WQ0021826_Residual Annual Report 2021_20220224

Non-Discharge Branch Upload/Submittal Form �.
NORTH CAROLINA
EnWrvnmenfol Quoity
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)* WQ0021826
Applicant/Permittee City of Roxboro
Email Notifications
Does this need review by the hydrogeologist?* Yes No
Regional Office Raleigh
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* Lysa Finnerty
Email Address* Phone Number*
[e-mail] 14105376150
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.deg.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:* WQ0021826
Has Current Existing permit number
Applicant/Permittee Address* 435 Williams Court,Ste 100,Baltimore,MD 21220
Facility Name* City of Roxboro Class B Residuals Program
Please provide comments/notes on your current submittal below.
2021 Annual Report for City of Roxboro,NC
At this time,paper copies are no longer required.If you have any questions about what is required,please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form,Engineering Plans,Specifications,Calculations,Etc.)
Roxboro NC 2021 Annual Report FINAL.pdf 5.45MB
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
Ly9�rtitruy
Submission Date 2/24/2022

435 Williams Court,Suite 100
Baltimore,MD 21220 SYNAG R
www.synagro.com
FEBRUARY 24,2022
NCDEQ
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: 2021 Annual Report for Permit No.WQ0021826
Dear NCDEQ:
Synagro is submitting one electronic copy of the above referenced report on behalf of the City
of Roxboro, NC.
If you have any questions or need additional information,please do not hesitate to contact
Thomas Warren at(336)542-4621 ext. 22 or Ryan Copeland at(336) 607-4494.
Sincerely,
l e't ic& Sfiiva'c 25
Derrick Shivar
Environmental Compliance Manager
Enclosures
cc: Thomas Warren, City of Roxboro
Ryan Copeland, Synagro
YOUR PARTNER FORA CLEANER,GREENER WORLD

CITY OF ROXBORO, NC
RESIDUALS LAND APPLICATION PROGRAM
Permit No. WQ0021826
2021 ANNUAL REPORT

City of Roxboro, NC
Residuals Land Application Program
2021 Annual Report
TABLE OF CONTENTS
1. Certification Form and Annual Operations Summary
2. Annual Residual Sampling Summary Forms and Residuals
Analyses
3. Annual Land Application Field Summary Forms
4. TCLP Analysis
5. Pathogen ReductionNector Attraction Reduction
6. Soil pH & Lime Application Records
7. Soil Analyses

SECTION 1

•
ANNUAL LAND APPUCATION CERTIFICATION FORM
WQ Permit 4: W00021826 County Persou Year 2021
Facility Name(as shown on permit)City of Roxboro WWTP&WTP NPDES No.NC0021024
Land Application Operator Synagro Phone-4 (36)998-7150
Land application of residuals as allowed by the above permit occurred during the past calendar year?
X YES NO. If NO.skip Part A,and Part B and proceed to Part C. Also.if residuals were generated but not land applied,
please attach an explanation on how the residuals were handled.
Part A—Rcsidnal,_Application Summary:
Total number of application fields in the permit: 13
Total number of fields utilized for land application during the year: 6
Total amount of dry tons applied during the year for all application sites: 273.70
Total number of acres utilized for land application during the year: 62.60
fart B—Annual Compliance Statement:
Facility was compliant during calendar year 2021 with all conditions of the land application permit(including hut not limited to items
1-13 below)issued by the Division of Water Quality X Yb:S NO.
If no,please provide a written description why the facility was not compliant,the dates,and explain corrective action taken.
1. Only residuals approved for this permit were applied to the permitted sites.
2. Soil pH was adjusted as specified in the permit and lime was applied(if needed)to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3. Annual soils analysis was performed on each site receiving residuals during the past calendar year and three(3)copies of
laboratory results arc attached.
4. Annual TCLP analysis(if required)was performed and three(3)copies of certified laboratory results are attached.
5. All other monitoring was performed in accordance with the permit and reported during the year as required and three(3)
copies of certified laboratory results are attached.
6. The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T.1105(a)or the Pollutant Loading
Rates in ISA NCAC 02T.1105(b)(Applicable to 40 Cl•K Part 503 regulated facilities).
7. All general requirements as specified in the Land Application Permit were complied with(applicable to 40 CFR Part 503
regulated facilities).
8. All monitoring and reporting requirements in ISA NCAC 02T.1 111 were complied with(applicable to 40 CFR Part 503
regulated facilities).
9. All operations and maintenantx requirements in the permit were complied with or.in the case of a deviation,prior
authorization was received from the Division of Water Quality.
10. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11. Vegetative cover was maintained and proper crop management was performed on each site receiving residuals.as specified
in the permit.
12. No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13. All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C—Certification:
"l certify,under penalty of law,that the above information is,to the best of my knowledge and belief.true,accurate,and complete. I
am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations."
Thomas S.Warren,Assistant City M na,eFr I 6—Zt
Permittee Name and Title{type or print) Signature o Pe ittee Date
2-1b- 22 2/16/2022
Signature of Prepareti Date S of Applier Date
(if different from Permittee) (if different m Permittee and Preparer)
*Preparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 02T.1102(26) DENR FORM ACF(12/2006)

OPERATIONS SUMMARY-LAND APPLICATION - NORTH CAROLINA
ALL COUNTIES -ALL SITES
DATE RANGE: 1/1/2021 - 12/31/2021
ROXBORO,NC
ROXBORO,NC WWTP AEROB.DIGESTED CAKE
MONTH/YEAR AMOUNT UNIT DRY TONS UNIT DRY METRIC TONS
November2021 1,377.00 Y 273.70 D 248.25
TOTAL 1,377.00 Y 273.70 D 248.25
Units Key: D-Dry Tons; G—Gallons;W—Wet Tons;Y—Cubic Yards
Report Date: 1/24/2022 1:33:48 PM

SECTION 2

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w°
Wapoi nt 7621 Whitepine Road,Richmond,VA 23237
Main 804-743-9401°Fax [phone]
ANALYTICAL www.waypointanalytical.com
2/24/2021
Synagro Central LLC/Roxboro
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 21-036-0007
Project Description: Roxboro WWTP
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 2/5/2021 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. Sub-contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP)were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC 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 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,
�auA.r,t 11 c &fvaiyl
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 6

•
VS/aypoint - 7621 Whitepine Road,Richmond,VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL www.waypointanalyticalcom
Sample Summary Table
Report Number: 21-036-0007
Client Project Description: Roxboro WWTP
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
74925 Roxboro WWTP Solids 02/05/2021
74925 Roxboro WWTP Solids 02/05/2021 SM-4500-NH3C WP MTN
74925 Roxboro WWTP Solids 02/05/2021 9045D WP MTN
74925 Roxboro WWTP Solids 02/05/2021 4500NO3F-2011 WP MTN
74925 Roxboro WWTP Solids 02/05/2021 6010D WP MTN
74925 Roxboro WWTP Solids 02/05/2021 SW-7471B WP MTN
74925 Roxboro WWTP Solids 02/05/2021 SM-4500-NH3C-TKN WP MTN
74925 Roxboro WWTP Solids 02/05/2021 SM-2540G WP MTN
WP MTN-Memphis,TN: Waypoint Analytical-TN,Memphis,TN
Page 2 of 6

0
Vaypoint 7621 Whitepine Road,Richmond,VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL www.waypointanalyticalcom
46487
Synagro Central LLC/Roxboro Project Roxboro WWTP
Mary Brewer Report Date : 02/24/2021
284 Boger Road Information : Received :02/05/2021
Mocksville , NC 27028
awie frl Grow
Report Number :21-036-0007 REPORT OF ANALYSIS Pauric Mc Groary Ph.D.,CPA
Agronomist
Lab No : 74925 Matrix: Solids
Sample ID : Roxboro WWTP Sampled:
Test Results Units MQL DF Date/Time By Analytical
Analyzed Method
Moisture 77.2 % 0.010 1 02/11/21 16:39 FMM SM-2540G
Test Results Units MQL DF Date/Time By Analytical
Analyzed Method
Ammonia Nitrogen 2270 mg/Kg-dry 439 1 02/23/21 12:00 JPJ SM-4500-NH3C
Nitrate+Nitrite-N 43.0 mg/Kg-dry 21.9 1 02/12/21 13:33 ZBD 4500NO3F-2011
Organic N 49600 mg/Kg-dry 1100 1 02/22/21 15:30 CALCULATION
pH 7.1 s.u. 1 02/12/21 16:40 CxC 9045D
Total Solids 22.8 % 0.010 1 02/11/21 16:39 FMM SM-2540G
Total Kjeldahl Nitrogen 51800 mg/Kg-dry 1100 1 02/22/21 15:30 JPJ ;M-4500-NH3C-TKI`
Phosphorus 15900 mg/Kg-dry 21.9 1 02/13/21 01:45 TJS 6010D
Aluminum 32200 mg/Kg-dry 21.9 1 02/13/21 01:45 JTR 6010D
Arsenic 5.44 mg/Kg-dry 2.19 1 02/13/21 16:40 JTR 6010D
Calcium 11400 mg/Kg-dry 219 1 02/13/21 01:45 TJS 6010D
Cadmium 1.09 mg/Kg-dry 0.439 1 02/13/21 01:45 TJS 6010D
Chromium 38.7 mg/Kg-dry 1.10 1 02/13/21 01:45 TJS 6010D
Copper 474 mg/Kg-dry 2.19 1 02/13/21 01:45 TJS 6010D
Iron 19900 mg/Kg-dry 43.9 1 02/13/21 01:45 TJS 6010D
Lead 41.0 mg/Kg-dry 1.32 1 02/13/21 01:45 TJS 6010D
Magnesium 2730 mg/Kg-dry 21.9 1 02/13/21 01:45 TJS 6010D
Manganese 842 mg/Kg-dry 2.19 1 02/13/21 01:45 TJS 6010D
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 3 of 6

0
Waypoint 7621 White pine Road,Richmond,VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL www.waypointanalyticalcom
46487
Synagro Central LLC/Roxboro Project Roxboro WWTP
Mary Brewer Report Date : 02/24/2021
284 Boger Road Information : Received :02/05/2021
Mocksville , NC 27028
awie frl Grow
Report Number :21-036-0007 REPORT OF ANALYSIS Pauric Mc Groary Ph.D.,CPA
Agronomist
Lab No : 74925 Matrix: Solids
Sample ID : Roxboro WWTP Sampled:
Test Results Units MQL DF Date/Time By Analytical
Analyzed Method
Mercury 0.132 mg/Kg-dry 0.0671 1 02/12/21 12:06 DDB SW-7471B
Molybdenum 5.96 mg/Kg-dry 1.10 1 02/13/21 01:45 TJS 6010D
Nickel 17.1 mg/Kg-dry 1.10 1 02/13/21 01:45 TJS 6010D
Potassium 2180 mg/Kg-dry 43.9 1 02/13/21 01:45 TJS 6010D
Selenium 7.85 mg/Kg-dry 2.19 1 02/13/21 01:45 TJS 6010D
Sodium 553 mg/Kg-dry 110 1 02/13/21 01:45 TJS 6010D
Zinc 917 mg/Kg-dry 5.48 1 02/13/21 01:45 TJS 6010D
Sulfur 7240 mg/Kg-dry 43.9 1 02/13/21 01:45 TJS 6010D
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 4 of 6

s YV
Wa4pOiflt.. 7621 Whitepine Read,Richmond,VA 23237
Main 804-743-9401°Fax [phone]
ANALYTICAL www.waypointanalytica l.com
Shipment Receipt Form
Customer Number:46487
Customer Name: Synagro Central LLC/ Roxboro
Report Number: 21-036-0007
Shipping Method
O Fed Ex O US Postal O Lab O Other :
® UPS 0 Client O Courier Thermometer ID:
Shipping container/cooler uncompromised? ® Yes O No
Number of coolers/boxes received
Custody seals intact on shipping container/cooler? O Yes O No ® Not Present
Custody seals intact on sample bottles? 0 Yes O No ® Not Present
Chain of Custody(COC) present? ® Yes 0 No
COC agrees with sample label(s)? ® Yes O No
COC properly completed ® Yes O No
Samples in proper containers? ® Yes O No
Sample containers intact? ® Yes O No
Sufficient sample volume for indicated test(s)? ® Yes O No
All samples received within holding time? ® Yes 0 No
Cooler temperature in compliance? ® Yes O No
Cooler/Samples arrived at the laboratory on ice. ® Yes O No
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved 0 Yes 0 No ® N/A
Water- VOA vials free of headspace 0 Yes 0 No ® N/A
Trip Blanks received with VOAs 0 Yes 0 No ® N/A
Soil VOA method 5035—compliance criteria met O Yes 0 No ® N/A
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low conc pre-weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes ® No
Comments:
Signature: Samantha Clarke Date &Time: 02/05/2021 13:27:32
Page 5 of 6

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w°
Wapoi nt 7621 Whitepine Road,Richmond,VA 23237
Main 804-743-9401°Fax [phone]
ANALYTICAL www.waypointanalytical.com
7/29/2021
Synagro Central LLC/Roxboro
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 21-200-0004
Project Description: Roxboro WWTP
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 7/19/2021 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. Sub-contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP)were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC 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 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,
�auA.r,t 11 c &fvaiyl
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 6

•
VS/aypoint - 7621 Whitepine Road,Richmond,VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL www.waypointanalyticalcom
Sample Summary Table
Report Number: 21-200-0004
Client Project Description: Roxboro WWTP
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
77173 Roxboro WWTP Solids 07/14/2021 16:30 07/19/2021
77173 Roxboro WWTP Solids 07/14/2021 16:30 07/19/2021 SM-4500-NH3C WP MTN
77173 Roxboro WWTP Solids 07/14/2021 16:30 07/19/2021 9045D WP MTN
77173 Roxboro WWTP Solids 07/14/2021 16:30 07/19/2021 4500NO3F-2011 WP MTN
77173 Roxboro WWTP Solids 07/14/2021 16:30 07/19/2021 6010D WP MTN
77173 Roxboro WWTP Solids 07/14/2021 16:30 07/19/2021 SW-7471B WP MTN
77173 Roxboro WWTP Solids 07/14/2021 16:30 07/19/2021 SM-4500-NH3C-TKN WP MTN
77173 Roxboro WWTP Solids 07/14/2021 16:30 07/19/2021 SM-2540G WP MTN
WP MTN-Memphis,TN: Waypoint Analytical-TN,Memphis,TN
Page 2 of 6

0
Vaypoint 7621 Whitepine Road,Richmond,VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL www.waypointanalyticalcom
46487
Synagro Central LLC/Roxboro Project Roxboro WWTP
Mary Brewer Report Date : 07/29/2021
284 Boger Road Information : Received :07/19/2021
Mocksville , NC 27028
awie frl Grow
Report Number :21-200-0004 REPORT OF ANALYSIS Pauric Mc Groary Ph.D.,CPA
Agronomist
Lab No : 77173 Matrix: Solids
Sample ID : Roxboro WWTP Sampled: 7/14/2021 16:30
Test Results Units MQL DF Date/Time By Analytical
Analyzed Method
Total Solids 23.6 % 0.010 1 07/20/21 16:46 FMM SM-2540G
Total Kjeldahl Nitrogen 47500 mg/Kg-dry 1060 1 07/23/21 11:00 JPJ ;M-4500-NH3C-TKI`
Phosphorus 15600 mg/Kg-dry 21.2 1 07/24/21 01:57 TJS 6010D
Potassium 2000 mg/Kg-dry 42.4 1 07/24/21 01:57 TJS 6010D
Sulfur 8180 mg/Kg-dry 42.4 1 07/24/21 01:57 TJS 6010D
Calcium 10300 mg/Kg-dry 212 1 07/24/21 01:57 TJS 6010D
Magnesium 2480 mg/Kg-dry 21.2 1 07/24/21 01:57 TJS 6010D
Sodium 458 mg/Kg-dry 106 1 07/29/21 01:35 TJS 6010D
Iron 20000 mg/Kg-dry 42.4 1 07/24/21 01:57 TJS 6010D
Manganese 822 mg/Kg-dry 2.12 1 07/24/21 01:57 TJS 6010D
Copper 483 mg/Kg-dry 2.12 1 07/24/21 01:57 TJS 6010D
Zinc 890 mg/Kg-dry 5.30 1 07/24/21 01:57 TJS 6010D
Organic N 31060 mg/Kg-dry 1059 1 07/23/21 11:00 CALCULATION
Nitrate+Nitrite-N 72.9 mg/Kg-dry 19.7 1 07/26/21 14:59 ZBD 4500NO3F-2011
Nickel 17.2 mg/Kg-dry 1.06 1 07/24/21 01:57 TJS 6010D
Mercury 0.712 mg/Kg-dry 0.0597 1 07/22/21 12:58 DDB SW-7471B
Selenium 6.40 mg/Kg-dry 2.12 1 07/24/21 01:57 TJS 6010D
pH 8.8 s.u. 1 07/26/21 16:27 DRS 9045D
Qualifiers/ * Outside QC Limit B Analyte detected in blank
Definitions C GCMS Confirmation Analysis E Result above cal range
g GGA Outside QC Limits H Beyond holding time
J Estimated value M Minimum value
NA Not on Scope of Accreditation NC Not confirmed
Q RPD >40%dual column results T Sample exhibits toxicity
U Unconfirmed Refer to cover letter.
Page 3 of 6

0
Waypoint 7621 White pine Road,Richmond,VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL www.waypointanalyticalcom
46487
Synagro Central LLC/Roxboro Project Roxboro WWTP
Mary Brewer Report Date : 07/29/2021
284 Boger Road Information : Received :07/19/2021
Mocksville , NC 27028
awie frl Grow
Report Number :21-200-0004 REPORT OF ANALYSIS Pauric Mc Groary Ph.D.,CPA
Agronomist
Lab No : 77173 Matrix: Solids
Sample ID : Roxboro WWTP Sampled: 7/14/2021 16:30
Test Results Units MIL DF Date/Time By Analytical
Analyzed Method
Ammonia Nitrogen 16400 mg/Kg-dry 424 1 07/26/21 14:00 JPJ SM-4500-NH3C
Aluminum 27400 mg/Kg-dry 21.2 1 07/24/21 01:57 TJS 6010D
Arsenic 4.75 mg/Kg-dry 2.12 1 07/24/21 01:57 TJS 6010D
Cadmium 1.38 mg/Kg-dry 0.424 1 07/24/21 01:57 TJS 6010D
Chromium 32.2 mg/Kg-dry 1.06 1 07/24/21 01:57 TJS 6010D
Lead 36.2 mg/Kg-dry 1.27 1 07/24/21 01:57 TJS 6010D
Molybdenum 5.89 mg/Kg-dry 1.06 1 07/24/21 01:57 TJS 6010D
Analytical Method: SM-2540G
Test Results Units MQL DF Date/Time By Analytical
Analyzed Batch
Moisture 76.4 % 0.010 1 07/20/21 16:46 FMM L564714
Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit
Definitions
Page 4 of 6

s YV
Wa4pOiflt.. 7621 Whitepine Read,Richmond,VA 23237
Main 804-743-9401°Fax [phone]
ANALYTICAL www.waypointanalytica l.com
Shipment Receipt Form
Customer Number:46487
Customer Name: Synagro Central LLC/ Roxboro
Report Number: 21-200-0004
Shipping Method
0 Fed Ex 0 US Postal 0 Lab 0 Other :
0 UPS 0 Client 0 Courier Thermometer ID:
Shipping container/cooler uncompromised? 0 Yes O No
Number of coolers/boxes received
Custody seals intact on shipping container/cooler? 0 Yes 0 No 0 Not Present
Custody seals intact on sample bottles? 0 Yes 0 No 0 Not Present
Chain of Custody(COC) present? 0 Yes 0 No
COC agrees with sample label(s)? 0 Yes 0 No
COC properly completed 0 Yes 0 No
Samples in proper containers? 0 Yes 0 No
Sample containers intact? 0 Yes 0 No
Sufficient sample volume for indicated test(s)? 0 Yes 0 No
All samples received within holding time? 0 Yes 0 No
Cooler temperature in compliance? 0 Yes 0 No
Cooler/Samples arrived at the laboratory on ice. 0 Yes 0 No
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved 0 Yes 0 No 0 N/A
Water- VOA vials free of headspace 0 Yes 0 No 0 N/A
Trip Blanks received with VOAs 0 Yes 0 No 0 N/A
Soil VOA method 5035—compliance criteria met 0 Yes 0 No 0 N/A
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low conc pre-weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes 0 No
Comments:
Signature: Brandi Watson Date &Time: 07/19/2021 12:14:34
Page 5 of 6

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SECTION 4

S
a i' Summit Environmental Technologies,Inc.
EIrg 3310 Win St.
MUM ENVIRONMENTAL TECHNOLOCIES,INC Cuyahoga Falls,Ohio 44223
rralyt�cal iaboralorlas TEL:[phone] FAX. [phone]
Website:http://www.settek.com
February 15,2021
Alex Fox
Synagro
284 Boger Rd.
Mocksville,NC 27028
TEL:
FAX:
RE: Roxboro WWTP
Dear Alex Fox: Order No.: 21020351
Summit Environmental Technologies, Inc. received 1 sample(s) on 2/5/2021 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results,please feel free to call the
laboratory.
Sincerely,
1...v10.144,01 )77��
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls,Ohio 44223
Arkansas 88-0735,California 2943,Colorado,Connecticut PH-0108,Florida NELAC E87688,Idaho OH00923,Illinois 200061,Indiana C-OH-13,Kansas
E-10347,Kentucky(Underground Storage Tank)3,Kentucky 90146,Maryland 339,Michigan 9988,Minnesota 1780279,Nevada OH009232020-1,New
Hampshire 2996,New Jersey OH006,New York 11777,North Carolina 39705 and 631,North Dakota R-201,Ohio DW,Ohio VAP CL0052,Oklahoma
2019-155,Oregon OH200001, Pennsylvania 011,Rhode Island LA000317,South Carolina 92016001,Texas T104704466-19-16,Utah OH009232020-12,
Virginia VELAP 10381,West Virginia 9957C
Page 1 of 36

SUMMIT Summit Environmental Technologies,Inc.imil*;;:ra Case Narrative
331 Ohio Wm St.
mium
AnalENVIRONMENTAL calLaoraloriNO LOGI ,INC. Cuyahoga Falls, 44223 WO#: 21020351rrafyt�caf iaboralorlas TEL:[phone] FAX. [phone]
Website:http://www.settek.com Date: 2/15/2021
CLIENT: Synagro
Project: Roxboro WWTP
WorkOrder Narrative:
21020351: This report in its entirety consists of the following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report,Applicable Accreditation Information, Chain-of-Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
Analytes Report" for accredited analytes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples are reported on an "as received" or"wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any
comments or problems with the analytical events associated with this report are noted below.
Analytical Sequence QC Notes:
4OPPM SVOC-MSTR S(8270): CCV exhibited outlying recoveries for several analytes. Associated
samples may be biased accordingly.
4OPPM SVOC-MSTR S(8270): Surrogate outside recovery limits. Minimum method criterion of one
surrogate within established recovery limits was met.
LCS-47770 TCLP-SVOC-CPEST(8081B): Possible high bias for Heptachlor due to high recovery in
CCV.
Pest CCV 100ppb TCLP-SVOC-CPEST(8081B): CCV exhibits high recovery for Heptachlor.
Associated samples are N.D. for this analyte.
LCS-47770 TCLP-SVOC-CPEST(8081B): Possible high bias for Endrin and Methoxychlor due to high
recoveries in CCV.
Original
Page 2 of 36

S uiiti IT
Summit Environmental Technologies,Inc. Case Narrative
mu 3310 Ohio Win St.
AnalENVIRONMENTAL calLaoraloriNO LOGI ,INC. Cuyahoga Falls, 44223 WO#: 21020351rrafyt�caf iaboralorlas TEL:[phone] FAX. [phone]
Website:http://www.settek.com Date: 2/15/2021
CLIENT: Synagro
Project: Roxboro WWTP
Pest CCV 500ppb TCLP-SVOC-CPEST(8081B): CCV exhibits high recoveries for Endrin and
Methoxychlor. Associated samples are N.D. for these analytes.
Original
Page 3 of 36

•
17 S
MmiT Summit Environmental Technologies,In Qualifiers and Acronyms
331i W5 `C
TEC
Arralytiica @N1 orator iN❑cOG{ S.INC Cuyahoga Falls,Ohio 442 WO#: 21020351rral}'t�caf iaboralorlas TEL:[phone] FAX. [phone]
Website:http://www.settek.co Date: 2/15/2021
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
U The compound was analyzed for but was not detected.
J The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
H The hold time for sample preparation and/or analysis was exceeded.
D The result is reported from a dilution.
E The result exceeded the linear range of the calibration or is estimated due to interference.
MC The result is below the Minimum Compound Limit.
The result exceeds the Regulatory Limit or Maximum Contamination Limit.
m Manual integration was used to determine the area response.
d Manual integration in which peak was deleted
N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P The second column confirmation exceeded 25%difference.
C The result has been confirmed by GC/MS.
X The result was not confirmed when GC/MS Analysis was performed.
B/MB+ The analyte was detected in the associated blank.
G The ICB or CCB contained reportable amounts of analyte.
QC-/+ The CCV recovery failed low(-)or high(+).
R/QDR The RPD was outside of accepted recovery limits.
QL-/+ The LCS or LCSD recovery failed low(-)or high(+).
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+ The MS or MSD recovery failed low(-)or high(+).
QMR The MS/MSD RPD was outside of accepted recovery limits.
QV-/+ The ICV recovery failed low(-)or high(+).
S The spike result was outside of accepted recovery limits.
Z Deviation;A deviation from the method was performed;Please refer to the Case Narrative for
additional information
Acronyms
ND Not Detected RL Reporting Limit
QC Quality Control MDL Method Detection Limit
MB Method Blank LOD Level of Detection
LCS Laboratory Control Sample LOQ Level of Quantitation
LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit
QCS Quality Control Sample CRQL Contract Required Quantitation Limit
DUP Duplicate PL Permit Limit
MS Matrix Spike RegLv1 Regulatory Limit
MSD Matrix Spike Duplicate MCL Maximum Contamination Limit
RPD Relative Percent Different MinCL Minimum Compound Limit
ICV Initial Calibration Verification RA Reanalysis
ICB Initial Calibration Blank RE Reextraction
CCV Continuing Calibration Verification TIC Tentatively Identified Compound
CCB Continuing Calibration Blank RT Retention Time
RLC Reporting Limit Check CF Calibration Factor
DF Dilution Factor RF Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 4 of 36

S t�' Summit Environmental Technologies,Inc. Workorder
3310 Win St.
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Cuyahoga Falls,Ohio 44223 Sample Summary
4rralyt�cai L9boralorlas TEL:[phone] FAX [phone] WO#: 21020351
Website:http://www.settek.com I5-Feb-21
CLIENT: Synagro
Project: Roxboro WWTP
Lab SamplelD Client Sample ID Tag No Date Collected Date Received Matrix
2 1 0203 5 1-00 1 Roxboro WWTP 2/4/2021 12:30:00 PM 2/5/2021 12:25:00 PM Sludge
Page 5 of 36

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S
MM Summit Environmental Technologies,Inc.3310 Win St. Analytical Report
itrgINiM ENVIRONMENTAL TECH MOLOGIES,IFtC Cuyahoga Falls, Ohio44223 (base report)
�afyt�cai iaboralorfas TEL:[phone] FAX [phone] WO#: 21020351
Website:http://www.settek.com Date Reported: 2/15/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 2/4/2021 12:30:00 PM
Lab ID: 21020351-001A
Project: Roxboro WWTP
Client Sample ID Roxboro WWTP
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW7470A SW7470A Analyst: EAM
TCLP MERCURY ANALYSIS (SW1311/7470)
TCLP Mercury ND 0.00200 mg/L 1 2/12/2021 1:39:00 PM
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW6010D SW3010A Analyst: DNS
TCLP METALS ANALYSIS (SW1311/6010)
TCLP Arsenic(As) ND 0.500 mg/L 1 2/9/2021 2:03:38 PM
TCLP Barium(Ba) ND 5.00 mg/L 1 2/9/2021 2:03:38 PM
TCLP Cadmium(Cd) ND 0.100 mg/L 1 2/9/2021 2:03:38 PM
TCLP Chromium(Cr) ND 0.200 mg/L 1 2/9/2021 2:03:38 PM
TCLP Lead(Pb) ND 0.500 mg/L 1 2/9/2021 2:03:38 PM
TCLP Selenium(Se) ND 0.0500 mg/L 1 2/9/2021 2:03:38 PM
TCLP Silver(Ag) ND 0.500 mg/L 1 2/9/2021 2:03:38 PM
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8270 SW3510C Analyst: RIS
TCLP SEMI-VOLATILES ANALYSIS(SW1311/8270)
1,4-Dichlorobenzene ND 0.200 mg/L 2 2/9/2021 9:22:00 PM
2,4,5-Trichlorophenol ND 0.500 mg/L 2 2/9/2021 9:22:00 PM
2,4,6-Trichlorophenol ND 0.500 mg/L 2 2/9/2021 9:22:00 PM
2,4-Dinitrotoluene ND 0.100 mg/L 2 2/9/2021 9:22:00 PM
Cresols,Total ND 10.0 mg/L 2 2/9/2021 9:22:00 PM
Hexachloro-1,3-butadiene ND 0.0400 mg/L 2 2/9/2021 9:22:00 PM
Hexachlorobenzene ND 0.100 mg/L 2 2/9/2021 9:22:00 PM
Hexachloroethane ND 0.200 mg/L 2 2/9/2021 9:22:00 PM
Nitrobenzene ND 0.200 mg/L 2 2/9/2021 9:22:00 PM
Pentachlorophenol ND 0.500 mg/L 2 2/9/2021 9:22:00 PM
Pyridine ND 0.500 QC+ mg/L 2 2/9/2021 9:22:00 PM
Surr:2-Fluorophenol 92.6 10-157 %Rec 2 2/9/2021 9:22:00 PM
Surr: Phenol-d6 93.4 10-169 %Rec 2 2/9/2021 9:22:00 PM
Surr: Nitrobenzene-d5 86.1 32.1 -130 %Rec 2 2/9/2021 9:22:00 PM
Surr:2,4,6-Tribromophenol 116 45.4-166 %Rec 2 2/9/2021 9:22:00 PM
Surr:2-Fluorobiphenyl 93.8 35.7-130 %Rec 2 2/9/2021 9:22:00 PM
Surr:p-Terphenyl-d14 113 70-145 %Rec 2 2/9/2021 9:22:00 PM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Original
RL Reporting Detection Limit U Samples with CalcVal<MDL
Page 7 of 36

S
MM Summit Environmental Technologies,Inc.3310 Win St. Analytical Report
itrgINiM ENVIRONMENTAL TECH MOLOGIES,IFtC Cuyahoga Falls, Ohio44223 (base report)
�afyt�caf iaboralorfas TEL:[phone] FAX [phone] WO#: 21020351
Website:http://www.settek.com Date Reported: 2/15/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 2/4/2021 12:30:00 PM
Lab ID: 21020351-001A
Project: Roxboro WWTP
Client Sample ID Roxboro WWTP
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8081 SW3510C Analyst: CSS
TCLP PESTICIDES ANALYSIS (SW1311/8081)
Chlordane,total ND 0.0250 mg/L 1 2/10/2021 11:30:00 PM
Toxaphene ND 0.0500 mg/L 1 2/10/2021 11:30:00 PM
Endrin ND 0.00250 QC+ mg/L 1 2/10/2021 11:30:00 PM
gamma-BHC ND 0.00250 mg/L 1 2/10/2021 11:30:00 PM
Heptachlor ND 0.00250 QC+ mg/L 1 2/10/2021 11:30:00 PM
Heptachlor epoxide ND 0.00250 mg/L 1 2/10/2021 11:30:00 PM
Methoxychlor ND 0.00250 QC+ mg/L 1 2/10/2021 11:30:00 PM
Surr:TCMX 72.0 10-119 %Rec 1 2/10/2021 11:30:00 PM
Surr: DCB 77.3 10-119 %Rec 1 2/10/2021 11:30:00 PM
TCLP HERBICIDES BY EPA 8321B SW8321 SW1311 M Analyst: TM
2,4-D ND 0.500 mg/L 50 2/9/2021 9:51:00 PM
2,4,5-TP ND 0.500 mg/L 50 2/9/2021 9:51:00 PM
Surr:2,4-Dichlorophenylacetic aci 75.5 70-130 %Rec 50 2/9/2021 9:51:00 PM
TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8260 SW1311M Analyst: SLV
TCLP VOLATILES ANALYSIS
1,1-Dichloroethene ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
1,2-Dichloroethane ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
MEK ND 5.00 mg/L 50 2/9/2021 6:37:00 AM
Benzene ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Carbon tetrachloride ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Chlorobenzene ND 2.50 mg/L 50 2/9/2021 6:37:00 AM
Chloroform ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Tetrachloroethene ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Trichloroethene ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Vinyl chloride ND 0.100 mg/L 50 2/9/2021 6:37:00 AM
Surr:4-Bromofluorobenzene 114 70-130 %Rec 50 2/9/2021 6:37:00 AM
Surr: Dibromofluoromethane 93.7 70-130 %Rec 50 2/9/2021 6:37:00 AM
Surr:Toluene-d8 95.0 70-130 %Rec 50 2/9/2021 6:37:00 AM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Original
RL Reporting Detection Limit U Samples with CalcVal<MDL
Page 8 of 36

S
M� 331 Win St.Summit Environmental Technologies,Inc. Analytical Report
muENVIRONMENTAL TECH MOLOGIES.IFtC Cuyahoga Falls, Ohio44223 (base report)
�afyt�cai iaboralorfas TEL:[phone] FAX [phone] WO#: 21020351
Website:http://www.settek.com Date Reported: 2/15/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 2/4/2021 12:30:00 PM
Lab ID: 21020351-001A
Project: Roxboro WWTP
Client Sample ID Roxboro WWTP
Analyses Result RL Qual Units DF Date Analyzed
RCI SW9014 Analyst: MS
REACTIVE CYANIDE(9014/7.3.3.2)-SOLID
Cyanide,Reactive ND 0.500 mg/Kg 1 2/10/2021 2:23:00 PM
PAINT FILTER FREE LIQUIDS TEST(SW-846: 9095) SW9095 Analyst: DHC
Free Liquid pass 1 2/15/2021 1:35:00 PM
IGNITABILITY OF SOLIDS(SW-846: 1030) SW1030 Analyst: KMW
Ignitability non flammable mm/sec 1 2/10/2021 11:35:50 AM
RCI SW9045D Analyst: DHC
PH (SW9045D)
pH 6.7 s.u.@18.1C 1 2/12/2021 2:15:00 PM
RCI SW9034 Analyst: MS
REACTIVE SULFIDE(9034)/7.3.4.2
Sulfide, Reactive ND 25.0 mg/Kg 1 2/10/2021 2:23:00 PM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Original
RL Reporting Detection Limit U Samples with CalcVal<MDL
Page 9 of 36

�� SUMMIT
Summit Environmental Technologies,Inc. Accreditation Program
1.. 3310 Win St. Anal teS Report
ENVIRONMENTAL TECHNO woes,INC Cuyahoga Falls,Ohio 44223 Y Y
rral}'t�caf iaboralorlas TEL:[phone] FAX [phone] WO#: 21020351
Website:http://www.settek.com 15-Feb-21
Client: Synagro State: NW
Project: Roxboro WWTP Program Name: NC_WW_SCM
Sample ID Matrix Test Name Analyte Status
2 1 0203 5 1-00 1A Sludge Ignitability of Solids(SW-846:1030) Ignitability A
Sludge Paint Filter Free Liquids Test(SW-846:9095) Free Liquid A
Sludge pH(SW9045D) Hydrogen Ion(pH) A
Sludge Reactive Cyanide(9014/7.3.3.2)-Solid Cyanide,Reactive U
Sludge Reactive Sulfide(9034)/7.3.4.2 Sulfide,Reactive U
Sludge TCLP Herbicides by EPA 8321B 2,4,5-TP A
Sludge TCLP Herbicides by EPA 8321B 2,4-D A
Sludge TCLP Mercury Analysis(SW1311/7470) Mercury A
Sludge TCLP Metals Analysis(SW1311/6010) Arsenic A
Sludge TCLP Metals Analysis(SW1311/6010) Barium A
Sludge TCLP Metals Analysis(SW1311/6010) Cadmium A
Sludge TCLP Metals Analysis(SW1311/6010) Chromium A
Sludge TCLP Metals Analysis(SW1311/6010) Lead A
Sludge TCLP Metals Analysis(SW1311/6010) Selenium A
Sludge TCLP Metals Analysis(SW1311/6010) Silver A
Sludge TCLP Pesticides Analysis(SW1311/8081) Chlordane,total A
Sludge TCLP Pesticides Analysis(SW1311/8081) Endrin A
Sludge TCLP Pesticides Analysis(SW1311/8081) gamma-BHC A
Sludge TCLP Pesticides Analysis(SW1311/8081) Heptachlor A
Sludge TCLP Pesticides Analysis(SW1311/8081) Heptachlor epoxide A
Sludge TCLP Pesticides Analysis(SW1311/8081) Methoxychlor A
Sludge TCLP Pesticides Analysis(SW1311/8081) Toxaphene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 1,4-Dichlorobenzene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4,5-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4,6-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4-Dinitrotoluene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Cresols,Total A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachlorobenzene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachlorobutadiene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachloroethane A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Nitrobenzene A
Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Pentachlorophenol A
Key Key
NC WW SCM A Accredited NC WW SCM U Unavailable
Original#1
Page 10 of 36

S
MI' Summit Environmental Technologies,Inc. Accreditation Program
3310 Win St. Analytesn Report
1.7 ENVIRONMENTAL TECHNOw de$,INC Cuyahoga Falls,Ohio 44223 Y
rral}'tilcaf iaboralorlas TEL:[phone] FAX [phone] WO#: 21020351
Website:http://www.settek.com 15-Feb-21
Client: Synagro State: NW
Project: Roxboro WWTP Program Name: NC_WW_SCM
Sample ID Matrix Test Name Analyte Status
2 1 0203 5 1-00 1A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Pyridine A
Sludge TCLP Volatiles Analysis 1,1-Dichloroethene A
Sludge TCLP Volatiles Analysis 1,2-Dichloroethane A
Sludge TCLP Volatiles Analysis 2-Butanone A
Sludge TCLP Volatiles Analysis Benzene A
Sludge TCLP Volatiles Analysis Carbon tetrachloride A
Sludge TCLP Volatiles Analysis Chlorobenzene A
Sludge TCLP Volatiles Analysis Chloroform A
Sludge TCLP Volatiles Analysis Tetrachloroethene A
Sludge TCLP Volatiles Analysis Trichloroethene A
Sludge TCLP Volatiles Analysis Vinyl chloride A
Key Key
NC WW SCM A Accredited NC WW SCM U Unavailable
Original#1
Page 11 of 36

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Page 35 of 36

;74700,1summIT Summit Environmental Techn3310ologiesW,II a
Inc.
in St.
ENVIRONMENTAL TECliNOL4GaS.INC Cuyahoga Falls, Ohio 44223 Sample Log-In Check List
ArrafyOcaf Laborator1as TEL:[phone] FAX. [phone]
Website:http:/Aiww.settek.com
Client Name: SYN-NC-27028 Work Order Number: 21020351 RcptNo: 1
Logged by: Jacqueline Rasile 2/5/2021 12:25:00 PM
Completed By: Jacqueline Rasile 2/5/2021 1:28:53 PM
Reviewed By: Jennifer Woolf 2/5/2021 3:44:03 PM (...710‘7*.?1' M''oaL011,--
Chain of Custody
1. Is Chain of Custody complete? Yes ❑ No ❑d Not Present ❑
2. How was the sample delivered? UPS
Lop In
3. Coolers are present? Yes ❑d No ❑ NA ❑
4. Shipping container/cooler in good condition? Yes d❑ No ❑
Custody seals intact on shipping container/cooler? Yes ❑ No ❑ Not Present V
No. Seal Date: Signed By:
5. Was an attempt made to cool the samples? Yes ❑d No ❑ NA ❑
6. Were all samples received at a temperature of >0°C to 6.0°C Yes ❑d No ❑ NA ❑
7. Sample(s)in proper container(s)? Yes ❑d No ❑
8. Sufficient sample volume for indicated test(s)? Yes ❑d No ❑
g. Are samples(except VOA and ONG)properly preserved? Yes ❑d No ❑
10. Was preservative added to bottles? Yes ❑ No ❑d NA ❑
it Is the headspace in the VOA vials less than 1/4 inch or 6 mm? Yes ❑ No ❑ No VOA Vials V
12.Were any sample containers received broken? Yes ❑ No ❑d
13. Does paperwork match bottle labels? Yes ❑d No ❑
(Note discrepancies on chain of custody)
14.Are matrices correctly identified on Chain of Custody? Yes ❑d No ❑
15. Is it clear what analyses were requested? Yes ❑d No ❑
16. Were all holding times able to be met? Yes ❑d No ❑
(If no,notify customer for authorization.)
Special Handling (if applicable)
17. Was client notified of all discrepancies with this order? Yes ❑d No ❑ NA ❑
Person Notified: 'Ryan Copeland Date: 2/5/2021
By Whom: 'Jennifer Woolf Via: 0 eMail ❑ Phone ❑ Fax ❑ In Person
Regarding: state?
Client Instructions: NC
18.Additional remarks:
NC
project address not included
Cooler Information
Cooler No Temp°C Condition Seal Intact Seal No Seal Date Signed By
1 2.3 Good Not Present
Page 36 of 36

SECTION 5

ANNUAL PATHOGEN AND VECTOR ATTRACTION
ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM(02T Rules)
Facility Name: City of Roxboro WWTP WQ Permit Number: WQ0021S26
WWTP Name: Roxboro WWTP NPDES Number: NC 0021024
Monitoring Period: From 01/012021 To 12/312021
Pathogen Reduction(40 CFR 303.32115A NCAC 02T.1106)-Please indicate level achieved and alternative performed:
Class A:
Alt. 1/A(time/temp) Alt.2/B(Alk Treatment) Alt.3/C(Prior Testing)
Alt.4/1)(No Prior Test) AIL 5/Process to Further Reduce Pathog
ens Alt.6(Equivalent to PFRP)
If applicable to alternative performed(Class A only)indicate"Process to Further Reduce Pathogens':
Compost Heat Drying Heat Treatment Thermophilic
Beta Ray Gamma Ray Pasteurization
Class B:
Alt.(I)Fecal Density X Alt.(2)Process to Significantly Reduce Pathogens
If applicable to alternative performed(Class B only)indicate"Process to Significantly Reduce Pathogens":
Lime Stabilization Air Drying Composting Aerobic Digestion
Anaerobic Digestion
if applicable to alternative performed(Class A or Class I3)complete the following monitoring data:
Parameter Allowable Levet in Sludge Pathogen Density No.of Frequency Sample Analytical
Excee- of Type Technique
Minimum Geo.Mean Maximum Units dcnces Analysis
Fecal 2x10to the 64' CFU 15880 31314 55556 CFU/g 0 4/yr Grab 9222D
Coiiform power per grarn of
total solids
CFU CFU/g
2x 10 to the 6t' CFU CFU/g
power per gram of
total solids 1 solids
Salmonella 3 MPN per 4 grams total
bacteria(in solids(dry weight)
lieu of fecal
coliform)
Vector Attraction Reduction(40 CFR 503.33/15.4 NCAC 021%1107)-Please indicate option alternative performed:
ansition/A I Option/Alt,2 Option/Alt.3 Option/Alt.4
(VS reduction) (40-day bench) (30-day bench) x _ (Spec.02 uptake)
Option/Alt.5 Option/Alt.6 Option/Alt.7 Option/Alt,8
(14-Day Aerobic) (Alk Stabilization) (Drying—Stable) (Drying—Unstable)
Option/Alt.9 Option/Alt, 10
(Injection) (incorporation) No vector attraction reduction alternatives were performed
CERTIFICATION STATEMENT(please check the appropriate statement)
"'certify.under penalty of law,that the pathogen requirements in 40 CFR 503.32/1 SA NCAC 02T.1106 and the vector attraction
X reduction requirement in 40 CFR 503,33/15ANCAC 02T.1 107 have been met."
"I certify,under pc of law,that thepathogen requirements in 40 CFR 503.32/15A NCAC 02T.I 106 and the vector attraction
reduction requirement in 40 CFR 503.33/ NCAC 02T.1 107 have not been met"(Please note if you check this statement attach an
explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system designed to
ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and
vector attraction reduction requirements have been met I am aware that there arc significant penalties for false
certification including fine and imprisonment."
Derek Clayton,WWTP Superintendent
Preparer Name and Title Land Applier Name and Title(if applicable)(type or print)
Signature of Pre Date Signature of Land Applies(if applicable) Date
•Prtparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 2T.1102(26)

Meritech, Inc.
A Environmental Laboratory
ire Laboratory Certification No.165
491
Page 1
Contact: Ryan Copeland Report Date: 2/3/2021
Client: Synagro
284 Boger Road Project: Roxboro
MocksviIle, NC 27028 Date Sample Rcvd: 1/25/2021
Meritech Work Order# 01252149 Sample: Roxboro 1 Grab 1/25/21
Parameters Results Analysis Date Reporting Limit Method
%Total Solids 23.8 % 1/26/21 0-100 % SM 2540E
Fecal Coliform (Sludge) 50,420 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
Meritech Work Order# 01252150 Sample: Roxboro 2 Grab 1/25/21
Parameters Results Analysis Date Reporting Limit Method
%Total Solids 24.4 % 1/26/21 0-100 % SM 2540B
Fecal Coliform (Sludge) 17,623 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
Meritech Work Order# 01252151 Sample: Roxboro 3 Grab 1/25/21
Parameters Results Analysis Date Reporting Limit Method
%Total Solids 23.3 % 1/26/21 0-100 % SM 2540B
Fecal Coliform (Sludge) 15,880 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
Meritech Work Order# 01252152 Sample: Roxboro 4 Grab 1/25/21
Parameters Results Analysis Date ReportingLimit Method
%Total Solids 23.9 % 1/26/21 0-100 % SM 2540B
Fecal Coliform (Sludge) 46,025 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
Meritech Work Order# 01252153 Sample: Roxboro 5 Grab 1/25/21
Parameters Results Analysis Date Reporting Limit Method
%TotaI Solids 23.5 % 1/26/21 0-100 % SM 2540B
Fecal Coliform (Sludge) 38,298 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Page 2
Contact: Ryan Copeland Report Date: 2/3/2021
Client: Synagro
284 Boger Road Project: Roxboro
Mocksville, NC 27028 Date Sample Rcvd: 1/25/2021
Meritech Work Order# 01252154 Sample: Roxboro 6 Grab 1/25/21
Parameters Results Analysis Date Reporting Limit Method
%Total Solids 23.4 % 1/26/21 0-100 % SM 2540B
Fecal Coliform (Sludge) 55,556 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
Meritech Work Order# 01252155 Sample: Roxboro 7 Grab 1/25/21
Parameters Results Analysis Date Reporting Limit Method
%Total Solids 23.4 % 1/26/21 0-100 % SM 2540B
Fecal Coliform (Sludge) 21,368 coI/g dry wt 1/25/21 130 col/g dry wt SM 9222D
I hereby certify that I have reviewed and approve these data. .)Lfr Qi d C Ia neArit
Laboratory Representative
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]

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SECTION 6

Agricultural Lime Application Log
Year: 2021
Project: Roxboro
Field Soil Lime Requirement Tons/Acre Date Applied
(state-county-site-field) pH (from soil analysis) Applied
NC-PS-24-1 5.0 0.8 tons/ac. Ordered*
NC-PS-24-2 5.0 0.8 tons/ac. Ordered*
NC-PS-24-3 5.0 0.8 tons/ac. Ordered*
NC-PS-25-1A 6.0 0.0 tons/ac.
NC-PS-25-1B 6.1 0.0 tons/ac.
NC-PS-25-2 6.2 0.0 tons/ac.

SECTION 7

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