HomeMy WebLinkAboutWQ0004222_1998 Annual Report_19990211MA`f-11-1999 09:43 BAXTER PURCHASING 828 756 7388 P.02/02
I.V. Systems Division Uaxtar Hsa[txare Corporation • 744-70-415t
P.O. Box 1390
Marbnr North Carolina 28752
F •P^ iSAr —71 Mi
March 2, 1999
NC Divivion of Water Quality
P.O. Box 25535
Raleigh, NC 27626-0535
Lear Mr. Kevin Barnett,
Per our conversation on March 2, 1999, onclosad are our sour test
data sheets for January and February 4f 1998. we only land
applied these two marit;hs. Also enclosed are Pace data sheets for
the 2nd, 3rd and 4th quarters. These sheets contain fecal,
coliform data:
1/20/96 4, 50O, 000 OAAK SA"-".G FLe TAA)--rz�3 "A*t v
4/16/98 12,000 CA" A-(N-1-0�3
7/29/98 157,000
11/25/98 40,Q00_
Log Mean 134,184
�f you have any questions, please give Walker Hodges a call at
$28-7//56-6618 or Me a call at 828-756--6527.
Phil. Castro
Environmental Ma,n.ager
PC/cw
enclosures
..NORTH COVE
TOTAL P.02
I.V. Systems Division Baxter Healthcare Corporation 704-756-4151
P.O. Box 1390
Marion, North Carolina 28752
Baxter
February 11, 1999 � ���VE®
NC Division of Water Quality
P.O. Box 29535 ar
Raleigh, NC 27626-0535i,Ll'I'r SEGilaPJ
,Dear Mr. Kevin Barnett,
Enclosed are three copies of our Annual Land Application Report
for 1998. An alternate sludge disposal method (landfilling) was
begun in March, 1998. we no longer land apply sludge. The
report covers the land application that Baxter did in 1998 which
occurred in January and February 1998.
If you have any questions, please give me a call at 828-756-6527.
4
Phil Castro
Environmental Manager
PC/cw
,enclosures
NORTH COVE
ANNUAL LAND APPLICATION CERTIFICATION FORM
Permit Number WQ000422 Z County McDowell Year 1998
Facility Name (as shown on permit) Baxter Healthcare Corporation
Land Application Operator Walker Hodges Phone # 828-756-6618
Land application of residuals as allowed by the above permit occurred during the past calendar year
X YES NO. If NO, skip Part I and Part H and proceed to the certification. Also, if residuals were generated but
not land applied, please attach an explanation on how the residuals were handled.
Part I
Total number of application fields in permit. 8
*Total number of fields land application occurred during the year. 2
*Total amount of dry tons applied during the.,year for all application sites. 36.86
*Total number of acres land application occurred during the year. 32.2
Part II
Facility was compliant during calendar year 1995 with all conditions of the land application permit
(including but not limited to items 1-12 below) issued by the Division of Environmental Management
X YES NO.
IF NO, PLEASE PROVIDE A WRITTEN DESCRIPTION WHY THE FACILITY WAS NOT CONIPLLANT, 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 are attached.
4. Annual TCLP analysis 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 Table 1 of 40 CFR Part
503.13 or the Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 . (applicable to 40 CFR Part 503
regulated facilities)
7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part 503.14
were complied with. (applicable to 40 CFR Part 503 regulated facilities)
8. All operations and maintenance requirements in the permit were complied with or, in the case of a
deviation, prior authorization yeas -received from the Division of Environmental Management.
9. No contravention of Ground Water Quality Standards occurred at a monitoring well or
explanations of violations are attached to include appropriate actions and remediations.
10. Vegetative cover as specified in the permit was maintained on this site and the crops grown were
removed in accordance with the crop management plan.
11. No runoff of residuals from the application sites onto adjacent property or nearby surface waters
has occurred.
12. All buffer requirements as specified on the permit were maintained during each application
of residuals.
"I CERTIFY, UNDER PENALTY OF LAW, THAT THE ABOVE INFORMATION IS, TO THE BEST OF MY KNOWLEDGE
AND BELIEF, TRUE, ACCURATE, AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR
SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINES AND IMPRISONMENT FOR
KNOWING VIOLATIONS."
Permittee Name and Title (type or print)
Signature of Preparer Date
(if different from Pemittee)
SignatureofPermittee Date
G' CG - / / -
Signature of Land Applier Date__ .__
(if different from Permittee and Preparer)
Note: Preparer is defined in 40 CFR Part 503.9(r) DEM FORM CF (10/94)
ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Attach this form to the corresponding laboratory analysis.
Please note that your permit may contain additional parameters to be analyzed than those,.'required to be summarized on this form.
Permit Number
Facility Name
NPDES #
or WQ N (residual only facilities)
WWTP Name
WQ0004222
Baxter Healthcarg Corp
NC0006564
Baxter Healthcare Corp
Residual Analysis Data
Date Sampled (grab) or
Date Com osited 1/20/98
Percent Solids 2.1
PARAMETERS (ma/ka dry welahtl
Laboratory 1 ) Pace Laboratories Inc
2)
3)
s
Arsenic
Cadmium
ND
Chromium
ND
Copper
260
Lead
ND
Mercury
Molybdenum
Nickel
ND
Selenium
Zinc
400
TKN
Ammonia -Nitrogen
72,000
Nitrate -Nitrogen
ND
Total Phosphorus
7,900
X---- rr _— L�>�----------------- 1 _�
(SIGNATURE O,F PREPARER) DATE
"I certify, under penalty of law, that this document was prepared under my direction or supervision. In accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
DEM FORM SSF (10194)
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A."N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
FACILITY NAME Baxter Healthcare Corporation PERMIT # WQ0004222
OWNER Baxter Healthcare Corp SITE # lA CATION EXCHANGE CAPACITY (non 503 regulated facilities only)
OPERATOR Walker Hodges FIELD # 1 ACRES PERMITTED 10.2 ACRES UTILIZED 10.2
TOTAL DRY TONS APPLIED (ANNUAL) 3.04
DATE or
MONTH
Gallons /or Cubic Yards
(specify)
Dry Tons
Per Acre
Residual Source
% Solids
Nola Oa fsol
USe,Akerages
Mineralization
Rale
Application
Method
(surface or
Injection)
I[ robortIt by inpnth keep the§e
.flail records on st(e
Crop
Total
per Acre
P
InchasFlelnlail
po6i 24 Hrs.
Site Conditions
•(Dry, Moist, Wet)
1/98
24,000
2353
.20
Digester
2.03
SurfaCE
Fescue
2 98
12,000
I
i
Lime Application
DATE I LBS/ACRE
TOTALS: PAN P As Cd Cr Cu Pb Hg Mo Ni Se Zn
Annual E 2.18 0
(Cumulative 1 .04011 5.55 1.47 ..582 .112 7.405
Permit Limit lbs./acre/ ear - 1st Crop / 2nd Crop 50
Permitted Cumulative Pollutant Loading Rate (lbs./acre) 4.5 125 500 125 250
(SI ATURE OF LAND APPLIER) DATE
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. 1 am aware that there are
significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing violations."
DEM FORM FSF (2/95)
• I -
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
FACILITY NAME Baxter Healthcare Corporation PERMIT # WQ0004???
OWNER Baxter Healthcare Corp SITE # lA CATION EXCHANGE CAPACITY (non 503 regulated facilities only)
OPERATOR 'Baxter Heal thcare Corp FIELD, # 2 ACRES PERMITTED 22 _ ACRES UTILIZED 22
TOTAL DRY TONS APPLIED (ANNUAL) 33.82
DATE or
MONTH
Gallons /or Cubic Yards
(specify)
Dry Tons
per Acre
Residual Source
% Solids
Nole, oa h1o'
U.Ai—VOAIDA
Mineralization
not.
Application
Method
(surtace or
Injection)
II rcportmg by monih keep these'
3 , ;..dell records on ite
Crop
Total
per Acre
Inchasnalntall
past 24 )Its.
Site Conditions
(Dry, Moist, Wet)
1/98
216,000
9818
.91
Di ester
7.21
SurfaCE
Fescue
2/98
186,000
8455
.63
i
i
i
mcmunt'-KINt.. ,,.",•'.�-.,b+ rdai'- `-..F .s�z'4sr�'a, 11� .:
Lime Application
DATE I LBSJACRE
x ,
ii +` �h fr yt"e i rye *• t . !•+''ir1�,
Permit Limit (lbs./acre ear) - 1st . • . • • `4, y g.,'.rE�,ta' . lj ., % .y, w •. r ��', ` .e r „ €' L
d.. t a 4 ' `Irt ?�$+;•. . i.1. `Y,• �.-. �.., f t : F..Permitted Cumulative Pollutant Loading Rate (lbs./acre) 7o
(SIGN TURE OF LAND APPLIER) DATE
"i certify, under penalty of law, that this document was prepared under my direction or supervision In accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the Information submitted. I am aware that there are
significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing violations."
DEM FORM FSF (2/95)
PATHOGEN REDUCTION AND VECTOR ATTRACTION CERTIFICATION
Per conversation with Lou Polletta on February 23, 1996, attached
are the Fecal Coliform data on Pathogen Reduction Class B }Cy,�,•�v�w
alternative land Vector Attraction option 4. 1 did not receive a
form for this data in my packet.
SOUR TEST
Pace mg/g/hr Baxter mg/g/hr
1 /20/98 0.504 1 /19/98 0.64
1 /20/98 0.66
1 /26/98 0.67
2/16/98 1.06
StJu�Lj; ---
I
IO L,. 0,5
SLUDGE DXSPOSAL REPORT
' 'QTE, HEALTHCARE CORPORATION
NORTH COVE FACILITY
PL,NIT NUMBER 0004222 -
DDATE:
SIGNATURE OF OPERA TOP
SITE NO.
IA-1
BANTER HEALTHCARE CORP.
IA-2
BARTER HEALTHCARE CORP
IA-3
BAX'TER HEALT-HCARE CORD
2-2
HENRY BROWN
2-5
HENRY BROWN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
(I) IMETHOD OF APPLICATION: INJE, C T ION
SURFACE APPLICATION
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
(2) WEATEEER CONDITIONS: CLEAR PARTLY CLOUDY
CLOUDY
(3) SOIL CONDITIONS: WET DRY:
(4) CROP:HAY CORN PASTURE
(5) LOADS HAULED (6,000 ALILOAD) _ l4
(6) APPLICATION SITE: SI'I E AND 7ILEB NO. --�
a. SITE ANTD I'l—VILB NO. � � _� GALLONS d (JZ� #I S
b. SITE AND YIELD NO. GALLONS y #IS
c. SITE AND GALLONS #IS
POUNDS DRY WEIGH SOT LDS X 8.34 X MILLION MG GALLONS
SIGNATURE OF OPERATOR:
SITENO.
®.
IA-1
BAXTER HEALTHCARE CORP.
IA-2
BAXTER HEALTHCARE CORP
IA-3
BAXTER HEALTHCARE CORP
2-2
HENRY BROWN
2-5
HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
(1) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
(2) WEATHER CONDITIONS: CLEAR PARTLY CLOUD'
CLOUD'
(3) SOIL CONDITIONS: WET.
DRY:
(4) CROP: HAS' CORN PASTURE
(5) LOADS MAULED (6,000 GALTOAD) -1
(6) APPLICATION SITE: SITE AND FILED No. ZA -2
a. SITE AND FIELD NO. — GALLONS �2vj' #' S c-2Y137
b. SITE AND FIELD T O. GALLONS #' S
c. SITE AND GALLONS #' S
POUNDS DRY X 3.34 X MILLION MG GALLONS
DATE:
SIG A TURE OF OPERATOR:
1A-1
BAXTER HEALTHCARE CORP.
IA-2
BAXTER HEALTHCARE CORP
IA-3
BAXTER HEALTHCARE CORP
2-?
HENRY BROWN
2-5
HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
(I) I-VIETHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR _
CLOUDY
(3) SOIL CONDITIONS: WET
(4) CROP: HAY V CORN
DRY:
PARTLY CLOUDY
PASTURE
(j) LOADS HAULED (6,000 GAI_.1LOAD) y -
(6) APPLICATION SITE: SITE AND FILED NO.
I A --2-
a. SITE AND FIELD NO.
f GALLONS 'I dD1 #'S
b. SITE AND FIELD NO. GALLONS #'S
�. SITE r,.ND FIEi:D GALLONS #' S
POUNDS DRY WEIGHT SOLIDS X 8.34 X MILLION MG GALLONS.
SLUDGE DISPOSAL. REPORT
BAXTER HEALTHCARE CORPORATION
NORTH COVE FACILITY
PE IT NUMBER WQ0004222 - -
DAT
SIGNATURE OF OPERATOP: . /J"
(Y/
SITE NO.
ACRES
IA-1
BAXTER HEALTHCARE CORP. 22.0
IA-2
BAXTER HEALTHCARE CORP 10.2
IA-3
BAXTER HEALTHCARE CORP 4.8
2-2
HENRY BROWN 7.1
2-5
HENRY BROWN 5.5.
4-4 b
DEAN CHAPMAN 6.7
5-1 b
ROM ENGLISH 9.1
5-5 b
ROM ENGLISH 7.5
TOTAL AVAILABLE ACRES 72.9
(1) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR PARTLY CLOUDY
CLODDY
(3) SOIL CONDITIONS: WET DRY: Y
(4) CROP: HAY / CORN PASTURE
(5) LOADS HAULED (6,000 GAL\LOAD) G
(6) APPLICATION SITE: SITE AND FILED NO. _
a. SITE AND FIELD NO. A GALLONS #' S
b. SITE AND FIELD NO. GALLONS #'S
e. SITE AND FIELD NO. GALLONS #' S
POUNDS DRY WEIGHT = PPM SOLIDS 3.34 X MILLION MG GALLONS
SLUDGE DISPOSAL REPORT
B TER HEALTHCARECORPORATION
NORTH COVE FACILITY -
PERMIT - ER WQ0004222
DATE: �— f
SIGNA7VRE OF OPERATOR:
SITE NO. -ACRES
1A-1 BAXTER HEALTHCARE CORP. ' 22.0
IA-2 BARTER HEALTHCARE CORP 10.2
lA-3 BARTER HEALTHCARE CORP 4.8
2-2 HENRY BROWN 7.1
2-5 HENRY BROWN 5.5.
4-4 b DEAN CHAPMAN 6.7 _
5-1 b ROM ENGLISH 9.1
5-5 b ROM ENGLISH 7.5
TOTAL AVAILABLE ACRES 72.9
(I) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR PARTLY CLOUDY
CLOUDY, _
(3) SOIL CONDITIONS: WET DRY:
(4) CROP: HAY CORN PASTURE
j (5) LOADS HAULED (6,000 GALILOAD)
(6) APPLICATION SITE: SITE AND FILED NO. l '
a. SITE AND FIELD NO. (jT'`� GALLONS �` d'd ! #' S �� r
b. SITE AND FIELD NO. GALLONS pv #' S
c. SITE AND FIELD NO. GALLONS #' S
POUNDS DRY WEIGHT = PI'M SOLIDS X 8.3=1 X MILLION MG GALLONS Wyo
SLUDGE
DISPOSAL
;; f s. Ir,`•'t_ .i? REPORT
ce. i :.; .`R
BAXTER HEALTHCARE CORPORATION'
NORTH COVE FACMITY
PERMIT NUMBER WQ0004222
ty 1 '
{ O
SITE 1°PTO.
1A-1 BAXTERHEALTHCARE CORP.
IA-2 BARTER HEALTHCARE CORP
IA-3 BARTER HEALTHCARE CORP
2-2 HENRY BROWN
2-5 HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
(1) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR_
CLOUDY
(3) SOIL CONDITIONS: WET DRY:
(4) CROP: HAY CORN
(s) LOADS HAULED (s,000 GAL\LOAD) Y
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
PARTLY CLOUDY
.PASTURE
(6) APPLICATION SITE.: SITE AND PILED NO. 14
a. SITE AND FIELD NO. GALLONS M-6 #' S d 6 76 5
b. SITE AND FIELD NO. GALLONS #' S
SITE r.ND = %:D 111 o. GALLONS #7 S
POUNDS DRY WEIGHT = ?FM SOLEDS X S.')4 X MILLION MG GALLONS /� S
�0a�7a
Y��3Y�,i=-.
DATA'.
S'IGNAYURE OF OPERATOR:
SITE NO.
1A-1
BAXTER HEALTHCARE CORP.
IA-2
BAXTER HEALTHCARE CORP
IA-3
BAXTER HEALTHCARE CORP
2-2
HENRY BROWN
2-5
HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
(1) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATEEER CONDIT16NS: CLEAR_
CLOUDY
(3) SOIL, CONDITIONS: WET DRY:
(4) CROP: HAY / CORN
ACMES
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
PARTLY CLOUDY
(5) LOADS HAULED (6,000 GAL�LOAD) 1
(6) APPLICATION SITE: SITE AND FILED NO. /T
a. SITE AND FIELD NO. � GALLONS D2d #IS
b. SITE AND FIELD NO. GALLONS #IS
SITE AND FUEL!) v!) �0. GALLONS #' S
POUNDS DRY WEIGHT = PPM SOLIDS X 8.34 X MILLION MG GALLONS
� Yi,
SITE NO.
IA-1
BAXTER HEALTHCARE CORP.
1A-2
BAXTER HEALTHCARE CORP
IA-3
BAXTER HEALTHCARE CORP
2-2 HENRY BROWN
2-5 HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
(I) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR _
CLOUDY
W-6 .y
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
PARTLY CLOUDY
(3) SOIL CONDITIONS: WET DRY:
(4) CROP: RAY 1/ CORN PASTURE
(5) LOADS HAULED (6,000 GALILOAD)
(6) APPLICATION SITE: SITE AND FILED NO.
a. SITE AND FIELD NO. GALLONS o� #, S
b. SITE AND FIELD NO. GALLONS #' S
e. SITE AND FIELD NO. GALLONS #' S
POUNDS DRY WEIGHT = MOM SOLIDS Y MG GALLONS
SLUDGE F3ISP➢SAI. REPORT
BAXTER HEALTHCARE CORPORATIOlU
NORTH COS FACII.ITY
PEIT NUMBER WQ0004222 ---
SIGNATURE OF OPERATOR:
SITE NO.
IA-1
BAXTER HEALTHCARE CORP.
IA-2
BAXTER HEALTHCARE CORP
1A-3
BAXTER HEALTHCARE CORD
2-2
HENRY BROWN
2-5
HENRY BROWN
44 b
DEAN CHAPMAN
5-1 b
ROM ENGLISH
5-5 b
ROM ENGLISH
1ce��iIL-111 \: ImmosM
(1) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR_
CLOUDY
ACRES
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
PARTLY CLOUDY
(3) SOIL CONDITIONS: WET DRY:
(4) CROP: HAY CORN PASTURE
(5) LOADS HAULED (6,000 GALILOAD) Z
(6) APPLICATION SITE: SITE AND PILED NO. I
a. SITE AIND FIELD NO. / GALLONS 24 dJb #I S p4Co2 S-5--
b. SITE AND FIELD NO. GALLONS #IS
c. SITE AND FIELD NO. GALLONS #' S
POUNDS DRY WEIGHT = PPM SOLIDS X 3.34 X 141ILLION MG GALLON
�Ov2l �� jx °� �
SLUDGE DISPOSAL REPORT
BAXTER HEALTHCARE CORPoRA3'IOIV _
I@TORTFI COS FACIF.ITH
PERMIT NUMBER WQOO-04222
DATE:
SIGNATURE OF OPERATOR: -
SITE NO. ACRES
IA-1
BAXTER HEALTHCARE CORP.
22.0
IA-2
BAXTER HEALTHCARE CORP
10.2
IA-3
BAXTER HEALTHCARE CORP
4.8
2-2
HENRY BROWN
7.1
2-5
HENRY BROWN
5.5.
4-4 b
DEAN CHAPMAN
6.7
5-1 b
ROM ENGLISH
9.1
5-5 b
ROM ENGLISH
7.5
TOTAL AVAILABLE ACRES 72.9
(1) METHOD OF APPLICATION: INJECTION /
SURFACE APPLICATION /
(2) WEATHER CONDITIONS: CLEAR P---' PARTLY CLOUDY
CLOUDY
(3) SOIL CONDITIONS: WET DRY: ✓
(4) CROP: RAY CORN PASTURE
(5) LOADS HAULED (6,000 GALILOAD) y
(6) APPLICATION SITE: SITE AND FILED NO. r" 1
a. SITE AND FIELD NO. _� GALLONS �y 6O #I S dCX5'y—
b. SITE AND FIELD NO. GALLONS #' S
c. SITE AND F11 D No. GALLONS #I S
POUNDS DRY ` EI-C- E _ P I SOLIDS X 8.34 X MILLION MG GALLONS �- y�
DATE: b'--
SIGNATURE OF OPERATOR:
SITE NO. ,
IA-1
BAXTER HEALTHCARE CORP.
IA-2
BAXTER HEALTHCARE CORP
IA-3
BAXTER HEALTHCARE CORP
2-2
HENRY BROWN
2-5
HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
(I) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
✓l_
(2) WEATHER CONDITIONS: CLEAR PARTLY CLOUDY
CLOUDY
(3) SOH, CONDITIONS: WET DRY:
(4) CROP: HAY CORN PASTURE
(5) LOADS HAULED (6,000 GALILOAD) 9
(6) APPLICATION SITE.: SITE AND FILED NO.
a. SITE AND FIELD NO. �,/ry 'r GALLONS dick #1S
b. - SITE AND FIELD NO. GALLONS ' #'S
c. SITE AND F- T--D NO. O. GALLONS #7 S
POUNDS DRY WEIGHT = PFNI SOLIDS ti 3.34 X MILLION MG GALLONS ��.,�Q
SIGNATURE OF OPER,4TOR:
SITE NO.
ACRES
1A--1
BAXTER HEALTHCARE CORP.
22.0
IA-2
BAXTER HEALTHCARE CORP
10.2
IA-3
BAXTER HEALTHCARE CORP
4.8
2-2
HENRY BROWN
7.1
2-5
HENRY BROWN
5.5
4-4 b
DEAN CHAPMAN
6.7
5-1 b
ROM ENGLISH
9.1
5-5 b
ROM ENGLISH
7.5
TOTAL AVAILABLE ACRES
(1) I TTHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR _
CLOUDY
72.9
PARTLY CLOUDY
(3) SOIL CONDITIONS: WET DRY:
(4) CROP: RAY CORN PASTURE
(5) LOADS MAULED (6,000 GALILOAD)
(6) APPLICATION SITE: SITE AND FMED NO. 2-
a. SITE AND FIELD NO. --�' � -- �� GALLONS #' S
b. SITE AND FIELD NO. GALLONS #' S
c. SITE AND E=LD NO. GALLONS #'S
POUNDS DRY WEIGHT = `?FM SOLIDS X 3.34 X MILLION MG GALLONS
DATE:
SIGNATURE OF OPERA TO
SITE NO.
1A-1
BARTER HEALTHCARE CORP.
IA-2
BARTER HEALTHCARE CORP
IA-3
BARTER HEALTHCARE CORP
2-2
HENRY BROWN
2-5
HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
(I) TMETHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR_
CLOUDY
!3CllE
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
PARTLY CLOUDY
(3) SOIL CONDITIONS: WET DRY:
(4) CROP: HAY ✓ CORN PASTURE
(5) LOADS HAULED (6,000 GAL�LOAD) ,r
(6) APPLICATION SITE: SITE AND FILED NO.
a. STTE AND FIELD NO. / GALLONS W S
b. SITE AND FIELD NO. GALLONS #IS
�. SITE AND GALLONS #IS
POUNDS DRY WSOLIDS X 3.34 X MILLION MG GALLONS � �
= - / 0 3 -KF� ���y
SLUDGE DISPOSAL REPORT
BARTER HEALTHCARE CORPORATION
NORTH COVE FACILITY
PERMIT MJMBER W90004222 - - -
DATE:
fix
/f
SIGNATURE
OF OPERATOR: ;
SITE NO.
AGES
IA-1
BARTER HEALTHCARE CORP. 22.0
IA-2
BAXTER HEALTHCARE CORP 10.2
IA-3
BAXTER HEALTHCARE CORP 4.8
2-2
HENRY BROWN 7.1
2-5
HENRY BROWN 5.5
4-4 b
DEAN CHAPMAN 6.7
5-1 b
ROM ENGLISH 9.1
5-5 b
ROM ENGLISH 7.5
TOTAL AVAILABLE ACRES
(I) METHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
72.9
(2) WEATHER CONDITIONS: CLEAR PARTLY CLOUDY
CLOUDY
(3)
SOIL CONDITIONS: WET
DRY:
(4)
CROP: HAY / CORN
PASTURE
(5)
LOADS HAULED (6,000 GALILOAD)
(6)
APPLICATION SITE: SITE AND FILED NO.
a. SITE AND FIELD td0. '-
GALLONS -3° )_T
#' S %1� 3 /�
b. SITE AND FIELD NO.
GALLONS
#' S
c. SITE AND FUILD NO.
GALLONS
#' S
POUNDS DRY WEIGHT = PPM SOLIDS X 8.34 X MILLION MG GALLONS
r
;,r;
*_, .
n
SLUDGE DISPOSAL REPORT
BAXTER E T C CORPORATION
NORTH COVE FACILITY
PERMIT NUMBER WQ0004222 ------ ----
SIGNATURE OF OPERATO-7?:
SITE NO. ACES
IA-1 BAXTER HEALTHCARE CORP. 22.0
IA-2 BAXTER HEALTHCARE CORP 10.2
IA-3 BAXTER HEALTHCARE CORP 4.8
2-2 HENRY BROWN 7.1
2-5 HENRY BROWN 5.5
4-4 b DEAN CHAPMAN 6.7
5-1 b ROM ENGLISH 9.1
5-5 b ROM ENGLISH 7.5
TOTAL AVAILABLE ACRES 72.9
(1) INM' TROD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR _
CLOUDY
(3) SOIL CONDITIOiv S: WET
(4) CROP: HAY
CORV1
PARTLY CLOUDY
DRY:
PASTURE z�
(s) LOADS HAULED (6,060 G_ LILOAD) i3
(6) APPLICATION SITE: SITE .-D FILED O. /14
a. SITE AND EIE LD 'I'10.2--
b. SITE AND FIELD NO.
c. SITE AND I:+= =lu-
GALLONS IPOC-) #' S
GALLONS #'S
GALLONS #' S
POUNDS DRY WEIGHT = ap "1 SOLED S 8.3 ? X MILLION MG GALLONS
r`
SLUDGE DISPOSAL REPORT
BARTER HEALTHCARE CORPORATION
NORTH COVE FACILITY'
PERMIT NUMBER WQ0004222 =- . --
DATE:
SIGNATURE OF OPERATOR: 2
SITE NO. ACRES
1A-1 BAXTER HEALTHCARE CORP. 22.0
IA-2 BAXTER HEALTHCARE CORP 10.2
IA-3 BAXTER HEALTHCARE CORP 4.8
2-2 HENRY BROWN 7.1
2-5 HENRY BROWN 5.5
4-4 b DEAN CHAPMAN 6.7
5-1 b ROM ENGLISH 9.1
5-5 b ROM ENGLISH 7.5
TOTAL AVAILABLE ACRES
72.9
(1) INEETHOD OF APPLICATION: INJECTION
SURFACE APPLICATION �
(2) WEATHER CONDITIONS: CLEAN _
CLOUDY
(3) SOIL. CONDITIONS: WET
PARTLY CLOUDY
(4) CROP: RAY CORN PASTURE
(5) LOADS HAULED (6,000 GAL\LOAD) 4-
(6) APPLICATION SITE: SITE AND FILED NO.
a. SITE AND FIELD NO. GALLONS ,ZSGOU #' S
b. SITE AND FLELD r 10. _ GALLONS #' S
c. SITE AND GALLONS #' S
POUNDS DRY W E ICE = _': _>i:` _a= ..`_ 3.34 X MILLION MG GALLONS 3 y%�
SLUDGE DISPOSAL REPORT
BAXTER HEA.LTHCARE CORPORATION
NORTH COVE FAMITY
PE .1 IT NUMBER WQ0004222 -
SIGNATURE OF OPERA TOR:
1A-1 BA;K TER HEALTHCARE CORP.
IA-2 BAXTER HEALTHCARE CORP
IA-3 BAXTER HEALTHCARE CORP
2-2 HENRY BROWN
2-5 HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
ACRES
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
(1)IVIEETHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR PARTLY CLOUDY
CLOUDY
(3) SOIL CONDITIONS: WET DRY: ./
(4) CROP: HAY ./` CORN PASTURE
(5) LOADS HAULED (6,000 GAL\LOAD)
(6) APPLICATION SITE: SI i E+ AND ~ILED
a. SITE AND F ALD t�i �). GALLONS 3" O -)� #' S
b. SITE IND A IEL:-D NO. GALLONS #IS �
�. SITE AND i> O. GALLONS #' S
POUNDS D eY " lGE,—1 _ 4 1�=M SOLMS X 8.34 X MILLION MG GALLONSAr-
.
6
"LUD E DISPOSE REPORT
BAXTER HEALTHCARE CORPORATION
FORTH COVE FACMIT Y
PERMIT ZUMBERWQ0004222 -.
DATE:
SIGNATURE OF OPERATOR:
IA-1
BAX'>TER HEALTHCARE CORP.
22.0
1A-2
BAXTI'ER HEALTHCARE CORP
10.2
IA-3
BAXTER HEALTHCARE CORP
4.8
2-2
HENRY BROWN
7.1
2-5
HENRY BROWN
5.5
4-4 b
DEAN CHAPMAN
6.7
5-1 b
ROM ENGLISH
9.1
5-5 b
ROM ENGLISH
7.5
TOTAL AVAILABLE ACRES
72.9
(I) METHOD OF APPLICATION: INJECTION /
SURFACE APPLICATION
(2) WEATHER CONDITIONS: CLEAR PARTLY CLOUDY
CLOUDY _
(3) SOIL CONDITIONS: WET DRY: /
(4) CROP: HAY / CORN PASTURE
(5) LOADS HAULED (6,000 GAL\LOAD)
(6) APPLICATION SITE: SITE AND FILED NO.
a. SITE AND FIELD NO. ��- GALLONS #, s
b. SITE AND F ELD NO. GALLONS � #IS
c. SITE AND F =LD NO. GALLONS #' S
POUNDS DRY WEIGHT = PP14 SOLIDS X o.34 X TvHLLION MG 3AX/7�3/ /mod
DATE:
SIGNATURE OF OPERATOR:
SITE NO.
IA-1
BAXTER HEALTHCARE CORP.
IA-2
BAXTER HEALTHCARE CORP
IA-3
BAXTER HEALTHCARE CORP
2-2 HENRY BROWN
2-5 HENRY BROWN
4-4 b DEAN CHAPMAN
5-1 b ROM ENGLISH
5-5 b ROM ENGLISH
TOTAL AVAILABLE ACRES
(I) TVIEETHOD OF APPLICATION: INJECTION
SURFACE APPLICATION
22.0
10.2
4.8
7.1
5.5
6.7
9.1
7.5
72.9
(2) WEATHER CONDITIONS: CLEAR PARTLY CLOUDY
CLOUDY _
(3) SOIL CONDITIONS: WET DRY:
(4) CROP: HAY CORN t PASTURE
(5) LOADS HAULED (6,000 GALILOAD) J
(6) APPLICATION SITE: SITE AND FILED NO.
a. SITE .AND FIELD NO. �°✓ GALLONS 19-f iWX #' S
b. SITE AND FIELD NO. GALLONS #'S
c. SITE AN-1) FIELD NO. GALLONS #'S
POUNDS DRY WEIGHT = PP'q SOLIDS 3.3-1 Xl MILLION MG GALLON
1998
BAXTER HEALTHCARE CORPORATION (PASTURE FESCUE)
SITE 1A-1
TOTALS
DATE GALLONS
1/29/98 24,000
2/2/98
JAN
FEB
10.2 ACRES
mg/I D.W.Ibs.
20,258 4,055
12,000 20,258 2,027
GALLONS % SOLIDS D.W. lbs.
24,000 2.03 4,055
12,000 2.03 2,027
36,000 6,082
3.04 TONS
1998
BAXTER HEALTHCARE CORPORATION (PASTURE FESCUE)
SITE 1A-2
TOTALS
22 ACRES
DATE
GALLONS
mg/I
D.W.Ibs.
1/5/98
24,000
24,197
4,843
1/6/98
24,000
24,197
4,843
1/12/98
24,000
20,458
4,095
1/13/98
24,000
24,197
4,843
1/14/98
24,000
24,197
4,843
1/20/98
24,000
20,709
4,145
1/21/98
24,000
20,586
4,120
1/26/98
24,000
20,258
4,055
1/30/98
24,000
20,258
4,055
2/3/98
6,000
20,258
1,014
2/9/98
30,000
19,311
4,832
2/10/98
30,000
19,311
4,832
2/13/98
18,000
19,311
2,899
2/20/98
24,000
17,350
3,473
2/24/98
30,000
16,431
4,111
2/26/98
30,000
16,431
4,111
2/27/98
18,000
16,431
2,467
GALLONS % SOLIDS D.W. Ibs.
JAN 216,000 2.21 39,842
FEB 186,000 1.79 27,793
402,000 67,635
Site 1A2 33.82 TONS
Site 1A1 3.04
Total 36.86
PER REQUIREMENT OF 11.4
LIME ADDITION IN 1998
The following lime additions were made in March 10, 1998:
Site 1A-2 .5T acre
Site 2-5 AT acre
Note: lime additions for 1999 will be based on
soil sample analysis when received from the state lab
Pace Analytical Services, Inc.
Pare A nalytiral A Ravine, C Drive
/-� Asheville, NC 28801
Tel: 704-254-7176
Fax:704-252-4618
February 05, 1998
Mr. Phil Castro
Baxter Healthcare Corporation
P.O. Box 1390
Highway 221 North
Marion, NC 28752
RE: PACE Project No. A80120.601
Client Reference: Sludge And Other Samples
Dear Mr. Castro:
Enclosed is the report of laboratory analyses for samples received
January 20, 1998.
Footnotes are given at the end of the report.
If you have any questions concerning this report, please feel free
to contact us.
Sincerely,
Walter L. Miller
Project Manager
Enclosures
Laboratory Certification IDs Laboratory Certification IDs
NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravensctoft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax:704-252-4618
Baxter Healthcare Corporation February 05, 1998
P.O. Box 1390 PACE Project Number: A80120601
Highway 221 North
Marion, NC 28752
Attn: Mr. Phil Castro
Client Reference: Sludge And Other Samples
NC Wastewater Lab Cert. #40
NC Drinkingwater Lab Cert. #37712
SC Lab Cert. #99030
PACE Sample Number:
93 0513867
93 0513875
Date Collected:
01/20/98
01/20/98
Date Received:
01/20/98
01/20/98
Client Sample ID:
Kitchen
Leachate
Tap
Digester
Parameter
Units
PRL
BA1
Sludge
(1)
INORGANIC ANALYSIS
8 RCRA METALS - LEACHATE
Barium, Leachate
mg/L
0.010
-
0.10
Cadmium, Leachate
mg/L
0.010
-
ND
Chromium, Leachate
mg/L
0.010
-
ND
Lead, Leachate
mg/L
0.100
-
ND
Silver, Leachate
mg/L
0.005
-
0.038
Arsenic, Leachate
mg/L
0.0050
-
ND
Selenium, Leachate
mg/L
0.0050
-
ND
Mercury, Leachate
mg/L
0.0002
-
ND.
0
Laboratory Certification IDs Laboratory Certification IDs
NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Service's, Inc.
Pace Analytical Services, Inc.
54 R shevilleille,
Pace Analytical Asheville,
C Drive
AsNC 28801
Tel: 704-254-7176
Fax:704-252-4618
Mr. Phil Castro February 05, 1998
Page 2 PACE Project Number: A80120601
Client Reference: Sludge And Other Samples
PACE Sample Number:. 93 0513859
Date Collected: 01/20/98
Date Received: 01/20/98
Client Sample ID: Digester
Parameter Units PRL Sludge
INORGANIC ANALYSIS
INDIVIDUAL PARAMETERS
Cadmium
mg/kg
24
ND
Calcium
mg/kg
2400
13000
Chloride
mg/kg
480
6100
Chromium
mg/kg
48
ND
Copper
mg/kg
23
260
.Corrosivity
pH Units
0.1
6.8
Fecal Coliform in Solids by MPN_
MPN/g
1
4,300.000
Lead
mg/kg
240
0
— Magnesium
mg/kg
240
4500
Nickel
mg/kg
120
ND
Nitrogen, Ammonia
mg/kg
100
1000
Nitrogen, Plant Available
mg/kg
1.0
21800
Phosphorus, Total
mg/kg
240
7900
Potassium
mg/kg
2400
7900
Sodium
mg/kg
240
8600
Solids, Percent Total
%
0.01
C2.1
Sulfate
mg/kg
480
4800
Zinc
mg/kg
23
400
SOUR TEST
Sour test mg/g/hr 0.01 0.50.4
Solids, Total Suspended mg/L 1.0 27000
Solids, Total Volatile Suspended mg/L 1.0 27000 (2)'
NITROGEN, TOTAL
Nitrogen, Kjeldahl mg/kg 12000 72000
Nitrogen, Nitrate plus Nitrite mg/kg 48 ND
Nitrogen, Total mg/kg 12484 72000
1-4,3 X rpG
Laboratory Certification IDs Laboratory Certification IDs
NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax: 704-252-4618
Mr. Phil Castro
Page 3
Client Reference: Sludge And Other Samples
These data have been reviewed and are approved for release.
wam vsl�
Walter L. Miller
Operations Manager
February 05, 1998
PACE Project Number: A80120601
Laboratory Certification IDs Laboratoryy Certification IDs
NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 . This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 Without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax: 704-252-4618
Mr. Phil Castro FOOTNOTES February 05, 1998
Page 4 for pages 1 through 3 PACE Project Number: A80120601
Client Reference: Sludge And Other Samples
ND Not detected at or above the PRL.
PRL PACE Reporting Limit
(1) All analysis performed on Toxic Characteristic Leachate.
(2) possible matrix interference. used the tss value of less than or equal to the
tvss value.
Laboratoryy Certification IN Laboratory Certification IN
NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02960
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NG 28801
Tel: 704-254-7176
Fax:704-252-4618
DATE: 02/04/98
PAGE: 1
Baxter Healthcare Pace Project Number: 85987
P. 0. Box 1390 Client Project ID: A80120.601
Marion, NC 28752
Attn: Mr. Phil Castro
Solid results are reported on a wet weight basis
Pace Sample No: 85102986 Date Collected: 01/20/98 Matrix: Soil
Client Sample ID: 93 051385.9/ DIGESTER SLUDGE Date Received: 01/21/98
Parameters Results Units PRL App. DF Analyzed Analyst CAS# Footnotes
Organics, Prep
Volatiles, TCLP Leach, Solid
Method: EPA 8260
Prep Method: EPA
1311
Date Leached
0.00
0
1.00
01/27/98
DMEN
GC -- Semi -VOA
Pesticides, TCLP Leachate
Method: EPA 8080
Prep Method:
EPA
3510
Chlordane
NO
mg/L
0.006
0.20
01/30/98
SPIN
57-74-9
Endrin
ND
mg/L
0.004
0.20
01/30/98
SYIN
72-20-8
Heptachlor
ND
mg/L
0.0016
0.20
01/30/98
SYIN '
76-44-8
Toxaphene
ND
mg/L
0.1
0.20
01/30/98
SYIN
8001-35-2
gamma-BHC (Lindane)
ND
mg/L
0.08
0.20
01/30/98
SYIN
58-89-9
Methoxychlor
ND
mg/L
2
0.20
01/30/98
SYIN
72-43-5
Decachlorobiphenyl (S)
100
%
1.00
01/30/98
SYIN
2051-24-3
Tetrachloro-meta-xyiene (S)
64
%
1.00
01/30/98
SYIN
'877-09-8
Date Extracted
01/28/98
Herbicides, TCLP Leachate
Method: EPA 8150
Prep Method:
EPA
8150
_
2,4-D
ND
mg/L
0.02
1.00
01/30/98
SYIN
94-75-7
2,4,5-TP(Silvex)
NO
mg/L
0.0075
1.00
01/30/98
SYIN
93-72-1
Dichlorophenyl Acetic Acid (S)
49
%
1.00
01/30/98
SYIN
19719-28-9
Date Extracted
01/28/98
GC/MS -- VOA
Volatiles, TCLP Leach, Solid
Method: EPA 8260
Prep Method:
EPA
8260
Vinyl Chloride
ND
mg/L
0.1
10.0
01/28/98
TSHA
75-01-4
1,1-Dichloroethene
ND
mg/L
0.05
10.0
01/28/98
TSHA
75-35-4
Laboratory Certification IDs Laboratoryt Certification IDs
TN Drinking Water 02980
FL Environmental 96317
without
NC Wastewater 40
REPORT OF LABORATORY ANALYSIS
NC Drinking Water 37712
This report shall not be reproduced, except in full,
SC Environmental 99030
the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax:704-252-4618
DATE: 02/04/98
PAGE: 2
Pace Project Number: 85987
Client Project ID: A80120.601
Pace Sample No: 85102986 Date Collected: 01/20/98 Matrix: Soil
Client Sample ID: 93 051385.9/ DIGESTER SLUDGE Date Received: 01/21/98
Parameters
Results
Units
PRL
App. DF
Analyzed
Analyst CAS# Footnotes
Chloroform
ND
mg/L
0.05
10.0
01/28/98
TSHA
67-66-3
1,2-Dichloroethane
ND
mg/L
0.05
10.0
01/28/98
TSHA
107-06-2
2-Butanone
ND
mg/L
10
10.0
01/28/98
TSHA
78-93-3
Carbon Tetrachloride
ND
mg/L
0.05
10.0
01/28/98
TSHA
56-23-5
Trichloroethene
ND
mg/L
0.05
10.0
01/28/98
TSHA
79-01-6
Benzene
ND
mg/L
0.05
10.0
01/28/98
TSHA
71-43-2
Tetrachloroethene
ND
mg/L
0.05
.10.0
01/28/98
TSHA
127-18-4
Chiorobenzene
ND
mg/L
0.05
10.0
01/28/98
TSHA
108-90-7
Toluene-d8 (S)
98
%
1.00
01/28/98
TSHA
2037-26-5
4-Bromofluorobenzene (S)
104
%
1.00
01/28/98
TSHA
460-00-4
Dibromofluoromethane (S)
108
%
1.00
01/28/98
TSHA
1868-53-7
GC/MS -- Semi -VOA
Semivolatile, TCLP, Solid
Method:
EPA-8270
Prep Method:
EPA
3510
1,4-Dichlorobenzene
ND
mg/L
0.020
0.50
01/28/98
VHEB
106-46-7
2-M'ethylphenol
ND
mg/L
0.020
0.50
01/28/98
VHEB
95-48-7
3-Methylphenol
ND
mg/L
0.020
0.50
01/28/98
VHEB
108-39-4
4-Methylphenol
ND
mg/L
0.020
0.50
01/28/98
VHEB
106-44-5
Nitrobenzene
ND
mg/L
0.020
0.50
01/28/98
VHEB
98-95-3
Nexachlorobutadiene
ND
mg/L
0.020
0.50
01/28/98
VHEB
87-68-3
;2,4,6-Trichlorophenol
ND
mg/L
0.020
0.50
01/28/98
VHEB
88-06-2
2,4,5-Trichlorophenol
ND
mg/L
0.050
0.50
01/28/98
VHEB
95-95-4
2,4-Dinitrotoluene
ND
mg/L
0.020
0.50
01/28/98
VHEB
121-14-2
Hexachlorobenzene
ND
mg/L
0.020
0.50
01/28/98
VHEB
118-74-1
PentachLorophenol
ND
mg/L
0.050
0.50
01/28/98
VHEB
87-86-5
Pyridine
ND
mg/L
0.020
0.50
01/28/98
VHEB
110-86-1
Hexachloroethane
ND
mg/L
0.020
0.50
01/28/98
VHEB
67-72-1
Nitrobenzene-d5 (S)
76
%
1.00
01/28/98
VHEB
4165-60-0
2-Fluorobiphenyl (S)
90
%
1.00
01/28/98
VHEB
321-60-8
Terphenyl-d14 (S)
106
%
1.00
01/28/98
VHEB
1718-51-0
Phenol-d6 (S)
22
%
1.00
01/28/98
VHEB
13127-88-3
2-Fluorophenol (S)
43
%
1.00
01/28/98
VHEB
367-12-4
2,4,6-TribromophenoL (S)
40
%
1.00
01/28/98
VHEB
118-79-6
Date Extracted
01/28/98
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Asheville, NC 28801
Tel: 704-254-7176
Fax:704-252-4618
DATE: 02/04/98
PAGE: 3
Pace Project Number: 85987
Client Project ID: A80120.601
PARAMETER FOOTNOTES
ND Not Detected
NC Not Calculable
PRL Pace Reporting Limit
(S) Surrogate
App. DF Applied Dilution Factor
Laboratoryy Certification IDs Laboratory Certification IDs
NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax:704-252-4618
Baxter Healthcare
P. 0. Box 1390
Marion, NC 28752
Attn: Mr. Phil Castro
QC Batch ID: 1266
Analysis Method: EPA 8080
Associated Pace Samples: 85102986
METHOD BLANK: 85110039
Associated Pace Samples:
85102986
QUALITY CONTROL DATA
Pace Project Number: 85987
Client Project ID: A80120.601
QC Batch Method: EPA 3510
Analysis Description: Pesticides, TCLP Leachate
Method
Blank
Parameter
Units
Result
PRL Footnotes
Chlordane
mg/L
NO
0.003
Endrin
mg/L
NO
0.002
Heptachlor
mg/L
NO
0.0008
Toxaphene
mg/L
NV
0.05
gamma-BHC (Lindane)
mg/.L
ND
0.04
"-`tioxychlor
mg/L
ND
1
ichlorobiphenyl (S)
%
164
.--.-achloro-meta-xylene (S)
%
84
DATE: 02/04/98
PAGE: 4
MATRIX SPIKE & MATRIX SPIKE
DUPLICATE:
8578601 8578619
Matrix
Matrix
Spike
Spike
Spike
Spike
Sp. Dup.
Dup
Parameter
Units
8554420
Conc.
Result
% Rec'
Result
% Rec
RPD Footnotes
Endrin
mg/L
0
0.00
0.004450
89.0
0.004500
90.0
1
Heptachlor
mg/L
0
0.00
0.004500
90.0
0.004800
96.0
6
gamma-BHC (Lindane)
mg/L
0
0.00
0.004150
83.0
0.004350
87.0
5
Methoxychlor
mg/L
0
0.00
0.004650
93.0
0.004400
88.0
6,
Decachlorobiphenyl (S)
117
101
Tetrachloro-meta-xylene (S)
76.
62
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consenlof Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax: 704-252-4618
QUALITY CONTROL DATA DATE: 02/04/98
PAGE: 5
Pace Project Number: 85987
Client Project ID: A80120.601
LABORATORY CONTROL SAMPLE: 8567331
Spike
LCS
Spike
Parameter
Units
Conc.
Result
% Rec Footnotes
Endrin
mg/L
0.00
0.004700
94.0
Heptachlor
mg/L
0.00
0.004650
93.0
gamma-BHC.(Lindane)
mg/L
0.00
0.004250
85.0
Methoxychlor
mg/L
0.00
0.005200
104
Decachlorobiphenyl (S)
127
Tetrachloro-meta-xylene (S)
80
LABORATORY CONTROL SAMPLE: 8575318
Parameter
Endrin.
Heptachlor
gamma-BHC (Lindane)
Methoxychlor
Decachlorobiphenyl (S)
Tetrachloro=meta-xylene (S)
Spike
LCS
Units
Conc.
Result
mg/L
0.00
0.004750
mg/L
0.00
0.003700
mg/L
0.00
0.003700
mg/L
0.00
0.004550
LABORATORY CONTROL SAMPLE: 85110047
imeter
Units
Endrin
mg/L
Heptachlor
mg/L
gamma-BHC (Lindane)
mg/L
Methoxychlor
mg/L
Decachlorobiphenyl (S)
Tetrachloro-meta-xylene (S)
Spike LCS
Conc. Result
0.00 0.0005250
0.00 0.0004950
0.00 0.0004600
0.00 0.0005950
Spike
Rec
95.0
74.0
74.0
91.0
133
83
Spike
Rec
105
99.0
92.6
119
169
77
Footnotes
Footnotes
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace. Analytical Services, Inc.
Pace Analytical Services, Inc.
Pace Analytical A RavensDrive
Asheville, INCNC 28801
Tel: 704-254-7176
Fax:704-252-4618
Baxter Healthcare
P. 0. Box 1390
Marion, NC 28752
Attn: Mr. Phil Castro
QC Batch ID: 1267
Analysis Method: EPA 8150
Associated Pace Samples: 85102986
METHOD BLANK: 85115160
Associated Pace Samples:
85102986
Parameter Units
------- -------------------------------
2,4-D mg/L
2,4,5-TP(Silvex) mg/L
Dichlorophenyl Acetic Acid (S)
QUALITY CONTROL DATA
Pace Project Number: 85987
Client Project ID: A80120.601
QC Batch Method: EPA 8150
Analysis Description: Herbicides, TCLP Leachate
Method
Blank
Result PRL Footnotes
ND 20
ND 7.5
81
DATE: 02/04/98
PAGE: 6
MATRIX SPIKE & MATRIX
SPIKE DUPLICATE:
8580128 8580136
Matrix
Matrix
Spike
Spike
Spike
Spike
Sp. Dup.
Dup
_.•-imeter
Units
8554420
Conc.
Result
% Rec
Result
% Rec RPD Footnotes
2,4-D
ug/L
0
100
88.00
88.0
84.00
84.0 5
2,4,5-TP(Silvex)
ug/L
0
10
8.200
82.0
7.900
79.0 4
Dichlorophenyl Acetic
Acid (S)
113
114
LABORATORY CONTROL SAMPLE: 8567364
Parameter Units
2,4-D ug/L
2,4,5-TP(Silvex) ug/L
Dichlorophenyl Acetic Acid (S)
Spike LCS
Conc. Result
100 102.0
10 7.900
Spike
Rec Footnotes
102
79.0
134
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
//�� Pace Analytical Services, Inc.
Pace Analytical Asheville,
N oft Drive
Asheville, NC 28801
Tel: 704-254-7176
Fax:704-252-4618
QUALITY CONTROL DATA DATE: 02/04/98
PAGE: 7
Pace Project Number: 85987
Client Project ID: A80120.601
LABORATORY CONTROL SAMPLE:
8575250
Spike
LCS
Spike
Parameter
Units
Cone.
-------
Result
----------
% Rec Footnotes
---------------
------------------------------
2,4-D
----------
ug/L
160
128.0
128
2,4,5-TP(Silvex)
ug/L
10
8.500
85.0
Dichlorophenyl Acetic Acid
(S)
124
LABORATORY CONTROL SAMPLE:
85100980
Spike
LCS
Spike
Parameter
Units
Cone.
Result
% Rec Footnotes
------------------------------
2,4-D
----------
ug/L
-------
100
----------
96.00
----- ----------
96.0
2,4,5-TP(Silvex)
ug/L
10
8.900
89.0
Dichlorophenyl Acetic Acid
(S)
56
TORY CONTROL SAMPLE:
,Spike
LCS
Spike
Parameter Units
Cone.
Result
----------
% Rec Footnotes
---------------
------------------------------ ----------
2,4-D ug/L
-------
100
82.60
82.6
2,4,5-TP(Silvex) ug/L
10
7.070
70.7
Dichlorophenyl Acetic Acid (S)
81
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax: 704-252-4618
1
Baxter Healthcare
P. 0. Box 1390
Marion, NC 28752
Attn: Mr. Phil Castro
QC Batch ID: 1864
Analysis Method: EPA 8260
Associated Pace Samples: 85102986
METHOD BLANK: 85113355
Associated Pace Samples:
85102986
QUALITY CONTROL DATA
Pace Project Number: 85987
Client Project ID: A80120.601
QC Batch Method: EPA 8260
Analysis Description: Volatiles, TCLP'Leach, Solid
Method
Blank
Parameter
Units
Result
PRL Footnotes
Vinyl Chloride
mg/L
NO
0.01
1,1-Di.chloroethene
mg/L
NO
0.005
Chloroform
mg/L
NO
0.005
1,2-Dichloroethane
mg/L
NO
0.005
,2-Butanone
mg/L
NO
1
r--5on Tetrachloride
mg/L
NO
0.005
:hloroethene
mg/L
NO
0.005
.:ene
mg/L
NO
0.005
Tetrachloroethene
mg/L.
NO
0.005
Chtorobenzene
mg/L
NO
0.005
Toluene-d8 (S)
%
102
4-Bromofluorobenzene (S)
%
104
Dibromofluoromethane (S)
%
110
DATE: 02/04/98
PAGE: 8
MATRIX SPIKE & MATRIX SPIKE
DUPLICATE:
8596215 8596223
Matrix
Matrix
Spike
Spike..
Spike
Spike
Sp. Dup.
Dup
Parameter
Units
8588915
Conc.
Result
% Rec
Result
% Rec
RPD Footnotes
1,1-Dichloroethene
mg/L
0
0.50
0.5200
104
0.5300
106
2
Trichloroethene
mg/L
0
0.50
0.4200
84.0
0.4790
95.8
13
Benzene
mg/L
0
0.50
0.5400
108
0.5420
108
0
Chlorobenzene
mg/L
0
0.50
0.4800
96.0
0.4810
96.2
0
Toluene-d8 (S)
102
102
4-Bromofluorobenzene (S)
98
100
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax:704-252-4618
QUALITY CONTROL DATA
DATE: 02/04/98
PAGE: 9
Pace Project Number: 85987
Client Project ID: A80120.601
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 8596215 8596223 Matrix Matrix Spike
Spike Spike Spike Sp. Dup. Dup
Parameter Units 8588915 Conc. Result % Rec Result % Rec RPD Footnotes
--------- --------------------------------------------------------- ----- -------- ----- ---------------
Dibromofluoromethane (S) 104 95
LABORATORY CONTROL SAMPLE: 8596207
Spike
LCS
Spike
Parameter
Units
Conc.
Result
% Rec Footnotes
1,1-Dichloroethene
mg/L
0.50
0.4900
98.0
Trichloroethene
mg/L
0.50
0.4600
92.0
Benzene
mg/L
0.50
0.5100
102
Chlorobenzene
mg/L
0.50
0.4525
90.5
LABORATORY CONTROL SAMPLE: 8598971
Spike
LCS
Spike
Parameter
Units
Conc.
Result
% Rec Footnotes
1,1-Dichloroethene
mg/L
0.05
0.04431
88.6
Trichloroethene
mg/L
0.05
0.04500
90.0
Benzene
mg/L
0.05
0.04586
91.7
Chlorobenzene
mg/L
0.05
0.04723
94.5
I)RATORY CONTROL SAMPLE: 85103950
Spike
LCS
Spike
Parameter
Units
Conc.
Result
% Rec Footnotes
1,1-Dichtoroethene
mg/L
0.50
0.4444
88.9
Trichloroethene
mg/L
0.50
0.3866
77.3
Benzene
mg/L
0.50
0.4838
96.8
Chlorobenzene
mg/L
0.50
0.4594
91.9
LABORATORY CONTROL SAMPLE: 85113363
S ike LCS S ike
Parameter Units
1,1-Dichloroethene mg/L
Trichloroethene mg/L
Benzene mg/L
Chlorobenzene mg/L
P
Conc. Result
0.50 0.5000
0.50 0.4960
0_50 0.5110
0.50 0.5100
p
Rec Footnotes
100
99.2
102
102
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax:704-252-4618
Baxter Healthcare
P. 0. Box 1390
Marion, NC 28752
Attn: Mr. Phil Castro
QC Batch ID: 1868
Analysis Method: EPA 8270
Associated Pace Samples:
METHOD BLANK: 85109874
Associated Pace Samples:
Parameter
1,4-Dichlorobenzene
2-Methylphenol
3-Methylphenol
4-Methylphenol
Nitrobenzene
..--Lachlorobutadiene
�,6-Trichlorophenol
,,4,5-Trichlorophenol
2,4-Dinitrotoluene
Hexachlorobenzene
Pentachlorophenol
Pyridine
Nexachloroethane
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
Terphenyl-d14 (S)
Phenol-d6 (S)
2-Fluorophenol (S)
2,4,6-Tribromophenol (S)
85102986
85102986
Units
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
%
QUALITY CONTROL DATA
Pace Project Number: 85987
Client Project ID: A80120.601
QC Batch Method: EPA 3510
Analysis Description: Semivolatile, TCLP, Solid
Method
Blank
Result
ND
ND
NO
ND
ND
ND
NO
ND
ND
ND
ND
ND
NO
58
66
83
12
29
40
PRL Footnotes
10
10
10
10
10
10
10
25
10
10
25
10
10
DATE: 02/04/98
PAGE: 10
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317.
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax: 704-252-4618
QUALITY CONTROL DATA DATE: 02/04/98
PAGE: 11
Pace Project Number: 85987
Client Project ID: A80120.601
MATRIX SPIKE & MATRIX SPIKE
DUPLICATE:
8599094 8599102
Matrix
Matrix
Spike
Spike
Spike
Spike
Sp. Dup.
Dup
Parameter
Units
----------
8582595
Conc.
Result
% Rec
Result
% Rec
RPD Footnotes
------------------------------
1,4-Dichlorobenzene
ug/L
----------
0
-------
200
----------
68.00
-----
34.0
----------
96.00
-----
48.0
---------------
34
2-Methylphenol
ug/L
0
400
102.0
25.5
112.0
28.0
9
4-Methylphenol
ug/L
104.0
400
174.0
17.5
172.0
17.0
3 1,1
Nitrobenzene
ug/L
0
200
102.0
51.0
140.0
70.0
31
Hexachlorobutadiene
ug/L
0
200
74.00
37.0
104.0
52.0
34
2,4,6-Trichlorophenol
ug/L
0
400
312.0
78.0
326..0
81.5
4
2,4,5-Trichlorophenol
ug/L
0
400
132.0
33.0
124.0
31.0
6
2,4-Dinitrotoluene
ug/L
0
200
188.0
94.0
172.0
86.0
9
Hexachlorobenzene
ug/L
0
200
128.0
64.0
120.0
60.0
6
Pentachlorophenol
ug/L
0
400
376.0
94.0
340.0
85.0
10
Hexachloroethane
ug/L
0
200
62.00
31.0
96.00
48.0
43
Nitrobenzene-d5 (S)
55
71
2-FluorobiphenyL (S)
62
66
TerphenyL-d14 (S)
75
67
Phenol-d6 (S)
26
32
2-FLuorophenoL (S)
.22
33
2,4,6-Tribromophenol (S)
74
65
LABORATORY CONTROL SAMPLE:
8596652
Spike
LCS
Spike
D--meter
Units
----------
Conc.
-------
Result
'---------
% Rec Footnotes
--------------------------
Dichlorobenzene
ug/L
200
136.0
---------------
68.0
2-MethylphenoL
ug/L
400
106.0
26.5
4-Methylphenol
ug/L
400
176.0
44.0 1
Nitrobenzene
ug/L
200
180.0
90.0
Hexachlorobutadiene
ug/L
200
144.0
72.0
2,4,6-Trichlorophenol
ug/L
400
1580
395
2,4,5-Trichlorophenol
ug/L
400
150.0
37.5
2,4-Dinitrotoluene
ug/L
200
200.0
100
Hexachlorobenzene
ug/L
200
168.0
84.0
Pentachlorophenol
ug/L
400
560.0
140
Hexachloroethane
ug/L
200
140.0
70.0
LABORATORY CONTROL SAMPLE: 85109882
Spike LCS Spike
Parameter Units Conc. Result % Rec Footnotes
--------------------------------------------------------- ---------------
1,4-Dichlorobenzene ug/L 100 59.00 59.0
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NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax: 704-252-4618
QUALITY CONTROL DATA DATE: 02/04/98
PAGE: 12
Pace Project Number: 85987
Client Project ID: A80120.601
LABORATORY CONTROL SAMPLE:
85109882
Spike
LCS
Spike
Parameter
Units
Conc.
Result
% Rec Footnotes
------------------------------
2-MethylphenoL
----------
ug/L
-------
200
----------
49.00
----- ----------
24.5
4-Methylphenot
ug/L
200
84.00
42.0 1
Nitrobenzene
ug/L
100
70.00
70.0
Hexachlorobutadiene
ug/L
100
63.00
63.0
2,4,6-TrichlorophenoL•
ug/L
200
152.0
76.0
2,4,5-TrichlorophenoL
ug/L
200
70.00
35.0
2,4-Dinitrotoluene
ug/L
100
88.00
88.0
Hexachlorobenzene
ug/L
100
75:00
75.0 .
Pentachlorophenol
ug/L
200
221.0
ill
Hexachloroethane
ug/L
100
59.00
59.0
Laboratory Certification IDs Laboratory Certification IDs.
NC Wastewater 40 REPORT OF LABORATORY ANALYSIS TN Drinking Water 02980
NC Drinking Water 37712 This report shall not be reproduced, except in full, FL Environmental 96317
SC Environmental 99030 without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
54 Ravenscroft Drive
Pace Analytical Asheville, NC 28801
Tel: 704-254-7176
Fax: 704-252-4618
DATE: 02/04/98
PAGE: 13
Pace Project Number: 85987
Client Project ID: A80120.601
QUALITY CONTROL DATA PARAMETER FOOTNOTES
Consistent with EPA guidelines unrounded concentrations are displayed and have been used to calculate % Rec and RPD values.
ND Not Detected
NC Not Calculable
PRL Pace Reporting Limit
RPD Relative Percent Difference
(S) Surrogate
Ell Due to co -elution, the value in 4-Methylphenol represents the total value for both 4-Methylphenol and 3-Methylphenol..
4
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NC Drinking Water 37712 FL Environmental 96317
SC Environmental 99030 This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
CHAIN -OF -CUSTODY RECORD
Analytical Request
f
0 / / rl
f'7
Turn around Time
- 7 / ,
v
Client , .:;+ r r
Report To: • t. U' S - �' 4
❑ 24 Hours
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Address v %' `� fU
Bill To:
❑ 48 Hours
❑ 3-5 Days
❑ 1 Week 2 Weeks
El Normal 14-Days
Pace Project Manager
t
P.O. # / Billing Reference
Pace Project No. C'
Phone
Project Name / No. [ v.i? :';` ;r,
"Requested Due Date:
5ampiea by (I -KIN 1):
Sampler Signature j Date Sampled
ITEM
NO.
SAMPLE DESCRIPTION
o
3
;
4
5
6
7
8
Additional Comments
�3
oU'C
W
PRESERVATIVES
ANALYSES
REQUEST
_
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,..--SAMPLE CONDITION
°C Received on Ice: YJ N Sealed Cooler: Y / N Samples Intact: Y
SEE REVERSE SIDE FOR INSTRUCTIONS
,
_ __-_-- _ .-- -- - _-- -- __-- - _ ----------- -- _ -- - instructions for completing Chain of C_ust®dy (ZCC)-___-_.
- - - - --1. -Complete all Client ;Inf6ematr®n -at top of sheet: - ramie,-adde ss, -"phone;-contact (person -to whom--
_. be sent`-and'contact_can_be. made if-_questions.arise),,_1 iIling-information-if different from...-
,,, client, PU#, Projeet Name and/or Project Number as it_will.,appear, on the report.
,Z? Pace -Client No., Project Mana_ ger and -Project -No. will bet-com' pleted by Pace.____
,.3', A separate COC rrrust,be;filied out for eacli-day of sample collection.
4:• Sampler should print their name in the space ;provided, and;sign their name followed by the date of
-the, sampling event. -
stir = =�
5. Complete Sample Description as itwill appear on the laboratory report; include time of sampling,
- - - - sample matrix,'no.-of'coritainers and container types. - - - --
6. Analysis Requested-—Completeanalysis-on-the lines -provided -and -place -a -check in the column for
the samples- requiring the _anal ysis4 It tnay be necessary_ to_ use the space provided for additional
comments or include attachments for extended lists''of parameters.
7. Indicatemethod of shipment used for return of samples and date sent. ,
�-
_ 8._ Submission_ of samples to laboratory: indicate Item Number of those -samples being transferred,
sign relinquished by, and' include your affiliation.
*'IMPORTANT- NOTE: --
1 1 ,
-,' Standard Turnaround Time. is 2 weeps: -if this does not satisfy your requirements, arrangements
- - - -must be made -prior -to samples -being submitted to -the laboratory. Contact your project manager.
-- - -_ - - Special --Project Rebuirements- such as -Low Level Detection Limits or level of QC reported must
-- - - be indicated on -the- chain of custody {Use -Additional Comments Section.)
1998
DIGESTER
MONTH
TEMP
pH
1
14.6
6.96
2
13.2
6
3
16.4
6.76
4
19.5
5.89
5
23.2
5.8
6
26.3
6.34
7
27.2
6.84
8
28.0
6.15
9
24.0
4.81
10
21.6
11
16.5
6.79
12
21.0
6.87
Avg
21.00