral
0.41 0.95 13.3 89 1.5 6.2 291
Mn-I
Mn-Ali Mn-AI2 Zn4 Zn-AI
Cu-I Na ESP
SS-1 NO3-N
196
Sample ID: dp2 Recommendations: Lime
53 29 66
166
114 747 747
690 0.1 1
Crop (tons/acre)
N Pz05
Kz0
Nutrients (Ib/acre)
More
Lime History: 1 - Corn, silage
9 0.0
180-220 0
20
Mg S Mn Zn
Cu B
Information
2_ 0.0
0 0 0 0
0 0
Note: 3
Test Results [units - WN in 9/crn3; CEC and Na in meq/100 cm3; NO3-N in mg/dm):
HM% WN CEC BS% Ac pH P-1 K4
Ca% Mg% 3-1
Soil Class: Mineral
0.46 0.90 8.8 84 1.4 6.0 185
Mn-1
Mn-Ail Mn-Al2 Zn4 Zn-AI
Cu-1 Na ESP
SS-1 NO3-N
100
Sample 10: dp3c Recommendations: Lime
53 26 82
122
90 504 504
785 0.1 1
Crop (tonslacre)
N P205
K20
Nutrients (lb/acre)
More
Lime History: 1 -Corn, silage 0.0
180-220 0
60
Mg S Mn Zn
Cu B
Information
1.00 tonslacre; 8/2019 2 - o.a
0 D 0 0
0 0
Note: 3
Test Results [units - WN in glcm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3j;
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Soil Class: Mineral
0.32 0,92 8.0 77 1.9 5.5 225
Mn-I
Mn-Ali Mn-Al2 Zn-I Zn-AI
Cu-I Na ESP
SS-1 NO3-N
69
Sample ID: dp3 9 Recommendations: Lime
46 26 114
114
85 575 575
405 0.1 1
Crop (tonslacre)
N P205
K20
Nutrients (lb/acre)
Lime History: 1 - Fescue/OGrass/Tim, M 0.0
120-200 0
8D
MMore
g S Mn
B
Information
1.00 tonslacre; 612019 2 ' 0.0
=ZnCU
0 0 0
0
Note: 12
Test Results (units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3j:
HM% WN CEC BS% Ac pH P-1 K-1
Soil Class: Mineral
0.41 0,89 9.3 80 1.8 5.7
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2 Zn-I Zn-AI
Cu-I Na ESP
SS -I NO3-N
147 31
47 32 70
75
62 428 428
538 0.2 2

NCDA&CS Agronomic Division Phone: [phone] Website: www.neagr.gov/agronomi!
ReportNo. FY20-SL01 1364
Doug Poplin
Sample ID: dp4
Lime History:
Recommendations: Lime
Crop (tonslacre) N P205
1-Fescue/OGrass/Tim, M 0.5 120-200 0
2 - 0.0
Nutrients (ib/acre)
Page 3 of 4
More
B Information
0 Note. i2
KzO
0
Mg S Mn Zn
0 0 0 0
Cu
0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH Pd K4 Ca% Mg% S-1
1.25 0.97 11.0 81 2.1 5.8 138 164 44 29 99
Sample ID: dp5 Recommendations: Lime
Crop (tonslacre) N P205
Lime History: 1 -Fescue/OGrass/Tim, M 1.0 120-200 0
-
2 O.Q
Mn-I
11 Q
Mn-Ali Mn Al2 Zn-I Zn-AI
83 718 718
Nutrients (Iblacre)
Cu-I Na
350 0.1
ESP SS-1 NO3-N
i
8
0
More
Information
Note:12
K20
0
M S
g Mn Zn
0 0 0 0
Cu
0
Test Results [units - WN in 9/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3];
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S4
0.92 0.97 10.9 80 2.2 5.5 113 205 44 26 109
Sample ID: dp6 Recommendations: Lime
Crop (tonslacre) N P205
Lime History: 1 -Fescue/OGrassfTim, M 0.0 120-200 0
-
2 0.0
Mn4
101
Soil Class: M neral
Mn-All Mn-AI2 Zn4 Zn-AI
78 580 580
Nutr.ents {Iblacre)
Cu-I Na
599 02
ESP SS-1 NO3-N
2
B
0
More
More
Note; 12
K20
0
Mg S Mn Zn
0 0 0 0
Cu
Q
Test Results [units -WN in g1cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3):
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
0.51 0.93 12.7 88 1.6 5.9 117 184 54 27 61
Sample ID: dp7 Recommendations: Lime
Crop (tonslacre) N P205
Lime History: 1 - Fescue/OGrassfTim, M 0.0 120-200 0
1.00 tonslacre; 6/2019 2 - 0.0
Mn-I
85
Soil Class: Mineral
Mn-All Mn-AI2 Zn4 Zn-AI
68 771 771
Cu-1 Na
626 0.1
ESP SS-1 NO3-N
i
Nutrients (Ib/acres
More
0 Information
0 Note: 12
K20
40
M S
g Mn 0
0 0 0 0
0
0
ITest Results [units -WN in 9lcm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
HM% WN CEC BS% Ac pH P-1 K4 Ca% Mq% S-1
0.32 0.92 9.7 88 1.2 6.1 143 54 58 27 47
Mn-I
93
Soil Class: Mineral
Mn-Ali Mn-AI2 Zn4 Zn-AI
71 575 575
Cu-I Na
680 01
ESP SS-1 NO3-N
1

NCDABCS Agronomic Division Phone: [phone] Website: www.ncagr.govlagronomil Report No. FY20-SL011364
Doug Poplin
Page 4 of 4
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime Ac
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either , B
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. BS%
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on Ca
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate%,
CEC
is applied. If MG is recommended and lime is needed, use dolomitric lime. Cu4
Fertilizer
Recommendations for Feld crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50, if they
are not, follow the fertilizer recommendations given If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to Note.• Secondary Nutrients and Micronutrients In genera], homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.gov/aqronomi/pubs.htm.
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ibl1 JO sq ft , If you cannot find
the exact fertilizer grade recommended on the report, visit www.nca r ov/a ronom art4ht ind information that
may help you choose a comparable alternate. For more information, read A Homeowner's Gu;de to Ferwize
Test Results
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
remaining 16 [P-I, K-1, Ca%, Mg%, Mn-1, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinet
available)] indicate levels of plant nutrients or other fertility measurement. Visit www nca r ov/a ronomdu rst.htm
ESP
HM%
K4
K20
Mg%
MIN
Mn
Mn-Ali
Mn-Al2
Mn4
M-O
N
Na
NOs-N
ORG
pH
P-1
P20s
S-1
ss-1
WN
Zn-AI
Zn-I
exchangeable acidity
boron
% CEC occupied by basic cations
% CEC occupied by calcium
cation exchange capacity
copper index
exchangeable sodium percent
percent humic matter
potassium index
potash
% CEC occupied by magnesium
mineral sod class
manganese
Mn-availability index for crop 1
Mn-availability index for crop 2
manganese index
minerat-organic sod class
nitrogen
sodium
nitrate nitrogen
organic soil class
current soil pH
phosphorus index
phosphate
sutfur index
soluble salt index
weight per volume
zinc availability index
zinc index

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Baxter Healthcare Corporation WQ Permit Number: WQ0031725
WWTP Name. Baxter Healthcare Corporation NPDES Number: NCO006564
Monitoring Period: From I/I/2019 To 12/31/2019
Pathogen Reduction (15A NCAC 02T .11061- Please indiente IPVPI at-htPVPr1 q.,.t
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing)❑
A1t.1) (No Prior Test) ❑
I 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 Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density p
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Glass B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Com >ostin ❑
Aerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following
monitor ing data:
Parameter
Allowable Level
Pathogen Density
Num er o
Frequency
Sample
natic
y
in Sludge
Excee-
of Analysis
Type
Tech-
Minimu
Geo. Mean
Maximu
Units
2x IOtothe
6th owes MPN 97561 110371
p
114286
0
7
grab
nintie
sm922
per gram of
Fecal Coliform total solids CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria 3 MPN per 4 grams
(in lieu of fecal total solid (dry
coliforrn) weight)
Vector Attraction Reduction (15A NCAC 02T .1107)
- Please indicate alternative
performed:
Alt.l (VS reduction) ❑ It. 2 (40-day bench) L..I
Alt. 3 (30-day bench) 0
Alt. 4 (Spec. O, uptake;
Alt. 5 (14-Day Aerobic) [I Alt. 6 (Alk. Stabilization El
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - EJnstable)
Alt. 9 (Injection) [j Alt. 10 (Incorporation)_ _ [ j
No vector attraction reduction alternatives
were nerformed 1
la;K•1IFICATION 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."
afe , Xv.1\V, L Dennis Key Southern Soil Builders, Inc.
Preparer ne and itle (type -or print) Land Applier Name and Title (if applicable)(type or print;
Sigr ture o reparer* Date Signature of Land Applies• (if applicable) Date
*Prepares is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)