HomeMy WebLinkAboutWQ0010689_Annual Report_20130228Section 1 Form DMSDF
RECEIVE
MAR a6 0y
Asheville Regional Office
A ..
Class A Annual
Distribution and
Marketing Surface
Disposal Certification
and Summary Form and
Supplemental
Information
RECEIVENDENR/M
FEB 2 8 2013
Aquifer Protection Section
CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0010689 FACILITY NAME: Baxter Healthcare Corporation North Cove Steam Generation Plant Ash
PHONE: 828-756-6809 COUNTY: McDowell OPERATOR: Baxter Healthcare"
FACILITY TYPE (please check one):
® Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
R1 Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes R1 No ® —0� If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information.
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
See DMSDF sheet
February
supplemental for
March
breakdown
April
May
June
July
August
September
October
November
December
Total from FORM DMSDF (sup)
_ 153.75
77188
927.63,
927.0
Totals:
Annual (dry tons):
153.75
773.88
927.63'
927.63
Amendment(s) used: Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)l 1
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit F0 Yes
(including but not limited to items 1-3 below) issued by the Division of Water Quality: 13 No ► If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Quality.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are ignicar
penalties'for submitting false information, including the possibility of fines and imprisonment for knowing violations." ^
I A��n� -
Signature of Permittee V Date
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Signature of Preparer**
(if different from Permittee)
RECEIVEDIDENR M
FEB 2 8 2013
ione,i office
����vilie � �g otectt�
AgWerProtedonSedon DENR FORM DMSDF (12/2006)
CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
Supplemental Information
WQ PERMIT #: WQ0010689 FACILITY NAME: Baxter Healthcare' Corporation NorthCove Steam Generation Plant _Ash
PHONE: 828-756-6809 COUNTY: :McDowell OPERATOR: Baxter Healthcare
FACILITY TYPE (please check one): [3 Surface Disposal (complete Part A - "Month", "Source(s)" and "Residual In" columns only)
RI Distribution and Marketing (complete Parts A, and B)
Part A*:
Part_B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry
tons)
Intended use(s)
March
WQ0010689
2.08
9.44
11.52
Dean McClure
11.52
Land Application
March
WQ0010689
3.12
14.16
17.28
Bobby Boone
17.28
Land Application
March
WQ0010689
3.12
14.16
17.28
Dean McClure.
17.28
Land Application
March
WQ0010689
13.85
62.95
76.80
Bobby Boone
76.8
Land Application
March
WQ0010689
6.58
29.90
36.48
Bobby Boone
36.48
Land Application
March
WQ0010689
3.12
14.16
17.28
Dean McClure
17.28
Land Application
April
WQ0010689
6.23
28.33
34.56
Bobby Boone
34.56
Land Application
April
WQ0010689
4.15
18.89
23.04
Bobby Boone
23.04
Land Application
April
WQ0010689
6.23
28.33
34.56
Bobby Boone
34.56
Land Application
April
WQ0010689
1.04
4.72
5.76
James Barlowe
5.76
Land Application
July
WQ0010689
28.66
150.86
179.52
Kenneth Hughes
179.52
Land Application
July
WQ0010689
22.79
120.01
142.80
Jim Phillips
142.8
Land Application
December
WQ0010689
1.96
10.29
12.25
Bobby Boone
12.25
Land Application
December
WQ0010689
17.60
92.65
110.25
Jim Phillips
110.25
Land Application
December
WQ0010689
33.24
175..01
208.25
Max Holland
208.25
Land Application
Totals:
Annual (dry tons):
153.75
773.88
....................................
927.63 927:63
...................,...
Amendment(s) used:
I
Bulking Agent(s) used: D Wood Chips
* If more space is required, attach additional information sheets (FORM DMSDF (supp)):
Total Number of Form DMSDF (Supp)l 1
DENR FORM DMSDF (Supp) (12/2006)
Section 2,Form RSSF
Annual Residual
Sampling Summary
Form and Form B
ANNUAL RESIDUAL SAMPLING SUMMARY FORM `
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0010689 Laboratory:
Baxter Healthcare Corporation North Cove
Facility Name: Steam Generation Plant Ash
Residual Source WQ # or WQ0010689
NPDES #:
WWTP Name: NA
Recidunl Annlvcic Dgtn
1) Pace Analytical Services
2)
3)
4)
5)
Parameter
(mg/kg)
Conc.
Limit
m a
Sample or Composite Date
1NP22812
2NP22812
WBSP52512
WBNPOCT17
Percent Solids (%)
NA
Arsenic .
75
14.5
12.8
10.1
6.7
Cadmium
85
2.1
4.8
2
1.9
Copper
4,300
103
130
82.4
90.3
Chromium
NA
23.4
20.3
22.1
23.6
Lead
840
18.5
16
18.9
18.4
Mercury
57
0.012
0.012
0.01
ND
Molybdenum
75
ND
1.1
1.2
1.5
Nickel
420
15.9
13.5
13.7
29.3
Selenium
100
ND
ND
ND
ND
Zinc
y 7,500
232
190
195
160
Total PhosphorusV
NA
2710
2660
2680
3370
Barium
NA
1650
1470
1340
1670
Calcium
NA
78200
67500
76300
90100
Iron V
NA
13700
11800
9130_
23900
ror surrace aisposai racnities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted: I am aware that there are significant
penalties for asubmitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer *
o2-- 2-ce— le
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)
ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number:
Facility Name:
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analvsis Data
WQ0010689
Baxter Healthcare Corporation North Cove
Steam Generation Plant Ash
WQ0010689
NA
Laboratory: 1) Pace Analytical Services
2)
3)
4)
5)
Parameter
(mg/kg)
Sample or Composite Date
1NP22812
2NP22812
WBSP52512
WBNPOCT17
Magnesium
14700
12700
9780
11900
Manganese
2720
2330
2410
2870
pH
9
9
8.7
9
Potassium
15500
14300
16900
16800
Silver o/
ND
ND
1.1
ND
Sodium
ND
7000
8580
6070
"I certify, under penalty of law, that this document was prepared under my'direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer * (/
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
6z— 24-(3
Date
DENR FORM RSSF - B (12/2006)
IN
Section 3 Lab Sheets
Sample 1-
1NP22812
February 28, 2012
AxAnaljdicalo
mmpacelabs.com
Project: , WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: 1NP22812 Lab ID: 92112998002 Collected: 02/28/1210:35 Received: 02/28/12 13:24 Matrix: Solid
Results reported on a "dry -weight' basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3050
Aluminum
17500 mg/kg
169
10
03/01/12 14:20
03/02/12 16:26
7429-90-5
Arsenic
✓14.5 mg/kg
0.84
1
03/01/12 14:20
03/02/12 15:46
7440-38-2
Barium
1650 mg/kg
8.4
10
03/01/12 14:20
03/02/12 16:26
7440-39-3
Cadmium
✓2.1 mg/kg
0.17
1
03/01/12 14:20
03/02/12 15:46
7440-43-9
Calcium
78200 mg/kg
169
10
03/01/12 14:20
03102/1216:26
7440-70-2
Chromium
23.4 mg/kg
0.84
1
03/01/12 14:20
03/02/12 15:46
7440-47-3
Copper
1-103 mg/kg
0.84
1
03/01/12 14:20
03/02/12 15:46
7440-50-8
Iron
13700 mg/kg
169
10
03/01/12 14:20
03/02/12 16:26
7439-89-6
Lead
08.5 mg/kg
0.84
1
03/01/12 14:20
03/02/12 15:46
7439-92-1
Magnesium
14700 mg/kg
169
10
03/01/12 14:20
03/02/12 16:26
7439-95-4
Manganese
2720 mg/kg
8.4
10
03/01/12 14:20
03/02/12 16:26
7439-96-5
Molybdenum
AND mg/kg
0.84
1
03/01/12 14:20
03/02/12 15:46
7439-98-7
Nickel
✓15.9 mg/kg
0.84
1
03/01/12 14:20
03/02/12 15:46
7440-02-0
Potassium
15�5/000 mg/kg
8430
10
03/01/12 14:20
03/02/12 16:26
7440-09-7
Selenium
LAND mg/kg
1.7
1
03/01/12 14:20
03/02/12 15:46
7782-49-2
Silver
ND mg/kg
8.4
10
03/01/12 14:20
03/0211216:26
7440-22-4
Sodium
ND mg/kg
8430
10
03/01/12 14:20
03/02/12 16:26
7440-23-5
Zinc
(/232 mg/kg
1.7
1
03/01/12 14:20
03/02/12 15:46
7440-66-6
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method:
EPA 3010
Leachate Method/Date: EPA 1311; 03/02/12 17:15
Arsenic
ND mg/L
0.025
1
03/05/12 10:55
03/06/12 13:51
7440-38-2
Barium
4.9 mg/L
0.50
1
03/05/12 10:55
03/06/12 13:51
7440-39-3
Cadmium
0.023 mg/L
0.0050
1
03/05/12 10:55
03/06/12 13:51
7440-43-9
Chromium
0.056 mg/L
0.025
1
03/05/12 10:55
03/06/12 13:51
7440-47-3
Lead
0.027 mg/L
0.025
1
03/05/12 10:55
03/06/12 13:51
7439-92-1
Selenium
ND mg/L
0.10
1
03/05/12 10:55
03/06/12 13:51
7782-49-2
Silver
ND mg/L
0.025
1
03/05/12 10:55
03/06/12 13:51
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA7470 Preparation Method: EPA7470
Leachate Method/Date: EPA 1311; 03/02/12 17:15
Mercury
ND ug/L
0.20
1
03/05/12 12:35
03/06/12 10:58
7439-97-6
7471 Mercury
Analytical Method: EPA 7471 Preparation Method: EPA 7471
Mercury
V0.012 mg/kg
0.0090
1
03/01/12 09:25
03/02/12 14:38
7439-97-6
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
49.7 %
0.10
1
03/02/12 13:30
9045 pH Soil Analytical Method: EPA 9045
pH at 25 Degrees C 9.0 Std. Units 0.10 1 03/05/12 13:00
365.1 Phosphorus, Total Analytical Method: EPA 365.1
Phosphorus 2710 mg/kg 174 50 03/12/12 16:31 7723-14-0
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
withoutthe written consent of Pace Analytical Services, Inc..
Page 6 of 18
1 .
®
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
aceAnalytical
205 East Meadow Road - Suite
2225 Riverside Dr.
9800 Kincey Ave. Suite 100
www.pacelabs.com
Eden, NC 27288
Asheville, NC 28804
Huntersville, NC 28078
(336)623-8921
(828)254-7176
(704)875-9092
QUALITY CONTROL DATA
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
QC Batch: MERP14074
Analysis Method:
EPA7471
QC Batch Method: EPA7471
Analysis Description:
7471 Mercury
Associated Lab Samples: 92112998001, 92112998002, 92112998003
METHOD BLANK: 728414
Matrix: Solid
Associated Lab Samples: 92112998001, 92112998002, 92112998003
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Mercury mg/kg
ND 0.0050 03/01/1215:18
LABORATORY CONTROL SAMPLE: 728415
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Mercury mg/kg
.067 0.061
92 80-120
MATRIX SPIKE SAMPLE:
728416
92112995006
Spike
MS
MS
% Rec
Parameter
Units
Result
Conc.
Result
% Rec
Limits Qualifiers
Mercury
'mg/kg
7.5
.061
9.0
2480
75-125 M6
MATRIX SPIKE SAMPLE:
728418
92112898003
Spike
MS
MS
% Rec
Parameter
Units
Result
Conc.
Result
% Rec
Limits Qualifiers
Mercury
mg/kg
0.016
.072
0.074
81
75-125
SAMPLE DUPLICATE: 728417
92112728001
Dup
Parameter
Units
Result
Result
RPD
Qualifiers
Mercury
mg/kg
0.0088
.0041
SAMPLE DUPLICATE: 728419
92112898004
Dup
Parameter
Units
Result
Result
RPD
Qualifiers
Mercury
mg/kg
0.017
0.015
- 11
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 9 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
I )V?l 0
rac6Ana1Xica1
www.pacelabsxom
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
QC Batch: MPRP/10008
Analysis Method:
EPA6010
QC Batch Method: EPA3050
Analysis Description:
6010
MET
Associated Lab Samples: 92112998001, 92112998002, 92112998003
METHOD BLANK: 729151
Matrix: Solid
Associated Lab Samples: 92112998001,
92112998002, 92112998003
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Aluminum
mg/kg
ND
10.0
03/02/1214:53
Arsenic
mg/kg
ND
0.50
03102/1214:53
Barium
mg/kg
ND
0.50
03/02/1214:53
Cadmium
mg/kg
ND
0.10
03102/1214:53
Chromium
mg/kg
ND
0.50
03/02/1214:53
Copper
mg/kg
ND
0.50
03/02/1214:53
Lead
mg/kg
ND
0.50
03/02/1214:53
Molybdenum
mg/kg
ND
0.50
03102/1214:53
Nickel
mg/kg
ND
0.50
03102/1214:53
Potassium
mg/kg
ND
500
03/02/1214:53
Selenium
mg/kg
ND
1.0
03/02/1214:53
Silver
mg/kg
ND
0.50
03/02/1214:53
Zinc
mg/kg
ND
1.0
03/02/1214:53
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE: 729152
Spike
LCS
LCS
% Rec
Parameter
Units
Conc.
Result
% Rec
Limits Qualifiers
Aluminum
mg/kg
500
509
102
80-120
Arsenic
mg/kg
50
50.5
101
80-120
Barium
mg/kg
50
50.6
101
80-120
Cadmium
mg/kg
50
50.9
102
80-120
Chromium
mg/kg
50
49.9
100
80-120
Copper
mg/kg
50
50.5
101
80-120
Lead
mg/kg
50
50.9
102
80-120
Molybdenum
mg/kg
50
53.3
107
80-120
Nickel
mg/kg
50
50.6
101
80-120
Potassium
mg/kg
500
4871
97
80-120
Selenium
mg/kg
50
49.6
99
80-120
Silver
mg/kg
25
25.9
104
80-120
Zinc
mg/kg
50
50.8
102
80-120
MATRIX SPIKE & MATRIX SPIKE
DUPLICATE:
729153
729154
MS
MSD
92112847005
Spike
Spike
MS
MSD
MS MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec % Rec
Limits
RPD Qua[
Aluminum
mg/kg
6880
462
470
7910
8400
224 324
75-125
6 J(M1)
Arsenic
mg/kg
0.76
46.2
47
45.6
47.4
97 99
75-125
4
Barium
mg/kg
89.0
46.2
47
134
146
97 121
75-125
9
Cadmium
mg/kg
0.31
46.2
47
42.8
43.8
92 93
75-125
2
Chromium
mg/kg
8.8
46.2
47
50.2
52.6
90 93
75-125
5
Date: 04/19/2012 05:19 PM
REPORT OF LABORATORY ANALYSIS
Page 10 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
aceAnalytical
wvnvpacefabs.com
Project: WOOD BOILER 2128
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
(QUALITY CONTROL DATA
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
729153
729154
MS
MSD
92112847005
Spike
Spike
MS
MSD
MS
MSD
% Rec -
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qua[
Copper
mg/kg
32.4
46.2
47
80.5
110
104
165
75-125
31 J(D6),J(M1)
Lead
mg/kg
2.4
46.2
47
43.4
44.6
89
90
75-125
3
Molybdenum
mg/kg
0.39
46.2
47
44.7
46.1
96
97
75-125
3
Nickel
mg/kg
5.9
46.2
47
47.7
49.8
91
93
75-125
4
Potassium
mg/kg
4220
462
470
4680
5250
99
219
75-125
12 J(M1)
Selenium
mg/kg
ND
46.2
47
45.8
47.8
99
101
75-125
4
Silver
mg/kg
ND
23
23.5
23.5
24.3
102
103
75-125
3
Zinc
mg/kg
47.1
46.2
47
. 89.3
110
91
134
75-125
21 J(D6),J(M1)
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 11 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
�aceAnalytkal
www..pacelabs.com
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
205 East Meadow Road - Suite A 2225 Riverside Dr.
Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
QUALITY CONTROL DATA
QC Batch: PMST/4528 Analysis Method: ASTM D2974-87
QC Batch Method: ASTM D2974-87 Analysis Description: Dry Weight/Percent Moisture
Associated Lab Samples: 92112998001, 92112998002, 92112998003
SAMPLE DUPLICATE: 728947
3560883001 Dup
Parameter Units Result Result RPD Qualifiers
Percent Moisture % 22.0 21.6 2
SAMPLE DUPLICATE: 729089
Parameter
Percent Moisture
92113134002 Dup
Units Result Result
% 21.7 21.6
RPD Qualifiers
0
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 14 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
IeAnalydical
www.pacelabs,com
I
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
QC Batch: WET/19962 Analysis Method: EPA 9045
QC Batch Method: EPA 9045 Analysis Description: 9045 pH
Associated Lab Samples: 92112998001, 92112998002, 92112998003
SAMPLE DUPLICATE: 730473
Parameter
pH at 25 Degrees C
92112744001 Dup
Units Result Result
Std. Units 6.6 6.6
RPD Qualifiers
0
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 15 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
®
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
aceAnalXical
205 East Meadow Road -Suite A
2225 Riverside Dr.
9800 Kincey Ave. Suite 100
www..ppdelabs.com
Eden, NC 27288
Asheville, NC 28804
Huntersville, NC 28078
(336)623-8921
(828)254-7176
(704)875-9092
QUALITY CONTROL DATA
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
QC Batch: WETA/11711 Analysis Method: EPA 365.1
QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total
Associated Lab Samples: 92112998001, 92112998002, 92112998003
METHOD BLANK: 733467
Matrix: Solid
Associated Lab Samples: 92112998001,
92112998002, 92112998003
Blank Reporting
Parameter
Units
Result Limit
Analyzed
Qualifiers
Phosphorus
mg/kg
ND 2.0
03/12/1216:11
LABORATORY CONTROL SAMPLE:
733468
Spike LCS
LCS
% Rec
Parameter
Units
Cone. Result
% Rec
Limits Qualifiers
Phosphorus
mg/kg
50 49.8
100
90-110
MATRIX SPIKE SAMPLE:
733469
92112998001 Spike
MS
MS % Rec
Parameter
Units
Result Cone.
Result
% Rec Limits Qualifiers
Phosphorus
mg/kg
967 45.6
987
43 90-110 M6
SAMPLE DUPLICATE: 733470
92112998002 Dup
Parameter
Units
Result Result
RPD
Qualifiers
Phosphorus
mg/kg
2710 2730
1
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 16 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
aceAnalytical
www.pacelabs.com
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
DEFINITIONS
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
QUALIFIERS
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
ND - Not Detected at or above adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
I The reported value is between the laboratory method detection limit and the laboratory practical quantitation limit.
J(D6) Estimated Value. The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory
control limits.
J(M1) Estimated Value. Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS)
recovery.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 17 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
aseAnal dical
mmpacelabs.com
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
South Carolina Drinking Water Cert. #: 99006003
Virginia Drinking Water Certification #: 00213
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
Florida/NELAP Certification M E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification M 37712
North Carolina Wastewater Certification #: 40
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
CERTIFICATIONS
Connecticut Certification #: PH-0104
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Louisiana DHH Drinking Water # LA 100031
West Virginia Certification #: 357
Virginia/VELAP Certification #: 460144
South Carolina Certification #: 99030001
Virginia Certification #: 00072
West Virginia Certification #: 356
Virgina/VELAP Certification #: 460147
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Page 3 of 18
Section 3 Lab Sheets
Sample 2 —
2NP22812
February 28, 2012
aceAnalytical
www.pacelabs,com
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: 2NP22812 Lab ID: 92112998003 Collected: 02/28/12 10:35 Received: 02/28/12 13:24 Matrix: Solid
Results reported on a "dry -weight' basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3050
Aluminum
14900 mg/kg
138 10
03101/1214:20
03/02/12 16:29
7429-90-5
Arsenic
V'12.8 mg/kg
0.69 1
03/01/12 14:20
03/02/12 15:53
7440-38-2
Barium
1470 mg/kg
6.9 10
03/01/12 14:20
03/02/12 16:29
7440-39-3
Cadmium
&-/1.8 mg/kg
0.14 1
03/01/12 14:20
03/02/12 15:53
7440-43-9
Calcium
67500 mg/kg
138 10
03/01/12 14:20
03/02/12 16:29
7440-70-2
Chromium
20.3 mg/kg
0.69 1
03/01/12 14:20
03/02/12 15:53
7440-47-3
Copper
✓130 mg/kg
0.69 1
03/01/12 14:20
03/02/12 15:53
7440-50-8
Iron
11800 mg/kg
138 10
03101/1214:20
03/02/12 16:29
7439-89-6
Lead
L-46.0 mg/kg
0.69 1
03/01/12 14:20
03/02/12 15:53
7439-92-1
Magnesium
12700 mg/kg
138 10
03/01/12 14:20
03/02/12 16:29
7439-95-4
Manganese
2330 mg/kg
6.9 10
03/01/12 14:20
03/02/12 16:29
7439-96-5.
Molybdenum
0.1 mg/kg
0.69 1
03/01/12 14:20
03102/1215:53
7439-98-7
Nickel
v13.5 mg/kg
0.69 1
03/01/12 14:20
03/02/12 15:53
7440-02-0
Potassium
14300 mg/kg
6910 10
03/01/12 14:20
03/02/12 16:29
7440-09-7
Selenium
v ND mg/kg
1.4 1
03/01/12 14:20
03/02/12 15:53
7782-49-2
Silver
ND.mg/kg
6.9 10
03/01/12 14:20
03/02/12 16:29
7440-22-4
Sodium
7000 mg/kg
6910 10
03/0111214:20
03/02/12 16:29
7440-23-5
Zinc
--'190 mg/kg
1.4 1
03/01/12 14:20
03/0211215:53
7440-66-6
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA3010
Leachate Method/Date: EPA 1311; 03/02/12 17:15
Arsenic
ND mg/L
0.025 1
03/05/12 10:55
03/06/12 13:55
7440-38-2
Barium
5.1 mg/L
0.50 1
03105/1210:55
03/0611213:55
7440-39-3
Cadmium
0.023 mg/L
0.0050 1
03/05/12 10:55
03/06/12 13:55
7440-43-9
Chromium
0.027 mg/L
0.025 1
03/05/12 10:55
03/06/12 13:55
7440-47-3
Lead
ND mg/L
0.025 1
03/05/12 10:55
03/06/12 13:55
7439-92-1
Selenium
ND mg/L
0.10 1
03105/1210:55
03/06/12 13:55
7782-49-2
Silver
ND mg/L
0.025 1
03/0511210:55
03/06/12 13:55
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA7470 Preparation Method: EPA7470
Leachate Method/Date: EPA 1311; 03/02/12 17:15
Mercury
ND ug/L
0.20 1
03/05/12 12:35
03/06/12 11:09
7439-97-6
7471 Mercury
Analytical Method: EPA 7471 Preparation Method: EPA 7471
Mercury
V10.012 mg/kg
0.0077 1
03/01/12 09:25
03/02/12 14:40
7439-97-6
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
44.3 %
0.10 1
03/02/12 13:30
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
9.0 Std. Units
0.10 1
03/05/12 13:00
365.1 Phosphorus, Total
Analytical Method: EPA 365.1
Phosphorus
2660 mg/kg
176 50
03/12/12 16:32
7723-14-0
Date: 04/19/2012 05:19 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in
full,
without the written consent of Pace Analytical Services,
Inc..
Page 7 of 18
�aceAnaIXical0
mmoace..fabs.com
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
QC Batch: MERP/4074 Analysis Method: EPA 7471
QC Batch Method: EPA 7471 Analysis Description: 7471 Mercury
Associated Lab Samples: 92112998001, 92112998002, 92112998003
METHOD BLANK: 728414 Matrix: Solid
Associated Lab Samples: 92112998001, 92112998002, 92112998003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Mercury mg/kg ND 0.0050 03/01/1215:18
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE:
728415
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Mercury
mg/kg
.067 0.061
92
80-120
MATRIX SPIKE SAMPLE:
728416
92112995006 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Mercury
mg/kg
7.5 .061
9.0
2480
75-125 M6
MATRIX SPIKE SAMPLE:
728418
92112898003 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Mercury
mg/kg
0.016 .072
0.074
81
75-125
SAMPLE DUPLICATE: 728417
92112728001 Dup
Parameter Units Result Result RPD Qualifiers
Mercury mg/kg 0.0088 .0041
SAMPLE DUPLICATE: 728419
92112898004 Dup
Parameter Units Result Result RPD Qualifiers
Mercury mg/kg 0.017 0.015 11
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 9 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
vceAnalXical o
wvnvpacelabs.cam
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
QC Batch: MPRP/10008 Analysis Method: EPA 6010
QC Batch Method: EPA3050 Analysis Description: 6010 MET
Associated Lab Samples: 92112998001, 92112998002, 92112998003
METHOD BLANK: 729151
Associated Lab Samples:
Parameter
Matrix:
92112998001, 92112998002, 92112998003
Blank
Units Result
Solid
Reporting
Limit
Analyzed Qualifiers
Aluminum
mg/kg
ND
10.0
03/02/1214:53
Arsenic
mg/kg
ND
0.50
03/02/1214:53
Barium
mg/kg
ND
0.50
03/02/1214:53
Cadmium
mg/kg
ND
0.10
03/02/1214:53
Chromium
mg/kg
ND
0.50
03/02/1214:53
Copper
mg/kg
ND
0.50
03/02/1214:53
Lead
mg/kg
ND
0.50
03/02/1214:53
Molybdenum
mg/kg
ND
0.50
03/02/1214:53
Nickel
mg/kg
ND
0.50
03/02/1214:53
Potassium
mg/kg
ND
500
03102/1214:53
Selenium
mg/kg
ND
1.0
03/02/1214:53
Silver
mg/kg
ND
0.50
03/0211214:53
Zinc
mg/kg
ND
1.0
03/02/1214:53
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE: 729152
Spike
LCS
LCS
% Rec
Parameter
Units
Conc.
Result
% Rec
Limits Qualifiers
Aluminum
mg/kg
500
509
102
80-120
Arsenic
mg/kg
50
50.5
101
80-120
Barium
mg/kg
50
50.6
101
80-120
Cadmium
mg/kg
50
50.9
102
80-120
Chromium
mg/kg
50
49.9
100
80-120
Copper
mg/kg
50
50.5
101
80-120
Lead
mg/kg
50
50.9
102
80-120
Molybdenum
mg/kg
50
53.3
107
80-120
Nickel
mg/kg
50
50.6
101
80-120
Potassium
mg/kg
500
4871
97
80-120
Selenium
mg/kg
50
49.6
99
80-120
Silver
mg/kg
25
25.9
104
80-120
Zinc
mg/kg
50
50.8
102
80-120
MATRIX SPIKE & MATRIX SPIKE
DUPLICATE:
729153
729154
MS
MSD
92112847005
Spike
Spike MS
MSD
MS MSD
% Rec
Parameter
Units
Result
Conc.
Conc. Result
Result
% Rec % Rec
Limits
RPD Qua[
Aluminum
mg/kg
6880
462
470 7910
8400
224 324
75-125
6 J(M1)
Arsenic
mg/kg
0.76
46.2
47 45.6
47.4
97 99
75-125
4
Barium
mg/kg
89.0
46.2
47 134
146
97 121
75-125
9
Cadmium
mg/kg
0.31
46.2
47 42.8
43.8
92 93
75-125
2
Chromium
mg/kg
8.8
46.2
47 50.2
52.6
90 93
75-125
5
Date: 04/19/2012 05:19 PM
REPORT OF LABORATORY ANALYSIS
Page 10 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
c6Ana1j&a1
wvm.pacelabs.com
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
729153
729154
MS
MSD
92112847005
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qual
Copper
mg/kg
32.4
46.2
47
80.5
110
104
165
75-125
31 J(D6),J(M1)
Lead ,
mg/kg
2.4
46.2
47
43.4
44.6
89
90
75-125
3
Molybdenum
mg/kg
0.39
46.2
47
44.7
46.1
96
97
75-125
3
Nickel
mg/kg
5.9
46.2
47
47.7
49.8
91
93
75-125
4
Potassium
mg/kg
4220
462
470
4680
5250
99
219
75-125
12 J(MI)
Selenium
mg/kg
ND
46.2
47
45.8
47.8
99
101
75-125
4
Silver
mg/kg
ND
23
23.5
23.5
24.3
102
103
75-125
3
Zinc
mg/kg
47.1
46.2
47
89.3
110
91
134
75-125
21 J(D6),J(M1)
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 11 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
�aceAnalytical
wvtivpacelabs.com
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
QC Batch: PMST/4528 Analysis Method: ASTM D2974-87
QC Batch Method: ASTM D2974-87 Analysis Description: Dry Weight/Percent Moisture
Associated Lab Samples: 92112998001, 92112998002, 92112998003
SAMPLE DUPLICATE: 728947
3550883001 Dup
Parameter Units Result Result RPD Qualifiers
Percent Moisture % 22.0 21.6 2
SAMPLE DUPLICATE: 729089
92113134002 Dup
Parameter Units Result Result
Percent Moisture % 21.7 21.6
RPD Qualifiers
0
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 14 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
_-4aceAna1j&a1
wwwpac91abscam
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
QC Batch: WET/19962 Analysis Method: EPA 9045
QC Batch Method: EPA 9045 Analysis Description: 9045 pH
Associated Lab Samples: 92112998001, 92112998002, 92112998003
SAMPLE DUPLICATE: 730473
Parameter
pH at 25 Degrees C
92112744001 Dup
Units Result Result
Std. Units 6.6 6.6
RPD Qualifiers
0
Pace Analytical Services, Inc.
9800 KinceyAve Suite 100
Huntersville, NC 28078
(704)875-9092
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 15 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
acter Analytical
( www.pacelabs.com
1
Project: WOOD BOILER 2128
Pace Project No.: 92112998
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
QC Batch: WETA/11711 Analysis Method: , EPA 365.1
QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total
Associated Lab Samples: 92112998001, 92112998002, 92112998003
METHOD BLANK: 733467 Matrix: Solid
Associated Lab Samples: 92112998001, 92112998002, 92112998003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Phosphorus mg/kg ND 2.0 03/12/1216:11
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE:
733468
Spike LCS
LCS
% Rec
Parameter
Units
Cone. Result
% Rec
Limits
Qualifiers
Phosphorus
mg/kg
50 49.8
100
90-110
MATRIX SPIKE SAMPLE:
733469
92112998001 Spike
MS
MS
% Rec
Parameter
Units
Result Cone. -
Result
% Rec
Limits Qualifiers
Phosphorus
mg/kg
967 45.6
987
43
90-110 M6
SAMPLE DUPLICATE: 733470
92112998002 Dup
Parameter
Units
Result Result
RPD
Qualifiers
Phosphorus
mg/kg
2710 2730
1
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 16 of 18
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without the written consent of Pace Analytical Services, Inc..
ac6Ana1ytica1
( www.pacelabs.cam
Project: WOOD BOILER 2/28
Pace Project No.: 92112998
DEFINITIONS
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
QUALIFIERS
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
ND - Not Detected at or above adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes toAzobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TN - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
I The reported value is between the laboratory method detection limit and the laboratory practical quantitation limit.
J(D6) Estimated Value. The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory
control limits.
i(MI) Estimated Value. Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS)
recovery.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
(704)875-9092
Date: 04/19/2012 05:19 PM REPORT OF LABORATORY ANALYSIS Page 17 of 18
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Section 3 Lab Sheets
Sample 3 —
WBSP52512
May 25, 2012
aC6Ana1j cal
www.pacelabs.com
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
Pace Analytical Services, Inc.
205 East Meadow Road -Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: WBSPS2512 Lab ID: 92119396001 Collected: 05/25/12 08:45 Received: 05/25/12 10:09 Matrix: Solid
Results reported on a "dry-weight"basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3050
Arsenic
L40.1 mg/kg
0.74
1
05/26/12 14:00 05/2911216:50 7440-38-2
Barium
1340 mg/kg
0.74
1
05/26/12 14:00 05/29/12 16:50 7440-39-3
Cadmium
".0 mg/kg
0.15
1
05/26/12 14:00 05/29/12 16:50 7440-43-9
Calcium
76300 mg/kg
149
10
05/26/12 14:00 05/30/12 13:01 7440-70-2
Chromium
22.1 mg/kg
0.74
1
05/26/12 14:00 06/29/1216:50 7440-47-3
Copper
�1182.4 mg/kg
0.74
1
05/26/12 14:00 05/29/12 16:50 7440-50-8
Iron
9130 mg/kg
14.9
1
05/26/12 14:00 05/29/12 16:50 7439-89-6
Lead
N8.9 mg/kg
0.74
1
05/26/12 14:00 05/29/12 16:50 7439-92-1
Magnesium
9780 mg/kg
14.9
1
05/26/12 14:00 05/29/12 16:50 7439-95-4
Manganese
2410 mg/kg
7.4
10
05/26/12 14:00 05/30/12 13:01 7439-96-5
Molybdenum
V1.2 mg/kg
0.74
1
05/26/12 14:00 05/29/12 16:50 7439-98-7
Nickel
v13.7 mg/kg
0.74
1
05/26/12 14:00 05/29/12 16:50 7440-02-0
Potassium
16900 mg/kg
7430
10
05/26/12 14:00 05/30/12 13:01 7440-09-7
Selenium
AID mg/kg
1.5
1
05/2611214:00 05/29/12 16:50 7782-49-2
Silver
1.1 mg/kg
0.74
1
05/26/12 14:00 05/29/12 16:50 7440-22-4
Sodium
8580 mg/kg
743
1
05/26/12 14:00 05/29/12 16:50 7440-23-5
Zinc
IA95 mg/kg
1.5
1
05/2611214:00 05/29/12 16:50 7440-66-6
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010
Leachate Method/Date: EPA 1311; 06/06/12 16:20
Arsenic
0.069 mg/L
0.025
1
06/07/12 14:40 06/08/12 13:32 7440-38-2
Barium
4.9 mg/L
0.50
1
06/07/12 14:40 06/08/12 13:32 7440-39-3
Cadmium
ND mg/L
0.0050
1
06/0711214:40 06/08/12 13:32 7440-43-9
Chromium
ND mg/L
0.025
1
06/0711214:40 06108/1213:32 7440-47-3
Lead
ND mg/L
0.025
1
06/07/12 14:40 06108/1213:32 7439-92-1
Selenium'
ND mg/L
0.10
1
06/07/12 14:40 06/08/12 13:32 7782-49-2
Silver
ND mg/L
0.025
1
06/07/12 14:40 06108/1213:32 7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 06/06/12 16:20
Mercury
ND ug/L 0.20 1 06/08/1211:15
06/08/12 14:27 7439-97-6
7471 Mercury
Analytical Method: EPA 7471 Preparation Method: EPA 7471
Mercury
1*"^ 0.010 mg/kg 0.0056 1 05/30/12 11:40
05/30/12 14:17 7439-97-6
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
48.2 % 0.10 1
05/29/12 15:24
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
8.7 Std. Units 0.101
05/31/12 10:00
365.1 Phosphorus, Total
Analytical Method: EPA 365.1
Phosphorus
2680 mg/kg 179 25
06/12/12 10:41 7723-14-0
Date: 06/13/2012 12:00 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 15
aceAnal0cal ®
www.pacelabq.com
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
205 East Meadow Road - Suite A 2225 Riverside Dr.
Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
QC Batch: MERP/4255
QC Batch Method: EPA 7471
Associated Lab Samples: 92119396001
METHOD BLANK: 769960
Associated Lab Samples: 92119396001
Parameter Units
Mercury mg/kg
LABORATORY CONTROL SAMPLE: 769961
Parameter Units
Mercury mg/kg
MATRIX SPIKE SAMPLE: 769962
Parameter Units
Mercury mg/kg
QUALITY CONTROL DATA
Analysis Method: EPA 7471
Analysis Description: 7471 Mercury
Matrix: Solid
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.0050 05/30/1213:27
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
.067 0.057 85 80-120
92119402001 Spike MS MS % Rec
Result Conc. Result % Rec Limits Qualifiers
0.0076 .051 0.047 77 75-125
SAMPLE DUPLICATE: 769963
92119402002 Dup
Parameter Units Result Result RPD Qualifiers
Mercury mg/kg 0.065 0.085 27 D6
Date: 06/13/2012 12:00 PM REPORT OF LABORATORY ANALYSIS Page 6 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
aceAnatytical
www.pacalabs.com
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
QC Batch: MPRP/10685 Analysis Method: EPA 6010
QC Batch Method: EPA3050 Analysis Description: 6010 MET
Associated Lab Samples: 92119396001
METHOD BLANK: 769532
Associated Lab Samples:
Parameter
92119396001
Units
Matrix: Solid
Blank Reporting
Result Limit
Analyzed Qualifiers
Arsenic
mg/kg
ND
0.50
05129/1215:46
Barium
mg/kg
ND
0.50
05/29/1215:46
Cadmium
mg/kg
ND
0.10
05/29/1215:46
Calcium
mg/kg
ND
10.0
05/29/1215:46
Chromium
mg/kg
ND
0.50
05129/1215:46
Copper
mg/kg
ND
0.50
05/29/1215:46
Iron
mg/kg
ND
10.0
05/29/1215:46
Lead
mg/kg
ND
0.50
05/29/1215:46
Magnesium
mg/kg
ND
10.0
05/2911215:46
Manganese
mg/kg
ND
0.50
05/29/1215:46
Molybdenum
mg/kg
ND
0.50
05/29/1215:46
Nickel
mg/kg
ND
0.50
05/29/1215:46
Potassium
mg/kg
ND
500
05/29/1215:46
Selenium
mg/kg
ND
1.0
05/29/1215:46
Silver
mg/kg
ND
0.50
05/29/1215:46
Sodium
mg/kg
ND
500
05/29/1215:46
Zinc
mg/kg
ND
1.0
05/29/1215:46
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE:
Parameter
769533
Units
Spike
Conc.
LCS
Result
LCS
% Rec
% Rec
Limits Qualifiers
Arsenic
mg/kg
50
49.4
99
80-120
Barium
mg/kg
50
50.1
100 -
80-120
Cadmium
mg/kg
50
48.6
97
80-120
Calcium
mg/kg
500
479
96
80-120
Chromium
mg/kg
50
48.1
96
80-120
Copper
mg/kg
50
51.6
103
80-120
Iron
mg/kg
500
506
101
80-120
Lead
mg/kg
50
50.2
100
80-120
Magnesium
mg/kg
500
513
103
80-120
Manganese
mg/kg
50
48.5
97
80-120
Molybdenum
mg/kg
50
49.6
99
80-120
Nickel
mg/kg
50
48.8
98
80-120
Potassium
mg/kg
500
484J
97
80-120
Selenium
mg/kg
50
50.4
101
80-120
Silver
mg/kg
25
24.4
98
80-120
Sodium
mg/kg
500
511
102
80-120
Zinc
mg/kg
50
47.8
96
80-120
Date: 06/13/201212:00 PM REPORT OF LABORATORY ANALYSIS Page 7 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
aceAnalyiical�
www.paWabs.com
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
MATRIX SPIKE SAMPLE:
Parameter
769534
Units
92119358003
Result
Spike
Cone.
MS
Result
MS
% Rec .
% Rec
Limits Qualifiers
Arsenic
mg/kg
ND
39.1
38.4
98
75-125
Barium
mg/kg
ND
39.1
39.1
100
75-125
Cadmium
mg/kg
ND
39.1
37.2
95
75-125
Calcium
mg/kg
276
391
639
93
75-125
Chromium
mg/kg
ND
39.1
36.9
94
75-125
Copper
mg/kg
ND
39.1
41.1
105
75-125
Iron
mg/kg
ND
391
387
98
75-125
Lead
mg/kg
ND
39.1
38.6
99
75-125
Magnesium
mg/kg
ND
391
403
102
75-125
Manganese
mg/kg
ND
39.1
37.4
95
75-125
Molybdenum
mg/kg
ND
39.1
38.4
98
75-125
Nickel
mg/kg
ND
39.1
37.5
96
75-125
Potassium
mg/kg
ND
391
405
102
75-125
Selenium
mg/kg
ND
39.1
39.3
101
75-125
Silver
mg/kg
1.0
19.5
20.7
101
75-125
Sodium
mg/kg
ND
391
427
107
75-125
Zinc
mg/kg
1.9
39.1
38.0
92
75-125
SAMPLE DUPLICATE: 769535
92119392001
Dup
Parameter
Units
Result
Result
RPD
Qualifiers
Arsenic
mg/kg
ND
ND
Barium
mg/kg
ND
ND
Cadmium
mg/kg
ND
ND
Calcium
mg/kg
25.5 ug/g
28.6
11
Chromium
mg/kg
ND
.075J
Copper
mg/kg
ND
.25J
Iron
mg/kg
ND
.81J
Lead
mg/kg
ND
ND
Magnesium
mg/kg
ND
2.8J
Manganese
mg/kg
ND
.23J
Molybdenum
mg/kg
ND
ND
Nickel
mg/kg
ND
ND
Potassium
mg/kg
ND
2.5J
Selenium
mg/kg
3.12 ug/g
2.9
7
Silver
mg/kg
ND
ND
Sodium
mg/kg
ND
136J
Zinc
mg/kg
ND
.62J
Date: 06/13/2012 12:00 PM REPORT OF LABORATORY ANALYSIS Page 8 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
aceAnaljNcal �
www.pape)abs.com
R
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
205 East Meadow Road - Suite A 2225 Riverside Dr.
Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
QUALITY CONTROL DATA
QC Batch: PMST/4780 Analysis Method: ASTM D2974-87
QC Batch Method: ASTM D2974-87 Analysis Description: Dry Weight/Percent Moisture
Associated Lab Samples: 92119396001
SAMPLE DUPLICATE: 769717
Parameter
Percent Moisture
SAMPLE DUPLICATE: 769718
Parameter
Percent Moisture
92119332001 Dup
Units Result Result
19.3 19.0
92119396001 Dup
Units Result Result
48.2 48.3
RPD Qualifiers
2
RPD Qualifiers
0
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Date: 06/13/201212:00 PM REPORT OF LABORATORY ANALYSIS Page 11 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
aceAna1Xica1
t www.pacalabs.com
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
205 East Meadow Road - Suite A 2225 Riverside Dr.
Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
QUALITY CONTROL DATA
QC Batch: WET/21017 Analysis Method: EPA 9045
QC Batch Method: EPA 9045 Analysis Description: 9045 pH
Associated Lab Samples: 92119396001
SAMPLE DUPLICATE: 770001
92119358007
Dup
Parameter
Units
Result
Result RPD Qualifiers
pH at 25 Degrees C .
Std. Units
3.5
3.5 1
SAMPLE DUPLICATE: 770002
92119358006
Dup
Parameter
Units
Result
Result RPD Qualifiers
pH at 25 Degrees C
Std. Units
5.2
5.4 2
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Date: 06/13/2012 12:00 PM REPORT OF LABORATORY ANALYSIS Page 12 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
aceAnalj cal0
4 Wrw.pacelabs.com
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
205 East Meadow Road - Suite 2225 Riverside Dr.
Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
QUALITY CONTROL DATA
QC Batch: WETA/12294 Analysis Method: EPA 365.1
QC Batch Method: EPA 365.1 Analysis Description: 365.1 Phosphorus, Total
Associated Lab Samples: 92119396001
METHOD BLANK: 776339
Associated Lab Samples: 92119396001
Parameter Units
Phosphorus mg/kg
LABORATORY CONTROL SAMPLE:
776340
Parameter
Units
Phosphorus
mg/kg
MATRIX SPIKE SAMPLE:
776341
Parameter
Units
Phosphorus
mg/kg
SAMPLE DUPLICATE: 776342
Parameter
Phosphorus
Matrix: Solid
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 06/12/1210:10
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
50 52.7 105 90-110
92119396001 Spike MS MS % Rec
Result Conc. Result % Rec Limits Qualifiers
2680 201 3290 300 90-110 M6
92120635001 Dup
Units Result Result RPD Qualifiers
mg/kg 38.9 31.7 20
Date: 06/13/2012 12:00 PM REPORT OF LABORATORY ANALYSIS Page 13 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
WeAnaiXicai®
wwW.pacplabs.com
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
DEFINITIONS
Pace Analytical Services, Inc.
205 East Meadow Road - Suite
Eden, NC 27288
(336)623-8921
QUALIFIERS
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PRL- Pace Reporting Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PAST-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
Date: 06/13/2012 12:00 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
(704)875-9092
Page 14 of 15
aceAnalyllcal
wmmw.pagelabsxom
Project: WOOD BOILER 5/25
Pace Project No.: 92119396
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
CERTIFICATIONS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Charlotte Certification IDs
9800 KinceyAve. Ste 100, Huntersville, NC 28078
Connecticut Certification #: PH-0104
North Carolina Drinking Water Certification #: 37706
Florida/NELAP Certification #: E87627
North Carolina Field Services Certification #: 5342
Kentucky UST Certification M 84
North Carolina Wastewater Certification #: 12
Louisiana DHH Drinking Water # LA 100031
South Carolina Certification * 99006001
West Virginia Certification #: 357
South Carolina Drinking Water Cert. #: 99006003
Virginia/VELAP Certification M 460144
Virginia Drinking Water Certification M 00213
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
South Carolina Certification #: 99030001
Florida/NELAP Certification M E87648
Virginia Certification M 00072
Massachusetts Certification #: M-NC030
West Virginia Certification #: 356
North Carolina Drinking Water Certification #: 37712
UrginaNELAP Certification #: 460147
North Carolina Wastewater Certification M 40
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 2 of 15
Section 3 Lab Sheets
Sample 4 —
WBNPOCT17
October 17, 2012
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
aceAnaijdical 205 East Meadow Road - Suite A 2225 Riverside Dr.
www.pacefabs.com Eden, NC 27288 Asheville, NC 2B804
(336)623-8921 (828)254-7176
ANALYTICAL RESULTS
Project: Wood Boiler WBNPOCT
Pace Project No.: 92135755
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: WBNPOCT17
Lab ID: 92135755002 Collected:
10/17/12 00:00
Received: 10/18/12 14:12 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters
Results Units Report Limit
DF
Prepared
Analyzed CAS No. Qual
6010 MET ICP
Analytical Method: EPA6010 Preparation Method: EPA3050
Arsenic
!/6.7 mg/kg
0.67
1
10/26/12 15:40
10129/1215:20 7440-38-2
Barium
1670 mg/kg
13.5
20
10/26/12 15:40
10/29/12 16:45 7440-39-3
Cadmium
".9 mg/kg
0.13
1
10/2611215:40
10/28/12 19:49 7440-43-9
Calcium
90100 mg/kg
269
20
10/26/12 15:40
10/29/12 16:45 7440-70-2
Chromium
23.6 mg/kg
0.67
1
10/26/12 15:40
10/28/12 19:49 7440-47-3
Copper
1-90.3 mg/kg
0.67
1
10/26/12 15:40
10/28/12 19:49 7440-50-8
Iron
23900 mg/kg
269
20
10/26/12 15:40
10/2911216:45 7439-89-6
Lead
✓18.4 mg/kg
0.67
1
10/26/12 15:40
10/28/12 19:49 7439-92-1
Magnesium
11900 mg/kg
13.5
1
10/26/12 15:40
10/28/12 19:49 7439-95-4
Manganese
2870 mg/kg
13.5
20
10/26/12 15:40
10/29/12 16:45 7439-96-5
Molybdenum
V4.5 mg/kg
0.67
1
10/26/12 15:40
10/28/12 19:49 7439-98-7
Nickel
t29.3 mg/kg
13.5
20
10/26/12 15:40
10/30/1216:27 7440-02-0
Potassium
16800 mg/kg
13500
20
10/26/12 15:40
10/29/12 16:45 7440-09-7
Selenium
✓ND mg/kg
1.3
1
10/26/12 15:40
10/28/12 19:49 7782-49-2
Silver
ND mg/kg
0.67
1
10/26/12 15:40
10/28/12 19:49 7440-22-4
Sodium
6070 mg/kg
673
1
10/26/12 15:40
10/28/12 19:49 7440-23-5
Zinc
Vf60 mg/kg
1.3 ,
1
10/26/12 15:40
10/28/12 19:49 7440-66-6
7471 Mercury
Analytical Method: EPA7471 Preparation Method: EPA7471
Mercury
VND mg/kg
0.0095
1
10/25/12 12:15
10/25/12 15:43 7439-97-6
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
50.5 %
0.10
1
10/26/12 10:16
9045 pH Soil Analytical Method: EPA 9045
pH at 25 Degrees C 9.0 Sid. Units 0.10 1 10/28/12 14:30
365.1 Phosphorus, Total Analytical Method: EPA 365.1
Phosphorus 3370 mg/kg 194 25 10/28/12 16:47 7723-14-0
Date: 11/02/2012 04:08 PM REPORT OF LABORATORY ANALYSIS Page 6 of 22
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
aceArralytieal
www.pacelabs.com
1
Pace Analytical Services, Inc. Pace Analytical Services, Inc.
205 East Meadow Road - Suite A 2225 Riverside Dr.
Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
Project: Wood Boiler WBNPOCT
Pace Project No.: 92135755
QC Batch: MERP/4616
QC Batch Method: EPA 7471
Associated Lab Samples: 92135755002
METHOD BLANK: 859191
Associated Lab Samples: 92135755002
Parameter Units
Mercury mg/kg
LABORATORY CONTROL SAMPLE: 859192
Parameter Units
Mercury mg/kg
QUALITY CONTROL DATA
Analysis Method: EPA 7471
Analysis Description: 7471 Mercury
Matrix: Solid
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.0050 10/25/1214:26
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
.067 0.061 91 80-120
MATRIX SPIKE SAMPLE:
859193
92136018001
Spike MS MS % Rec
Parameter
Units
Result
Conc. Result % Rec Limits Qualifiers
Mercury
mg/kg
0.0093
.052 0.024 29 75-125 M1
SAMPLE DUPLICATE: 859194
92136021001
Dup
Parameter
Units
Result
Result RPD Qualifiers
Mercury
mg/kg
ND
ND
Date:11/02/2012 04:08 PM REPORT OF LABORATORY ANALYSIS Page 9 of 22
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
dei
0 Pace Analytical Services, Inc. Pace Analytical Services, Inc.
161WAnaliftal 205 East Meadow Road - Suite A 2225 Riverside Dr.
WW..pacelabs.com Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
QUALITY CONTROL DATA
Project: Wood Boiler WBNPOCT
Pace Project No.: 92135755
QC Batch: MPRP/11824
QC Batch Method: EPA3050
Associated Lab Samples: 92135755002
Analysis Method:
Analysis Description:
EPA6010
6010 MET
METHOD BLANK: 861104
Matrix: Solid
Associated Lab Samples: 92135755002
Blank Reporting
Parameter
Units
Result Limit
Analyzed
Arsenic
mg/kg
ND
0.50
10/28/1218:46
Barium
mg/kg
ND
0.50
10/28/1218:46
Cadmium
mg/kg
ND
0.10
10/28/1218:46
Calcium
mg/kg
ND
10.0
10/28/1218:46
Chromium
mg/kg
ND
0.50
10128/1218:46
Copper
mg/kg
ND
0.50
10/29/1214:29
Iron
mg/kg
ND
10.0
10/28/1218:46
Lead
mg/kg
ND
0.50
10/28/1218:46
Magnesium
mg/kg
ND
10.0
10/28/1218:46
Manganese
mg/kg
ND
0.50
10/28/1218:46
Molybdenum
mg/kg
ND
0.50
10/28/1218:46
Nickel
mg/kg
ND
0.50
10/28/1218:46
Potassium
mg/kg
ND
500
10/28/1218:46
Selenium
mg/kg
ND
1.0
10/28/1218:46
Silver
mg/kg
ND
0.50
10/28/1218:46
Sodium
mglkg
ND
500
10/28/1218:46
Zinc
mg/kg
ND
1.0
10/28/1218:46
Qualifiers
LABORATORY CONTROL SAMPLE:
Parameter
861105
Units
Spike
Conc.
LCS
Result
LCS
% Rec
% Rec
Limits
Arsenic
mg/kg
50
48.4
97
80-120
Barium
mg/kg
50
48.8
98
80-120
Cadmium
mg/kg
50
48.4
97
80-120
Calcium
mg/kg
500
486
97
80-120
Chromium
mg/kg
50
48.4
97
80' 120
Copper
mg/kg
50
49.6
99
80-120
Iron
mg/kg
500
504
101
80-120
Lead
mg/kg
50
48.6
97
80-120
Magnesium
mg/kg
500
491
98
80-120
Manganese
mg/kg
50
48.8
98
80-120
Molybdenum
mg/kg
50
48.7
97
80-120
Nickel
mg/kg
50
48.4
97
80-120
Potassium
mg/kg
500
473J
95
80-120
Selenium
mg/kg
50
49.1
98
80-120
Silver
mg/kg
25
24.4
98
80-120
Sodium
mg/kg
500
479J
96
80-120
Zinc
mg/kg
50
48.4
97
80-120
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Qualifiers
Date: 11/02/2012 04:08 PM REPORT OF LABORATORY ANALYSIS Page 10 of 22
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
®
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
Pace Analytical Services, Inc.
eAnapical
205 East Meadow Road - Suite A
2225 Riverside Dr.
9800 Kincey Ave. Suite 100
�ac-
www.pagslabs.com
Eden, NC 27288
Asheville, NC 28804
Huntersville, NC 28078
(336)623-8921
(828)254-7176
(704)875-9092
QUALITY CONTROL DATA
Project: Wood Boiler WBNPOCT
Pace Project No.: 92135755
MATRIX SPIKE SAMPLE:
861174
92136087002
Spike
MS MS
% Rec
Parameter
Units
Result
Conc.
Result % Rec
Limits Qualifiers
Arsenic
mg/kg
ND
58.1
44.2
76
75-125
Barium
mg/kg
112
58.1
185
126
75-125 M1
Cadmium
mg/kg
3.4
58.1
53.8
87
75-125
Calcium
mg/kg
378
581
893
89
75-125
Chromium
mg/kg
65.1
58.1
95.1
52
75-125 M1
Copper
mg/kg
46.0
58.1
105
101
75-125
Iron
mg/kg
31300
581
30800
-94
75-125 M1
Lead
mg/kg
13.4
58.1
66.8
92
75-125
Magnesium
mg/kg
4260
581
5000
128
75-125 M1
Manganese
mg/kg
917
58.1
1310
670
75-125 M1
Molybdenum
mg/kg
ND
58.1
48.3
83
75-125
Nickel
mg/kg
17.6
58.1
68.5
88
75-125
Potassium
mg/kg
8080
581
9350
218
75-125 M1
Selenium
mg/kg
3.3
58.1
41.6
66
75-125 M1
Silver
mg/kg
ND
29
27.4
94
75-125
Sodium
mg/kg
ND
581
826
113
75-125
Zinc
mg/kg
60.0
58.1
114
93
75-125
SAMPLE DUPLICATE: 861175
Parameter
Units
92136087003
Result
Dup
Result
RPD Qualifiers
Arsenic
mg/kg
ND
ND
Barium
mg/kg
96.8
98.7
2
Cadmium
mg/kg
0.80
0.99
21 D6
Calcium
mg/kg
2570
2150
18
Chromium
mg/kg
20.1
18.9
6
Copper
mg/kg
33.0
33.6
2
Iron
mg/kg
22200
23100
4
Lead
mg/kg
19.6
22.3
13
Magnesium
mg/kg
2180
2700
21 D6
Manganese
mg/kg
828
779
6
Molybdenum
mg/kg
13.3
13.6
3
Nickel
mg/kg
12.6
14.8
16
Potassium
mg/kg
4620
5880
24 D6
Selenium
mg/kg
1.7
1.4
19
Silver
mg/kg
ND
ND
Sodium
mg/kg
ND
595
Zinc
mg/kg
31.9
39.5
21 D6
Date: 11/02/2012 04:08 PM REPORT OF LABORATORY ANALYSIS Page 11 of 22
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
0.
aceftlytical®
www.pacelabs.com
j
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336)623-8921
Project: Wood Boiler WBNPOCT •
Pace Project No.: 92135755
QC Batch: PMST/5083
QC Batch Method: ASTM D2974-87
Associated Lab Samples: 92135755001, 92135755002
SAMPLE DUPLICATE: 859793
Parameter Units
Percent Moisture %
SAMPLE DUPLICATE: 859794
Parameter
Percent Moisture
ova
Units
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QUALITY CONTROL DATA
Analysis Method: ASTM D2974-87
Analysis Description: Dry Weight/Percent Moisture
3571218006 Dup
Result Result RPD Qualifiers
15.3 14.8 3
92136381003 Dup
Result Result RPD Qualifiers
18.4 19.1 4
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
Date: 11/02/2012 04:08'PM REPORT OF LABORATORY ANALYSIS Page 18 of 22
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
1��IaceAnalj&cal
•.0 Pace Analytical Services, Inc. Pace Analytical Services, Inc.
205 East Meadow Road - Suite A 2225 Riverside Dr.
www.pacalabs.com Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
QUALITY CONTROL DATA
Project: Wood Boiler WBNPOCT
Pace Project No.: 92135755
QC Batch: WET/22917
QC Batch Method: EPA 9045
Associated Lab Samples: 92135755002
SAMPLE DUPLICATE: 861901
Parameter Units
pH at 25 Degrees C Std. Units
SAMPLE DUPLICATE: 861902
Parameter Units
pH at 25 Degrees C Std. Units
Analysis Method: EPA 9045
Analysis Description: 9045 pH
92135468001 Dup
Result Result RPD Qualifiers
7.3 7.3 0
92136406001 Dup
Result Result RPD Qualifiers
5.6 5.6 0
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Date: 11/02/2012 04:08 PM REPORT OF LABORATORY ANALYSIS Page 19 of 22
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
® Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc.
l 205 East Meadow Road - Suite A 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
aeAnalytica
www.pscalaica Eden, NC 27288 Asheville, NC 28804 Huntersville, NC 28078
(336)623-8921 (828)254-7176 (704)875-9092
QUALITY CONTROL DATA
Project: Wood Boiler WBNPOCT
Pace Project No.: 92135755
QC Batch: WETA/13594
Analysis Method:
EPA 365.1
QC Batch Method: EPA 365.1
Analysis Description:
365.1 Phosphorus, Total
.Associated Lab Samples: 92135755002
METHOD BLANK: 861558
- Matrix: Solid
Associated Lab Samples: 92135755002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Phosphorus
mg/kg
ND 2.0 10/28/1216:00
LABORATORY CONTROL SAMPLE:
861559
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Phosphorus
mg/kg
50 52.4
105 90-110
MATRIX SPIKE SAMPLE:
861560
92135468001 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Phosphorus
mg/kg
149 250
391 96 90-110
SAMPLE DUPLICATE: 861561
92135755002 Dup
Parameter
Units
Result Result
RPD Qualifiers
Phosphorus
mg/kg
3370 3240 4
Date: 11/02/2012 04:08 PM REPORT OF LABORATORY ANALYSIS Page 20 of 22
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
r
,t ® Pace Analytical Services, Inc.
80'AnalXica 205 East Meadow Road - Suite A
wWwpabaa/a`bs.com Eden, NC 27288
(336)623-8921
QUALIFIERS
Project: Wood Boiler WBNPOCT
Pace Project No.: 92135755
DEFINITIONS
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PRL - Pace Reporting Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be, separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
.LABORATORIES
PASI-A
Pace Analytical Services - Asheville
PASI-C
Pace Analytical Services - Charlotte
PASI-O
Pace Analytical Services - Ormond Beach
ANALYTE QUALIFIERS
1g 8260 results are from a total analysis which show that analytes are not present or that they are present but at such low
levels that the appropriate regulatory levels could not possibly be exceeded, per Section 1.2 of Method 1311.
D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
Date:11/02/2012 04:08 PM REPORT OF LABORATORY ANALYSIS Page 21 of 22
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
n 1 t ;® Pace Analytical Services, Inc. Pace Analytical Services, Inc.
�c AI al j i 1t+aJ205 East Meadow Road - Suite A 2225 Riverside Dr.
www..pa4elobs.corn Eden, NC 27288 Asheville, NC 28804
(336)623-8921 (828)254-7176
CERTIFICATIONS
Project: Wood Boiler WBNPOCT
Pace Project No.: 92135755
Ormond Beach Certification IDs
8 East Tower Circle, Ormond Beach, FL 32174
Alabama Certification #: 41320
Arizona Certification #: AZ0735
Colorado Certification: FL NELAC Reciprocity
Connecticut Certification #: PH-0216
Florida Certification #: E83079
Georgia Certification #: 955
Guam Certification: FL NELAC Reciprocity
Hawaii Certification: FL NELAC Reciprocity
Illinois Certification #. 200068
Indiana Certification: FL NELAC Reciprocity
Kansas Certification #: E-10383
Kentucky Certification #: 90050
Louisiana Certification #: FL NELAC Reciprocity
Louisiana Environmental Certificate M 05007
Maine Certification #: FL01264
Massachusetts Certification M M-FL1264
Michigan Certification M 9911
Mississippi Certification: FL NELAC Reciprocity
Missouri Certification * 236
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification M 37706
North Carolina Field Services Certification M 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification M 99006001
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
Florida/NELAP Certification * E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Montana Certification #: Cert 0074
Nevada Certification: FL NELAC Reciprocity
New Hampshire Certification #: 2958
New Jersey Certification #: FL765
New York Certification #: 11608
North Carolina Environmental Certificate M 667
North Carolina Certification #: 12710
Pace Analytical Services - Ormond certification number
E83509
Pennsylvania Certification #: 68-00547
Puerto Rico Certification * FLO1264
Tennessee Certification #: TN02974
Texas Certification: FL NELAC Reciprocity
US Virgin Islands Certification: FL NELAC Reciprocity
Virginia Environmental Certification #: 460165
Washington Certification M C955
West Virginia Certification #: 9962C
Wisconsin Certification M 399079670
Wyoming (EPA Region 8): FL NELAC Reciprocity
Flonda/NELAP Certification M E87627
Kentucky UST Certification #: 84
West Virginia Certification M 357
VrginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification M 99030001
West Virginia Certification #: 356
Vrginia/VELAP Certification M 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 2 of 22
Section 4 Ash Receiver
Signature Sheets
Signed Ash Distribution
Information Sheets
Asti Distribution Prograin Inform8tio" Sheet
Baxter Healthcare
........ ... -- ...... ........
CorTi.. is the Renermor of the ash Provided tQ
(Rvcipient). Application of the aforementioned ash i�,; prohjl.Tlf��d except in accordance with the
instructions on this sheet.
Transpon; Adequate provisions shall be tahen to ensure that the tran5portation of ash, doe's not cause
nuisances and hazards to public health and -;afeuy or otherwise cause an adverst jinpact (Qtrsuaspkrt.
wet aQ-i in Icak-proofti-ticks or cover dry a-sh).
Storage: The ash shall be adequately stored to prevent wind erosion or surface runalf from carrying ash
into any surface waters. Keeping the ash slightly rnoistened will accomplish this olajective under nominal
conditions. However. berms, harriers, or tarps, may be necessary Linder vvindy or rainy conditions or if
crosion or runoff cannot be contrcillc&
4/ , �J)Hcation: When using ash. the following shall apply�
o The ash application rates shall be limited to those that can be (i.e- limiwd to
that needed to meet the liming, roquiremems of the crops being gown on the land.),
a Ash shall nett he placed within 50 feet cif any surface water.
* Ash shall not he placed within one f6.ot of the seasonal high water table.
a Ash shall not be placed within 100 feet of any water supply well tier spring miless underfain and
overlain by a liner vtiith a niaximum hydraulic: eondut;ovity of 10' centiriwtors pQr sccond, If such 41
liner/cover is provided, ash shall not be placed within 25 J-ee( ofany water supply well or spring,
P The ash shall not. be applied to any sitethat is flooded. frozen. tar snow-covered.
A. ,ummary of the ash chemical analyses is located on page 4 of the intbi-niation sheet. l3etailed
laboratory results are available upon request.
Title to the ash will transfer front Baxter healthcare, Corp to Rccipient upon delivery thereof. Thereafter.
Baxter Healthcare, Corp will have no responsibility and ,;hall not tic held liable by Recipient or any third
party for any spill, misuse, misapplication or other mishandling of the ash., Recipient acknowledges an((
agrees that. the ash is being delivered by Baxter I-lealthcare. Corp to Recipient as an accoinniodation to
Rceipient. An exchange themfore ` Recipient aigrees to indernnif�y, save and hold Baxter Healthcare, (.'orp
harmless fiom and against an), and all liability- damage,, loss. crest: CM)ewW (including attorneys" fl:es),
claim, demand, suit, action...judgm-tent or recovery asserted against Baxter licaltheare, Corp by any third
part),. including any governmental authority. whether R)r bodily injury (including death) or damage to
property, arising; fron) or in connection with Recipient's receipt. transportation, hafiling ur Offiet use of
the ash,
.. ... . . .......... ........ -
S vied (Asti P
... . ......... ............ Date .......... . ... . ...........
Ash ReeipienCs Address:
Intended Lj,,;e of Asti,.
.......... ...... ........ . ........ .. . ......... . ...... . ..
E-xpected --s of I anti. C
Acre
Page I of:
WROW Nm1h
Ash Disfrihildnil
W"n Nth
by-
, lixg
ANWAXI a0d m9no, v- nit,, homh mo cc V% 4A vme�q 0 low VC 00SP7
,%holy, Sih AW A he a&qWm% -0, in C
WA wm�q hcommW
AqwkUmp, 'shoo "Ay AWL W" nllmsmw an wp �
rMYN WAI 1--v !hai, 'O 4, plo. Nov mn of,
mv two; nxQv"WNA'Q Tv szf� 0021 941AP 00 20 Lod;
W AMN 51l SL PLUCK =Gn 1.00 All VA K, 0noy "IAV Owl,.
inn ix V,ud -0pip 'A' .00 0 0 .0 C" cop qn p"
1 AC as Mai 0, an �v
Anton. "NYqW1WxkW Wr aqui mnmmjkj.� & LY, ONO;", no! aymonG Inc ly.
wComms lot" us jakinunh. mcmd N-A Wono
oWn-, AWASIC T 000%, KA k 1: AVASIS 1A., '1:;'-.;o.i'
hwj oy" xu q- onx LUIS! 04hym omho -or stud,
ova, FWiWva 'WAY Lm:Ei
_J 1
Y. v f V v I F,
2%
Ash Distribution Program Information Sheet
Baxter Healthcare. Corp.. is the; generator of the ash provided to ....... -
_S_ f� rise lo a e,
(Recipient). Application of The atbrementioned ash is prohibited except in accordance with the
instructions ern this, sheet.
Trwisl,iorl: Adequate provisions shall be taken to ensure that the transportation of ash does not cause
nuisances and haziirds to public health and safety or otherwise cause an adverse impact (e.g_ transport
wet ash in leak -proof trucks or cover dry ash).
The ash shall be adequately stored to prevent vvind erosion or surfiace, runoff from carrying ash
into anv surface waters. Keeping the ash slightly moistened will accomplish this objective under normal
Conditions, However, bermsi, barriers, or tarps, may lie necessary under vvindy or rainy coridition,', or if
erosion or runoff cannot be controlled.
.41y.dication: When using ash, ifie -ficyllowing shall apply:
* The ash application rates shall be limited to those that. can beawyrranorraiexally jrawtified Ge- limited to
that needed to meet the firning requirements of the crops being gro-,,vii oil the land}.
* Ash ,hall not he placed within 50 feet ofany Surface vvkner.
* Ash sball not be placed within one fool of fficseasonal WO water table.
* Ash shall not be placed within 100 feet of any water supply well or spring unless underlain and
overlain by a liner with to maximuni hydraulic conductivity of i 0'7F' centimeters per second, I ['such a
liner/cover is provided, ash shall not be placed within 25, fiat of any water supply well or spring
* The ash shall not be applied to any site that isfloode(L frozen. or snow-covered.
A summary of the ash clicrnical anaiyses is located on page 2 of the inl'ormation. Sheet. Detailed.
laboratory results acre available upon request.
Title to the ash will trawsfi:r from Baxter Healthcare. Corp to Recipient upon delivery thereof. Thereafter.
8 ax Jer (,"orp will baveno responsibility and shall not bt4 held liable by Recij)Wnt or any third -
party tor any spill, misuse. misapplication or other mishandling ofthe ash, Recipient acknowledges and
of reets that the ash is being, delivered by Baxter Healthcare. Corp to Recipient as an accommodation to
Recipient. In exchanue therel"Ore. Recipient agrees to indernnif}', save and hold Baxter Healthcare. Corp
harniless front and against any and all liability, damage, loss, cost, expense (includin.g attorneys' fees).
claim, demand, suit. action, judgment or recovery asserted against. Batter Healthcare, Corp by any third
party. uicludirq; any gOverninen(al ,:authority, whether fear bodily in ury (including death) or darnage to
property. arising Born or in connection with Recipient's receipt, tran"portahon., handling or other use of
the ash,
Signed (Ash R.ecipient), Zi, �,5"
D
Ash Recipient's address
Intended l se off h:
/4"IVAe;/
l"xpected Qt);,' r.
( irdated'.. 1 5" 10
Acres off.and . ....
Baxter Healthcare, Corp.
28.59 Old Linville Road
Marion. North C'arolina 2,17:52
Ash Distribution Program Information Sheet
Baxter Healthcare, Corp., is the generator of tile ash provided to
(Recipient). Application of the aforementioned ash is prohibi ed except in accordant --with' the
instructionsinstructions oil this sheet.
Transport.- Adequate provisions shall be taken to ensure
nsure that the transportation of ash does not cause
nuisances and hazards to public health and safety or otherwise cause all adverse impact (e.g., transport
wet ash in leak -proof trucks or cover dry ash).
Storage: The ash shall be adequately stored to prevent wind erosion or surface runoff from carrying ash
into any surface waters. Keeping the asli slightly moistened will accomplish this objective under normal
conditions. 14owever, bernis, barriers, or tarps, may be necessary under windy or rainy conditions or if
erosion or runoff cannot be controlled.
Application: When using ash, the following shall apply-
* The ash application rates shall be limited to those that can be agrozioni ical lyJustified (i.e., limited to
that needed to meet the liming requirements of the crops being grown on the land).
* Ash: shall not be'Placed within 50 feet of any surFace water.
* Ash shall not he placed within one foot ofthe seasonal high water table.
is Mh shall not, be placed within 100 feet of any water supply well or spring unless underlain and
overlain by a liner with a maximum hydraulic conductivity of 19" centimeters per second. If such a
liner/cover is provided., ash shall not be placed within 25 feet of any water supply well or spring.
o The ash shall not be applied to any site that is flooded, frozen, or snow-covered.
A summary of the ash chemical analyses is located on page 2 of the information sheet. Detailed
laboratory results are available upon request.
Title to the ash will transfer ftom..Baxter Healthcare, Corp to Recipient upon delivery thereof. Thereafter,
Baxter Flealtheare'. Corp will have no responsibility and shall not be field liable by Recipient or any third
party for any spill, misuse, misapplication or other mishandling of the ash. Recipient acknowledges and
agrees that the ash is being delivered by Baxter Healthcare, Corp to Recipient as an accommodation to
Recipient. In exchange therefore, Recipient agrees to indemnify, save and hold Baxter Healthcare, Corp
harmless from and against any and all liability, damage, loss, cost, expense (including attorneys' fees),
claim, demand, suit, action, judgment or recovery asserted against Baxter Healthcare. Corp by any third
party, including any governmental authority, whether for bodily injury (including death) or damage to
property, arising from or in connection with Recipient's receipt, transportation, handling or other use of
the ash.
Signed (Asti Recipient):
Ash Recipient's Address:
Intended Use of Ash: 4- c' 4!,! e
Acres of Land: J,>
Expected QtyfYr: 1 9
Page I of 3
Updated: M5110
Baxter Healthuare, Corp..
2859 Old Linville Road
Marion, North Carofisaa
Ash Distribution Program baformation Sheet
Baxter Healthcare, Corp., is the generator of the ash provided to -Nturs FWA5
(Recipient), Application of the aforementioned ash is prohibited except in accordance tvith the
instructions on this Sheet.
Transpori.- Adequate provisions shall be taken to ensure that the transportation of ash does not'causc
nuisances and hazards to public health and safety or otherwise cause an adverse impact (e.g., transport
wet ash in leakproof trucks or cover ilty ash).
Storage: The ash shall be adequately stored to prevent wind erosion or surface runoff from. carrying ash
into Any surface waters. Keeping the ash slightly moistened will accomplish this objective under normal
conditions. however, berms, barriers, or tarps, may be necessary under windy or rainy conditions or if
erosion or runoff cannot be controlled,
Application: When using ash, the following shall apply,
* "the ash application rates shall be limited to those that can be agronomically justified (i.e., limited to
that needed to.tneet the liming requirementq of the crops being grown on the land),
* Ash shall not be placed within 50feet of any surface water.
* Ash shall not be placed within one foot of the seasonal high water table.
* Ash shall not be placed within 100 feet of any water supply well or spring unless underlain and
overlain by a. liner with a maximum hydraulic conductivity of 10-6 centimeters per second. If such a
liner/cover is provided, ash shall not be placed within 25 feet of any water supply well or spring.
* The ash shall not be applied to any site that is flooded, frozen, or snow-covered.
A summary of the ash chemical analyses is located on page 2 of the information Sheet. Detailed
laboratory results are available upon request.
Title to the ash will transfer from Baxter Healthcare, Corp to Recipient upon delivery thereof. Thereafter,
Baxter Healthcare, Corp will have no responsibility and shall not be held liable by Recipient or any third
party for. any spill, misuse, misapplication or other mishandling of the ash. Recipient. acknowledges and
agrees that the ash is being delivered by Baxter Healthcare, Corp to Recipient as an accommodation to
Recipient. In exchange, therefore, Recipient agrees to indemnify, save and hold. l3axterl-lealtheare. Corp
harmless from. and against any and all liability, damage, loss, cost, expense (including attorneys' fees),
claim, demand, suit, action, judgment or recovery asserted against Baxter Healthcare, Corp by any third
party, including any governmental authority, whether for bodily injury (including death) or damage to
property, arising from or in connection with Recipient's receipt, transportation, handling or other use of
the ash.
Signed (Ash Recipient): _J1111-841LOS --Bate:
Ash Recipient's Address: '11?1?7 tylu V / 9F
Intended Use of Ash, 11641a(LTUR-65 SUL I/VX�M_
Expected QtyiYr:
Page I of 3
Updated.- 3/5/10
Acres of Land:
-;-
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�4 v d
nunwaus ami Woods w We how; apa vv& — MOMMO C.Se an a&Nmc Ungm w P wmpw
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or
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