HomeMy WebLinkAboutWQ0035207_Modification_20201020Initial Review
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
Permit Number (IR)* WQ0035207
Applicant/Permittee Synagro Central, LLC
Applicant/Permittee Address 284 Boger Rd. Mocksville, NC 27028
Is the owner in BIMS? r Yes r No Is the facility in BIMS? r Yes r No
Owner Type Organization
Facility Name Synagro Central DCAR
County Davie
Fee Category Major Fee Amount $395
Is this a complete
application?*
r Yes r No Complete App Date 10/20/2020
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Does this need review bythe hydrogeologist?* r Yes r No
Regional Office
CO Reviewer
Admin Reviewer
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Kendall
Comments for RO
Comments for Reviewer
Comments for Applicant
Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by N B Staff
Name * Robert Roth
Email Address*
rroth@synagro.com
electronic subnittal, confirmation of receipt, and other correspondence.
Phone Number*
3364034324
Project Information
........ ......... ........................................................................................................................................ ......... .... ... .... ........ ... ... .... .... .... ... ... ... .... .... .... ... .... .... ......... ......
Application/Document Type* r New (Fee Req ui red)
c Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
O Modification - Minor
C Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:*
r Wastewater Irrigation r High -Rate Infiltration
r Other Wastewater r Reclaimed Water
r Closed -Loop Recycle r Residuals
r Single -Family Residence Wastewater r Other
Irrigation
Permit Number:*
W00035207
Fbs Current Existing permt number
Applicant/Permittee*
Synagro Central, LLC
Applicant/Permittee Address*
284 Boger Rd. Mocksville, NC 27028
Facility Name *
Synagro Central DCAR
Please provide comments/notes
on your current submittal below.
Major modification to add 2 sources.
Check mailed 10/15/20 via UPS (1Z 51F 78W 01 1757
1858).
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at nathaniel.thornburg@ncdenr.gov.
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Bc.)
WQ0035207 DCAR Oct 2020 Mod.pdf 20.31MB
Woad only 1 RDFdocurrent (less than 250 W). NLftiple documents nest be corrbined into one RDFfile unless file is larger than
upload limit.
* W By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature *
�rE''nt
Submission Date Is filled inautorraticallyonce subrrilted.
SYNAGRO
October 14, 2020
NCDENR-DEQ
Division of Water Resources
Land Application Permitting and Compliance Unit
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: MODIFICATION OF PERMIT NO. W00035207
Synagro Central DCAR
Davie County
Dear Mr. Thornburg:
Synagro is submitting an application to modify the company's residuals land application Class
A permit. Requested changes to the current permit include:
• Addition of South Fork Industries Maiden Plant as a source.
• Addition of City of Elizabeth City Water Treatment Plant as a source.
A check for $395,00 is provided as the above request constitutes a "Major Modification".
This application package should contain all information necessary to complete the requested
modification of Synagro's permit. However, if you require additional information or have
further questions, please contact me at (336) 403-4324 or rrothksyna ro.com. Thank you in
advance for the timely and efficient review of this modification application.
Sincerely,
/�/ 70f�--
Robert N. Roth
284 Boger Road, Mocksville, NC 27028 . Phone: (336) 790-1610
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — DISTRIBUTION OF CLASS A RESIDUALS
INSTRUCTIONS FOR NORM: DCAR 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
suuportine documentation
For more information, visit the Water Quality Permitting Section's NarDischai e Permitting, Unit website
General —This application is for treatment, storage, transport, distribution, land application, and/or marketing of Class A (or Equivalent)
residuals under 15A NCAC 02T . l 100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Distribution of Class A Residuals (FORM: DCAR 06-16):
® Submit the completed and appropriately executed Distribution of Class A Residuals (FORM: DCAR 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® The project name should be consistent on the plans, specifications, etc.
• The Applicant's Certification on Page 3 of this form shall be signed in accordance with 15A NCAC 02T .0106(b}. An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .01.06(b).
® If this project is for a modification of an existing permit, submit one copy of the existing pen -nit.
® Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
EK Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification r
Major (residuals permitted for distribution > 3,000 dry tons/year) 1 $1,310 I $395
Minor (residuals permitted for distribution < 3,000 dry tons/year) I $810 I $245
r - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional residuals sources; or includes the addition of new treatment or storage units/processes not previously permitted.
There is no fee for minor permit modifications.
C. Cover Letter (All. Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
INSTRUCTIONS FOR FORM: DCAR 06-16 Page 1 of 3
D. Program Information (All Application Packages)
® Provide a narrative explaining the following:
® How the materials will be handled and transported from where the residuals were produced to where it will be treated.
How the residuals will be processed/treated (attach process flow diagram).
® How leachate collection will be handled.
® Where the residuals will be stored until processed.
® How the final product will be distributed (packaging, bulk, etc.)
® What nutrients or other constituents (i.e. nitrogen, phosphorous, aluminum, calcium, etc.) are used or recommended as the
limiting parameter for determination of residuals loading rate to ensure that it does not overload the soil and cause
contravention of surface water or groundwater standards, limit crop growth, or adversely impact soil quality.
® Attach a marketability statement detailing destinations and approximate amounts of the final product to be distributed.
® Provide either a label that shall be affixed to the bagged processed residual or an information sheet that shall be provided to the
person who receives the processed residual. The label or information sheet shall contain, at a minimum, the following
information:
Name and address of the person who prepared the residual that is sold or given away.
® A statement that application of the residuals to the land shall be in accordance with the instructions on the label or
information sheet.
® A statement that the residuals shall not be applied to any site that is flooded, frozen or snow-covered.
® A statement that adequate procedures shall be provided to prevent surface runoff from carrying any disposed or stored
residuals into any surface waters.
® Information on all applicable setbacks in accordance with 15A NCAC 02T .1108(b).
® A statement that the residuals shall be applied at agronomic or recommended rates for intended uses.
E. Detailed Plans and Specifications (Application Involving New or Changes to Treatment or Storage Units)
❑ Submit detailed plans and specifications that have been signed, scaled, and dated by a NC Professional Engineer per 15A
NCAC 02T .1104(a). Specifications for standard equipment may only be omitted for municipalities with approved standard
specifications, but use of the standard specifications must be noted on each sheet of the plans.
❑ Plans must include the following minimum items: a general location map, a topographic map, plan and profile view of the
residuals treatment and storage units as well as the proximity of the residuals treatment and storage units to other utilities and
natural features within 500 feet of all treatment and storage facilities, and detail drawings of all items pertinent to the residuals
treatment and storage units. Depict minimum separations required in 15A NCAC 02T .1108(a) on the plans.
❑ Specifications must include, at a minimum, the following for all items pertinent to residuals treatment and storage units:
description of materials to be used, methods of construction, quality of construction testing procedures to ensure the integrity
of the final product in accordance with 15A NCAC 02T. I 104a 2 B , including leakage and pressure testing as appropriate.
❑ Plans and specifications must not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans and specifications. However, the plans and
specifications may be labeled with the phrase: FINAL DESIGN — NOT RELEASED FOR CONSTRUCTION.
F. Engineering Calculations (Application Involving New or Changes to Treatment or Storage Units)
❑ Submit all design calculations that have been signed, sealed, and dated by a NC Professional Engineer per 15A NCAC 02T
.1104 a .
G. Environmental Assessments (Maybe Required— See 15A NCAC 1C .0300)
❑ Submit a copy of the Findings of No Significant Impact (F'ONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: DCAR 06-16 Page 2 of 3
H. Operation and Maintenance Plan (New and Renewal Application Packages)
® For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
® Submit the O&M Plan in accordance with 15A NCAC 02T . l 110 and include at a minimum:
® Operational functions; describe the operation of the program to show what operations are necessary for the program to function
and by whom the functions are to be conducted.
® Maintenance schedules; may include equipments calibration, maintenance of signs, etc.
® Safety measures; may include safety training program, manuals, signs, etc.
® Spill response plan; including control, containment, remediation, emergency contact information, etc.
® Inspection plan including the following information;
® Names and titles of personnel responsible for conducting the inspections.
® Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the selected
location(s) and inspection frequency are representative of the residuals management program.
• Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
® Sampling and monitoring plan including the following information;
Names and titles of personnel responsible for conducting the sampling and monitoring.
® Detailed description of monitoring procedures including parameters to be monitored.
® Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature, flow,
and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The sampling
plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for residuals to meet
pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per year but have an annual
sampling frequency, may need to sample during winter months when pathogen reduction is most likely to be negatively affected
by cold temperatures.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: (919) 807-6464
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: (919) 807-6496
INSTRUCTIONS FOR FORM: DCAR 06-16 Page 3 of 3
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — DISTRIBUTION OF CLASS A RESIDUALS
FORM: DCAR 06-16
1. APPLICANT INFORMATION:
1. Applicant's name: Synagro Central LLC
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Robert N Roth Title: Technical Services Manager
Applicant's mailing address: 284 Boger Rd.
City: Mocksville State: NC Zip. 27028-
Telephone number: (336)403-4324 Email Address: rroth �,syna ro.com
2. Consultant's name: NIA License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained (Firm: )
Consultant's mailing address:
City: State: Zip: -
Telephone number: (_) _ Email Address:
3. Fee submitted: 395.00 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, 0 modified, ❑ renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W OQ 035207.
Date of most -recently issued permit: 3/1/2016
Date of most -recently certified Attachment A (if different than the permit): 1012/20
111. FACILITY INFORMATION:
1. Name of residuals processing facility: Source Specific
City: State: Zip:
Longitude: _° _' ` ,"
Level of accuracy:
Coordinates: Latitude: _°
Datum:
Method of measurement:
County where facility is located:
2. Facility contact (person familiar with residuals preparation):
Name: Robert Roth Title: Technical Services Mana er
Mailing address: 284 Boger Rd.
City: Mocksville State: NC Zip: 27028-
Telephone number: 3( 36) 403-4324 E-mail address: rroth &synagro.cozn
FORM: DCAR 06-16 Page 1 of 3
3. is the residual process facility also the generator? ❑ Yes; ® No
If No, please specify delivery frequency and quantity of residual to be processed: Source Specific
4. Length of residuals storage at facility: Source Specific days (Note: the Division requires minimum 30 days storage in units that
are separate fi-om treatment system, i.e. not in clarifiers, aeration basins, etc.)
IV. RESIDUALS QUALITY INFORMATION:
1. Specify how these residuals will be distributed:
❑ sold or given away in bags or other containers; ❑ lawn (bulk); ❑ home garden (bulk);
® other (explain); Land applied by Synagro as bulk residuals at agronomic rates
Note: Bulk residuals shall mean residuals that are transported and not sold or giving away in a bag or other receptacles with a
load capacity of one metric ton or less.
2. Complete the following if residuals are to be mixed with other materials:
Type of Materials Amounts to be added I
per 1.0 dry ton of residuals (dry ton)
3. Approximate amounts of the residuals received and processed at the facility: Source Specific dry tons per year.
4. Approximate amounts of the final product (processed residuals) to be distributed: Source Specific dry tons per year.
5. Provide a description of the onsite storage management plan for the treated residuals (including estimated average and
maximum storage times prior to distribution): Source Specific
6. Does the facility have a stormwater management plan? ❑ Yes; ❑ No
Explain whether the treatment and storage areas are under roof or how stormwater runoff will be handled: Source Specific
V. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the attached Residuals Sots-ce Certification and all associated documentation.
RSC 06-16.doc
FORM: DCAR 06-16 Page 2 of 3
Professional Engineer's Certification: (Application hfvolving New or Changes to Treatment or Storage Units)
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I further attest that to the best of my knowledge
the proposed design has been prepared in accordance with the applicable regulations.. Although certain portions of this submittal package
may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that I have reviewed
this material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Seal, Signature, and Date:
Applicant's Certification:
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
❑ Yes ❑ No, Explain;
I,
(Signature Authority's Name —PLEASE PRINT)
attest that this application for Synagro Central, LLC
(Facility Name)
(Title)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: 1� 70
FORM: DCAR 06-16 Page 3 of 3
OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0035207 (Synagro Central)
Operational Functions
The operation function of this project is going to involve mixing the lagoon up with either a tractor powered Houle pump
or through the utilization of a dredge to achieve a well -mixed and consistent material that is suitable for land application
from the Pittsboro WTP, Dunn WTP, Franklin WTP, SJWD WTP, Graham Mebane WTP, City of Reidsville WTP,
Mooresville WTP, Charlotte Water Lee S. Dukes WTP, City of Albemarle Tuckertown WTP, L.B. Stovall WTP, and South
Fork Industries Maiden Plant. Brunswick NW WTP and Elizabeth City material will be either mixed on site or hauled via
tankers to a belt press to press material to a cake material. This material will be loaded on to tractor trailers and hauled
to land application sites. City of Durham, Williams WTP is going to be hauled to the City of Durham Brown WTP and
mixed with the Brown plant alum residuals. Once the 2 materials are mixed they will be pumped to a belt filter press and
dewatered for cake land application. City of Greensboro WTP residuals will be dredged and dewatered through use of a
centrifuge. Piedmont Triad RWA'sJohn F. Kime WTP material, and Charlotte Water's Walter M. Franklin WTP material
will be dewatered via belt filter press. Both cake materials that are produced will be land applicable. All material is going
to be spread at agronomic rates that are determined by the nutrient and metal sample that is current for that
monitoring period. Pittsboro WTP, Dunn WTP, Franklin WTP, City of Reidsville WTP, Tuckertown WTP, Lee S. Dukes WTP,
South fork Industries, and L.B. Stovall material is going to be spread with a liquid applicator that will use pressure to
spread the material in such a way to achieve a consistent spread pattern. Brunswick NW WTP, Durham Brown, Williams
WTP, John F. Kime WTP, Elizabeth City and Walter M. Franklin WTP material is going to be dumped in the field and
loaded into a cake spreader with a front-end loader. The spreader will able to spread the material in an even and
consistent manner. The material is going to be land applied on fields that have grass growing on them that are going to
either be grazed or cut for hay for animal feed some fields may be in row crop production and rates will be determined
by RYE for the crop that is going to be grown for animal consumption.
SAFETY MEASURES
Synagro believes in operating in a safety conscious manner and is has all employees participate in quarterly online safety
course that are designed to help its employees recognize safety issues and take steps to prevent accidents from
occurring. In addition, all Synagro employees have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
necessary to complete the job.
OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0035207 (Synagro Central)
Inspection Plan
Inspections for the land application of residuals will be conducted on a weekly basis at the land application site during the land
application activities of this project. The inspection frequency is based on the time frame that it is going to take to complete the
project and the amount of dry tons to be land applied from this facility. The inspections will consist of inspecting a current field
that is being applied as well as inspecting random fields that have been completed. These inspections will consist of;
1. Verifying that the Pre -Operations Check List has been completed and signed by both Operations and Technical staff.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insure that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance
plan.
4. Insure that the field has been flagged properly and that all buffers are being adhered to.
5. Insure that the Crop and Landowner Verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the criteria for land
application.
7. The records will be kept in the project files in the respective office for the project.
8. The Permittee or inspector shall report by telephone to the Raleigh Regional Office by Telephone at 919-791-4200
Asheville Regional Office by telephone at 828-296-4500, Wilmington Regional Office at 910-796-7215 ,Winston Salem
Regional Office at 336-776-9800, Mooresville Regional office at 704-663-1699, Fayetteville Regional Office 910-433-3300
or Washington Regional Office at 252-946-6481 as soon as possible but no later than 24 hours after or the next working
day following the occurrence or the first knowledge of the occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of material
that is abnormal in quantity or characteristics.
• Any failure of the distribution system that results in the release to surface waters.
• Any time that self -monitoring indicates that the facility has gone out of compliance with the permit.
• Any process failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
• Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 1-
800-662-7956, 1-800-858-0368, or 1-919-733-3300. These numbers are to be called in the event of a release to
surface waters, imminent failure of a storage system when the event occurs outside of normal business hours.
• Within 5 days of the first notice of on occurrence a written response in the form of a letter shall be sent to DENR
outlining the actions taken or purposed actions taken to ensure that the problem does not recur. Persons
responsible for inspections on this project are as follows:
Nate Roth; Technical Services Manager, or his designee
OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0035207
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is occurring. This will
result in one round of sampling to occur before land application commences in order to ensure that the residuals are
suitable for land application. The TCLP sample is only required to be sampled once per year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane(0.03)
Hexachloro benzene (0.13
Tetrachloroethylene(0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trichlorophenol (400.0)
M-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
The residuals will also be sampled based on the chart below for the following constituents based on production per year
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
PH
Plant Available Nitrogen (calculation)
Selenium
Sodium
%Total Solids
Total Kieldahl Nitrogen
Zinc
In order to meet pathogen requirements, the material will be sampled for fecals to prove that the residuals have met the
pathogen requirements of the permit. There are no pathogen or vector attraction reduction requirements for non -biological
materials with no domestic wastewater contribution to them or have not been mixed with any other residuals. Only biological
residuals will be tested to comply with pathogen and vector attraction reduction requirements. The samples will be pulled from
the sample points that are designated in the residuals sampling plan. The samples that will be pulled are a TCLP, nutrient and
metals sample and pathogen/VAR samples as needed to prove that the material is suitable for land application. The nutrient and
metal and TCLP sample will be collected randomly and consist of at least 10 individual samples mixed together in order to get the
composite sample for these parameters. Overall, the material in question are very consistent and there should not be any
seasonal fluctuations in these residuals.
The following people are responsible for sampling:
Nate Roth; Technical Services Manager; or his designee.
SPILL RESPONSE PLAN
PROJECT: SYNAGRO CENTRAL Permit WQ0035207
IN THE UNLIKELY EVENT OF A SPILL THE FOLLOWING ACTIONS SHALL BE
TAKEN IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro
labor and equipment is to be utilized. In the event additional labor and equipment is required,
assistance may be requested from the Town of Pittsboro, City of Dunn, Town of Franklin,
Brunswick County NC, City of Reidsville, Piedmont Regional Water Authority, Town of
Mooresville, The City of Durham, The City of Greensboro, Town of Mooresville, City of
Charlotte, International Textile Group, Town of Albemarle, South Fork Industries, City of
Elizabeth City or the NC Department of Transportation, and other private contractors as
necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE WILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers
may be constructed to augment the straw bale containment area of the spill. The Operations
Manager or the person in charge on the spill site will advise the clean-up personnel where to get
the straw, lime, and other items necessary to complete the clean-up operation, i.e., local farmers,
farm supply centers, nurseries, etc.
4. CLEAN-UP:
Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic
tank service to remove as much of the spilled material as possible. Straw and/or sand should be
scattered in the spill area to soak up the remaining material. The straw- and sand -soaked material
will be collected and removed to a disposal area approved by representatives of the state
regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the
clean-up efforts by the state regulatory representative. If the event occurs on private property, the
clean-up will be completed to the satisfaction of the property owner and state regulatory
representatives. The ultimate goal will be to restore the spill area to its original condition if
possible.
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify
the Synagro Central office, and they will then be responsible for notifying other key Synagro
personnel.
7. REPORTING:
Synagro Central personnel will notify the Raleigh regional office of the NCDENR by telephone
(919)-791-4200 for the Pittsboro WTP, Durham WTP's, The Ashville regional office at (828-
296-4500) for the town of Franklin, SJWD WTP, The Wilmington Regional office (910) 796-
7215 for Brunswick NW WTP, the Winston Salem Regional office (336) 776-9800 for the City of
Reidsville WTP, City of Greensboro, The City of Graham, International Textile Group, and
Piedmont Regional WTP, the Mooresville Regional office for The City of Albemarle
Tuckertown WTP, Town of Mooresville WTP, South Fork Industries, and City of Charlotte Lee
S. Dukes WTP the Fayetteville Regional Office (910) 433-3300 for the Dunn WTP, the
Washington Regional office (252-946-6481) for the City of Elizabeth City. This will be done as
soon as possible, but not more than 24 hours after, or on the next working day following the
occurrence. The Operations Manager shall provide a written report within 48 hours of the spill to
the Technical Services Manager. The report shall list all relative information and actions taken.
Synagro Central personnel will file a written report to the Raleigh, Asheville, Wilmington,
Mooresville, Washington, Winston Salem, or Fayetteville Regional office of the NCDENR within
5 days of the occurrence. For after hours reporting the Division's emergency number shall be
called to report all incidences (800-662-7956 or 800-858-0368 or 919-733-3300)
Elizabeth City Water Treatment Plant
Narrative for Class A Residuals
This project involves the removal of water treatment plant residuals from the
Elizabeth City Water Treatment Plant. These residuals are a product of the water
treatment process. Operationally, Synagro will dewater material from the WTP
storage tank, load dump trucks or tractor trailers to transport to the fields, where
the material will be dumped. Once offloaded, a loader will load either spreader
trucks or tractor driven spreaders for surface application. No additional processes
or treatments will be conducted on the material in question. The residuals will be
land applied to agricultural fields at concentrations below or up to the agronomic
rate based on nitrogen content of the material. The residuals receive no further
treatment after they are dewatered. Synagro will either bulk land apply the
material or have the receiving party bulk land apply the material based on permit
requirements concerning loading rates and applicable buffers.
hi MA iNTLC- I 9E(706,
DCAR Marketability Statement
Elizabeth City Water Treatment Plant
Residuals will be given to local farmers for crop or grass production. Synagro will land apply material for
the local farmers who choose to receive residuals or establish an agreement for the farmers to apply
themselves at the direction of Synagro. The spreaders will able to spread the material in an even and
consistent manner. The material is going to be land applied on fields that have grass growing on them
that are going to either be grazed or cut for hay for animal feed some fields may be in row crop
production and rates will be determined by RYE for the crop that is going to be grown for animal
consumption. An estimated 3250 dry tons will be land applied from the Elizabeth City Water Treatment
Plant each year.
Synagro Central
Land Application Permit WQ0035207
Label for Land Application
The residuals that are land applied from Elizabeth City Water Treatment Plant are produced at: 1 Wilson
St. Elizabeth City, NC 27909. Mr. Raymond C. Staten, Water Plant Superintendent is the preparer of the
residuals and responsible for the plant operations.
The residuals from Elizabeth City Water Treatment Plant will be applied to agricultural fields at
agronomic rates based on the RYE rate for the fields and crops to be grown. The residuals will not be
applied to frozen, snow covered or flooded fields. The fields will be flagged with the following buffers to
help prevent runoff from the applied fields:
Setback Description
Setback by residual. type (feet)
Liquid
Cake,
Private or public water supply
100
100
Surface waters (streams -- intermittent and perennial,
perennial waterbodies, and wetlands)
100
25
Surface water diversions (ephemeral streams,
waterways, ditches)
25
0
Groundwater lowering ditches (where the bottom of
the ditch intersects the SHWT
25
0
Wells with exception to monitoring wells
100
100
Bedrock outcrops
25
0
Residuals produced by Elizabeth City Water Treatment Plant will be applied to agricultural fields in bull(
and will be applied according this label as well as following all permit conditions as listed in the land
application permit WQ0035207.
Adequate procedures shall be provided to prevent surface runoff from carrying any disposed or stored
residuals into any surface waters.
South Fork Industries Maiden Plant
Narrative for Class A Residuals
This project involves the removal of treatment plant residuals from the South
Fork Industries Maiden Plant. These residuals are a product of an industrial
process used to make dyeing agents. Operationally, Synagro will mix the storage
lagoon, load tanker trucks to transport to the fields, where the material will be
offloaded to liquid applicators for surface application. No additional processes or
treatments will be conducted on the material in question. The residuals will be
land applied to agricultural fields at concentrations below or up to the agronomic
rate based on nitrogen content of the material. The residuals receive no further
treatment after they are placed in the lagoon. Synagro is going to flag the fields
to make sure all buffers are followed as outlined in the permit. Synagro is also
going to spread all the material to further ensure that all buffers are followed.
DCAR Marketability Statement
South Fork Industries Maiden Plant
Residuals will be given to local farmers for crop or grass production. Synagro will land apply material for
the local farmers who choose to receive residuals. The spreaders will able to spread the material in an
even and consistent manner. The material is going to be land applied on fields that have grass growing
on them that are going to either be grazed or cut for hay for animal feed some fields may be in row crop
production and rates will be determined by RYE for the crop that is going to be grown for animal
consumption. An estimated 125 dry tons will be land applied from the South Fork Industries Maiden
plant each year.
Synagro Central
Land Application Permit WQ0035207
Label for Land Application
The residuals that are land applied from South Fork Industries Maiden Plant are produced at: 100 W
Pine St. Maiden, NC 28650. Mr. Everette Owens is the preparer of the residuals and responsible for the
plant operations.
The residuals from South Fork Industries Maiden Plant will be applied to agricultural fields at agronomic
rates based on the RYE rate for the fields and crops to be grown. The residuals will not be applied to
frozen, snow covered or flooded fields. The fields will be flagged with the following buffers to help
prevent runoff from the applied fields:
Setback Description
Setback by residual type (feet)
Liquid
Cake*
Private or public water supply
100
100
Surface waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands)
100
25
Surface water diversions (ephemeral streams,
waterways, ditches
25
0
Groundwater lowering ditches (where the bottom of
the ditch intersects the SHWT
25
0
Wells with exception to monitoring wells
100
100
Bedrock outcrops
25
0
Residuals produced by South Fork Industries Maiden Plant will be applied to agricultural fields in bulk
and will be applied according this label as well as following all permit conditions as listed in the land
application permit WQ0035207.
Adequate procedures shall be provided to prevent surface runoff from carrying any disposed or stored
residuals into any surface waters.
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Qualiol Permitting Section's Non -Discharge Permittinng Unit
General -- This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit a separate certification for each source facility.
® For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of I
RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Svnagro Central LLC
Status
Code
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry
Tons Per Year
Current b
Proposed
N
City of Elizabeth City
Elizabeth City WTP
Pasquotank
04-70-010
0
3250
N
South Fork Industries,
South Fork Industries —
Catawba
NCO006190
0
315
Inc
Maiden Plant
a Status Code
for source facility are: ♦ N (New)
♦ R (Renewed) ♦ M (Modified)
♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
Pa
SUMMARY FOR FORM: RSC 06-16 ge 1
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Dlvislon of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
L RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.),
I . Facility Name; Elizabeth City Water Treatment Plant
2. Facility permit holder is: ❑ Federal, ❑ State, ® Local Government, or ❑ Private.
Facility permit issued by: Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: 1 1).
3. Facility contact person and title: Raymond C. Staten, Water Plant Superintendent
Complete mailing address: I Wilson St.
City: Elizabeth City State: NC Zip. 27909-
Telephone number: (252)-335-2196 E-mail address: rstaten@cityofee.com
4. Facility physical address: I Wilson St.
City: Elizabeth CityState: NC zip: 27909-
Coordinates: Latitude: 36°18' 46" Longitude: 76' 13' 30"
Datum: NAD83Level of accuracy: Seconds
Method of measurement:
5. Purpose of the facility:
❑ treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
® treatment of potable water, ❑ treatment of 100% industrial wastewater,
El treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: t _ %industrial and ___
•;; % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 5_OMGD and facility average daily flow: 2.15 MGD
8. Average amount of residuals being generated at this facility est. 3000 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Water Treatment Process
Type and volume of residuals storage (i.e., outside of residuals treatment units): I storage tank approximately 250k gal
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
d 40 CFR Part 503 or 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1 t 02 6 as:
❑ Biological Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page I of 5
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that arc less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes 0 no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §26 L21-
261.24: ❑ yes M no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 1/25/2019
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: >200 OF (> 140°F)
Passed reactivity test: ® yes ❑no. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/l)
TCLP Parameter
Limit
(mg/1)
Result
(ing/l)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
0.48
HexachIoro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5
4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Pace Analytical and Date of analysis: 11/05/2019
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(ing/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
0,10g)
Arsenic
75
41
ND
Cadmium
85
39
ND
Copper
4,300
1,500
1.9
Lead
840
300
ND
Mercury
57
17
ND
Molybdenum
75
n/a
ND
Nickel
420
420
ND
Selenium
100
100
ND
Zinc
7,500
2,800
ND
b. For Surface Disposal Unit land all : Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: — and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(anglkg)
Chromium
(mg/kg)
Nickel
(mg/kg)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
> 50 but < 75
39
260
270
> 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
❑ > 125
62
450
420
Result (nag/kg)
FORM: RSC 06-16 Page 3 of 5
5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 20.5 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Pace Analytical and Date of analysis: 11/05/2019
Parameter
Result
(rnglkg)
Aluminum
9,240
Ammonia -Nitrogen
ND
Calcium
209,000
Magnesium
10,600
Nitrate -Nitrite Nitrogen
ND
pH (Standard Unit)
9.93
Phosphorus
135
Potassium
ND
Sodium
ND
Total Kjeldahl Nitrogen
ND
c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 0.42
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 20 %. This
rate is a (check one): R default value, or d actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: Water Treatment Process
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (11) Year PAN
Five -Year
Maximum Adjusted PAN
(rng4 g)
(inglkg)
Surface
72
95
Injection/Incorporation
94
118
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: :Nona
FORM: RSC 06-16 Page 4 of 5
7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or E uivalent.
❑ A fecal coiiform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
[] Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T. 1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable flehninth Ova.
❑ Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable l-lelminth Ova.
❑ AIternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, Q heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application ot Class B:
❑ Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T. 1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ time stabilization.
c. For Surface & osal:
d Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11.7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item I1. 7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [I SA NCAC 02T.1107(a)(l)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.1107(a)(2)1 - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T. 1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T. 1107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation.
EJ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
0 Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5
Quantitative Justification for Residuals Production Rate
Elizabeth City WTP
Between the years of 2018 and 2019, the Elizabeth City WTP has produced and
land applied approximately 2533 dry tons of material each year. It is requested that
Elizabeth City WTP be permitted to land apply a maximum of 3250 dry tons per year to
account for any plant fluctuations or future maintenance cleanouts.
Dry tons land applied between 2018 and 2019.
Year
Dry Tons
2018
1297.13
2019
3768.06
{ Residuals Sampling Plan
Synagro Residuals Land Application for WQ0035207
Elizabeth City Water Treatment Plant
Nutrients and Metals Analysis
a Sampling Point: Belt Press
a Sampling Frequency: 6x/yr
a Sample Type: Composite
a Lab: Pace Analytical
Pathogen Reduction (Not Required)
Vector Attraction Reduction (Not Required)
TCLP
a Sampling Point: Belt Press
a Sampling Frequency: Annually
a Sample Type: Composite
a Lab: Summit Environmental Labs
EC WTP Process
1. Raw Water is pumped from the wellfield to a Raw Water Reservoir (3mg or .8mg)
2. Water is pumped from the raw reservoir in the head of the plant where the water
is aerated to remove the carbon dioxide
3. The water the proceeds to the up flow reactor clarifier where the aluminum
sulfate is added followed by the additions of hydrated Hine and anionic polymer
4. Water then enters the recarbonation/flocculation basin where carbon dioxide is
introduced to lower the pH to an acceptable level
5. From there the water enters the sedimentation basins to settle out larger
suspended particles
fi. The water then enters 5 dual media sand filters where any remaining particles are
filtered out
7. Sodium Hexametaphosphate is then added to the water for corrosion control
8. Hydrofluorosilicic acid is added to the water to help in the prevention of dental
caries
9. A combination of chlorine and ammonia is added to the water for disinfection
10. The finished water is stored in two covered cleanvells on site with a total of 4
million gallons
11. Water is then sent out to the distribution system.
Permitted Flow: 5.0 MGD
2020 Average Daily Flow: 2.15 MGD
WATER TREATMENT PROCESS
Tank Raw Water
Storage Tank
Sludge
Storage
Flash Mixing
Aeration Channel
Flnished Water
Meters
Sludge ar'
Thickener Waste Clarifier ill Waste Clarifier #2
ELIZABETH CITY HATER TREATHENT -FACILITY
1 Wilson Street Elizabeth Citv, N.C. 77909
VICINITY MAP SYNAGRO
w
1 1 Wilson Street
e
rd St 4
Ward st
COUNTY: Pasquotank OWNER(S): Elizabeth City Water Treatment Plant
�AW L U �Si
The following TCLP results provided were pulled in January of 2019. It
is requested that The City of Elizabeth City Water Treatment be added
to permit based on the following results. Material from the Elizabeth
City WTP will not be applied until more recent TCLP results are
obtained.
aceAnalyticalf'
www.pacelabs.cnm
February 12, 2019
Travis Tucker
Elizabeth City
1 Wilson Street
Elizabeth City, NC 27909
RE: Project: TCLP SLUDGE
Pace Project No.: 92415518
Dear Travis Tucker:
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)V5-9092
Enclosed are the analytical results for sample(s) received by the laboratory on January 28, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Kristi Prater
kristi.prater@pacelabs.com
(336)623-8921
Project Coordinator
Enclosures
cc: Accounts Payable, City of Elizabeth City
Raymond Staten, City of Elizabeth City
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC.
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9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
CERTIFICATIONS
Project: TCLP SLUDGE
Pace Project No.: 92415518
Atlanta Certification IDs
110 Technology Parkway Peachtree Corners, GA 30092
North Carolina Certification #: 381
Florida DOH Certification #: E87315
South Carolina Certification #: 98011001
Georgia DW Inorganics Certification #: 812
Virginia Certification #: 460204
Georgia DW Microbiology Certification #: 812
Pennsylvania Certification IDs
1638 Roseytown Rd Suites 2,3&4, Greensburg, PA 15601
Missouri Certification #: 235
ANAB DOD-ELAP Rad Accreditation M L2417
Montana Certification #: Cert0082
Alabama Certification #: 41590
Nebraska Certification #: NE-OS-29-14
Arizona Certification #: A70734
Nevada Certification #: PA014572018-1
Arkansas Certification
New HampshirefTNI Certification #: 297617
California Certification #: 04222CA
New JerseyffNI Certification #: PA051
Colorado Certification #: PA01547
New Mexico Certification #: PAO1457
Connecticut Certification #: PH-0694
New YorkffNl Certification #: 10888
Delaware Certification
North Carolina Certification #: 42706
EPA Region 4 DW Rad
North Dakota Certification #: R-190
FloridalTNI Certification #: E87683
Ohio EPA Rad Approval: #41249
Georgia Certification #: C040
OrogonlTNI Certification M PA200002-010
Guam Certification
PennsylvanialTNI Certification #: 65-00282
Hawaii Certification
Puerto Rico Certification #: PA01457
Idaho Certification
Rhode Island Certification* 65-00282
Illinois Certification
South Dakota Certification
Indiana Certification
Tennessee Certification #: 02867
Iowa Certification M 391
TexaslTNI Certification #: T104704188-17-3
KansasITNI Certification #: E-10358
UtahlTNI Certification #: PA014572017-9
Kentucky Certification #: KY90133
USDA Soil Permit #: P330-17-00091
KY WW Permit #: KY0098221
Vermont Dept. of Health: ID# VT-0282
KY WW Permit #: KY0000221
Virgin Island/PADEP Certification
Louisiana DHHITNI Certification #: LA180012
VirginiaNELAP Certification #: 9526
Louisiana DEQlTNI Certification #: 4086
Washington Certification #: C868
Maine Certification #: 2017020
West Virginia DEP Certification #: 143
Maryland Certification #: 308
West Virginia DHHR Certification #: 9964C
Massachusetts Certification #: M-PA1457
Wisconsin Approve List for Rad
MichiganlPADEP Certification M 9991
Wyoming Certification #: 8TMS-L
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersvil le, NC 28078
South Carolina Certification #: 99006001
LouisianalNELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginialVELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
FloridalNE;LAP Certification M E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 VirginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
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SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hvntefsville, NC 28078
(704)875-9092
Project:
Pace Project No.:
TCLP SLUDGE
92415518
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92415518001
SLUDGES
ASTM D2974-87
AK1
1
PAS -PA
EPA 9014
PAS
1
PASI-PA
SM 4500S2F-00
PAS
1
PAS] -PA
92415518002
SLUDGE 6
ASTM D2974-87
AKi
1
PASI-PA
EPA 11010
PJD
1
PASI-PA
EPA9045C
ZMH
1
PASI-PA
92415518003
SLUDGE 7
EPA 8260E
SAS
14
PASI-C
92415518004
SLUDGE8
EPA8270D
PKS
18
PASI-C
92415518005
SLUDGE9
EPA 8081B
SFM
9
PASI-C
92415518006
SLUDGE 10
EPA 8151A
MZP
3
PASI-GA
92416518007
SLUDGE 11
EPA 601 OD
IDS
7
PASI-A
EPA7470A
RDT
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 1DO
Huntersville, NC 28078
(704)875-9092
Project: TCLP SLUDGE
Pace Project No.: 92415518
Sample: SLUDGES Lab ID: 92415518001 Collected: 01/25/19 14:02 Received: 01/28/19 12:30 Matrix: Solid
Results reported on a "dry weight' basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
Percent Moisture Analytical Method: ASTM D2974-87
Percent Moisture 75.0 % 0.10 1 02/07/19 11:59
733C S Reactive Cyanide Analytical Method: EPA 9014 Preparation Method: SW-846 7.3.3.2
Cyanide, Reactive ND mg/kg 4.0 1 01/31/19 20:24 01/31119 21:24
734S Reactive Sulfide Analytical Method: SM 4500S2F-00 Preparation Method: SW-846 7.3.4.2
Sulfide, Reactive NO mg/kg 39.8 1 01/31/19 20:24 01/31/19 20:27
Sample: SLUDGE 6 Lab ID: 92415518002 Collected: 04/25/19 14:02 Received: 01/28/19 12:30 Matrix: Solid
Results reported on a "dry weight' basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qua]
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
73.3 %
0.10 1
02/07/19 11:59
1010 Flashpoint,Closed Cup
Analytical Method: FPA 1010
Flashpoint
>200 deg F
60.0 1
02/01/19 18:23
9045 pH Soil
Analytical Method: EPA 9045C
pH in water at 25 degrees C
9.1 Std. Units
2.0 1
01/30/19 21:23 H3
Sample: SLUDGE 7
Lab ID: 92415518003 Collected:
01/25/19 14:02
Received: 01/28/19 12:30 Matrix: Solid
Results reported on a "wet -weight"
basis
Parameters
Results Units Report Limit DF
Prepared Analyzed CAS No. Qual
8260 MSV TCLP Analytical Method: EPA82608 Leachate Method/Date: EPA 1311; 01/31/19 08:19
Benzene
NO
uglL
100
20
01/3111923:17
71-43-2
2-Butanone (MEK)
ND
uglL
200
20
01/31/19 23:17
78-93-3
Carbon tetrachloride
ND
uglL
100
20
01/31/19 23:17
56-23-5
Chlorobenzene
ND
uglL
100
20
01/31/19 23:17
108-90-7
Chloroform
NO
uglL
100
20
01/31/19 23:17
67-66-3
1,4-Dichlorobenzene
NO
uglL
100
20
01131/1923:17
106-46-7
1,2-Dichloroethane
NO
ug1L
100
20
01131/1923:17
107-06-2
1,1-Dichloroethene
ND
ug1L
100
20
01131/1923:17
75-35-4
Tetrachloroethene
NO
ug1L
100
20
01/31/19 23:17
127-18-4
Trichloroethene
ND
ug1L
100
20
01/31/19 23:17
79-01-6
Vinyl chloride
NO
ug1L
100
20
01131/1923:17
75-01-4
Surrogates
1,2-Dichloroethane-d4(S)
99
%
70-130
20
0113111923:17
17060-07-0
Toluene -dB (S)
103
%
67-135
20
01/31/19 23:17
2037-26-5
4-Bromoiluorobenzene(S)
101
%
70-130
20
01/3111923:17
460-00-4
REPORT OF LABORATORY ANALYSIS
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be reproduced, except in full,
Date: 02/1212019 08:32 AM
without the written consent of Pace Analytical
Services, LLC.
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ANALYTICAL RESULTS
Project: TGLP SLUDGE
Pace Project No.: 92415518
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: SLUDGE 8 Lab lD: 92415518004 Collected: 01/25/19 14:02 Received: 01/28/19 12:30 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
8270 TCLP RVE
1,4-Dichlorobenzene
2,4-Dinitrotoluene
Hexachloro-1,3-butadiene
Hexachlorobenzene
Hexachloroethane
2-Methylphen o I(o-Cresol)
3&4-Methylphenol(m&p Cresol)
Nitrobenzene
Pentachlorophenol
Pyridine
2,4, 5-Trichlorophenol
2,4,6-Trichlorophenol
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
Terphenyl-d14 (S)
Phenol-d6 (S)
2-Fluorophenol (8)
2,4,6-Tribromophenol(S)
Analytical Method: EPA 8270D Preparation Method: EPA 3510G
Leachate Method/Date: EPA 1311; 01/30/19 18:17
NO
ug1L
50.0
1
02/04/19 08:39 02/04/19 18:07
106-46-7
NO
ug1L
50.0
1
02/04/19 08:39 02/04/19 18:07
121-14-2
NO
uglL
50.0
1
02/04/19 08:39 02/04/19 18:07
87-68-3
ND
uglL
50.0
1
02/04/19 08:39 02/0411918:07
118-74-1
ND
uglL
50.0
1
02104/19 08:39 02/04/19 18:07
67-72-1
ND
uglL
50.0
1
02/04/19 08:39 02/04/19 18:07
95-48-7
ND
uglL
50.0
1
02/04/19 08:39 02/04119 18:07
158311-10-4
ND
uglL
50.0
1
02/04/19 08:39 02/04/19 18:07
98-95-3
ND
uglL
100
1
02/04/19 08:39 02/04/19 i8:07
87-86-5
NO
uglL
50.0
1
02/04/19 08:39 02/04/19 18:07
110-86-1
NO
ug1L
50.0
1
02/04/19 08:39 02/04/19 18:07
95-95-4
NO
ug1L
50.0
1
02/04/19 08:39 02/04/19 18:07
88-06-2
51
%
12-102
1
02/04/19 08:39 02/04/19 18:07
4165-60-0
52
%
13-107
1
02/04/19 08:39 02/04/19 18:07
321-60-8
59
%
21-132
1
02/04/19 08:39 02/04/19 18:07
1718-51-0
19
%
10-110
1
02/04/19 08739 02/04/19 18:07
13127-88-3
28
%
10-110
1
02/04/19 08:39 02/04/19 18:07
367-12-4
53
%
27-108
1
02104/19 08:39 02/04/19 18:07
118-79-6
M1
Sample: SLUDGE 9 Lab ID: 92415618005 Collected: 01/25/19 14:02 Received: 01/28/19 12:30 Matrix: Solid
Results reported on a "dry weight' basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
8081 TCLP Pesticides RVE
gamma-BHC (Lindane)
Chlordane (Technical)
Endrin
Heptachlor
Heptachlor epoxide
Methoxychlor
Toxaphene
Surrogates
Decachlorobiphenyl (S)
Tetrachloro-m-xylene (S)
Analytical Method: EPA 8081 B Preparation Method: EPA 3510C
Leachate Method/Dale: EPA 1311; 01/30/19 18:17
NO
uglL
0.50
1
02104/1912:06
02/0511912:32
58-89-9
NO
uglL
3.0
1
02/0411912:06
02/0511912:32
57-74-9
ND
uglL
0.50
1
02104/1912:06
02/0511912:32
72-20-8
ND
uglL
0.50
1
02104/1912:06
02/0511912:32
76-44-8
ND
ug1L
0.50
1
0210411912:06
02/05/1912:32
1024-67-3
ND
uglL
1000
1
02/0411912:06
0210511912:32
72-43-5
NO
ug1L
3.0
1
02/04/1912:06
02/0511912:32
8001-35-2
63
%
10-138
1
02104/1912:06
0210511912:32
2051-24-3
74
%
10-110
1
02/04/1912:06
0210511912:32
877-09-8
REPORT OF LABORATORY ANALYSIS
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Date: 02/12/2019 08:32 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 25
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ANALYTICAL RESULTS
Project: TCLP SLUDGE
Pace Project No.: 92415518
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: SLUDGE 10 Lab ID: 92416518006 Collected: 01125119 14:02 Received: 01/28/19 12:30 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8151A Cl Acid Herbicides TCLP Analytical Method: EPA 8151A Preparation Method: EPA 8151A
Leachate Method/Date: EPA 1311; 02/04/19 14:30 Initial pH: 9.68; Final pH: 5.05
2,4-D ND mg1L 0.0050 1 02107M912:00 02/1111914:09 94-75-7
2,4,5-TP (Silvex) ND mglL 0.010 1 02107/19 12:00 02/11/19 14:09 93-72-1
Surrogates
2,4-DCAA(S) 134 %. 10-155 1 0210711912:00 02/11/1914:09 19719-28-9
Sample: SLUDGE 11 Lab ID: 92415518007 Collected: 01/25/19 14:02 Received: 01/28/19 12:30 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Quaff
6010 MET ICP, TCLP
Analytical Method: EPA 6010D Preparation Method: EPA 3010A
Leachate Method/Date: EPA 1311; 01/31/19 21:43 Initial pH: 10.19; Final pH: 5
Arsenic
ND mg1L 0.050 1 0210211917:57 0210311918:25 7440-38-2
Barium
0.48 mg1L 0,25 1 02/0211917:57 0210311918:25 7440-39-3
Cadmium
ND mg1L 0.0050 1 02/0211917:57 0210311918:25 7440-43-9
Chromium
ND mg1L 0.050 1 02102/1917:57 0210311918:25 7440-47-3
Lead
ND mglL 0.025 1 0210211917:57 02/0311918:25 7439-92-1
Selenium
ND mglL 0.10 1 02102/1917:57 0210311918:25 7782-49-2
Silver
ND mglL 0.025 1 02102/1917:57 02/0311918:25 7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470A Preparation Method: EPA 7470A
Leachate Method/Date: EPA 1311; 01/31/19 21:43 Initial pH: 10.19; Final pH: 5
Mercury ND mg1L 0.00020 1 02/0311918:13 02105/1911:56 7439-97-6
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 455971 Analysis Method: EPA 7470A
QC Batch Method: EPA 7470A Analysis Description: 7470 Mercury TCLP
Associated Lab Samples: 92415518007
METHOD BLANK: 2486987 Matrix: Water
Associated Lab Samples: 92415518007
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Mercury mg/L ND 0.00020 02/0511911:28
METHOD BLANK: 2487426
Associated Lab Samples: 92415518007
Parameter
Units
Mercury
mg1L
LABORATORY CONTROL SAMPLE:
2488275
Parameter
Units
Mercury
mg1L
LABORATORY CONTROL SAMPLE:
2489208
Parameter
Units
Mercury
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.00020 0210511911:33
Spike LCS LCS
Conc. Result % Rec
0.0025 0.0025 99
Spike LCS LCS
Conc. Result % Rec
0.0025 0.0026 104
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunter8v4e, NC 2807E
(704)875-9092
% Rec
Limits Qualifiers
80-120
% Rec
Limits Qualifiers
80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2488276 24BB277
MS MSD
92415888001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Mercury mg/L ND 0.0025 0.0025 0.0026 0.0025 101 98 75-125 4
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 455970
Analysis Method: EPA 6010D
QC Batch Method: EPA 301DA
Analysis Description: 6010 MET TCLP
Associated Lab Samples: 92415518007
METHOD BLANK: 2488987
Matrix: Water
Associated Lab Samples: 92415518007
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed
Arsenic
mg1L
ND
0.050
0210311917:37
Barium
mg1L
ND
0.25
0210311917:37
Cadmium
mglL
ND
0.0050
02103/1917:37
Chromium
mglL
ND
0.050
0210311917:37
Lead
mglL
ND
0.025
02103/1917:37
Selenium
mglL
ND
0.10
0210311917:37
Silver
mg1L
ND
0.025
02103/1917:37
METHOD BLANK: 2487426
Matrix: Water
Associated Lab Samples: 92415518007
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed
Arsenic
mglL
ND
0.050
02/03/1917:44
Barium
mglL
ND
0.25
02103/1917:44
Cadmium
mg/L
ND
0,0050
02103/1917:44
Chromium
mglL
ND
0.050
02/03/1917:44
Lead
mglL
ND
0.025
0210311917:44
Selenium
mglL
ND
0.10
0210311917:44
Silver
mg1L
NO
0.025
0210311917:44
Qualifiers
Qualitiers
Pace Analytical Services, LLG
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE:
2488268
Spike
LCS
LCS
% Rec
Parameter
Units
Cone.
Result
% Rec
Limits Qualifiers
Arsenic
mg1L
2.5
2.4
98
80-120
Barium
mglL
2.5
2.3
94
80-120
Cadmium
mg1L
2.5
2.4
97
80-120
Chromium
mg1L
2.5
2.4
97
80-120
Lead
mg1L
2.5
2.3
94
80-120
Selenium
mg1L
2.5
2.6
102
80-120
Silver
mglL
1.2
1.3
102
80-120
LABORATORY CONTROL SAMPLE: 2488269
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Arsenic mg1L 2.5 2.4 96 80-120
Barium mg1L 2.5 2.4 96 80-120
Results presented on this page are In the units indicated by the "units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA
Project: TCLP SLUDGE
Pace Project No.: 92415518
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE:
24BB269
Spike
LCS
LCS
% Rea
Parameter
Units
Conc.
Result
% Rea
Limits Qualifiers
Cadmium
mglL
2.5
2.4
97
80-120
Chromium
mglL
2.5
2A
96
80-120
Lead
mglL
2.5
2.4
95
80A20
Selenium
mg1L
2.5
2.6
103
80-120
Silver
mglL
1.2
1.2
99
80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
2488270
2488271
MS
MSD
35444773001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rea
% Rea
Limits
RPD Qual
Arsenic
mg1L
0.014U
2.5
2.5
2.4
2.4
96
96
75-125
0
Barium
mglL
0.161
2.5
2.5
2.5
2.5
95
95
75-125
1
Cadmium
mglL
0,0025
2.5
2.5
2.4
2.4
97
97
75-125
0
U
Chromium
mglL
0.012J
2.5
2.5
2.4
2.4
96
95
75-125
1
Lead
mglL
0.091
2.5
2.5
2.4
2.4
93
93
75-125
0
Selenium
mglL
0.019U
2.5
2.5
2.6
2.6
103
102
75-125
1
Silver
mg1L
0.00050
1.2
1.2
1.3
1.3
101
100
75-125
1
U
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/12/2019 08:32 AM without the written consent of Pace Analytical Services, LLC. Page 9 of 25
aceAnalytical
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Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 455666
QC Batch Method: EPA8260B
Associated Lab Samples: 92415518003
METHOD BLANK: 2485805
Associated Lab Samples: 92415518003
QUALITY CONTROL DATA
Analysis Method: EPA 8260B
Analysis Description: 8260 MSV TCLP
Matrix: Water
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed
Qualifiers
1,1-Dichloroethene
uglL
ND
5.0
0113111921:52
1,2-Dichloroelhane
uglL
ND
5.0
0113111921:52
1,4-Dichlorobenzene
ug1L
ND
5.0
01131/1921:52
2-Butanone (MEK)
ug1L
ND
10.0
01/31/19 21:52
Benzene
uglL
ND
5.0
01/31/19 21:52
Carbon tetrachloride
ug1L
ND
5.0
01/31/19 21:52
Chlorobenzene
uglL
ND
5.0
01/31/19 21:52
Chloroform
uglL
ND
5.0
01/31/19 21:52
Tetrachloroethene
uglL
ND
5.0
01131119211:52
Trichloroethene
ug1L
ND
5.0
01/31/19 21:52
Vinyl chloride
uglL
ND
5.0
011311i921:52
1,2-Dichloroethane-d4 (S)
%
97
70-130
01/31/19 21:52
4-Bromofluorobenzene (S)
%
98
70-130
01/31/19 21:52
Toluene-d8 (S)
%
104
67-135
01/31/19 21:52
LABORATORY CONTROL SAMPLE:
2486975
Spike
LCS
LCS % Rec
Parameter
Units
Cone.
Result
% Rec Limits Qualifiers
1,1-Dichloroethene
uglL
50
49.8
100
70-130
1,2-Dichloroelhane
uglL
50
44.8
90
70-130
i,4-Dichlorobenzene
ug1L
50
46.9
94
70-130
2-Butanone (MEK)
ug1L
100
104
104
64-135
Benzene
uglL
50
50.0
100
70-130
Carbon tetrachloride
uglL
50
46.5
93
70-130
Chlorobenzene
uglL
50
48.0
96
70-130
Chloroform
ug1L
50
45A
91
70-130
Tetrachloroethene
uglL
50
50.4
101
69-130
Trichloroetheno
ug1L
50
50.1
100
70-130
Vinyl chloride
uglL
50
49.3
99
70-131
1,2-Dichloroethane-d4 (S)
%
97
70-130
4-Bromofluorobenzene (S)
%
100
70-130
Toluene-d8 (S)
%
96
67-135
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2486976
2486977
MS
MSD
92415497001
Spike
Spike
MS
MSD MS
MSD % Rec
Parameter
Units Result
Conc.
Cone.
Result
Result % Rec
% Rec Limits RPD
1,1-Dichloroethene ug1L ND 400 400 438 429 109 107 70-154 2
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 02/1212019 08:32 AM without the written consent of Pace Analytical Services, LLC.
Qual
Page 10 of 25
aceAnalytical�
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QUALITY CONTROL DATA
Project: TCLP SLUDGE
Pace Project No.: 92415518
Pace Analytical Services, LLG
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
2486976
2486977
M5
MSD
92415497001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qual
1,2-Dichloroethane
ug/L
NO
400
400
395
392
99
98
70-137
1
1,4-Dichlorobenzene
uglL
ND
400
400
379
395
95
99
70-133
4
2-Butanone (MEK)
ug1L
ND
800
800
802
832
100
104
60-139
4
Benzene
U91L
N❑
400
400
413
438
103
109
70-151
6
Carbon tetrachloride
ug/L
ND
400
400
390
410
98
102
70-143
5
Chlorobenzene
ug/L
ND
400
400
399
408
100
102
70-138
2
Chloroform
ug/L
ND
400
400
399
393
97
95
70-139
2
Tetrachloroethene
ug/L
ND
400
400
418
426
105
107
59-143
2
Trichloroethene
ug/L
ND
400
400
413
433
103
108
70-147
5
Vinyl chloride
ugJL
ND
400
400
438
443
110
111
70-156
1
1,2-Dichloraethane-d4 (S)
%
101
96
70-130
4-Bromo9uorobenzene(S)
%
100
102
70-130
Toluene-d8 (S)
%
96
98
67-135
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/12/2019 08:32 AM without the written consent of Pace Analytical Services, LLC. Page 11 of 25
aceAnaIxical
xnvw.pacalabs.com
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 456164
QC Batch Method: EPA 3510C
Associated Lab Samples: 92416618005
METHOD BLANK: 2486200
Associated Lab Samples: 92415518005
Parameter
Chlordane (Technical)
Endrin
gamma-BHC (Lindane)
Heptachlor
Heptachlor epoxide
Methoxychlor
Toxaphene
Decachlorobiphenyl (S)
Tetrachloro-m-xylene (S)
QUALITY CONTROL DATA
Analysis Method: EPA8081B
Analysis Description: 8081 TCLP Pesticides RV
Matrix: Water
Units
Blank
Result
Reporting
Limit
Analyzed Qualifiers
ug1L
ND
3.0
02/05/1913:23
uglL
ND
0.50
0210511913:23
ug1L
ND
0.50
0210511913:23
ug1L
ND
0.50
0210511913:23
ug1L
ND
0.50
02/05/1913:23
ug1L
ND
1000
0210511913:23
uglL
ND
3.0
0210511913:23
%
75
10-138
02105/1913:23
%
85
10-110
0210511913:23
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE:
2489041
Spike
LCS
LCS
% Rec
E Parameter
Units
Cone.
Result
%flee
Limits Qualifiers
Endrin
uglL
1.2
1.2
100
20-134
gamma-BHC (Lindane)
uglL
1.2
1.2
99
20-118
Heptachlor
ug1L
1.2
1.1
88
20-142
Heptachlor epoxide
uglL
1.2
1.2
95
22-133
Methoxychlor
uglL
3.8
ND
99
44-150
Decachlorobiphenyl (S)
%
71
10-138
Tetrachloro-m-xylene (S)
%
89
10-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
2489042
MS
92415518005
Spike
Parameter
Units
Result
Conc.
Endrin
ug1L
ND
1.2
gamma-BHC (Lindane)
ug1L
ND
1.2
Heptachlor
uglL
ND
1.2
Heptachlor epoxide
ug1L
ND
1.2
Methoxychlor
ug1L
ND
3.8
Decachlorobiphenyl (S)
%
Tetrachloro-m-xylene (S)
%
2489043
MSD
Spike
MS
MSD
MS
MSD
% Rec
Conc.
Result
Result
% Rec
% Rec
Limits
RPD
1.2
1.1
1.2
91
93
21-133
3
1.2
1.3
1.2
102
97
24-119
5
1.2
0.83
0.92
66
74
16-128
10
1.2
1.1
1.1
85
86
50-150
1
3.8
ND
ND
89
95
50-150
58
54
10-138
77
81
10-110
Results presented on this page are in the units Indlcated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 02/12/2019 08:32 AM without the written consent of Pace Analytical Services, LLC.
Qual
Page 12 of 25
aceAnalytical
wwwpscefabs.com
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 22008
QC Batch Method: EPA 8151 A
Associated Lab Samples: 92415518006
METHOD BLANK: 97873
Associated Lab Samples: 92415518006
Parameter
Units
2,4,5-TP (Silvex)
mg/L
2,4-D
mglL
2,4-DCAA (S)
%.
QUALITY CONTROL DATA
Analysis Method: FPA8151A
Analysis Description: 8151 GCS TCLP Herbicides
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.010 02/11/1911:33
ND 0.0050 0211111911:33
183 10-155 0211111911:33 S3
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NO 28078
(704)875-9092
METHOD BLANK: 98319
Matrix: Water
Associated Lab Samples: 92415518006
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
2,4,5-TP (Silvex)
mg/L
ND 0.010
02/11/19 12:18
2,4-D
mg/L
ND 0.0050
02/111191218
2,4-DCAA(S)
%.
189 10-155
0211111912:18 S3
LABORATORY CONTROL SAMPLE:
99061
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
2,4,5-TP (Silvex)
mg/L
2
2.3
116 39-138
2,4-D
mg/L
2
2.2
110 29-145
2,4-DCAA (S)
%.
146 10-155
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 99062
99063
MS
MSD
2614376001
Spike
Spike MS
MSD MS MSD
% Rec
Parameter
Units
Result
Conc.
Conc. Result
Result % Rec % Rec
Limits RPD Qual
2,4,5-TP (Silvex)
mg/L
<0.010
2
2 2.6
2.5 131 125
10-156 5
2,4-D
mg/L
<0.0050
2
2 2.5
2.4 123 119
10-156 3
2,4-DCAA (S)
%
150 143
10-155
Results presented on this page are in the units Indicated by the"Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shalt not be reproduced, except in full.
Date: 02/12/2019 08:32 AM without the written consent of Pace Analytical Services, LLC.
Page 13 of 25
J
aceAnalyircal
WVAV.Pacelabs.com
QUALITY CONTROL DATA
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 456109 Analysis Method: EPA 8270D
OC Batch Method: EPA 3510C Analysis Description: 8270 TCLP MSSV
Associated Lab Samples: 92415518004
METHOD BLANK: 2486200
Associated Lab Samples: 92415518004
Parameter
Units
1,4-❑ichlorobenzene
uglL
2,4,5-Trichlorophenol
ug1L
2,4,6-Trichlorophenol
ug1L
2,4-Dinitrololuene
uglL
2-Methylphenol(o-Cresol)
uglL
3&4-Methylphenol(m&p Cresol)
uglL
Hexachloro-1,3-butadiene
ug1L
Hexachlorobenzene
ug1L
Hexachloroethane
ug1L
Nitrobenzene
ug/L
Pentachlorophenol
ug1L
Pyridine
u91L
2,4,6-Tribromophenol (S)
%
2-Fluorobiphenyl (S)
%
2-Fluorophenol (S)
%
Nitrobenzene-d5 (S)
%
Phenol-d6 (S)
%
Terphenyl-d14 (S)
%
Matrix: Water
Blank
Result
Reporting
Limit
Analyzed
NO
50.0
02/0411917:03
ND
50.0
02/04/19 17:03
ND
50.0
02/04/19 17:03
ND
50.0
0210411917:03
ND
50.0
02104/1917:03
ND
50.0
02/04/19 17:03
ND
50.0
02/04/19 17:03
ND
50.0
02/0411917:03
ND
50.0
0210411917:03
ND
50.0
02104/19 17:03
ND
100
02/04/1917:03
ND
50.0
0210411917:03
68
27-108
02104/191T03
59
13-107
02104/1917:03
37
10-110
0210411917:03
58
12-102
0210411917:03
25
10-110
0210411917:03
76
21-132
0210411917:03
Qualifiers
LABORATORY CONTROL SAMPLE:
Parameter
2488769
Units
Spike
Conc.
LCS
Result
LCS
% Rec
% Rec
Limits
1,4-Dichlorobenzene
uglL
500
234
47
30-130
2,4,5-Trichlorophenol
uglL
500
232
46
40-130
2,4,6-Trichlorophenol
ug1L
500
245
49
40-130
2,4-Dinitrotoluene
ug1L
600
287
57
49-130
2-Methylphenol(o-Cresol)
uglL
500
192
38
30-130
3&4-Methylphonol(m&p Cresol)
uglL
500
174
35
20-130
Hexachloro-1,3-butadiene
ug1L
500
219
44
10-130
Hexachlorobenzene
uglL
500
255
51
30-130
Hexachloroethane
uglL
500
210
42
10-130
Nitrobenzene
uglL
500
244
49
20-130
Pentachlorophenol
ug1L
1000
592
59
10-140
Pyridine
uglL
500
79.9
16
10-130
2,4,6-Tribromophenol (S)
%
62
27-108
2-Fluorobiphenyl (S)
%
48
13-107
2-Fluorophenol (S)
%
31
10-110
Nitrobenzene-d5 (S)
%
50
12-102
Phenol-d6 (S)
%
21
10-110
Terphenyl-d14 (S)
%
72
21-132
Pace Analytical services, LLC
9800 KinceyAve. Suite 1o0
Huntersville, NC 28078
(704)875-9092
Qualifiers
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 02/1212019 08:32 AM without the written consent of Pace Analytical Services, MG. Page 14 of 25
aceAnalytical®
www.pacetabs.com
QUALITY CONTROL DATA
Project: TCLP SLUDGE
Pace Project No.: 92415518
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersviile, NC 28078
(703)875-9092
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
2488770
2488771
MS
MSD
92415518004
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qual
1,4-Dichlorobenzene
ug/L
ND
500
500
192
210
38
42
30-130
9
2,4,5-Trichlorophenol
ug/L
ND
500
500
197
225
39
45
40-130
13 M1
2,4,6-Trichlorophenol
ug1L
ND
500
500
211
228
42
46
40-130
8
2,4-Dinitrotoluene
ug1L
ND
500
500
259
304
52
61
49-130
16
2-Methylphenol(o-Cresol)
uglL
ND
500
500
160
172
32
34
30-130
7
3&4- Methyl phenol (m&p
uglL
ND
500
500
139
151
28
30
20-130
8
Cresol)
Hexachloro-1,3-butadiene
uglL
ND
500
500
187
190
37
38
10-130
1
Hexachlorobenzene
uglL
ND
500
500
215
250
43
50
30-130
15
Hexachloroethane
uglL
ND
500
500
176
188
35
38
10-130
7
Nitrobenzene
uglL
ND
500
500
212
244
42
49
20-130
14
Pentachlorophenol
ug/L
ND
1000
1000
575
658
58
66
10-140
13
Pyridine
ug1L
ND
500
500
58.8
73.9
12
15
10-130
23
2,4,6-Tribromophenol (S)
%
53
60
27-108
2-Fluorobiphenyl (S)
%
40
45
13-107
2-Fluorophenol (S)
%
24
27
10-110
Nitrobenzene-d5 (S)
%
41
46
12-102
Phenol -dB (S)
%
16
18
10-110
Terphenyl-d14 (S)
%
63
76
21-132
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/1212019 08:32 AM without the written consent of Pace Analytical Services, LLC.
Page 15 of 25
ac6Analytrcal
wtiw.pacelabs.00m
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 329388
QC Batch Method: ASTM D2974-87
Associated Lab Samples: 92415518001, 92415518002
SAMPLE DUPLICATE: 1602618
Parameter Units
Percent Moisture %
QUALITY CONTROL DATA
Analysis Method: ASTM D2974-87
Analysis Description: Dry Weight/Percent Moisture
30278290001 Dup
Result Result RPD Qualifiers
1.8 1.8 2
SAMPLE DUPLICATE: 1602619
30278290003 Dup
Parameter Units Result Result
Percent Moisture % 46.4 46.1
RPD Qualifiers
1
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NG 28078
(704)875-9092
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/12/2019 08:32 AM without the written consent of Pace Analytical Services, LLC.
Page 16 of 25
aceAnalytical"
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QUALITY CONTROL DATA
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 328824 Analysis Method: EPA 1010
QC Batch Method: EPA 1010 Analysis Description: 1010 Flash Point, Closed Cup
Associated Lab Samples: 92415518002
METHOD BLANK: 1600114 Matrix: Water
Associated Lab Samples: 92415518002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Flashpoint deg F >200 60.0 02/01/19 16:08
SAMPLE DUPLICATE: 1600115
30278299001 Dup
Parameter Units Result Result RPD Qualifiers
Flashpoint deg F >200 >200
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result,
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/1212019 08:32 AM without the written consent of Pace Analytical Services, LLC,
Page 17 of 25
aceAnaiX cal
wwwpacetabs.corn
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 328618
QC Batch Method: EPA 9045C
Associated Lab Samples: 92415518002
SAMPLE DUPLICATE: 11599229
Parameter
pH in water at 25 degrees C
QUALITY CONTROL DATA
Analysis Method: EPA9045C
Analysis Description: 9045 p"
30278210001 Dup
Units Result Result RPD Qualifiers
Std. Units 7.4 7.4 1 H3
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 0211212019 08:32 AM without the written consent of Pace Analytical Services, LLC.
Page 18 of 25
aceAnalytrcal
www.pam)abs.com
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 328735
QC Batch Method: SW 846 7.3.3.2
Associated Lab Samples: 92415518001
METHOD BLANK: 1599646
Associated Lab Samples: 92415518001
Parameter Units
Cyanide, Reactive mglkg
LABORATORY CONTROL SAMPLE: 1599647
Parameter Units
Cyanide, Reactive mglkg
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Analysis Method: EPA 9014
Analysis Description: 733C Reactive Cyanide
Matrix: Solid
Blank Reporting
Result Limit Analyzed Qualifiers
ND 1.0 01131/1921:15
Spike LCS LCS % Rec
Cones Result % Rec Limits Qualifiers
99.7 ND 0 0-8
SAMPLE DUPLICATE: 1599648
30278299001 Dup
Parameter Units Result Result
Cyanide, Reactive mglkg ND ND
RPD Qualifiers
Results presented on INN page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02112/2019 08:32 AM without the written consent of Pace Analytical Services, LLC, Page 19 of 25
aceAnalytical
www.pacelabs.com
QUALITY CONTROL DATA
Project: TCLP SLUDGE
Pace Project No.: 92415518
QC Batch: 328734 Analysis Method: SM 4500S2F-00
QC Batch Method: SW-846 7.3.4.2 Analysis Description: 734S Reactive Sulfide
Associated Lab Samples: 92415518001
METHOD BLANK: 1599643 Matrix: Solid
Associated Lab Samples: 92415518001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Sulfide, Reactive mglkg ND 10 01131I19 20:27
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE: 1599644
Spike LCS LCS % Rec.
Parameter Units Conc. Result % Rec Limits Qualifiers
Sulfide, Reactive mglkg 199 39.8 20 0-52
SAMPLE DUPLICATE: 1599645
30278299001 Dup
Parameter Units Result Result RPD Qualifers
Sulfide, Reactive mg/kg ND ND
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 02/12/2019 08:32 AM without the written consent of Pace Analytical Services, LLC. Page 20 of 25
aceAnaIXical"
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QUALIFIERS
Project: TCLP SLUDGE
Pace Project No.: 92415518
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenyihydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
PASI-GA Pace Analytical Services -Atlanta, GA
PASI-PA Pace Analytical Services - Greensburg
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
S3 Surrogate recovery exceeded laboratory control limits. Analyte presence below reporting limits in associated sample.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 0211212019 08:32 AM without the written consent of Pace Analytical Services, LLC. Page 21 of 25
aceAnaIXical
www.pacelabs.coni
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: TCLP SLUDGE
Pace Project No.: 92415518
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(104)875-9092
Lab I❑
Sample ID
QC Batch Method
QC Batch
Analytical Method
Analytical
Batch
92415518005
SLUDGE
EPA35100
456164
EPA 8081B
456400
92416518006
SLUDGE 10
EPA8151A
22008
EPA8151A
22097
92415518007
SLUDGE11
EPA 3010A
455970
EPA 601OD
456030
92415518007
SLUDGE11
EPA7470A
455971
EPA7470A
456084
92415518004
SLUDGE 8
EPA3510C
456109
EPA8270D
456230
92416618003
SLUDGE 7
EPA 8260B
456666
92415518001
SLUDGE 5
ASTM D2974-87
329388
92416518002
SLUDGE 6
ASTM D2974-87
329388
92415518002
SLUDGE 6
EPA 1010
328824
92415518002
SLUDGE 6
EPA9045C
328618
92415518001
SLUDGE 5
SW-846 7.3.3.2
328735
EPA 9014
328742
92415518001
SLUDGE 5
SW-846 7.3.4.2
328734
SM 4500S2F-00
328741
Date: 02112/2019 08:32 AM
REPORT OF LABORATORY ANALYSIS
This report shalt not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 22 of 25
Document Name:
Document No.:
F-CAR•C3•033•111ev
Document Revised: February 7, 2018
Par 1 of
Iis uing Authority:
Pace Carolinas Quality Office
Laboratcry recelving samples)
Asheville ❑ Edenp Greenwood ❑ Hnntersvllle ❑ Ralelgh❑ Mechanl001e11
Client Name., Project WO# : 92415518
�
[outfar: [-]FedEx ❑UPS CIUSPS Cflent
❑ Commertlal ace ❑Other: 92415518 11I I1 i
Custody 5eai Present? ❑Yes !o seals Intact? ®Yes ❑Ncr
Racking Material: QBubble Wrap W uh6 bla Bags a Other
Thermometer q �T� �" Type of Ice. wat ❑Blue
❑IA Gun li�,�..�
Cooler Temp ('C): Q• Correction Factor: Add/Subtract ('CJ
Cooler Temp Corrected j'C): 7
04tallnitialo Parson Examfnieg ConEants: n-111
Biological Tiss�, u-e�,F►ot9n7
Elves []No E9/'x
❑Noce
Tempihauld be above fleeting tO VC
❑➢ampfes out of temp criteria. Samples on ke, cooling process
has6e®ua
USDA Regulated Sall (NIA, water sample)
Old samples orlginate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Old samples originate from a foreign source (intern onally,
r— i—. Ems_ w—ii end O,iarm menD r-Tync
Comments/Disereparrcy:
Chain of Custody Present?
es
❑No
❑NIA
1.
Samples Arrived within Ifold Time?
❑No
❑N!A
2
Short Hold Time Analysis (02 hr.)?
-Efes
❑Yes
Nn
❑NIA
3,
Rush TurnAraund Time Requested?
Yes
No
❑NIA
4.
5ufflclent volume?
9fes
❑NO
❑NIA
S.
Correct Containers Used?
-Face Containers Used?
Iles
�;s
❑No
NO
❑NIA
❑NIA
6.
Containers intact?
26s
QN.
EINJA
7,
Oissorved analysis: Samples Field Filtered?
❑Yes
No
❑N/A
a.
Sample labels Match COC7
-Includes Oateflime/10/Analysis Matrix
,0 es
[]No
❑N/A
9.
Heads ate in VOA Vats OS-6mm)?
❑Yes
❑No
N/A
lU.
Trip Blank Present?
Trip glankCustody Seals Present?
❑Yes
❑Yes
[]NO
No
NIA
N/A
11.
COMMENTS/SAMPLE DISCREPANCY
Lot IQ of spltt containers:
CLIENT NOTIFICATION/RFSC1LLHON
Flerd Deta! Roqulrad? [Yes ❑No
Person contacted: Oate/Tlme:
Project Manager SCURF Review: Deter ! 2,i c)
Project Manager SRF Rrvlew: .T ` Bete:
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Document Name:
Sample Condnfan U on Res:
❑acument No.:
'Check marts tap half of box if pH and/or dechlorinattan is
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samples,
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Vocument Revised: February 7,
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Page 25 of 25
aceAnalj6dal
www.pacela4s.com
ANALYTICAL RESULTS
Project: BiManthly Res Sludge (1115119)
Pace Project No.: 92452481
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: Water Plant Sludge Lab ID: 92452481001 Collected: 11105119 13:25 Received: 11/06/19 10:10 Matrix: Solid
Results reported on a "dry weight' basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP
Analytical Method: EPA 601 OD Preparation Method: EPA 3050B
Aluminum
9240 mglkg
32.5 1 1111311913:50
11/1511911:07
7429-90-5
Arsenic
ND mglkg
3.2 1 1111311913:50
11/1511911:07
7440-38-2
Cadmium
ND mglkg
0,32 1 1111311913:50
11/15/1911:07
7440-43-9
Calcium
209000 mglkg
325 10 11/13/1913:50
11117/1919:31
7440-70-2
Chromium
ND mglkg
1.6 1 11/1311913:50
11116/1911:07
7440-47-3
Copper
1.9 mglkg
1.6 1 11113/1913:50
1111511911:07
7440-50-8
Lead
ND mglkg
1.6 1 11113/1913:50
1111511911:07
7439-92-1
Magnesium
10600 mglkg
32.5 1 11113/1913:50
11/1511911:07
7439-95-4
Molybdenum
ND mglkg
1.6 1 11113/1913:50
11/1511911:07
7439-98-7
Nickel
ND mglkg
1.6 1 1111311913:50
11/15/1911:07
7440-02-0
Potassium
ND mglkg
1620 1 11/1311913:50
11115/1911:07
7440-09-7
Selenium
ND mglkg
3.2 1 11/1311913:50
1111511911:07
7782-49-2
Sodium
ND mglkg
1620 1 11/13/1913:50
11/15/1911:07
7440-23-5
Zinc
ND mglkg
3.2 1 11/1311913:50
11115/1911:07
7440-66-6
7471 Mercury
Analytical Method: EPA 7471 B Preparation Method: EPA 7471 B
Mercury
ND mglkg
0.0090 1 1111111918:45
11/1311915:02
7439-97-6
254OG Total Percent Solids
Analytical Method: SM 2540G-2011
Total Solids
20.5 %
0.10 1
11/07/19 15:09
Percent Moisture
Analytical Method: ASTM 02974-87
Percent Moisture
79.5 %
0.10 1
11/07/19 14:58
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993 Mod. Preparation Method:
EPA 350.1 Rev 2.0
1993 Mod.
Nitrogen, Ammonia
ND mglkg
45.1 1 11112/19 16:15
11/12119 22:32
7664-41-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Nitrogen, Kjeldahl, Total
ND mglkg
195 1 11/14/19 04:48
11/15/19 06:49
7727-37-9
353.2 Nitrogen, N021NO3
Analytical Method: EPA 353.2 Rev 2.0 1993 Preparation Method: EPA 353.2 Rev 2.0 1993
Nitrogen, NO2 plus NO3
ND mglkg
19A 1 11/06/19 22:43
11/07/19 00:06
Nitrogen, Nitrate
ND mglkg
19.4 1 11/06/19 22:43
11/07/19 00:06
14797-55-8
Nitrogen, Nitrite
ND mglkg
19.4 1 11/06/19 22:43
11/07/19 00:06
14797-65-0
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0
1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Phosphorus
135 mglkg
4.8 1 11/13/19 19:03
11/13/19 21:35
7723-14-0
4500 Chloride in Soil
Analytical Method: SM 4500-CI-E-2011
Preparation Method: SM 4500-CI-E-2011
Chloride
339 mglkg
48.1 1 11/1911917:30
1111911919:52
16887-00-6
9056 IC Anions
Analytical Method: EPA 9056A Preparation Method: EPA 9056A
Sulfate
803 mglkg
242 1 11/12/19 15:17
11/12/19 21:43
14808-79-8
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 11/27/2019 06:10 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 18
WOri:92452481
miiuiiaiiininm
co
State of North Carolina
DWR
Department of Environmental Quality
Division. of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supportin-a documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General -- This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed pennits, submit a separate certification for each source facility.
® For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constiacted and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1
RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: 5 naa o Central LLC
Status
Code'
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry
Tons Per Year
Current b
Proposed
N
City of Elizabeth City
Elizabeth City WTP
Pasquotank
04-70-010
0
3250
N
South Fork Industries, Inc
South Fork Industries —
Maiden Plant
Catawba
NC0006190
0
315
Status Code
for source facility are: ♦ N (New)
♦ R (Renewed) ♦ M (Modified)
♦ D (Deleted)
e The amount
of residuals currently permitted
for distribution, land application. or
disposal (i.e, not applicable
to new facility).
SUMMARY FOR FORM: RSC 06-16 Page I
State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: South Fork Industries — Maiden Plant
2. Facility permit holder is: ❑ Federal, [l State, ® Local Government, or ❑ Private.
Facility permit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain:).
3. Facility contact person and title: Everette J Owens
Complete mailing address: PO Box 1220
City: Lincolnton State: NC Zip: 28093-
Telephone number: (704)-732-6946 ext 22 E-mail: everette@southforkind.com
4. Facility physical address: 100 W Pine St
City: Maiden State: NC Zip: 28650-
Coordinates: Latitude: 35°34' 22" Longitude: 81' 13' 07"
Datum: NAD83 Level of accuracy: Seconds
Method of measurement: MAP
I, 5. Purpose of the facility:
treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water,{ treatment of 100% industrial wastewater,
treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ❑ Yes No
7. Facility permitted/design flow: 1.22MGD and facility average daily flow: 0.75 MGD
8. Average amount of residuals being generated at this facility est. 117 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two 1.5 million gallon aeration basins
Type and volume of residuals storage (i.e., outside of residuals treatment units): 1.8 million gallon lagoon
H. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or Eg 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CPR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102 6 as:
Biological R Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page 1 of 5
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes N no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes N no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Shealy Env. Services Date of analysis: 11/03/2019
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: >140 °F (> 140°F)
Passed reactivity test: ® yes Ono. HCN: ND mg/kg (<250) & HzS: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/l)
Result
(mg/!)
TCLP Parameter
Limit
(mgll)
Result
(mgll)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
I00.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
I,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5
4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For DistribirtioipEaitd Application: Fill in the following table with the results of the latest analyses (Le., on a dry weight
basis) for the following metal parameters:
Laboratory: Shealy Env. Services Date of analysis: 07/28/2020
Parameter
Ceiling
Concentration Limits
(C1assA & ClassB)
(mglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mg4g)
Result
(mg/kg)
Arsenic
75
41
2.1
Cadmium
85
39
ND
Copper
4,300
1,500
340
Lead
840
300
3.2
Mercury
57
17
ND
Molybdenum
75
n/a
ND
Nickel
420
420
14
Selenium
100
100
ND
Zinc
7,500
2,800
740
b. For Surface Disposal Unit Oar : Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory = and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg4g)
Nickel
(mglkg)
❑ > 0 but <25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
> 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
> 125
62
450
420
Result (mgft)
FORM: RSC 06-16 Page 3 of 5
5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 3.91 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Shealy Env. Services Date of analysis: 07/28/2020
Parameter
Result
(rng/kg)
Aluminum
3100
Ammonia -Nitrogen
3300
Calcium
3200
Magnesium
460
Nitrate -Nitrite Nitrogen
36.6
pH (Standard Unit)
7.0
Phosphorus
4100
Potassium
710
Sodium
6000
Total Kjeldahl Nitrogen
45000
c. Using the results listed in Item Il. 5b. above, calculate the sodium adsorption ration (SAR): 5.19
[Note: if residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): M default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: Water Treatment Process
c. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First ff") Year PAN
Five -Year
Maximum Adjusted PAN
(mg/kg)
(nrg/kg)
Surface
14,197
22,332
Injection/Incorporation
15,847
23,982
6, Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: None
FORM: RSC 06-16 Page 4 of 5
7. Pathogen Reduction: Per 15A NCAC 02T.1 106, specify how residuals will meet the pathogen reduction requirements:
a. For DistributionlLand Application of Gass A or Eguivalen :
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
[] Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
d Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment.
�] Alternative 3 [15A NCAC 02T. 1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC. 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
[] Alternative 5 [15A NCAC 02T. 1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, 0 heat drying, ❑ heat treatment,
Ll thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or [`] pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T. 1 106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.]106(c)Q] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: d aerobic digestion, Q air drying, ❑ anaerobic digestion,
0 composting, or 0 lime stabilization.
c. For Surface Dis osal:
0 Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11.7a. above.
Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11.7b. above.
El Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.I 106(a)(2)].
0 Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction_ (VAR): Per I SA NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T. I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.1107(a)(5)1- 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T. I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)1 - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T. I 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 02T.I 107(a)(I0)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
® Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-t6 Page 5 of 5
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two coLiies of the application and
supporting documentation
For more information, visit the Water Qualify Permitting Section's Non -Discharge Permitting Unit
General -- This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T . 1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit a separate certification for each source facility.
® For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page I of 1
RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name- S;ynagro Central LLC
Maximum Dry. Tons Per Year
Status Facility Permit Holder Facility Name County Permit Number
Code Current " Proposed
N City of Elizabeth City Elizabeth City WTP Pasquotank 04-70-010 0 3250
N South Fork Industries, Inc South Fork Industries — Catawba NC0006190 0 315
Maiden Plant
a Status Code for source facility are: ♦ N (New) R (Renewed) t M (Modified) • D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
Page 1
SUMMARY FOR FORM: RSC 06-16
State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction R.):
1. FaciIity Name: South Fork Industries — Maiden Plant
2. Facility permit holder is: ❑ Federal, ❑ State, 0 Local Government, or Ej Private.
Facility permit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: L 1).
3. Facility contact person and title: Everette J Owens
Complete mailing address: PO Box 1220
City: Lincolnton State: NC Zip: 28093-.
Telephone number: (704)-732-6946 ext 22 E-mail: everette@southforkind.com
4. Facility physical address: 100 W Pine St
City: Maiden State: NC zip: 28650-
Coordinates: Latitude: 35°34' 22" Longitude: 81' I3' 07"
Datum: NAD83 Level of accuracy: Seconds
Method of measurement: MAP
5. Purpose of the facility:
treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and 'E % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ❑ Yes No
7. Facility permitted/design flow: 12MGD and facility average daily flow: 0.75 MGD
8. Average amount of residuals being generated at this facility est. 117 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two 1.5 million gallon aeration basins
Type and volume of residuals storage (i.e., outside of residuals treatment units): 1.8 million gallon lagoon
It. RESIDUALS QUALITY INFORMATION (See Instruction C.):
I . Specify if residuals are regulated under:
❑ 40 CFR Part 503 or 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1 102(6] as:
❑ Biological Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page 1 of 5
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no.
If yes, list the number(s): , ',
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes 9 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Shealy Env. Services Date of analysis: 11/03/2019
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: >140 IF (> 140°F)
Passed reactivity test: ®yes ❑no. HCN: ND mg/kg (<250) & H2S: ND mglkg (<500)
TCLP Parameter
Limit
Result
TCLP Parameter
Limit
Result
(mg/1)
(mg/1)
(M911)
(ing/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichiorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene.
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5
4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Appllcotlon: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Shealy Env. Services Date of analysis: 07/28/2020
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mglkg)
Arsenic
75
41
2.1
Cadmium
85
39
ND
Copper
4,300
1,500
340
Lead
840
300
3.2
Mercury
57
17
ND
Molybdenum
75
nla
ND
Nickel
420
420
14
Selenium
100
100
ND
Zinc
7,500
2,800
740
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: `—� and Date of analysis:_
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(anglkg)
Chromium
(mg/kg)
Nickel
(mg/kg)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
125
62
450
420
Result (nag/kg)
FORM: RSC 06-16 Page 3 of 5
5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 3.91 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Shealy Env. Services Date of analysis: 07/28/2020
Parameter
Result
(ing/kg)
Aluminum
3100
Ammonia -Nitrogen
3300
Calcium
3200
Magnesium
460
Nitrate -Nitrite Nitrogen
36.6
pH (Standard Unit)
7.0
Phosphorus
4100
Potassium
710
Sodium
6000
Total Kjeldahl Nitrogen
45000
c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 5.19
[Note: 1f residuals contain SAR of 10 or higher, the applicant shall obtain recommendations fi•om the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): R default value, or 0 actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: Water Treatment Process
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (111) Year PAN
Five -Year
Maximum Adjusted PAN
(rnglkgj
(mg4g)
Surface
14,197
22,332
Injection/Incorporation
15,847
23,982
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: None
FORM: RSC 06-16 Page 4 of 5
7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For DistribudonlLand Applicationt of Class A or Equivalent:
❑ A fecal conform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative i [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T. I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Hehninth Ova.
❑ Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Lard Application of Class B:
❑ Alternative 1 [15A NCAC 02T. 1 106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T. I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, Q anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II.7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item U.S. below [15A NCAC 02T.1106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T. i 107(a)(1)] - 38% Volatile Solids Deduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.1107(a)(2)1- 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T. 1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T.1107(a)(6)] -Alkaline Stabilization,
❑ Alternative 7 [15A NCAC 02T. I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T. 1 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T. I 107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)].
® Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5
Quantitative Justification for Residuals Production Rate
South Fork Ind. Maiden Plant
Between the years of 2016 and 2019, the South Fork Maiden Plant has land
applied approximately 117 dry tons of material each year. It is requested that South Fork
Maiden Plant be permitted to land apply a maximum of 315 dry tons per year to account
for any plant fluctuations or future maintenance cleanouts.
Dry tons land WTlied between 2016 and 2019.
Year
Dry Tons
2016
163
2017
0
2018
123
2019
182
Residuals Sampling Plan
Synagro Residuals Land Application for WQ0035207
South Fork Industries Maiden Plant
Nutrients and Metals Analysis
• Sampling Point: Storage Lagoon
• Sampling Frequency: Annually/ volume dependent
• Sample Type: Composite
• Lab: Waypoint Analytical
Pathogen Reduction (Not Required)
Vector Attraction Reduction (Not Required)
TCLP
• Sampling Point: Storage Lagoon
• Sampling Frequency: Annually
* Sample Type: Composite
• Lab: Summit Environmental Labs
VICINITY MAP
1�` �r tt �P'• 1/'i n
\d y�nJ 1/yll' f�S7 lr')L l5 ]7k i�d o' o :fi
la! h MCCosIIn Pl
hlal[1e �
t
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South Fork
Industries
Bob
I inch = 2,083 feet
Feet
0 550 1,100 2,200 3300 4,400
All locations are approximate.
WASTEWATER TREATMENT PLANT SCHEMATIC
South Fork Industries « MAIDEN, NG
Aeration Basin #2
Vol. = 1,250,000 gallons
(2) 50 H.P. Floating Aerators
180' L x 90'W X 12' D
0.5 MGD
Sludge Return
Bar
SGfeen
Aeration Basin #1
Vol. = 1,260,000 gallons
(2) 50 H.P. Floating Aerators
180' L x 90'W x 12' D
0.5 MOD
rrriGf reed Sludge Return points
,- Flocculent
38 K pia. -W ' Clarifier #1
10 Ft. Sidewater Depth Clarifier #2
Waste Sludge
----------------------------------------------------------------------
I I
Sludge
P.S.
Surface Area = 4%17O Sq. FL f
1.8 MG Holding Capac€tY Clark Creek Discharge No. 001
(517.6 HP Surface Aerators 1.0 MGD Effluent
(2) 5 HP Surface Aerators Flaw (7,600 Ft. From Effluent & Flow
Device
SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Alex Fox
Project Name: South Fork Industries
Lot Number:UJ30008
Date Completed: 11/13/2019
11/14/2019 10:52 AM
Approved and released by:
Lab Director - Greenville: Lucas Odom
n
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, inc.
job Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax(803) 791-9111 www.shealylab.com
Page I of 9
SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: UJ30008
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any
exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
qualifier
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
TCLP VOCs
The method blank for analytical batch 35131 contained Tetrachloroethene greater than the acceptance
criteria. The associated sample, UJ30008-001, did not contain detections for the target analyte;
therefore, re -extraction and/or re -analysis of sample was not performed.
Shealy Environmental Services, Inc.
105 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com
Page 2 of 9
Client: Synag ro
Description: South Fork
Date Sampled:10129/2019 1100
Date Received:10/3012019
Run Prep Method
1
1
1
1
1
Inorganic
non-metals
Analytical Method
Dilution
Analysis Date Analyst
(% Solids) SM 2540G
1
10131/2019 0031 KFE
(Ignilability) 1010A
1
11/08/2019 1039 SLC
(Reactive Cya) 7.3.3
1
11/12/2019 1740 KFE
(Reactive Sul) 7.3.4
1
11/11/2019 1612 HET
(Sail pH meas) 9045D
1
11/07/2019 2227 HET
Laboratory ID: UJ30008.001
Matrix: Solid
% Solids: 4.69 10/3112019 0031
Prep Date Batch
34027
35076
1111112019 1008
11/11/2019 1008
34692
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 254OG
4.69
%
1
Ignitability (Pensky-Martens Closed -Cup)
1010A
>140
140
0
° F
1
Reactive Cyanide
7.3.3
ND
50
mg/kg
1
Reactive Sulfide
7.3.4
NO
50
mg/kg
1
Soil pH measured In water @ 18.9 ° C
9045D
6.8
su
1
TCLP Volatiles
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
Leachate Date
1 131115030B 8260D
10 11/09/2019 2116 STM
35131
11 /07/2019 2013
Parameter
CAS Analytical
Number Method Result Q LOQ DL Units Run
Benzene
71-43-2
8260D
ND
0,050
0.0040
mglL
1
2-Butanone (MEK)
78-93-3
8260D
NO
0.10
0.020
mgi
1
Carbon tetrachloride
56-23-5
8260D
NO
0.050
0.0040
mg1L
1
Chlorobenzene
108-90-7
8260D
NO
0.050
0.0040
mglL
1
Chloroform
67-66-3
8260❑
NO
0.050
0.0040
mg1L
1
1,2-Dichloroethane
107-06-2
8260D
NO
0,050
0,0040
m91L
1
1,1-Dichloroethene
75-35-4
8260D
ND
0.050
0,0040
mglL
1
Tetrachloroethene
127-18-4
8260❑
ND
0,050
0,0040
mg/L
1
Trichloroethene
79-01-6
8260D
NO
0.050
0.0040
mg1L
1
Vinyl chloride
75-01-4
8260D
NO
0.010
0.0040
mglL
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
BromoFluorobenzene
95 70-130
1,2-13ichloroethane-d4
93 70-130
Toluene-d8
102 70-130
TCLP Semivolatiles
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch
Leachate Date
1 131113520C
8270E 1 11/13/2019 1323 SCD
11/10/2019 1607 35161
11/07/2019 0137
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units Run
1,4-Dichlorobenzene
106-46-7 8270E
NO
0.040
0.0050
mg1L 1
2,4-Dinitrotoluene
121-14-2 8270E
ND
0.080
0.0050
mg/L 1
LOQ = Limit of Ouantitalion B = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two Cc columns exceeds 40 % J = Estimated result < LOO and > DL
H = Out of holding time W = Reported on wet weight basis
ieMy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (603) 791-9700 Fax (B03) 791-9111 www.shealylab.com
Page 3 of 9
Client:Synagro Laboratory ID:UJ30008.001
Description: South Fork Matrix: Solid
Date Sampled:1012912019 1100 % Solids: 4.69 1013112019 0031
Date Received! 1013012019
TCLP 5emivolatiles
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 131113520C 8270E 1 11/13/2019 1323 SCD 11/10/2019 1607 35161 11/07/2019 0137
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Hexachlorobenzene
118-74-1 8270E
NO
0.040
0.0050
mg1L
1
Hexachlorobutadiene
87-68-3 8270E
NO
0,040
0.0050
mglL
i
Hexachloroethane
67-72-1 8270E
NO
0.040
0,010
mglL
1
2-Methylphenol
95-48-7 8270E
NO
0.040
0,010
mg1L
1
3t4-Methylphenol
106-44.5 8270E
0.026 J
0.040
0.015
mg1L
1
Nitrobenzene
98-95-3 8270E
NO
0.040
0.015
mglL
1
Pentachlorophonol
87-86-5 8270E
ND
0.20
0.020
mglL
1
Pyridine
110-86-1 8270E
NO
0.040
0.0050
mgll-
1
2,4,5-Trichlorophenol
95-95-4 8270E
NO
0.040
0,0050
mglL
1
2,4,6-Trichlorophenol
88-06-2 8270E
NO
0.040
0,0050
mglL
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
2-Fluorobiphenyl
88 37-129
2-Fluorophenol
49 24-127
Nitrobenzene-d5
84 38-127
Phenol-d5
65 28-128
Terphenyl-dl4
120 10-148
2,4,6-Tribromophenol
93 41-144
Run Prep Method
1 1311/8151A
TCLP Herbicides
Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
8151A 1 11/12/2019 1926 DAL1 11111/2019 1959 35264 11/07/2019 0137
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
2,4-D 94-75-7 8151A ND 0.020 0,0050 mglL 1
2,4,5-TP (Silvex) 93-72-1 8151A ND 0.0050 0.0013 mglL 1
Run 1 Acceptance
Surrogate Q % Recovery Limits
DCAA 74 50-112
PCBs by GC
Run Prep Method Cleanup Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3550C 366OB13665A 8082A 1 11/06120191637 CHG 11/05/20191521 34628
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
Units Run
Aroclor 1016
12674-11-2
8082A
ND
630
uglkg 1
Aroclor 1221
11104-28-2
8082A
NO
630
uglkg 1
Aroclor 1232
11141-16-5
8082A
ND
630
uglkg 1
LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitatlon of compound exceeded the calibration range DL - Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % J = Estimated resul: < LOO and > DL
H = Out of holding time W = Reported on wet weight basis
healy Environmental Services, Inc.
106 Vantage Pasrt Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com
Page 4 of 9
Client:Synagro Laboratory ID: UJ 30008-001
Description: South Fork Matrix: Solid
Date Sampled:1012912019 1100 % Solids: 4.69 10/3112019 0031
Date ReceivedA013012019
PCBs by GC
Run Prep Method
Cleanup Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3550C 366OB13665A 8082A
1 11/06/20191637 CHG
11/05/20191521 34628
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
Aroclor 1242
53469-21-9 8082A
ND
630
uglkg
1
Aroclor 1248
12672-29-6 8082A
ND
630
uglkg
1
Aroclor 1254
11097-69-1 8082A
ND
630
uglkg
1
Aroclor 1260
11096-82-5 8082A
ND
630
uglkg
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
Decachlorobiphenyl
76 41-132
Tetrachloro-m-xylene
56 35-106
TCLP Pesticides
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
Leachate Date
1 131113520C
8081B
1 t1111120191504 DAL
11/08/20191238 35022
11107120190137
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
gamma-BHC (Lindane)
58-89-9 8081B
ND
0.00040
0.00017
mg1L
1
Chlordane
57-74-9 8081B
ND
0.0040
0.0015
mg1L
1
Endrin
72-20-8 8081B
ND
0.00040
0.00015
mglL
1
Heptachlor
76-44-8 8081B
ND
0.00040
0.00015
mglL
1
Heptachlor epoxide
1024-57-3 8081 B
ND
0.00040
0.00016
mg1L
1
Methoxychlor
72-43-5 8081 B
ND
0,0016
0.00021
mglL
1
Toxaphene
8001-35-2 8081B
ND
0.0080
0.0030
mglL
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
Decachloco biphenyl
77 20-131
Tetrachloro-m-xylene
84 26-132
TCLP Metals
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
Leachate Date
1 1311/3010A
6010D
1 11/09/2019 1527 KSH2
11/08/2019 0908 34990
11/07/2019 0137
1 131117470A
7470A
1 11/09/2019 1102 KSH2
11/08/2019 1447 35005
11/07/2019 0137
2 131113010A
6010D
1 11/11/2019 0847 LLL
11/08/2019 0908 34990
11/07/2019 0137
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Arsenic
7440-38-2 6010D
0.045 J
0.15
0.025
mg1L
1
Barium
7440-39-3 6010D
0.32
0.26
0.031
mglL
2
Cadmium
7440-43-9 6010D
ND
0.050
0,0060
mg1L
1
Chromium
7440.47-3 6010D
0.078 J
0.10
0.013
mg1L
1
Lead
7439-92-1 6010D
ND
0.10
0.047
mglL
1
LOQ = Limit of Quantitation
B = Detected in the method Wank E = Quantitation of compound exceeded the
ea}ibration range
DL = Detection
Limit
NO = Not detected al or above the
DL N = Recovery is out of criteria
P - The RPD between two Ge columns exceeds 40%
J - Estimated result < LOQ and > OL
ti - Out of holding hme
W = Reported on wet weight basis
healy Environmental Services, Inc.
i0b Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com
Page 5 of 9
ClienLSynagro
Laboratory 1D:UJ30008-001
Description: South Fork
Matrix: Solid
Date Sampled:10/29/2019 1100
% Solids: 4.69 10131/2019
0031
Dale RCCDived:10/3012019
TCLP Metals
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date Batch Leachate Date
1 131113010A
6010D
1 11/09/2019 1527 KSH2
11/08/2019 0908 34990 11/07/2019 0137
1 1311/7470A
7470A
1 11/09/2019 1102 KSH2
11/08/2019 1447 36005 11/07/2019 0137
2 131113010A
601OD
1 11/11/2019 0847 LLL
11/0812019 0908 34990 11/07/2019 0137
CAS Analytical
Parameter
Number Method
Result Q LOQ DL
Units
Run
Mercury
7439-97-6 7470A
ND 0.0020 0.00091
mglL
1
Selenium
7782-49-2 601OD
ND 0.20 0.085
mglL
1
Silver
7440-22-4 6010D
ND 0.10 0,021
mg1L
1
LOQ = Limit of Quantitation B = Detected in the method blank F = Quantitation ofcompound exceeded the calibration range DL = Detection Limit
No = Not detected a1 or above the OL N = Recovery Is out of criteria P = The RPD between two GC columns exceeds 40% J = Estimated result < LOO and ? DL
H = Out of holding time W = Reported on wet weight basis
i healy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com
Page 6 of 9
Chain of Custody
and
Miscellaneous Documents
SheaSy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com
Page 7 of 9
SHEALY ENVIRONMENTAL SERVICES INC.
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106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com
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Page 8 of 9
SHEALY ENVIRONMENTAL SERVICES INC.
Awly bmtonrimul Zioviuc9.lnr. Npu l o: l
1i,,,",,,„t„ I U.... h'-l UM01Rt•.1.1 LOcW%i Guru: 802614
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SG 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com
Page 9 of 9
aceAnalytical
(1-`
Report of Analysis
Sylnagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Alex Fox
Project Name: South Fork
Lot Number:VG27029
Date Completed:08/05/2020
I
08/06/2020 3:31 PM
Approved and released by:
Project Manager II: Lucas Odom
aksl k,WstlAcvedLrbAe„�e
A C C R E O I T E D
TESTMG I A9WTUHY
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC.
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172
Tel:803-791-9700 Fax:803-791-9111 www.pacelabs.com
Page 3 of 7
PACE ANALYTICAL SERVICES, LLC
SG DHEC No: 32010001 NELAC No: F87653 NC t7FNR No: 329 NG Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: VG27029
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Pace Analytical Services, LLC ("Pace") Quality Assurance
Management Plan (QAMP), standard operating procedures (SOPS), and Pace policies. Any exceptions to
the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
qualifier
If you have any questions regarding this report please contact the Pace Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Metals by ICP
Due to the low % solids value, sample -001 was weighed out 3 times the normal amount. The LOQ has
been elevated to reflect the dilution.
Pace Analytical Services, LLC (formerly Shealy Environrnelaf Services, Inc.)
106 Vantage Paint Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.eom
Page 2 of 7
Client:Synagro Laboratory ID:VG27029-001
❑escriptiom South Fork Matrix: Solid
Date Sampled:0712712020 0900 % Solids: 3.91 07/2812020 0012
Date Received: 0712712020
Inorganic
non-metals
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst
Prep Date Batch
1
(% Solids) SM 254OG
1
07/28/2020 0012 MOM
61416
1 350.1
(Ammonia - N ) 350.1
5
07/28/2020 1321 DMA
61436
1
(Nitrate - N) 9056A
1
07/29/2020 1829 AMR
61679
1
(Nitrite - N) 9056A
1
07/29/2020 1829 AMR
61744
1
(Phosphorus) 365.1
5
07/28/2020 1359 DMA
07/28/2020 0935 61432
1
(Sail pH meas) 9045D
1
08/04/2020 2222 SRB
62360
1 351.4
(TKN) 351.2
1
07/28/2020 1456 DMA
07/28/2020 1002 61429
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 254OG
3.91
%
1
Ammonia- N (gas diffusion)
350.1
3300
130
67
mglkg
1
Nitrate - N (soluble)
9056A
31
13
2.6
ri
1
Nitrite - N (soluble)
9056A
5.6
5.1
2.6
mglkg
1
Phosphorus
7723-14-0 365.1
4100
640
130
mglkg
1
Soil pH measured in water @ 22.1 o C
9045D
7.0
su
1
TKN
351.2
45000
640
640
mglkg
1
CVAA
Run Prep Method
1 7471 B
Parameter
Analytical Method
7471 B
Dilution Analysis Date Analyst
1 07/29/2020 1444 JAB2
CAS Analytical
Number Method
Prep Date Batch
07/29/2020 1025 61550
Result Q LOQ
DL
Units
Run
Mercury
7439-97-6 7471B
ND
2.0
0.47
mglkg
1
ICP-AES
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3050B
6010D
1 07/30/2020 1405 KSH2
O7/29/2020 1428 61551
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Aluminum
7429-90.5 6010D
3100
170
63
mglkg
1
Arsenic
7440-38-2 6010D
2.1 J
6.3
2.1
mglkg
1
Cadmium
7440-43-9 6010D
ND
2.1
0.53
mglkg
1
Calcium
7440.70-2 601OD
3200
2100
260
mglkg
1
Chromium
7440.47-3 6010D
52
4.2
1.0
mglkg
1
Copper
7440-50-8 601OD
340
4.2
1.9
mglkg
1
Iron
7439-89-6 6010D
6200
42
19
mglkg
1
Lead
7439-92-1 6010D
3.2 J
4.2
1.9
mglkg
1
Magnesium
7439-95-4 6010D
460 J
2100
260
mglkg
1
Manganese
7439-96-5 6010D
82
6.3
2.5
mglkg
1
Molybdenum
7439-98-7 6010D
ND
17
4.2
mglkg
1
Nickel
7440-02-0 6010D
14 J
17
4.4
mglkg
1
LOQ = Limit of Quantitation B = Detected in the method blank E = Quanlitation of compound exceeded the calibration range DL = Defection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P - The RPD between two GC columns exceeds 40% J = Estimated result - LOQ and > bt
H = Out of holding time W = Reported on wet weight basis
ace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791 -9700 Fax (803) 791-9111 www.pacelabs.com
Page 3 of 7
Client: Synagro
Laboratory ID: VG27029-001
Description: South Fork
Matrix: Solid
Date Sampled: 0712712020 0900
% Solids: 3.91 07/28/2020 0012
Date Received:0712712020
ICP-AES
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch
1 3050B
6010D 1 07/30/2020 1405 KSH2
O7/29/2020 1428 61551
CAS Analytical
Parameter
Number Method
Result Q
LOQ DL
Units
Run
Potassium
7440-09-7 6010D
710 J
2100 260
mglkg
1
Selenium
7782-49-2 601OD
ND
8.3 3.4
mglkg
1
Sodium
7440-23-5 6010D
6000
2100 260
mglkg
1
Zfnc
7440-66-6 601OD
740
21 5.2
mglkg
1
LOo - Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range OL = Detec ton Limit
NO = Not detected at or above the DL N - Recovery is out of criteria P = The RPD between two GC columns exceeds 40 J - Estimated result < LOQ and > DL
H = Out of holding lime W = Reported on wet weight basis
ace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 4 of 7
Chain of Custody
and
Miscellaneous Documents
Pace Analytical Services, LLC (formerly Shealy Environmental Services, lncj
106 Vantage Point Drive West Columbia, SC 29172 (603) 791-9700 Fax (a03) 791-9111 www.pacelabs.com
Pagc 5 of 7
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Pace Analytical Services, LLG (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803)791-9700 Fax (803) 791-9111 www.pacelabs.coni
Page 6 of 7
PACE ANALYTICAL SERVICES, LLC
,NVLtIYrm Orgl ICnIfilSurria in.a.
tkwill recut NwMba: MCon I RC;-14
Sample Receipt Chee
C.liemi_ Synawo - - Cooler Insuected hvhim m, 0132
LJ Yasl O 1. Were custody seals present S n—the cotalec?
Yet; Na NA IIf clisr 2 eals wcra vremnf. were tbav intac
p14 Strip ID: MA Chlorirc4trip la: NA
Original trenlpecutun; upon Mmip' I Derived (Cory€coed) temperature anon
2.5 j2.5 4C NA iNA °C NA /NA e
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[vietftod; �'1'cmperanlre t31a11ic QAgalnsr $ottle r iR Gun 1D:_
rvTcthod of coals [t: Wet. Ic'c El1co Packs ❑ D.v Ice '❑ T Urtt
t [1'tettlpe-Attu a of klny tearer nxCee(I?rl 6,0'C;
0 Yes ❑ No ONA _.
RM sax Notified by; phone 1 email 1 {;apt:-ta•
Yes ❑ Nn �liA 1a fete crtrnmercial courier's packin slip attar
® Yeg 0 No S_ Were propm cusludy t-oceduro (relinqulsltz
® i'i•s NO 6. Wcro sample IDs listed un the r�
Yez
7. W'r+®
'Yezt
8. Was collection date & time listed on die CO(
Yes
qNib
B.WPS ealluc[irm datedotime listed ona]Is®
Yes
10. Uld all eontainer !abai infortaalion (!D, rlute.
W—YZ
❑ 1Vn
11. Wwo testy to be performed Jisted on the C01
m Yes
q No
12. Did r,ll samplra'"he in the proper canwllft
(unbroken, lids ate, ate,j? _
Yes
❑ No
I3. Was udc.TtwL Sample v11iu1na ar�ilublc?
Yes
❑ hro
ld, Weie Asame fiat received within' the hold
Yes ONO IS, Were any satllpl,.s co
PYes ❑ No O Nil, l6. For V and RSK- I'
1n MY ofthc VOA vials?
❑ Yes No NA 17. Ware all DROhnerata
IS%c 1 of t
Lt11 e[isr ride,; R'2rALJ
k �S_it
07J2712020 Lot 0, VG27C29
nd unbroken?
Tesfcd by: NA
ocipt °'Wid Snap -Cup Ili: 20-302
!Jt Gtlu Corrcclion Faaoar:.. 0 -2C
Project Tvlarmser
(oircle one).
to tills form?
contalnets?
roe) prL",°, wirh the CDC?
fvc euuh lest nn&or in good condition
nr48
launplss, were bubble i present -- `pea -sine"
Iti°iettt sttrrtpIm recolvi d I1t it pH of -??
s reccivcd at a. � 2 nrtd wrltde samnlefi
❑ Yes ❑ NO ®NA "• wrnt nil aprneaate tvri3l t7t:Vfcyamiderphenol
ehlrlrine4
❑ Ves U No V NA 20- 1Vcre client reulatki(rcquesr (i3O, regtteetcd di
cormorly talworibed rrom the Coe into tiro camn
�lYry No 21,Ulm 1hc ttotentvnbarJistratoil thec_ontalner.
Rample ll'rescrvativn (Must be eumplMed far any sarnplCts) inCorrwctly 11r
Samplc(s) NA were received utter
in smple rauaivblg with NA ML afeinslc are: H2SO4, I1NO3, FICI, NFLC
TirrC of pre an aticlr[ NA rf more than orx prase4rftrtive Is needed,
Saoiple(s) KA _ w c
Samples(s) NA were re'.04 d Witt
adjusted uoccii ingly in sample receiv:ng witEt sn lium dtlosulfate (Nalz8201) ,
SR bucade labels appliod by; CMS2 Date: 07Jx�rzn l
Comments:
slim
rer acme, fir.0
d on C:OM
4mrri in dia_motor)
red at o PH> 9?
Mons, M"ISD designadons, [;lc,..)
Intwc w in LJM8?
belt if yctt, Quole 0 NA
,a- error with heaclspace.)
t41y wesewed and were adhtsted acour&ngly
using SR t# NA
Casa note in flit comments beluw.
�ae1��d tixitl[ bubbleR -�G mm in diameter.
fRC > 0 5 BAWL (IM9 is no) attd were
ith Shoat), Il?: NA ._..�
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Paint Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 7 of 7