WQ0039552_Residual Annual Report 2020_20210216

Initial Review
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application what is the submittal type?* r Annual Report
r Residual Annual Report
r Additional Information
r Other
Annual Report Year* 2020
Permit Number (IR)* W00039552
Applicant/Permittee Town of Mocksville
Email Notifications
Does this need review by the hydrogeologist?* 0 Yes r No
Regional Office Winston-Salem
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by N B Staff
Name * Brent Collins
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Project Information
........ ......... .......................................................................................................................
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
3367511441
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:* W00039552
Fbs Current Existing permt number
Applicant/Permittee Address* 171 Clement Street, Mocksville, NC 27028
Facility Name * Town of Mocksville DCAR
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Bc.)
2020 Mocksville WTP Annual Report - WQ0039552.pdf 2.24MB
Upload only 1 FLFdocurrent (less than 250 fvB). NLRiple documents mist be corrbined into one FDFfile unless file is larger than
upload limit.
* V 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
ff &kgw
Submission Date 2/16/2021

Resources, Inc.
Town of Mocksville WTP
2020 Annual Report
Residuals Land Application
Permit No. WQ0039552
Prepared By:
EMA Resources, Inc.
Phone [phone] — Fax [phone]
755 Yadkinville Rd — Mocksville, NC 27028

February 16, 2021
DENR/Water Quality Section
Non -Discharge Compliance Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: 2020 Annual Report — Mocksville WTP
Treatment and Land Application of Residuals
Permit No. WQ0039552
Dear Sir or Madam:
Enclosed is one copy of the 2020 Annual Report for the above referenced land
application permit.
During 2020 EMA Resources, Inc. land applied 94.86 dry tons of wastewater residuals to
30.5 acres of private farmland. Please contact Brent Collins - Director of Technical
Services if you have any further questions regarding this report.
Sincerely,
Z�fz G;2�
Brent Collins
Director of Technical Services
brent.collins(cr,,emaresourcesinc.com
Phone [phone] — Fax [phone]
755 Yadkinville Rd — Mocksville, NC 27028

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT 4: WQ0039552 FACILITY NAME: Town of Mocksville - Water Treatment Plant
PHONE: COUNTY: Davie OPERATOR: Town of Mocksville
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
Q Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes 0 No ❑ —► If No skip parts A, B, C and certify form below
Part A''`:
Part B*:
Month
Sources(s) (include NPDES if
applicable,)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
February
March
April
May
.June
July
August
September
October
November
December
Total from FORM DMSDF (sup)
0
94.86
94.86
94.86
Totals: Annual (dry tons):
0
94.86
94.86
94.86
Amendmentts) used: I
Bulkint+ Agent(s) used:
If more space is required. attach additional information sheets (FORM D,\,ISDF (supp)): Total Number of Form DMSDF (Supp)l 0
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit ❑p Yes
(including but not limited to items 1-3 below) issued by the Division of Water Quality: ❑ No --► If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled .vith or. in the case of a deviation. prior authorization was received from the Division of Water Quality,
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, tru ate and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment no mg viol ions."
S , atur if Pemtittee Date bate
(jWferent from Pennittee)
"Preparer is defined in 40 CFR Part 503.9(r) and 15 A NCAC 2T .1102 (26)
DENR FORM DMSDF (12/2006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
Supplemental Information
WQ PERMIT #: WQ0039552 FACILITY NAME: Town of Mocksville - Water Treatment Plant
PHONE: COUNTY: Davie OPERATOR: Town of Mocksville
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A - "Month", "Source(s)" and "Residual In" columns only)
❑ Distribution and Marketing (complete Parts A, and B)
Part A*:
Part B*:
Month
Sources(s) (include NPDES 1i if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry
tons)
Intended use(s)
June
Town of Mocksville WTP
40.13
40.13
Roger Spillman
40.13
soil amendment
June
Town of Mocksville WTP
54.73
54.73
Town of Mocksville
54.73
soil amendment
Totals:
Annual (dry tons):
0
94.86
94.86 94.86
Amendment(s) used: I Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)l I
DENR FORM DMSDF (Supp) (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0039552
Facility Name: Town of Mocksville - WTP
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Anaivsis Data
NCO230010
Mocksville WTP
Laboratory: 1) Waypoint Analytical
2)
3)
4)
5)
Parameter
(mg/kg)
Conc.
Limit
(mg/kg)'
Sample or Com osite Date
6/10/20
Percent Solids (%}
NA
6.73
Arsenic
75
7.07
Cadmium
85
0.299
Copper
4,300
31.6
Chromium
NA
69.6
Lead
840
24.6
Mercury
57
0.0913
Molybdenum
75
2.01
Nickel
420
31.2
Selenium
100
4.78
Zinc
7,500
84.5
Total Phosphorus
NA
1210
TKN
NA
2990
Ammonia -Nitrogen
NA
4060
Nitrate and Nitrite
NA
936
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualifi erso nel properly gathered and evaluated the information submitted. I am aware that there are significant
penalti -fo ng faKe information, including the possibility of fines and imprisonment for knowing violations."
ignaa Preparer D to
is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0039552
Facility Name: Town of Mocksville - WTP
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analvsis Data
NCO230010
Mocksville WTP
Laboratory: 1) Waypoint Analytical
2)
3)
4)
5)
Parameter III
Sampleor CompositeDate
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that ified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant-peypitiey or subjAitting false information, including the possibility of fines and imprisonment for knowing violations."
ate
defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Mocksville-WTP Total Dry Tons Applied (Annual): 57.07
Permit #: WQ0039552 Cation Exchange Capacity (non 503 only):
Operator: Roger Spillman Owner: Roger Spillman Predominant Soil Series: CeB2
Acres Used: 21.8 Acres Permitted: 21.8 Site #: DV08 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
mignon
Date
W
moon
MENEEMBEEMEM
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
1 C
11
12
DT/Ac./
App.
Event
1.84
0.78
Arsenic
0.026
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.051
Cadmium
0.001
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Copper
0.116
0.081
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.197
Chromiuni
0.256
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.274
Lead
0.091
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.099
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.007
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.015
denum
Nickel
0.115
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.132
Selenium
0.018
0.029
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.047
Zinc
0.311
0.331
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.642
Total
Phos-
4.455
6.030
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
10.485
horus
"1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
1 /29/2021
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Mocksville-WTP
Roger Spillman
Roger Spillman
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0039552 Field #:
Annual Dry Tons Applied: 57.07 Site #:
Predominant Soil Series: CeB2
Crop 1 Max. PAN:
156
Crop 2 Name:
DV08
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
21.8
21.8
C
y o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
F 'F
Q ;
*O
o
*
7� rc
"
CD�.
�.
o
TKN
mg/kg
Z I
o
ac o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN A lied
PP
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/25/20
32500
6.73
0.418
Mocksville WTP
Dry
<.5"
S
0.5
0.1
1 2990
4060
1 936
2.392
NA
Fescue
6/26/20
110500
6.73
1.423
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
8.134
NA
Fescue
0.000
0.000
0.000
11/6/20
18000
2.58
0.089
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
1.882
NA
Fescue
11/7/20
54000
2.58
0.266
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
5.647
NA
Fescue
11/8/20
45000
2.58
0.222
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
1 31600
4650
1 184
4.705
NA
Fescue
12/23/21
18000
2.58
0.089
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
1.882
NA
Fescue
12/24/21
22500
2.58
0.111
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
2.353
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
300500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
26.995
0.000
Lime Applied
Annuallbs/acre
0.051
0.004
0.197
0.274
0.099
0.001
0.015
0.132
0.047
0.642
10.485
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.051
0.004
0.197
0.274
0.099
0.001
0.015
0.132
0.047
0.642
Permitted C. P. L. R. * * * *
36
34
1338
1
1 267
1 15
1 374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
1 156
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/29/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Mocksville-WTP Total Dry Tons Applied (Annual): 62.88
Permit #: WQ0039552 Cation Exchange Capacity (non 503 only):
Operator: Town of Mocksville Owner: Town of Mocksville Predominant Soil Series: CeB2
Acres Used: 4.7 Acres Permitted: 4.7 Site #: MK05 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
5.05
8.33
Arsenic
0.071
0.268
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.340
Cadmium
0.003
0.032
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.035
Copper
0.319
0.865
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.184
Chromiuni
0.702
0.185
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.887
Lead
0.248
0.095
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.344
Mercury
0.001
0.005
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Molyb-
0.020
0.083
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.104
denum
Nickel
0.315
0.185
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.500
Selenium
0.048
0.313
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.362
Zinc
0.853
3.549
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4.402
Total
Phos-
12.211
64.656
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
76.868
horus
"1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
1/29/2021
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Mocksville-WTP
Town of Mocksville
Town of Mocksville
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0039552 Field #:
Annual Dry Tons Applied: 62.88 Site #:
Predominant Soil Series: CeB2
Crop 1 Max. PAN:
209
Crop 2 Name:
MK05
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
4.7
4.7
y o
Q �
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
a
0 w
*O
o
�'
7 rc
"
�.
o
TKN
mg/kg
Z I
o
ac o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/24/20
39000
6.73
2.329
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
13.316
NA
Fescue
6/25/20
45500
6.73
2.717
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
15.535
NA
Fescue
0.000
0.000
0.000
1/9/20
22500
2.58
0.515
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
10.913
NA
Fescue
1/10/20
40500
2.58
0.927
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
19.643
NA
Fescue
7/2/20
22500
2.58
0.515
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
10.913
NA
Fescue
7/3/20
13500
2.58
0.309
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
6.548
NA
Fescue
8/20/20
67500
2.58
1.545
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
32.738
NA
Fescue
8/24/20
18000
2.58
0.412
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
8.730
NA
Fescue
10/7/20
32500
2.58
0.744
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
15.763
NA
Fescue
10/8/20
39000
2.58
0.893
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
18.915
NA
Fescue
12/22/21
13500
2.58
0.309
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
1 31600
4650
184
6.548
NA
Fescue
0
94500
2.163
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
45.833 1
0.000
TOTALS:
0
448500
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
205.393
0.000
Lime A lied
Annuallbs/acre
0.340
0.035
1.184
0.887
0.344
0.006
0.104
0.500
0.362
4.402
76.868
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.340
1 0.035
1.184
0.887
0.344
0.006
0.104
0.500
0.362
4.402
Permitted C. P. L. R. * * * *
36
34
1 1338
1
1 267
1 15
1
1 374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
1 209
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/29/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Supplemental Information
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Mocksville-WTP WQ Permit #: WQ0039552 Field #: 1 Acres Utilized:
Town of Mocksville Annual Dry Tons Applied: 62.8766 Site #: MK05 Acres Permitted:
Town of Mocksville Predominant Soil Series: CeB2 Cation Exchange Capacity (non 503):
Crop 1 Name:
Fescue -Hay
Crop 1 Max. PAN:
209
Crop 2 Name:
Crop 2 Max PAN:
4.7
4.7
U >~
Q 0
Volume applied (enter
one )
Cu. Yds Gallons
36000
o
/o
Solids
2.58
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
e '
Moist)
Preci P
Past 24
Hrs.
inches
E
0 w
*
C
o
7 w
w �.
*
P
?j
-
TKN
mg/kg
Z
o 5
o
CD Z.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre )
Name of CropType
yp
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
12/23/21
0.824
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
17.460
NA
Fescue
12/28/21
45000
2.58
1.030
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
21.825
NA
Fescue
12/29/21
13500
2.58
0.309
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
6.548
NA
Fescue
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
TOTALS:
0
94500
2.163
a::d45.833
0.000
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/29/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date ***C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (SUPP) (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Mocksville-WTP Total Dry Tons Applied (Annual): 60.81
Permit #: WQ0039552 Cation Exchange Capacity (non 503 only):
Operator: Town of Mocksville Owner: Town of Mocksville Predominant Soil Series: CfB2
Acres Used: 4 Acres Permitted: 4 Site #: MK05 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
7.75
7.45
Arsenic
0.110
0.240
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.350
Cadmium
0.005
0.028
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.033
Copper
0.490
0.773
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.263
Chromiuni
1.079
0.165
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.245
Lead
0.381
0.085
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.467
Mercury
0.001
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Molyb-
0.031
0.075
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.106
denum
Nickel
0.484
0.165
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.649
Selenium
0.074
0.280
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.354
Zinc
1.310
3.174
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4.484
Total
Phos-
18.762
57.812
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
76.574
horus
"1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
1/29/2021
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Mocksville-WTP
Town of Mocksville
Town of Mocksville
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0039552 Field #:
Annual Dry Tons Applied: 60.81 Site #:
Predominant Soil Series: CfB2
Crop 1 Max. PAN:
209
Crop 2 Name:
MK05
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
4
4
50
y o
Q �
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
a
0 w
*O
o
�'
7 rc
"
�.
o
TKN
mg/kg
Z I
o
ac o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/23/20
58500
6.73
4.104
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
23.469
NA
Fescue
6/24/20
52000
6.73
3.648
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
20.861
NA
Fescue
0.000
0.000
0.000
1/21/20
22500
2.58
0.605
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
12.822
NA
Fescue
1/22/20
9000
2.58
0.242
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
5.129
NA
Fescue
1/23/20
40500
2.58
1.089
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
23.080
NA
Fescue
8/17/20
18000
2.58
0.484
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
10.258
NA
Fescue
8/19/20
45000
2.58
1.210
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
25.645
NA
Fescue
10/9/20
52000
2.58
1.399
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
29.634
NA
Fescue
11/3/20
45000
2.58
1.210
Dutchman's Creek
I Dry
<.5"
S
0.5
0.3
31600
4650
184
25.645
NA
Fescue
11/4/20
31500
2.58
0.847
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
17.951
NA
Fescue
12/22/21
13500
2.58
0.363
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
1 184
7.693
NA
Fescue
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
387500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
1202.1881
0.000
Lime Applied
Annuallbs/acre
0.350
0.033
1.263
1.245
0.467
0.006
0.106
0.649
0.354
4.484
76.574
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.350
0.033
1.263
1.245
0.467
0.006
0.106
0.649
0.354
4.484
Permitted C. P. L. R. * * * *
36
34
1338
1
267
1 15
374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
1 209 1 50
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/29/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Waypointo
ANALYTICAL
7/2/2020
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Lab Report Number: 20-163-0069
Client Project Description: Town of Mocksville
Mocksville, NC
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Dear Mr. Brent Collins:
Waypoint Analytical, LLC. received sample(s) on 6/11/2020 for the analyses presented in the following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Where the laboratory was not responsible for the sampling
stage (refer to the chain of custody) results apply to the sample as received.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule August 2017) and NELAC unless otherwise indicated. Any
parameter for which the laboratory is not officially NELAP accredited is indicated by a '—'symbol. These are not
included in the scope because NELAP accreditation is either not available or has not been applied for. Additional
certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable.
A full list of certifications is available upon request.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Danyale Love
Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Ijp,
Page 1 of 9

Waypointo
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalytical.com
Certification Summary
Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/28/2021
Arizona
State Program
AZ0816
08/30/2020
Arkansas
State Program
88-0650
02/07/2021
California
State Program
2904
05/10/2020
Florida
State Program
- NELAP
E871157
06/30/2021
Georgia
State Program
C044
02/18/2023
Georgia
State Program
04015
06/30/2020
Illinois
State Program
- NELAP
200078
10/10/2020
Kentucky
State Program
80215
06/30/2020
Kentucky
State Program
KY90047
12/31/2020
Louisiana
State Program
- NELAP
04015
06/30/2020
Mississippi
State Program
MS
02/11/2023
North Carolina
State Program
415
12/31/2020
Oklahoma
State Program
9311
08/31/2020
Pennsylvania
State Program
- NELAP
68-03195
05/31/2021
South Carolina
State Program
84002
06/30/2021
South Carolina
State Program
84002
06/30/2020
Tennessee
State Program
02027
02/11/2023
Tennessee
A21LA ISO 17025:2017
4313.01
10/31/2021
Texas
State Program
- NELAP
T104704180
09/30/2020
Virginia
State Program
00106
06/30/2021
Virginia
State Program
- NELAP
460181
09/14/2020
Washington
State Program
C1018
07/31/2020
Page 1 of 1 00001/20-163-0069
Page 2 of 9

Waypoint
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Sample Summary Table
Report Number: 20-163-0069
Client Project Description: Town of Mocksville
Mocksville, NC
Lab No Client Sample ID
92540 Mocksville V TP
Matrix Date Collected
Solids 06/10/202013:30
Date Received
06/11/2020
Page 3 of 9

Waypointo
ANALYTICAL
Client: EMA Resources Inc
Project: Town of Mocksville
Lab Report Number: 20-163-0069
Date: 6/30/2020
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 fax [phone]
www.waypointanalytical.com
CASE NARRATIVE
Total, Fixed, and Volatile Solids Method 254OG-2011
QC Batch No: L496933
Relative percent difference (RPD) for the duplicate analysis was outside of the allowable quality control limits.
The sample and duplicate results are less than 5 percent TS. At this level, RPD is not applicable. The data is
considered to be acceptable.
Metals Analysis Method 6010D
Analyte: Aluminum
QC Batch No: L497166
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Analyte: Cadmium
QC Batch No: L497127
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Analyte: Copper
QC Batch No: L497127
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Analyte: Molybdenum
QC Batch No: L497127
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Analyte: Nickel
QC Batch No: L497127
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Analyte: Phosphorus
QC Batch No: L497127
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Analyte: Lead
QC Batch No: L497127
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Page 4 of 9

Waypoint".0
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 fax [phone]
www.waypointanalytical.com
Analyte: Selenium
QC Batch No: L497127
The matrix spike, matrix spike duplicate and the post digestion spike were all outside of the quality control
acceptance ranges. Matrix interference is suspected
Analyte: Zinc
QC Batch No: L497127
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Page 5 of 9

WayPANALYTICAL
46245
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville , NC 27028
Report Number : 20-163-0069
Lab No : 92540
Sample ID : Mocksville WTP
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Project Town of Mocksville
Information : Mocksville, NC
REPORT OFANALYSIS
Report Date : 07/02/2020
Received : 06/11/2020
Danyale Love
Project Manager
Matrix: Solids
Sampled: 6/ 10/ 2020 13:30
Test
Results
Units
MDL
MQL
DF
Date / Time
Analyzed
By
Analytical
Method
Moisture
93.3
%
0.010
1
06/17/20 17:47
SW-DRYWT
Ammonia Nitrogen
4060
mg/Kg -
dry
373
373
1
06/24/20 13:00
ZBD
4500NH3C-2011
Nitrate+Nitrite-N
936
mg/Kg -
dry
70.4
70.4
1
06/12/20 13:53
ZBD
4500NO3F-2011
Organic N
<746.3
mg/Kg -
dry
746.3
1
06/23/20 15:38
DH
CALCULATION
pH
6.5
S.U.
1
06/22/20 05:45
JSL
9045D
Total Solids
6.73
%
0.010
0.010
1
06/17/20 17:47
FMM
2540G-2011
Total Volatile Solids
17.9
%
0.010
0.010
1
06/17/20 17:47
FMM
2540G-2011
Total Kjeldahl Nitrogen
2990
mg/Kg -
dry
746
1
06/23/20 15:38
CLP
4500NORGD-2011
Phosphorus
1210
mg/Kg -
dry
41.2
74.6
1
06/17/20 22:33
TJS
6010D
Aluminum
97200
mg/Kg -
dry
345
373
5
06/18/20 17:57
TJS
6010D
Arsenic
7.073
mg/Kg -
dry
3.58
7.46
1
06/17/20 22:33
TJS
6010D
Cadmium
<0.299
mg/Kg -
dry
0.299
1.49
1
06/17/20 22:33
TJS
6010D
Calcium
1670
mg/Kg -
dry
578
746
1
06/17/20 22:33
TJS
6010D
Chromium
69.6
mg/Kg -
dry
3.52
3.73
1
06/17/20 22:33
TJS
6010D
Copper
31.6
mg/Kg -
dry
4.63
7.46
1
06/17/20 22:33
TJS
6010D
Iron
37200
mg/Kg -
dry
127
149
1
06/17/20 22:33
TJS
6010D
Lead
24.6
mg/Kg -
dry
2.69
4.48
1
06/17/20 22:33
TJS
6010D
Magnesium
3730
mg/Kg -
dry
38.5
74.6
1
06/17/20 22:33
TJS
6010D
Manganese
893
mg/Kg -
dry
4.85
7.46
1
06/17/20 22:33
TJS
6010D
Mercury
0.09133
mg/Kg -
dry
0.0509
0.231
1
06/19/20 11:13
DDB
7471A
Molybdenum
<2.01
mg/Kg -
dry
2.01
3.73
1
06/17/20 22:33
TJS
6010D
Nickel
31.2
mg/Kg -
dry
1.79
3.73
1
06/17/20 22:33
TJS
6010D
Potassium
3330
mg/Kg -
dry
92.2
149
1
06/17/20 22:33
TJS
6010D
Qualifiers/ DF
Dilution Factor
J
Estimated value
Definitions L
Limit Exceeded
MQL
Method Quantitation Limit
Page 6 of 9

WayPANALYTICAL
46245
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville , NC 27028
Report Number : 20-163-0069
Lab No : 92540
Sample ID : Mocksville WTP
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Project Town of Mocksville
Information : Mocksville, NC
REPORT OFANALYSIS
Report Date : 07/02/2020
Received : 06/11/2020
Danyale Love
Project Manager
Matrix: Solids
Sampled: 6/ 10/ 2020 13:30
Test
Results
Units
MDL
MQL
DF
Date / Time
Analyzed
By
Analytical
Method
Selenium
<4.78
mg/Kg - dry
4.78
7.46
1
06/17/20 22:33
TJS
6010D
Sodium
2223
mg/Kg - dry
194
373
1
06/17/20 22:33
TJS
6010D
Zinc
84.5
mg/Kg - dry
12.1
18.7
1
06/17/20 22:33
TJS
6010D
Sulfur
1640
mg/Kg - dry
77.3
149
1
06/17/20 22:33
TJS
6010D
Sodium Absorption Ratio
0.173
Ratio
0.01
0.01
1
06/17/20 22:33
CALCULATION
Qualifiers/ DF Dilution Factor
Definitions
J Estimated value
Page 7 of 9

s
WayPAoi nt ..(2) �79p Whitten Road,3.240 Memphis, TN 38133
21.2440
Main 901.213.240fl °Fax [phone]
N A LYT I C A L www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46245
Customer Name: EMA Resources Inc
Report Number: 20-163-0069
Shipping Method
® Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
#99
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers/boxes received
F-71
Custody seals intact on shipping container/cooler?
0 Yes
0 No
! Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
® Not Present
Chain of Custody (COC) present?
0 Yes
0 No
COC agrees with sample label(s)?
0 Yes
0 No
COC properly completed
0 Yes
0 No
Samples in proper containers?
0 Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
0 Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
® N/A
Water - VOA vials free of headspace
0 Yes
0 No
® N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
0 N/A
F_ High concentration container (48 hr)
F_ High concentration pre -weighed (methanol -14 d)
F_ Low concentration EnCore samplers (48 hr)
F_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes ® No
Comments:
Signature: lKristinaA. McAdams Date & Time: 06/11/2020 11:51:06
Page 8 of 9

Client Name/Address
Client Project Manager/Contact
Billing Information
For Laboratory Use Only
EMA Resources Inc
Brent Collins
Account #46245
755 Yadkinville Ltd
Mocksyille, NC 27028
Project Description
Project/Site Location (City/State)
RUSH -- Additional charges apply
Meth of Shipment
Matrix Key
%��
E'a[ QC,<5Vice.(4
Ir
%
1S V I ■
Special Detection Limits))
Date Results Needed
ed Ex UPS �USPS
1:1Courier Client Drop Off
WW -Wastewater GW-Groundwater
❑W -- Drinking Water 5 - Soil /Solid 0 - oil
VC
P - Product M - Misc
Other
Project Number
Project Manager Phone 4
Man Email
e
Purchase Order Number
0Project
Site/Facility p
336-399-3646
[e-mail]
^
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Coal < 10C Na25203 (Micro Only)
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2790 Whitten
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Memphis, I-N 38133
Unless noted, all Containers
c
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(901) 213-24OG
per Tabie ll of 40 CFR Part
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Date
Time
Sample Identification
Re
uired Ape lysis J Pr
ervat
Comments/Notes
tCCF YY )
1.
Metals:Al,As,Ca,Cd,Cr,CU,Fe,Pb
Mn,Mg, Mo,Hg,Ni,Se, Na, P,S,K,Zn
9
1l�ll�ll�ll ��I IIIIN II�IlI11N 11111f Ilf I INf 1 �IIIIII�I�I
I� 446621
EMA RNsaurcr5 Inr.
Town of Mocksvolle 11:50:43
For Laboratory
lase Only
Sam ed by (Name -- Print)
o �,� ���
Client Remarks/Comments
Sludge Samples - Report Dry Weight
Ice
Custody
Lab Comments
N
[,
r/
Relinqu' d ! RE)
Da Time
Received by: (sIGNATURE)
Date Time
G a 3:.§i
Blank/Coo r T mp
Reiinquis d by: (5IGNATL)RE
bati Time
Received by: (SIGNATURE)
Date Time
Relinquished by: (SIGNATURE)
Date Time
Received by: (SIGNATURE)
Date Trme
V NCO

aceAnalytical
National Center for Testing & Innovation
AW
ANALYTICAL REPORT
June 27, 2020
EMA Resources
Sample Delivery Group
Samples Received:
Project Number:
Description:
Report To:
L1229138
06/13/2020
MOCKSVILLE
Sludge Mocksville
Mr. Brent Collins
755 Yadkinville Road
Entire Report Reviewed By
Mocksville, NC 27028
��MJarda ,' P�ti
Cassandra Foster
Project Manager
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace
Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067and
ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided,
and as the samples are received.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 03:53 1 of 21

TABLE OF CONTENTS
ONE LAB. NATIONWIDE.
Cp: Cover Page
1
FP
Tc: Table of Contents
2
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
FS
MOCKSVILLE WTP L1229138-01
5
Fn
Qc: Quality Control Summary
7
Wet Chemistry by Method 9012 B
7
Fr
Wet Chemistry by Method 9034-9030B
8
Wet Chemistry by Method 9045D
9
FC
Wet Chemistry by Method D93/1010A
10
F
Mercury by Method 7470A
11
Metals (ICP) by Method 6010D
12
[Al
Volatile Organic Compounds (GC/MS) by Method 8260D
13
Chlorinated Acid Herbicides (GC) by Method 8151A
15
RC
Pesticides (GC) by Method 8081B
16
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
17
GI: Glossary of Terms
19
al: Accreditations & Locations
20
Sc: Sample Chain of Custody
21
ACCOUNT: PROJECT: SDG:
DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133
06/27/20 03:53 2 of 21

MOCKSVILLE WTP L1229138-01 Waste
Method
Preparation by Method 1311
Preparation by Method 1311
Wet Chemistry by Method 9012 B
Wet Chemistry by Method 9034-9030B
Wet Chemistry by Method 9045D
Wet Chemistry by Method D93/1010A
Mercury by Method 7470A
Metals (ICP) by Method 6010D
Volatile Organic Compounds (GC/MS) by Method 8260D
Chlorinated Acid Herbicides (GC) by Method 8151A
Pesticides (GC) by Method 8081B
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
I
SAMPLE SUMMARY
Collected by
Roy Whitaker
Batch
WG1495079
WG1495431
WG1499220
WG1495415
WG1496371
WG1496804
WG1496619
WG1496212
WG1496432
WG1496342
WG1496001
WG1496054
ONE LAB. NATIONWIDE. *
Collected date/time Received date/time
06/11/2010:00 06/13/20 09:00
Cp
Dilution Preparation
Analysis
date/time
date/time
1 06/18/2017:29
06/18/2017:29
1 06/19/2016:19
06/19/2016:19
1 06/25/2017:05
06/26/2013:07
1 06/20/20 22:00
06/20/20 22:00
1 06/21/2015:00
06/21/2017:34
1 06/22/2014:00
06/22/2014:00
1 06/21/2016:50
06/22/2013:58
1 06/20/2010:58
06/21/20 22:55
1 06/22/20 09:20
06/22/20 09:20
1 06/20/2019:26
06/22/2019:03
1 06/20/2014:47
06/21/2012:13
1 06/20/2014:29
06/22/20 00:47
Analyst
JWS
TM
JER
LDT
KPS
KAB
ABL
EL
JHH
MT-1
RP
AO
Location
FC
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Fn
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Fr
Mt. Juliet, TN
Mt. Juliet, TN
FC
Mt. Juliet, TN
Mt. Juliet, TN
�GI
SAI
RC
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 3 of 21

CASE NARRATIVE
ONE LAB. NATIONWIDE. *
All sample aliquots were received at the correct temperature, in the proper containers, with the FP
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples FC
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my FS
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data. 0
Fr
FC
7
GI
Cassandra Foster
Project Manager
RC
Project Narrative
All Reactive Cyanide results reported in the attached report were determined as totals using method 9012B.
All Reactive Sulfide results reported in the attached report were determined as totals using method 9034/9030B.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 03:53 4 of 21

MOCKSVILLE WTP
Collected date/time: 06/11/20 10:00
Preparation by Method 1311
SAMPLE RESULTS - 01
L1229138
Result Qualifier Prep
Batch
Analyte
date / time
TCLP Extraction
6/18/2020 5:29:07 PM
WG1495079
TCLP ZHE Extraction
- 6/19/2020 4:19:23 PM
WG1495431
Fluid
1 6/18/2020 5:29:07 PM
WG1495079
Initial pH
6.21 6/18/2020 5:29:07 PM
WG1495079
Final pH
4.85 6/18/2020 5:29:07 PM
WG1495079
Wet Chemistry by Method 9012 B
Result Qualifier RDL
Analyte mg/kg mg/kg
Reactive Cyanide ND 0.250
Wet Chemistry by Method 9034-9030B
Result Qualifier RDL
Analyte mg/kg mg/kg
Reactive Sulfide ND 25.0
Wet Chemistry by Method 9045D
Dilution Analysis Batch
date / time
1 06/26/202013:07 WG1499220
Dilution Analysis Batch
date / time
1 06/20/2020 22:00 WG1495415
Result Qualifier Dilution Analysis Batch
Analyte su date / time
Corrosivity by pH 6.87 T8 1 06/21/202017:34 WG1496371
Sample Narrative:
L1229138-01 WG1496371: 6.87 at22.8C
Wet Chemistry by Method D93/1010A
Result
Analyte Deg. F
Ignitability DNI at170
Mercury by Method 7470A
Qualifier Dilution Analysis Batch
date / time
1 06/22/202014:00 WG1496804
Result Qualifier RDL Limit
Analyte mg/I mg/I mg/I
Mercury ND 0.0100 0.20
Metals (ICP) by Method 6010D
Result
Qualifier RDL Limit
Analyte
mg/I
mg/I mg/I
Arsenic
ND
0.100 5
Barium
0.315
0.100 100
Cadmium
ND
0.100 1
Chromium
ND
0.100 5
Lead
ND
0.100 5
Selenium
ND
0.100 1
Silver
ND
0.100 5
Volatile Organic
Compounds (GC/MS) by Method 8260D
Result
Qualifier RDL Limit
Analyte
mg/I
mg/I mg/I
Benzene
ND
0.0500 0.50
Carbon tetrachloride
ND
0.0500 0.50
Chlorobenzene
ND
0.0500 100
Chloroform
ND
0.250 6
ACCOUNT:
PROJECT:
EMA Resources
MOCKSVILLE
Dilution Analysis Batch
date / time
1 06/22/202013:58 WG1496619
Dilution Analysis
Batch
date / time
1 06/21/2020 22:55
WG1496212
1 06/21/2020 22:55
WG1496212
1 06/21/2020 22:55
WG1496212
1 06/21/2020 22:55
WG1496212
1 06/21/2020 22:55
WG1496212
1 06/21/2020 22:55
WG1496212
1 06/21/2020 22:55
WG1496212
ONE LAB. NATIONWIDE. *
Fp
Fc
FS
Fn
Fc
�GI
SAI
Rc
Dilution Analysis
Batch
date / time
1 06/22/2020 09:20
WG1496432
1 06/22/2020 09:20
WG1496432
1 06/22/2020 09:20
WG1496432
1 06/22/2020 09:20
WG1496432
SDG:
DATE/TIME: PAGE:
L1229133
06/27/20 08:53 5 of 21

MOCKSVILLE WTP SAMPLE RESULTS
Collected date/time: 06/11/20 10:00 L1229138
Volatile Organic Compounds (GC/MS) by Method 8260D
- 01
Result
Qualifier RDL Limit Dilution
Analysis
Batch
Analyte
mg/I
mg/I mg/I
date/time
1,2-Dichloroethane
ND
0.0500 0.50 1
06/22/2020 09:20
WG1496432
1,1-Dichloroethene
ND
0.0500 0.70 1
06/22/2020 09:20
WG1496432
2-Butanone (MEK)
ND
0.500 200 1
06/22/2020 09:20
WG1496432
Tetrachloroethene
ND
0.0500 0.70 1
06/22/2020 09:20
WG1496432
Trichloroethene
ND
0.0500 0.50 1
06/22/2020 09:20
WG1496432
Vinyl chloride
ND
0.0500 0.20 1
06/22/2020 09:20
WG1496432
(S) Toluene-dH
108
80.0-120
0612212020 09.20
WG1496432
(S) 4-Bromofluorobenzene
99.2
77.0-126
0612212020 09.20
WG1496432
(S)1,2-Dichloroethane-d4
94.9
70.0-130
061221202009.20
WG1496432
Chlorinated Acid Herbicides (GC) by Method 8151A
Result
Analyte mg/I
2,4,5-TP (Silvex) ND
2,4-D ND
(S) 2,4-Dichlorophenyl Acetic Acid 66.2
Pesticides (GC) by Method 8081B
Qualifier RDL
Limit
Dilution Analysis
Batch
mg/I
mg/I
date / time
0.00200
1
1 06/22/202019:03
WG1496342
0.00200
10
1 06/22/202019:03
WG1496342
14.0-158
061221202019.03
WG1496342
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
Chlordane
ND
0.00500
0.03
1 06/21/202012:13
WG1496001
Endrin
ND
0.00500
0.02
1 06/21/202012:13
WG1496001
Heptachlor
ND
0.00500
0.0080
1 06/21/202012:13
WG1496001
Lindane
ND
0.00500
0.40
1 06/21/202012:13
WG1496001
Methoxychlor
ND
0.00500
10
1 06/21/202012:13
WG1496001
Toxaphene
ND
0.0100
0.50
1 06/21/202012:13
WG1496001
(S) Decochlorobiphenyl
102
10.0-128
0612112020 1213
WG1496001
(S) Tetrochloro-m-xylene
69.5
10.0-127
0612112020 1213
WG1496001
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
1,4-Dichlorobenzene
ND
0.100
7.50
1 06/22/2020 00:47
WG1496054
2,4-Dinitrotoluene
ND
0.100
0.13
1 06/22/2020 00:47
WG1496054
Hexachlorobenzene
ND
0.100
0.13
1 06/22/2020 00:47
WG1496054
Hexachloro-1,3-butadiene
ND
0.100
0.50
1 06/22/2020 00:47
WG1496054
Hexachloroethane
ND
0.100
3
1 06/22/2020 00:47
WG1496054
Nitrobenzene
ND
0.100
2
1 06/22/2020 00:47
WG1496054
Pyridine
ND
0.100
5
1 06/22/2020 00:47
WG1496054
3&4-Methyl Phenol
ND
0.100
400
1 06/22/2020 00:47
WG1496054
2-Methylphenol
ND
0.100
200
1 06/22/2020 00:47
WG1496054
Pentachlorophenol
ND
0.100
100
1 06/22/2020 00:47
WG1496054
2,4,5-Trichlorophenol
ND
0.100
400
1 06/22/2020 00:47
WG1496054
2,4,6-Trichlorophenol
ND
0.100
2
1 06/22/2020 00:47
WG1496054
(S) 2-Fluorophenol
42.3
10.0-120
0612212020 00.47
WG1496054
(S) Phenol-d5
27.4
10.0-120
0612212020 00.47
WG1496054
(S) Nitrobenzene-d5
65.1
10.0-127
0612212020 00.47
WG1496054
(S) 2-Fluorobiphenyl
70.5
10.0-130
0612212020 00.47
WG1496054
(S) 2,4, 6-Tribromophenol
91.5
10.0-155
0612212020 00.47
WG1496054
(S) p-Terphenyl-d14
96.4
10.0-128
0612212020 00.47
WG1496054
ONE LAB. NATIONWIDE. *
Fp
Fc
FS
Fn
FA
Fc
F,
SAI
Rc
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 6 of 21

WG1499220
Wet Chemistry by Method 9012 B
Method Blank (MB)
(MB) R3543390-1 06/26/201241
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
Reactive Cyanide U 0.0390 0.250
L1228041-08 Original Sample (OS) • Duplicate (DUP)
QUALITY CONTROL SUMMARY
L1229138-01
(OS) L1223041-03 06/26/2012:49 • (DUP) R3543390-5 06/26/2012:50
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg %_
Reactive Cyanide ND ND 1 0.000 20
L1228874-02 Original Sample (OS) • Duplicate (DUP)
(OS) L1223374-02 06/26/20 13:01 • (DUP) R3543390-6 06/26/20 13:02
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg
Reactive Cyanide ND ND 1 0.000 20
Laboratory Control Sample (LCS)
(LCS) R3543390-2 06/26/2012:42
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg
Reactive Cyanide 2.50 2.42 97.0 85.0-115
L1228041-04 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1223041-04 06/26/2012:46 • (MS) R3543390-3 06/26/2012:47 • (MSD) R3543390-4 06/26/2012:43
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD
Analyte mg/kg mg/kg mg/kg mg/kg
Reactive Cyanide 1.67 ND 1.25 1.40 63.5 72.8 1 75.0-125 J6 J6 11.7
ONE LAB. NATIONWIDE. *
Cp
ITC]
FSS
[Cn]
5
Sr
�GI
1711
FSc
RPD Limits
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 7 of 21

WG1495415
Wet Chemistry by Method 9034-9030B
Method Blank (MB)
(MB) R3540969-1 06/20/20 22:00
MB Result MB Qualifier MB MDL
Analyte mg/kg mg/kg
Reactive Sulfide U 7.63
Laboratory Control Sample (LCS)
(LCS) R3540969-2 06/20/20 22:00
Spike Amount LCS Result LCS Rec.
Analyte mg/kg mg/kg
Reactive Sulfide 100 87.9 87.9
QUALITY CONTROL SUMMARY
L1229138-01
MB RDL
mg/kg
25.0
Rec. Limits LCS Qualifier
70.0-130
ONE LAB. NATIONWIDE. *
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 3 of 21

WG1496371 QUALITY CONTROL SUMMARY
Wet Chemistry by Method 9045D L1229138-01
Laboratory Control Sample (LCS)
(LCS) R3541093-1 06/21/201734
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte su su
Corrosivity by pH 10.0 9.99 99.9 99.0-101
Sample Narrative:
LCS: 9.99 at 21.6C
ONE LAB. NATIONWIDE. *
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 03:53 9 of 21

WG1496804 QUALITY CONTROL SUMMARY
Wet Chemistry by Method D93/1010A L1229138-01
L1231424-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1231424-01 06/22/2014:00 • (DUP) R3541457-3 06/22/2014:00
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte Deg. F Deg. F
Ignitability 96.8 127 1 26.8 J3 10
Sample Narrative:
OS: Sample not homogenous, fuel like odor.
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3541457-1 06/22/2014:00 • (LCSD) R3541457-2 06/22/2014:00
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD
Analyte Deg.F Deg.F Deg.F
Ignitability 126 125 127 99.1 101 95.6-104 1.59
RPD Limits
10
ONE LAB. NATIONWIDE. *
Cp
19
FSS
[qn
5
Sr
�GI
1711
FSc
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 10 of 21

■
WG1496619
Mercury by Method 7470A
Method Blank (MB)
(MB) R3541458-1 06/22/201311
MB Result MB Qualifier MB MDL
Analyte mg/I mg/I
Mercury U 0.00330
Laboratory Control Sample (LCS)
(LCS) R3541458-2 06/22/20 1313
Spike Amount LCS Result LCS Rec.
Analyte mg/I mg/I
Mercury 0.0300 0.0313 104
QUALITY CONTROL SUMMARY
L1229138-01
MB RDL
mg/I
0.0100
Rec. Limits LCS Qualifier
80.0-120
L1228977-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
ONE LAB. NATIONWIDE. *
(OS) L1223977-02 06/22/20 13:15 • (MS) R3541453-3 06/22/20 13:17 • (MSD) R3541453-4 06/22/20 13:19
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0305
0.0314 102 105 1 75.0-125 2.69 20
L1230219-10 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1230219-10 06/22/2013:21 • (MS) R3541453-5 06/22/2013:23 • (MSD) R3541453-6 06/22/2013:25
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0311
0.0307 104 102 1 75.0-125 1.43 20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 11 of 21

WG1496212
Metals (ICP) by Method 6010D
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1229138-01
(MB) R3541157-1 06/21/20 22:10
MB Result
Analyte mg/I
MB Qualifier
MB MDL
mg/I
MB RDL
mg/I
Arsenic U
0.0333
0.100
Barium U
0.0333
0.100
Cadmium U
0.0333
0.100
Chromium U
0.0333
0.100
Lead U
0.0333
0.100
Selenium 0.0362
J
0.0333
0.100
Silver U
0.0333
0.100
Laboratory Control Sample (LCS)
(LCS) R3541157-2 06/21/20 22:12
Spike Amount
LCS Result
LCS Rec.
Rec. Limits
Analyte mg/I
mg/I
Arsenic 10.0
9.91
99.1
80.0-120
Barium 10.0
10.3
103
80.0-120
Cadmium 10.0
10.1
101
80.0-120
Chromium 10.0
10.0
100
80.0-120
Lead 10.0
10.2
102
80.0-120
Selenium 10.0
10.2
102
80.0-120
Silver 2.00
1.82
91.2
80.0-120
LCS Qualifier
L1228977-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
ONE LAB. NATIONWIDE. *
(OS) L1223977-02 06/21/20 22:15 • (MS) R3541157-4 06/21/20 22:20 • (MSD) R3541157-5 06/21/20 22:23
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
Analyte
mg/I
mg/I
mg/I
mg/I
Arsenic
10.0
ND
9.95
9.89
99.5
98.9
1 75.0-125
0.572
20
Barium
10.0
0.753
10.9
10.8
101
101
1 75.0-125
0.420
20
Cadmium
10.0
ND
10.1
10.1
101
101
1 75.0-125
0.379
20
Chromium
10.0
ND
10.1
10.1
99.7
100
1 75.0-125
0.289
20
Lead
10.0
129
134
129
49.4
0.000
1 75.0-125
V_ V_ 3.79
20
Selenium
10.0
ND
10.2
10.2
102
102
1 75.0-125
0.133
20
Silver
2.00
ND
1.80
1.81
90.0
90.5
1 75.0-125
0.590
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 12 of 21

WG1496432 QUALITY CONTROL SUMMARY
Volatile Organic Compounds (GC/MS) by Method 8260D L1229138-01
ONE LAB. NATIONWIDE. *
Method Blank (MB)
(MB) R3541326-3 06/22/20 0111
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
Benzene
U
0.0167
0.0500
Carbon tetrachloride
U
0.0167
0.0500
Chlorobenzene
U
0.0167
0.0500
Chloroform
U
0.0833
0.250
1,2-Dichloroethane
U
0.0167
0.0500
1,1-Dichloroethene
U
0.0167
0.0500
2-Butanone (MEK)
U
0.167
0.500
Tetrachloroethene
U
0.0167
0.0500
Trichloroethene
U
0.0167
0.0500
Vinyl chloride
U
0.0167
0.0500
(S) Toluene-dH
108
80.0-120
(S) 4-Bromofluorobenzene
99.1
77.0-126
(S) 1,2-Dichloroethane-d4
93.3
70.0-130
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3541326-1 06/21/20 23:50 • (LCSD) R3541326-2 06/22/20 00:11
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
Analyte
mg/I
mg/I
mg/I
Benzene
0.250
0.244
0.243
97.6
97.2
70.0-123
Carbon tetrachloride
0.250
0.261
0.268
104
107
68.0-126
Chlorobenzene
0.250
0.271
0.277
108
ill
80.0-121
Chloroform
0.250
0.236
0.237
94.4
94.8
73.0-120
1,2-Dichloroethane
0.250
0.249
0.253
99.6
101
70.0-128
1,1-Dichloroethene
0.250
0.229
0.269
91.6
108
71.0-124
2-Butanone (MEK)
1.25
1.33
1.33
106
106
44.0-160
Tetrachloroethene
0.250
0.296
0.313
118
125
72.0-132
Trichloroethene
0.250
0.300
0.291
120
116
78.0-124
Vinyl chloride
0.250
0.232
0.233
92.8
93.2
67.0-131
(S) Toluene-dH
107
106
80.0-120
(S) 4-Bromofluorobenzene
103
103
77.0-126
(S) 1,2-Dichloroethane-d4
96.1
91.2
70.0-130
LCS Qualifier
LCSD Qualifier RPD
0.411
2.65
2.19
0.423
1.59
16.1
0.000
5.58
3.05
0.430
RPD Limits
20
20
20
20
20
20
20
20
20
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 13 of 21

WG1496432 QUALITY CONTROL SUMMARY
Volatile Organic Compounds (GC/MS) by Method 8260D L1229138-01
L1228041-04 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1223041-04 06/22/20 04:35 • (MS) R3541326-4 06/22/2011:04 • (MSD) R3541326-5 06/22/201123
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Benzene
0.250
ND
0.223
0.231
89.2
92.4
Carbon tetrachloride
0.250
ND
0.246
0.245
98.4
98.0
Chlorobenzene
0.250
ND
0.260
0.274
104
110
Chloroform
0.250
ND
ND
ND
90.4
92.0
1,2-Dichloroethane
0.250
ND
0.235
0.251
94.0
100
1,1-Dichloroethene
0.250
ND
0.241
0.249
96.4
99.6
2-Butanone (MEK)
1.25
ND
1.25
1.30
100
104
Tetrachloroethene
0.250
ND
0.277
0.282
ill
113
Trichloroethene
0.250
ND
0.261
0.262
104
105
Vinyl chloride
0.250
ND
0.242
0.246
96.8
98.4
(S) Toluene-dH
107
108
(S) 4-Bromofluorobenzene
103
103
(S) 1,2-Dichloroethane-d4
94.1
94.4
ONE LAB. NATIONWIDE. *
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
1 17.0-158
3.52
27
1 23.0-159
0.407
28
1 33.0-152
5.24
27
1 29.0-154
1.75
28
1 29.0-151
6.58
27
1 11.0-160
3.27
29
1 10.0-160
3.92
32
1 10.0-160
1.79
27
1 10.0-160
0.382
25
1 10.0-160
1.64
27
80.0-120
77.0-126
70.0-130
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 14 of 21

WG1496342
Chlorinated Acid Herbicides (GC) by Method 8151A
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1229138-01
(MB) R3541839-1 06/22/201452
MB Result
MB Qualifier
MB MDL
MB RDL
Analyte mg/I
mg/I
mg/I
2,4-D U
0.000667
0.00200
2,4,5-TP (Silvex) U
0.000667
0.00200
(S) Z4-Dichlorophenyl Acetic 73.6
14.0-158
Acid
Laboratory Control Sample (LCS)
(LCS) R3541339-2 06/22/2015:07
Spike Amount
LCS Result
LCS Rec.
Rec. Limits
Analyte mg/I
mg/I
2,4-D 0.0500
0.0375
75.0
50.0-120
2,4,5-TP (Silvex) 0.0500
0.0410
82.0
50.0-125
(S) Z4-Dichlorophenyl Acetic
74.0
14. 0-158
Acid
LCS Qualifier
L1228041-04 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
ONE LAB. NATIONWIDE. *
(OS) L1223041-04 06/22/20 17:06 • (MS) R3541339-3 06/22/20 17:21 • (MSD) R3541339-4 06/22/20 17:35
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
Analyte
mg/I
mg/I
mg/I
mg/I
2,4-D
0.0500
ND
0.0377
0.0377
75.4
75.4
1 50.0-120
0.000
20
2,4,5-TP (Silvex)
0.0500
ND
0.0409
0.0407
81.8
81.4
1 50.0-125
0.490
20
(S) Z4-Dichlorophenyl Acetic
71.8
72.8
14.0-158
Acid
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 15 of 21

WG1496001
Pesticides (GC) by Method 8081B
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1229138-01
(MB) R3541173-1 06/21/20 0841
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
Gamma BHC
U
0.00167
0.00500
Endrin
U
0.00167
0.00500
Heptachlor
U
0.00167
0.00500
Methoxychlor
U
0.00167
0.00500
Chlordane
U
0.00167
0.00500
Toxaphene
U
0.00333
0.0100
(S) Decachlorobiphenyl
101
10.0-128
(S) Tetrochloro-m-xylene
74.8
10.0-127
Laboratory Control Sample (LCS)
(LCS) R3541173-2 06/21/20 08:54
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte
mg/I
mg/I
Gamma BHC
0.0100
0.00993
99.3
55.0-129
Endrin
0.0100
0.0108
108
57.0-134
Heptachlor
0.0100
0.0107
107
27.0-132
Methoxychlor
0.0100
0.0116
116
54.0-155
(S) Decachlorobiphenyl
107
10.0-128
(S) Tetrochloro-m-xylene
83.3
10.0-127
L1228041-04 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1223041-04 06/21/20 09:07 • (MS) R3541173-3 06/21/20 09:21 • (MSD) R3541173-4 06/21/20 09:34
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
Analyte
mg/I
mg/I
mg/I
mg/I
Gamma BHC
0.0100
ND
0.00961
0.00971
96.1
97.1
1 14.0-141
Endrin
0.0100
ND
0.0109
0.0109
109
109
1 10.0-160
Heptachlor
0.0100
ND
0.0103
0.0104
103
104
1 16.0-136
Methoxychlor
0.0100
ND
0.0120
0.0117
120
117
1 10.0-160
(S) Decachlorobiphenyl
102
103
10.0-128
(S) Tetrochloro-m-xylene
77.0
72.4
10.0-127
ONE LAB. NATIONWIDE. *
MS Qualifier MSD Qualifier RPD RPD Limits
1.04 40
0.000 39
0.966 40
2.53 34
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 16 of 21

WG1496054 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1229138-01
Method Blank (MB)
(MB) R3541250-2 06/20/20 23:57
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
1,4-Dichlorobenzene
U
0.0333
0.100
2,4-Dinitrotoluene
U
0.0333
0.100
Hexachlorobenzene
U
0.0333
0.100
Hexachloro-1,3-butadiene
U
0.0333
0.100
Hexachloroethane
U
0.0333
0.100
Nitrobenzene
U
0.0333
0.100
Pyridine
U
0.0333
0.100
2-Methylphenol
U
0.0333
0.100
3&4-Methyl Phenol
U
0.0333
0.100
Pentachlorophenol
U
0.0333
0.100
2,4,5-Trichlorophenol
U
0.0333
0.100
2,4,6-Trichlorophenol
U
0.0333
0.100
(S) Nitrobenzene-d5
57.5
10.0-127
(S) 2-Fluorobiphenyl
68.0
10.0-130
(S) p-Terphenyl-d14
66.3
10.0-128
(S) Phenol-d5
68.5
10.0-120
(S) 2-Fluorophenol
72.5
10.0-120
(S) 2,4, 6-Tribromophenol
54.5
10. 0-155
Laboratory Control Sample (LCS)
ONE LAB. NATIONWIDE. *
(LCS) R3541250-1 06/20/20 2335
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I
mg/I
1,4-Dichlorobenzene 0.500
0.319
63.8
18.0-120
2,4-Dinitrotoluene 0.500
0.372
74.4
49.0-124
Hexachlorobenzene 0.500
0.302
60.4
44.0-120
Hexachloro-1,3-butadiene 0.500
0.268
53.6
19.0-120
Hexachloroethane 0.500
0.323
64.6
15.0-120
Nitrobenzene 0.500
0.296
59.2
27.0-120
Pyridine 0.500
0.315
63.0
10.0-120
2-Methylphenol 0.500
0.348
69.6
28.0-120
3&4-Methyl Phenol 0.500
0.398
79.6
31.0-120
Pentachlorophenol 0.500
0.299
59.8
23.0-120
2,4,5-Trichlorophenol 0.500
0.337
67.4
44.0-120
2,4,6-Trichlorophenol 0.500
0.326
65.2
42.0-120
(S) Nitrobenzene-d5
51.8
10.0-127
(S) 2-Fluorobiphenyl
675
10.0-130
(S) p-Terphenyl-d14
62.7
10.0-128
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources
MOCKSVILLE L1229138 06/27/20 08:53 17 of 21

WG1496054 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1229138-01
Laboratory Control Sample (LCS)
(LCS) R3541250-1 06/20/20 2335
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/I mg/I
(S) Phenol-d5 68.0 10.0-120
(S) 2-Fluorophenol 69.5 10.0-120
(S) 2,4, 6-Tribromophenol 58.5 10. 0-155
L1230060-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1230060-02 06/21/20 03:30 • (MS) R3541250-3 06/21/20 03:52 • (MSD) R3541250-4 06/21/20 0413
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
Analyte
mg/I
mg/I
mg/I
mg/I
1,4-Dichlorobenzene
0.500
ND
0.242
0.270
48.4
54.0
1 17.0-120
10.9
2,4-Dinitrotoluene
0.500
ND
0.385
0.387
77.0
77.4
1 39.0-125
0.518
Hexachlorobenzene
0.500
ND
0.297
0.305
59.4
61.0
1 35.0-122
2.66
Hexachloro-1,3-butadiene
0.500
ND
0.219
0.236
43.8
47.2
1 12.0-120
7.47
Hexachloroethane
0.500
ND
0.248
0.276
49.6
55.2
1 10.0-120
10.7
Nitrobenzene
0.500
ND
0.256
0.277
51.2
55.4
1 12.0-120
7.88
Pyridine
0.500
ND
0.162
0.209
32.4
41.8
1 10.0-120
25.3
2-Methylphenol
0.500
ND
0.302
0.297
60.4
59.4
1 10.0-120
1.67
3&4-Methyl Phenol
0.500
ND
0.329
0.314
65.8
62.8
1 10.0-120
4.67
Pentachlorophenol
0.500
ND
0.339
0.353
67.8
70.6
1 10.0-128
4.05
2,4,5-Trichlorophenol
0.500
ND
0.348
0.352
69.6
70.4
1 33.0-120
1.14
2,4,6-Trichlorophenol
0.500
ND
0.333
0.339
66.6
67.8
1 26.0-120
1.79
(S) Nitrobenzene-d5
43.7
46.4
10.0-127
(S) 2-Fluorobiphenyl
57.5
570
10.0-130
(S) p-Terphenyl-d14
70.2
71.5
10.0-128
(S) Phenol-d5
25.3
25.1
10.0-120
(S) 2-Fluorophenol
6.20
2.97
10.0-120
J2 J2
(S)2,4,6-Tribromophenol
63.0
65.0
10.0-155
Sample Narrative:
OS: Surrogate failure due to matrix interference
ONE LAB. NATIONWIDE. *
RPD Limits
40
25
24
34
40
30
37
30
36
37
31
31
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 08:53 13 of 21

GLOSSARY OF TERMS
ONE LAB. NATIONWIDE. *
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and ifyou have additional questions please contact your project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
MDL
Method Detection Limit.
ND
Not detected at the Reporting Limit (or MDL where applicable).
RDL
Reported Detection Limit.
Rec.
Recovery.
RPD
Relative Percent Difference.
SDG
Sample Delivery Group.
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
(S)
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
U
Not detected at the Reporting Limit (or MDL where applicable).
Analyte
The name ofthe particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
Ifthe sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
Dilution
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
result reported has already been corrected for this factor.
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications ofthe Qualifier in the Case Narrative if applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere was
no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL"
Result
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)
Confidence level of 2 sigma.
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
This section ofthe report includes the results ofthe laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist in evaluating the validity ofthe results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession ofthe
samples from the time of collection until delivery to the laboratory for analysis.
This section ofyour report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)
This section ofthe Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier
Description
J
The identification ofthe analyte is acceptable, the reported value is an estimate.
J2
Surrogate recovery limits have been exceeded, values are outside lower control limits.
J3
The associated batch QC was outside the established quality control range for precision.
J6
The sample matrix interfered with the ability to make any accurate determination, spike value is low.
T8
Sample(s) received past/too close to holding time expiration.
v
The sample concentration is too high to evaluate accurate spike recoveries.
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ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources MOCKSVILLE L1229133 06/27/20 03:53 19 of 21

ACCREDITATIONS
& LOCATIONS
ONE LAB. NATIONWIDE.
Pace National is the only environmental laboratory accredited/certified to support your work nationwide
from one location. One phone call, one point of contact,
one laboratory. No other lab is as
accessible or prepared to handle your needs throughout the country. Our capacity and capability from our
single location laboratory is comparable to the collective
totals of the network
laboratories in our industry. The most significant benefit to our one location design is the design of our laboratory
campus. The model is conducive to accelerated
productivity, decreasing
Cp
turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium
quality and prompt service allows us to be YOUR
LAB OF CHOICE.
Not all certifications held by the laboratory are applicable to the results reported in the attached report.
Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace
National.
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State Accreditations
Alabama 40660
Nebraska
NE-OS-15-05
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Alaska 17-026
Nevada
TN-03-2002-34
Arizona AZ0612
New Hampshire
2975
Arkansas 88-0469
New Jersey—NELAP
TNO02
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California 2932
New Mexico
n/a
Colorado TN00003
New York
11742
Connecticut PH-0197
North Carolina
Env375
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Florida E87487
North Carolina'
DW21704
Georgia NELAP
North Carolina 3
41
Georgia' 923
North Dakota
R-140
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Idaho TN00003
Ohio—VAP
CL0069
Illinois 200008
Oklahoma
9915
7G1
Indiana C-TN-01 f
Oregon
TN200002
Iowa 364
Pennsylvania
68-02979
Kansas E-10277
Rhode Island
LA000356
Kentucky' 6 90010
South Carolina
84004
Kentucky 2 16
South Dakota
n/a
Louisiana A130792
Tennessee'"
2006
Louisiana' LA180010
Texas
T104704245-18-15
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Maine TN0002
Texas 5
LABO152
Maryland 324
Utah
TN00003
Massachusetts M-TNO03
Vermont
VT2006
Michigan 9958
Virginia
460132
Minnesota 047-999-395
Washington
C847
Mississippi TN00003
West Virginia
233
Missouri 340
Wisconsin
9980939910
Montana CERT0086
Wyoming
A2 LA
Third Party Federal Accreditations
A2LA— ISO17025 1461.01
AIHA-LAP,LLC EMLAP
100789
A2 LA — ISO 17025 5 1461.02
DOD
1461.01
Canada 1461.01
USDA
P330-15-00234
EPA—Crypto TN00003
' Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity "Chemical/Microbiological 5 Mold
6 Wastewater n/a Accreditation not applicable
Our Locations
Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please contact
our main office. Pace National performs all testing at our central laboratory.
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EMA Resources MOCKSVILLE
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SDG: DATE/TIME: PAGE:
L1229133 06/27/20 03:53 20 of 21

Billing Information:
lvsis/Container
I Pr
wrvative
Chain of Custody Page of_
EMA Resources
Mr. Brent Collins Pres
755 Yadkinville Road Chk
geAfT�ytb1'
755 Yadkinville Road
Mocksville, NC 27028
Mocksville, NC 27028
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12065 Lebanon Rd
, one nt 6;5 75g 8518 T
Phone. 80o 767-58s9
Fax, 615.758-5859
Report to:
Mr. Brent Collins
Email To: [e-mail]
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Project w4-i[S✓�-L r~E
Description: Sludge
City/State State
yl �/
CoIIected: ti% � / C
Please Circle: -
PT MT CT ET
SDG # G
C0 37
Table #
Acctnum: EMARES
Template:T11413
Prelogin: P748413
PM: 807 - Justin Carr
PB. l C 5
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Shipped Via: Ill Standard
Phone- 336-751-1441
Fax: [phone]QS
Client Project #
✓4L[�
Lab f7roject P
Cozod by (pant):
/
Site/Facility ID #
P.O. #
Collect {sign r
Immed(Xtely /
Packedion Ice N _ Y ✓
Rush? (Lab MUST Be Notified) Quote #
Same Day Five Day
Next Day _ 5 Day (Rad Only) Date Results Needed I
_ Two Day _ 10 Day (Rad Only) No.
Three Day of
Sample ID
Comp/Grab
Matrix'
Depth
Date
—
Time
Mrs
-
Remarks Sample p(lah only)
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ss
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' Matrix:Remarks:
SS - Soil AIR - Air F- Filter
GW -Groundwater 9 Bioassay,
WW WaSteWater
pH Temp
4 [� ) ! r,
3 (JZ J,5 -L �1'7L Flow Other
Samole Receipt ChecK_at
COC Seal Present/Intact: _NP Y N
COC Signed/Accurate: �! _N
Bottles arrive intact: /4 _N
Correct bottles used: �Y
DW - Drinking Water
OT - Other
_N
Sufficient volume sent: /Y _N
It Aorslieatale
VOA Zero Headspace:
Samples retu ed via:
UPS edEx Courier
/�,
Tracking # / r.
r f CC//�� __
_ _ _
ZA
_Y _N
Preservation Correct/Checked:
RAD_ Screen <0.5 mR/hr: N
Relinquish by Si at _
Date: Time:
G �� as
iWl
Received by: (5ignature)
Trip Blank Received: Yes
HCL / MeoH
TBR
Relin ish d by (Signature)
Da e, Time:
Received by: (Signature)
Tl -C aattles Received:
i — 3 J��s ill
If preservation required by Logln: Date/Time
Relinquished by {Signature)
Date:
Time:
Receive forlah byr(Sign at re)
Date: Time:
(
Hold:
Condition;
NCF / OK