WQ0010528_Residual Annual Report 2020_20210224

Ramseur
Where Family and Friends Peet
TOWN OF
RAMSEUR
2020
Annual
Sludge
Disposal
Report
PERMITTEE / PREPARER
Town of Ramseur
Vicki Caudle
P.O. Box 545
724 Liberty St.
Ramseur, NC 27316
336-824-8530
Terry Lewallen
336-824-3939
t.lewallenG,town oframseur.ora
NCDENR DWR
Water Quality Permit Section
Non -Discharge Permitting Unit
Information Processing Unit
6th Floor, Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
The Town of Ramseur surface disposed of 3.79 dry tons of
water and wastewater plant sludge in 2020. Ramseur used
lime stabilization to meet pathogen reduction and vector
attraction requirements. The facility was compliant during
the past calendar year with all conditions of the land
application permit issued by the Division of Water
Resources.
The 2020 Annual Sludge Disposal Report for the Town of
Ramseur is attached. It includes the following:
• CLASS A ANNUAL DISTRIBUTION AND MARKETING/
SURFACE DISPOSAL CERTIFICATION AND SUMMARY
FORM
• WWTP ANNUAL RESIDUAL SAMPLING SUMMARY
FORM
• Environment 1 Lab Results & Associated Data/Forms
• SGS North America Lab Results & Associated
Data/Forms
• WTP ANNUAL RESIDUAL SAMPLING SUMMARY FORM
• Environment 1 Lab Results & Associated Data/Forms
• SGS North America Lab Results & Associated
Data/Forms
• ANNUAL PATHOGEN AND VECTOR ATTRACTION
REDUCTION FORM (02T Rules)
• WWTP Lime Log Sheet
• WTP Sludge Disposal Record
• WTP Vehicle Inspection Forms

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM`
WQ PERMIT #: WQ0010528 FACILITY NAME:
Town of Ramseur
PHONE: [phone] COUNTY: Randolph OPERATOR: Town of Ramseur
FACILITY TYPE (please check one): (] Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
Distribution and Marketing (complete Parts A, B, and C)
Was the facilitv in operation during the past calendar year? Yes 0 No Q —► 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
WWTP - NCO026565
0.015
0.11
0.125
March
April
VIay
tune
Iuly
August
September
October
WTP - NCG590019
3.68
3.68
November
December
Total from FORM DMSDF (sup)
....................
totals:
Annual (dry tons):
0.015
3.79
3.805
0
Amendment(s) used: Lime Bulking Agent(s) used:
If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit ,r] Yes
;including but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No 0, If No, Explain in Narritive
t. 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.
>_. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources.
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, true, accurate and complete. I am aware that there are significant
)enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee Date Signature f Preparer
(if different from Permittee)
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
Z-tl-Zl
Date
DENR FORM DMSDF (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: WQ0010528 Laboratory: 1) Environment 1
Facility Name: Town of Ramseur 2) SGS North America
Residual Source WQ # or NCO026565 3)
NPDES #: 4)
WWTP Name: Ramseur WWTP 5)
Parameter
(mg/kg)
Ceiling
Cone.
Limit
Sample or Composite Date
12/10/202
0
Percent Solids (%)
NA
0.66
Arsenic
46
<2.5
pH
NA
6.3
Copper
NA
Chromium
300
13
Lead
NA
Mercury
NA
Molybdenum
NA
Nickel
320
14
Selenium
NA
Zinc
NA
Total Phosphorus
NA
TKN
NA
Ammonia -Nitrogen
NA
Nitrate and Nitrite
NA
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reterence the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Pre arer
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Z -ls- 7—d
Date
DENR FORM RSSF (12/2006)

t flm60
114 0AKM0,'RrbR—fVC:;—`
GREENVILLE, N.C. 27858
RPMSMUR MWTP- SLUDGE
7.24. LIBERTY STREET
PO BOX 515
'RAMSUER MC 273'16'
PARAN MER$
P11, Units.
Arsenic (dry- wt.. basjs,�, -mg/kg
Chromium, T,(dry wt. basis),mg/kg
Nickel (dry wt, basis), mg/kg
Total Solids,. %
Sludge
Analysis
M6tbod
Sample
Date Analyst
Cod I e
6.3
12/15/20
TMR
4500HB-11
<24
.12128(20-
NAB
311313-44
13
12/11/20,
LFJ
E M200.1-
14
I2/23/20
LFJ
EPA2.00.7
.0.66
12I15/20
T?MM
2540G41
FAX [phone]
ZD#z 96$
DATE COLLECTEM 12/10/20:
DATE REPORTED i 01/08/21
REVIEWED BY.
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1
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1
Environnient 1, Inc.
on PnY 7r1RS 11A 0nkmnnt Dr_
CEIAIN OF CUSTODY RECORD
Page 1 of I
Greenville. NC 27855
environmentline.com
CHLORINE NEUTAALIZEDATCOLLECTION
DISINFECTIUNT
Phone (252} 756-620b - Fax [phone]
CHLORINE
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CLIF,�iT: 965 Week: &
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TADINTE BLACKWELL
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CHEMICAL PRESERVATION
;LEMMONS NC 27012
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DRINKING :HATER
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CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENTIDELIVERY
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SAMPLES COLLECTED BY:
(Pease Print) L %.
SAMPLES R ENED IN LAB AT `O
R i• } SIi B SIG.} (SAb,IPLER)
DATEEMME
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Sampler must place a `�C" for composite sample or a `G" for
PLEASE READ Instructions for completing this farm an the reaerse side. Grab sample in the blocks above for each parameter requested. [ 0 375221
FORM n3 _
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The results set forth herein are provided by SGS North Alneri.ca Inc. e-Hardeopy 2. 0
Automated Repoi-t
echii'KlRe 0 or x
Environment 1, Inc
Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
965
SGS Job Number: FAS1677
Sampling Date: 12/ 10/20
Report to:
Environment 1, Inc
PO Box 7085
Greenville. NC 27835
1 inc. corn
TTN: Ann Brown
Total number of pages in report: 14
e-
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Norm Farmer
Technical Director
Client Service contact: Jean Dent -Smith 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is the sole authotity for authorizing edits or modifications to this document, Please share your, ideas about
Unauthorized ntadificution of this report is strictly prohibited, how we ctut serve you better at: _G,
ttavicw stanJard ternts,rt: http;�%+v+vwscs.cont/enitems-and-cunditirnts GIiS.US.CustuntcrC;ut u,�gs.com
1 of 14
FA61677

Table ®f Contents
Sections:
Section1: Sample Summary ...................................................................................................
3
Section 2: Summary of Hits
4
....................................................................................................
Section3: Sample Results
5
........................................................................................................
3.1: FA81677-1: SLUDGE SAMPLE..................................................................................
6
Section4: Misc. Forms............................................................................................................
12
4.1: Chain of Custody...........................................................................................................
13
2of14
Fa81677

SOS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA81677
Suez Water (Ramseur WWTP-Sludge); Clernmons, NC
Project No: 965
.... �. t I .. A . , ; , .-.� , : �.
Sample Coll•ected Matrix client
Number Date Time By Received Code Type Sample ID
Atot
-w L-
Organics ND = Not detected above the MDL
FA8 12/1W20 10:00 TL 12/12/20 SO Sludge SLUDGES AMPL
Soil samples reported on a dry weight basis unless otherwise indicated on result page,
8,- 3 of 14
FA61677

Summary of Bits Page 1 of 1
Job Number: FA81677
Account: Environment 1, Inc
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
Collected: 12/10/20
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FAS1677-1 SLUDGE SAMPLE
Corrosivity as pH
Tgnitability (Flashpoint) °
Chromium 0;`6:';?''.?'!,•i.;.;';+ 0.10
(a) Not ignitable,
su SW846 CHAP7
Deg. F SW846 1010A MOD
mg/l SW846 6010D
a of '1 a
Gt_.
FA61677

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7 ` S y�p'�1(13��9 { F fI.....
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Orlando,
Section 3
e,.
Same ' X:
R s'
Report of Analysis
5of14
FA61677

SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA81677-1 Date Sampled: 12/10/20
Matrix: SO - Sludge Date Received: 12/12/20
Method: SW846 8260B SW846 1311 Percent Solids: 0.7
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 5E26306.D 10 12/28/20 14:15 SO 12/14/20 13:50 OP83357 V5E1211
Run #2
Purge Volume
.un #1 5.0 ml
.un #2
VOA TCLP List
CAS No.
Compound
Result HW#
MCL RL
71-43-2
Benzene
ND; ; ' ::;;` ? DO18
0.50 0.010.
78-93-3
2-Butanone (MEK)
D035
200 0.050
56-23-5
Carbon Tetrachloride
ND.'•:r:}':'!;; , D019
0.50 0.010
108-90-7
ChlorobenzeneD.;;'-?i':y:;'
D021
100 0.010
67-66-3
Chloroform
ND `:;: ;:;; `:'c`r:;`.`" D022
6.0 0.010
106-46-7
1,4-Dichlorobenzene
D027
7.5 0.010
107-06-2
1,2-Dichloroethane
D028
0.50 0.010
75-35-4
1,1-Dichloroethylene
D029
0.70 0.010
127-18-4
Tetrachloroethylene
D039
0,70 0.010
79-01-6
Trichloroethylene
NZ3;;';;D040
0.50. 0.010
7S-01-4
Vinyl Chloride
'NI};':::';',;i%``':';i:?D043
0.20 0.010
CAS No.
Surrogate Recoveries
Run# I Run# 2
Limits
1868-53-7
Dibromofluoromethane
9.7%':'.•!;',.
83-118%
17060-07-0
1,2-Dichloroethane-D4
16'6/1— ";'(
79-125%
2037-26-5
Toluene-D8,14%:°:r
85-1120/c
460-00-4
4-Bromofluorobenzene
1a4%;',;;.`•i';.
83-1180/c
(a) Outside control limits; however, sample is ND.
TCLP Leachate method SW846 1311
MDL
Units Q
0,0031
mg/1
0.020
mg/1
0.0036
mg/l
0.0020
mg/l
0.0030
mg/1
0.0026
mg/1
0,0031
mg/l
0.0032
mg/1
0.0022
mg/1
0.0035
mg/l
0.0041
mg/!
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/ 1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
6of14
FA81677

SGS North America Inc.
Report of Analysis
Page 1 of I
Client Sample ID:
SLUDGE SAMPLE
Lab Sample ID:
FA81677-1
Date Sampled: 12/10/20
Matrix:
SO - Sludge
Date Received: 12/12/20
Method:
SW846 8270D SW846 3510C
Percent Solids: 0.7
Project:
Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
File ID
DF AnaIyzed By Prep Date
Prep Batch Analytical Batch
Run #1 X073996.1) 1 12/24/20 20:20 NJ 12/24/20 12:00
OP83512 SX3015
Run #2
Initial Volume Final Volume
,un # 1 100 ml 1.0 ml
.un #2
ABN TCLP List
CAS No. Compound
95-48-7 2-Methylphenol
3 &4-Methylphenol
87-86-5
Pentachlorophenol
95-95-4
2,4,5-Trichlorophenol
88-06-2
2,4,6-Trichlorophenol
106-46-7
1,4-Dichlorobenzene
121-14-2
2,4-Dinitrotoluene
118-74-1
Hexachlorobenzene
87-68-3
Hexacblorobutadiene
67-72-1
Hexachloroethane
98-95-3
Nitrobenzene
110-86-1
Pyridine
CAS No.
Surrogate Recoveries
367-12-4
2-Fluorophenol
4165-62-2
Phenol-d5
118-79-6
2,4,6-Tribromophenol
4165-60-0
Nitrobenzene-d5
321-60-8
2-Fluorobiphenyl
1718-51-0
Terphenyl-d14
TCLP Leachate method SW846 1311
Result
HW#
MCL RL
MDL
Units Q
ND.;!:`:;:;`
: ;!.`,;:, D023
200
0.050
0.0056
mg/1
D024
200
0.050
0.0098
mg/1
D037
100
0.25
0.050
mg/l
D041
400
0.050
0.0074
mg/1
-:, D042
2.0
0.050
0,0075
mg/1
D027
7.5
0.050
0.0050
mg/1
D030
0.13
0.050
0.0081
mg/1
D032
0.13
0.050
0.0069
mg/1
D033
0,50
0.050
0.0050
mg/I
D034
3.0
0.050.
0.016
mg/I
D036
2.0
0.050
0.0093
mg/l
D038
5.0
0.10
0.020
mg/1
Run# 1
Run# 2
Limits
54:°Los;;:`;:,.
'
14-67%
149
12%.,'ir: f:':;'.•;:`;
42-108%
69.
40
39-121%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
7of14
Faois77

SGS North America Inc.
Report of Analysis Page I of 1 s
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA81677-1 Date Sampled: 12/10/20
Matrix: SO - Sludge Date Received: 12/12/20
Method: SW846 8151A SW846 3510C Percent Solids: 0.7
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CC072216.1) 1 12/16/20 16:09 JA 12/15/20 09:45 OP83385 GCC1775
Run #2
Initial Volume Final Volume
Run #1 10.0 ml 5.0 ml
Run #2
Herbicide TCLP List
CAS No.
Compound
94-75-7
2,4-D
93-72-1
2,4,5-TP (Silvex)
CAS No.
Surrogate Recoveries
19719-28-9
2,4-DCAA
Result HW# MCL RL
ND.'ji`:;i:;;;;D016 10 0.050
ND• i. %`.1-:'! D017 1.0 0.0050
Run# 1 Run# 2 Limits
39-135%
TCLP Leachate method SW846 1311
MDL Units Q
0.017 mg/l
0.0013 mg/1
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
8 of '14
FAM77

SGS North America Inc.
Page 1 of I s
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA81677-1 Date Sampled: 12/10/20
Matrix: SO - Sludge Date Received: 12/12/20
Method: SW846 8081B SW846 3510C Percent Solids: 0.7
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 ST150573.1) 1 12/15/20 18:48 WH 12/15/20 09:30 OP83384 GST3630
Run #2
Report of Analysis
Initial Volume Final Volume
Run #1 100 ml 5.0 ml
Run #2
Pesticide TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
58-89-9
gamma-BHC (Lindane)
l�?D{'.'::::.::;?:
s`:`I)013
0.40 0.00010
0.000022
mg/t
12789-03-6
Chlordane
'...'.. D020
0.030 0.0010
0.00038
mg/1
72-20-8
Endrin
:;
:':!;,< ` D012
0.020 0.00020
0,000021
mg/l
76-44-8
Heptachlor
ND,: ' :`',,'
;r; ? •': D031
0.0080 0.00010
0.000026
mg/1
1024-57-3
Heptachlor epoxide
ND;;:,:;;.!';,
,: D031
0.0080 0.00014
0.000020
mg/1
72-43-5
Methoxychior
ND:`;';;;'
`':; ;';i D014
10 0.00020
0.000050
mg/l
8001-35-2
Toxaphene
ND, `:
D015
0.50 0.0050
0.0021
mg/l
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
877-09-8
Tetrachloro-m-xylene
69%,:;.;1+;:;;
42-127%
2051-24-3
Decachlorobiphenyl
92%q"....''.:..i
27-127%
(a) Associated BS outside of control limits high, sample was N.D.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/l/ 11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
9of14
FAM77

SGS North America Inc,
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA81677-1 Date Sampled: 12/10/20
Matrix: SO - Sludge Date Received: 12/12/20
Percent Solids: 0.7
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
Page 1 of 1 3
Metals Analysis, TCLP Leachate SW8461311
Analyte Result HW#
MCL
RL
Units
DF
Prep
Analyzed
By
Method
Prep Method
Arsenic ; <•Q:;10 • !; ::''' D004
5.0
0.10
mg/l
1
12/18/20
12/18/20
LM
SW846 6010D 2
SW846 301OA 4
Barium ,2;0„: `,;} ;. ; D005
100
2.0
mg/l
1
12/18/20
12/18/20
LM
SW846 6010D 2
SW846 3010A 4
Cadmium <,0,;0.50.,'.;; D006
1.0
0.050
mg/1
1
12/18/20
12/18/20
LM
SW846 6010D 2
SW846 3010A 4
Chromium O66,` a;'.?`!;; : D007
5.0
0.10
mg/1
1
12/18/20
12/18/20
LM
SW846 6010D 2
SW846 3010A 4
Lead 0',050,!; ::':,` D008
5.0
0.050
mg/1
1
12/18/20
12/18/20
LM
SW846 601OD 2
SW846 3010A 4
Mercury :;''<Q;00$t];`', D009
0.20
0.0050
mg/1
1
12/15/20
12/15/20
JC
SW8467470A 1
SW8467470A3
Selenium <Q 1;0' <`:; ; DO10
1.0
0.10
mg/1
1
12/18/20
12/19/20
LM
SW846 6010D 2
SW846 3010A 4
Silver ;<OIO.,i.'?:;':•:', DO11
5,0
0.10
mg/1
1
12/18/20
12/18/20
LM
SW846 6010D 2
SW846 3010A 4
(1) Instrument QC Batch: MA17315
(2) Instrument QC Batch: MA17322
(3) Prep QC Batch: MP38286
(4) Prep QC Batch: MP38301
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/11)
10 of 14
FA81677

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA81677-1 Date Sampled: 12/10/20
Matrix: SO - Sludge Date Received: 12/12/20
Percent Solids: 0.7
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
Page 1 of 1
General Chemistry
Analyte
Result RL
Units
DF
Analyzed
By
Method
Corrosivity as pH
su
1
12/21/20 16:40
)B
SW846 CHAP?
Cyanide Reactivity
<210 >. `?;:, .,': 210
mg/kg
1
01/04/21 12:16
AC
SW946 CEIAP7
Ignitability (Flashpoint) a
>:200.`.';,`•; i`:;:'_•':
Deg.F
1
12/23/2007:23
CS
SW846 10)0A MOD
Solids, Percent
0; 7,;':':;'; ; : `:'':; ::; ;:'
%
1
12/15/20 09:11
KSA
SM 19 25400
Sulfide Reactivity
<'.71-00.%.:`:`r`.'`::;,:7100
mg/kg
1
12/29/2010:03
7C
SW846CHAP7
(a) Not ignitable.
RL = Reporting Limit
- sag,- 11 of 14
FA81677

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Section 4
11!I1ScTOTTTISJ
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
12 of 14
FAM77

Environment 1,Inc.
P.O. Box 7085, 114 Oakmont Dr.
Greenvtitn. NC 27RSR
CHAIN OF CUSTODY RECORD A $'Mine 1 of i
mvirommenU irtc.com
:hone (252)72-6208 • Fax (232)'756.0633
CLIENT: 965 Week:s
UEZ WATER (RAMSEUR WWTP"SLUDGlt3
iADTNEBLACKWELL
.0. BOX 1279
ILEMMONS NC 27012
536) 766-0270
COLLECTION
DIS1Ni•'SCTION
❑ CHLORINE
uv
❑ NONB
❑
CHLORNENEUTRALIZED ATCOLLECTIQN
pHCHECKPB)
P
P
P
P
P
P
G.
G
': G
G
COMAINERTYPE,PlG
A
A
A
A
A
A
A
A.
1 A
A
CHEM CALPRESERVAiION
Y A -NONE D-NAOH
S-HNO, E-HCL
F - ZINC ACETATE/NAOH
G-NATHICSULFATE
q•
E
ur
?
U 4
9
:� ¢"
a
V
y
F
v
F
Fr
SAMPLELOCATION
DATE
TIME
Sludge Sample
1 "Cif b •?D
(bDo
P
7.,1
7
L
CtASSIRCATION:
❑ WASTEWATER(NPDES)
❑ ORINKINGWAMA
❑ GW M
SOLIDWASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING_ S�IIPMENTIOELIYERY
Y N
"
}
SAMPLESCOU.£CTEDBY:
(pk?!s PM, y
'~ t✓a! �L�
,i
SAMPLES R EIVEDINLASAT -P°C
R St) 8 SIG) (SAIAPLEA))
Al'L'�
yDATEITIME
I
REGWED Y (SIG.)
�"�1.. -112
DATEMME
bo 124 1iJ
COMMENTS:
y
AEJ D'0($IG.)
DAIFITIME i
.Rfi Isla)
�
DATSTIME
E� 3-
REiI
,►1r, t.l r9
EA E ftFA 1 sti t "' s I co tetlhg tli'is form ''the reverse side.. niktler must place a "C'tor composite sample or a "G"for i
F Grab sample In the blocks above for each parameter requested, N2 375221
FA81677: Chain of Custody
Fate 1 of 2
13 of 14
FA91677

SGS Sample Receipt Summary
Jodi Number: FA81677 Client: ENVIRONMENT 1, INC Project: SUFZ WATER (RAMSEUR WWTP-SLUDGE)
Date I Time Received: 12/12/2020 10:25:00 AM DeliveryMathod: FEDEX Airbill Vs: 923153814283
Therm ID: IR 1; Therm CF: 0.2; # of Coolers: 1
Cooler Temps (Raw Measured) *C., Cooler 1: (1,6);
Cooler Temps (Corrected) °C: Cooler 1t (1.8); A
:a
CoolerInformation Y or N Samole Information Y or N -NLA_
1. Custody Seals Present ❑ 1. Sample labels present on bottles R ❑
2. Custody Seals Intact ❑ 2. Samples preserved properly R ❑
3. Temp criterle achieved 0 ❑ 3. Sufficient volumelco'Mainers recvd for analysis: 0 ❑
4. Cooler temp verification jR Gun 4. Condition of sample
5. Cooler media Ica (Ban) S. Sample recvd within HT ❑
6, Datesfrimes/lDs on CDC match Sample Label R ❑
Trip Blank Information Y or N NfA 7. VOCs have headapace ❑ ❑ []i
1, Trip Blank present! cooler ❑ ® ❑ 8. Bottles received for unspecified tests ❑ 8
2. Trip Blank listed on CDC ❑ ® ❑ 9, Composlting Instructions clear ❑ ❑
W or S NfA 10. Voa Solt KltsMars received past 48hrs? ❑ ❑ R
11. % Solids Jar received? ❑ ❑
3, Type Of TS Received ❑ ❑ ® 12. Residual Chlorine Present? ❑ ❑
MIsc. Information
Number of Encores: 25•Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lot #s: pH 0-3 230315 pH 10-12 219813A Other. (Specify)
Residual Chlorine Test Strip Lot #:
Comments
SM001 Technician: KYRASA Date: 12/12/202010:25:00 Reviewer. Date:
Rov, safe a524117
FA81677: Chain of Custody
Page 2 of 2
14 of 14
__. -
FA81677

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: WQ0010528 Laboratory: 1) Environment 1
Facility Name: Town of Ramseur 2) SGS Accutest
Residual Source WQ # or NCG590019 3)
NPDES #: 4)
WWTP Name: Ramseur Water Treatment Plant 5)
77 ,...:.1__,_I A.... 1-, : TA-4-
Parameter
(mg/kg)
Ceiling
Cone.
Limit
Sample or Composite Date
10/28/202
0
Percent Solids (%)
NA
2.54
Arsenic
46
<2.5
pH
NA
4.9
Copper
NA
Chromium
300
10
Lead
NA
Mercury
NA
Molybdenum
NA
Nickel
320
50
Selenium
NA
Zinc
NA
Total Phosphorus
NA
TKN
NA
Ammonia -Nitrogen
NA
Nitrate and Nitrite
NA
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 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 old Pre -parer *
7, -11-Z 1
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

[��norra�c��� 90 ��c�op�op�at�dl i ` r' Slk�-c�-�
GREENVUE, N <C, 27858
F-AMSEUR WTP-SLUDGE
724 LIBERTY STREET
'PO BOX. 5 4 5
RMSEUR,NC 2731.6.
PARAMETERS
PH, Units
Arsenic (dry wt. basis), mgft..
Chromium, T.{dry wt.. basis),-xng/kg
Nickel (dry Nvt. basis),ing/hg
Total Solidsi %
Sludge
Analysts
Method
Sample
Date Analyst
Code
4.9
11t03110
IDS
450OBB-11
<2.5
11/16120
X-1TM.
3113B-04
10:
11/12/20
LFJ
'3113B-04
so.
11112/20
LFJ
EPA752O'
154
11102/2-0
TMR
2540G-11
756-0633
ID# , 950
DATE QQLLECTEDz 1'0/28/20
D= RZPQRTED .71/30/20
REVIEWED, BY: z",

,vironment 1, Inc. CHAIN OF CUSTOg7Y R ECO7
. Box. 7085, 1.14 Oakmont Dr. r T a T Page 1 of. I
�fi]v111C.1�!\. GlPJO
vironn-ientl inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
.one [phone] 4 Fax [phone]
(� CHLORINE
I'"�
'
— qS 0 Week: $
LJENT:
pH CHECK (LAB)
410EE;
UV
LA
(RAMSEUR WTP-SLUDGE)
NONE
P
P
P
P
P
P
G
G
G
G
G
CONTAINER TYPE, PiG
VNE BLACKWELL
h�
CHEMLCALPRESERVAII(AV
. BOX 1279
i;MKONS NC 27"012
A
A
A
A
A
A
A
A
A
A:
A
A -NONE D-NAOH
G
766-0170
t✓
ac
z'
H
C B HNC3 E - HCL
0cc
c>
Q
w
¢
x
z
C - H SQ, F -ZING ACEfATE/NAOH
COLLECTION
CJ 4
¢
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o
n
G-NATHIOSULFATE
¢
o
tR
a_
t=•
�`
o
N�
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E+
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E-
ci
)AMPLE LOCATION
DATE
1IME
lu a Sample
ag p
%�
8
,.v.......
'�
, �
CLASSIFICATION.
VIASTEWATER (NPDES)
DRINKJNGWATER
DININGW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURINGEN IYDELIVERY
N
SAMPLES COLLECTED BY
(Please Print)
SAMPLES REMVED IN LAB AT,_ °C
LINQUISHED (5' ;) (SAM?LE8)
bAWR M E
RECEIVED Y (SI .)
j DATEfi1ME�
COMMENTS:
Vit Z, aS
LINQUI D BY (Sly.)
i
DATI=MME
t)a
RE ' D BY (S( .
DATt MME
w1 7
if
r cg
,
� " /036
LINQUISHED15Y(SIG.)
DATEMME
RECEI` (SIC
DA`TEliltfE,
Sampler most place a "C" for composite sample or a V for
PLEASE READ Instructions for completing this form on the reverse side.
a�n 5 Grab sample in the blocks above for each parameter requested. N Q 375237

The results set faith herein are provided by SGS North America Inc, e—Htlydcopy 2.
Auloinated Report
eC 1t . ,e off.' .
T brie.. R..........%z::'.:,::'.,`.
Environment 1, Inc
Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
950
SGS Job Number: FA80347
Sampling Date: 10/28/20
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
[e-mail]
ATTN: Ann Brown
Total number of pages in report: 14
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Norm Farmer
Technical Director
Client Service contact: Jean Dent -Smith 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327),1L(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, TA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc, - 4405 Vineland Road - Suite C-15 - Orlando, FL 32811 - tel: [phone] • fax: [phone]
SGS is the sole authority (.or alithod7in- edits or modifieatiom to this ducum(,mc, Please share your ideas about _ -
t.Mauthorind modification of this report is strictly prohihitocl, liow the can serve you better at:
Review slundardtetraslit: 13ttp:'•'t�ntysgs.cutnleni[crtns-nnd-conditions EItS.[1S.CustumetCareust .cum
1 of 14
FA80347

Table of Contents
> -1-
Section1: Sample Summary...................................................................................................
Section2: Summary of Hits....................................................................................................
Section3: Sample Results........................................................................................................
3.1: FA80347-1: SLUDGE SAMPLE..................................................................................
Section4: Misc. Forms............................................................................................................
4.1: Chain of Custody...........................................................................................................
Sections:
3
4
5
6
12
13
2of14
FA80347

dk StS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA80347
Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
Project No: 950
Sample
toilec:,ted:
Matrix
Client
Number
Date Time By
Received Code Type
Sample ID
Organics ND = Not detected above the MDL
FA803477110/28/20 10:30 TL 10/.31/20 SO Sludge SLUDGE SAMPLE
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
I
3 of 14
FA80347

Summary of Hits Page I of 1
Job Number:
FA80347
Account:
Environment 1, Inc
Project:
Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
Collected:
10/28/20
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA80347-I. SLUDGE SAMPLE
Corrosivity as pH b.1 ; ',:.,,;'..;'::'::`:; su
Ignitability (Flashpoint) a > 200 ::`:' Deg. F
(a) Not ignitable.
SW846 CHAP?
SW846 1010A MOD
L
4of14
FAC0347

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n.
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:.:..........¢,;.q,�u,;p..,;Y, ) ASf9 y y�ME 7m
.. i._._• Q� , t i t�dti'L Ka i ` i k+,
, 'i'+`t't'�.5•* "!'7
OdOdoy,F�.�,�,tit
Section 3
�Sam•'�1e.`Resu�Its �:��� � � � �>�+;`
Report of Analysis
nJPY!:.
4 �
5of14
FAS0347

SGS North America Inc.
Report of Analysis Page I of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA80347-1 Date Sampled: 10/28/20
Matrix: SO - Sludge Date Received: 10/31/20
Method: SW846 8260B IN HOUSE Percent Solids: 3.5
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
Pile ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 5E25249.D 10 11/05/20 15:44 SO 11/03/20 14:00 OP82796 V5E1162
Run #2
Purge Volume
mn # 1 5.0 ml
,un #2
VOA TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
71-43-2
Benzene
ND:?•':::';i`:;;'.;:.:•;'
D018
0.50 0.010
0.0031
mg/1
78-93-3
2-Butanone (MEK)
ND.:.:,`::..:;.';..;:
D035
200 0.050
0.020
mg/I
56-23-5
Carbon Tetrachloride
ND..`, :.::`::.'::`:.::<.'
D019
0.50 0.010
0.0036
mg/1
108-90-7
Chlorobenzene
ND. >::`':?..:',
i;. D021
100 0.010
0.0020
mg/l
67-66-3
Chloroform
NI) :::::::i:``
i ,'; D022
6.0 0.010
0.0030
mg/l
106-46-7
1,4-Dichlorobenzene
ND ;;?:?.;;'.,';,;::
D027
7.5 0.010
0,0026
mg/1
107-06-2
1,2-Dichloroethane
ND,•;::,(:i;,
,`1(,i! D028
0.50 0.010
0.0031
mg/1
75-35-4
I,1-Dichloroethylene
ND';:::''::;'!.':,7;
,; D029
0.70 0.010
0.0032
mg/l
127-18-4
Tetrachloroerhylene
ND:.`:`:.:: :;:::
D039
0.70 0.010
0.0022
mg/1
79-01-6
Trichloroethylene
ND;.'':;`:.•:'::;:.,D040
0.50 0.010
0.0035
mg/1
75-01-4
Vinyl Chloride
ND,:':•::":'.1:`<`;:.D043
0.20 0.010
0.0041
mg/1
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
1868-53-7
Dibromofluoromethane
i Ok.:'•:.
':';:`.
83-118%
17060-07-0
1,2-Dichloroethane-D4
1160W-:.;':;`.::
79-125%
2037-26-5
Toluene-138
I03%:!;';::;.;f.
85-112%
460-004
4-Bromofluorobenzene
104%`;!'!.;::'
83-118%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/ 11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
6of94
--.r-
FA00347

to 4 6GS North America Inc.
Report of Analysis Page 1 of I
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA80347-1 Date Sampled: 10/28/20
Matrix: SO - Sludge Date Received: 10/31/20
Method: SW846 8270D SW846 3510C Percent Solids: 3.5
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run 41 91010525.1) 1 11/12/20 13:12 MV 11/11/20 10:00 OP82907 S9I382
Run #2
Initial Volume Final Volume
Run # 1 100 ml 1.0 ml
Run #2
ABN TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
95-48-7
2-Methylphenol
ND.:`';,; `:;j
.:; :.i, D023
200
0.050
0.0056
mg/l
3&4-Methylphenol
ND `; ::`;::.'';`;i
D024
200
0.050
0.0098
mg/1
87-86-5
Pentachlorophenol
ND, :.`:'.i•:';!,:::',
D037
100
0.25
0.050
mg/1
95-95-4
2,4,5-Trichloropbenol
N17, i,:;`.'.`.;;
::,:!; D041
400
0.050
0.0074
mg/1
88-06-2
2,4,6-Trichlorophenol1D.`
;;:;'.``;.;:
D042
2.0
0.050
0.0075
mg/I
106-46-7
1,4-Dichlorobenzene
ND ;..;:,:.
.',:,: D027
7.5
0.050
0.0050
mg/1
121-14-2
2,4-Dinitrotoluene
ND.;'':';'+`;
`, ;';';' D030
0.13
0.050
0.0081
mg/l
118-74-1
Hexachlorobenzene
D032
0.13
0A50
0.0069
mg/1
87-68-3
Hexachlorobutadiene
ND ',: !..::;';:
;`, , D033
0.50
0.050
0.0050
mg/1
67-72-1
Hexachloroethane
ND;.=;;;;i;;
;` D034
3.0
0.050
0.016
mg/1
98-95-3
Nitrobenzene
ND,':; ,';':,;;
i!D036
2.0
0.050
0.0093
mg/l
1I0-86-1
Pyridine
ND.<.:i;;:."'.`;:
D038
5.0
0.10
0.020
mg/1
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
367-12-4
2-Fluorophenol
30% :'::�':::::..::
14-67%
4165-62-2
Phenol-d5
24%0 { .i`s`<
10-50%
118-79-6
2,4,6-Tribromophenol
7.80°;;,:`':
33-118%
4165-60-0
Nitrobenzene-d5
69%C,'i.`•..,
42-108%
321-60-8
2-Fluorobiphenyl
40-106°1°
1718-51-0
Terphenyl-d14
78%i,',.:;'':`,:
39-121%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/l/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
nt7of14
FAU0347

SGS North America Inc.
Report of Analysis
Page 1 of 1 a�
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA80347-1 Date Sampled: 10/28/20
Matrix: SO - Sludge Date Received: 10/31/20
Method: SW846 8151A SW846 3510C Percent Solids: 3.5
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CC071657.D 1 11/12/20 16:46 SH 11/11/20 12:00 OP82909 GCC1757
Run #2
Initial Volume Final Volume
Run #I
10.0 ml 5.0 ml
Run #2
Herbicide TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL Units Q
94-75-7
2,4-D
ND„.';!.`,`?,':,
D416
10 0.050
0.017 mg/1
93-72-1
2,4,5-TP (Silvex)
ND..;>'' ::::'.:
`D017
1.0 0.0050
0,0013 mg/I
CAS No.
Surrogate Recoveries
Run# 1
Rung 2
Limits
19719-28-9
2,4-DCAA
7. mo .:`:' .'
`.;
39-135%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
.....3L6._ 8 of 14
FABO347

• ` SGS North America Inc.
Report of Analysis Page I of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA80347-1 Date Sampled: 10/28/20
Matrix: SO - Sludge Date Received: 10/31/20
Method: SW846 8081B SW846 3510C Percent Solids: 3.5
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 ST150180,D 1 11/11/20 20:44 WH 11/11/20 08:00 OP82908 GST3617
Run #2
Initial Volume Final Volume
mn #1 100 ml 5,O ml
'.un #2
Pesticide TCLP List TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
58-89-9
gamma-BHC (Lindane)
ND,:`.:.:'.:.:';:
; DO13
0.40 0.00010
0.000022
mg/1
12789-03-6
Chlordane
h(D.,;.'',! .,
::. ;'` D020
0.030 0.0010
0,00038
mg/l
72-20-8
Endrin a
D012
0.020 0.00020
0.000021
mg/1
76-44-8
Heptachlor
ND ':::,:: ':':'::;:'::;,
D031
0.0080 0.00010
0,000026
mg/1
1024-57-3
Heptachlor epoxide
ND::''::.�;.'::-:`:`
D031
0.0080 0.00010
0.000020
mg/1
72-43-5
Methoxychlor a
ND,; "; ;;,;
?,`'! DOi4
10 0,00020
0.000050
mg/1
8001-35-2
Toxaphene
ND.:.:`.' ;i`,
`:'`:' DO15
0.50 0.0050
0.0021
mg/1
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
877-09-8
Tetrachloro-m-xylene
460:;'.;
42-127%
2051-24-3
Decachlorobiphenyl
'I04%.;'f:`.:;:.
27-127%
(a) Associated CCV outside of control limits high, sample was ND.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/ 1 / 11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
9of14
FA80347

SGS North America Inc.
Report of Analysis
'lient Sample ID: SLUDGE SAMPLE
,ab Sample ID: FA80347-1 Date Sampled: 10/28/20
vlatrix: SO - Sludge Date Received: 10/31/20
Percent Solids: 3.5
?roject: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
Metals Analysis, TCLP Leachate SW846 1311
Page 1 of 1
Analyte Result HW#
MCL
RL
Units
DF Prep
Analyzed By
Method
Prep Method
Arsenic 0 ..j 0 ';j D004
5.0
0.10
mg/1
1 11/11/20
11/11/20
LM
SW9466010C2
SW846301OA4
Barium <2,0•„.':;:.'::. `: D005
100
2.0
mg/1
1 11/11/20
11/11/20
LM
SW846 6010C 2
SW846 3010A 4
Cadmium <..0:050.';!D006
1.0
0,050
mg/1
1 11/11/20
11/11/20
LM
SW8466010C2
SW8463010A4
Chromium <,O..10., r.` :'::'.: D007
5.0
0.10
mg/l
1 11/11/20
11/11/20
LM
SW846 6010C 2
SW846 3010A 4
Lead <0..050 :';;;;< D008
5.0
0.050
mg/1
I 11/11/20
11/11/20
LM
SW846 dOIOC 2
SW846 3010A 4
Mercury <,0.0050::' D009
0.20
0.0050
mg/1
1 11/04/20
11 /04/20
ie
SW846 7470A 1
SW846 7470A 3
Selenium <0.::10,. ;'.. ` •'' DO10
1.0
0.10
mg/l
1 11/11/20
11/11/20
LM
SW846 6010C 2
SW846 3010A4
Silver <.0;`1Q;;`:;';'.';;D011
5.0
0.10
mg/l
1 11/11/20
11/11/20
LM
SW8466010C2
SW846301OA4
(1) Instrument QC Batch: MA17201
(2) Instrument QC Batch: MA17220
(3) Prep QC Batch: MP38085
(4) Prep QC Batch: MP38122
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/l 1)
�'!' 10 of 14
Bdlm.
FA60347

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA80347-1 Date Sampled: 10/28/20
Matrix: SO - Sludge Date Received: 10/31/20
Percent Solids: 3.5
Project: Suez Water (Ramseur WWTP-Sludge); Clemmons, NC
General Chemistry
Analyte
Corrosivity as pH
Cyanide Reactivity
Ignitability (Flashpoint) a
Solids, Percent
Sulfide Reactivity
(a) Not ignitable.
RL = Reporting Limit
Page I of 1 P
is
Result
RL Units
DF
Analyzed
By
Method
su
1
11/12/20 12:09
JB
SW846 CHAP?
<43
43 mg/kg
1
11/16/20 13:51
AC
SW846CHAP7
Deg. F
1
11/13/2009:04
CS
SW8461010AMOD
%
1
11/03/2013:17
JB
SM192540G
1400 mg/kg
1
I1/10/20 12:32
Jc
SW846 CHAP?
11 of 14
FA80347

CHAIN OF CV i'ODY RECOV FMS41
Page 1 of I
Environment 1,Inc,
P.O. Box 7083, 114 Oalonont Dr.
Greenville, NC 27858
;uviwutttcatl itta.com
Phone [phone] " Fax [phone]
DISINPP.CTION
CHLORINENEUTRAU2EDATCOLLECTION
CLIENT: . Week:8
Ci 5j "
IDCHLORINC
❑ UV
pHCHECS((LAB)
P
P
P
P
P
P
G
G
G
G
G
CMNTAINERTYPE,P/G
411I29biA-WIA RAMSUUR WTRSLUDGE)
ADINE BLACIVNELL
NONE,
.0. BOX 1279
LEMMONS NC 27012
A
A
A
A
A
A
A
A
A
A
A
CHEMICAL PRESERVATION
136) 766 0270
A -NONE, D-NAOH
u�F
Sa
3
8-HMO, E•HCL
g
s
A
'S
p°
pm :
W
C • H'SO' F • ZINC ACETATE/NAOH
COLLECTION
8
tR
4
$
a
13.
a
4.
a
'�'
c
d
a
=�
t G•NATHIOSLUATE
LOCATION
I
SAMPLE
DATE
TIME
Fo o
0-
a,
SludgeSatepte
?a�g.T
�
:
t
30
_'�'•
CLASSIFICATION:
WASTEWATER(NMES)
.
............
.
DRINKING WATER
DWRiW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DU RING yiHlPhjENTIDELIVERY
(L / N
SAMPLES COLLECTED BY:
lfl
SAMPLESRECENEDWLABAT_L_°C
RELNCUISHED (S ,) (SAMPLER)
DATETRME
R'M
)
DA ME
COMMENTS;
DBYG)
RETJNDU15�1 ` f/ �'
4
DATVV4E OD
�2
EY
D EITME
Z
REU SHED BY ICI)
` D TfjTIME
kE ($IG
DATETTI
••L " •/IS�O^
?Li x0 -..
�• OTWO I i "
r plating this for , Sampler must place m on the , verso sfde. e a "C" for composite sample or a "G" for
F LO i $ I/moo "13o Grab sample In the blocks above for each parameter requested, N U 375237
FA80347: Chain of Custody
Page I of 2
13 of '14
FAB0347

SGS Sample Receipt Summary
Jab Number., FA80347 Client: ENVIRONMENT 1, INC, Project: 950
Date / Time Received: 10/31/2020 9:30:00 AM Delivery Method: FEDEX Airblil Ws: 900433727312
Therm ID: IR 1; Therm CF: 0.2;
Cooler Temps (Raw Measured) °C: Cooler 1: (0,6);
Cooler Temps (Corrected) °C: Cooler 1: (0.8):
# of Coolers: 1
Cooler Information —X--QL--tL
Sample Information
Y or
N
N!A
1. Custody Seals Present R ❑
1. Sample labels present on bottles
0
❑
2. Custody Seats Intact FVJ ❑
2, Samples preserved property
�Ji
❑
3. Temp criteria achieved ® ❑
3. Sufficient volume/containers read for analysis:
®
❑
4. Cooler temp verification IR Gun
4, Condition of sample
jet
5. Cooler media 101121191
S. Sample recvd within HT
❑
6. Dales/Times/IDS on COC match Sample Label
®
❑
Trio Blank Information Y or N N/A
7, VOCs have headspace
❑
❑
0
1. Trip Blank present / cooler Cl ❑ R
8. Bottles received for unspecified tests
❑
2. Trip Blank listed on COC ❑ ❑ R
9. Composifing Instructions clear
❑
❑
0
W or S NIA
10. Vos SoR Kits/Jars received past 48hrs?
❑
❑
0
3, Type Of TB Received ❑ ❑
11. % Solids Jar received?
Cl
❑
12, Residual Chlorine Present?
Cl
❑
R
Misc. information
y
Number of Encores: 25-Gram 5-Gram Number
of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lot #s: pH 0.3 230315
10-12 219813A Other. (Specify)
Residual Chlorine Test Strip Lot#:
J
_ `pH
Comments
_
ROt
Reev.v.Date 0524117 Technician: BRYANG Date: 10/31/2020 9:30:00 A Reviewer:
Date:
FA80347: Chain of Custody
Page 2 of 2
14 of 14
FA80347

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Ramseur WQ Permit Number: WQ0010528
W.W. Name: Ramseur WWTP
Monitoring Period: From l/l/2020
NPDES Number: NCO026565
To 12/31/2020
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment)❑
Alt. C (Prior Testing)[]
A1t.D (No Prior Test) ❑
Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying El
Treatment ElThermophilic
El
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
..........
Class B:
Alt. (1) Fecal Density ❑
Alt. (2) Process to Significantly Reduce Pathogens Cl
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
.
Lime Stabilization 0
Air Drying ❑
Composting ❑ jAerobic
Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o
Excee-
dences
Frequency
of Analysis
Sample
Type
Analytical
Tech -
ni
Minimum
Geo. Mean
Maximuml
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
vector Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑Alt.
4 (Spec. OZ uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization L]
Alt 7 (Drying - Stable) ❑
1 Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
C.;EK11FIC;ATHON STATEMENT (please check the appropriate statement)
21 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
eT-ry_ lrewct le►-i �
Preparer Aame and Title (type or print)
Signatur4 of Preparer*
Land Applier Name and Title (if applicable)(type or print)
7-/1-Z6
Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
f1FNR PnRAA P\/RF n?T (19/,)nnrn)

4 •
Month
LIME LOG SHEET
�19 Year 2b Z (]
DATE 2-
GAL. WASTED
*OO
Initial TEMP °C
05.
Initial pH, SU
b•9
LBS OF LIME
d
TIME
lbD�
pH, SU
12 •�
TEMP °C
�•3
Temp Corrected pH, SU
�Z. Z
pH after 2 HRS
� 2•`f
TEMP °C after 2 HRS
5
Temp Corrected pH, SU
Z .
pH after 24 HRS
' If
TEMP °C after 24 HRS
Temp Corrected pH, SU
pH Correction
Temp°C
Correction
40
Plus 0.45
39
Plus 0.42
38
Plus 0.39
37
Plus 0.36
36
Plus 0.33
35
Plus 0.30
34
Plus 0.27
33
Plus 0.24
32
Plus 0.21
31
Plus 0.18
30 1
Plus 0.15
29 1
Plus 0.12
28
Plus 0.09
27
Plus 0.06
26
Plus 0.03
25
0
24
Minus 0.03
23
Minus 0.06
22
Minus 0.09
21
Minus 0.12
20
Minus 0.15
19
Minus 0.18
18
Minus 0.21
17
Minus 0.24
16
Minus 0.27
15
Minus 0.30
14
Minus 0.33
13
Minus 0.36
12
Minus 0.39
11
Minus 0.42
10
Minus 0.4S
"I certify, under penalty of law, that the Class B pathogen requirements in 40 CFR, Part 503.32(b) have been met and the vector attraction reduction requirement in 40
CFR, Part 503.33(b)(4) and (6) have been met. This determination has been made under my direction and supervision in accordance with the system designed to ensure
that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met.
I am aware that there are significant penalties for false certification including fine and imprisonment."
Printed Name & Title �e L Iti �GZ {/ �� [n O RI
Signature

RAMSEUR WATER TREATMENT PLANT
SLUDGE DISPOSAL RECORD
YEAR: .2 Q a o
Prior to 1 st disposal event
1 Collect a sludge sample from the drying beds and test for Percent Solids,
Arsenic, Chromium, Nickel, and TCLP
2 Measure the pH on -site and record result on Chain of Custody
Label the sample location as "Sludge to Disposal"
On Hauling Event Days
1 Complete "Vehicle Inspection" form
2 Complete bottom portion
Date of
Hauling
Volume
Tank Size
# Loads
Gallons
a7/ot0
3 /G o ti
p
a 8 zo
3 11co
3 I(o0
Z
3 "i 6-0 a
2
(p ZD
o
i
3� 76v

I n
�: 15
VEHICLE INSPECTION* FORM
LIQUID WASTE
Pumping Company . __ _ P0,4, Sc I eA f:
Address 71 _ o M .MahPJCity
_f,_.r`1 h �'71% Zip Code 283� ?
Telephone
Name of pumper or representative present d1 ring inspection (please print)f-
Make and Model
5�4f1:n
License ?Number
n Gallons
YA 91782 3.IG o
����' satisfactory U = nn
i Egn?i� rent Condat�Ion )inspected Vehicles
G j 2 3 4 5
eneral
Cleanliness
{Ali equipment maintained and
' cleaned of spillage
i
5
Vehicle lYFechanics j Lights, Horn, Tires, Brakes,
Mirrors, Steering Wheel
`5 5
} Tank Container
j Leak proof, no dents or corrosion
Tank Cover
Tight fitting, spill proof
€
s Release Val ve and ' Valve, hose, fittings goodno
Hose ,
leaks
Sewage Suction
Sound condition, drained after
'
{ Hose
; each use, sanitary storage
' S
` Copy of
SPCC PIan
? Located in vehicle
f
Spill Cleanup
Equipment
!Water Bose, disin€ectant, hand
`
sanitizer, 5 gal. of absorbent*, 5
galbucket, broom & shovel
!
Over ill Protection j Positive check valve present or
_
I
Lem Indicator
contents level gauge
5 S
vel
? Recommended, but not requik ed
k ��
if check valve used
! Purnp
Type, condition (able to handle
( septage without intake st-ainer)
S S
Complete if any item is
marked "'UnEsatisfactorf> in
columns at left
Date /o/a7/ao Inspected byso,,
(print name) i�tature)

*� VEHICLE INSPECTION FORM
LIQUID WASTE PUMPING AND HAULING
Pumping Company: T or -moo,-Jn. <
Address I I ct DIJ %taut"City _ 1"iewc 6p-ok e Zip Code 37 Z Telephone
Name of pumper or representative present during inspection (pleaseprint) i b -4-1- r
COLLECTION VEHICLES:
Make and Model
License Number
Tanker Capacity
in Gallons
Y -81'2f?
3 ICo
2
o
yA -/ J 9G 7
3 /G9
EQUIPMENT INSPECTION: S = satisfactory iJ = unsatisfactory
Equipment
Condition Inspected
Vehicles
Complete if any item is
marked "unsatisfactory" in
1 2 3 4 5
columns at left
General
All equipment maintained and
S
Cleanliness
cleaned of spillage
Vehicle Mechanics
Lights, Horn, Tires, Brakes,
S
Mirrors, Steering Wheel
Tank Container
Leak proof, no dents or corrosion
s
S
Tank Cover
Tight fitting, spill proof
S
Release Valve and
Valve, hose, fittings good, no
Hose
leaks
Sewage Suction
Sound condition, drained after
Hose
each use, sanitary storage
Copy of
SPCC Plan
Located in vehicle
Spill Cleanup
Water hose, disinfectant, hand
Equipment
sanitizer, 5 gal. of absorbent*, 5
al. bucket, broom & shovel
Overfill Protection
Positive check valve present or
S
contents level gauge
Level Indicator
Recommended, but not required
s
S
if check valve used
Pump
Type, condition (able to handle
S
s
septae without intake strainer
Date ZO/2JZc20 Inspected by cli SOn Ye-ll-j i
(print name) (Signature)