HomeMy WebLinkAboutWQ0006245_Residual Annual Report 2021_20220216 Non-Discharge Branch Upload/Submittal Form
NORTH CAROLINA
EnWron.M&IQualfty
Version 2-Revised June 23.2020
Initial Review
Reviewer Thornburg,Nathaniel D
Is this submittal an application?(Excluding additional information.)*
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Annual Report Year* 2021
Permit Number(IR)* WQ0006245
Applicant/Permittee City of Statesville
Email Notifications
Does this need review by the hydrogeologist?* 0 Yes • No
Regional Office Mooresville
CO Reviewer
Admin Reviewer
Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal,confirmation of receipt,and other correspondence.
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Name* Ken Galloway
Email Address* Phone Number*
kgalloway@statesvillenc.net 7048783438
Project Information
Application/Document Type* New(Fee Required) Modification-Minor
Modification-Major(Fee Required) Renewal
Renewal with Major Modification(Fee GW-59, NDMR,NDMLR, NDAR-1,
Required) NDAR-2
Annual Report Residual Annual Report
Additional Information Change of Ownership
Other
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:* Wastewater Irrigation High-Rate Infiltration
Other Wastewater Reclaimed Water
Closed-Loop Recycle Residuals
Single-Family Residence Wastewater Other
Irrigation
Permit Number:* WQ0006245
Has Current Existing permit number
Applicant/Permittee Address* POBox 1111 Statesville NC 28687
Facility Name* City of Statesville Class A Residuals Program
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 nathaniel.thornburg@ncdenr.gov.
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form,Engineering Plans,Specifications,Calculations,Etc.)
2021 StaLime.pdf 17.72MB
Upload only 1 PDF document(less than 250 MB).Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* 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
CAW, Q./4',V
Submission Date 2/16/2022
•
February 15,2021 •
Attention! NCDIM •
'ator Quality Non-Discharge Pertniiting Unit
1617 Mail Service Center
Raleigh,North Carolina 7699-1 636
RE: Annual Report for 2021
Alkaline Stabi[izatian(kV 0006245)
To Wrhont It May Concern: •
Enclosed,you will find a copy of the required forms and lab data for the Alkaline Stabilization
program.Permit#WQ0006245.
Should you require more information, or if further action is required,please coritact me at 704- 878-3438.
Sincerely
Ken a 1nway
WWTP Supervisor, Fourth Creek WWTP
r
GENERAL INFORMATION
ALKALINE STABLIZATION REPORT
CALENDER YEAR 2021
PERMIT NO. WQ0006245
FACILITY I A 1F: Fourth Creek WWTP l'PDES NC0031836
LOCATION: 693 Bell Farm Road
MAILING ADDRESS: P.O. Box 1111
Statesville, NC 687-1 111
(704) 878-3438
RESPONSIBLE OFFICIAL: Andy Smith, Operations Manager
Water Resources
P.O, Box 111.1
Statesville, NC 2867-111 1
(704) 878-3438
FACILITY OPERATOR: Ken Galloway
Plant Supervisor
P.O. Box 1111
Statesville, NC 28687-1 1 1 1
(704) 878-3438
RESIDUALS OR : Ken Galloway
Plant Supervisor
P.O. Box 1111
Statesville, NC .8 6 8 7-111 1
APPLICATION: Class A Exceptional Quality Product
Test Data and Summary Operations
Attached
II
ANNUAL RESIDUAL SAMPLING SUMMARY Y FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM .S T-13
WQ Permit WQ0006245
_ Laboratory: 1) Waypoint Analytical
facility Name: Fourth Creek 1 WTP - -
Residual Source WQ #or 2)
N1)0 ES #: 1PDE # N 0O3!#36
�i`P Name: 4)
5)
rj1 'i[luril rLmti ' i Data
Cone_
Parameter Limit - �Sample or Composite Date
(mom ) nag a 3/15/21 4/26/21 7/26/21 9/20/21 10114/21
PEreent Solids (%) : NA 63.60 0 89% 94% 70% 80.40% 1
irl
Arsenic 75 9.09 2,58 4.33 6.3
Cadmium _ 85 <0.500 0.189 <0,543 <0.7I2 <0.622 ME all
Copper _ 4,300 30.2 29.6 35.1 42.5 41.2
1 Chroinium _ NA. N/A N/A N/A N/A WA
Lead 840 6.3 5.94 4.63 7.18 5.61
Mercury _ 57 <0.0500 0.0566 0.0361 0.0516 0.0373IN
Molybdenum 75 2.78 1.45 2.05 2.85 1.94IIIM
Nickel _ 420 12.6 1\r/A 10.2 9.99 6,98
Selenium ]00 3.0 <0.562 2.13 2.85 2.62
1 Zinc _ 7,500 56 57.7 64.7 83.869.4
Total Phosphorus NA 1,950 2,830 NIA 3,680 3100
TIKN NA 5,320 4,290 N/A 2,750 4250
Ammonia-Nitrogen N <100 N/A N/A 78.1
61.8
fli
itratc and Nitrite NA. I 16,5 193 N/A 5.58 21.5
F+ surface disposal facilities the ceiling concentration Iimits listed in this foie are not applicable. Reference the individual
fk'rriiat for metals lirn its.
"I •crtify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to sstire that qualified personnel properly gathered ed and evaluated the information submitted. 1 ant aware that there are significant
pe :ilties for submitting false information, including the possibility of fines and imprisonment for ltinovving violations."
Si,,, at Preparer * A.
Date
13 'parer is defined in 40 CPR fart 503.9(r)and 15A NCAC 2T.1102 (26)
DENR FORM RSSF (1 / 006)
a
ANNUAL PATHOGEN EN AND VECTOR 1 OR ATTRACTION REDUCTION 1701t 11 (U 1 tales)
Facility Name: Fourth Creek WWTP Alkaline Stabilization WQ Permit Number: WQ0006245
WWTP Name: Fourth Creek WWTP NPDES Number; N 0031536
Mori itoring Period: From 1l1 021 '1'o I2I3112021
Pathogen Reduction (15A NCAC UT .1106) - Please indicate level achieved and alternative performed:
Class A: ! Alt.A (t elternp) LI Alt Atic'lreatment)Q Alt. (Prior rsting)❑
. Aft.D (No Prior Test) 0 [ Process to Further Reduce Pathogcngs LI
If applicable to alternafive performed (Class A only) Indicate"Process to Further Reduce Pathogens":
Compost 0 Heat Drying 0 Heat Treatment El T
herm_ophilic 0
Beta Ray Gamma RayCl Pasteurization Q . fi::....,:.;..:.:;..�.:;.:;. :..:..- ::::-s:.
Class B: lAtt. (1)Fecal Density Ell Alt. (2) Process to SignificantlyReducePathogens 0 1.:u';';-:`; :
If applicable to alternative performed(Class B only) Indicate"Process to S1gniilcantly Reduce Pathogens"; -
:LiLne Stabilization U / Air Dr yin El L Coinpostiu � Cl Aerobic Digestion 13
:d�fi_Fr.s��'sarfla'i3:�,.����b�s�b� a�¢s;�'4`:?::�.... .. . �� � .. . �� � .. . .. .
Anaerobic Digestion 0 }.:. . ..._...... --_
.fig e,�v, yv� � - .. . . ......� �. ��
. If applicable to alternative performed (Class A or Class B) cinniricte the followin monitoring data:
Allowable Leve! 1 Pathogen Density FreExcee- quency Sample rUnal}t44; t
Parameter I -- 1 - FAun1 . e
I Tech-
iniu'J Minimumeo. meanNUNintun L.lnits u Type
n1allc
I t - Quarterly grab sm9221
6th power
per gram of
k Fecal Colifortn total solids
1000 rupn per gram I C 1
of total solid (dry I
wei l ht)
Salmonella bacteria 3 MPN per 4 gra s —
(in lien of feat total solid(dry
. coliforvr) I i;'eight) I
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt,1 (VS redaction) Alt, 2(40-day bench) Alt. 3 (30-day bench) aAlt. 4 (sped.. 0'2 uptake) Z
Alt. 5 (14-Day Aerobic) 0_ Alt, 6(Alk- Stabilization 0 Alt 7 (Drying-Stable) q Alt. S (Drying- Unstable) CI
}� 11. 9 (Injection) . Q Alt- 10(Incorporation) U 'No vector attraction reduction alternatives were performed O i
CERTIFICATION STATEAIENT (please check the appropriate statement)
IM "I certify under penalty of law, that the pathogen requii cineiits in 15A NCAC 02T.1106 and the
vector attraction reduction requirement in 15A NCAC 02T-1107have been met."
0 "I certify, sunder 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 loth of the
__ requirements.)
"Tit is determination has been mode under my direction and supervision in accordance with the system
designed to ensure that qua[Met! personnel properly gather and evaluate the information used to determine
that the pathogen and vector raltraction reduction requirements have been met. I am aware that there arc
significant inn allies for false certification inclndiug fine and inipr€sorrmetrt."
Ken Galloway WWTP Supervisor
Preparer Name and Title (type or print) — Land Applier Name and Title (if applicable)(type or print)
1(.- . _
Signature of Prepa Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFI Part 503.9(r)and 15A NCAC 2T.1102 (26) —
DENR FORM PVRF 02T (1 J 006)
City f States17111 Alkaline tabjTizatioi� Record Ft: .
,} Process To Further Reduce Pathogens (PFRP)
BIN # 7 Setup Date: .2- .23-al Removal From Bin Date: A A -21
Date j Time pH >12.0 For 72 Hrs. TEMP. >52 Deg.C For 12 Hrs. Operator
initial pH: a a/5 Ws Pin .tf.0 111J A,l 2/24
d-,23--1 p 11: Corrected pH: 3, 5.1° $'1° P41.4
Final pH: } , 7
- le,2i Iv ai Phi Corrected pH: 1.2.i
J$, t.,J'
,
Has 2 Hour ipp Criteria eery Met' N
Has 72 Hour rit ire a Been M€f? N
BIN # } F A Setup Date:.?-../q-4 f Rernaval From Bin Date: 3-1-gj
Date Time pH >12.0 Far 72 Firs. TEMP.EMp. >S2 De .C for 12 lirs. operator
rnitial pH: 1 , fo:33,e r ..1. r� o'i.'pS - S
'Corrected pH: . 7 . ° � 1
Final pH: f,' ,0
" I- }
c}g:r10 I
Correcte pFi: 1 ,r Lc)
ff -12 Hour Temp Criteria seen Met?
Has 72 Hour pH—Criteria Been et.
BM # 3 t`.6 Setup Date:a_. 5..4/ Removal From Bin Date: 3. i. 1
Date Time pH >12.0 For 72 Hrs. TEMP. >52 Deg. C For 12 Hrs. Operator
Initial pH: M. 3g rov 34a .t-.1.5 87:a5 g.u
`f _ Corrected pH: }.?, 17 ' 766
Final pH: w.+'. a ew 1-i, 2 i Gq: (1° Corrected pH: / . {I{
_ Ifas Ho i Temp Crimea een Met? Oil N
Has 7 our pH riterla eery et. N
131h! # g 4 !Setup Date: 2.gc,21 'Removal From Bin Date: 3- 1- ,2 i
Date Time pH >12.0 For 72 Hrs, TEMP. >52 Deg. C For 12 Hrs. Operator
i :1" IIInitlalpH: .'. f 7 1Q:P3�sm A-2g JAC
7g*4.3 Corrected pH: l2- ', 9_i- 45 ii0.5. rs.
Final pH: f .0
1 - 1- Al if 30nT Corrected pH: 1: . I q Pi t1
Has 1 our temp Criteria een Met? 1) N 1
Has 72 Hour pal Criteria een Met
BIN It 'Setup Date: rRemoval From Bin Date:
Date Time pH >12.0 For 72 Hrs, TEMP. >52 Deg, C For 12 lirs. Operator
Initial pH:
-_ Corrected pH: _
Final pH;
Corrected pH:
—1-1a .2 Hour Temp Criteria Been Met.
Has 72 Flour pH CriteriYgeen Met' Y N - i
r itj f StatesvillAircaline tea ilization ecor' For
Process To Further Reduce Pathogens (PFRP) _
r # 4 2 Setup Date: q.s.a1 Removal From Bin Date: Li-9 - . .i
Date Time pH >12.0 For 72 Hrs. TEMP.>52 Deg.C For 12 Hrs. Operator
initial pH: F: . 1,i 4-5,64 4 0r-3 LI•CC:, o?F n vJ
��, - 7 ,Corrected pH: f , 3:t $0 c o
Final pH: 1.?. LI 6
11` - 9: SJ Corrected pH: /J.7 0 Ow
Has Hour Temp Criteria Been Met? N
Has 7Hour Criteria Been Met?
BIN # 345 Setup Date: 11•1•At Rerrioval From Bin Date: 4- f - 21
Date Time pH >12.0 For 72 Hrs. TEMMMP. >5I Deg.C For 11 Hrs- Operator
,i-4 Jo:O5 If- `� Ce nir:lo
FrnluaIpH: 1,7 ,3IP? # R,
Corrected pH: J
'�- f �3 .. 8. E °
'Final pH: )2, r10 I V
• , -.#{ ��* 1 Corrected pH: / , AU J RI
Has 12 Hou mp Criteria Been t'
Has 72 Hour pH riterr een Met? N
—
BIN It 7 4,' $ —Setup Date: +11- T. v Removal From Bin Date: 4-I,-- I
1 Date Time pH >12.0 For 72 Hrs. TEMP. >52 Deg.C For 12 Hrs. Operator
Initial pH: a s? 'S-'1 ( ID: ? , c4- T• ro:21
ii-7_ + O Q:tr W
Corrected pH: i/,6 9 F ° q ° RL
Final pH: 41,4 tl{ 'J.4n,
Corrected pH:l,e,KO
Has 12 Hour Temp Criteria Been Met? Y
�' Has 72 Hour P Mena een et. N
BIN # °i r!t 'Setup Date: fit t. ( Removal From Bin Date: fi-i, -,
Date I Time pH >12.0 For 72 I-frs. TEMP. >52 Deg, C For /2 Hrs. Operator
Initial pH: f; •3 •t-g Jd:Jg 1 'f•4a0113o
rf-$�?f } :D0, 2 o 40.1
Corrected pH: /. , 5/ q a _ _
Final pH: it ief _
4-!44• 1 is r $ (Corrected pH: Q. 0 w
Has 12 Hour Temp riteria een Met? if N
72 Hour pH—Criteria Been Met?
BIN # Setup Date: Removal From Bin Date:
Date Time pH >1 .0 For 72 Hrs. TEMP. >52 Deg.C For tz Hrs7Operator
r
initial pH:
1- ,
Corrected pH:
Final pH:
Corrected pH: _
Has-12 Hour Temp Criteria : een Met? Y N
HaT72 Hour p Giteria Been tT Y N
I
City Of Statesville Alkaline Stabilization Record For }~ i
Process To Further Reduce Pathogens (PFRP
BIN # 1 4,42 _ Setup Date: _ 0- 2,t Removal From Bin Date: 9- , _ a +
Date Time pH >12.0 For 72 Hrs. zr r5 Ueg.C For 12 Hrs, Operatr
A lnitial pH: J.3 9 8.30-A i 0.3 f-/.I
8-3n- .1 VIII ii Corrected pH: 12. es gp' II:051 tS' O J;45 t 4
p Final pH; '2.4 7
9-2.21 I 1 :#01.1 iCorrecte€I IOH:fl. 9r —L_
r s
Has 12 Hour Temp Criteria Been Met? o N
Has 72 Hour pH Criteria Been Met? 0 N
BIN # 3 , Setup Date: g. 31-' tRemoval From Bin Date: 9. 3- +
Date f Time I pH >12.0 For 72 Hrs. - trviP. >52 Deg.C For 12 Hrs. Operator
,Initial #H:
p .3 s, 7-lr-
t 9- I- /f
t-1I-.?1 OVI2 Corrected pH: 12.9$S 9012 to 31+km go' 07:!7 i h' -'
Final pH: /,/.55
9-3-2 i 097 57 Corrected pH: I. .7$ L
Has 12 Hour Temp Criteria Been Met? Y N
Has 72 Hour pH
Criteria Been Met?
BIN # 'U' f Setup Date: 9-1-zi Removal From Bin Date: 9-
Da€e Time pH >12.0 For 72 Hrs. TEMP.>52 aeg.CFor 12 Hrs. r Operator
InitialpH: 12. 4, g 4-1- a I 11--x- i
1. i-.21 r`S Corrected pH: /41. 1 lg. 1G:11.5 il 0' imo i t LW I I
Final pH: 1,2.41
9..7-1.i . t0:5 (Corrected pH: 1.24 I I r i,
Has 12 Hour Temp Criteria Been Met? N f
Has 72 Hour pH Criteria Been Met? N
BIN # 4 ' i Setup Date: 9- 2- 2.i Removal From Bin Date: 9-5- 1
Date Time pH >1 .0 For 72 Hrs. TEMP.>52 Deg.C For 12 Hrs. Operator
initialpH: a. . 4-2. 1 4-3. .1
2- /I 12,313"' Corrected pH: Le.IS /0` l0:3a s 70 of o 7 Rim
p Final pH: a51
4. 1-A 1 r ;t/or)I Corrected pH: 1..e.if Er _ _I Rt lei
-
Has 12 Hour Temp Criteria Been Met? if N
Has 72 Hour pH Criteria Been Met? N
BIN # 4 'setup Date: 4_341 Removal From Bin Date:q- - ,' j
Date Time 1 pH >12.0 For 72 Hrs. - TEMP. >52 Deg,C For 12 Hrs. I Operator
Initial pH: 12. to%e 4- 3- al dt-'1-a 1 f
9-3- I °V" Corrected pH:}, .1 10 fV3D; `e id: 5 ' lrl
final pH: a ,4r'
" -7- i It;d0ev ,Corrected pH: {. -6 Ik A. R.+
Has 12 Hour Temp Criteria Been Met? N
Has 72 Hour pH Criteria Been Met? y) N
I
City Of Satesvi a ATEline Stabilizationd For
Process To Further Reduce Pathogens (PFRP)
1 BIN 14 14 a2 getup Date: #o-14_ai IRernoval From Sin Date: /0. 7. i
Date Time pH >12.0 For 72 Hrs. T MP. >52 Deg. C For 12 Hrs. Operator
Initial pH: 1,1.3 g to-q• 23 1 ' -S-21
io-l# a 13g:05
Corrected H: 1+ .56 gb' if Arai ge 01=20 lkal
Final pH: f 2.57 /4.1-Ai
IG- r- ! :D $ Corrected pH: ! _ 77 106 D4:14
Has 12 Hour Temp Criteria Been Viet.
Has 72 Hour pH Criteria Been Met? . N
BIN # 34.5 Setup Date: /0-g.v Removal From Bin Date: to- 8-21
Date ' Time pH >12.0 For 72 Hrs. TEMP. >52 Deg, C For 12 Hrs. Operator
'Initial pH: 12, olt i0-,S- 2,t 10-6- 21
[ - f2: l1
S J Corrected pH: 12.111 q Q° i o 3f m 906 of:Le.5 F L LJ
— — .? !' Final pH; L1.111
as-5.4/ 1 [
Corrected pH; f.� � � _
Has 2 Hour Temp Criteria een et.
Has 72 Hour pH Criteria Been IVI ? Y N
BIN # 1 e g Setup Dale: f -I-. j Removal From Bin Date: 10, !1- f
Date Time j pH >12,0 For 72 Hrs. TEMP, >52 Deg. C For 12 Hrs. Operator
I Initial pH: 1; Si io-6- , !el-7-a itto-C- l :.t Corrected pH: J2.77 g o° 1o:30m $o° oi:+#3 RiAt
f 4 Final pH: 1 .
t `fit' I '* Corrected pH: it, ` 1.1,
Has I2 Hour Temp triteria Been Met? —
Has our P riteria een et, -
BIN 4444 Setup Date: { ..cj .4 Removal From Bin Date; 1-0 ft-z
Date Time pH >12.0 For 72 Hrs. TEMP. >52 Deg. C For 12 Hrs. Operator
Initiaf pH:
k v -.44
Corrected pH: X
� _#f- J
X €inai pH:
Corrected pH: Al
Has 2 Hour errlpCriteria een Met? Y N
Has 72 Hour pH riteria een Met? Y N
BIN # Setup Date: Removal From Bin Dale:
Date I Time pH >12.0 For 72 HrS. TEMP. >52 Deg.C For 12 Hrs. Operator 1
Initial pH:
Corrected pH:
CriteriaFinal pH:
Corrected pH:
■
Waypoint 449 Springbraok Rd,Charlotte, NC 28217
Main 704,529.6354
ANALYTICAL vrnw,waypointanalytical.tom
3130f2021
City of Statesville, NC
Ken Galbway
693 r3ell Farm Road
Statesville, NC, 28625 •
Ref_ Analytical Testing
Lab Report Number: 21-074-0004
Client Project Description: Fourth Creek
Dear Ken Galloway:
Waypoint Analytical, LLC (Charlotte) received sampte(s) on 3115/2021 for the analyses presented in the
foiiowing report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
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 were performed in accordance with guidelines established by the U EPA(including 40 CFR 136
Method Update Rule May 2012) unless otherwise indicated.
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 lime 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,
Ow LJC
Terri W Cole
Laboratory Project Manager
Laboratory's l4,3151lrty in any claim relating to arralyses performed shaft be limped to, al laboratory's aplion, repeating the
analysis fP questiorr at fabaraloys.ppe t.PI rqtrund.atar,gas pard.for performarca.pf.sa ri nalyses,
Page 1 of 14
Waypoint* 449 Springbrook Rd.Charlotte, NC 28Z17
Mato 704529.6 .64
ANALYTICAL vivivimaypeintanalytfiral.corn
Certification Summary
Laboratory ID: WP CNC: W ypoinl Analytical Carolina, tnc. ( ), Charlotte, NC
Stake - Program Lab ID - Expiration Date
North Carolina State Program 3773$ 07/31i2021
North Carolina state Program 402 12+31/2021
South Carolina State Program 99012 07+31,2021
Soalh Carolina Slate Program 012 1211;2020
Laboratory ID: VVP MTN:Waypoint Analytical, LLC., Memphis, TN
State Prograrn Lab ID Expiration Date
Alabama - - State Program 40750 02+28?2022
Arisansas State Program 88-0650 02+07/2022
California State Program 2904 015f30..2021
Florida State Program - NELAP E871157 06+ i2021
Georgia State Program C044 02/18.120 3
Georgia Sia1e Program 04015 O6+3012021
Illinois State Program- NELAP 200078 10110/2021
Kentucky State Program 8021$ 06/30/2021
Kentucky State Program KY90047 12/31/2021
Louisiana State Program- NELAP 1A037 12/3112021
Louisiana State Program - NELAP 04015 .30+2021
Mississippi State Program MS 02/1112023
•
North Carolina Stale Program 415 12/31.2021
Oklahoma Siale Program 9311 09.31r2021
Pennsylvania Stale Program - NELAP 65.03195 05+31+'2021
South Carolina Stale Program 84002 06.+30+2021
South Carolina State Program 84002 06.+3O.'2021
Tennessee State Program 02027 02/11.'2023
Tennessee A2LA ISO 170.25:2017 4313.01 10/312021
Texas Stabs Program- NELAP Ti04704180 09.+30f2021
Virginia Stale Program 00106 06+3012021
Virginia . Slate Program • NELAP 460181 09+14/2021
Page 1 Dt 1 t}1)01621.074-0004
Page 2 of 11
VVaypoint. 449 Springbrook Rd, Charlotte, NC 28217
Main 704.5.29.6164
ANALYTICAL www,waypolntanalyucal,com
Sample Summary Table
Report Nuinber. 21-074-0004
Client Project Description: Fourth Creek
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
9479.1 StaLlme-1 Solids 03115/2021 10:00 03f1512421 11;30
9,1791 StaLime - 1 Solids 03/15/202i 10;00 03/15/2021 11:30 4500NH3C-2011 10 MTN
94791 StaLime-1 Solids 0311512021 10:OO 03115021 11:30 9056A ViP MTN
94791 StaLime- 1 Solids 03/15/2021 10200 03{1512021 1130 Saturate paste WP um
94791 StaLime -1 Solids 03/15/2021 10:00 03/15/2021 11;30 5M-4540-N1-13C-Th V WP MTN
94792 Staflrne- 2 Solids 03)15)2021 10:00 03115/2021 11:30
94793 Stalirne-3 Solids 03115/202 i 10:00 03/15/2021 1110
94794 Stallme-4 Solids 03/15/2021 10:00 03,15/2021 1130
94798 Stalime-5 Solids 0311512021 10;00 03115/2021 11:30
94799 Stallme-6 Studs 031150021 14=00 03115/2021 11:30
94800 Stalinie- 7 Solids 03/15/2021 10:00 03)15/2021 11:30
WP F4TN-Memphis, TN! Wapk-int AnafytiCal-T1, Memphis,TN 1
Page 3 of 14
Waypoi•lit- 449 5pringbrook J. Charlotte. NC 28217
Main 704.529.5364
ANALYTICAL www,waypolntanatyrical,com
Client; City of Statesville, NC CASE NARRATIVE
Project;Analytical Testing
Lab Report Number 21-074-0004
Date; 312512021
Total Phosphorus Method 4500-P F
Sample 04302
Analyze- Phosphorus
QC Batch No: V1914
The MS/MD recoveries are outside QC limits due to the revel of analyte present in the parent sample relative to
the spike level . RPD is based on the MS/NMSD results and should be evaluated as laboratory duplicates,
Anaryte: Phosphorus
CC Batch No: V1914
The MSJMSD recoveries ere outside CC limits due to the revel of analyte present in the parent sample relative to
the spike level . RPD is based on the MS/MSD results and should be evaluated as laboratory duplicates.
Metals Analyses Method 60208
Sample 94717
Analyte:Aluminum
QC Batch No: V1889
The MS/MSD recoveries are outside QC limits due to the level of analyte present in the parent sample relative to
the spike level , RPD is based on the MSfMSD results and should be evaluated as laboratory duplicates.
Analyte: Zinc
QC Batch No:V1869
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges_A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
SAR
SAR = [ Na )/ SQRT{{(Ca] + [Mg] )12 }
SAR = [9.19]/SORT {{ [104] + [0.165] )/2 }
SAR = 1.27
Concentrations for Na, Ca, and Mg are expressed in Cnilliequivarents per liter, and SORT designates taking the
square root of the operand in parentheses_
PAN
PAN Equation = 0.3 * (TKN —Ammonia) + 0.5 ` (Ammonia) 4- Nitrate-Nitrite
PAN = 0.3 * (5320 -0) + 0.5 ' (0) + 16.5
PAN = 1610 mg,Kg
Equation uses Minerarization Rate (MR) for Aerobically Digested Solids (0.8)
Page 4 of 14
li
O
•
W Y I t, 449 Springhrook Rd, Charlotte, NC 28117
Main 704.529.6364
ANALYTi AL ti+nvw,wdypoIntara elver a',corn
01050
City of 5tatesviiter NC Project Fourth Creek
Ken Galloway Report Date: 04/01/2021
693 Bell Farm Road information: Received :03/15/2021
Statesville, NC 26625 Om
�4
Terri i Core
Report Number:21-074-4004 REPORr OF ANALYSIS Laboratory Protect Manager
1
Lab No: 94791 Matrix: Solids
Sample ID : 5taLime-1 Sampled: 3/15/2021 10:00
1
Calcium (saturated paste) 104 meaJL 0,005 1 03/30/21 09:00 SCR
Fecal Coliform h!PFJ/g <0,2 MPAJg 0.2 1 03/15/21 14;50 ENV
Plant Available Nitrogen 1610 mg/Kg 1.00 1 03/23/21 10:00 I
Flag nesiunt(saturated paste) 0.165 rneglL 0.008 1 03,30/2109;00 SCR
Sodium(saLuratedpaste) 9.19 megjL 0.004 1 03/30/2109:00 SCR
Sodium Absorption Ratio 1,27 1 03/30/21 09:00 SCR
Test Results UnIIs MOL OF Date iTime By Analytruar
Analyzed Method
i
Ammonia Nitrogen <100 rng/Kg 140 1 03/23/21 15:00 ]P] 4500NH3C-2011
Nitrate{NO3-N) 16,51-1 mg/Kg 1.00 1 03/24/2123:39 )CA 9056A
Nitrite(NO2-N) <1.CiOFI n+9FK9 1.00 1 03024/21 23:39 ]C4 9056A
Nitrate+Nitrite•N 16.511 mSIIK9 1.00 1 03124/2133:39 9056A
Total Solids 63,6 % 0.010 1 03/18/21 11106 €DV 2540G•2011
Total Kjeldahl#Jitrogen 5320 mg/Kg 254 1 03/23/21 10:00 IN IM1,4500•NFt3C-TKF
Phosphorus 1950 mg/Kg 50.0 20 03/18/21 13109 CLB 4500-P F
Aluminum 9690 mg/Kg 25.0 10 03117/2121:54 MMR 6020E
Arsenic 9.09 mg/Kg 0.100 10 03/17721 21:54 Mh1R 6020E3
Cadmium e0-500 rri /K9 0,500 10 03/17/21 21:51 I1NR 6020E
Chromium 11.0 mg/Kg 1,00 10 03/17/21 21:54 MMR 6020E
Copper 30.2 mg/Kg 2.50 10 03/17/21 21:54 MMR 6020E
Lead 6,30 mg!icy 1.00 10 03/17/2L 21:54 r.1MR 602013
Qualifiers/ OF Dilution Factor Fi Eeyond holding time
Definitions L Limit Exceeded M L Method
Q Quantilation Limit
Page 5 of 14
I
Way
I n .0 449 Springbrook Rd,Charlotte,NC 28217
Main 704.52116864 %
ANALYTICAL www.waypolntanalytical,corn
01050
City of Statesville,NC Project Fourth Creek
Ken Galloway Report Date: 04101/2021
£93 Bell Farm Road Inrormatian; Received : 03/15/2021
Statesville, NC 2a625 60.04,
Terri IN Cole
Report Number:21-074-0004 REPORT OF ANALFSfS Laboratory Project Manager
Lab Flo: 9I791 Matrix; Solids
Sample 1D :StaLime-1 Sampled: 3/15/2011 I0:00
Test Pesulis Units VIOL OF oats'Time By Analytical
!uialpzod Method
Mercury(Total) <IF.0520 mg/Kg 0.0500 1 03/17/2111:10 EDV 741E
Molybdenum 2.78 mg/Kg 1.00 10 03/17/21 21:54 MMR 60208
Nickel 12.6 mg/Kg 1.00 10 03/17/2121:54 MMR 6020E
Potassium 3280 mg/Kg 100 10 03/17/2121:54 MMR fi0208
Selenium 3.09 mg/Kg 1,00 10 03/17/2121;54 MMR 6020E
Zinc 56.0 mg/Kg 10,0 10 03/17/2121754 MMR 60208
Qualifiers/ OF Dilution Factor I-I Beyond bolding time
Definitions L Unlit Exceeded F.1QL t.*.ekhad Quantikatio1 Limit
Page 6 of 14
1
d/aypoi 449 Springbrook Rd,Charlotte, NC 215217
Nfafn 704,529.6364
ANALYTICAL www,wcaypoi•nfanalyucaLoom
01050
City of Statesville,NC Project Fourth Creek
Ken Galloway Report Date: 04/01/2021
693 Bell Farm Road Information : Received :03/15/202!
Statesville, NC 286?5 aotku
4
Terri VW Cole
Report Number:21-074-0004 REPORTOlANALYSIS Eatxxatory Project Manager
Lab Na : 94792 hfatrix: Solids
Sample ID ' StaTime- 2 Sampled! 3/15/2021 10:00
Fecal Colitorm MPN/g <0.2 MP1J{9 0,2 1 03/15/21 14:50 ENF1
I
Qualifiers/ • OtirAle QC Unlit 9 Analyte detached In blank
Definitions C GC 1SCogrmatioeAnalysis E Result above cal range
g C GA Outside QC Limits Fi Beyond holding time
] Estimated value h1 Minimum value
NA Not on Scope of Accreditation fJC Nat confirmed
Q .I A_ 4p¢o dual.r_oIumnzewlR T—;a=m ty .
t1 Unconfirmed Refer to cover Niter,
Page 7 of 14
I
\P1apoint 449 5pringbrook Rd.Charlotte, fiC 28217
Main 704,52 9.6364
ANALYTICAL w,ww,weypolnwri rytical.corn
01050
City of Statesville,NC Project Fourth Creek
Ken Galloway Report Date : 04101/2021
693 Bell Farm Road Information : Received :03115/2021
Statesville , NC 2662S Omue)x
Terri 44.1 Cole
Report Number ;21-074-0004 REPORT"OrAMA4YSIS Laboratory Project Manager
I b No ! 94753 Matrix: Solids
Sample ID;Stature-3 Sampled: 3115/202i 10:00
Fecal Colifarm MPF#fg <0.2 11PIJ{g 0.2 1 03/15/21 14150 ENC•1
Qualifiers/ a Outside QC Limit B Analyte detected in blank
QeliinitEons C GCM5 Confirmation Analysis E Result above cal range
g GGA Outside QC Limits 11 Beyond ho1din9 time
J Estimated value 14 Minimum value
NA Not on Scope of Accreditation NC Not canfirrned
•Q #CPD 346diral-Eolow resits T •. r
U Unconfirmed " Refer to cover letter.
Pag. 8 of 14
i
V/aypoint. 449 Springbrook Rd,Charlotte, NC 28217
Main 704.S29,63b4
ANALYTICAL www.waypointanaiytitaf.com
01050
City of Statasvilie,NC Project Fourth Creek
Ken Galloway Report Date : 0H/D!/2021
693 Reif Farm Road InfCxnlation : Received : 03/15/2021
SlateSirine, /IC 28625 Om,Lozi
Terri 44 Cole
Report 7J u mber:21-0 74-0004 REPORT Of A/VA C YSIS
Laboratory Rroject flariager 1
Lab Nil ° 94794 Matrix: Solids
5-irnpfe ID : Staiime-4 Sampled; 3/Ls/202110:00
1-Nall(-pfi;urrn N:Pr:9 <0.2 NPRIrg 0_2 1 03f15/21 14:50 EH11 • /
1
Qualifcis/ x Outside QC Limit 6 An4lyte detected in blank
Definitions C GCh1S Confirmation Analysis E ReSUIt above cal range
g GGA Outside QC Limits H Beyond holding ti rrie
) Estimated value 1.1 blirilmum Value
NA Not on Scope of Accreditation NC Not confirmed
Q 13,13D 409b..duaJ cokinut resuits -T ..——Saa -eirnifaits4 xi ty —
U Unconfirmed Refer to cOVer letter.
.age 9 of 14
r
•
W
\Afaypoint. 449 Springbroolt R,d, Charlotte, NC 25317
fYJaln 704.529.6364
ANALYTICAL www.wayp.oIntarrelytical.con,
01050
City of Statesvillair NC Project Fauoth Creek I
Ken Galloway Report Dale= 04/01/2021
693 Bell Farm Road Information : Received=03/15/2021
Statesville, NC 213625 OfkLoC6
Terri IN Cole
Report Number :21-074-0004 REPORT OF ANALYSIS LaboratoryProjeit Manager
Lab No; 94798 Matrix.: Solids
Sample 10:Stallme-5 Sampled: 3/15 f 2021 10:00
Fecal Coliform NIPN/g c0.2 fi1PNig 0.2 1 03115?21 14;50 ENh!
Qualifiers{ * Outside QC Limit 6 Aalalyte detected in blank
Defrnitions C GCMS Confirmation Analysis E Result above cal range
g GGA Outside QC Limits H Beyond holding time
) Estimated value M minimums value
NA Not or Score or Accreditation IBC Not confirmed
Q Iipa- dual co!IE H•fesk S .1-$4410 -i At oxieitf
U Unconfirmed -* Refer to cover letter.
Page 1.0 of 14
VIaypoint.
449 Spr lag brook Rd, CJtia dolt g NC 28217
Main 704.529.6364
ANALYTICAL www.wayp.ointart3ryrr r.com
01050
City of Statesville,NC PrUj :t Fourth CrL'.,
Ken Galloway Report Date= 04/01/2021
693 Belt Farm Road Information Received '03/1512021
Sratesv,lle, NC 28625 y
Locif)i
ore
Rep-at number ;23-074-0004 REPORT CFANALPSIS Terri'IN
Laboratory
Froje[t Manager
Lab No : 94799 Matra: Solids
Sample 113:Stallrne-6 Sampled; 3f 15/2021 10:00
Fecal Cc'lifam MPN/g <0_2 IMPNfig 0,2 1 03/15/21 11;SO ENFI
•
--
Qualifiers/ Outside QC Limit B Analyte detected in blank
Definitions GCS Cc ifrmatron Analysis E Result above cal range
C*fi Outside QC LIrsrits Ft Eeyond holding time
3 Csti mated value Minimum value
NA Not on Scope of Accredi to clog NC Not confirmed
RJR J%..thtal,cotumiiresults _T YriSnIe dvhihita#nviri FF
U Unconfirmed Reef to cover letter.
Page II of 14
w
Waypoint. 419 Springbroak Rd,Charlotte, NC 2E217
mare,701,529.6164
ANALYTICAL vAm.waypolnlanelytical,com
01050
City of Statesrille, NC Project Fourth Creek
Kan Galloway Report Date: 04/01/2021
693 Bell Farm Road Information; Received : 03/15/2.021
Statesville ii NC 2a625 Op)(1)4
Terri 151 Colo
Report Number=21-074-00QN REPORT OF ANALYSIS Laboratory Pro] ..t F1aralter
rah No : :94800 Matrix: Solids
Sample 1D:;StaIime-7 Sampled: 3/15/2021 10;00
Fecal Col iformMPN{g <0.2 f'1PN{g 0.2 t 03/15?2114:50 ENN
Qualifiers/ Outside QC Limit B Anatyte detected in blank
Definitions C GCttS Confirmation Analysis E Result above cal range
g GGA Outside QC Limits H Beyond holding time
I Estimated value I1 !~flnlmumvalue
NA Not on Scope of Accreditation NC trot confirmed
Q RPD>41.10,6 cruel.cdumn-results T .$amDfe exhibits.toxj.citlf _
U Llrl[pnfirmed — Refer to cover letter.
Page 12 of 14
w
Waypoint.
449 Springbrook Rd,Charlotte,NC 28217
Mein 704.5216364
ANIALYTr AL www.waypointanaytrcaLcom
Shipment Receipt Form
Customer Number: 01 050
Customer Name: City of Statesville, NC
Report NUM be r; 21-074-0004
Shfppfng Method
Fed Ex CD US Postal • Lab -) Other ; r-- -
_...
0 UPS 0 Client 0 Courier Thermometer ID; iRT-15 4.9C
Shipping containericooler uncompromised? • Yes (7 No
Number of cooters.boxes received I 1
Custody seals intact on shipping containoricooler? t-_) Yes '_• No • Not Present
Custody sears intact on sample bottles? CD Yes 0 No 0 Not Present
Chain of Custody(COO) present? • Yes 0 No
COO agrees with sample iabel(s)? • Yes j No
COO property completed • Yes 0 No
Samples in proper containers? • Yes No _
Sample containers intact? • Yes ' M No
Sufficient sample volume for indicated test(sr? 0 Yes C2 No .
All samples received within holding time? • Yes 0 No
Cooler temperature in compliance? • Yes No
Cooler/Samples arrived at the laboratory on ice. • Yes No
Sampres were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved 0 Yes C) No • NfA
Water - VOA vials free of headspace _ 0 Yes 0 No
• NA
Trip Blanks received with VOAs 0 Yes 0 No • NIA
Soil VOA method 5035-compliance criteria met 0 Yes 0 No • N/A
High concentration container (48 hr) I— Low concentration EnCore samplers (48 hr)
I-- High concentration pre-weighed(methanol -14 d Low conic pre-weighed vials (Sod Bis-14 d)
Special precautions or instructions included? C ' Yes • No
Comments: -- —— .- . . .-- .
rliz --- . . Date• 'ime:-08.+45 2O21•-1•4'28- 4 . --
Page 13 of 14
° CHAIN OF CUSTODY RECORD OIUD L4S USE ONLY
i Wyit YES NO Pr4G�_OF_ QUOTE 70€rYSURCPROPER Y3JLL.1N6:-_ SamplUS INTACT UPON arlTe41'f
Project Name: I�naaiw+�d ON LVET ICE? ..—
4.4 Sprin9h►aoAk Road•Charlotte.NC 21277 Short Hold si os PROPER PRESERVATIVES Irw tilt ?
PROMS 704152 -6364 • Pau:7P zt5-0 F (Y } {No} UST Project; {'foss (NO) _
" 'Please ATTACH any prate speoffio reporting(QC LEVEL I CI 111 EV) Rooelved WIhuN HOLDING TIMES?
Ch m
ont Company Nae: :jyaT 54A4EsV h F provisions androrQC Ro uirer„iafta CUSTOClY SEALS INTACT? -
Report ToiCianitact Nane:Kr a.l AJIo e Air_--— invoice To; VO MILES read WOW!.NEAO$PACE7
PROPER —
Reporting Address: RO, tou Address: coNr� : s
TEP' 71e ko .; r„7y )4' ^�( 1r '7r' 'Cj-
Phons:.7_9 _27$-343s• Fax CO(No) Vag-'fi 5*-re- 5 purthau,Order NoJB.iallri Ro aronco_ _ TO BE FILLED IN SY CUENTISAMFLING PERSOF[FU.
Em Cl Address: Requorxirrd duo GOW •-11 Dry J2 Days J 3 boy, 4 Dgrrb. J5 Days Certification: HELAIr FL NC-
EDD Type: POF._Exaal�Oter nforkins Ow*" J6-9 oayC aa.rWard 16 days Q.te Vilaa IVILEM esSc OTHER NTA .
Site Location Hama: ra a r j+Sl cGi Sam « a Ix] r,
p4as reaps-mil m altar 14;03 well p ,.c o0.+o4r,..aRs.days --
S ite LOCatiort Physical Address:493 e.V agar A. rlunaround 1.Ime 4 twasaa On O, g days,excluu tip NoeYennds awns nelktays` Water Chlorinated: YES NO_
Orr REVERSE FOR TERMS 4 C4rgler10 1S R.L'C.AAQPdc=wog,
A SV11f C. if RENDERED DT WAYPpaT n,rer AL,Llc TO evil SarpFo Iced Upon Collection: YES _ND.
- CLIENT 1 CA 7iE MATRIX
(5Ol SAI4LECONTAINER ANALYSISREQUESCED
sRES RY4. /;;;////::://
le
REMARKS ONO.
5knIrLL DESCRIPTION GOLL.zc p �+ ATER.OR
] SEE BELOW Nd SG y
AL:rrr - .3- 1 -2I 10+0o s Iht' s. 05 ,. _ASIj•:sls0aAr1-rrf , c.d.
. l 9 AR ;
I
z •
101
,or+.aao4 14 q ;,
D.
¢ P --
17, E 1I
1 I r►r4
f_ I PIi�r, . I
`� PRESS DOWN FIRMLY -2 COPIES
Samplers Signaqure ' � : Sampled 3y{grins Name} l .0 Affiliation
Upon reknou1shing.this Chain of Custody kw your authenzation tor Waypdnt Anarytita+l to proceed with Ito analyses
submitt.d in Wilting 1nts WaypointAeadytkai Pr Joct Manager.Tura win be charges far an cha
nges after anal
yses al rove requested a My#+aar�es must be LAU use CN1_3r
m jewirt.. ._.i`+r u+n1 __ f77! a� i i � l�ddiG4r 71 C:Com '
• t/ r raT Sift ardwi Tonne
4 • l:osa.o7 by:[S rn] pee i Ma Dope-Ism Tiro!
~- ..od r r Wntparn kvW c kir — Finis T.dn Pia `
3• L C.2e It 313 .
mat.—a chi r'+ +yx s, y �, i d nreo riYTt� rC cuao r sF.s FOR � o---..ac.eu rb.
SAI*Pt. AiRC±NOT r utormA,uw rt Eo Aatio st coc(km-REcENEn Ar me 1 C1nimoR,; .
it r:ra ed J UPS ta*+r .n a Nlrym Aiiiimiciii Field service o parr
-1 ES: I �tOUNDA'I R DRINF FIYWATER: SOLID Well sT❑_ {1AI
. RCRA: B NFLA - AFIdEfl I IW: DEE sty SOR
2 NC❑SC I1Z01112C ❑SC i 14C =1 SC Cl NC J SC -INC ld SC 4 liC ❑SG Cl txe O SC I J NC J SC ❑PIC I]SC TERMS a C4211412171btia
Q ❑ C] , J 7
'CONTAINER TYPE CODES: A•Amber C•Clear C.Glass P•Plastic' T>L•Tsfta1l41nad�`` • - - --
L . '+�}. VWaxIIp DI'w�ifkics Analysis{1-'r4 a'{A3d Space)
W y i lit J 449 Springbrook Rd,Charlotte, Nc 2 217
Main 704.529.6354
ANALYTICAL www.waypointanstyticai.com
5/18/2021
City of Statesville, NC
Accaunls Payable coro Ken Garloway
P.O. Box 1111
Statesville, NC, 28887
Ref_ Analytical Testing
Lab Report Number: 21-116-0008
Client Project Description; Fourth Creek
Dear Accounts Payable do Ken atfoway;
eypolet Analytical. LLC (Charlotte) received sample(s) on 4/26/2021 for the analyses presented in the
1oIIc'wing report,
The above referenced project has been analyzed per your instructions_ The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method, Quality Assurance. method validations, instrumenlation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the U EPA (including 40 CFR 138
Method Update Rule May 201 2) unless otherwise indicated.
Certain parameters (chlorine, pHr 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 lime,
Refer to sample analysis time For confirmation of holding lime 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/his report_
Please do not hesitate to contact me or orient services if you have any questions or need additional information_
Sincerely,
Q )LLVC
Terri W Cole
Laboratory Project Manager
Laboratory's fiabliily in any dorm relating lo analyses performed shall be limited lo, al faboratorys oolion, repeating the
ar+arysis,r eslioil-erkabefai rre.expense,-efftre refundof the charges peid for perlrnma ce.of sa, rratys� ,
Page 1 of 30
or
Waypoint 449 5pringbrook act,Charlotte. NC 28217
Main 704,529,6364
ANALYTICAL www,waypoTntanatyrk i.com
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State _ Program Lab ID -_ Expiration Date . -
North Carolina State Program 37735 07l31 P2021
North Carolina State Program 402 12/31/2021
South Carolina State Program 99012 07i3112021
South Carol :a State Program 99012 12,3112021
Laboratory ID: WP MTN:Waypoint Analytical, LLC., Memphis,TN
State __ Program Lab ID _ Expiration Date_
Alabama Slate Program 40750 02/28+ 22
Arkansas State Program 88-0050 02+072022
California State Program 2904 061302021
Florida State Program- NELAP E871157 06+301021
Georgia State Program C044 02/1$1023
Georgia State Program 04015 06130+2021
Illinois State Program -NELAP 200078 10/10+'2021
Kentucky State Program 80215 06.30+2021
Kentucky State Program KY90047 12+31.2021
Louisiana State Program -NELAP LA037 12/3112021
Louisiana Stale Program -NELAP 04015 06.302021
Mississippi Stale Program MS 021112023
North Carolina Stale Program 415 12131+2021
Oklahoma Stale Program 9311 08131/2021
Pennsylvania Slate Program • NELAP 58-03195 05 01.2021 .
South Carolina State Program 84002 06+30+2021
South Carolina State Program 84002 06.30+2021
Tennessee State Program 02027 021112023
Tennessee A2LA ISO 17025:2017 4313.01 10.3112021
Texas State Program- NELAP T104704180 09130+ 021
Virginia State Program 00106 06.30/2021
Virginia State Program • NELAP 460-181 09114+2021
•
Page 1 or 1 0001621-116-009
Page 2 of 30
VVaypo I n 44,5pringbrook Rd,Charlotte, NC 782171
Ma In 7'04,529.6.36 4
ANALYTICAL kwrw.wayparntanalyttfca1.com
Sample Summary Table
Report Number: 2I-116-0408
Client Project Description: Fourth Creek
Lab No Client Sample 1D Matrix Date Cclrected Date Received Metbad Lab ID
97609 StWIlme#1 Saks 0f26f2021 12:00 04;26/2021 13110 '
97609 Stalime #1 Solids 04/26/2021 12:00 0-0126/2021 13:10 350.1 AES
97609 Stalime #1 Solids 04/26/2021 12;00 01/26/202113;10 60100 WPMTN
97622 Stalime#2 Solids 04/26/2021 12;00 04/2612021 13;10
97623 Stalime #3 Solids 04/2612021 12:00 04;26/202113:10
97621 Stalime #4 Solids 04/26/2021 12:00 04126/2021 13:10
97625 Stalime#5 Solids 04/26/2021 12:00 04/26/2021 13:10
97626 Stalime #6 Solids 0412612021 12;00 0426/202113;10
97627 Stallme#7 Solids 04/26/2021 12;00 0412612021 13;10
I
AES; Analytical ErwIreorMlental Services, inc..Atlanta,GA
VP MTN• Mernttus,Tlf; 1Vaypo+ntArratytic 1 INrfile 1011i5, iN
Page 3 of 30
VVaypoint
* 449 SprIngbrook Rd.Charlotte, NC 28217
N1aln 704.524,1a3 4
ANALYTICAL www.wayp.olntan Fj#icar.Carn
-
Summary of Detected Analytes
Project; Fourth Creek
Report Number: 21-116-0008
Client Sample ID Lab Sample ID
McIhod Parameters Result Units Report Limit Analyzed Qualifiers
Sial!nte P 1 V 97609
2540 -2011 Total Solids 99.5 % 0.010 04/2912021 17;10
5010D Phosphorus 2630 mg/Kg-dry 5.62 05/0512021 01;27
64101 Aluminum 7820 mg/Kg-dry 5-62 05/05/2021 01:27
6010D Arsenic 2.58 mg/Kg-dry 0.562 05/0512021 01:27
60100 Cadmium 0-189 mg/Kg-dry 0-112 05/C15/202101:27
6010D Calcium 36101:10 mg{Kg-dry 5620 05/051202110:33
60100 Copper 29.6 rng/Kg-dry a.562 05/0 5/2021 01:27
6410D Lead 5.94 mg/Kg-dry a.337 05/05/2021 01:27
6010D Magnesium 2740 mg/Kg-dry 5.62 05/05/2021 01:27
6GlOp Molybdenum t.45 mgfKg-dry 0.281 05/05/2021 01-27
6010D Potassium 2450 mg/Kg-dry 112 05/05/2021 la.1J3
6010D Sodium 695 mg/Kg-dry 26.1 05/05/2021 01-27
6010D Zinc 57.7 mg/Kg-dry 1.41 05105/2021 01:27
74716 Mercury(Total} 0.0566 nrg/Kg-dry 0.0337 04/29/2021 18:37
9055A N itrate+N itrite-N 193 nrg/Kg-dry 1.12 04/2R/2021 13.01
9221E-2411 Fetal Coliform MPNig 0.4 MPN/g-dry 0.2 04/26/2021 15:00
CALCULATION Plant Available Nitrogen 1500 mg/Kg-dry 172
CALCULATION Sodium Absorption Ratio 0.296 Ratio 0.010 05/05/2021 01:27
EPA-351.2 Total KieIdalLI Nitrogen 4290 rng{Kg-dry 562 0510/2021 11:45
SW-DR"WI Moisture 111 % 05/031202 1 17:21
-
Staiirne 02 y 9762Z
5W-DRYWT Moisture 20.1 05/04/202117:13
Stalime Na v 97623
SW-I)RYtiVT Moisture 7 22 96 05/04/2021 17;13
5tallme 144 V 97624
5WDRYV.T Moisture 17,5 55 05/04/2021 17:13
Stall me#5 y 9762S
SWDRYINT Moisture 2.93 55 05J041202117:13
Stalime#6 V 97626
SW-ORYWT Moisture 9.27 16 05/04/202117:13
Stalime 47 V 97627
SW-DRY T Moisture 3.24 `fa 0 /04/2021 17:13
Page 4 of 30
•
% % I I1 Y 449 5pringbraok Rd, Charlotte, NC 2821.7
Main 704,529.6364
ANALYTICAL www.waypoIntanalytical,tam
01050
City of Statesville,NC Project Fourth c:rek P.
Accounts Payable C/0 Ken Galloway Report Date: 05118/2021
P.O.Box 1111 Inlormbtioet ; Received:04/26/2021
Statesville, NC 28637
Report Number :21-116-0008 REPORT 0FANALYSIS
Lab No: 97609 Matrix_ Solfds
Sample ID : Stalime #1 Sampled; 4/26/2021 12:00
Toss Resufls Midis IAOL OF Date ITirne Ely Analylicil
Analyzed Method
•
Fetal Coiirorm h1PNJg 0.4 MPN{g -dry 0.2 1 04/26/21 I5:O0 SLS 9221E-2011
Plant Availbble Mogen 1500 mg/Kg -dry 172 1 PM. CALCULATION
Sodium Absorption Ratio 0.258 Ratio 0,410 1 05/05/21 01:27 CALCULATION
Moisture 11,1 ° 1 05/03/21 17:21 EDV SW-DRYINT
Nitrate+Nitrite•N 193 mg/Kg-dry 1.12 1 04/28/21 13:01 9056A
Total Solids 89.5 gb D.414 1 01129121 17:10 [DV 2540G•2011
Total KjeldahiNitrogen 4290 mg/Kg-dry 562 2 05/04/21 11:15 CLB EPA-351,2
Phosphorus 2830 mg/Kg-dry 5.02 1 05/05/21 01:27 ]ADS 60100
Aluminum 7820 mg/Kg-dry 5.62 1 05/05/21 01:27 14.05 61:110D
Arseni{ 2.58 nig/Kg -dry 0.562 1 05/05/21 01127 JAIDS 6010D
Cadmium 0.189 mg/Kg -dry 0,112 1 05/05/21 01:27 lADS EO10D
Calcium 361000 mg/Kg-dry S620 100 05/05/21 18:33 3AD5 6010
Copper 29.6 m-g/Kg-dry 0.562 1 05/05/21 01:27 3AD5 60100
Lead 5.94 mg/Kg -dry 0.337 1 05/85/21 01;27 LADS 64164
Magnesium 2740 ni9/K9 'dry 5.62 1 05/05/21 01;27 )A95 6116D
Mercury(Total} 0.0566 m3/K9 'drY 0.0337 1 04/29/21 18;37 EDV 7-1718
Molybdenum 1.45 rag/Kg-dry 0.281 I 05/OS/21 01:27 ]ADS 6010D
Potassium 2450 mg/Kg-dry 112 10 05/D5/21 1838 ]ADS 60100
Selenium <0,562 mg/Kg -dry 4,562 1 05/05/21 01:27 /AD5 60100
Sodium 695 mg/Kg-dry 78,1 1 05/05/21 01:27 1ADS 60100
Zinc 57,7 mg/Kg-dry 1.41 1 05/05/21 01:27 TADS 60100
V
Qualil5ers/ DE Dilution Factor t Limit Exceeded
Definitions MQL Method Quantitatian Limit
Page 6 of 30 '
viW
AI Y 1nt " 449 Springbrook Rd, Charlotte, NC 23217
Main 744.529.6364
ANALYTICAL www- .aypointanalyticai.con,
C ien!: City of Statesvilre, NC CASE NARRATIVE
Project: Fourth Creek
Lab Report Number. 21-116-D00B
Date: 5/11/2021
TKN by Block Digestion and FIA Method EPA-351,2
Sample 07609(Statime#1)
Analyte: Total KjeIdahI Nitrogen
OC Batch No: V38563743
The MS/MD recoveries are outside QC limits due to the level of analyte present in the parent sample relative to
the spike revel . RPO is based on the MSIMSD results and should be evaluated as laboratory duplicates-
Analysis note for SAR
SAR = [Na ] / SORT{((Cal + Nig] )12 }
Concentrations for Na, Ca, and Mg are expressed in milli-equivalents per liter, and SORT designates taking the
square foot of the operand in parentheses,
SAR= (818/23)/SORT{(321,000/20,04 + 2440/12.15)12)
SAR = 26.9/SORT{{16018+ 201 f 2}
SAR = 26- 21-4
SAR = 0.298
Analysis note for PAN
PAN Equalion = 0-3 ` (TKN —Amrrrania) + 0,5 * (Ammonia) + Nitrate-Nitrite
PAN = 0, ` (3810 -92,7) + 0,5 * (92.7 ) + 172
PAN = 1330 mg/Kg
Equation uses Mineralization Rate (MR)for Aerobic-ally Digested Solids (0.3)
Page 5 o 30
VIaypoint_ 449 Springlaroo1i Rd. CI1WOtte, NC 2$217
Main 704.529.63CA
ANALYTICAL vnww,waypolntanaiyticat.corrr
01050
City of Stats Ille.NC Project Fourth
Accounts Payable CI0 Ken Gallaway Report Date: 05J18?2021
P.D.&rx 1111 Information ' Received ;04/26j2021
Statesrilte, n c 286137
Report Number :21-116-Oooa REPORT OFANALYSis
Lab No: 97622 Mab-i : Solids
Sample ID :Stalime#2 Sampled! 4/26/2021 12:00
•
Test Results Units COL 13F Data+lime 6y Analylioal
Analyzed ttrrthod
Fecal Coiifoim MPi`U9 <0.2 MPN19-dry 0.2 1 0 /26121 15:00 SLS 9221E-2011
Moisture 20.1 °
1 05PM/2117:13 EDV SW-DRYtiVT
Qualifiers/� { OF Dilution Factor L Limit Exceeded
Definitions lIQL Method Quantitatlon Limit
Page 7 of 30
Waypoint. W 449
Springhroak Rd,Charlotte, NC 2821.7
Mann 704,529,6364
ANALYTICAL www,waypolntar orytical.corn
01050
Crty of StatesvHUe,NC Project Form!' 0-C.i.k
Accounts Payable Cf0 ICeri Galloway Report Date: 05/18}2021
P.O. Rix 1111 Information : Received :134)26/2021
Statesville, NC 28687
Report Number ;21-116-0008 REPORT OF ANALYSIS
Lab Na: 97623 matrix: Solids
Sample ID:Sta lime #3 Sampled; 4)26/2021 12:00
Tess RestrHs Units MOL DF Date.Time By AnalOka!
Analyzed Moth od
Fecal C01in:rin1.1PNfg <0,2 t114Nfg 'dry 0.2 1 04f26f2115:43O0 51S 9271E-2011
Moisture 7.22 00 1 05f04/2117;13 [DV SW-DRYWT
Qualifiers} OF Dilution Factor L Limit Exceeded
Definitions MQL method Quantitation Limit
Page 8 of 30
IIaypo I nt-
449 5pringbrook Rd,Charlotte, NC 28217
Main 70.529.53611
ANALYTICAL www,waypointanaiytical,com
01050
City of Statesville, NC Project Fourth Creek
Accounts Payable cio Ken Galloway Report E]ate= 05118/2021
P.O.Box 1111 information: Received: 04126/2021
States.ille, NC 29697
Report Humber i.21-116-0008 REPORT OF ANALYSES
Lab No: 97624 Matrix; Solids
Sample ID;Stalime#4 Sampled; Q26/2021 12:00
Teat Results Units NICAL DF Dele+Time Ely AnalylicaI
Analyzed Method I
Fecal cofifarrn 1,1PN/g .g 0.2 MRN19-dry 0.2 1 04/26/21 15;00 US 9221E-2011
Moisture 17.5 ° 1 05/04/211713 EDV 5WDRYWT I
Qualifiers/ OF Dilution Facto( L Limit Exceeded
Definitions MQL Method Quantitation Limit
P.ye 9 of 34
1
• wW
W f 1nty 4495pringbrook Rd,Charlotte, NC 28217
Main 704.529.064
ANALYTICAL www,w,1ypointanalykitaI,cam
01050
City of Statesville, NC Project Fourth Creek
Accounts Pay3131e do Ken Galloway Report pate: 05118/2021
P.O. Box 1111 Information : Received :04/26/2021
Statesville a NC 23687
Report number :21-116-0008 RFPO8F OF.4N4 i PSIS
Lab No: 97625 Matrix: Solids
Sample ID i S#alime #5 Sampled; 4f 26/2021 12:00
Test Restills Units MQL OF elate ITime Sy An alylical
Analyzed Method
Fetal Colitorm b1PNfg <0.2 1.1PNWg •dry 0,2 1 01/26/21 15:0O SLS 9221E-2011
MO+sture 2.93 °la 1 05104/2117:13 EDV SW-DRYWT
•
Qualifiers/ OF Dilut+0n Factor L Limit Exceeded
Definitions MQL Method Quankitatian Limit
Paga 10 of 30
Waypoint ° 449 Springbrbok Rd,Cho Hone, NC8217
Main 704.529.6361
ANALYTICAL rnvw.waypolntarialyttcal.com
01050
City of Statesrifie,NC Project Fci wth Crct'k
Accounts Payattfe rd fo Ken Galloway Report Date: OEf18j2071
P.O. Box 1111 Information= Received:04/2612O21
Statesville r 1JC 28687
Report Number ;21-116-000& REPORT OF ANALYSIS
Lab No ; 97626 Matrix: Solids
Sample Ill:StaI for e #6 Sampled: 4/26/2O21 12:00
Test RF..SIFIIR Units MDL bF Daly TFme By' Analytical
Analyzed Method
Fecal Colifoirn F PFJ,' l If}fdr -thy 0.2 1 04/26/21 15=O0 SLS 9221E-2011
Moisture 9.27 ° 1 05104f2117:13 EN/ SW-DRriYT
•
Qualifiers/ DE Dilution Factor L limit Exceeded
Definitions biQL Method Quentitatikn Limit
Page 11 of 30
W y u t Y 449 Springbrook Rdr Charlotte,NC 2$7t17
Kan 704.5 16364
ANALYTICAL www.waypolntanalytical.com
01054
City of StateswiIre,NC Project Fourth Creek
Accounts Payable cPo Ken Galloway kaf'nrt Date; 05.11812421
P.O.Box 1111 InforrlraUon: Received ; 04f2b12021
Sta4esv Ire, NC 29697
Report Nurnter;21-116-004k3 REPORT OFANA4.V515
Lab No ; 97627 rairix: Solids
Sample ID ; StaIimc#7 S3irprcd: 4126/2o21 12;00
-reek Pesurls IJnils 61QL LF Dale'Time By AnelyIlcaI
Analyzed 6tethnd •
Fecal Coliform hIPN/g <0.2 MPNig-dry 4.2 1 04/26J21 15:00 5LS 9221E-2011
Moisture 3.24 ° 1 05104,r2117:13 FDV S1'1-DRYViT
Qualifiers/ DF Dilution Factor L Unlit Exceeded
Definitions MQL Method Quamiietion L inr;k
Page 12 of 30
ctiAitr, AccEss
ANALYTICAL, INC.
ANALYTICAL REPORT
CLIENT
Way point Analytical
PO Box 240543
Chnrloire NC 282240543
ATTENTION
Terri W Cote
PRO,]ECT ID
21-116-0008
LABORATORY REPORT NUMBER
2I04U9
DATE
May 05, 2021
Primary Data Review. By Secondary Dara Review By
'1 1E4 I y`_x�/
Ashley Amick
Chris Pall'ord
Projccl Manager, Access AIr,Il}tical
Project Manager, AES aaliiici r axs inc,com
PLEASE IJ1 E-
• Unless Aim."ise Holed,all analysis on Ibis;rL pr!JIL rrurmed at cal Ln ironutcttlal Scrsiecs Inc.(.kF, Inc).
3480 Presiticalidl Del vet A Ilan ia,CA 303,10.
- AES Is SCDIIEC certified laboratory g 95016,NC DEN certified lab#562',G.icertil0ed Tab k FL-£S7i8 I
NELAPccrtified laboratory fl E81582
- A11I.A-LAP,LLC Labaralorr 11}:100671 far Ind Hsi rial Hygiene sanipiec(t. rganks, Metals,PCG'it .4sl]es10.5,
Gro%Inletrle), Enslronmrfstol Lead(Paint,Soil, Dust Wipes,Air I.mot 1:u irnnn1Pntot ;Microbiology g1 (Fungal)
Di reel Examination.
Lo a1 support services far this prujecl art provided by AcLesS itrl;t]ytiLIE, I L". :1c 35 Ai.i1 'tical ii a
rt r c.nlative o(AES serving c1ient in Ilse SC NC'C_I area;_ Al]question&pegarding thix report should be Llircct4 1
IL our Coral Access Anarylieal representative at S03.78]_4243 or to]] fee at 883.3 0..42_43
•
Page 13 of 30 rage 1 of 6
b°
W yp int 449 Springbrook Rd,Charlotte,NC 23217
Main 704.529.6364
ANALYTICAL www,waypointanalytital.oprn
04127(2021 10:13:35 Page 1 of 1
Export Batch Report created: 4/2212021 10:13:18
Export Batch Id : 273EXP Computer: WPALMS-014
User: Terri W Cole
Project Manager; Terri W Cole
To: Analytical Eiuironmentzl Services, Inc. From: Waypoint Analytical, LLC(Charlotte)
3060 Presidential Patrkway 449 Springbrook Road
Atlanta, GA 3O340 Charlotte, NC 28217
701-529-6364
atnirt.1141 5amvle_Date Customer Samvle fk 1sh ,p ohAttiStiAR Fee_Code_D tit ion
21-I16-0008 05/05/20Z1 04/26/2021 12:C4 Stthrnt .1 97609 EPA-350.1 Ammonia-Nitrogen by Disttlbtion
(Titration)
NC Client
;
Sampled Method of Shipment Blank f Cooler Temp. •
Remarks
RCC,rWwSha0 9y(sign) DTelirTirrre Rived By{sign) Date{Time
7\2-k
By An) Date}Time Rec +(s gn} Da++ L
{y�T11me .L
�f�D
t 1 {
4 '
P3[YC 14 of 30 Page 2of6
(Analytical Environmental Services, Inc Dale: 5.May-21
Client: klavpo[nlAlia1 iica1 Client Sample Ike: 97609 —
III Lab Drder 21O41J89 Tag Number: st ri[rw c i
Project Nance: 2I.1 I6.0048 Collection Pate: 4'2i 2021 t2:00:0(1 Fj%1
Lab ID: 210-ILI89-O01A Ialrl�c: 111id
Analyses Result Qua1 IlL Rep4riing 1'n11% I321chlD CIF Dale# Ass o1 s1
Li mil
Nitrogen,Ain n]oae$a(as N)E lracia MOD .(EE350.1)
NI]rtiicn,A[ttri ]1 t(As Nr)ExtricIali]C 9=,7 5,98 11.4 r68.1:441y 3]478S 1 C5.45:202 L ]]_53 L L
PERCENT[MOISTURE 1)2216
Percent Moisture Lf.x 0• 0 Kl'i R152948 I C4.28.2E12100.00 dW
Qrilillen: F \SIue even!&tuttiIE c.: i iit k,el E Esti Ira r}e.3,0% l rir rst rit.o
RRL Nei 13eteeted a SEEK S Spike Reroerya.k?, Ins iI341.x rwtsIFjj
II flAting[Lases 14perpse&Waor.sr.&I}&ees.cen3el } Ga&terus¢RevAta]ue
S Rrryte riot}ZLAC verified J rsii[IY.rd'VOX'd=it.:404 F,[loy Re es lied
El Ani tc delecled is!ese oeshod blsak Less t}ue Res-As 5 L'ut
Page 15 of 3 a Page 3 of 5
�aI.-nc u Clear Save as
" E". 1RONMIO FAL
AES SERVICES,iNc, SAMPLE/COOLER RECELPT CHECKLIST
1. Client Name: Access Analytical, Inc. AES1Nork Order n rumh 2104U89
2. Carrier fedfx • uN' LISPS Client. ' COurd..- Cr,hri —
Yes No N/A Details _ Comments
3, 9aippingcontainer/cooler received in goad condition) • • damaged _, leaking I other
4, C ustody seals present on Shipping Container? ■ •
5. Custody seals intact on shipping container?
—
6. rt emperature blanks present?
CooIrr tpmperatOre(4 within I imits of 0-I ?[See item 13 and 14 for ,0 0 0 Cooling initiated for recently collected samples/iCP
t mperature recordings.]
g. r,h;1in of Custody[LOCI present? CIO K.
9. Chain el Custody signed,dated,antti timed when relinquished and r'eel4rd'
10. ' mpler name and/or signature On CCK? 1
11. Were all samples received within holding time?
12-hTAT marked on the COC? cil • • if no TAT indicated,proceeded wall St,ranted TAT per Te rms Ae Conditions. :_I
L3- COCIAer I Temperagwre 1.5 °C Cooler,2 Temperature °C Cooler 3 Temperature CC CoOlk-r 4 Temperature .e
14- Cooler 5 Temperature °C Cooler G Temperature "C Cooler 7 Temperature °C Cooler 8 Temperaxur °C
15. Comments;
I certify that I have completed SCttiOns 1-15{dated Initials}, MI 4 $(21
Yes "'Jo NIA Details Comments
16, *ere sample containers intact upon receipt? •
17, lustedy seals present on Sample containers?
I
12. #,a,stody seals intact on Sample containers? - r
19. po sample container labels matter the COC? •
incomplete info illegible I , •
no tabrl other I...;
20- Akre an,iyses rec nested indicated on the COC? •}
{ samples received but not listed on COC
21, �jalrrr an 4f thn wimples listed on the COC received? I 0
samples listed on COC not received
27, was the sample collection date/!!Mi.noted? • —
23. Cad we rf tr}Ive sufficient sample volume for indicated analyses? a
24, Were samples received in appropriate contain2rs? —
—
25- Were VOA samples received without hoadspace(c 1 f4"bubble)? I
26- Were trip blanks submmad? ! 1771nnCCC I not listed on CO[ I I
27- Comments:
I certify that I have completed scctiuns 16-27;dated initialsl. LI'1 a.12.?.?21
This 5MOM,only applies 10 simples where pH Can be
;hacked at Sample Receipt. Y .. No N/A Details Comments
2a. I9,wo pent,rners neeemg chemical peeservatiOn been checked?'
29. iontoincrs mficl preservation guidelines? § § O
30. Was pH adjusted at Sample Receipt? -
A
NOW.Certain analyses rewire chemical preservation but mud!be ChetY.ed in the Sabora'.ory and net upon Sample Receipt such as Colilorms,VOCs and Oil&Graasu+TPH-
The also cxcluclos motals by EPA 204.7,2418 and 245,1 which will be verified between 16 and 24 hours alter preservation. 1 certify that I have completed sections 28.30{d 5ted to itialsl. 1.111 4 f28f21
•
Chu C list 7,9.2Q Rev 3 Looked
Page 16 of 30 ____—__ — .-, Page 4 of 6
Analytical FA vironincrital Services, Inc
Dile: 5- av-21
CI iil. V r,Iyp iiltiI.AR;11;nil:01 ANALYTICAL QC SUMMARY REPORT
T
Project MIME: 21-]1 6-O()C1R
Workortlsr: 21041]R9
i3ateli1D: 37478.8
—
Sample ID: MR-3I.17RR Client lU: Units; rnprica Plop D:ue: (15104(2021 Run Ni _ 4.356tX
SampleTypc: MBLK TekiCodc: Nitrogen,Ammmtki3 tax\)Exlrartahle Ih,35F-t mon aate.hID: 3147Rft Analysis ante: 05/05f2.021 Sec]Nu: 10369728
An,1yIC Rexul[ RPT Limit SI'K vakuu SPK Ref Val %REC Law Limit High Limii RPD Ref Val aRP1;} RPD Limit QinI
Ni[rogcn,Ammonia(As N)Extractabh BRI, I0%0
' Sample]17' 1,C.ri-.-#1-17/1R C)icn[ fl): Units; mw'l Prep Dale: 0510412021 Run No: S1%5-6it
Samp lcT}'Pe' 1,CS TeslC INIA:; S it Diir,ltri.Anlmlrnli On 7)Il:si rpctl hI F351F.tMtn) T-ta lchIU• 31478g Analysix age;; 4!05J2021 Scq No: 1049729
ARah'tc Result RPT Lintit SPK v;tiuo SPK Ref Val %KEC Law Limit I co, Limit RPD Ref Val %RPD RPD Limit Qui]
Niircii n,Ammonia(As N)Exte,Ict:411c 104-0 10,0 100.0 104 CO 110
Sample ID; 210 4U89-001AMS1 Clicnl ID: 97609 Units: mpfKg-dry Prep t) 1c; 05104/ZO21 K1i11 NO! 453568
S.unpI Tv1 - MS TcstCode: N'Itrvl@v.i. .mania t)F:xtrxLau[r EMI..I MC1) LiatchID= 31471#I Analysis Data' 05r0$J2O21 Soil Nu! 10369733
Analvte. Rizz4iult RP`I'Limit SPK value SPK Ref Vol EEC Low Limit High Limit RPD RaCVal "„RPD RPD Limit Qual.
Nilrog, n.Ammonia(As N)Cxtrnctabl( 214-6 ]1-k f 11£,2. 0.2,70 103 90 I I D
I
S;milrlc IL): 2104U')iin1AMSD Client CD: 97649 LInlls;= m„1Kg-dry Plop Date; O51442021 Run No: 4535611
Sample]-vlre: MST) T LC.4ii h: NiLNxrn,Arnmorlll OA i)EN.I.ractuihte 105I1S1 MOD lintchl]}' *I47N.8 Analysis Dote; 85105/202i Scq No: 1 f136973 4
Analvto 14,Q4u1t RPT Limit SPK v:Iluw SPK Ref Val %IU C= Low Limit f Iigb'Lim RPD Itcf Val %RPD RPL)Lim i[ Qiial
ii1rogen,Ammonia II,k:N}I-:xlnc[:,hlt 211x-7 11.7 117,1 92.70 1.0R 90 11(F 214.6 1-ti7 1x.2
Sample]D: 210441.}12-005,ADUP Client CD: Units; m ;Kt: [`roil Date:-0511W O!1 Run No: 453568
S:impleTypv: DU `lest('.LkL : NilrvI m,Ammonia(i ),I:xtrxluhic i'350.1 it4OI1 I#ate.hID: 3147S,4 AnalyNix Datcc D5105.11021 Sol Nu; 1069737
An:Iiytc Result RPT Limit SPK(vaim: SPK Ref Val %REC Low Limit High Li mil RIxD R Cyaf %RPD RPD Limit Qual
Nilrogei,Alriiflunia(As N) f?htractabh2221 95.2 �7.ti2. 1.3R M.
1
1•iiiiren: - i irmisr Ihnn I{cwll rnlue I.erti IP=r.Rrnnll+apce it ir..IWd[NrIM lathe asSaCIOl..dinslhy,1 blank
Iii&I. Ii.'Ii..rvrnunnc limit I: Flurnaicd fualufahn..s ywlr111lalaon range) II JicaniILLrnnV. .r preparation or En 1vIS.2xarf.frd
J I..I,rmmal valor an e,4xllrsL.w Itypwing l.Im,l N Amato not NR.Lie tun.1.4d R RPt] nuuldr lam..Ow h+mldrix
Rix Imo. aq rtnut Lund S 'Spike kncarery fluoride I.mw diio in min.,
Page 17 of 3 0 Page 5 of 6
----H
End of Report
Page 0�$
Page LEI of 34 6
•
W y ' t v 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypolntanolyticaI.com
Quality Control Data
Client ID; City of Statesville,NC
Projed Description: Fourth Creek
Report No: 21-116-0008
QC Analytical Batch: V373I
Analysis Method; 2540G-2011
Analysis Description: Total, F.ed,and Volatile 5o4ids
Duplicate V 976o9-DUP
Result DUP RPD Max RPD Analyzed
Parameter Units Result
Total Solid's 94 89.5 89.3 0.2 15,0 04/29)21 17:10
I
` I
Date: 05/1a12021 03=25 PM Page 1 of 10
Page 19 of 3.0
• w
VS/aypoint. 449 5prinibroolt Rd, Charlotte, NC 28217
Main 704.529,5364
ANALYTICAL wwv .waypointarralytical.com
Quality Control Data
Client 10: City of Statesville,NC
project Liascrfption: Fourth Creek
Report Ho: 21-116-000S
QC Prep: L550542 QC Analytical Batch{es): 1.5511513
QC Prep Batch Method: 30545 Analysis Method: 601DD
Analysis Description: Metals Analysis
Lab Reagent Blank LR8-1554542 Matrix! SOL
Associated Lab Samples; 97609
Blank MQL Analyzed
Parameter Units Result
Phosphorus mg?Kg <5.00 5.00 05104/212310
Aluminum mg/Kg <5.00 5.00 05/0412123=30
Arsenic mg/Kg <0.500 0,500 05/04/2123:30
Cadmium rngJKg <0,100 0.100 05/0412123.30
Calcium mg/Kg <50.0 50,0 05/0412123;30
•
Copper rng{Kg <0.500 0.500 0510412123.30
Lead m0/K9 <0.300 0,300 05/04121 23:30
Magnesium mg/Kg <5.00 5,00 05/04121 23:30
Matybdenum mg/Kg <0.250 0,250 05/04121 23;30
Potassium nig/Kg <10.0 10,0 05/04/2123,30
Selenium n1914 <0.500 0.500 05/04/21 23:30
Sodium Mg/Kg <25.0 25,0 05/04/21 23:30
2rr►c mg/Kg <1.25 1.25 05/04/2123,30
Laboratory Control Sample LCS-L554542
Spike KS LCS%Rec %Rec
Parameter Units conc. Result Limits
Phosphorus rr-g/Kg 500 514 103 80-120
Aluminum mg/Kg 500 539 108 80-120
Arsenic mg{Kg 5.00 5.53 111 80-120
Cadmium mg11Cg 5.00 5.29 106 80-120
Calcium mg/Kg 500 518 101 80-120
Copper mg/kg 50.0 52,8 106 80-120
Lead mg?Kg 5.00 5.23 105 80-120
Magnesium mg1Kg 544 509 102 80-120
Molybdenum mg/Kg 50.0 52.2 101 80-120
Potassium m9IK9 50.0 58.2 116 80-120
Date: 05/13/2021 03:25 PM Page 2 of 10
Page 20 of 30
I
• w
\A/ajpoint .
449 Springhrook Rd, Charlotte, NYC 28217
Main 704.529.6364
ANALYTICAL www.waypolntanalytical.cam
Quality Control Data I
Client ID: City of Statesville,NC
Pioject Descriptioef: RI urth Creek
Report No: 2L-115-0008
QC Prep: L550542 QC Analytical Baich(es): L551158
QC Prep Batch Method: 30508 Analysis Method: 60100
Analysis Description: MetalsAnatysis ,
Laboratory Control Sample LC5-L550542
Spike LCS LCS°1i5Rec Pig Roc 0
Parameter Units Conc. Result Limits
Selenium mg/Kg 5.00 5,22 104 90-120
Sodium mg/Kg 500 487 97.0 80-120
Zirtc ngrKg 50,0 54.8 110 80-120
Matrix Spike&Matrix Spike Duplicate L 99724-M5,L550542 L 99724-115 L550542
MS Spike NSD MS Result M5D 149 MSU %Rec Max
Parameter Units tkesuFt Coric. Spike Result %Rec %Rec Limits RPD RPD
Conc.
Phosphon,s nig/Kg 19.3 414 472 486 493 98.0 100 75-125 1.4 20
klumirium mg/K9 231 474 472 825 824 125 1264 75-125 0.1 20
Arsenic m9/K9 <0,500 4,74 4,72 5,15 5,03 109 107 75-125 2.3 20
Cadmium rrigfi{q <0,100 4,74 4.72 4.87 4.94 103 105 75-125 1.4 20
Calcium m9/ICg 60,9 474 472 523 529 95.0 99.0 75-125 1.1 20
Copper mg/Kg <0.500 47.4 47.2 48,6 49,3 103 10.1 75-125 1.4 20
Lead mg/Kg <0,300 4,74 4-72 4,8S 4.79 102 101 75-125 1.2 20
',brume" m9f.K9 28.0 474 472 496 503 99.0 101 75-125 1.1 20
Molybdenum in9/K9 00.250 47.4 47.2 48.2 48,8 102 103 75-125 1.2 20
Potassium mg/Kg 30.2 47,4 47,2 85,6 85,9 117 118 75-125 0.3 20
Selenium mg/Kg <0,50.0 4.74 4.72 4,64 4,87 98.0 103 75-125 4.8 20
Sodium mgfKg 85,6 471 472 515 520 95.0 56.0 75-125 119 20
Zinc mg?K9 1.77 47_4 47.2 51,5 52.2 105 107 75-125 1.3 20
Post Digestion Spike L 95724-PDS-L550542
PD5 41a Analysed
Parameter UritS Result Recovery
Phosphorus mg/Kg 1210 98,0 05/05/21 01:42
Aluminum mg/Kg 1380 103 05/05/2101;42
s QC Fail Date: 05/181202103:25 Pn1 Page 3 of 10
Page 21 of 30
w 1
\ /aypoint + 449 Spring+hrook Rd, Charlotte, NC 7821?
Main 704.529,6184
ANALYTICAL www,waypolntanaIyttcal.com
Quality Control Data
Client ID: City of Statesville,FCC
Project Description: Fourth Creek
Report No: 21-116-0008
QC Prep: L5S0542 QC Analytical Bat<h(es): L551158
QC Prep Batch method; 30508 Analysis Method: 6010D
Analysis Description: Metals Analysts
Post Digestion Spike L 99724•PD51.550542
PDS ofo Analyzed
Parameter Units Result Recovery
Arsenic mg/Kg 12,4 102 05/06/2101;42
Cadmium mg/Kg 12,2 100 05/05f21 01;42
Callum mg/Kg 1230 90.0 05/05121 01:42
Copper mg/Kg 120 98.0 05/05121 D1:42
Lead rnsilKy 12.2 100 05/05121 01:42
Magnesium mg1Kg 1220 99.0 0510512101:42
Molybdenum mg/Kg 123 101 05105121 01:42
Potassium mg/Kg 139 102 05105/21I01:42
Selenium mg/Kg 11.9 98,0 05)05/2101:42
Sodium mg./Kg 1190 95.0 05/05/21 01:42
Zinc nrg{Kg 125 102 05/05/21 01;42
I
. . . . _ _ —
Date; 05118/2021 03:25 PM Page 4 of 10
Page 22 of 30
Iaypoint. 449 Sprirrgbrook Rd, Charlotte, NC 28217
lVlain 704.529.63E+1
ANALYTICAL www.waypoTntanalyt#caLcom
Quality Control Data
Client 113; City of Statesville, NC
Project Description: Fourth Creek
Report l,lo: 21-116-B00B
QC Prep: V3729 QC Analytical Batch(es): V3758
QC Prep Batch Method: 7471E(Prep) Analysis Method: 7471E
Analysis Description: Solids Total Me cury,4naly5is-CVAA
Lab Reagent Blank LRB-V3729 Matrix; SOL
Associated Lab Samples; 97609
Blank MQL Analyzed
Parameter Units Result
llercur}r(Total) mg/Kg <0.0300 0.0340 04,29/21 17:33
Laboratory Control Sample LCS-V3729
Spike LCS LCS° Rec %Rec
Parameter Units Conc. Result Limits
Mercury(Total) mg/Kg 0.417 0.405 97-0. 60-120
Matrix Spike&Matrix Spike Duplicate V 97B34-N5-V3729 V 97834.1SD-V3729
MS Spike MS1 MS Result MS0 MS MSD %Rec Max
Parameter units Result Conc. Spike Result ofbRec %Rec Limits RPD RPD
Conc.
Mc ri.orry lokal) mg/Kg <0.0300 0.417 0.417 0.400 0.406 96.0 97.0 S4.120 l.4 20.0
Post Digestion Spike V 97834-PDS-V3729
PDS "lo Analyzed
Parameter Units Result ReCOver+f
NeiCtrry(Total) mg/Kg 0.206 4'.P-0 04/29/21 17:55
Date: 051181202103.25 PM Page S of 10
Page 23 Qf 3a
w
//aypoint . 449 SprEngbroak Rd, Charlotte, NC 28217
Main 704.529.5364
ANALYTICAL www.waypoIntana1ytical.corn
Quality Control Data
Client 1b: City of Statesville,NC
•
Protect Description: Fourth Creek
Report No: 21-116-O00S
QC Prep: V3627 QC Arialytita1 Batch{es): V3631
QC Prep Batch Method; S 1'-905.5A{PRP) Analyslg Method: 9056k
Ana IySTs Description; Anions by Ian Chromatography
Lab Reagent @tank LRB-V3627 Matrix_ SOL
Associated Lab Samples: 976109
Blank MQL Analyzed
Parameter Units Result
Nitrate 0103-Fx) mg/Kg < 2.00 2,00 04128121 11;10
Nitrite(NO2-N) mg/Kg < 1.00 1.00 01/78I21 11:10
`Laboratory Contiol Sanipre LCS-V3627
Spike LCS LCS orVRec % Rec
Parameter Units Conn. Result Limits
Nitrate 0103-N) mg/Kg 100 101 101 80-120
Nilite(NO2-N) rug/Kg 100 98.5 99.0 50`120
Matrix Spike&Han ix Spike Duplicate V 97542-MS-V3627 V 9754241SD-V36.27
MS Spike MSD MS Result MSD MS MSD WDRec Max
Parameter Uriits Result Conc. Spike Result ' Rec #l%Rec Limits RPD RFD
Conc.
Nitrate{NO3-N) mg/Kg c 2,00 99,6 99.0 102 103 102 104 80-120 0,9 15-0
Nitrite(NO2-N) mg/Kg < 1.00 99.6 99.0 97.4 97,2 98.0 98.0 80-120 0.2 15.0
hate; 05f 18{2021 03:25 PM Page 6 cf 10
Pages 24 of 3i}
•
vvaypoi nt v 449 $pringbrook Rd, Charlotte, NC 28217
Main 7043216264
ANALYTICAL www.,.aypoi tanaiytical.cc rn
Quality Control Data
Ctierrt ID: City of Statesville,NC
Project Description; Fourth Creek
Report Not 21.116-0008
QC Anaiy ical Batch: V3691
Arotysis Method: 9221E-201i
Analysis Description; Fecal Callfirrn MP#t
Negative Control NC
NC Restdt Pos-Meg Analyzed
Parameter Units
fecal Calitcenr hlPH,+g !IRON. Neg Nei 01126121 15,00
Positive Control PC
PC Result Pos-Nag Analyzed
Parameter (hilts
Fecal Coliform rr1Pr,o MPNI}g Pos Pos 04/26/21 15;1}0
- I
Date; 05/18/2021 03:25 PM Page 7 of 10
Page 25 of 30
• w I
Waypoint, 449 Springbrook Rd, Charlotte, NC 29217
Main 704.529.6364
ANALYTICAL www.tiwaypolntanaIyttraLeon)
Quality Control Data
Client ID: City of Statesville, NC
Project Description: Fourth Creak
Report No: 1-116.-4008
QC Prep: V3743 QC Analytical Batcli(es): v3956
QC Prep Batch Method: EPA-351,2(PREP) Analysis Method: EPA-351.2
Analysis Description; TKN by Block NeStkin and FIA
Lab Reagent Blank LRB-V3743 Mabix:six
Associated Lab Samples: 97609
Blank MQL Analyzed
Parameter Units Result
Total Kjeldahl Nitrogen Rig,iK < 25.0 25.0 05/04{21 11;45
Laboratory Control Sampte LCS-V3743
Spike LCS LCS 0,4Rec eVa Rec
Parameter Units Conc. Result Limits
Total Kjeldahl Nitrogen n19'Ky 125 126 101 80-110
Matrix Spike&Matrix Spike Duplicate V 97609-MS-V3743 V 976094.15D-V3743
MS Spike M50 MS Result MSD MS MSD °loRec 11ax
Parameter Units Result Conc. Spike Result oioRec %Rec Limits RPD RPD
Conc,
Total Kjeldahl N.bogen mg/Kg MUD 1250 1250 5380 4920 126* 89.01 902110 8.9 20,0
QC fair Da:e: 0Sl18/2021 03:25 pm Page 8 of 10
Page 26 of 30
•
\%Ypoint . 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www,waypolntanaiytkai.tom
Quality Control Data
Ctient ID: City or Statesville, NC
Project Description: Fourth Creek
Report No: 21-116-4048
QC Analytical Batch: V3851
Analysis Method: SW-DRYWT
Analysis Description: Dry Weight Determination
Duplicate V 97733-DUP
Result DUP RPD Max RPD Analyzed •
Parameter Units Result
Moisture % 22.5 21.3 5.4 20.0 05103/2117,21
Duplicate V 97726-DUP
Result DUP RPD Max RPD Analyzed
Parameter Units Resort
t•1ais.ure S'0 16.9 16.4 8.1 20.0 05103121 17;21
•
Date: 05/1612021 03;25 FF1 Page 9 of 10
Page 27 of 31)
V/aypoint. 449 SprIngbrook Rd, Charlotte, NC 282271
Main 704.529.6364
ANALYTICAL www.waypolntanalytical.com
Quality Control Data
Client JD: City of Statesville,NC •
Project Description: Fourth Creek
Report flu: 21-116-O08
QC Analytical Batch: V3907
Analysis Method: SWDRYVfr
Analysis Description: Ory Weigitit Determination
Iiuprirate V 97fi22-DUP
Result Dt1F RPD flax RPD Analyzed
parameiter Units Result
moisture % 20.1 20.1 0,0 20.0 OS/04/2117:13
Date; 0511812021 03'25 PM (sage 10 or 10
Page 213 of 30
•
Waypoint 449 Springprovk Rd,{hariate, NC 28217
f:1aTn 74.529.G344
ANALYTICAL www-waypointanaiyt1cei.com
Shipment Receipt Form
Customer Number:01050
Customer Name: Oily of Statesville, NC
Report Number_ 21-116-0008
Shipping Method
Fed Ex US Postal • Lab L Other:
0 UPS 0 Client 0 Courier Thermometer ID: IIRT-15 2.8C
Shipping container/cooler uncompromised? • Yes .; No
Number of coolers.+boxes received 1
Custody seals intact on shipping conlainer/cooler? • , Yes 0 No • Not Present
Custody seals inlact on sample bottles? } Yes 0 No • Not Present
Chain of Custody( 0 ) present? • Yes 0 No
COC agrees with sample tabel(s)? • Yes 0 No
COO properly completed • Yes No
Samples in proper containers? • Yes n No
Sample containers inlact? • Yes 0 No
Sufficient sample volume for indicated test(s)? • Yes 0 No
All samples received wilhin holding time? • Yes 0 No
Cooler temperature in compliance? • Yes No
Cooler/Samples arrived at the laboratory on ice. • Yes 0 No —— —
Samples were considered acceptable as cooling
process had begun.
Water - Sample containers properly preserved • Yes l No 0_NIA
Water- VOA vials free of headspace 0 Yes No NfA
Trip Blanks received with VOAs Yes 0 No • NA
Soil VOA method 5035-compliance criteria met f} Yes 0 No • NSA
High concentration container(48 hr) r Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (melrranol -14 d) Low conc pre-weighed vials (Sad Bis -14 d)
Special precautions or instructions included? Yes No
Comments: ' •
— -
8igr #ere-StaoyL Oftiz • Date& Time-14 26'20244- 1
Pages 29 of 34
•
•
CHAIN OF CUSTODY RECORD La USE ONLY
W io mnt° PAGE-__,, ouorrt R ro ENSURE PROPER BILLING___
Sapkas LNTATun arnv ?
YES NO
NfA
.....---
ANALYTICAL Project Name: _ Recev ON WET LCE?195 oatt=C attf,NC 1r2t7 _
UST ProjectNos) (NO PROPER ESERVATtvEs a�ai 3?snor 110 d Mayas (Yes) {NodFNna7 • pa=7wrsx
Client Cypn Ay NJ xre:C'. e 1rsYi�JE 'Please,ATTACH any pro oct specific reporting;QC LEVEL I II in ryl Rsee&odWITHIN HOLDING mums? —
Provisions!audio:.QC Requirements CtISTOQY SEALS[NTA CT7
Report TcdCor►#act Nae: .i KC A r f owiL _ Involoo To: VOLA,TILES r, d MJL7UT�E7 �
m _
Reporting Address- Address Therm Fax
need?
Phone:70 - 75 3�13 Fax {No};79�l-97 -S1��. — -� -- .. -
r Pur#wsa Order lVo1B[Illrl Rctoranca TO BE FILLEDIN BY CLIENT ANIPLJNG PERSONNEL
Email Address: —
Roquestod Doe Claw J 1 2 Days ..J 3 Days. L14( - 5 Con,
E OType:PdF_Ex k Other `~ pr. Certification: NELAC� FL . NC
"Worklnp D.Ys- D 69 GaurS ,J St&1C.7rd 10days 0 h'Nook MIN Ee
Site Location Name: F2.a�p} (..,6LE. '+ sarrrpl n rgcc altar WOO will Do mimosa/NJ nay.;.- SCOTHER A
Site LOcetion Physical Address'e5 ,„Am_R Ii._ Tu rwourrd fine rs based on buirrss days,eArk.idAng weowrrJS and hericays, Wafrr Chlorinated: YES NO_
[SEE REYERaI sOra TrAW6 a ca4pg rrML REGARDING' —
- AENdERE4 Bti wAYP,7JMr ANA4Fric LLC'A)wpmSample toed Upon Collection: YES NO
I 711E MAWJX 1 SAMPLE CONTAINER ANALYSI.SREQUESTED
CLIENT I DATE COLLECTED (sort• '
S►wPLE AIPT1ON I COLLECTED MILITARY WA7EF OR ' T PFtESERVA-
YPE E TIES ://v7
* REmAJ K3 I JDNpt
G1ES+
HOURS SLUDGE) SEEeELce1!k N4 —�
I a
fry
- b , N. 1
I
sc T
124. fflimminummilliz...3_,..
.0 .
ila I i cal en
Clrwur8 rkre,nlC aw- 2021 fit, T r
to I
M�cal Tyrrq 7,�;15t}
. Arw - I
J // �
..+C1Y# PRESS DOWN FIRMLY • 2 COPIES
SBmpte-s Signahire SY1m d By(Print Name)_9y{a `'C Affiliation
Upon ro4JrpuiehIng,this Chain of Custody Is your aud+orliodOn for Waypoirrt Analytical to proceed With the analyegiF es roquer>sted eba+re.Any chdRtipra mint be
„ubrrnitled kl wrl hlq to the 1Naypoim Anb4yelcak Project Mb i lIO There will beetle/gem for oIt r ,.s after arwlys.s have been initialized. LAM tI5 E ONO"
"irme a1r cure .. 1, + _
f / #, Ad�itigr1171C 1monL5 51Er+4rrhyiTlrrwr
{ ' Elf{tYyw. --- — — � 6 —�.
7,•4• SItrdr>x+M14le11r
Irk: Vraoceia IEVPr — 1 Aoki Tech Atm:
471 1 t ) 0 Miltage�
Mee¢1 C'Irb iL ni5TE:,+it CiE T+i6Eo ,rwtt's "� ._. t4+rdn r iS ." "youa i.a. I
3AJPLES ARe ear ACCEPTED AMP 1yl.R7gep wC.4J TGUG Leer,prz-ou ED 4A60P.AroRY.
: CI AIE EA J UPS J MonLL-rleY,aeE U Wr/pcTlAryryual F,dy ,...", Llon++t
NPDES: LIST: GkOLNDWAr' t ORINKI'N W TER= SOLID WASTE: i RCER, ..BRIHNRA�..- LANOcII ER:
NC J SC O NC O SC U NC J SC 3 NC :.1 SC 1 J NC J SC U NC :J SC CI NC 3SC 7 NC 3 SC 7 NC 0 SC
' . n , a a
`CONTAINER TYPE COWS; A-Ai,,bar C-Clamor GE Glass Ps IL sTe lon4Jneo Cap Y(iAr votatllpOryarlies Arralyais(Zjro Read Spa1rd ,
CIRIGINAL
\ 1/aypoint. 449 5pringbraok Hd,Charlotte, NC 2$21]
Phalli 704429,6364
ANALYTICAL www,waypointanatvticat.Com
8f812021
City of Statesville, NC
Ken Galloway
693 Bell Jain Road
Statesville, NC, 28625
Ref: Analytical Testing
Lab Report Number; 21-207-0021
Client Project Description: Fourth Creek
Dear Ken Galloway:
Waypoint Analylical, LLC (Charlotte) received sample(s)on 7/26/2021 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.
The analytical data has been validated using standard quality control measures performed as required by the
analylical method Quality Assurance, method validations, instrumentalion maintenance and calibration for all
parameters tivere performed in accordance with guidelines established by the UB1<PA(including 44 CFR 136
Method Update Rule May 2012) unless otherwise indicated.
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 laboralory 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,
CO,J2/1-A61-4.0)C12,. ..A.,0
Terri W Cole -
Laboratory Project Manager
Laboratory's liability in any claim relating to analyses performed shall he limited to. al 1abcratvey's option, repealing the
anatysi is r Uesflo er ict ratory's expense, or Via refund of the charges pa;d for pert'orora ,wysrs, -—
Page 1 of 22
• wo
(apOiflt. 449 springbrook NI,Charlotte,NC 28217
Matn 704.529.6364
ANALYTICAL www,waypoIntanahrticol.com
Certification Summary
Laboratory ID: WP CNC:Waypoirlt Analytical Carolina, Inc. CC), Charlotte, NC
State _ Program Lab ID _ Expiration Date -- —
North Carolina Stale Program 3 .(35 0713112022
North Carolina date Program 402 12/31;2021
South Carolina State Program 98012 07+31 021
South Carolina State Program 9901. 12'31.2021
Laboratory ID: WP MIN: Waypoini Analytical, LLC., Memphis, TN
State Program _ Lab ID Expiration Date
Alabama State Program 40750 0212812022
Arkansas State Program 88-0550 02107+2022
California State Program 2904 06.'30+2022
Florida Stale Program- NELAP E871157 06;30+2022 1
Georgia Slate Program C044 021181023
Georgia Slate Program 04015 061012021 •
Illinois State Program-NELAP 200076 10.+10'2021
Kentucky State Program 80215 0613012022
Kentucky State Program KY$o047 - 12;31+2021
Louisiana State Program -NELAP LA037 12;31+2021
Louisiana State Program -NELAP 04015 06+30+ 22
Mississippi State Program MS 02/'11+2023
North Carolina State Program 415 12ia1 r2o2i
Oklahoma State Program 9311 Oaf 31/2021
Pennsylvania State Program • NELAP 66.03195 05.'31)2022
South Carolina Slate Program 84002 06330'2022
South Carolina Slate Program 84002 06.+30+2022
Tennessee Slate Program 02027 02.+11.'2023
Tennessee A2LA ISO 17025:2017 4313.01 10131+2021
Texas Slate Program - NELAP T1047041& 00101021
Virginia State Program 00106 0610.2022
Virginia State Program • NELAP 480181 03it4+2021
Page 1 of 1 00016 21-207-0421
Pag.e 2 of 22
1
IN
Waypoint 419 SpyIrrgbrook Ad,Charlotte, NC 28217
Ma In 704.529.6164
ANALYTf CAL tiw .v.viaypoirtitanatyui*al,tom
Sample Summary Table
Report Number: 21-207-0021
Client Project Description: Fourth Creek
Lab?la Crient Sarnpk ID l4atr[4 Date Colletted Date RE .eived Method Lab ID
92409 STA LIME Solids 07/25/2021 08;30 07/26/2021 14:00
92409 STA um Sd.ds 07126/2021 08;34 0712612021 14:00 SW-7.3.3 WP MTN
92409 STA L]ME Solids 07/26/2021 06:30 07/26/2021 14;40 SW-7,3.4 WP MTN
92410 STA L]ME TCLP 07/26/202106:30 07126/2021 14;40
92410 STA LIME TCLP 07/26/2021 08:30 07126/20121 14;00 6010D tiJP MTN
92410 STA LIME TCLP 07/25/2021 08;30 07/26/242.1 14;00 747OA WP MTN
92410 STA LIME TCLP 07/26/2021 08134 0212612021 14:00 SW-1311 WP MTN
92410 STA LIME TCLP 07126/2021 08;30 07126/2021 14:00 8151A WP 11TN
92410 STA L]ME TCLP 07126/2021 08:30 07126/2021 14:00 8081E WP MTN
92410 STA LIME TCLP 07/26/2021 06:30 07126/2021 14;00 8274C WP MTN
92411 4th Creek Sl dge Solids 07/26/2021 08:30 07125/2021 14:00
92411 4th Creek Sludge Solids 07/25/2021 03;30 07125/202.1 14:00 SW-7.3,4 NIP MIII
92411 4t4 CreekSrudge Solids 07/26/202105:30 07/26/2021 14:00 5W-7.3,3 WP MTN
92412 4th Creek Sludge TCLP 07/26/2021 48:30 07/26/2021 14:04
92112 4th Creek Sludge TCLP 07/2612021 013;30 07126/2021 14:00 SW-1311 ti4P MTN
92412 4th Creek Sludge TCLP 07/26/2021 08:30 07126/2021 14;00 6270C WA MTN
92412 4th Creek Sludge TCLP 07/26/2021 03:30 07126/2021 14;00 $151A WP MTN
92412 4th Creek Sludge Tap 07/26/2021 03:30 07/26/2021 14=00 8031E WdP MTN
92412 4th Creek Srudge Tap 07126/2021 08:30 07/26/2021 14:00 7470A WP MTN
92412 4th Creek Sludge TCLP 07126/2021 08:30 07/26/2021 14:00 50100 WP MTN
92413 3rd Creek Sludge Solids 07/26/2021 08:30 07126/2021 14:00
92413 3rd Creek Sludge Solids 07/25/2021 03;30 07126/2021 14:00 SW-7.3.4 WP:1 r N
92413 3rd Creek Sludge Solids 07/25/2021 08;34 07125/2021 14:00 SW-7.3.3 WP MEN
92414 3rd Creek Sludge TCLP 07/26/202/ 08:30 07/25/2021 14;00
92414 3rd Creek Sludge TCLP 07/26/2021 08=30 07/26/2021 14:00 6270C WP hITN
92414 3rd Creek Sludge TCLP 07126/2021 08:30 07/26/2021 14.00 $151A WP hiTN
92414 3rd Creek Sludge TCLP 07/2612021 08:30 07/26/2021 14:04 8481E WP MTN
WI FuTN-nlemphis, IN; Weypoirtit Analytical-TN,Memphis,TN
Page 3 of 22
w
VVaypoi ntt 449 Springbrook Rd,Charlotte,SIC 29217
Main 704.529.6364
ANALYTICAL www,waypolntanalytical,com
Samp?e Summary Table
Report Number: 2i-207-002i
Client Project Description: Fourth Creek
Lab ND Client Sample ID Matrix Date Collected Date Received Method Lab ID
92414 3rd Creek Sludge TCLP 07/2612021 08:34 0714612021 14.00 7470A WP hiTF1
92414 3rd Creek Sludge TCLP 0712012021 08:34 07/2612021 14:00 50101) 'AP MN
92414 3rd Creek Sludge 7C1.P 07126/2021 08.30 07126/2021 14:GO SW•1311 VA:,MTN
WP h4TN-Memphis,TN: Waypoint Arkalytical-TN, Memphis,TN
Page 4 of 22
\f/afpoi n 449 Springbrook Pe,Charlotte, NC 28217
Win 704.529.6364
ANALYTICAL www.waypointanalytical,torn
Client: City of Statesville, NC CASE NARRATIVE
Project: Fourth Creek
Lab Report Number: 21-207-0021
Date: 861 021
Separatory Funnel' Extraction 8081 Method 3510C
Sample 92410(STA LIME)
QC Batch No: L5666061L556605
The weight/volume extracted was reduced during the extraction procedure due to the nature of the sirnole.
Reporting limits are factored for the sample size reduction.
Sample 92412 (4th Creek Sludge)
QC Batch No: L556606IL566608
The weight/volume extracted was reduced during the extraction procedure due to the nature of lfte sample.
Reporting limits are factored for the sample size reduction.
Separatory Funnel Extraction Method 33510C
Sample 92410( TA LIME)
QC Batch No: L567023/L567029
The weight/volume extracted was reduced during the extraction procedure due to the nature of the sample.
Reporting limits are factored for the sample size reduction.
Sample 9412 (4th Creek Sludge)
QC Batch No: L587029IL567029
The weight/volume extracted was reduced during the extraction procedure due to the nature of the sample.
Reporting limits are factored for the sample size reduction.
I
Papa 5 of 22
•
\A/ayp 0Waypoint. 449 5pringbrook Rd, Charlotte, NC 28212
Main 704.529.6364
ANALYTICAL www,wayporntar,alytrcar.com
01050
City of Statesville, NC Project Fourth Creek
Ken Galloway Report Date ; 08/06/Z021
693 Bell Farm Road IrdorrnatUOn; Received :07}2612021
tatesoile . NC 28625 OigtioX
Terri W Cole
Report lJurnber:21-207-0021 REPORT Of YSfS
Laboratory Project Manager
Lab hro: 92409 Malrut: Solids
Sample ID;STA LIME Sampred: 7/26/2021 8:3D
Teri Results 1rnits MOIL OF OR!e Time 0y Arraly1lcal
Analyzed Method
Sulfide{Reactivity) <25.0 mg/Kg 25.0 1 08l03/2115:13 FMM SW-7.3A
Flaistu+e 6.31 ° 1 OW03/2116:49 8AM SW-0RYWT
Cyanide, Reactive <0.125 mg/Kg 0.125 1 08/03f21 12:22 HIM S1 N-7.3.3
Ignitabil�ty Negative mm/sec t 08/02/21I5:08 SLS SW-1030
pH 12.5 s.u. t 081o4?2109241 EFJF1 90450
Qualifiers} DF Dihrtiorl Fdt1Or L limit Exceeded
Definitions MQL Method Quantitation Unlit Q P.PD >49% dual column results
Page 6 of 22
W
\ Iaypoint. 449 5pringbrook Rd. Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL rrww,waypolntanalytical,com
41054
City of Stareswille,NC Project fourth Creex
Ken Galloway
Report Date: 491Ofi/2421
693 Ball Fartn Road lnfamtiaaon: Received:07/26/2021
Statesville, NC 28625
jovo*
Report Number ;21-207-0021 REPORT OFANALY,SFS Terri LV Cale
Laboratory Project MOrkii.i:•r
Lab No : 92410 Matrix; TCLP
Sample ID:STA LIME Sampled: 7/26/20211 8:30
Teat Results Units MOL OF Data�Time By Analylical
Analyzed 6Ieihod
TCLP 8erbidide Extraction Lea(hate 1 07/28/21 13:00 ]AN 5W-i311
TCLP Metals Extraction Leachate 1 07/28/21 13:00 JAN SW1311
TCLP PeaticideExtraction Leachate 1 07128121 13;00 JAN SW-I3!!
Tap SYOC Extraction Leachate 1 07/28/21 13:00 JAFt SW-1311
TCLP VOC ZI-1E Extraction Leachate 1 07/27/21 13;30 TEL SW•1311(2t-E)
Analytical Method: 6014D Prep Batch{es); L566850 08/02/21 12:00
Prep Method; 3015A
Test Results units MOL OF Date I Time By AnaIy1iea I
Analyzed Balch
TCLI>prsenic <0.250 moJL 0,250 1 08/03/2101:22 JTR L567120
TCLP Sarium 1,67 r11901. 0.250 1 08/03/21 01;22 JTR L567120
TCLPCadmkum <0.0500 mg/L 0,050 1 08/03/21 01;22 JTR L567120
TCLP Chromium <0.100 mg/L 0,100 1 08/03,2101;22 JTR L567126
TCLP Lead <0,100 mg/L 0.100 1 08/03/2101;22 JTR L567120
TCLP Selenium <0,5(0 mg/L 0,500 108/43/21 01;22 JTR L567120
TCLP Silver <0.0500 mg/L 0,0500 1 08/03/21 01;22 3TR L567120
Qualf fie rsf OF Dilution Factor MQL Method Quantltappn Limit
Definitions Q RPD >40%dual column results
Page 7 of 22
w
Waypoint. 449 Springbraok Rd. Charlotte,MC 78217
Main 704,52416364
ANALYTICAL Lyrvnrr,wa+ypotntanalytacal.corn
01050
Crty of State uille, NC p.•c act F.;.1';h(.r,lt:k
Ken Gallaway Report Date; 00/0612021
693 Bell Farm Road Vi rir-:ali.r7 : Received :07/26/2021
Statesville, liC 28625 OgX LOCk1G,
Terri tit Cole
Report Number:21-207.0021 REPORT OF ANALYSIS Laboratory Project Manager
Lab No: 92410 Matrix:TCLP
Sample ID;STA LIME Sampled: 7/26/2021 8-30
AnalytTcaT Method: 7470A Prep Batch(es): L566793 00/02121 10,0D
Prep Method; 7470A
Test Results Units MOL OF Date.'Time Sy Anal yticeT
Analyzed Batch
TCLP Mercury <0,0200 m41L 0.0200 1 08(02r21 13;26 0DB L566867
Analytical Method: OC. 18 Prep Batch(es): L566606 07130121 10;45
Prep Method: 3 ;i•:i-:
Test Results Units MQL OF Date iTime By Analytical
Analyzed Batch
TGLP Endrin <0,009000 n1011. 0.004000 10 07130121 2255 VIC L557062
Tap gamma-f3HC <0,004000 mg/J. 0,004000 10 071301212255 VIC L567062
TCLP htethoxydilor <0,004000 n19/1. 0,004000 10 071301212255 41C L567062
TCLP Toxaphene <0,03000 mig/L 0,03000 10 07/30/21 22=55 VIC L567062
TCLP Chlordane <0,02000 n191C 0,02000 10 07/30/21 2255 VIC L567062
TCLP Heptachlor Epoxide <0,004000 mgIL 0,004000 10 07/30/21 22:55 VIC L567062
TCLP Heptachlor 4.0.004000 mg1L 0,004000 10 07/30121 22:55 VIC L567062
Surrogate: Deca€hlorobiphenyl 70.15 Urllit5' 36-116% 10 07/30/21 22:55 L567062
Surrogate;Tetrachloro•m-xyiene 59,12 Llmil ; 25-12396 10 07/30/21 22:55 L567062
Analytical Method; 8151A Prep Batch(es): L566937 08f02(21 15:50
Prep Methods 815IA
Test Results Units MU BF Data/Time By Analytical
Analyzed Batch
TCLP 2,410 <0,4204 mg1L 0,0200 1 08105121 02;51 VIC L567580
TCLP 2,4,5-TP(5il.'ex) <0,01320 mg1L 0,0424 1 08/05/21 02;51 VIC L567580
Surrogate: 0CM 51.60 Limits; 20.120'% 1 08105121 02:51 LS6758.0
Qua!fflere) DE Dilution Factor MQL Method QuantitatIon Limit
DeflnTtians Q RPO>1o%dual column results
Page 13 of 22
1
Wavoirit dd9 Springbrook Rd,CharioCte, NC 28217
M a In 7(14.529.6364
ANALYTICAL www.v.ramoTnt.pinatylical.corri I
01050
City of Statesville,NC Project Fourth Creek
Kw Galloway Report Date : 08f0612021
693 gekl Farm Road Information: Accented : 07/26/2021
Statesville , NC 20625 60,04
Terri+r4 Cole
Report Number:21-1O7-002L REPORT OFANALYSIS Laboratory Pr**e[t Manager
Lab 110: 92410 Matrix= TCLP
Sample ID :STA LIME Sampled: 7/261202L 8:30
Anafytkal Method. 8260D Prep Uatch(es}: V7188 07J29J 1 019:40
Prep Method: 5034E
Tact Results Units 110t. DF Date iTime By lhnaiylicsk
Analyzed Patch
TCLP Benzene <0.0050 mg/L 0-0050 10 07/29/21 20:04 JL8 V7191
TCLP CarbonTetracillocide <0.0200 nigh 0,0200 10 07/29/21 20:04 JLE V7191
Tap Chlarobenzene <0.0050 mg/L 0,0050 10 07/29/21 20:04 JLU V7191
TCLP Chloroform <0.0050 mg/L 0,0050 10 07/29/21 20;04 JLU V7191
TCLP 1,4-Dichlorcbenxene .<0,0050 mg{L 0,0050 10 07/29/21 20:04 JLB V7191
TCLP 1,2-DichlorCelhane .<0,0050 mg/L 0.0050 10 07/29/21 20:04 JL6 V7191
TCLP 41-Dichloroetliene <0,0050 mgfL 0.0050 10 07/29/21 20:04 JLB V7191
TCLP Methyl Ethyl Ketone(MEI() 0.0120 nrg,L 0.0050 10 07/29J21 20:01 JLB 1./7191
TCLP Tetrachlorbetherre <0.0050 mg1L 0,0050 10 07/29/2124;09 3L6 V7191
TCLP Trichloroetherie <0.0050 mg1L 0.0050 10 07/29/21 20:04 JLB V7111
TCLP VinylChkoiide 40,0050 mg/L 0,0450 10 07/29/21 20;04 JLB V7191
Surrogate: 4-Bron1oFlu4robenzene 99,2 Limi$_84-124 '. 10 07/29/21 20:04 11L8 V7191
Surrogate; Bibrorraofluoromettane 87.1 Limits:75-129% 10 07/29/21 20:04 JLU V7191
Surrogate;Toluene-d3 95-4 LJmits; 77-123% 10 47J2912120;04 ILB V7191
Analytical 11ethod: 8270C Prep Batch(es): 1.567029 {03{21 10'00
Prep Method! 3510C
Test Results Urrfls MQL DF Date f Time By Anelyilaal
Analyzed Batch
TCLP 2-14ethykpheno! <0.100 019JL 0.100 2 08J03J21 20:S1 VBW I_$67291
TCLP 3&4 Methylphenof <0,200 rng/L 0.200 2 G3103J21 20:51 V8 I L567291
TCLP 2,4•ihnitrotoluene 0,100 rag{L 0,100 2 0$,103/21 20:51 V81V L5T67291
TCLP Nexechlorobenaene <0,100 mg{L 0.100 2 0E1103/21 20:51 V111V L567291
Qualifiers/ OF Dilution Factor 1.1QL Method Quantitatim Limit
befin[tions Q RPD>40%dual cokunin results
Pale 9 of 22
VVaypoint. 449 Springbroak Rd,Charlotte, NC 28217
Main 704.529.8364
ANALYTICAL tir,rvw,waypoTrstartatytital.cam
01050
City of Statesville, NC Project Fourth Creek
Ken Gallaway Report Date: 08/06/2021
693 Bell Farm Road Information : R''Cei.ed :07/2612021
StatM'lle r NC 28625 Olg
�X
Terri W Cole
Report Number:21-207-0021 REPORT OF APIALYSIS Laboratory Project Mai-raver
Lab No: R2410 Matrix: TCLP
S3rnple IR;STA LIME Sampled: 7/28/2021 8:30
Analytical Method: 827CC Prep Batch{es): L567029 03/03/21 10:G0
Prep Method: 3510C
Test Beautls 11n119 Mat OF Dare ITime 8y Analytical
Analyzed 091Ch
TCLP HexachForabutadiene <0,100 rng{L 0.100 2 08/03/21 20:51 VOW L567291
TCLP Hexachlarorethane <0.100 mg/L 0.100 2 08/03121 20;51 VOW L567291
TCLP Nitrobenzene <0.100 mg/L 0,100 2 08103121 20:51 VOW L567291
TCLP Pentadilarophenal <0,200 mg/L 0.200 2 08/03/21 20;51 VO1V L567291
TCLP Pyridine <0,100 mg/L 0.100 2 08/03/21 20:51 VBW L567291
Tap 2,4,5 Trich]orophenol <0,100 mg/L 0.100 2 08103/21 20:51 VON 1567291
TCLP 2A6-Tridilaro'hend <0,100 mg/L 0.100 2 08/03/21 20:51 VOW L567291
Surrogate:TCLP 2,4,6-Tribrornophenol 69.2 Limits: 42-102% 2 08/03/21 20:51 L567291
Surrogate:TCLP 2-Fluorcbiphenyl 51-7 Limits: 24-86% 2 08/03{21 20:51 L567291
Surrogate:TCLP 2-FJuaraphenal 24,4 Limits: 13-37% 2 08/03121 20:51 L567291
Surrogate:TCLP 9-Terphenyl-d19 58.5 Limits;30-122% 2 08/03/21 20:51 L567291
Surrogate;TCLP NitrObenzerl2-d5 50.4 Limits:25-78% 2 08/03121 20:51 L567291
S rrpgate-TCI.P Ptrenol•d6 17.9 llm'as:9-27% 2 08/03/21 20:51 L567291
Qualifiers{ 1F Oilution Factor NQL I,Tethod Quantikation Limit
Definitions Q RPo >40e dual column results
Page 10 O€ 22
1 1/ Iaypoint. 449 Sprhigbrook Rd,Charlotte, M1fC 28217
Main704,529,i364
ANALYTICAL www,waypointanalyH[al.tom
01050
City of Statesville,NC Project Fourth Cre: k
Ken Galloway Report Date : 081Q6{2021
693 Bel Farm Road Information: Received :07/2 01 202 1
Statesville . NC 23625 OtutauX,
Terri Vi[:c! . i
Report Number :71-207-0021 REPORT OF ANALYSTS
Laboratory Project Manager
Lab N.) = 92411 Hrilrix: Solids
Sample ID ;4th Creek Sludge Sampled: 7)26/2021 8!30
Test Results Units MOL DF Date Time Ry Analytical
Analyzed Method
•
Sulfide(Reactivity) <25,0 m41k9 25,0 1 0810312115;13 FNIN 5W-7,3.4 I
Moisture 85.8 96 1 0810312116:49 BAr1 SW-DRYWI
Cyanide,Reactive .0[1..125 mg;Kg 0.125 1 08103121 12:22 FMM SW-7.3.3
Ignitabifity Negative enrnlsec 1 03702/2115:08 SLS SW-I030
PH 7.57 s.u. I 08{04{2109:41 EHM 904SD
I
Qualifiers/Q / {7F Dilution Factor L. Unlit Exceeded
Definitions VIQL Method Qua ntitation Limit Q RPD 40%dual cid urnri results
Page 11 of 22
w,
1
//aypOi nt 449 Springbrook Rd,Charlotte. NC 2B217
Mara 704.529,6364
ANALYTICAL www.wayp.olntanarytical,corn
01a5a
City of State1sville, Fl Praijc,rt fourth Creek
Ken Galloway loway Report Date= 08106{2021
693 Bel Farm Road ]nro';n=t:11 : Rece +ed '07/26/2021
Statesville, NC 28625 6,0)&4
Terri IN Core
Report Number=21-20.7-0O21 REPORT OF ANALYSIS Laboratory Pro�eCt ManagerI
Lab No: 92412 Matrix: TCLP
Sample ID :4th Creek Sludge Sampled: 7/26/M21 8;3Q
Test Results Unrls MQLr DF Date+Time By Aria ryticer
Analrted Method
TCLP Herbicide Extraction Leach ate 1 07/2E01 13:O4 JAN SW-1311
TCLP Metals Extraction Leach ate 1 07f2$f21 13:M4 JAN SW-1311
TCLP Pesticide Extraction Leach ate 1 0712Sf21 13:00 JAN SN-1311
TCLP SVOC Extraction Ie muck ate 1 01/2B/21 13:oo JAN 5W-1311
TCLP VOC ZHE Fxtr cborI Leachate 1 07/27121 13:30 TBL SW-1311(ZHE)
AnaTytical Method: 6010D Prep Batch(es): L566850 0B/02/21 12:00
Prep Method: 3015A
Test Resume Units 110E OF Dale ITime By Analytical
Anaryzed Balch
TCLP Arsenic <0,250 mWL 0,250 1 08f03/21 01127 JTR L567120
TCLF 0eriunl <0,250 mg1L 0.250 t 08iO3/21 01127 JTR 1.567120
TCLP Cadmium <0.0500 nt91L 0.0500 I. 08/03/21 01127 JTR 1.567120
TCLP Chromium <0,100 m91L 0,100 I. 03 03/2101;22 JTR L567120
TCLP Lead <O,100 mg/l 0.100 I. 08'03/21 01127 JTR L567120
TCLP Selenium <0.500 mgil 0300 I. 08?03/2101127 JTR L567120
TCLP Salver <0.051 rng/L 0-0500 1 08103121 01127 JTR L567120
Qualifiers/ OF Dilution Factor #.1QL Method Quantitation Limit
Qenitl°ns Q RPD a41,1/.dual column results
Page 12 of 22
I
Waypoint. 449 Springbrook Rd,Charlotto, NC 28217
Main 701.529,6364
ANALYTICAL www-waypofntanalytical-com
01050
City of Statesville, NC Project Fourth Creek
Ken Galloway Report Date: 03{0612021
693 Bell Farm Road Information: Received: 07/26/2021
Statesville r NC 28625 Om)Loct4
PeportNum F her :2L-207-0021 REPORTOANALYSIS 1err4 Cole
Labaretcry Project 1.1anager
Lab No ' 92412 IOtrix: TCLP
Sample IUD ;4th Cteek Sludge Sampled; 7/26/2021 8:30
Analytical Method: 7470A Prep Batch(es): L566793 06102121 10;00
farep f-lethod; 7470A
Tes! Results Units MQL OF Datel Time By Analytfo3l
Analyzed Satoh
TCLP Nteroury <0.020.a rng/L 0.0200 1 08W02121 13:28 IJDfi L566867
MalytfcalMethod: 8031E Pre} Batclr(es); L566606 07/3012110:45
Prep Method: 3510C
Test Results Unfls MOL OF Date I Time By Analytical
Analyzed Batch _ I
i
TCLP Endrin <0.001000 mg/L 0.004000 10 07/30121 23:20 VIC L567062
TOLD gemmarEFIC <4A04000 mg/L 0.004404 10 07}30m21 23;20 VIC L567062
TCLP Net oXychlor <0.004000 mg/L 0,004000 10 07/30/21 23:20 VIC LS67062
TC."Toxaphene <01.03000 n19'L 0.03000 10 07/30/21 23:20 VIC L567062
TCLP Chlordane <o.02000 mg1L 0,02000 10 07130/21 23:20 VIC LS67062
TCLP Heptachlor Epoxide <0, 000 mg/L 0,004000 10 07/30/21 23:20 VIC L567062
TCLP Heplachlcr <0.004000 mg/L 0-004000 10 07/30/21 23;20 VIC 1567062
Surrogate; Oecathloro}3iphenyl 57.20 Limits; 36.116% 10 07130/21 23:20 L567062
Surrogate; Te1rachlixo-m-xyfene 63.22 Limits: 25-03% 10 07/30/21 23;20 L567062
Analytical Method: 6151A Prep Bat€h(es): 1566937 08/01212115:50
Prep Method: 8151A
Test Results Units. IIOL OF Gale/Time By Analytical
Analyzed Batch
TCLP 2,4-D <0,0200 mg/L 0.0200 1 013105/21 03:16 VIC 11567580
TCLP 2,4,5-TP(Silvex) <0.0020 mg1L 0.0020 1 08/D /21 03:16 VIC L567580
Surrogate: DCA4 50,20 Limits: 20-120% 1 08/0512103:16 L567580 •
QualiFier51 DF Dilution Factor 1,1QL Method Quantitatian Limit
Definitions Q RPD 74f} 'o dual column.results
Page 13 of 22
w
Wa 'pOirit
449 Springbrook Rd,Charlotte, NC 28217
Maki 704,529-6364
ANALYTICAL www.waypolnlanalyticaI.com
014350
City of 5tate5vitle, NC Project Fourth Creek
Ken Galloway Report Date; 08/0612021
693 Bell Farm Road Information ' Received;0712612021
Statesville , NC 28625 c90.Loc6
Te
Report}JumE3er= 1-
21-207-0021 REPORT OF ANALYSIS ab a Cole
1_al7oratory Project Manager
Lab No; 92412 matrix: TCLP
Sample]D !4th Creek Sludge Sampted: 7/26/2021 8:3Q
Analytical Method: 5251X} Prep Batch{es): V71BB 02/29121 09:00
Prep Method: 543+75
Tess Results Untis M01 OF Dare 'Time By Analytical
Analyzed Balch
TCLP Benzene <0.0050 mg/L 0,0050 10 O7123121 20.29 JLB V7191
TCLP Carbon Tetrachloride <0.0200 mg/L 0,0200 10 07/29/21 20:29 ]LB V7191
TCLP Chtorabenzene <0.0050 m9/L 0,0050 10 07/29121 20;29 )LB V7191
TCLP Chloroform <0,0050 mg/L 0,0050 10 02/29/2120:29 JLB V7191
TCLP 1,4-Dichlarotaenaene <0,0050 mg/L 0-0050 10 07129/21 20;29 JLB V7191
TCLP 1,2-1:461oroethane <0,0050 mg11_ 0,0050 10 07R9/21 20;29 JLB V7191
TCLP 1 r 1-Dichloroethene <4,fl050 mg/I 0-0050 10 07/29/21 20;29 JLB V7191
TCLP Methyl Ethyl Ketone(F1EK) 0.0199 mg/L 0-0050 10 07/29/21 20:29 JLB V7191
TCLP Tetrachloroethene <0,0050 mg/L 0.0050 10 07/29/21 20:29 }LB v7191
TCLPTrichloroethene <O.0005E} mg/L 0.0050 10 07/29/21 20;29 3LB V7191
TCLP Vinyl Chloride <0.0050 mg/L 0,0450 10 07/29/21 201.29 JLB V7191
Surrogate;4-Bromativaroberrzene 106 Limits:80-124% 10 07/29/21 20.29 31-B V7191
Surrogate: Dibromofuoromethane 101 Limits: 75-129% 10 07/29/21 211'29 JIB V7191
Surrogate!Teluene-d9 95,8 Limits: 77-123% 10 07/29/21 20.29 JL8 V7191
Analytical Method: 8270C Prep Batch(es)1 1567025 0B/D /21 10:00
Prep Method; 3510C
Teal Results Unlls MOL DF °eta Time By Analytical
Analyzed Baler
TCLP 2-Methyrlphenal <0.100 mg/L 0,100 2 08/03/21 21:11 VBW 1567291
TCLP 384 Methylphenol 3,31 mg/L 1,00 10 08/04121 17:41 VBW L567291
TCLP 2,4-Dinitrotoluene <0.109 mg/L 0.100 2 08103121 21:11 VBW 1567291
TCLP Hexachiniobenzene <0,100 mg/L 0.100 2 03/03 f 21 21:11 VBW L567291
Qualifiers/ DF Dilution Factor MQL Ffethtd Quantitation Limit
Definitions Q RFC >40%dual cdumn resuEts
Page 14 of 22
/i1aypoint 449 SprIngbrook Rd,Charlotte., NC 2E217
Main 704.529.63641
ANALYTICAL _ www.waypointan,,lyticai,com
01050
City of 5tatesrille,NC Project Fourth Creek
Ken Galloway Report Date : 08106/2021
693 13eN Farm Road Information: Received :07126/2021
Statesville , #2C 28625 610104
Report Number:71-207-0021 REPORT OF ANA C YS1.6 Terri
Laboraatt Coleory Project Manager
Lab No : 92412 Matt TCLP
Sample ID:4th Creek Sludge Sampled: 7/26/20216130
Analytical Method: 6270C Prep Batch(es}: 1.567029 03/03/21 10:00
Prep Method; 3510C •
lest Results Units MOL OF Date ITime By Analytrcel
Analyzed Balch
TCLP Hexechlorabutaliene <13.100 mg11L 0.108 2 05/03/21 21:11 VBW L567291
TCLP HexachIoroeth3ne <0.100 rng/L 0.100 2 05/03/21 21:11 WW L567291
TCLP 11itroberoene <0.100 nmg/L 0.100 2 08/03121 21:11 VJ3t4 L567291
TCLP Pen ta hlotophertol <0.200 mg1L 0.244 2 08103121 21:11 VB4V 1567291
TCLP Pyridine <0.100 rng/L 0.100 2 08/03/21 21:11 VOW L567291
TCLP 2,4,5Trichlorophen.l <0.100 mg/L 0.100 2 05/03f21 21:11 VB'.'d LS67291
TCLP 2,4,6-TrIchlo henol <0,100 ntg1L 0.140 2 08/03f21 21.11 VJ314 L5-67291
Surrogate:TCLP 2,4,6Tribfo nophermnl 63.4 Limits:42-102% 2 D ,iD3}21 21;11 L567291
Surrogate:TCLP 2-FJuorobiphenyl 42.5 Limits: 21-86% 2 08/03/21 21:11 L567291
Surrogate!TCLP 2-Fluofophenel 19.7 Limits: 13-3755 2 08103/21 21:11 L567291
Surrogate: TCLP4-Terphenyl•d14 55.B Limits; 30-122% 2 08/0312121:11 L567291
Surrogate:TCLP I'Jitrobenzene-d5 41.4 Limits.. 25.78% 2 48/0312121:11 L567291
Surrogate:TCLP Phenol-116 14.0 Limits:9-27% 2 08/43/21 21:11 L567291
Qualifiers/ OF Dilution Factor NQL Vet Ind Qtrantitdtipn Limit
Definitions Q RAT>40%dual column results
P .Pa9e 15 of 22
I
VVaypoint.
4495pringbrook Rd, Charrott2, NC76217
•
ANALYTICAL wti.uw.waypalntanaytfcaitem
01050
City of Statesville,NC Project Fourth Creek
Ken Galloway Report Date: 0010612021
693 Bell Farm.Road Information : Rn,-elved:07I26{2021
States...41e, NC 28625 Om L0*
Terri W Cole
Report Number;2L-207-0021 REPORT OF ANALY515 Laboratory Fro1eet Manager
Lab No: 92413 matrix; Solids
Sample ID:3rd Creak Sludge Sampled: 7/2642O2L 8;3O
Tesi Results Units F.1OL Dr Date ITime By An#rryiicaI
Analyzad P.1 el FHA
Sulfide(Reactivity) <25,0 mg/Kg 25.0 ] 06{03J21 15:18 HAM SW-7.3.4
Moisture U5.6 ° 1 08{03{21: 16:49 BAH SW-DRYWT
Cyanide,ReaCtiive <0.125 mg/Kg 0.125 1 08J03{21 12:22 FMM SW-7.3.3
Ignitability Negative rrra/sec 1 08{02/2115:08 5L5 5W-1030
pH 7,46 s.u. 1 0${04{2109;41 ENF4 90-45D
Qualifiers/ OF DilutionFactOr L limit Exceeded
Definitions 11QL Method Quantitalion Unlit Q RPD>40%dual column results
Page 15 Of 22
I
wo 1
\ffa' . pOint.
449 Springhroak Rd, Charlotte, NC 28237
Main 704.529.6 E4
ANALYTICAL www,waypolntanatyrkal.com
01050
City of Statesville,NC Project Eouith Cru.k
Ken Galloway RepOd Date: 0$/06{2021
693 Bell Farm Road Infra alion: Received :071260021
Statesville, NC 28625 OMLAJC6
Re ort Number;21-207-0021 REPORT OFANACY515 Tern Cole
R Laboraa tory Projet#Manner
Lab No : 92414 matrix; TCLP
Sample ID:3rd Creek Sludge 5z 1plcd: 7/28/2021 8:30
Test Restiils Units MOL OF Date r Time By Analytical
Analyzed Method
ICU)Herbicide Extraction Lea€hake t 07/28.21 13:00 JAN SW-1311
TCLP McLa s Extraction Lead-kale 1 07/28121 11.00 JAN SW-1311
TCLP Pesti€ideExtraction Lea€hale 1 07/28/2113:00 JAN SW-1311
TCLP SVOC Extraction Leacnate 1 07/28f 21 13:00 JAN 5W-1311
TCLP VOC ZHE Extraction Leatnate 1 07/27/21 13:30 TBL SYd-1311 (ZHE)
AnaTyti€aI Method; 6010D Prep Balch{es}: L566850 08W02121 12;00
Prep Method: 30ISA ,
Test Results Units 61OL OF Date iTime By Analytical
Analyzed Balch
TCLP Arsenic <0,250 mgfL 0,250 I 08103121 01:32 1TR L567120
TCLP Barium <0.250 mg)L 0.250 1 0B/03121 01:32 JTR L567120
TCLP Cadmium <0.0500 mglL 0,0500 1 081030101:32 JiR L567,I20
TCLP Chromium 40.100 rn !L 0,100 1 08/03/21 01132 JTR L5b7,I20
TCLP Lead 40.100 rnghL U,1e0 1 03J03}21 01132 JTR 1_557120
TCLP Selenium 40,500 mg,1 0.500 1 08{03121 01132 3TR LS67120
TCLP Sliver 40,0500 mgIL 0.0500 1 08'03121 01;32 JTR LS67120
Qualifiers/ DF 'Dilution Factor FIQL Method Qudnldation Limit
Definitions QAPO >40%dual Column results
Page 17 of 22
1
w
iY I
449 Springbrook Rd, Charlotte.NC 28217
Alain T4,529,63b4
ANALYTICAL www-waypointanaly#cel.[Crn
01050
City of 5tate3,411e, NC Project Fourth Creek
Ken Galloway Report Date; 08J06{2021
6931301 Farm Road Information: Received :07/26/2021
Statesnl€e r NC 2562511 IML0006,
Terri W.Cole
Report Number :21-207-0021 REPORT Of ANALYSIS Laboratory Project Manager
Lab Na: 92414 Matrix:TCLP
Sample ID:3rd Creek Sludge Sampled: 7/26/2021 B:30
Analytical Method: 7470A Prep Batch(es): LS66793 08102121 10;00
Prep Method: 7470A
test Results Units MOL DF Date ITime By Analytical
Analyzed Batch
TCLP Mercury <0.0200 mgfL 0.0200 1 08/02/21 13=30 DDB 1566867
•
Analytical Method: 8081E Prep Betch(es): L566606 07/30/21 10=45
Prep Method: 3510C '
Test Results Units MOL DF Dale rTime By Analytical
Analyzed Batch
TCLP Erich-in <0,00160 mg1L 0.001600 10 07/30/21 23:44 VIC L567062
TCLP gamma-81-C <0.001600 rng/L 0.001600 10 07130{21 23:44 VIC L567052
TCLP hiethoxychlcr <0.001600 rng1L 0.001600 10 07130/21 23:44 VIC 1_557062
TCLP Texaphene <0.01200 r L 0.01200 10 07130/21 23:44 VIC L557062
TCLP Chlordane <0.008000 mg/L 0.008000 10 07/30/21 23:44 VIC L557062
7Cip Heptachlor Epoxide <0.001500 mg/L 0.001600 10 07/30/21 23:44 VIC L567062
TCLP Heptachlor <0.001600 rr-9JL 0,001600 16 07/30f21 23:41 VIC L567052
Surrogate: Decachlarobiphenyl 58.54 Limits; 36-116% 10 07/30/21 23:44 L567062
Surrogate;Tetrachloro•m-xyiene 53.21 Limits; 25-123% 10 07/30/21 23:44 L567062
Analytical Method: 8151A Prep Batchfes): LS66937 08/02/21 15;50
Prep Method: 8 iSIA
Teal Results Units MOL DF Dater Time By AnalyllCal
Analyzed Batch
TCLP 2,41-0 <0.0200 mg1L 0.0203 1 00105/21 03:41 VIC 1_567580
TCLP 2,4,5 TP(Sil'ex) <0.0020 mg.1L 0.0020 1 06J05/21 03:41 VIC L557580
Surrogate: IXAA 55.40 Limits: 20-120% 1 08105/21 03:41 1.567500
Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit
Definitions Q RPD >40%dual column results
Page 1a Of 22
• vv
A f u nt V 449 5priaRbroak Rd, Charlotte.NC 28211
Kara 704,524.6364
ANALYTICAL www.vaygolntanalyticaLconi
01050
City of States'Ille, NC Project Jouriti Creek
Ken Galloway Report Date: 08106{2021
693 Bell Farm Road Information ; Recer ed ;07/260021
Statesville, NC 23625 OvoLoc6
Terri;V Cc',e
Report Number :21.-207-0021 REPORT OT ANAf YSIS Laboratory Project Manager
Lab No; 924t4 Matrix; TCLP
Sample ID :3rd Creek Sludge Sampled: 7/26/2021 8:30
AnaTytiCaf Method: 826001 Prep Batch(es): V71813 07/29/21 09:00
Prep Method: 5030E
Test RosuTls Units MOL DP Data r Tim By Analytical
Analyzed Batch.
TCLP Benzer1e <4.0450 raga 0.0050 14 07f29/21 20152 JLB V7191
TCLP Carbon Tetrachloride <0.0200 n1giL 0.0200 10 020901 20:52 ]LB 0191
TCLP Chlorobenzer>.e <0.0050 mg/L 0.0050 10 07129121 20;52 JLB V7191
TCLP Chtaroform <0,0050 mg/L 0.0050 10 07129/21 20:52 JLB V7191
TCLP 1,1-Dichiorobenzene <0.0050 mg/L 0.0050 10 07/29/21 20:52 JLB V7191
TCLP 1r2-Dltl1loraethane <0.0050 mgk 0.0050 10 07{29/21 20:52 JLS V7191
TCLP 1,1-Didhlaroethene <0.0050 r11g11 0.0050 14 07129f21 20152 JLB V7191
TCLP Methyl Ethyl'Ketone(t1l<K) <0.0050 mg/L 0.0050 10 0712901 20:52 JLB V7191
TCLP Tetrachloroetherle <0,0050 mg/L 0.0050 10 07029021 20:52 ]LB V7191
TCLP Trichlorcethene <0.0050 mg/L 0.0050 10 07/29121 20:52 JLB V7191
TCLP Vinyl Chloride <0.0050 (Tig/L 0.0050 10 07/29/21 24:52 JLB V7191
Surrogate;4-BremeRuorobenaene 102 Limits: B0-124% 10 07/29/21 20252 ]LB V7191
Surrogate!Dibromntluoromethane 99.2 Limits: 75-129% 10 07/29121 20:52 ]LB V7191
Surrogate' Toluene-d8 97.0 Limits: 71-123% 10 07129121 20;52 ]LB V7191
Analytical Method; 8220C Pre} Batches): LS67029 06/03J21 10:0g
Prep Method: 3510C
Test Resorts Units MOL Dr Date/Tirrre By Analytical
Analyzed Batch
TCLP 2-Methylphenol <0.100 mg/L 0.100 5 08103/21 21;32 VIM L567291
TCLP 3&0 nlethylpltenol <0.200 mg/L 0.200 S 03/03/21 21;32 VBw L567291
TCLP 2, -Dinitrotoluene <0.100 me_ 0.100 S 08103/21 21;32 V9W L567291
TCLPhtexachlorobenzene <0,100 mg/L 0.100 5 08103/2121.32 V6W LS67291
Qualifiers/ pF Dilution Factor hIQL Method Quantitatien Limit
Definitions Q RRD>40%dual Column results
Page 19 of 22
r
W y int. 449 SPringbrook Rd,Charlotte. NC 28217
Main 704,529.6364
ANALYTICAL www.weypo Iota nalydcal.com
01050
City of Statesville,NC Project fourth Creek
Ken Calloway Report Date= 08{06{2021
693 Belt Farm Road Information.: Received: 07/26/2021
Statesville e NC 28625 O, tAIJ
Lootti
Terri VV Cale
Report Humber:21-207•0O21 IrEPORT0lANALYSIS Laboratory.Project Manager
Lab No; 92414 Matrix: TCLP
Sample ID :3rd Creek Sludge Sampled! 7126f2021 8;30
Analytical Method: 8270C Prep Batches}: L567029 48f63,21 10;00
Prep Method: 3510C
Test Results Units MOL OF Date ITime Sy Analytical.
Analyzed Balch
TCLP Rexachloroburadiene <0.100 rig/L 4.100 5 08'4312121:32 VB'I L557291
TCLP N2x'atloroettkane <0,100 alga a100 S 48'03121 21:32 VBa'I L567291
TCLP nitrobenzene 40.100 iii L 0.100 S O3/03/21 21:32 VB4W L567291
TCLP Perltachlorophenol <0,200 rn91L 0.200 S DE/03121 21:32 VW/ L567291
TCLP PyridFne <0,100 mg?_ 0.100 S 0$!03121 21:32 VB 1 L567291
TOLD 2,4,5-T -chloroirheraol <0,100 m91L 0.100 S 0${03f21 21:32 V81"I L567291
TCLP 2,4,64Tridilorophenoi <0.100 mgiL 0.14D 5 08/03j21 21:32 VBW L567291
Surrogate:TCLP 2e4,6•Tribromophenol 62.5 Limits;42-102% 5 003/21 21=32 L567291
Surrogate;TCLP 2-Fluoroblphenyl 52.6 Limits; 24-86% 5 08i43{21 21:32 L567291
Surrogate:TCLP 2-Fluio,rophenol 24,0 Limits: 13-37% 5 0$j03{21 21:32 L567291
Surr ]ate:TCLP 4-Terphenyl-d14 57.B Limits:30•122% 5 08103/21 21:32 LS67291
Surrogate;TCLP Nitrobenzene-d5 52.3 lamps: 25-76% 5 03/03{21 21:32 LS67291
Surrogate;TCLP Phenol-d6 16.6 limits:9-27% 5 OBf 33/21 21:32 L567291
1uailfiers/ DF Dilution Factor MQL Method Quantitation Limit
Definitions Q F{P#>40%dual Column results
Pale 24 of 22 • .
•
Waypoint 449 Sprin8broak Rd,Charlotte, NC 28217
Main 704.529,6361
ANALYTICAL unwrwdypolntanaFytscaLcom
Shipment Receipt Form
Customer Number:0 1 050
Customer Name: City of Statesville, NC
Report Number: 1- 07-0021
Shipping Meihod _ _ .
Fed Ex 0 US Postal Lab ., Other:
UPS 0 ClientCl:' Courier Thermometer ID; IRT-15
Shipping container/cooler uncompromised? . Yes No
Number of coolerstoxes received —
Custody seals intact on shipping container/cooler? a Yes '0 No '• Not Present
Custody seals intact on sample bottles? Yes0 No s Not Present
Chain of Custody(COG) present? * Yes 0 No
COG agrees with sample tabet(s)? ; Yes 0 No
COC properly completed I. Yes 0 No
Samples in proper containers? # Yes No
Sample containers intact? 1 l. Yes 0 No
Sufficient sample volume for indicated Iest(s)? Yes 0 No
Al/samples received within holding time? :4 Yes 0 Ne
Cooler temperature in compliance? ..• Yes 0 No
Cooler/Samples arrived at the laboratory on ice. Tk Ye — No
Samples were considered acceptable as cooling
process had begun.
Water - Sample containers properly preserved jr Yes _0 No 0 NIA
Water- VOA vials tree of headspace C Yes 0 No N!A
Trip Blanks received with VOAs 0 Yes 0 No ' NIA
Soil VOA method 5035—compliance criteria met 0 Yes 0 No NiA
High concenlra#ion container (48 hr) I Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low cone pre-weighed vials (Sod Bis .14 d)
Special precautions or instructions included? �;' Yes ;1; No
Comments: I . . . -. — . •
Sigr+at+jre+---'Ter4-W Cole Date & Time: 074•26.2O21 1.: .;
Page 21 of 22
�° CHAIN OF CUSTODY RECORD L USE ONLY
\ y I t} I.. —I --- ouOTE.TDCNSuRE wROPER 61ruwGe • wo A
Samples INTACT upod arrrval7 —
ANALYTICAL Project llama: Received or;wsr ?
4+1A Sprinofie 70bi oh Root}•ChwFor 7i•le,NC rim short Hole AProject: (Yes} (NO} PROPER PRESERVATIVE$inaFta1oo7 'Phan•704J'�9-6364 - For TO�'525..0409 Analysis (Yes) (�I�} UST
Client Company Name:Ct L a rSr1 _ 'Please ATTACH any project specific reporting(pc LEVEL 1 It III IV) Recawa wMTMIN HOLDING TIMES?
RCportTa�Cpnt Nirni:e;l erx Cr,r< + �,� provisiotlsand/or OCfioquioerx�onts CUSTODY SEALS INTACT?
-
Narn
Invoice To: VW:FILES.rec a W1Ot]7 H ADSPACt=7 —
Reporting Address: Address- PROPER CONTA1�rd7�
_ TEMP: 7FfnrtrnI k Crow IC'GIGarr 'C
Phone:704-?7S_ 'l3,S Fax C3 No): ''1i-f. f5 Poronase ConierNoiBillino Reference __ TO BE FILLED al BY CUENTISAMPLING PERSONNEL
Email Address: Requested Ova Clain .,'I Day ;;,t Days s Oays _J 4 Days :!5 pap_
EOD Typo: PDF excel Other Certification: NELAC FL—_NC
" ng Dayn" Li 69,Days. a SwYr]=10 days J `V+crk NI's=Bo
Site Location Name: D.ar k `re.c Sams e.cr Jiaar 14:Ole is ba pr +:aoa rlexi bxi�nrssea OTHER_ NJI
Site Location Physical Address: 93 3 2 T lanes
ldanw p b .rs4a}'4.ez k inw ;w �weenand �h ..JI1 Water Chloriisated: yes_ NO_
[SE!nEvense/ON T¢gy#A GOr0n18YiS R€rAkge"TS[INJGrs
RENDERED Ire w. PORCIL NIALYTKAL,i,.erTOCLIENT) Sample Iced Upon Collection: YES No
TIME MATRIX SA/1'0LE CONTAINER ANALY565 REQUESTED
CLIENT GATE COLLECTED (SOIL PRESERVA-
Ngr«
REMARKS D
".LAMPLEI]E*r(„`RlP'fFOFI I COLLECTEDI MluTAR7 WATER,OR -77PE I WOES.
{ HOURS SLUDGE1 SEE BEiO44'1 44��,, 7L7L Ja
/.rt+7R i I +41� T 7F I r /y l •
Roney:- - _ __
Brea iw c? i i 1 U0 1 ela. a I i �,
r .NI
oi
13Ctk e+a �, trs
... vo(44_,Lt c ri,
I1,431A111
s f
•
r I i r # I
- 1IYrn1111tI1 u21 ' - r • !I e
-
07i-mot
�- t
Sampki .Signahoe -. . r Sampled By(PiintF Name)_ , ARiiinuon PRESS DOWN FIRMLY - $ COPIES
— I
Upon rolingw thin,thl s ChM IE yO aukhoritation for Way�p ant Aroalylical to pracood with the an a t alyaos as regiest above.Any changes must be
u i iL cd In wetting io the It l jo • - ...lout Mnnaper,There gilt bs charous for any changes mar analyses have been inilislir.00I,
1 Debi w0.. w na
`U °T"'W-"'"rc AddYtalOrrdT�6til3: 9ihol4rrhm7'Yngrt
/7
4 .41,111140:41 ----410111. -7 .. 014 I o.,5T
b. site Depart,reTints:
Froingoyhro$ 'tNica uri Recor+ea r, *W' yam„ F1 IJ Tech Fee:
( ��C f
i/at.ua u s r NOTE:ALL t Pl E c iE S' o eEY,�a€v r iw"vn i tua s ii s t alz'x h r►rt O ,y41 Mileage:
6Am '-ES ARE MT ACCEPTED AND VERIFIED/WApx;r COC WTI.Kano >AT -
G Foci IN ii Lin a Mad-e.w i i Li Ano,timi Fria Seewn 3....
NPDES= US GRO N WAS—D WKING WATER: BUD WAST£ R BRWNFLD EyFlI,L I'I' Kt: see REVERSE s3a
4 NC :1 SC J NC 1D SC ❑NC ❑SC c l NC :J SC a NNC Ct SC U NC 4 SC CI KC t SC O NC D SC I O NC D SC TERtiss a calwex�Tl ON$
4 .— J, ❑
`GDNIAINER TYPE CODES: A=Amber C=Leer G•Glass P=Plague; TL sTefOn}-Lined Cap VOA■Volatile Organs %An iIysJs(zero Head~;pace)
ORIGNAU
,_ I
y in Y 449 5pr fag brook Rd,Char/ode, NC 28217
Main 104,529.6361
ANALYTICAL www,way aintanalptital,ta�n
Sri 8/2021
City of Statesville, NC
Ken Galloway
693 BeIJ Farm Road
Statesville, NC, 28625
Ref_ Analylical Testing
Lab Report Number: 21-207-0022
Client Project Description: Stalime Biweekly Quarterly
Dear Ken Galloway:
VVaypoint Analytical, LLC (Charlotte) received sample(s) on 7/26f2021 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.
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 calibralion for all
parameters were performed in accordance with guidelines established by the USEPA(including 40 CFR 136
Method Update Rule May 2012) unless otherwise indicated.
Certain parameters(chlorine, pH, dissotved 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 lime.
Refer to sample analysis lime for confirmation of holding lime compliance.
Theresults 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 anti 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 infarrnalion-
Sine!
iQv' JwccL. II
Terri W Cole
Laboratory Project Manager
Labaraforys liability in any claim relating in analyses performed shall be limited to, al laboratoryl5 ep!ion, repear.ing the
analysis ir,17019511on at faborafory's expense, or the refund of Me cMr9es p8itl forPerlarrnance of said analysis,
Page 1 of 6
•
w
1
Waypoint, 449 Springbrook Rd,Charlotte, NC 28217
Main 70452.163M I
ANALYTICAL vrw.mwwaypolntarkalyt1ca1,corn
Certification Summary
Laboratory ID: WP NC: Waypoint Analytical Carolina, Inc. ( ), Charlotte, NC
State Program Lab ID Expiration Date
North Carolina State Program 37735 0743112022
North Carolina State Program 402 12+31/2021
South Carolina State Program 39012 07/3112021
Snug:Carolina Slate Program 59012 12'3112021
Laboratory ID: WP MTN: Waypolnt Analytical, LLC., Memphis,TN
State Program Lab ID Expiration Date
Alabama Slate Program 40750 02.281022
Arkansas Slate Program 88-0650 02.07+2022
California State Program 2904 06.130..2022
Florida State Program- NELAP E871157 06.+30.2022
Georgia State Program C044 02.182023
Georgia State Program 04015' 06.+302021
Illinois State Program-NELAP 200078 101102022
Kentucky State Program 80215 06 r30.'2022
Kentucky State Program KY90047 12+31 021
Louisiana State Program -NELAP LA037 12131/2021
Louisiana State Program -NELAP 04015 06130.2022
Mississippi State Program MS 02/1112023
North Carolina State Program 415 12i3112021
Oklahoma State Program 9311 0E012021
Pennsylvania Slate Program -NELAP 68-03195 05.+3122022
South Carolina Slate Program 84002 06+30r2022
South Carolina Slate Program 84002 05130+2022
Tennessee Slate Program 02027 02111?2023
Tennessee A2LA ISO 17025:2017 4313.01 10+31l2021
Texas Slate Program - NELAP T104704180 09?30?2021
Virginia Slate Program 00106 06./3012022
Virginia Slate Program- NELAP 460181 09/14.2021
Page 1 of 1 40016'21-207-0022
Fage 2 of 6
W
\1frpoint 449 Springbrock Rd, Charlotte,NC 28217
Main 704.529.664
ANALYTICAL www.wayi.olntanaiyL1cal.corn
Sample Summary Tabte
Report Number: 21-207-0022
C#ient Project Description: Staiime Biweekly Quarterly
Lab No Client Sample ID Matrix bate Cnrlected Date Received Method Lab ID
92415 ST14L]ME 5a1.ds 4706/202106.30 077261202i14:0G
92415 5TA LIME Solids 07126)2021 08;30 07/26/202t 14:0 7471A VIP MTN
I
VY P F:Tit- hiempIIs,-Ell: Waypoint Analytical-TN, Memphis,TN
Page 3 of 6
w
Vialypoint.
449 Springbroak Rd, Charlotte, MC 28217
Marra 704.529.63621
ANALYTICAL www,wayp.nlnta0alytit l,com
0105D
City of Statesville, NC Project 5tal irne Biweekly Quarterly
Ken Galloway Report Bate : 08/18/Z021
693 Bell Farm Road Information ' Received : 07/26/2021
Statesville , NC 28625 OmLQc6
Terri l4 Cale
Report Number:21-207-0022 REPORT OF ANALYSIS Laboratory Project Manager
Lab Na: 92415 Matrix; Solids
Sample ID:STA LIME Sampled; 7/26/2021 8:30
Teal Results [Jnil P.101 DF Dale!Time By AnalytfcaI
Analyzed Mothod
Moisture 6.29 rlo 1 08f1712110;50 EDV S/d-DRYIVT
Aluminum 7970 mg./Kg-dry 26.7 10 07/29/21 18:35 EDV 6024E
Arsenic 4.33 nig1Kg-dry 1.07 10 07/29/21 1835 EDV 60248
Cadmium <0.534 nig1Kg -dry 0.53,1 10 07/29/21 18:35 EDV 6420E
Copper 35.1 mg/Kg-dry 2.67 10 07129/21 1s:35 EDV 6420E
Lead 4.63 mg/Kg-dry 1.07 10 07/29/21 18:35 EDV 50208
Mercury(Total) 0.0361 mg/Kg-dry 0.0155 1 08/16/21 17:14 TJS 7171A
Motybderruro 2.05 mg/Kg-dry 1.0.7 10 01/2941 1a=35 EDV 6ft20S
lltkel 10.2 mg/Kg-dry 1.07 10 07/29/21 10:35 EDV 602C0B
Selenium 2.13 nig/Kg-dry 2.13 10 07/29/21 18=35 EDV 602C0B
2ii1C 04.7 nig/Kg-dry 10.7 14 07/29/21 1$135 EDV 602CB
Qualifiers/ DF Diu lion FHclur t Limit Exceeded
Definitions
',:...',I .1 .L 6
Waypoint.. 449 Spr lag brook Ftd,CNa riotte, NC 28217
Win 704-529,6364
ANALYTICAL Mrstiw.waypoirrlanalytital.cort,
Shipment Receipt Form
Customer Number:01 050
Customer Name: City of Statesville, NC
Report Number: 21-207.0022
Shipping Method
} x.
f.; Fed Ex 0 US Postal ; Lab Other
UPS C. Client Courier Thermometer ID_ IIk 1-15
Shipping container/cooler uncomprornised? kiA Yes No
Number of coolerslboxes received I 1
Custody seals intact on shipping containerocooler? s Yes I
No .• Not Present
Custody seals intact on sample bottles? 0 Yes 0 No S Not Present
Chaim of Custody(COC) present? I Yes 0 No
COC agrees with sample laber(s)? Yes 0 No
COC properly completed • Yes 0 No
Samples in proper containers? : . Yes No
Sample containers intact? . Yes 0 No
/'
Sufficient sample volume for indicated test(s)? Yes CD No
All samples received within hording time? ; Yes 0 No
Cooler temperature in cornpriance? Yes 0 No
Cooler/Samples arrived at the laboratory on ice. 5. Yes .0 No
Samples were considered acceptable as cooling
process had begun.
Water-Sample containers properly preserved •' Yes rTh
No NfA
Water- VOA viers free of headspace _J Yes ) No NiA
Trip Tanks received with VOAs 0 Yes 0 No NA
Soil VOA method 5035—compliance criteria met 0 Yes 0 No Eik. NIA
High concentration container (48 hr) I Low concentration Encore samplers (48 hr)
I High concentration pre-weighed(methanol -14 d) _. . Low conc pre-weighed vials (Sod Bis -14 d)
Speciar precautions or instructions included? ;..; Yes ,' No
Comments: I • -- • - .
i
ignature:Lerrii Cole Date. limp;'.07J 20?-1 16 29:45 - -
Page S of 6
11° CHAIN OF CUSTODY RECORD L4B USE ONLY
•
W yp i PAGE_--Or—. Ot14TC/TO ENSURE PROPER[tlL1tNG= _..YES NO A
nPle>~INTACT uptlrr,7frlvaS7 '
ANALYTICAL Project Name: Rrrco.nad ON WET ICE? —
1ag Sp•7D+1. 29 Road*Cha* F-a=7tla,6�C2C217 Short Hold Analysis [Yost (No) USi-Fro;utt (Yes} Q. PROPER PRESERVATIVES indicated?
Phone 7GaJ`. 7G+� * Fa7�7�41
l , *P1oaso ATTACH any project Sp c Ming(QC LEVEL la UI AO #wITF11N HOLDING TIMES?
r+
Ciiont Company Name:L.:*7 DT p e.'i'J lie Provisions and/orOC Roquir ment5 CUSTODY SEALS kNTACT7 — —
Report To/Contact Name: KC#i GA$l!LL.ay inmeir fi To; WY TILEG.fedp wlOLT READGPACE7
Reporting Address: Addruaa= -- —- PROPER CONT 7
TEMP_ Tram ID-•-.- \\ of red hC
Phone;7pt1•$'1t-31+C 5P Fax +h 9$- a .- 1 a
— - Rurcnasr Order NQJBHiing Referarrce i TO BE FILLED IN BY CLIEh1TJrAMPUNG PERSONNEL
i Entail Address:- - Poau.yad[MC Cr!.IC J 1 Day J 2 Days J 3 Dap .A Days :j s
Certification: NELAC FL NC
EDO Type; PDF••4 ExcelOtt+er 'worwrx�Days 1 ir8 Days Swra 74 ears Approved^Pro "�
Sdi�LoCXtiOn Name; O:e # Sam**nacci #aMOr 14U4vnQ NI uroarssed next limns sclay. SC OTHER NSA
Site Location Physical Address:, �,I..r. • Y...nalcw,d Wno 6 D .edart Lai:Wm=dam aokdirg weairorrds and heydays Water Chlorinated: YES_NO_
(Sr RLA'CRSE FOR Tr*RIM L CONISFTCtla iteiGARCING SERVICES
RENDERED 8Y WAY POINT ANALYTICAL I,LCTO CIA NTI Sample Iced Upon Collection: YES NO
r -
TM Irt4TMX SAMRIECO rMNER ANALYSCSREgUFSTFd
CLIENT DATE COL_l.€CTEo C3orL rg�RlrFr
Ct\ REMARKS ID No. i
SAMPLEDESCRIPTION Cott EC7 ED MILSLirR1' WATER,OR . iVeA1/47/7/S4A Ayr e. PlAgy1-1!- .7 - S ? --iv 6 "i t4.2,s2o3
Hautas sLuaGI:) �+r "°. �
ii,,Ke i 011_of__0110 5 0 _ g iiik), ......_. .
5.4x6V-vire th / : e 5 et4. p i g r ,,z1 --- . ic. . .
tn
1 •
11111111111111111111111;257
1 ge
2 air - .:
•
•
Sampie�rsSlgnaL �I Sampled By(Print -- Affiliation _ PRESS DOWN FIRMLY - 2 COPIES
UI3411 rollrgluith]n9.this Chain of Custody is Your authorization for Waypoirt AnslylkGF1 to prOCIed with tro an..Ijaas as requested abwo.Any changes must be LAlig USE ONLY
submitted In vetting 1n to ../- -hit At1atyU I Poppet A63nagei There will be charges for any changes anew analyses have boon aliznd4
•r
—I- -r Addit,..,.C,GYnn,,T?1S_ Sttr....l Ttmc
. ;I /
Iry
EFY-( P�A4 I - site Departure rpm
- Fa,:
I RAC TOM.. al Dale
•7l . lr nyila,ge:
61•L Ci q(Stwmgr'c NOVE Au RAAIT-60&erz bra]uCd etr 6rP7#wrrrr usraat' . YTti RAratt GeaAI+m I -
SW Pl,le.$ARC NOYACCERTEO AH4 krIERETEO A4AlNST coc wire_RECEIVED AT •
:]Fetl EN -Ur'3 a HeM1n-dewered :l YYa,9mK Aawvix.-f iaa"nno4 ..c IVw -_
WOES.. UST: GttOiiW W ER` DRINKING WATER: I SOLID WASTE- RCRA BRWIeFl O CAiIOFILL ' OTHER: see RErvE zs£FOR
2 NC 0 r•.C �,NC NC '.]SC NG J SCI C rJSC I SC NC laNC U SC N ' SCM.A.C4N6�7 4hx5
DI
'CONTAINER TYPE CODES: A A.Amber C■Clear G=Glass t#•Mee= IL si Tteoe-Uned Cap VOA N.Volatile Organics Analysis(Zero Head Space)
pf�IGiNA
I _ i
•
W y I t- 449 5prtnRhroak Rd,Charlotte, NC 28227
Main 784.529,6364
ANALYTICAL www,waypo1ntanafydcal,som
8/12/2021
City of Slatesville. NC
Ken Galloway
693 Bell Farrn Road
Statesville, N , 28625
Ref' Analytical Testing
Lab Report Number 21-210-0010
Client Project Description: Sta-Lime
Dear Ken arroway_
aypoint Analytical, LLC (Charlotte) received sample(s) on 7f29f2421 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.
The analytical data has been validated using standard quality control measures performed as reg4rired by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEFA(including 40 CFR 1136
Method Update Rule May 2012) unless otherwise indicated.
Certain parameters(chlorine, pH, dissolved oxygen, sulfite.__)are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any Feld parameter analyzed et 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 sarnpres included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely.
O &M)LVC
Terri Cole
Laboratory Project Manager
Laboralory'$ fr&bifrfy in arty claim retaNng to analyses performed sfra' tie limited to. al fabor8rvey e option, repeating the
anAlysis'rI, trestiorrai ebaratory's.expense,ar the rehonoraf the charges poid.forpertorrrra e1-61fireFarislpsr's.
Page 1 o 13
• w
Waypoint, 449 Springbrook Rd,Charlotte, NC 28217
Ma l n 704.529.6364
ANALYTICAL ww,rw,waypotntanarytica1_com
Certification Summary
Laboratory ID: WP CNC:Waypoini Analytical Carolina, Inc.{C), Charlotte, NC
State Program Lab ID _ Expiralion Date
North Carolina Slate Program 37735 07/3112022
Nc'rlh Carolina Stare Program 402 12131)2021
South Carolina State Program 99012 07.31+2021
Sou:h Carolina State Program 99012 t2:31.2021
Page 1 of 1 0001E 21-210.0010
Page 2 of 13
w
\/% rpoint. 41prInrook Rd, Main 704.529.6361
ANALYTICAL. miw.waypaintanalyrtical.com
Sample Summary Table
Report Number: 21-210-0010
Client Project Description: Sta-Lime
tab No Client Sample ID Matrix Coate Collected pate Received
92623 S18-lime 1 Solids 0712912021 10:20 07/29/202112:15
92624 Sta-lime 2 Saiids 07/29/2021 10.20 07129/2021 12:15
92625 Sta-1;me 3 Solids 07/29/2021 10:20 07/29/2021 12:15
92626 Sta-lime 4 Soiids 07/2912021 10:20 07/2-9/2021 12:15
92627 5ta-1iri1e 5 Solids 07129/2021 10:20 07/29/2021 12:15
9262E Sta-llme 6 Solids 07/29)2021 10;20 07/29/2021 12:15
92629 Sta-lime 7 Saris 0712912021 10120 07129/2021 12:15
1
1
Page 3 of 13
vv
SrIra ,point 449 Sprinsisrook Rd, Charlotte, NC 28117
main 704,529,6364
ANALYTICAL www,waypointarraiytital,Com
Client: City of Statesville, NC CASE NARRATIVE
Project: Stalime
Lab Report Number: 21-210-0010
Date: 1542021
Fecal Coliform MPH Method 9221E-2011
Sample 92625( ta-lime 3)
Analyte: Fecal Coliform
QC 0atch No: V709D
One of the 5 tubes of the 10rL tubes broke. This is baed off the remainder of the 4 tubes.
Page 4 of 1
�W
' y int.
449 Springbraok Rd,Charlotte,NC 28217
Main 704.529.636/1
ANALYTICAL wu awayporntarialytical.com
01050
City of Statesville,NC Project Sta-Lime
Ken Galloway Report Date: 48112/2021
693 Bell Farm Road Infocrnation : Received:07/29/202 i
Statesville , NC 28625 OMWcO
Terri W Cole
Report Number :21-210-001O REPORT OF ANALYSIS
Laboratory Project Manager
Lab lfo: 92623 Matrix; Solids
Sample ID:Sta-limn1 Sampled; 7/29/2o21 10:20
Teel Results IJnilg if11OL OF Date!Time By Ana IyliCal
Analyzed Mai hod
Fecal Coriram MPNIg <2,I A1PI fg-dry 2.1 1 07/29/21 13:44 ENV! 9221E-2011
Moisture 4.93 °% 1 08/03/21 16;49 DAM SW-DRYWT
Qualifiers/ DF Dilution Factor L limit Exceeded
Definitions F1QL Method Quantitation Limit
Pag.e 5 of 13
Waypoint° 449 Springbrook Rd, Chdrlatta, NC 28217
Main 704.529.6364
ANALYTICAL www-waypoTntarkalytical-com
01059
City of Std,eswille, NC Project Sta-Lime
Ken Calloway Report Date ; 09/12/2021
693.ell Farm Road IrlforrnatIpn; Received ; 07/29/2021
5tatesrille, NC 23625 Ooiv.14
Terri Cale
Report Number =21-210-0010 REPORT OFANAf Y515 14
Letroratory Project h1 a Hager
L 1)No ; 92624 Matrix: Bonds
Sample ID ;5ta-1ime 2 Sampled: 7f 29/202t 1,0:20
Test Results Llnlis i4141. DF Date!Time By AnalyticaI
Analyzed Method
Fecal Conform 11PN/0 c2.1 I.1PR g -dry 2,1 1 07/29/21 13:41 ENFI 9221E-2011
MaiS#ure 5.93 °a 1 GS/0312116:49 BAM $V1-DRYIVT
Qualifiers} DF Dilution Factor L Limit Exceeded
Definitions t.iQL Method Quantitatian Limit
Page L of 13
Itiv
Waypointv 449 Springbroak Rd, Charlotte, NC 2S217
Main 701.5216364
ANALYTICAL www,wavpolntana lyric aLcom
01050
City of Stateswllre,NC Project 5ta-Lim. 1
Ken Galloway Repot Date: C51t212021
693.Dell Farm Road Information : Received :07/2f2021
Statesville, NC 28625 dovivt‘jw4
Terri IN Cele
Report Number :21-210-0010 REPORT OF ANALYSIS
Laboratory Project Manager
Lab No: 92625 Matrix: Solids
Sarnple ID :Sta-lime 3 Sampled: 7/1912021 10:20
•
Test BeuII9 Units VIOL DF Dale lime I3y Analytical
Analyzed flethud
Fecal Conform F1P1/g <2,1 b1Pfd{g-dry 2,1 1 C0/2912'1 13.44 ENM 9221E-2011 0
Moisture 5.18 °5 I 4$103i21 16=19 BAM SW-DRYWT
I
I
I
Qualifiers/ OF Dilution Factor L Limit Exceeded
Definitions ltQL Method Lu nGtation Limit
I
Fage 7 of 13
Waypoint. 419 5pringbrook Rd,Charlotte,NC 28217
Main 704.529.6364
ANALYTICAL www,waypoInranaly1iCaLoom
01050
City of SLatesriEle, NC Protect Sta•Lime
den Galloway Report Date : 08 f 12)2021
693 BeA Farm Road Information: Received :07f29/2021
Statesrilre . NC 28625 L04
Ter
V1 Cale
Report Number:21-2L0-0010 REPORT OFANAiVETS LabiraroryProject .tanager
Lab No: 92626 nlat1x: Solids
Sample ID ; Sta-IIrna 4 Sampled; 7{29/202110:20
Tess Pasulla Units MOL OF nDte. Time 0y Analy11aa1
Analyzed 11elhod
Fecal Coliform F1FN/g <2-1 D1FNJg-dry 2.1 1 07/29/21 13:44 ENM 9271E-2011
Moisture 5.23 °!a 1 08/03j2I 16:49 RAM SW-DRY4"fT
Qualifiers/ ilT Dilution Factor L Limit Exceeded
Definitions MQL Method Qua ntitation Unlit
Page S of 13
Waypoint, 449 5pringbrook Rd,Charlotte, NC 2$217
Main 704.529,6364
ANALYTICAL mvw,waypolnlanalytical.com
010511
City of SkateSuille,NC Project Sta-Lime
Ken Galloway Report Date: 0$J12{2021
693 Bell Farce Road Information : Received :07/29{2021
Statesville, NC 28625 OD4,04
LO4
Terri W Cole
Report Number :21-210-0010 REPORTOFANALYSIS
Laboratory Project Ma'lager
Lab NO: 92627 Matrix: Solids
Sample ID:Sta-llme S Sampled: 7f 29/2021 10:20
Test Results Units MOL OF DaI2'7lme By Ana Iylical
Analyzed klelhod
heal Coriforrn#1PN{9 <2,1 ttPN{g-dry 2.1 1 07/2901 13144 EN:.1 9221E-2011
FTeiSture 5.32 ° 1 08{O3{2116:49 B.M SW-DRYWT
Qualifiers{ OF Dilution Factor L Limit Exceeded
Definitions !lQL Method Quarrtitatian Limit
Page 9 of 13
•
r
w
W , I r 449 Springbrook Rd, Charlotte,NC 28217
Main 704,529.6364 I
ANALYTICAL www-waypafntanalytical,com
41050
City of Statesville, NC Project Sta-Lime
Ken Galfa+Vay Report Date 108{12/2O2]
693 WI Farm Road Information: Received ;07/29/2021
Statesville , NC 28625 ak WCC6i
Terri W Cale
Report Numb !21-210-0010 REPORT OF ANALYSTS Laboratory o a_k tlarage
Lab No; 92628 Matrix; SoTids
Sample lD : 5ta-lime 6 5empled: 7/29/2021 10:20
Test Results Units FJMOL OF °ate?Time By AnaiytfcaI
Anoloed Mathod
-
Feca[C4liform#-1PN/g <2.1 n1PN{g-dry 2.1 1 07/29.121 ]3;44 Era,' 221E-2.011
1`1o4ture 5.17 ° 1 OJ3144121 11147 BA.N1 SV'-DRYWT
Qualifiers/ DF DifutionFactor L Limit Exceeded
Den rti#forts .1QL llethod Quantit. tiOr1 Unlit
page 10 Of 13 ,
W y I n v 449 Springbrook Rd,Charlotte, NC 28217
Main 70.4,529.6364
ANALYTICAL www,waypolntariahrtical,corn
01050
City of Statesville,NC 1'r(ject Ste-Lime
Ken Galloway Report Date: 0$j12f2021
693 MI Farm Road Information ; Re ei++ed =07/29/2021
Statesville, RC 28625 jiir*Loote
Terri Yl Cole
#kepi+#Number :2a-210-D0f10 REPORT OF ANAL VMS Laboratory Proje[#riarbIger
Lab No: 92629 Matrix: Solids
Sample ID :Rd-lime 7 Sampled: 7/29/2021 10:20
Test ReeUld9 Unite 6SQL OF Dale+'time By Ana fyflcal
Analyzed Method
Fecal Coll form h1PlWg <2,1 F1PNfg-dry 2.1 1 07/29/21 13:4,1 ENI 1 9221E-2011.
Moisture S.7R °la 1 CL10-t?2114:47 BAM SW-DRYWT
Qualifiers/ DF DilulionFactor L thmitexceeded
Definitions MQi_ Method Quantitdtion Limit
Page 11 of 13
vv•
Waioirit_ 449 Spririglsrook Rd,Cltarlokke, NC 38217
M,i3n 704,529,6364
ANALYTICAL %New/./wpoGnlaaalyNcal.som
Shipment Receipt Form
Customer Number: 01050
Customer Name: City of Statesville, NC
Report Number' 21-210-0010
Shipping Method
0 Fed Ex US I'os#a! #. Lab Other: 1
UPS 0 Client .. Courier Tnermnmvker ID: IIRT-15 4.3
Shipping container/cooler uncompromised? (1 Yes {. No
Number of coolerslboxes received i 1
Custody seals intact on shipping container/cooler? 0 Yes _r No .#. Not Present
Custody seals intact on sample bottles? 0 Yes 0 No '•. Not Present
Chain of Custody ( CC) present? .. Yes 0 No
COC agrees with sample Iaber(s)? Yes 0 No
COC properly completed , Yes C.No
Samples in proper containers? o Yes 0 No
Sample containers intact? Yes ; No
Sufficient sample volume for indicated tesi(s)? 1.,*. Yes 0 No
PJi samples received within holding time? C.; Yes No
Cooler temperature in compliance? . Yes j No
ooler/Samples arrived at the laboratory on ice. Yes nNo
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved Yes n No
Water - VOA vials free of headspace 0 Yes L_J No N A
Trip Blanks received tivith VOAs .0 Yes 0 No N/A
Soil VOA method 5035-compliance criteria met 0 Yes 0 No N`A
l4igh concentration container(48 hr) r Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low cone pre-weighed vials (Sod is -14 d)
Special precautions or instructions included? ; '. Yes No
Comments'
SIglratore:-AngetaDOvercash. -•Date:&:Time 4 �2 E3
Page 12 of 13
r
fir° CHAIN OF CUSTODY RECORD L USE ONLY
O' FAf E ot. DUMB it SG E►t5>,=PR6P02 6lL1-rM¢c __ f�UA
ANALYTICAL RecairadlINlC�FriTACT�ponamvalT '
Project Were:,-- — 1
I Mona Yo4rS.Zp-63fia Road.pri 4 625Aa097 Short Hold Ara�iysis {Yes) (No) UST Project (Yes) (NO
PROP P SERVAIIVES InOewaod7
Clierrt Cotnpsrty Iiamo t� i* f ""r 'Please ATTACH any projectapedfc rpportIn9(QCLEVEL III HE IV) Rccoi.�ou WITHIN HOLDING TIMES?
! provisiCMnu afldfor CrC Requirements CUSTODYSE4IS h�rACT7
Report TotC0ntact Name: r[eti_CAfii.redAY Erivoice To: VOLL,4TILES roc' WIOUT HEAO&W E? —
Reporting Address: _ ! Addnxss:. --— PROPER CONYAmehtS used
_ I-EJAP; The...cu.I Obeen,.d '.z/ •C FFI- C
Phone: Of-g95-'3 -rb' Fax es Igo)70 • s' ez-. 5 ----
- Purchase"Order P oJSlLEri Reference_ TO BE 11LL.ED I N BY CLiEllaiSokropuNG PERSOPIN 1 L
Email Address: Requested Due Dale j 1 Day J 2 Days 0 3 Days .J4 Days J S Days Certifcetion: NC SC
EDD Type:PDF,ExGet Othar "Ytrarklr►g Days" J 69 Days J Stanaarp 10 M S J IA111Mug ge t?ilncr WA_ 1
Site Location Name: K l.' l E sampa:.ccomxr aim-7 a.O4 wu tie p.o rhaTt Duitrposa liw
Site Location Physical Address: 3 t �. Twr Ccd�t�rx ba,W a+Gush s ar,�w vadmr�ds Water Chlorinated: YES NO_
{�.tirne #ORTL'R,,Si,W+dayil,I R!WfieWG$iRV1ClS
-- _ RENDERED BYWAYrourraMALYMAL.LLD TOCLIENT) Samples Iced Upon ColJeotio* 1 YES O•
r —
I TIME 1 4'xRI]C SFUIIP'LECOtETAimER A19ALYStSRECtuESTED
1 cLiwr DATE COLLF.0 IVO {SOIL, --—. F'riESEFSv+F REMARKS NCI
"CIL
SP� DESCRIPTION COLLECTED nri.4rARY WATER, 'TYPE S TIVES / �� REMARKS
Imo# LU +C}HOURS S SEEBELCNJ G
1� i•
- — 111I1111111i
1ll1Ql1l11 � f- ;°
r:'�5:�5
lQ
I GvoSec. 0
. PRESS DOWN FIRMLY - 2 COPIES •
v
Samplers Signature IIMBIEMEIMI Afiihat,an
-- i.q6 US- OLY
Upon relinquishing,th haln Custody isyo authorvation far WaypoinIAn-*tical to proceed with the analyses as requested show.An7y:hapses must be 4i ; N
suibmEttrd Ep writing to the YVaypokiIAnalylcr9 Prated Mhsnoeo. will be#largos for any ctungoc atersasryme have Boon Intllalizod, Ste Arrival 7ano:
Fr"1. ..;1:711)1 / Additional C ammM 05' Site Departure TJm{
771
.�' r _ II7 /
- --� er. Lwn Fluid 7etrfFe¢
'f x
illf
balm t1I1kasp0-
1717c i I r
ri4tlXW.. - • ,.-'-•ALL- • C.• .Y•. . r. rr w. -,^. r wpT CDT SEAL FOR "ZA iATejec it . •nh `
3AM�$An terAGGEWTED AND ITERMAMA JTT COC UM71.REMOTE')AYlFE NARh7t,rt
JFwra UWS 3llmekiMwid Ayyfqut Algid Srna� :J Cow I S€rf[EVE:''-- OH
HP€lE$: I 7: 4. UN WA7 R DR {IN s WATER �• D- - •4.a- .- E- TFrzr.,s x CC'a+4r"ionti
]Z4C3SC�IUraCF SC NC USC CI 0SC I3NC USC ~ IaNCDSCIUNC DSCI C JSC , LNC3SC ORIGIN,,
Waypoint. 449 5pringbrook Rd, Charlode, NC 28217
Maui]7041.529-6361
ANALYTICAL ti44.,w-waypoir}tanAlytisakom
101812021
City of Statesville, NC
Ken Galloway
693 Bell Farm Road
Statesville, NC, 26,525
Ref: Analytical Testing
Lab Report Number: 21-26 3-0 020
Client Project Description: Quarterly Test
Dear Ken Gallaway_
Waypoint Analytical, LLC (Charlotte) received sample(s) or 9/2012021 for the analyses presented in the
forrowing report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the app1icabie anaryticsr method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, inslrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the UEPA (including 40 CFR 136
Method Update Rule May 2012) unless otherwise indicated-
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 et the laboratory is outside of this hording lime_
Refer to sample analysis lime 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.
Pease do not hesitate to contact me or client services if you have any questions or need additional information,
Sincerely,
(0.12AM.)Gf--)C0C2/
Terri IN Cote
Laboratory Project Manager
Laboratory's liability in any claim relating to analyses performed shall be firnited to, at laborafary's oplron_ repealing Oa
#t7lois i i,a r-aPai nraf r''s ex ns-9,-or-the.fM!n f the er arq$} fd-for peF oe k4F11 id-ia31y&8. � ..
Page 1 of 15
•
d! la4rpoIr1t r 449 SprIngbrook Rd,Chairlotte, NC 28217
Morn 704.529.6364
ANALYTICAL www,waypointanolytital,tarn
Certification Summary
Laboratory ID: WP CN :Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State Program Lab ID Expiration Date
North Carolina State Program 37735 07/31,2022
North Carolina Slate Program 402 12+3112021
South Carolina Slate Program 89012 07,3112022
South Carolina Scare Program B9012 12.'31.''2021
,
Laboratory ID: WP MTN: Waypalrit Analytical, LLC., Memphis,TN I
State_ Program Lab ID Expiration Date
Alabama — State Program 40750 02+28:2022
Arkansas State Program 88-O650 02+07/2022
Cal ifornla Mate Program 2904 08!30.+2022
Florida Slate Program • NELAP E871157 06+30!2022
Georgia Slale Program C04l 021 18r2023
'Georgia State Program 04015 06+30/2022
Illinois Stare Program -NELAP 200078 101 1012022
Kentucky State Program 80215 06/3012022
Kentucky State Program KY00047 12131.12021
Louisiana State Program -NELAP LA037 12;31/2021
Louisiana Mate Program -NELAP 04015 05 3012022
Mississippi State Program MS 02111/2023
North Carolina Slate Program 415 12/'31/2021
Pennsylvania Slale Program- NELAP 56-03195 05131+2022
South Carolina Stare Program 54002 06 3012022
South Carolina State Program 64002 0633/2022
Tennessee State Program 02027 02/1112023
Tennessee A21A ISO 17025:2017 4313,01 10:31/2021
Texas State Program -NE LAP T104704180 09/30;2022
Virginia State Program 00106 06'3012022
Virginia State Program - NELAP 460181 09114?2022
Page 1 of 1 013,01621-263-0020
Page 2 o€ 15
VVaypoi n 449 Spring brook Rd,Charlotte, NC 28117
Mal n 704.529.6164
ANALYTICAL www,waypolntarralytthal. om
Sample Summary Table
Report Number: 21-263-0020
Client Project Description: Quarterly Test
i
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
95710 Stalime 1 Solids 49/20/2021 110.1) 09120/2021 15:10
957J0 Stallme 1 Sol:ds 09/20f2o21 13!00 020/202115:10 350,1 AES
95710 S*aiirne 1 Solids 09/20/2021 13:00 09/20/20211510 4501PJORGD-2011 WP MTN
95710 Stalime 1 Solids O9/20/2021 13100 .04'20/2021 15:10 EOIOD VA]MTF1
I
AES= Analytical Environmental Services, Inc„Atlanta, GA
V P I,hTKs_a114 his - LS.a.a i-0411.40ic3I-TN,0.1 ik;is N•
Page 3 of 15 •
Way
YPOIflt
- 449 Springttrook Fld,Charlotte, NC 28217
Main 104.529.6164
ANALYTICAL wwW,waypointanalytital,COr
Client: City of Statesville, NC - CASE NARRATIVE
Project: Quarterly test
Lab Report Number: 21-263-0020
Cate: 1016/2021
Analysis Note for SAR:
SAR= INal r SORT{([gel + IMo) / 2}
SAR= 1180r23Jf ORT{(I62.8120]+[0.417112.2] 2)
SAR =o.636
Concentrations for Ne, Ce, and Mg are expressed in milliequivalents per liter, and SORT designates
taking the square root of the operand in parentheses.
PAN Equation = 0.3 * (TKN-Ammonia) +0.5 ` (Ammonia) + Nitrate-Nitrite
PAN = 0.3 x (2750-78.1) + .05* (78.1) + SAS
PAN= 846.2 mg/kg
Metals Analysis Method 6010D
Sample 95710 (Stalime 1)
Analyte: Phosphorus
QC Batch No: L5759391L575787
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.
MetalsAnalyses Method 6020E
Sample 95694
Analyte_ Arsenic
CC Batch No:V9291N9226
the matrix spike andlor the matrix spike duplicate was outside quality control acceptance ranges.A post
digestion spike was performed and passed quality control acceptance ranges- No matrix interference is
suspected.
Analyte: Arsenic
QC Batch No: V9291N9226
Relative Percent Difference (RPD) for the duplicate analysis was outside of the allowable QC limits.
Analyte: Lead
QC Batch No: V9291N9226
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digeslion spike was performed and passed quality control acceplance ranges. No matrix interference is
suspected.
Analyle Selenium
CC Batch No; V9291N9226
CCB & LLC failed high. Results BRL or 10x concentration.
Sample 95694
Analyte: Zinc
QC Batch No: V9291N9228
Page 4 of 15
w
Waypoint 449 5parigbrook Rd,Charlotte, NC MD
Main 701,529.6161
ANALYTICAL www.waypalntarnalytical,corn
The matrix spike andlor the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was pertorii ed and passed quality control acceptance ranges- No rnatriK interference is
suspected.
Fagg 5 of 15
• W
Wa 'point
449 Spring brook Rd,Char lat#e,NC 78717
Main 704.529.6364
ANALYTICAL www,waypolntartahrtrcar.corrr
01050
City of Statesville,f C Project Quarterly Test
Ken Gallowvay Report Date : 10J06/2021
693 Bell Farm Road Information : Received :020/2021
Statesville , NC 28625 610(04
Terri4YCole
Report Number -21-263-0020 REPORFOFANALYSIS Lao bora#Dry Project Manager
Lab No: 95710 Matrix! Solids
Sample 10 ; Stalime 1 Sampled: 9)20/2021 13:00
Teal ResioiR Units VIOL OF Gate/Time 8y Anal ylloal
Analyzed .fantod I
Calcium(saturated paste) 62-8 rneq,'L 0.250 1 10J01121 12;42 EOV Saturate Paste
Plant Available Nitrogen 846.2 my/Kg AR 1 CALCULATION
Magnesium(saturated paste) zU-4 t/ nn€cili 0.417 1 10/41/21 12:42 EOV Saturate Paste
Sodium(saturated paste) 3.57 ri'e(1/L 0.43S 1 10/01/21 12;42 EOV Saturate Paste
Sodium Absorption Ratio 0,636 1 10/01121 12:42 EDV Saturate Paste
Moisture 29,8 % 1 09/28/2117,23 SAM SW-DRYWT
Ammonia Nitrogen 78,1 mg/Kg AR 1 350.1
Nitrate(NO3-N) 3,56 mg/Kg-dry 2,8S 1 09/21/21 13:24 CEG 9056A
Nitrite NO2 )( ,N 2.02 mg/Kg-dry 1.42 1 09/21/21 18;24 CEG 9056A
Nitrate+Nitrite-N 5.58 rri fKg-dry 1.42 1 09/21/21 18;24 9056A
Total Solids 71.8 9b 0.010 1 09/27J21 08:25 EDV 2540G-2011
Total Kjeldahl Nitrogen 2750 mg/Kg-dry 132 1 09/29J21 16:43 CLP 4S00N0RGd-2011
Phosphorus 3680 mg/Kg -dry 7.12 I 09/25/21 03:43 .TIT 60100
Aluminum 11700 mg/Kg -dry 35.6 10 01/24J21 21:34 EDV 60246
Arsenic 6.38 mg/Kg-dry 1.42 10 09/24/21 21:54 EDV 60208
Cadmium <0.712 mg/Kg-dry 0.712 10 09/24/21 21:54 EDV 60208
Copper 42.5 mg/Kg-dry 3.56 10 09/24/21 21:54 EDV 6020E
Lead 7.18 mg/Kg-dry 1.42 10 09/24/21 21:54 EDV 60245
Mercury(Total) 0.0516 mg/Kg-dry 0.0427 1 09/24/21 16108 EDV 74718
Molybdenum 2,85 mg/Kg-dry 1,42 10 09124121 21:51 EDV 60208
Nickel q,99 mg/Kg-dry 1,42 10 09/24/21 21151 EDV 60208
Potassium 2810 mg/Kg-dry 142 10 09/24/21 21154 EDV 6020E
Selenium 2.85 mg/Kg-dry 2.05 10 09/29/21 02153 EDV 6020E
•
Qualifiei 5/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method QuartititaGOn Limit
Faye E of 15
W
VVapOiflt..
449 5pringbrook Rd, Chara Ott 0.NC 78217
Main 704529.6364
ANALYTICAL www,waypalntanalytftal.cam
01050
City Of S!d[esvllle,NC Pope[# Quarterly Test
Ken Galloway Report Date= 10/05/2021
693 Sell Farm Road information: Received :09/209021
Statesville , NC 28625 jevirgo4
Terri W Cc':�
Report Number:21-263-0020 REPORT OF ANALYSIS Laboratory Project manager
Lab No: 95210 Matrix: Solids
Sample JD.: 5talime 1 Sampled: 9/20/2021 13:00
Test Results Units MOL DF Dale;Time By Analytical
Analyzed Method
Sodium 759 mg;Kg-dry 142 10 09129121 02;53 EDV 6020E
Zinc 83.8 rng,Kg -dry 14.2 10 D9.124121 2 i:54 [DV 6020E
Qualifiers/ DF Dilution Fatter L Limit Exceeded
Definitions htQL, Method Qu.ntitetion Limit
P3g8 7 of 15
@
• � AccES S
-0 A NALYFIC AL, INC.
•NA I NTICAE REPORT
CLIENT
\\ pint Analytical
rO Box 240543
Charlotte NC 282240543
ATTENTION
Terri W Cole
PROJECT ID
21-263-0020
LABORATORY REPORT NUS 1ER
210 5
DATE
October01, 2021
Priniary l»2 Review Secondary I) m Revi B
((
Ashley Amick
Chris Pafford.
Project Nlariaser, Access.An l |
Project l,7cr, AES &mkt/a»i,CO t
FLEA NOlE
- Ems olhernisonA¢ill aisw mR report performed yi�Il old rm iron. ! mil RESm .
m#?midon v 303-10.
- ALshS■NL£ codified]aorn rvN9I N E k_l.dku ki GA«mIaIA lL-E:7
wa _li dBhr or% N
- :11-1»Ia mLLC Ln1_ R1 100671f Ind r l Ilygieno Amp Cos(Organics,Mwi I1CNAsbestos,
Gravimicrr xEnvironmental Lead(Paint,Soil, k d .Ali and FnIro n in until Mk rob mo•(Fungal)
DirootEu.t
- Local .i mtsge U this project arc providloLlbA wAnalytical,Inc. Access Analytical is a
representative o%ESserving ei iEih S eC 0A areas.. Ali questions h in this&Ton should be Amd
m yourt&Access An 9i renrcseniaiivc m89 . 1.4243 or Ilc at883,315.4243
Page Boils h@ ,da
•
Waypoint 449 5pringbraok Rd, Charlotte, NC 28217
Mall 7O4.529 364
ANALYTICAL w.m.waypointnalvtic21. om
i /Z1/2Q2113:44:00
Page 1of1
Export Batch Report Created: 9/21/2021 1142:45
F[port Batch Id : 812EXP Computer: WPAiM5-029
User: Terri W Cole
Project Manager. Terri W Core
To: From: Waypoint Arra lytical, LAC(Charlotte)
3080 Presidential Drive 449 Springbrook Road
Atlanta, GA 30340 Charlotte,NC 28217
704-529-6164
gQOrt Hv Due mvre Data Costgomsymple No Rush Latn Method_N2 Fe.t Code Description
21-263-f020 09/29/2M 09/2O/2021 13:00 5talime 1 +5710 EPA-350.1 Arriniorila-Nitrogen 1, y kt
5....,
NC Client
Standard TAT
`notIejEy Method or shipment Atank/Coda-Temp4rcia .
r
Rellnt/y. ..rl) Date i Time
Reoeved t
��'{
date{Tme
Inc + } Late/-nine I (s )n) mate r Time
��� . , 9 0
Rage 9 of 15 Pa;e 2 of 6
Analytical Environmental Services, Inc Datr: 11-0.:1-21
Client: WaynoitstAnalytical Client Sample ID: 93710
i,ib Order 2109Q55 -fag'umber: Staiinw
Project Na rue:. 21-263-1 020 Collection Rate: 9'20'2021 1:00.00 Pot
Lab ID: 2109Q55-001A Matrix: Solid
Analyses Result Qua! LIDL Reporting .nits Road I1l' Date Analyzed Analyst
Limit
Nitrogen,Anoniotti43(sls )Extractable E3511.1 MOD 1E350,1)
i1111 Ltn l ii(AS.H)E. trde[a ile 73,1 i.f17 ]3.4 rag KY`try 323262 1 0930 2021 13;14 TL
PERCENT r1u1S 1'URE D22I6
PircE,lt Moisture 26.2 U 0 Nt'.i R-ts5689 I 09.24.2021 00;00 J\V
•
I FuifTH+- F \a1.e euenls a.ivrr ra tr-A. Ic kW! E Emitirr %jb.e ih. [,�i+rhiurr."ri f4
BkL. ti: [SaucI.i s1.E)L 5 5+*ikC R0e0'.err(.rind:leaiu,fa; .Tian
Id Il 3ieaiarts for prep:aiv or re(''Sii C44.C4,i7 cxrjrtrl ker�il ifl,�L
Aalyie as NE LACccfl:Fai I F9i mesdt3}x 6e„Ny;y#,f,',Yx RCrti-rIrI Lrnis
Ans1}iedtitcral iu the aieotiiln3 vliEV Min K LCSS Maa.IRek`ukiilu
Fage• 1 a of 15 Page 3 of 6
Clear Save as
rALITICAL
AL
AESRVICESrn'rc. SAMPLE/COOLER RECEIPT CHECKLIST
1. E'Iient Name: Access Analytical, Inc. AES Work Order Number 2109055
2, *;,crier FedExI•I UPS [1 U'SPS C'noni Cov.,rier .^,thi•i
Yes rtio N/A moils Comments
3, ;hipping cam:Rinerlcaolor received in goad condition? • damaged I_ I leaking I j otheri
A. tiuSt00y seals present on shipping container?
5. Custom*seyls intact en shipping container? r
G. !Temperature blanks present?
:ooler temperature(?}within limits of 04 C?[See item 13 and 14 for 0 0 0 Gaoling initiated for recently collected samples/ire
1. I.emperature recordings_] DrC sent I
a.,hoin of Custody{COI]patent? s '
g, Cain of Custody signed,dated,and timed when relinquished and received? •
14, a,npler name dad{or signature on COC?
11.; were all samples recc,ut¢within hol d.ng time?
12_; TAT marked en the COC? If no TAT i nd icged,proceeded with xt,,ndard TA?per Ti arm s Ei❑onditipn5,
13_ Cooler 3 Temperature 0,$ °C Cooler 2 Temperature aC Coder 3 Temperature °C CCI4ler 4 Temperature oc
1d. Cooker 5 Temperature °C Cooler 6 Tel — °C Cooler 7 Temperature °C COAT STemperature DC
15. Comments:
' I Certify that I have c mpreted seetiens 1-1S{elated initfaIe.. FM 90'?..21
'Yes NO N/A details Comments
16. Were.cam ple Containers intact upon receipt? ! I- -,
17. Cu.tkoCl/seals present an aamplc 4or`tAiners>i' (�}
1S.. Custody seals intact on sample containers , * -
>9, Dv sample container labels match the COC?
,n..nm)k to info I_J Illeg1ble I '
.hoi,abel i_ I other I_
20._ Air.,n.DIyses requestei indicated en the COC r' *)—
21_Were all of the samplct,,red on the COC reeelved7 samples received but net listed On COC . ,•
- 0samples Iistrd en COC not received _ I
7?,r nos the..uncle nnIiectpn d.ito time noted? *110
23, Sid we reCeLve sufficient sample volume far indicated analyses
24. Were samples received in rippreprwte containerfd
25, Welt'VOA samples received without b adspace(c 1/4"bubble',..' i I
26, Were trip blanks Stibmrtted? fisted on COC
• I not listed on CO[ 1 : _
27. :om ments:
This seCciori only Mies to samples Where pH Gan b8 L evilly that I have completed, ctigns 15-23(dated initials). FM 9f23121
checkod at Sample Receipt. Yea No N/A Oetalls Comments
2$, rlave containers npedi nR chemical preservation been Checked?` CP -
7..g, ontarners meet preservation guidelines? _ O ' I
3U_ Wes pli adjusted at S.imple peceipt? ! i
§ , §
'Now;Certain analyses require chemical prosorvnGan hut muss be checked in the Whoralory and not upon Sample Rooaipt such as Conforms,VOCs and 04.5 O,reap TP-I.
Man also esCIuOcM metals by EPA 200.7,200.13 and 245,1 which will be verified belwoen 16 and 24 hours alterpreganratibn, I certify that I have completed sections 28-30(dated initials], fill 9073/21
Checklist 7.9.2e Rev 3 1-00kAd
Page 11 Ct 2 5 .. ._. . . _ Page 4 of 8
Analytical Environmental Serviccs, Inc
Dnie: I-O0-2 E
{]Ec11t: Wa}7loinLRltaLlyticctI ANALYTICAL QC SUMMARY REPORT
Project Nam: 21-263r0020
Il•'orl;7xrEler: 21OIW} >55 Batc111ID: 323267
S11npIc ID; Nils-323267 Client]D: Units: m;!Kg Pip[]arc- 04,+1301202I Run No: 466101
S smrrl1Tvp; MBLK Text%DLk= li ueen-Ammonia ins N5 YsrrAct hI 6350.1 MOD 13:1ti h1D: 31.1267 Analysis Diti- 09/30/2021 Seq.Na. I0707133
Ar1:SIVLL' Resu11 RPT Limit ST'Kv;Lluc SPK RifVal %RFC 1_,owLimit HighLir:il RPD RcrVal. %RPD RPD Limit Qua!
::Nitrj i.Atnintin1`.L(AN.N)PAir1et,lblc. Br(L 10.0
Sa wide ID: I.CS-323267 Client ID: — <rniis; rn.^f Prep Dale: It9{301202I ]tun No; 4M2III
ttrnplc'Cypc; I CS Ti tCs�d�' iLriw}en,Aminnnia lug }rttru4'LAhrC x.�SlkY minUnils!D; 323267 �4n31txi:;Date' 117f.';II12021 sec!No: l{t707>t#.t
An,fE} c Kccur[ RPT E-i111it SPK value SPX.Rcf Val %REC Low Limit I nigh Lim ii RPD Ref Val °•aRPI} RPT)Limit Qua1
Nitrogen,Ammonia(As N) kixtractabk 91,1;.25 10.0 100,0 9H-2 90 110
S ample IT}; 1.1 119061-0O1CMS Ulicn[ ID: Units: m.Kg-dry Pt(II Dale- 09/30/2021 Run No: 466201
S amplcTvp: MS T stCodc; Kuro:rm., lnnlonla iaN N)lixtractahie k3So.1 MOD I3atchID: 323267 Analysis Date: 09/30/2021 Scg No: 10707R44
Anal yl.i.: Rw.ctlli RPT Limit SE'IC vaIuu SPK Ref Val %REC Low Limit High Limit RPD Rcf Val %RPD RPD Limn Qu:II
'NiLn1,4n,Ammon iu.(As N)Extrtu ziblc 15460 1970 ]969 13660 91,4 90 I10
Sample ID: 21011161-UO1CMSb ClicmL 1D; - Uniik; mg/Kg-dry Prep mate; 09I.4/2021 Run No: 46620I
SarnplcTypi: ',NASD T Cti]c: Ii!lragen,Ammnn!LL bah 19 Rxlraelalrk 1.154,1 moo. R:L[cI11IT}_ 323267 Artnlvcls l}atc: 09f30I1421 Sal ND_ 1071►7'X45
Armlvtc Result RPT Limit SPEC val tic SPK 1{cf Val %1U C Low Limit I Ii}rh Lirnil RPD Ref Val %urteD RPI] Limit OunI
Nitrogen,Ammonia(As N)E%trsctohlt 1 E:4N0 ]950 19S0 13660 247 cm 1 LQ I IC466 1,A 1f;.2 S
•
Qin rikiu • Cramer Mon krt�li....due - Lewl 111011 ILr h%Otte a hnalfsr dtlerxd m the msr[ialLd method l•Unk
ItRI, 4tr7mr xpartmg lora [i TxiirmLed(value"bow goaaLilalsor ranp)2) L1 l lrtding Lime.en(prepUTW o.O.,Ol,;is r tgmtrd
1 fs.iimaled vaIuedicaed below Reporting Lmil 7 huilyie nALN7.1.%1:e4n.frd R RPD nulside loons due to moo
RpL tan Reporting 1ar,i1 ti .%.+ike Rorerr y omen&Lama due in rmabta
Page 12 of is Page 5 of 6
- - I-
End of Report
PACE 13 of 15 Page 6of6
•
W y i �lrr
`�,w 4-09 Spr]nook ftd,Charlottc, NC 2$217
FAafn 704.529.63.64 I
ANALYTICAL wuw.waypollitanalyticaP.com
Shipment Receipt Form
Customer Number:01050
Customer Name: City of Statesville, NC
Report Number: 21-263-0 020
Shipping Method
iTh Fed Ex n US Postal Lab : Other
} UPS 0 Client :, Courier Thermometer ID: IIRT-15 25C
Shipping container/cooler uncompromised? `0 Yes ;. `: No
Number of coolers boxes received I 1
Custody seals intact on shipping container/cooler? ix; Yes • v..Na • Not Present
Custody seals intact on sample bottles? 0 Yes0 No Not Present
Chain of Custody(COC)present? :: Yes n No
COC agrees with sample label(s)? . Yes .e)No
COG properly completed # Yes No
Samples in proper containers? ei Yes i n.No
Sample containers intact? :# Yes 0 No
Sufficient sample volume for indicated tests)? li Yes 0 No
All samples received within holding time? rili Yes 0 No
Cooler temperature in compliance? '#} Yes0 No
+Cooler/Samples arrived al the laboratory on ice. 1 Yes f No
Samples were considered acceptable as cooling
process had begun.
Water -Sample containers properly preserved • Yes n No (T. NA
Water - VOA vials free of headspace .,- Yes 0 No .:S NIA
Trip Blanks received with VOAs 0 Yes No • NIA
r, �,
Soil VOA method 5035--compliance criteria met Yes . ;No NIA
High concentration container (48 hr) r Low concentration Encore samplers (48 hr)
High concentration pre•weighed(methanol -t4 d) Low conc pre•weighod vials (Sod Bis -14 d)
pecial precautions or instructions included? :f. Yes ii No
•
Comments: • -
Signature:- Sarah J. Locklear .• — Aata.& Time:- .09..20Q-OZ3A-7441436 --
Page 14 of 15
• 0 CHAINCUSTODY RECORD LAB USE ONLY
• Waypoint ♦fAGC —OP _ DIJOTE■TOENSURE PROPER RILuwa! _ YES NO N1A '
Safttpkis INTACT upon amvai7
ANALYTICAL Praject N.ama:— d ON WET ICE? —
449 rIriaOrook Roma-Cherloup.NC 21217 _
5p ma Short Raid Analysis xiir i447
Mona 71462.3-GSSa • Fax:7o4s2 ysis Nos) (No) UST Project: CA (Ho} PROPER PRESERVATIVES ir• r n 'Please ATTACH any project specific reporting(QC LEVEL I II IE Ru c vdr11iiN MOLDING TIMES.? _ —
Client Company HIT t)' 0 r Z.tAtere': 1/C.
(`r Jf ProvrSions¢railer OC Rogulrerrlerts CLISTOO'SEALS INTACT? —
Report To/Contact N rn@:_
• r invoice To: ._ . VOLM1LES rota WI
OLIT NEADSPAL`E?
Re pprtl ng Address: - —Address;_ PROPER cOrwrfuNERS used' - ,
TEMP: Thane1I? Obsar pd _-C,C.01', 'c;
Phone:70q-r77:3 V31_Fax (No.):7 -817ALriSS RureNase Order No.EWine Retoranc . TO BE FILLED IN BY CLIENT/SAMPLING PER ONNEL
—
Errlall Ad d re : Re4ucsSod due Dale J 1 Da). ,]2 G'dya -I 3 Lys al Day$ J 5 Days
EDD Typo: PDF„Excel Other _ Certification; NLAC FL NC
Site Location+ Name: + jT 1' rinfanw"$°' 9 L ys ;SLar►:eud 1{}ear, a PrApproved 6c 5C OTHER__ N•A- _ Sa nPN--rc c a,d r 7d:C0 wa N.prewAn aW row burn ris,may.Site Location Physical Address: q3 G rot 7 rr44raund%WM ei Con s trays,eichining•wineikene,5 and hdhtlays. Water Ch lorir tad: YES NO
MEE ReweKilt-Keasacowprtie.r.sgY Corammo.aEnt++iCes —
RIEFIDERE al BY WAYPODIT AHALTTI cAL,Liz mcum) Sample Iced lJpQnCollectiara: YES NO
-nut MATRIX SAMPLE CONTAINER p.r'rp.1'r515REQUESTED i
CL Ebrr ATE COLLECTED {Sort, PRESF�VA-
SAMPLEDESCRIPTION COLLECTED MiuYAT,7 wresLOR -ryn wt. SITE TIDESV*o ct/ r� REMARKS i0NO.
HOURS $ Llac SEE aacnnl _ j ,
P
4 '.r I. -r -a 1 1 *-/f , _ ily *Co I
r _
•
I E I IC 44 61
'
P.13 i '
11111111111111111111111111111111111
I z, zta�oxa I J, 7C _ o
0
I� ��� ���� 11�11� 1 �1�1 I I F. 0.
O,iyt51Skil Ermine.r.i pp:138 I 1 S .4 .
„Jr.
_1
•
1
I IA ,.w,.r.,,
rn , gr,arure" - Sargplod Sy{Priest Name __ _ r� i PRESS DOWN FIRMLY - 2 CC PIES
_ r'tif�L'a0rr_ -
Upon IV ling ulsh a Cha1p#I Cuatndy IM Your a it}rorltIOn far WsypWnt Anplytlp d'al Ell th l EGIO0Cae $ e aniiyset as reIlLI xod abosrp.Any *fruit to
eubrrdtteti In tfr*Wbypaint Ana(Alai!Pr4y0Ct Manager,TIM*wEl be cl- os.for any charKgos after analyses haw out,n dnihalixgd. L-A$ USE ONLY'
Atl Is
tlitiOlial COMmel, ' ;3+toAniyulT
1. k //
1 I R�menv.i i i S.Lv t7oparibre"fence:- � _ iI
r*Arched cd''' —fobTCAT.i_&I.11WETWSILI. 1-0 arroOrrIW:FritirrraM iniXe 'rr •wr,a .aa a is�o�ea�f - Fwia 1 can Foy:
KAMPLE-3 NM AGCeirme AFC419'M1ED A.,+l# O um.VJL 1iECWEDAr i 70 7i��
saii5/040.11- 55 Irl - 5
i Fed E Ups J rwvadeLyweC .i thijoNni Ity FAG 5 sr. 4_J Cww
I T US . DVIF.gTER. DR3�SIl4NG VYATER: S LrD WASTE I RCRA: ~BR F D LAN M ILL R: SEE REVERSE FOR
UHES:CUSC UNCT JSG GROUNNC USC ;]NC USC iNC U5C
I ID ,a 1 14'-l. SC - NC 3r l�I. 2$C SCE
x CON grrrOMffi
J ' U .1 ::.1 - a
I 'CONTAINER TYPE CODES. A■Amer C-Clear Gm Vasa P 0 Plastic: TL•Tcflarr•Uncd Cap VOA Velem,civecicx,lbrplrsli(Zero Hoad Space)
QFtiG I NAL
V/aypoint- 449 5pringbrook tad,Charlotte, NC 2E1117
Main 704.529.536,4
ANALYTICAL w4vw,waypointanalytitat,corn
101112*21
City of Statesville. NC
Ken Galloway
693 Bell Farm Road
SStatewvirre, NC, 28625
Ref: Analytical Testing
Lab Report Number: 21-270-0019
Client Project Description: Quarterly Tests Fecal
Dear Kern Galloway:
Waypaint Analytical. LLC (Charlotte) received sampre(s) on 9/2712021 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.
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 were performed in accordance with guidelines established by the USEPA (including 40 CFR 136
Method Update Rure May 2012) unless otherwise indicated.
Certain parameters (chlorine, pH, dissorved 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 fs), Results for solid malrices are reported on an as-
received basis unless other.vise indicated. This report shall not be reproduced except in full and relates onry to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any giestions or need additional information.
Sincerely.
ioaU LVcoa,
Terri Vi.r Cole
Laboratory Project Manager
Laboratory's liability In any claim Waling to analyses performed shall be llmiled rn_ at laboraIory's option. rape,t+rrg
arraly is in Qui5 Linn a1 labo[aeorys.expensa,.or lharefumdof the charges pad.for perfo4parica.+J_sadoraxr yor ..
Page 1 of 12
•
\.\IIa1I,oIflt. 449 SPringbrook Rd,Charlotte, NC 28217
Ma NI 704.529.6364
ANALYTICAL www.wdypelntaneIytteal.Com
Certification Summary
Laboratory ID: WP CNC: Waypeint Analytical Carolina, Inc. (C), Charlotte, NC
State Program _ Lab ID Expiration Date
North Carolina State Program 37735 07/3112022
North Carolina Stare Program 402 12/3112021
South Carotins State Program 99012 07+3112022
South Carotins State Program 99012 12.31.'2021
Page 1 of 1 00016 21.270.0019
Page 2 of 12
w
V1a ,pOint, 449 SprIngbroolo Rd, Charlotte,61C 28217
Main 704.529.6364
ANALYTICAL www.waypointonalyfical.co al
Sample Summary Table
Report Number: 21-270-0019
Client Project Description: Quarterly Tests Fecal
Lab No Client Sample ID Matrix Date Collected Data Received
96275 5alime 1 Solids 09/27/2021 23;15 09/27/2021 14;45
96276 Stalime 2 Solids 09/27/2021 13=15 09,27/202114:45
96277 Stalime 3 SO& 09/27/2021 13115 0927721321 14115
96276 Statlme 4 Soids 09/27/2021 13:15 09/270021 14:45
96279 Stalifne 5 Solids 09/27/2021 13;15 09/27/2021 14;45
96280 Staiime 6 Salids 09/27/2021 13;15 09/27/2021 14;45
96281 Staiime 7 Solids 09/27/2021 13:15 09/27/2021 14;45
Papa 3 Of 12
wi,
Waypoint. 449 SPringbrook Rd, Charlotte.NC 2B217
Main 70.929.6364
ANALYTICAL www.waypotntanalydtal,com
01a50
City of Statesville, NC Project Quarterly Tests Fecal
Ken Galloway Report Date; 1D/01/2021
693 Bell Farm Road Information: Received ; 09/27/2421
5tatesvlta= , NC. 25625 c90L)ca
Terri L4 Cale
Report Number:2t-270-OO19 REPORT OF ANALYSIS Laboratory Project Manager
Lab No: 96275 Matrix: Solids
Sample]D ; 5talime I Sampled: 9/27/2021 13:15
last Results Units 1.1O1_ DF Date!Ilene By Analytical
Anatped hlethod
Fecal Conform t•1PN{g <2,4 MPN{g-dry 2.1 1 09/27/2t 15=5D ENM 9221E-201 t
1o4tirre 18,1 1 J 0j21 14=05 CLB SW-DRYWT
Qualifiers! DF Ditutiora Factor L Limit Exceeded
Definitions t•TQL FTethOd Qua ntit tiora Unit
Page 4 of 12
Vra4pOint, 449 Springbroak Rd, Charlotte, NC 28217
Main 704.529.6164
ANALYTICAL vimmwaypolntanalytifaI.com
0/650
City of Statesville,NC Project Quarterly Tests Fecal
Ken Galloway Report Date= 1Of01/2O21
693 Fell Farm Road Information : /2 212 0 2 1
StatmIlle, NC 286.25 dratig w�
Terri L4 Cole
Report Number;21-270-0019 RFPORTOFANA1 YSIS
Laboratory Project manager
Lab No : 96276 Matrix: Solids
Sample ID:Stalima 2 Sampled: 9/27/2O2113:1S
Test Pesulla llnll9 fdcL OF Date Time By Ana lyllcal
Analyzed ftelhod
Fecal Cotiforin h1Pt N <25 MPJ`Jfg -dry 2.5 1 09/27/21 15:50 Ehh! 9221E-2011
Moisture 21.1 °c f 09/3Q'21 14:05 CLE S.'W-D..
Qualifiers/ OF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitatian Limit
Page 5 of 12
Waypoint.. 449 SRringbrook Rd,Charlotte, CSC 28217
Main 70 .529,6364
ANALYTICAL .vww.waypolrrtenaytical.com
01DSO
City of Statesville,INC Project Qu a.ter ly Tests Fecal
Ken Galloway Report Date: 10/011202 t
693 Bell Farm Road Information Received :09/2712021
Statesville, NC 2E625 6/N(dt.)C6
Terri W Cole
Report Number ;21,-270-0019 REPORT OF ANALYSIS Laboratory Project Manager
Lab Ik : 96277 Matrix: Solids
Sample IU=Stalime 3 Sampled: 9/27/2021 13:1S
•
Te9I I4esulis Units MOL OF DateiTtrne By Analytical
Analyzed Method
Fecal Coil farm FiPFJ/g <2.4 FiPFJfg -dry 2.4 1 Q9J27J21 15:50 ENM 9221E-2011
Moisture 19.L 010 1 09J30,r21 14105 CLB SIY-17RY VT
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quankitation Limit
page 5 of 12
f.1a ,rfoint. 449 5pringbrook Rd, Charlotte,NC 28/17
Tarn 704.529.63154
ANALYTJCAL www,waypolrrtana Nitro r.co n
01050
City of Staterille,NC ProjCt Quarterly Tests Fecal
Ken Gallaway Report Date: 10101/2021
693&ell Farm Road lrrrprmetion ; Received :09/27/2021
Statesville r NC 2862E aorAujzi
Tern V Cale
Report Number :22.-270-0019 REPORT OF ANALYSIS
Labwtory Prp;Btt h rnay;�r
Lab No 96278 Matrix: Solids
Sample ID:Stall lme 4 Sampled,9/27/2021 13:15
Test Results Units M0L OF Date;Time By Analyliee1
Analyzed Method
Fecal Conform n1Pr•19 <2.5 MPN19-dry 2.5 1 09137121 15:50 ENM 9221E-2011
Moisture 21.8 "do 1 09/30/2114:05 CXB SWDFtWWft
Qualifiers, LW Dilution Wow L Limit Exceeded
Ucfirtiitions h1QL Method QuantitaLICH1 Limit
Page 7 of 12
AI y of tY 449Sprbngbrook Rd, Charlotte,NC28217
Main 704.529.6364
ANALYTICAL www,waypoTn#analwtical.c rn
4105o.
City of Statesville, NC Project Qua rterly Tests Fecal
Ken Galloway Report Date: 10/01/2021
693 Bell Farm Road Information; Received ; G9/27/2021
Statesrille, NC 28625
Terri
Report Number :2t-27O-D0a9 RFPORTOFANALYSIS Laboratory F:oitrt r1ana2rr
Lab No; 96279 MiiG;x; Solids
Sample ID=Stalirne 5 Sampled: 9/27/2021, 1L3:15
Tess Results UnTls MQL OF Date 'Time By AnaFy1FcaF
Analyzed Mel hod
Fe<a1 COlifwm llPN{g <2.5 MPNfg -dry 2,5 1 D9127/21 15;50 ENI.1 9221E-2011
Moisture 22.3 °a 1 09/3012114:05 CLE SW-DR1r f
Qualifiers/ OF Dilution Factor - L Limit Exceeded
Oefinitiona I1QL Method Qua ntitation Limit
Pace 8 of 12
lw
W y ' tie))
449 Springbrook Rd, Chartpl 28717
70
Ms�n 704,,5 52$,i3b4
ANALYTICAL wwwwavpolntanalyefraT.com
01050
City of Statesville,NC Project Quarterly Tests Fecal
Ken Galloway Report Date: 10/D1/2021
693 Bell Farm Road Information : Received :09/27f2021
Statesysll� , NC 28625 Omitio4
Report flurner =2i-270-D019 REPORT OF ANALYSIS Terri L4 Cole
b
Laboratory Project Manager
Lab No: 96280 Matrix_ Solids
Sample TD : Stalime 6 Sampled: 9R7f 2021 13:15
Tesi Pegsilts Units MQL i3F Dale 'Time By Analytical
Analyzed Mathnd
Fecal Califarm HPN19 <2.5 hlPN'g-dry 2.5 1 09127121 15:5D I*NM 9221E-2011
Moisture 21.8 o- 1 0913012114:05 CO V-DRY4'�T
•
Qualifiers/ OF Dilution Factor L Limit Exceeded
Oefin lions MQL Method Quantitation Limit
Page 9 of 12
•
WaYPOint 449 Springbrook Rd, Charlotte,NC 28217
Main 704,529.6364
ANALYTICAL www,waypo1ntanalydcal.com
01050
City of Statesville,NC Project Quarterly Tests Fecal
Ken Galloway Report Date: 10/01/2021
693 Bell Farrel Road Information: Received;09/2m}2421
Statesville, NC 28625 0 �
Terri 1V Cole
Report Number:21-270-0019 REPORT OFANALYSIS L2774ratory Project Manager
lab No; 96281 11 tricm: Solids
Sample ID:Stalime 7 Sampled: 9/21/2021 13:15
Tes! Results Units MOL OF Date Time Sy Analy11ca1
Analyzed MoIhod
Fecal Coliform MPN/g <2.1 I1PNig-dry 2.1 1 09127121 15:50 ENM 9221E-2011
Molskire 6.02 1 09/30,+21 14:05 OA SW DRYWT
Qudtitler5/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantization LImit
Page 10 of 12
Waypoint. 449 Springbrook Rd,Charlotte, NC 2877,E
Maio 704329.6354
ANALYTICAL www,waypolntanalyt#cal.com
Shipment Receipt Form
Customer Number; 01050
Customer Name: City of Statesville, NC
Report Number: 21-270-0019
Shipping Method
Fed Ex C. US Postal # Lab } Other
UPS . Client 0 Courier Thermometer ID: IIEtr-15 5-4
Shipping container/cooler uncornpramised Yes No
Number of coolsrsboxes received , 1
Custody seals Intact on shipping containericooter? ; ; Yes t : No ' Not Present
Custody seals intact on sample belles? Yes } No : Not Present
Chain of Custody(COC) present? Yes No
COC agrees with sample labels)? # Yes 0 No
COC properly completed ; . Yes 0 No
Samples in proper containers? . Yes ;No
Sample containers intact? # Yes No
Sufficien1 sample volume for indicated test(s)? Yes in No
All samples received within holding time? Yes 0 No
Cooler temperature in compliance? . $ Yes 0 No
Cooler/Samples arrived at Ike laboratory on ice. j Yes .0 No
Samples were considered acceptable as coaling
process had begun.
Waxer- Sample containers properly preserved S Yes f•No ' NiA
Water- VOA vials free of heads pace Yes 0 No 4. NA
Trip Blanks received with VOAs ni Yes 0 No N+A
Soil VOA method 5035—compliance criteria met f Yes ; Na e NA
High concentration container (48 hr) Low concentration Encore samplers (48 hr)
- High concentration pre-weighed (methanol -14 d) Low cone pre-welghed vials (Sod Bis -14 d)
Special precautions or instructions included? '::'. Yes No
Comments: - -
Signa.tura: Dale& Time: 09.27/2021 15:19:51
Page 11 of 12
C
CUSTODY
* r�� � rVGC
i LAB LISEONLY
Wayl f t_ vaaE OF _- OuOrE•TOE/aura Pia:r/EJRON.l.irly:—.._" _____ YES NO A
AN LT CAL AYI Sampled IHATwpgnnrrna
449 springbroak A LCACharlotte,KC Z E297 Proje0 Name: _. Receav0 ON WET jrEF
Phone 704l529-6364 • FAX:'71:462 p409 ShOrt MOM Analysis {Yes) (Nod lIS r Proj#CL (Yes) NO PROPER 1 REc A77VES irM lad?
• �+ • 'Please ATTACH any project specific reporting(QC LEVEL I II Ell N) Received WITHIN HOLDING TIMES? -
Cliont Company Larne; 1 4`T yr
provisions anelfor QC 1:z8quifeme is CUSTODY SEALS INTACT?
Report To/Contact Name:, e Invoice.To: VOLAM-FS rare d VV/04.JT HEAOSPACEE7
Reporting Address: Address: - PIROPConrTAiNERs►.. r ~
_ TEMP: Therm lEYt2-7- ow..ad - JCorr L*C.
Phone;78i1-S7I-311. FaxJ (No):70+_ b2 � i Purellasu order Nodailling Reference TO 6E FILLED IN BY CUENT.SAMPLING PERSONNEL 1
Email Address: _ Iuus dd E}uo Milo 3 t
O ry Irl 2 'Yx -I 3 O'ri" -I 4 Days a 5 'IE 1 +cation: NELAc FL. NC
EDD Type:PDF Excel Other wor►cw,g bays- J c-9 Sys Di Random 10 days - Bo SC OTHER N/A
r
Site Location Name: q_I tb Cat' Sar i ��
mowed alter 11700 i be ow �n sped r.oa t busocs�k
Site Location Physical Address:6/ } FAR r�, I'vrrorowrio rare is b►asW ar huarx a rays,eNclWang v4'0444.'43 and Novudas, Water Ch Iorinatad: YES!NO_ -
_ {SEE REvERSE RENDEREDa a rNkxfarrr A NAL'rr u.0 TO.c Liam Sample teed Upon CoNeotlorK -YES_____O_
• TIN€ MAT X I .SAMPLE CONTAINER ! ANALYSIS RECKEST/ -
CUEW DATE COLLECTED ( E� J� PRfrSERI$A. * �S Fofile AMPLE o RLP1 rgbi COLLECTED MILITAFKP WATER.OR' TrgE NO, mrEs I �[► Xr tbe
� �
i/
9 HOURS MIDGE) SEE: I.ow•
7
1 .t-__Las-10.3 ?4,., A<
d til., -r ry
I 'i
i k
- P
I , tb
1 iPAr l a
01050
.1ti cl smtesvilb,NC 15:1921 - w�/
Arulyhc:J 7uu;irw -
I-7 4 I .--I
L--_ 10, - I I I IAI£Lrr2 riat. 1
PRESS DOWN FIRMLY.2 COPIES
Sampler's Signature sampled By(Pnnk Name) _Rif.. � l'r _ I A[filiiiipn
Upon rouncu!shInrg.tJd ilu of ustody is ygtw authOrtZatiorl for W Iypdnt Ar„ al le with tiw aealysaa as requested above,Any chimgm axvt be LAB USE ON Y
4ubmEttcd hi welting to tn.Wayi o nt Aralytieal Project Manager, rill by themes fee RAY charopeS atterarlatyaea have been edtasdsad.
so9Y.islwm. ! Cr h F -
::_' 7 _
jAlitir.E I�M1.✓o} 1tip Fiold Toth Feu:
' =Ha
.'
tlils,
�irnrxy ar 5rw�n+.nc.�i'iOr�r�i.�sauirEer#�iipl�u g . - -- A0� 5�#t�ibi,�C�►Et.+�e�exx�iiv. 4 5-
-
7.AMPr,Ea AR5 AND VERIFIED AOANOT L RE A.T.THE LAagRATOitT.
']>'4tl€7l :�LIP$ -Henndny„y■.1 ' Arrhaml nog shmei, 3 . _ __
f$ UST: CAR DWAT DRINKING WATER: D YlS7rE.'I fiA BRRWI4FL.O La ILL OTHER: sea ernagsa FOR
I NC Q SC ❑HC ❑SC u C ❑SC .:.I NC SG ❑m.c a SC I '❑NC Li SC 3 NC ❑SC 3 NC J SC :2 NC ❑SC TERM$8.COrrOrTlDus
CI _ : EJ u_ i J u
`CONTAINER TYPE CODES: A-Amber C Ei Clear G■Glass P 4 Plastic; IL■ToiwLi n- ned `I aC+p 11CIA VGdlt�la l�sglprlr�s Analysis gore mead sp.;;.) _
•
W Y l nt 449 Springbrook lid,Charlotte, NC 28717
Main 704.529.6164
ANALYTICAL www-waypointanarytical.com
11/112021
City of Statesville, NC
Ken Gairoway
593 Bell Farm Road
Statesville, NC, 28626
Ref; Analytical Testing
Lab Report Number: 21-287-0 030
Client Project Rescription; Stelime
Dear Ken Galloway:
Waypoint Analytical, LLC (Charlotte) received sampre(s) on 10/14/2021 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_
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 were performed in accordance with guidelines established by the USEPA(including 40 CFR 136
Method Update Rule May 2021) unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sultike..,) 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 lime 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 no! hesitate to contact me or client services if you have any questions or need additional information,
Sincerely,
OI1M WC
Tern W Cole
Laboratory Project Manager
Laboratory's liability In any claim relating to analyses performed)shall be limited to,at laboratory's option, repeating the
analysi in-que.stiarLat catogy .expense.-or the refund of the charges paid for perfor, 7a+iee ers -aearysia. -�
P{3e 1 of 1'
1
\1%ypoint. 449 SPrfnghrook Rd,Charlotte,NC 26217
Main 704.529.6364
ANALYTICAL WV'w,waypolntartalytkal.rom
Certification Summary
Laboratory JD: WP CNC: Waypoint Analytical Carolina, Inc- (C), Charlene, NC
Slate Program -- Lab ID _ Expiration_Data
North Carolina State Program 37735 07/3112022
North Cam lina Mate Program 402 12+3112021
South Carolina Mate Program 99012 07+3112022
South Caronna Slale Program 99012 12,31.'2021
Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN
State - Progra.•n Lab ID Expiration Date
Alabama State Program 40750 02+28.+2022
Arkansas State Program 88-0650 02+07/2022
California State Program 2904 06+301022
Florida Slate Progfam-NELAP E871157 061012022
Georgia Stale Program, C044 0211131023
Georgia, Slate Program 04015 06.+30+2022
Illinois State Program -NELAP 200078 10.+101022
Kentucky State Program 80215 06.10+2022
Keri1ucky State Program KY90047 12/31/2021
Louisiana State Program • NELAP LA037 12/31/2021
Louisiana State Program • NELAP 04015 O6130+2022
Mississippi Mate Program MS 02i11f2023
North Carolina Slale Program 415 12/31.2021
Pennsylvania Stale Prpgrar -NELAP 88.03196 06'31.2022
South Carolina State Program 84002 0610+2022
South Carolina State Program 84002 0610+2022
Tennessee State Program 02027 02+11./2023
Texas State Program • NELAP T104704180 09:30?2022
Virginia State Program 00106 O6130.+2022
Virginia State Program - NELAP 460181 09`14+2022
Page 1 of 1 DD01621.287.0030
Page 2 of 1.4
i
/a (pOI nt. 449 Spring rook Rd,Charlotte. NC 28217
Maln 70.4,529.6364
ANALYTICAL vwvw.way+poII,lanalyrrceLoom
Sample Summary Table
Report Number: 21-287-0030
Client Project Description: Stalfrne
Lab No Cilent Sample ID Matrix Date Collected Date Received Method Lab ID
97273 Sta-Ume Sa1:ds 10/14/2021 13:40 10)14/202114:44
97273 Sta-time Sa2ids 10/14/202113;44 10J14/202114;44 350.1 AES
97273 Sta-rime Solids 1011412621 13:40 10114f2021 14:44 4500NORGO-241.1 44P MTN
97273 Sta-IJme Solids 10114/2021 13140 10{14/2021 14:44 60100 VIP MTN
•
•
AES: Analytical En1Cronmental Services,Inc.,Atlanta. GA
WF T•1TN• Nerrtiphis,TN; Wayp0irflAn21ytic T-TN, MeniahiS,TN - — -
Page 3 of 14
r
\l% r3cjnt- 449$pringbrook Rtt,Charlotte, NC 28217
Main 704.529.5161
ANALYTICAL www.waypointarra1ytkcat,[om
Client; City of Statesville, NC CASE NARRATIVE
Project: Staliine
Lab Report NuriiI.er: 21-287-0030
Date: 11/1/2021
Analysis Notc for SAR:
SAR [Na] f SQRT{([raj + [Mg)) 1 2)
SAR= [4.261 / SQRT {{[85.8J + [0,011])f 2)
SAR= 0.650
Concentrations for Na, Ca, and Mg are expressed in miltiequiyalents per liter, and SORT designates
tatting the square root of the operand in parentheses.
Analysis Note for PAN:
PAN Equation = 0.3 ITKN-Ammonia} + 0.5* (Ammonia) + Nitrate-Nitrite
PAN = 0.3x(3420-61.8) + _05* /61.8) + 5.5B
PAN = 1016.13 mg/kg
Metals Analyses Method 6020E
Sample 97211 •
Analyte:Aluminum
QC Batch No: V10435N10359
The MS/MD recoveries are outside QC limits due to the lever of analyte present in the parent sample relative to
the spike level, RPD is based on the MSIMSD results and should be evaluated as laboratory duplicates_
Acolyte: Copper
QC Batch No: V10435A/10359
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.
Solids Total Mercury Analysis - CVAA Method 7471B
Sample 97757
Analyte: Mercury
QC Batch No; V10S62N1t621
Relative Percent Difference (RPD)for the duplicate analysis was outside of the allowable QC limits.
Page 4 of 14
vv
W y In y 4495pringbroolt Rd, Charlotte, NC 28217
Main 701.529.6364
ANALYTICAL www,waypointanalytital,cpm
01050
City of Statesville,NC Project Stelime
Ken Galloway Report Date : 11/01/2021
693 Bell Farm Road Information : Received ; 10/1412021
S#atesw:Ile, NC 28625 ()PDX
Terri LV Cole
Report Number ;21-287-0030 REPORT Of ANALYSIS'
Laboratory Project Manager
Lab No : 97273 Matrix; Solids
Sample 117;Sta-Lime Sampled: 10/14/2021 13:40
Test Results Unils MOL OF Date lTim By Anatyilcal
Analyzed Method
Cakium(saturated paste) 85.8 meq/L 0.250 1 10/23/21 22:27 EDY Saturate Paste
Plant Available Nitrogen 1016.13 mg/Kg AR 1 CALCULATION
Magnesium(saturated paste) 0,011 megR 0,4]7 .I 10128121 22:27 [DV Saturate Paste
Sodium(saturated paste) 4.26 meglL 0.217 1 10/28121 22:27 EDV Saturate Paste
Sodium Absorption Ratio 0.650 1 10/28/21 22;27 ED'J Saturate Paste
Moisture 19.6 °b 1 10/21/2111;4D SUD SW-DR'iWT
Ammonia tdrtrggen 61.8 mg/Kg AR 1 10126121 14:16 350.1
Nitrate(r,F03-N) 19.8 mg/Kg-dry 2•49 I 10119121 23:58 NMB 9056A
Nitrite(NO2•N) 1.79 m91K9-dry 1,24 1 14)/19/21 23;58 NM 9056A
Nitrate+Nitrite4 21.5 nig/Kg -dry 1.24 1 10/19/21 23;513 9056A
Total Solids 80.3 9a 0.010 1 10/21/21 11;10 SLO 2590G-2011
Total Kjeldahl Nitrogen 4250 rng/K9-dry 114 1 10120121 16:19 CLP 451:10NORGD-2011
Phosphorus 3100 m911C9-dry 6.22 1 10126/21 05;05 TJS 6010D
Aluminum 10700 mg/Kg -dry 31.1 10 10/19/21 17;53 MR 60208
Arsenic 8.18 mg/Kg • dry 1.24 10 10/19/21 17:53 MMR 60205
Cadmium <J.622 mg1K9-dry 0.622 10 10/19/21 17;53 MNFR 6024E
Copper 41,2 mg/Kg-dry 3.11 10 10119/21 17;53 MMR 60248
Lead 5.61 mg/KB-dry 1.24 10 10119)21 17:S3 MMR 6020E
Mercury(Total) 0.0373 mg/Kg-dry 0.0373 1 10122/21 1E:44 EDV 747113
Molybdenum 1,94 mg/Kg-thy 1.24 10 10119/21 17;53 MMR 60200
Nickel 6,98 mg/Kg-dry 1.24 10 10/19/21 17:53 MMR 6420E
Potass+um 2700 mg1Kg-dry 124 10 10/19/21 17:53 MMR 60206
Selenium 2.62 mg/Kg-dry 2.49 10 1Q119J21 17:53 MMR 60206
Qualifiers/ pF Dilution Factor L Limit Exceeded
Definitions F1QL M.ethod Quantitatlon limit
Page 5 of 14
/% 1POiflt V 449 Springhraok Rd, Charlotte,NC 28217
Main 104.529.6364
ANALYTICAL www.waypoTntanalytical,com
01050
City of Statesville,NC Project Steirne
Ken Galloway Report Date: 1 l/01/2021
693 Bed Farm Road Information: Received : 10/14/2021
StateS+ille, HC 29625 0�4
Terri 1101 Cale
Report Number ;21-287-4030 REPORT OF ANALYSIS' Laboratory Project Manager
Lab No: 57273 Matrix: 5o4rds
Sample al] : Sta-Lintie Sampled; 10)14/2021 13:40
Teat Results Units MOIL DF Data+Time By An&lyticaI
Analyzed I,1athod
Zinc 69.4 mg/Kg-dry 12.1 ii 10/19/21 17:53 MF4R 6024E
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Pletlwd Quantitatior;Limit
Page 6 of 14
I
111411(
ACCESS
ANAINBCAL, INC.
A ALYTIC.'AI,REPORT
CLIEN. '
Wayrp&Llit Analytical
PO Box 240543
Charlotte NC 282240543
ATTENTION
Terri W Cole
PROJECT ID
21-287-0030
LA 1.3ORATORY REPORT NUNIBER
2110K38
DATE
October 27, 2021
I'ri[tiarn rMu] Rtviei.s. Bs; Secondary Dora Rci is+v By
Ashley Amick
Chris Pafford Projeci AIiitnger, Access Analytical
Project Manager, AES artlniclgaxs-inc,cnm
PLEASE NOT Et
- C1nicssnthcrrrise railed,all analysis on this r.pori performed at Analytical Ensironmersl:il Services Inc.(_DES Inc}.
3080 PriniElc'iiii21 Dave,Allan (;;k 30340.
- A i:s is SCDi!EC c{urtificd lalinraiiarc tJ 9t01.6,NC'DI: R certified Lib 4 562,GA ccriitkil I:ab 4 FL-Ett7583.
NEL_lPcirtificd lal]uraturt 4 If=8.7;:82
- AIII. -L_ [1,LI_(`I_3111]r2i13ry II1=10671 for Ind LFsirial11ygk[le sampkes(Orgon[es, Metals, F'C6I Asbestos,
Gra%inlctrie), En%irunniuniat Lead IYainI,Sail.l}iist Wipes,Air).and EncIron men i31 Microbrnlagti-(E-ungalJ
Direct Efin Min alELIr.
- Local support services far this proj ec L are provided by Access Analylical,Inc. r eceg$Anatylicel is a
rePrOge riatiVe c AES Seri iris ellen!]n the SC''T C'GA areas, All qursiions regarding this report uhonild be directed
io your local r&cc[asrka11[ [ical rcpr yerItoa11 c at 803.75].42.413 oriorl foe ai 883.31S_d243
Page 7 of 14 Pagel o;6
Waypoint449 5pr5nbrook Rd,charlotte,NC 23217 110
f4laln 704 529.�s�o
10fx J2o2 , 16:26:06
export Batch Report Rage 1 of 1
wort Batch �d : 908EXP Created: 10A1512021 !6:25:38
Computer; luVPALMS4377
User: Terrf W Co1e
Project Manager Terri IN Cole
To: Anarrjcz1 Environmental Services,Inc. From: Waypolnt Analytical, LLC(Charlotte)
Soso Presldential Drive 449 Spdngibrook Road
Attanta,GA 3t}34b Charlotte,NC 28217
Mo 5294364
EzelNrtN4 10.2?LiSt al21:1Ple_Datt gYstnrncl5amale Pik Egg L. b1y2 Method 14.2 Fee c e.7escrratinn
21-287-D03o 14f25/z021 1911412021 13:40 -Urre 97273 PPA 350.1 Ammonia-MI:ro n
NC❑lent
Snuord TAT
1 y g OZ- 6°37
szin,pled 6y Method or Shdpm nt Blank{Grater T
I'Roma rks
Rellnqulshed By(Sign) date/ ~R,ecerved ( ) -rpmtel7ime
/6,410 i g
RerBrltaulst3ed By(sip) , D t,.JTrre Reoebted le( Ti)xig Date Time,
__Lc!c-c.. _ 51.91.,
Page B o£ 3.4 Page t6
Analytical Ensironntental Services, Inc Date: 27-0a-21
Olen!: 1l'ak'lruin n210iral C'iienl Sample ID: 97273
Lab Order 2110K S Tag Number: Sr -Lilac
ProjectName: 21-287-003D Collection Dale: 10.'1420211:40;t0P 1
ILab 1U: 2110K3S-001 A Matrix: Solid
Analyses Result Qual MIL Itcporlln4 Units B:klchlD DF Dale Anal}zed Analyst
Lim Et
Nitrogen,Ammonia (as N)E'ktraclab!e F:3S0.1 1IOD (E350.1)
NiLn n,ArrinionEu(A51ti)Exlraciable 61.S 6AS 12.3 m*Aa-y 324715 I 1026.202114;16 TL
PFIiC.'EN1'A101STURRE D2216
Percent'Maislure 19-5 0 0 R-16:0Sa I I[I'2T.202]00;00 111'
grilirkrr i %'12ti:e clams etlr;¢-Lro crawinne In el F: gum tio"roLange
BRL Natnnecledr Mftl S $;it'SR,1'VS,t}'[a*�:ie La3F blew matrix
1 IHiing tines Fc rciparreica or nub sE ex.ceded • {irt.mf L6+o Rria}yue
N Aailbte ax..E LAC cnrfied rilssy vi3;4-0eudrd be Are ReFKrliud I.n',is
R Anil}tedeverir,{i¢s6e sssooiile.{awb blink c r C55 auo RCsvk+x`x
Page 9 aE 1.4 Page 3of6 •
A.wine u.
Clear Save as
EnnzRGNMErcru. SAMPLE/COOLER .--•• ----- - -- - •
S SERVICES.c?S.WC, /COOLER RECEIPT CHECKLIST
1- .lent Name! Access Analytical, Inc. AEA aVork Or ter Numb.t•r: 21101(3$
2, • rriet FedEx ■ UPS USPS. Clu'r.l Cote-rr O hr'i
Yes No N/A Details Comments
3.I loping container/cooler received in good condition? I i damaged I leaking _ other
4, I« study seals present on Shipping container? Q • — .
5. ■ StOdy 5edls intact on shipping container? • I J -
6. mperature blanks present? ilit • —
•oler temperaturel0 within limits Of 04EPC?[See item 13 and 14 for Cooling initiated for recently collected Sarnples/ice
7,
mPerature recOrdanAS.I present I..I
8- t1harn Of Custody(Cock present? L It
g. Chain of Custody signed,dated,and timed when rela,tqulshed and received? O2t '
11 ' mpler name and/or Sipna4ure On COC?
11- ere ell samples received within holding time? [gill; •
12, AT marked on the COC? • I f no TAT indicated,prOCeeded with standard TAT per Terms.Conditions,
13. Cooler 1 Temperature 1.4 °C Cooler 2 Temperature °C Cooler 3 Temperature °G Cook'r 4 Temperature__ °c
14. coffer 5 Temperature °C Cooler 6 Temperature °C Cooler 7 Temperature "C Cooler a Temperature °G
15. Comments:
I certify that I have completed sectLoer 1-15(dated initials). KH 10/21/21
Yes No NI Details Comments
16. Wcrc sample containers intact upon receipt? s
17, Custody seals present on sample containers?
ia. 4u6t4dy 5h115 Irrk=On shm0le Containers? _ • l ■
10. Ian 5amole container labels match the COG? n[omplete info I illegible I_-.
1111 -- '�4label I I other
20. Are analyses regWeste4 indicated On the COC? E 0
21, urn all a OM Samples fisted on the COC received?
sample€re ei�rep put net listed on COC I
vimoles IIt4ed on CCC not received _
22, as the sample co4lecuon date/rime nosed? WM ri r
23.l id we receive cuff dent%ample volume for indicated analyses? 0
21. ere samples received in appropriate tgntirners?
25, ere VOA samples received without headspace(<1/A'bubblel? •_
26, ere mp blanks submitted? 0 111ktfid en COC I not listed CM CCC I
27, I+rnmrnti=
flit SOcleon oa11/applies to samoioS wb0r0 pH Cain ISe l certify trot I have completed sections 16-27(dated initials). KH 10/21/21
hecket#at Sample Receipt. Yes NO N1.a 17etallf Comments
2g- ,we containers needing chemical preservation been checked?* - CP
35- •ontainers meet preservation guidelines? § • .
30, as ptf adjusted at Sample Receipt? IP . o fi
'Mote:Certain analygeg re4uire chemical prescnr;ltipn but mug1 be CrIOCked in IPie laboratory and not upon Sample Receipt sue.'as COlifOrms,YOGs and Off&GreasarTPH.
Olso excludes.mOtaM by EPA 2nn-7,aCO,a nor) a$.i which will be vorilWa9 t74lw0r111 16 and 24 hourg vitae prosarvatian,
I certlfyy that I have completed sections 28.30{dated initials), KH 10/210 1
C ,cklIst 7. ..20.Rev 3 LOCI4e[I
Page 10 of 14 -.- - —, _ _- . . Page 4 of 6
'Analytical Environmental Serviceic., Inc
Date: 274 1,•1.2 I
Client: Lva}'pc]iill An.LIyltC,ll AINAL T( AL QC UMMARY REPORT
T
Project Know; 31-2'874030
Workorder: 2.1101(3X
Rate hiDi 324716
Sam Mtci[}- [41B-x247i.5 CtientID: 'Units: rno.,:;; ?Pep D`Jt ; 1110- tl;l Run No; 468446
&Mpl.Typo: M RL IC Tc Code: Nittneik AM mania ias i)EXImEllzhk 135.0.1 m on ]3,ste113 D' 3.2.47I5 A nr1y im D,te: IL 0122612.021 Seq No: I 076879Z
Analvt, Rosy IL RPT Limit SPK value SPK Ref-Val %R[C Low Limit High Lirnii RPD Ref Val %RPD RID Limit Qu:t]
f*litroi cri.Ammonia(:As N)Extmetabit BRL 10.0
Siantplc [1): L0S-3247I. Client ID_ UniIs: mkl4 ; Prep!)aic: 11N25t2021 Run No; 4611446
Sam ri.1eTyfoc= LC' TcstCode' Nitruxem,Amieanln l: NI}Itixrrucluhk I'i I1,I M1}A eiacChIED: 324715 Analysis laic' 10I2 12
6 IZ I Siq No: 11176R793
An,lytc Rout I r'1'Limit SPK value SPK Ref Val %RFC Low Limit Iiigh Lim il RP))Ref Val %REr1} RPT?Limit Qu,il
Nitrogen,Ammonia(As )1-ix.traci3h1{ !17,25 i0,0 100.0 97,2 U 90 1 1 —
Sample ID: 211UKl1FllDIfL i!x {liun4!D= 9717# Units: mg/K2-dry Prep Bate; 10124+;,i11l Run No: 46/446
Sam pI e71r[rc= Mfi Tc ciCadc: -ItrOVII,Anmoniu(Ai N)1.xtrxtulrlr i 3 .1 Mon, BntchID: 324715 Analysis[Imo; I.01?.fr1:,021 Sol NEI; 107621796
Artalyte Rccuii RPT Limit SPK value: SPK Ref Val %REC LOU Li[nil High Limii RPT)RcF V.iI %RI'D RPD Limit Qual
Nitrogen.Aninacrni,lIANNJExtractah]c I55.5 12,4 124,3 61..142 90,7 90 110
San-Tic ID: 2It'DIOR-00IAriISI) Client ID: 9727, Units; mg1Kg-ttry Prep Date: 10f2 021 Run Ntr 46FW46
S:Im]41C fypc: MM) TestOodc; tiNrV„.Amnuniu(ax N']Exlrnttu1,I F.xio.1 ?E1OI1 ] alchll): 314715 Anal vsis Dole: 10121i1'2021 Seq No: I I17611797
Arr:klyte ReAult RFT Limit SPK+riEuc SPK Ref Val %[RFiC Lnw Limit lligh Limit RPD Ref Val %RPD RPD Limit Qua1
Niiro8 n..Ammonia(As N)l.. tradable 159.9 F2.E 120,fr ' 61_2.12 R I.3 90 1 10 lit5_K 15.0 1t 2 S
I,logusir.= Grover Ilan Kr4,11,4n1nnvv I-,.ilun 11,r-rult yaw JI Aedayle ddreied o the ac .I;J mcdIxdblenk
n%I. Iklow repanrr}g lien k ]•:'i ,,lad(slur e4tm quvrubi.rn rynp:1 II 11o1dug uurC,fur prcparxlen di araJys.krnrcled
1 I:U nnrkd vsJur&Lreel xl W...Repwlre Lim N h.0 is no;ELAC renJrd
k kl'6 outside h+aU.due 9a maim
IErr l,un 11 martini:A-mrt 4 S'rbrkwenkry r.UeiJr lamilsdur IA 111.11101
Page 11 of 34 Page 5 of 6
r
End of Report
1
Page 12 of 24 Page fioi6
V/aypoint. 449 Springbraok Rd,Charlotte,NC 28217
Maln 704,529.6364
Ai IALYTKAL wvmr.waypotntanalytfcal.com
Shipment Receipt Form
Customer Number:01050
Customer Name: City of Statesville, NC
Report Number: 21-287-0030
Shipping Method
0 Fed Ex 0 US Postal :o. Lab ' Other:
0 UPS 0 Client Courier Thermometer ID: I
Shipping oontainericooler uricornpromised? S.• Yes 0 No
Number of coalers?boxes received I 1
Custody seals intact on shipping containerlcoofer? t,_) Yes j No ij' Not Present
Custody seals intact on sample bottles? 0 Yes 0 No IS Not Present
Chain of Custody(COO) present? Yes 0 No
COC agrees wish sample label(s)? :# Yes .No
COC properly completed # Yes No
Samples in proper containers? .. Yes .. No
Sample containers intact? "1 Yes ' , No
Sufficient sample volume for indicated test(s)? CO Yes "-; No
All samples received within holding lime? Cs Yes 0 No
Cooler temperature in compliance? $. Yes 0 No
CooleriSamples arrived at the laboratory on ice- C Yes
Bampies were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved S' Yes No 0 N/A •
Water - VOA vials free of headspace Yes 0 No . ht+A
Trip Blanks received with VOAs 0 Yes 0 No NIA
Boll VOA method 5035 - compliance criteria met 0 Yes 0 No *: N A
-- High concentration container( 8 hr) Low concentration EnCore samplers (d8 hr)
-- High concentration pre-weighed (methanol -14 d) -- Low conc pre-weighed vials (Sod Bis -14 d)
Special precautions or instructions included? ) Yes I; No
Comments:
Signature: Angela D•Overcash• - •Date&Time: -f
Page 13 of 14
W CHAIN OF CUSTODY RECORD . LAB USEONLY
ai t_ • Pw -_OP_ . 0UOTE Fr TOENISURE PROPER 01tUfFO1YES NO WA
ANALYTICAL $ riplCs INTACT upert newer?Project Flamm Rem-lied ON WET ICE? _
449 Springb!ook Reed-Charlotte.NC 21217 Short Hold Analysis Cl }es {Ho) UST Prclja t ['Ees} (No) PROPER PRESERVATIVES nc e,llpy"/ .�
Phone 704529-fw • Fax:741152SA.tQ ! —__ —
* l 4 C .�{! - 'Please ATTACH any project specific reporting( LEVEL.i II ur!V) d WITHIN HEWING TIMES? , T
Client Company Name:C - provisions mrrdWor0C Requirements CUSTODY SEALS INTACT') _ _ _
RepQrtTo/CantactName:_- r41_{rAI#■wst._ Invoice To: _ _ ' VOLATILESroed'MOJTHEAO ACE?
Reporting Address: Address: PROPER CONTAINERS uaod?
— TEMP: Therm IEJ OeserYud 'C/Cm 'CI
Phone: +' 7 - ' Fax (Fto):7D - 7?- r � Purchase Oilier No-Mil Rofuionco_ �TO BE FILLED IN EY CUEN77SAMPUNCk PERSONNEL
Email Address: _ Rogw still fhre Cate J 1.Day D 2 Daps l 3 Days ,i 4 D 5 Cars Certification: N ELAC FL NC
EOD Type: POF_Exc,r Other -. "weciting DEW - -.Er°aye a stam:WO 10 dgrrs ��uv+won,Mug Bo 1
)1 Prn `r SC OTHER_ NIA
Site Location Name: Crete. Swripidi ra t veer 1etl11%-a be groove ell n.'a+,urancr.clay �-- _
Site Location Physical Address: 9 B O]J a_ Tureamxuw tsne Is based On IMana%$day* emeluo ig weskenes and nark Water ChIorirxa#p<t; YES_NO—
isEE Re9F.Pse FOR TERMSa COrramDrr3 YefGr7xixen.!Emmet
--- . - _ RexocRRosrwxrPo,r �,$AiYrlK «u WENT
} Sample lee Upon Collection: YES NO
1 I Y1ME MATRIX SANIPLE COHTMNEX ANALYSIS REQUESTED
CLIENT DATE COLLECTED I, it
/ REFoLFLRKS ZP i+4
i SAMPLE oESc F'r CtY COLLECTED MiUTA Y WATER,OR +ri t; T1YES
— - y HOURS SI.VQGEI SEE BELOW NO. SIM tt # / `
I
T,Q-. .' C_ ./0.F -2; I 1,1;410G.
�-- f ,,TillAi
1 c n�,
I
Pb r I•
;�
nl
Okra/affikeefier,No
Skims us
ni
'UMW i
�o ,r I I I i
t '
PRESS DOWN FIRMLY- 2 COPIES
SamPlees Signature_ Sampled Sy(Print Flame)! � r i _ An-11 3150n
Ufwn raLlraqulshir ,this horn of Cust4dY i4 your auin4rixatfavr for VwayPaairlS Analytical to P+uo4od with the analyses as ro4+fsta44ova.Any crura(pas rr>4rat t I
• suhrnttiod In writing to the Witypolot AnalysJcal Proieet Mannge�Thera wilt be charges forgery Changes after--•-y rave been lrai1i Ii�d I L,ao us E ON Y
s.eu .Teo= .i :AigurP.,-..-4,401p- !"•0.--- mcitioriai co nrnera, site p.M,mi TM(
s F . - ��
ar r Site Departure Tarp;
inclua.hed9r i $wcw.w kr vilest wx May 4y� timer Fleki Tose Fee:
_ I Mli.#/q:
i1ca d ,a.a kO1 E;ALL 3Aa OGa C>vS$HO1JL a 'G+ CUSTODY sus F¢re raw�swarrrxr�or�To 7w� enzok, EGG xowt.o- j -
SAW LES.ARE MOAC DwwpVERPit0Alti. r coc Wen.RECEIVED AT-FnE LAHorcomxne. I
J F0d Ex Li ts's -3 H �tvnroarn,Waytca F Wtl 5 orpt. G Oalyr _ D -
-NPDES 'r: OROUND DRINFtINr- .-v7A • SOL W �i iYIrrLO L ANQFEU. 0THERI
NC ID SC El NC ID SC LI fIC ❑SC ❑NC 3 SC Q NC Cs SC NC J SC I Di :;.I SC I ❑HC ❑SC J NC J SC
'CONTA{MER TYPE CODES: A E Amber C■Clear Go Glass P.■Plastic; TL.Teflon-used Gap WA•Volatile Orgardce Ad [h
is[hero Head soca)
ORIGINAL
Waypoi nt. 449$pringbraok Rd,Charlotte, NC 28217
Main 704.529.636i
ANALYTICAL www.waypofnlanafyticaLcom
/0/2912021
City of Statesville, CSC
Ken Galloway
693 Bell Farm Road
Statesville, NC, 28626
Ref: Analylical Testing
Lab Report Number: 21-2 93-0011
Orient Project Description: Quarterly Stalime Fecal
Dear Ken Galloway:
Waypoint Analytical, LLC (Charlotte) received semple(s)on 10/20/2021 for the analyses presented in the
following report.
The above referenced project has been analyzed per your inslruclions_ The analyses were performed in
accordance with the applicable analytical method.
The analytic-al data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, rnelhod validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136
Method Update Rule May 2021) unless otherwise indicated.
Certain parameters(chlorine, pHr 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 hording time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on en as-
received basis unless olherwise indicated. This report shall not be reproduced except in furl 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,
alMitt)�CPY___,L
Terri W Cole
Laboratory Project Manages
Laboratory's Irabiirty in any claim reining to analyses performed shall tre Jrrrriled to,at 1 orafary's option, repealing i re
_analysis Jaques icin a 4lvratoJ34.45wp nsisP,.of 4ha fefW ci of Me chargespald.for peilomiarf6$01-,seib e?rtalf$IS, - -
Page 1 of 12
•
\( (arpoi n 449 Springbrooh Jid,CharlotWr NC 28/17
Main 704.529.6364
ANALYTICAL www,waypointanalyttcar.rom
Certification Summary
Laboratory ID:WP CNC: Waypoint Analytical Carolina, Inc. CC), Charroilte, NC
State t rogr rn Lab ID - - Expiration Date
North Carolina State Program 37735 0Mi12022
North Carolina State Program 402 12;31i2021
South Carolina State Program 99012 07/31/2022
South Carolina Slate Program 99012 12:31.''2021
Page t or 1 04t}1e21-293-0011
Page 2 of 12
w
\f/a 'poi nt. 4495prlrrgbrook Rd, Charlotte, NC 28217
Main 701.529.636+7
ANALYTICAL + vwmaypolntinalytical,com
Sample Summary Table
Report Number: 21-293-0011
Client Project Description: Quarterly Stalime Fecal
Lab No Client Sample 1R Matrix Date Collected Date Received
97767 Stalime 1 Solids 10/20/2021 12;48 140/202113:c1
97768 Stalime 2 Solids 10/20/2021 12208 101200421 13=07
97769 Stalime 3 Solids 10/20/2021 12:03 M20/2021 13:07
97770 Stalime 4 Solids 10/2012421 12:48 10?20/2021 13107
97771 Starirne 5 Solids 10/20/2021 12;08 10/20,2021 13;07
97772 Stalir}e 6 Solids 1e/20/2021 12:08 10120/2021 13:07
97773 StarIme 7 Solids 10/20/2021 12:08 10120/2021 13;07
I
Pa9a 3 of 12
W y u fl V 449 Spririgbrook Rd,CharloIto, NC 28217
Main 704,529.6363
ANALYTICAL -. nv_waypQEnkanaryticaLcom
01050
City of Statesville,CSC f roject Quarterly Stal me Fecal
Ken Galloway Report Date : 10/29/2021
693 Bell Farm Road Information : Received : 10/20f2021
Statesville, NC 28625 O1tkWO ,
Terri W Cole
Repot Number :21-293-0011 REPORT Of ANALYSIS Laboratory Project Manager
Lab No: 97767 Matrix: Solids
Sample ID : Sta l ime 1 Sampled; 10 f 20 f 2021 12:08
Teal Results Units MOL f]F Gate Time Ey Analytical
Analyzed F.Totliod
Fecal Col iform I'lPN{g 2, t1PN/g-dry 2.4 1 10/20/21 14;3E SHW 9221E-2011
Moisture 17.8 1 10?21?2111;40 SLG SVI-DRYWT
•
Qualifiers/ DF Dilution Factor L Limit[medal
definitions F1QL FTethad Qua ntitation Limit
Page 4 of 12
•
W3If . 449 Springbraok Rd,Charlotte, NC 28217
Main 704,529.6364
ANALYTICAL www.waypofntanalyNcal.corn
01050
City of Statesville,NC Project Qi rte•rly Maririie fe€al
Ken Galloway Report Dare= 1Wf29f2071
693 Bell Farm Road Information: Received= 1U120/2021
Statesville , NC 28525 OiNw4
Repot Number '21-253-0011 REPORT OF ANALYSIS Terri YY Cole
Laboratory Project Manager
Lab No: 97768 Matrix! Solids
Sample ID Staiime 2 Sampled; 10/2O/2O21 12:08
Test Re sin fie Unlrs 1101 DF Elate Time By AnalylicaI
Analyzed Method
Fecal Cali form MPir'q <2,3 bsf}Nig-dry 2,3 1 10/2O121 14;35 5MW 9225E-2011
Moisture 14.2 ` 1 10/21121 11;40 SLO SW DR Wr
•
•
Qualifiers/ DF Dilution Factor L Limit Exceeded
befinftions F1QL Method Quartitatian Limit
Page 5 of 12
VVaypoint. 449 SprIngbrool4 Rd,Charlotte, CMG 28217
Main 704.525.6364
ANALYTICAL www,waypQ1ntanalytical,con'
111050
City or Statesville, NC Project Quarterly Stal:me Fecal
Ken Galloway Report pate : 1 072 0/202 1
693 Bell Farm Road Information; Received : 10720/2021
Statesville , NC 28625 `
uic6
Terri 4V COIe
Report Humber:21-293-0011 REPORTOFANALYSIS Laboratory Fr je<tMarrag&r
Lab No; 97769 Matrix: Solids
Sample ID :Stal[me 3 Sampled: 10/20/2021 1 2:08
Test Results Units MOL DF Date!Time Sy Analylicsl
Anaryzed Method
Fecal Califpm MPitifg <2.3 K1PNIg-diy 2.3 1 10120121 14=35 SMti l 9221E-2011
Moisture 14.1 1 10/21)21 11:40 SLO 54Y DR W1
Qual]flers/ OF Dilution Factor t. Limit Exceeded
Definitions MQL Method QuariUtakien Limit
Page 6 cf 12
Waypoint, 449 Springhroolt Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www,waypofntanalytIcdl,corn
01050
City of Statesville,NC Project Quarte:Iy Stahnne f ral
Ken Galloway Report Date: 10/29/2021
693 Bell Farm Road Information : Received : 10/20/7021
Statesville, NC 29625 livI
Report4
umber :21-293-0011 REPORT OF ANALYSIS Tern L4 Cale
Number
Laboratory project Manager
Lab lio: 97770 Matrix: Solids
Sample ID ;Stalime 4 Sarnpled: 10 f 20/2o21 12!V8
Test Results linfiR MOL OF Cate.1Time By Analytic at
Analyzed Heil-sod
Fecal Cofiform h1Pi,/g <2.4 M N{g-dry 2.4 1 14120/21 1433$ $FCW 9221E 2011
Moisture 19.2 °la 1 1012112111=40 SILO Sti"1-€]RY1VT
Qualifiers/ DF Dilution Factor i limit Exceeded
Definitions MQL Method Quantitatian limit
Part» 7 of 12
O i
VV'apoint.
449 Springbroak Rd,Charlotte,NC 213217
Ma I n 704,529,63M
ANALYTICAL i.iirmwmaypointanahlicalocern
01050
City of Statesville, NC Project Quarterly Sta1;me Fecal
Kerr Galloway Report Daze = 10/2g/2021
693 Ue1I Farm Roar! Information : ReceNed : 10/2012021
Statesville , NC 28625
Lo
Tern tiY Cale
Report number :21-293-001i REPORT OF ANALYSIS Laboratory Project Manager
Lab tdo : 97771 Matrix: Solids
Sample ID 5talime 5 5 rri Ied: 10120/2On1 12:0S
Test ResuPis Units MOL OF Dale+Time fay Analyl+cat
Analyzed Rlethvd
Fecal t aiform MPN/g <2.3 F1PN/g-dry 2.3 1 10/20{21 14:35 SF4W 9221E-2011
Moisture 14.8 10/21/21 11:40 SW SWDRYWT
Qualifiers/ OF Dilution Factor L Limit Ex eeded
Definitions 1.1QL Method Qua 1titation Limit
Page 3 of 12
vvW
Waypoint. 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6164
ANALYTICAL www,wayparntareaaytical.corn
01050
City of States,ri lie,t+1C Project Quarterly Stalime Fecal
Ken Galloway Repot Date: 10/29/2021
693 Bell Farm Road information : Received: 10120/2021
SteiXeSvitle, NC 28£+75 OIAALOK
Tern.'d Ccle
Report Number :21-293-0011 REPORT OF ANALYSIS Laboratory Project Monager
Lab No 97772 Matrix: Solids
Sample ID :Stallme G Sampled: 10/2a/2011 12;08
Teal Results Units MOL OF Date lTime Sy Analytloot
Analyzed Method
Fecal Colton].)h1PN,rg 42,5 MPNJ9'dry 2,5 1 10f20f21 14:35 SMt4 9221E•2011
ti.loisbure 20.5 °u 1 1oi21/2111:40 SLO S1.'-DRY4YT
1
Qualifiers{ DF Dilution Factor L Limit Exceeded
Definition MQL Method Quantitation Limit
Page 9 of 12
wo
Waypointv 449 Springbrook Rd,Charlotte, NC 28217
morn 704.5216364
ANALYTICAL www,waypOlnterwlytical,corn
01050
City of Statesidilre, NC NONE Quarterly Stalime Fecal
Ken Galloway Report Date : 14J212021
693 Bell Farm Road information : Received : 10)20/2021
Statesville, NC 28625 Om
Lij*
Terri W Cole
Report Number:21-293-0011 REPORT OF ANALVS'S Laboratory Project Manage:
tab No; 97773 Matrix: Sol Ids
Sample ID :StaRrne 7 Sampled: 10/20/2021 12:08
Test Results Uolils M0L DF Date i Time By Analytical
Analyzed Method
Fecal CaliForrir n1PNig <2A N1 NJg-diy 2.4 1 10720/21 14:35 5MIN 9221E-2011
Mafsture 18.7 a 1 10/2t12111:40 510 5W-URYWT
Qualifiers} DF Dilution Factor I. Limit Exceeded
Definitions MQL Method Qua ntitcPon limit
Page 10 of 12
I
\PV y I t_ 449 Springbrook hd,Charlotte, NC 26217
Male 704.529.6364 •
ANALYTiCAL www,weypoTrrtanaiytrcaI.cam
Shipment Receipt Form
Customer Number; 01050
Customer Name: City of Statesville, NC
Report Number: 21-293-0011
Shipping Method
Fed Ex USPostal ...i Lab ) Other
UPS 0 Client 0 Courier Thermometer ID: IIRr-15 6.0C
Shipping container/cooler uncompromised? :# Yes 0 No i
Number of cootersboxes received I 1
Custody seals intact on shipping container/cooler? `
a Yes No .0 Not Present
Custody seals intact on sample bottles? _; Yes 0 No .. Not Present
Chain of Custody(COC) present? #. Yes No
OC agrees with sample Iabet(s)? , , Yes j No
COC properly completed 4 Yes 0 No
Samples in proper containers? Yes No
Sample containers intact? • Yes 0 No
Sufficient sample volume for indicated test(s)? S. Yes 0 No
All samples received within holding time? ; , Yes 0 No
Cooler temperature in compliance? I Yes No
CooterfSarnples arrived at the laboratory on ice. :O Yes EM No
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved .1 Yes r No 0 NIA
Water - VOAvials free of headspace 0 Yes .,_) No WA
Trip Blanks received with VOAs 0 Yes 0 No . NIA
Soil VOA method 5035—compliance criteria met 0 Yes 0 No N1A
High concentration container(48 hr) Low concentration Encore samplers (48 hr)
High concentration pre-weighed (melhanol-14 d) Low can pre-weighed vials (Sod Bis -14 d)
peciel precautions or instructions included? :. Yes 1 No
Comments: . .-
Signature:—aar�.ae f].afe Tirne:...3O' f .- ..
Pazje 11 of 12
W CHAIN OF CUSTODY RECORD LAB USE ONLY
Waypoint YES C10 NIA
PAGE_ OF OI.FCr7E i70[i151iRE PROPER rarr-4rNC+r ,s INTACT gioon hrrgr$I, S
ANALYTICAL Macaw!IN ICE? ,
449 Springhrpak Road*Charlotte,NC 28217 Project Name:
Phpre 704/5296 Fax 7044 5-OSOS Short Hold Analysis {Yes} (No) (1ST Prefect: (Yes} (No) PROPER PRESERVATaVEs in0�cateG7 .—
*Roast ATTACH any projOct specific reporting{QC LEVEL I IL Ill IV) Reocivecl wr11-IIN 1-01.0INGTIMF S7 r
Client Company Name: 5. CUSTODY SEALS INTACT
Report To/Contact Name: --- provisions and+or CG t gquiromerre
Invoice To: ;+OL+�TILES rerC d WtOIJf WSPACE7 —- 1
Reporting Address: — _ -- Address:--- — - Y OOrrfAINE (nee
- I TE.t. mew 1D; r Obsarvod CE C •C ocerr.6:tr ..c
Phone: Fax(Yos)(No}: Purchase Order NO/Billing Reference TO BE FILLED1N BY CUENTJSAMPLING PERSONNEL
Email Address: ._- Reeuctod Ow Debt J 1 Clay J 2 Gaya J 3 J7mya J A Daps J 5 Days
EDD Type:PDF . ExcelOther_ - �_._. 'Working Days" J Lrrl Days -I.Standard 10 days -I 13"
Csr#iCrr #loll NC SC--
Site Location Name: Sarnplos reeevred airy IS:40 willbe c+ratri mini n i day Other NfA . -
Site Location Physical Address: Trunarourid llrnc e.tubed 01 WW1=days,[sCM.tdlng r<acl erwiSarctricklJy5, water ChJotinated: YES NO. --
MEE REVERSE FM TERr✓15 a CWtl7KfrONs REZaIio4MG'In{VICl3
_ RenoEREo 6'f WAYP4n1T Aisierrr.u.,u-IC To Jrr} Samples ICC4 Upon COltection: YES NO
nerve MA7Ftp( SAMPLE CONTAINER I r.NPLYSLs REQUESTED
CLIENT GATE COL UCTED I (SOIL - . PRE-SER'VA- / / / REMARKS I rp Pp.
`,AM,RLE DESCRIR110Pi I COLLECTED eAI UR i I SLUOCE} BELOoW I NO. SIZE "FIVES //if/ !I� -.
4.1'.1'41 z o40-if 1tJ I
4-4
a •
r„
net I VA C '# i - -Z7 44 rla h .-I- -
tri
o.
prommorkohllo
1-f 1 e 2 jratalil a c •
_ _ j •
PRESS DOWN FIRMLY-2 COPIES
f
Samptetrs Signature„ _, ; Szer 'c1 Sy(Pr Niimc) . A!ialiaL4n _— LAB U Be ONLY
Upon relinqukshirig,this Chain of Cody ks your authorization for Waypoint Anskytical to proceed%rim the arwlya.s a r'cqucaIod above.Any chancos must be
submitted In*riling to the W ayppint Aj yti Manner.
caI Fr ieci Maner.There(will i e charges for any changes after anar ham ysos ha been Ini:fo i red. $ipp,4rrLwsl 1'3mo
"°' — r oil. I no¢tlonal CDrnrrern; sitr,aew+tund tuna ' .•
r oknfr. ururur 1 6Y ib- { f Fro1d Ted Foo:
f
(-0.,Iltnougrj Ramrod For Wrritozew1,),.iyi..,1iby. ' Daly MiI830o=
la 2.01 1 E 1 r7 --.- -
-P;ri,dd O4r�oni• r.CT<!Al.LSAMPLE'OOLERSsi#utiaeETAREDSuLrlwire,ciisrr5ows Wici.R;�nisrro ATioes'so TMr MD.
ARE TROT ACCERrEO AND VERIFIED AGAINST CDC LRCM 1 AT-NE LtrB�JRAtO E
age ReWnne VCR
F.O Ea -ILK'S JP-la dcloirwAd ,. MayparVt.1. /6c.-rl Fwd nrnoe JOrh+r _ _ Tr ems�cOni r1 N3
NPDES: Uer: bROLJ YlisrAI` f EYkiraN`s I A �- $cryhr LAN FfI� IatifER_
JNCCTSC :INC L]SC 'a NC CJSC :JNC 1SC LINC JSC JNG -.SC IIaNC 3SCi :.INC ,I SC _tNC JS
2 2 ID 12 ::I 1 ❑. 1 _ _ ,-1 ORIGINAL
'CONTAINER 1YPE CODES: A•Ammer C e Clear Ca Glass P•Plastic: TL■Teflon-Lined Cap VOA.'',kileilleOrgencs Analysis gore Need Space)