WQ0031725_Annual Report_20170306

Annual Report Review SOP Class B Land Application
Reporting Period: ti'31 �% Detaffs:W 003119 5
64 uj-A--y r2Ae_We8..,
Is 503?. V-e--S.
q_
Class A 0ro?av 6�j,
Maximum Dry Tons Per Year: 1-600 &q" 10 • M40 S
• Number of acres perm -Z
itted: 114 0 -
Number of fields in permit:-.� 007 -,901/
Counties that land is permitted for: 2c67-
Monitoring Frequency.for TCLP: AA ----
Monitoring Frequency for.Residuals Analysis:,44,7 "'Od
-Monitoring Frequency for.Pathogen &Vector Attraction Reduction:,
Groundwater monitoring: N/A:
L. Annual.Land Application bertificatioi Fornif,
Was a certification form submitted?
Was landapplication conducted, durkg the reported year?
, I - S/57
1. -17/
How many y tons and dry tons per acre were applied? 1-36 A 40'r
dry
Were the licationsithin within IV73
applications thp.-permitt6d amoun0y.'
41147
Verify PAN if more than 10 tons/acre.?
Did it indicate compliance?
6.29
Was it signed by the appropriate people?
2. Monitoring
W6relhe analyses conducted at,thl exequired frequency?;
(ile4?,
Was. an analyses taken for.each source that. was. I/
-metals analyses reported on.the Residual Saj?kplin9 Summary Were the Form? T
Were the results reported in mg/kg?
Were the pH's 6.0 or greater for each residual sample?
Were the heavy metals within --ceiling concentration permit limits?
Were the lab analyses attached7y,
Were all the required parameters tested?
Was TCLP analysis conducted?
Were the TLCP contaminants within regulatory limits? I
Was a corrosivity, ignitability, and reactivity analysis conducted?
3. Field Summar'y
....-....-...................--Were-the.-land.applicafionev.ents.re' ded-on-the-Field-Summat�LF-orms'?
cor
How many fields were applied on, this year?
Was a Field Summary Form submitted for each field?
Were- all the residuals applied to permitted land?
Were all the residuals applied from permitted sources?
Were the field loading rates for each metal and PAN calculated (year to date)?
Were the cumulative.pollutant loading rates calculated?
Were the calculations correct? \1
Were the PAN loading rates within permit limits?
Were the heavy metal cumulative pollutant loading rates within permit limits?,.)
Were the residuals applied on a suitable crop?

Were the applications conducted during thecirop's growing season?
Were the Field Summary Forms complete?
Was lime application on Field Summary Form? No lime applied.
4. Pathogen and Vector Attraction Reduction
- Was a signed copy of the Pathogen and Ve� Attraction Reduction Form Omitted? K/
-Did the form indicate the perio of coverage, the residual class, and the,pathog'en reduction
alternative' and the vector attraclion. reduction optioned?- Was the appropriate documentation to show pathogen and vector attraction reduction included
in the report?
Was pathogen and vector attraclif -reduction demonstrated according to 40 CFR Part 503 ?
Class B Pathogen Review
Alternative I — Fecal Coliform Density
Was the sampling conducted at the required frequdncy9
Were seven samples taiken?
Was the geometric, mean ca. l6ulated and done correctly?'
- Did the results show compliance (less than either 2,000,000 WN/gram'of total solid , s or
2,000,000 Colony Forming Units/gram of total- solids)?.
Alternative 2 —Use of Process to Significantly -Reduce -Pathogens (one of five)
Was the sampling conducted at the required frequency?
1. Aerobic Digestion
Was it an aerobic process (Inspection)?
'Were logs submitted showing time.and'tempeiatur 9
e
Were temperatures within iange'iforcompletelime:period?
Was the time and temperaturebetween 40 days at 20°C (68T) and 60 days at 156C
2. Air Drying
- Were the residuals on sand beds or pave or unDayed basins for three months?
Was the ambient temperature above VC (32T) for two months?
Were the residuals partially digested?
Were residuals exposed to atmosphere during two months above 0°C (not snow
covered)?
3. Anaerobic Digestion.
-Was it an anaerobic process (Inspection)?
-Were logs submitted -.showihg:tune and tompeiAture?. -
Were temperatures within time period?
erature ith complete
-Was the time and temperature bdfween15 day's.at 359C (95T) to 55T (13 IT) and 60
days at 20°C (68T)?
4. Composting (usually will bb,.Class A."when composting is used)
Was itacompostin procedure (fiot:tlatutal decay under uncontrolled conditions)?
. 9 pro
Were logs submitted showing time and temperature?
Was the temperature raised to 40
5. Lime Stabilization

Was alkaline material added to residuals a form of lime (hydrated lime, quicklime, lime
containing kiln dust or fly ash)?
Were logs submitted showing time and temperature?
Was the pHraised to 12 after two hours of contact?
Were logs submitted showing time and. pH? .
• Was temperature corrected to'25°C (770F)?
Alternative 3 - Use of Processes Equivalent to RSRP ° .
(Not commonly use. See White House Manual page 100.103, tables 11-1 and 11-2.)
Vector Attraction Reduction Review
Was the sampling conducted at the requiredfirequency?�
Option 1— 38% Volatile Solids Reduction
Was there 38%o reduction?
CP
_ iti • Were lab sheets/calculations in r6port?l 15.
Was the reduction on volatile solids (not total solids)?
Were the samples taken at beginning of digestion process and before application
(Inspection)?
Were calculations correct?
c
Option 2 — 40-Day Bench Scale Test
Were residuals from anaerobically digested treatment (Inspection)?
I
Were residuals anaerobically digested in lab?.
Was the test run for 40 days? .
Was the test done between 30°C (86°F) and 379C (999F)?
Was the reduction of on volatile solids (not total solids)?
• Was the reduction less.than 17%?
Were lab sheets/calculationsin. report?
Were calculations correct?
Option 3 — 30-Day Bench Scale Test
Were residuals from aerobically`digested treatment (Inspection)?. -
Were residuals aerobically digested in lab?
Were residuals 2% or less total solids?
• If not 2% total solids, was the test ran on a sample diluted to 2% with unchlorinated
effluent?
Was the test run for 30 days?>
Was the test done 'at 20°C (68°F)?
Was the reduction of on volatile solids (not total solids)?
Was the reduction less than 15%?
Were lab sheets/calculations in. report?
Were calculations correct?
Option 4 — Specific Oxygen Uptake Rate(SOUR)
Were residuals form aerobically digested treatment (Inspection)?
Were residuals 2% or less total solids (dry weight basis) (not diluted)?
• Was the test done between 10°C (50°F) and 30°C (86°F)? .
Was the temperature corrected to 20°C (68°17)?
Was the SOUR equal to or less than 1.5 mg of oxygen per hour per gram of total
residual solids (dry weight basis)?

Was the sampling holding time two hours? .
Was the test started within 15 minutes of sampling or aeration, maintained?
Option 5 14-Day Aerobic Process
..Were the residuals from aerobically digested treatment (Inspection)?
Were the residuals treated for 14 .day
s?
Was the residuals temperature higher than 40°C (I 040F) for a 14-day period?
Was the average residuals temperature higher than 45T (I 13T)?
Option 6 — Alkaline Stabilization
Was the pH of the residuals raised to 12 or higher by the addition of alkali?
Did the pH of residuals remain at 12 or higher f6r two hours wi , thoutthe addition of
more alkali?
Did the pH of re * siduals remain at 11.5 or higher for an additional twenty-two hours
without the addition of more alkali?
Was the pH corrected to.25°C (77-F)?
Option 7 — Prying of Stabilized Residuals *
Does.the residuals contain any unsfabilized residuals?
Were the residuals mixed with.any other materials?
-Were the residuals dried up to 75% total solids?
Option .8 — Drying. of . Unstabilized Residuals
Were the residuals mixed with any other.mat.prials?
Were the residuals dried to 90% total solids?.
Option 9 — Injection
Was there any significant amount of residuals on land surface one hour after injection
(Iiispectiion)?
Was injection done on pasture or hay field?
Was injection done at time that crop was growing?
If Class A with respect to pathogen, -were . s re iduals injected With eight hours after
discharge from pathogen treatment?
5. Soil Tests
Was a, Standard Soil Fertility'Analysis conducted
nducted for each application field? __4 LIN yrit — y,e,5
-Were the soil pH's 6.0 or, greater for each application field? -No 0P1­B.=r54r3/ UPI-L Z S, �
qr
b
LP
ev
-If no, was lime applied to those fields? 13c, DP 3
- Were the copper and zinc indexes in the soil less -than 2000 for each application. field?Y4-v (> ^ 0
-Was sodium less than 0.5 meq/100 cm.1\3? E)PiN ---) Na% 0,9'
Was 'the exchangeable sodium percentage (ESP) less than 15%?
UrG
6.General
Was the report in the proper format?
Was the annual report co-mplet6? I
Was the report submitted on time?

MAR -- 6 2017 r, .
Water Quaty
Baxter
Healthcare
Baxter Healthcare Corporation
2016 Annual Report
Land Application Program
NC Permit No. WQ0031725
F
�;h 91-
r3P
RECEIVED
FEB 2 8 2017
(11
InfvFination-processing Unit
DWi? Ssction
C-�

AININ UAL 1,ANI) APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0031725 County: McDowell Year: 2016
Facility Name (as shown on permit): Baxter Healthcare Corporation
Land Application Operator: Southern Soil Builders, Inc.
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
R1 Yes ® No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Racirl—la A...
i otall number ofapplicatio
Total number of fields utilized for land applic
Total amount of dry tons applied during the year fo
Total number of acres utilizes for land applic
Part B - Annual Comniance Statement:
n fields in the ermit:
r
ation
10
ation during the year:
g
all application sites:
136.19
during the year:
67.06
Facility was compliant during calendar year 2016 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. R1 Yes 11 No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"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) % T"
n ature of Permittee Date
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC. MT 1 1 n) i1)�, M, ..

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: WQ0031725
Facility Name: Baxter Healtcare
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Annlvcic Data
WQ0031725
Baxter Healtcare
Laboratory: 1) Waypoint Analytical
2)
3)
4)
5)
Parameter
(mg/kg)
Conc.
Limit
m a
Sample or Composite Date
✓
2-2-16
Percent Solids (%)
NA
11.87
Arsenic
75
7
Cadmium
85
2
Copper
4,300
128
Chromium
NA
79 V
Lead
840
11
Mercury
57
0.4
Molybdenum
75
5 ✓
Nickel
420
29
Selenium
100
5
Zinc
7,500
194;
Total Phosphorus
NA
19900
TKN
NA
82300
Ammonia -Nitrogen
Nitrate and Nitrite I
a
For surface disposal facilities
NA
NA
the rP;l;nv
6490
28.1
nnnePrf—+;,,,,
r,.,,;+.. 1;-+
a :_ ..L:_
c — _
uYY.,..---- jo-1 1-C uie mulvmaua permit Tor metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer * Date
L
*Preparer k defined in 40 CFR PCULi ✓V�.94'r) and 13A'1VCAl 21 .1102 (26)
DENR FORM RSSF (12/2006)

to'41'MUH1, IV lAL6 rILI U LUAVnU SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare Total Dry Tons Applied (Annual):
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Popin Predominant Soil Series:
5.5 Acres Permitted: 5.5 Site #: DP1-A Field #:
Residual Analvsis Data fFfenvv Metalc and T,,t.,l Vik-L
/L- a/ [7 ,• ,
2.83
FcC2
DP1-A
Com-
posite
Date,
Total
DT/Ac./
App.
Event
Total
DT/Ac./
App.
Event
0.52
121
3
141
5 J
L6
7
8
9
10
11
12
y
0
W
Arsenic
Cadmium
0.007
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.007
0.000
0.002
Copper
0.132
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.132 "
Chromium
0.081
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 -
0;000
0.000
0.000
0.081
0.011,
Lead
Mercury
Molyb-
denum
0.011
0.000
0.005
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000,
0.000,
0.000 '
•0.000
; ;0,.000
0.000
0.000
0.000
0.000
0.005
Nickel
Selenium
Zinc
Total
Phos-
horus
"I eertifv.
0.030
0.005
0.200
20.497
under
0:000
0.000
0.000
0.000
nenalty of
0.000
0.000
0.000
0.000
law that
0.000
0.000
0.000
0.000
th;o a,,,,,,,..
0.000
0.000
0.000
0.000
---I
0.000
0.000
0.000
0.000
-.-- _
0.000
0. 000
0.000
0.000
_ � __
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 '
0.000
0.000
0.000
0.000
0.000
0.030
0.000
0.005
0.000
0.200 l
0.000
20.497
20'H�iia
Ir , F"A - . ""%,. „ly .,11 ccuuL ur 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".
7
f �-Z� -
Sign61re of Land Applier
Date
2
2
npKip Pr)PIIA hAM c� /1710nnc�

1-11"N UAL 1VIE ALl FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual): 2.83
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Popin Predominant Soil Series: FcC2
Acres Used: 1.6 Acres Permitted: 1.6 Site #: DPI-B
Field #: DPI-B
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #1: Samnle org 11 121,11 M e
Com-
posite
Date
2/2/16
% Solids
11.87
Arsenic
7
Cadmium
2
Copper
128
Chromi
79
Lead
11
Mercury
0.4
Molyb-
denum
5
Nickel
29
Selenium
5
Zinc
194
Total
Phos-
19900
- ----- ==tea• r 1.1Gtal ri-eiu Loaumgs (Ualculated in lbs/acre):
Total 1 2 3 4
DT/Ac./
5
6
8 9
10 11
12
App.
Event 1.77
Arsenic 0.025 0:000 0.0000.000
0.007 0:000
0.000
0.000
0.000
0.000 0:000_
0.000 : 0000
0.Cadmium
40-'v',
0.000:. 0.000
0.453 0.000 00000.0000.0000.0000.0000.0000.0000.000
0-!-
0.000
0.000
0.000 . 0.000
0.000i 0 000
0.Copper
0.280 0.000 0.000 0.000
0.0000.000
, ; 0000
0.Chromi
Lead 0.039 0.000 0.000 0.000
0.000
0.000
0.0000.0000.0000.000
0.000
0000
0.00
0.280
✓
Mercury 0.001 0.000 0 0 00 : 0. 000
0: 000'
0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.039
✓
Molyb- 0.018 0.000 0.000 0:000
denum
0.000
0.000
0.000
0.000
0.000
0.000 0.000
0.000
o01
✓
Nickel O. L03 0.000 0.000 0:000
0.000
0.000'
-0.000
0.000
0.000 0.000
0.000
0.018
V
Selenium 0.018 .0.000 0.000 , 0:000
O:Q00
0.000
0.000
0.000 0.000
0.000
0.000 .0.000
0.000
0.103
Zinc 0.487 0.000 0.0.00 0:000
0:000 .
-
.
0.000
0.000
0.000
0.000 0.000
0.000 ?0:000
0.000 ; b.000
0.000
0.018
Total ; .
0.000
0.687
Phos- 70.486 0.000 0.00o 0.000
horus
0.000
0.000
0.000
0.000 0.000
0.000 0.000
0.000
70.486
"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
I am aware that there are significant for
gathered and evaluated the information submitted.
penalties submitting
imprisonment for knowing violations".
false information,
including
the possibility of fines and
Signature of Land Applier
Date

Aviv uAL 1V1E'1A1.S FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual R Facility Name: Beport
Baxter Healthcare Total Dry Tons Applied (Annual): 5.67
Permit #: WQ0031725
Operator: Douglas Poplin Owner: Cation Exchange Capacity (non 503 only):
•
Acres Used: Douglas Popin Predominant Soil Series:
3 Acres Permitted: 3 FcC2
Site #: DPI-C Field #: DPI-C
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent
Sample or 1 2 3 4 5 s � #).
Com- $ 9 10 11 12
posite
Date 2/2/16
% Solids 11.87
Arsenic 7
Cadmium 2
Copper 128
Mromi 79
Lead 11
Mercury 0.4 1
5
29
gden'
5
194
Total
Phos- 1
19900
Annual Heavy Metal Field Loadings (Calculated
in lbs/acre):
Total 1 2
DT/Ac./ I
3 4 5 g
8 9
10
11
12
App. t1
0
Event 1.89
Arsenic 0.026 0.000-
Cadmium 0:008 -. 0.000
0:000 0.000 0.000
0.000
0.000 0.000
0.000 0.000
0.000
. 0000
0.000
y
0.026
V
Copper 0.484 0.000
.0.000 0.000
0.000 0.000 0.000
0:000 0:000
0.000
0.000 0.000
0.000
;0:000
0.000
0 008
Chromi 0.298 0.000
.
0.000 0.000 0.000
0.000
0.000 0.000
0.000 0.000
0.000
'0.000
0
"
Lead 0.042 0.000
0.000 0.000 0.000
0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.298
298
✓
Mercury 0.002 0.000
0.000 0.000 0..000
0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.042
Molyb-
denum 0.019 0.000
0.000 . 0.000 0.000
0.000
0.000 0.000
0.000
; 0:000
0.000
0.002
Nickel 0.110 0.000
0:600 0.000 0.000
0.000
0.000 0:000
0.000
0.000
0.000
0.019
Selenium 0.733 0.000
0.000 0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000
`'0.000
0.0 00
0.110
Zinc 0.733 0.000
.0.000 .0.000 0.000
0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.019
✓
Total
0.000 0.000
0.000
0.000
0.000
0.733
Phos- 75.182 0.000
horus
0.000 0.000 0.000
0.000 0.000
0.000 0.000
0.000
0.000
0.000
"I certify, under penalty of law, that this document was
75.182
tiati
with a system designed to assure that qualified personnel
prepared under my direction or
supervision in accordance
I am aware that there are significant
penalties for submitting
properly evaluated
the
itted.
imprisonment for knowing
violations".
false nformationlincluding
the pos
litylon
ibi
of finessub
and
ILA ail'
Signature of Land Applier
)- 3 �`
Date

tfIIUIIUt1L 1rlrIitiL.7 r1GLL LVL-1Lllvl= OUIV11VIAKI V kJIUV1''
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Popin Predominant Soil Series:
Acres Used: 9.6 Acres Permitted: 9.6 Site #: DPI-D Field #:
16.42
FcC2
DPI-D
Residual Analvsis Data (Heave Metals and Total Phosnhorus use mu/ku- % Rnlidq nee Raw Percent JA-
Com-
posite
Date
Total
h
••��
tX11uUM 11e2LVV 1V1GLUI rlelU LuilulnY-s Il..alcalaiea In InwnerP.1_
Total
1 1
L2
1 31
4
L5
6
171
L 8j
19110
11
12
DT/Ac./
APP.
Event
1.71
y
Arsenic
0.024
0.000
0.000-
0.000 .
0:000
0.000
0.000
0.000
0:000
0.000.
0 000
0.000
0.024
Cadmium
0.007
0.00.0
0.000
0.000
0.000
0.000.
0.000
0.000
0.000
0.000
0.000.
0.000
0.007
Copper
0.438
0.000
0.000
0.000
Oi00.0
0.000
-0.000
0.000
0.000
0.000
1.0 000
0.000
0.438
Chromium
0.270
0.000
0.000
0.000
-0.000
0.000
0.000
0.000
0.000
0.000
' 0.000
0.000
0.270
Lead
0.038
.0.000
0.006 _
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.038
Mercury
0.001
0.000
0.000
0.000
0.000
0.000 ,
0.000
0.000
0.000
0.000.
! 0.000
04000
0.001
Molyb-
denum
0.017
0.000
0.000
0.000
0".000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.017
Nickel
0.099
0.000
0-.000 .
'0.000
0.000
0.000
0.000
0.000
0 000
0.000
' 0:000
0.000
0.099
Selenium
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
U:000
0:000
0.000
0.017
Zinc
0.663
0:000"
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
' 0,000
0.000
0.663
Total
Phos-
68.058
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
68.058
horus
T .n
- -.71 ..,...... r..ua.%7 .,X ,a.., L""t LULa UU%;U■uG„L was prep2lreu unuer my uireciion 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 Land Applier
,9 3+3
Date
J
DENR FORM MFLSF (12/2008)

ti1111 U 111- lY JV, 11i.LC r I-V LL L VALln I T L-3 U IV11V1AK Y V' VKiVI-
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual): 25.71
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Popin Predominant Soil Series: Fc:B2
Acres Used: 6.983 Acres Permitted: 6.983 Site #: DP-3 Grass Field #: DP-3 Grass
Residual Analvsis Data (Heave Metals and Tntal.Phncnhnr„c nae ma/ka o/ Ralifle „ao D.- ID----4- u1.
Com-
posite
Date,
®m�
Total
.
..��
..
cXuaauai iivav r iVXVLai rioiu L.rauium� . L,Rucuiateu .n In\/aa, r "
Total
Ill
L2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
rt
App.
�.
Event
3.68
y
Arsenic
0.052
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0:000
-' 0.000
0.000
0.052
Cadmium
0.015
:0.000
0.000
0.000
0.000.
0.000
0.000
0.000
0.000
0:000
0:000
0.000
0.015
Copper
0.943
UK
0.000
0.000
0.000
0.000
0.000
0.000
0:000 .
0.000.
A-000
0.000
0.943
Chromium
0.592
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
I.0:000
0.000
0.582
Lead
0.081
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0:000
0.000
A000
0.000
0.081
Mercury
0.003
0.000
0.000
0.000
0.00.0
0.000.
0.000
0.000
0.000
0.000.
0.000
0.000
0.003
Molyb-
denum
0.037
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
:0.000
0.000
0.037
Nickel
0.214
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.214
Selenium
0.037
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
.0.000
0.000
0.037
Zinc
1.429
0.000
0.000
0.000
0.000
0.006
0.000
0.000
0.000
0.000
, D-000
0.000
1.429
Total
Phos-
146.544
0.000
0.000.
0.0.00
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
146.544
horus
.....xy, UJUL"V. Fullaa.y UI ,av►, wat iu,N uvUu,ueuL was prepareu unuer my mrection 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".
0-1-- 1 , � - Y- 1-7
Signature of Land Applier Date
I
DENR FORM MFI SF r1,?»nnFN

tallqlllut1L 1TiL' 1tiLO r1LJJLJ" LVt'iVll\lT Oulv11v1ti1mZ rVltivl'
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Popin Predominant Soil Series:
Acres Used: 5.877 Acres Permitted: 5.877 Site #: DP3-Corn Field #:
14.53
FcC2
DP3-Corn
Residual Analysis Data (Heave Metals and Total Phosphorus use mg/kg. % Solids uce Raw Percent ii)-
Com-
posite
Date,
in10lM
Total
.
...
..�o
tinnuai neavv iviLmai rieia i,oaainis (uaicuiaten in insiacrei:
Total
1
121
L3]4
5
6
7 J
S
9
10
IIJ
12
DT/Ac./
c
App.
i�
Event
2.4
y
Arsenic
0.03
0.000
0.-000
0.000
0:000
0.000
0.000
0.000
'0.000
0.000,
1-0.000
0.000
0.035
Cadmium
0.010
0.000
0.000
0.000
0.000
0.6100
0.000
0.000
0.000
0.000
0:000
0.000
0.010
Copper
0.633
0.0.00
0.000
0.006
0.000
0.000
0.000
0.000
0.000
0.000
j 0.000
0.000
0.633
Chromium
0.301
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 '
1 0.000
0.000
0.391
Lead
0.054
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.054
Mercury
0.002
0.000 ,
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 ,
10.000
0.000
0.002
Molyb-
denum
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
1-.0.000
0.000
0.025
Nickel
0.143
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
i 0.000
0.000
0.143
Selenium
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000 .'
i 0.000
0.000
0.025
Zinc
0.960 -
0.060
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
0.960
Total
!
l
Phos-
98.425
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
98.425
horus
f
1 l:Ci -Lily, u..uC.- Pumilay Ul i'dw, 6IlaL tuis uucument was preparea unaer my alrectlon 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".
Sign Lure of Land Applier Date
J
J
J
I
DENR FORM MFLSF (12/2006)

fuviv uAL METALS HELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Baxter Healthcare Total Dry Tons Applied (Annual): 23.12
WQ0031725 Cation Exchange Capacity ty (non 503 only):O
Operator:
Acres Used:
Douglas Poplin Owner: Douglas Popin Predominant Soil Series: FcB2
8.7
Acres Permitted: 8.7 Site #: DP-4 Field #: DP-4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or 1 2
3 4 5 6 7 8 9 10 11 12
Com-
posite
Date 2/2/16
% Solids 11.87
Arsenic 7
Cadmium 2
Copper 128
Chromi 79
Lead 11
Mercury 0.4
Molyb- 5
denum
Nickel 29
Selenium 5
Zinc 194
Total
Phos- 19900
Total
1
DT/Ac./
App.
Event
2.66
Arsenic
0.037
Cadmium
0.011:
Copper
0.680 '
Chrommir
0.420
Lead
0.058
Mercury
0.002
Molyb-
denum
0.027
Nickel
0.154 -,
Selenium
0.027
Zinc
1.031
Total
0.0.0.0
0 000
0.000
0
0'.Q00.
0.000
0.000
'0
0.000
0.000.
0.000
0
0.000 '
-0.000j
0:000
0
0.000 0.000
0.000 0.000
0.000 0.000
0:000 6.000
0.000
0.000 0.000
0.000 0.000
0.000 0 000
0.000 0.000
-66 6 000
0.000 0.000
0.000 0.000
lbs/acre):
7
0.000
,0.000
0.600
O000
0.000
0.000
0.000
0.000
0.000
0.000
Phos- 105.749 0.000 10:000 10.000 10.000 10.000 1 0
8
9
10
LIJ
12
0
a
WOO
0.000
0.1000
0.00.0
0.000
0.000
0.037
1.000
0.000
0.000
0.000
0.000
0:000
0.011
.000
0.000
0:000
0:000
0.000
0.000
0.680
.000
0.000
0:000
0.000
"0''.000
0.000
0.420
000
0.000
0.000
0.000'
0.000
0.000
0.058
.000
0.000
0.000
0.000' ,
'0.000
0.000
0.002
.000
0.000
0.000
0.000
:0.000
0.000
0.027
.000
0.000
0:000
0.000
0.000
0.000
0.154 �
000
0.000
0.000
0.000
0.000
0.000
0.027 r
000
0.000
0.000
0.000
'-0.000
0.000
1.031
000
0.000
0.000
0.000
0.000
0.000
105.749
f
i cemly, 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 Land Applier Date
a

Cf111114Ur...1V1L' JL11kU711L`Lll LVttIl11\V aUA'livillk<I 1'1J111Y1'
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual): 25.57
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Popin Predominant Soil Series: FcC2
Acres Used: 15.9 Acres Permitted: 15.9 Site #: DP-5 Field #: DP-5
Residual Analvsis Data (Heave Metals and Tatal Phnenhnrm nee mallro o/ 441.
"MIN
Com-
posite
Date
in
non
a
MI.
TotalVA
.
.�.
..��
Auuual AXUaV V 1V1GLal i`1G111 L9211LUMP1 It.d ICnINYVII In In4aimprP1-
Total
11
1213j
L4
5
6
7
8
9 J
110111
12
DT/Ac./R.
o
App.
E
Event
1.61
y
Arsenic
0.023
0.000
0.000
0.-000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.023
Cadmium
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Copper
0.412
0.000
0.060
6.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.412
Chromium
0.254
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0:000
0.000
-0.000
0.000
0.254
Lead
0.035
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.035
Mercury
0.001
0.000
0.000
0.000
.0.000
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.001
Molyb-
denum
0.016
0.000
0.000
0.000
.0.000
0.000
0.000
0.000
01.000
0.000
FA000
0.000
0.016
Nickel
0.093
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.093
Selenium
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000 1
0.016
Zinc
0.624
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1,
0.000
0.000
0.624
Total
Phos-
63.998
0.000
0.00.0
0.000
0.000
0.000
0.000
0.000
0.'000
0:000.
0.000
0.000
63.998
horus
vex �1
t
1 L.GA L11J', UIlUVl PVL1iCl1LY V1 law, LUUL tum umumenl was preparea 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 Land Applier Date
DENR FORM MFLSF (1212006)

to\1� VAL IVMIEiLk-5 VI IA) LUADIAU aUNIMARY k'U)EiM-
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual): 11.31
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Popin Predominant Soil Series: FcC2
Acres Used: 5.5 Acres Permitted: 5.5 Site #: DP-6 Field #: DP-6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or 1 2 3' L4 5 L6J 171L8J 19110 11 12
Com-
posite
Date 2/2/16
% Solids 1 L87
Arsenic 7
Cadmium 2
Copper 128
Chromium 79
Lead. 11
Mercury 0.4
Molyb- 5
denum
Nickel 29
Selenium 5
Zinc 194
Total
Phos- 19900
Annual
DT/Ac./
App.
Event 1 2.06
Arsenic
0.029
1 0.000
0.000
Cadmium
0 0.08
0:000
0.00.0
Copper
0.527
0.000
0.000
"hromium
0.325
0.006
0.000
Lead
0.045
0.000 `
0.000
denum
0.021
Nickel
0.119
Selenium
0.021
Zinc
0.798
Total
0.000 .'1 0.000
1 101
11l1
mgs (Calculated in lbs/acre):
4j
1516
7
0" 000 :
0.000.
0.000
0.000
`0.000
0.000
'0.000.
0.000
0.000
0.000
0.006
0.000
0.000.
0.000
0.000
0.000
0.000
0.000
0.000
0.000
(Y.0.00.
'-0.000
0:000
0.000
0.000
.0.000
0.000
0.000
0.000 -
0.000
0.000
0.000
0.000
0.000:
0.000
0.000
y
0
y
t/
✓
✓
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.029
0.000 '
0.000
0.000
0.000
0.000
0.000
0.000
0.008
0.527
0.325
0.000
0.000
0.000 ,:
0.006 ,
0.000
0.000
0.000 .
0.000
0.0001 `
.0.000
: 0,000
0:000
0.000
0.00.0
0.000
0.045
0..002
0.021
0.000
0.000
0. O0
0.000
0.000
' 0.00,0; 4
0.000
0:000
0.000:
0.000
0.000
0.000
0.000
0.000
0.000
0.119
0.021
0.798
0.000
0.000
0.000 ;
0.000
0.000
0.000
Phos- 81.869 0.000 0000 1 0.000 1 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 81.869
horus
"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 Land Applier
a-3-- Ig
Date
nr-hip s=r)phA RAG{ CC f47/7nnc�

ru�l��rylvi�it>,1,J r1L+LL LVAIJll�ili 6U1V11VjI KY FUKMV
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Popin Predominant Soil Series:
Acres Used: 4.4 Acres Permitted: 4.4 Site #: DP-7 Field #:
Residual Analvsis Data (Neavv 1VMetnle ana Tn+ol ,, _ W_n__ al n ,
8.20
FcC2
DP-7
.. .
�
©
i©
�
!QJ
Com-
posite
NONE
on
Date
.
..�i
...
Total
DT/Ac./
App.
Event
1
1.86�
2
3
4
--------__._---,-
L5J
L6J7
8
9
10
11
12
y
y
Arsenic
0.026
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0'000
0.000
, 0,000
0.000
0.026
Cadmium
Copper
Chromium
Lead
Mercury
Molyb-
denum
0.007
0.477
0.294
0.041
0.001
0.019
0.000
0.000
0.000
0.000
0.000
0.000
0.000 :
- 0.006
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
.0.000 .
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000 .
0.000
0.000
0.000
0.000
0.000
�•0 000
6.0.00
0.000
0.006
0 000
0.000
0.000
0.007 ;
0.000
0.477
0.000
0.294
0.000
0.041
0.000
0.001
0.000
0.019
Nickel
Selenium
Zinc
Total
Phos-
horus
"I certifv-
0.108
0.019
0.723
74.147
jI"dPW Fia..alty
0.000
0.000
0.000
0.000
of
6.000
-0.000
0.000
0.000
l.aa. fkn4
"0..000
0.000
0.000
0.000
4t„� a
0.000 .
0.000
0.000
0.000
_..<_u�
0.000
0.000
0.000
0.000
._. _ . ,_ ____
0.000
0.000
0.000
0.000
.
0.000
0.000
0.000
0.000
- --
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
lbhoo
0.000
0.000
0.108
0.000
0.019
0.000
0.000
0.723
0.000
0.000
74.147
_ -a 1„ vpai cu uuucr my ulrecilon 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".
�-� 2 9-3- Ir
Signatur of Land A plier Date
nF-NR F()RAA mm CF tior)nna�

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue/
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0031725 Field #: DPI -A
Annual Dry Tons Applied: 2.8340 Site #: DPI -A
Predominant Soil Series: FcC2
Crop 1 Max. PAN: 158 l/ Crop 2 Name:
Acres Utilized: 5.5
Acres Permitted: 5.5
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
°
Volume applied
PP
Volume
Residual Sources
Soil
Precip.
y
o
Z
Nitrate
Name of CropType
0 >~
o
(enter one) Solids/
%
Applied per
PP P
DES # W #,
Q
Cond.
Past 24
cu b
w w
�
w ,
TKN
o
and
PAN Applied
Receiving Residual
A
Liquid
Solids
Acre
Fert. Animal
(DiY,
Hrs.
o
o w
K'
* -
04 °
CD Z.
o
Nitrite
( lbs/acre)
Application
Cu Yds Gallons
(Dry Tons/Ac)
Waste etc )
Wet
Moist)
inches
¢
#
]
*
mg/kg
�•
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
12-2016
28.35
11.87
0:515
WQ0031725
dry
0
s
0.5
0.3
82300
6490
28.1
26.811
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0:000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000Residuals
Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
TA-LS
3s 0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P 26 811; 0.000
Lime Applied
►
lbs/a28
cre
0.007 ✓
0.1127
0.120
36 ✓
0:002
0.032
0.034
34
0 132
1.944
2.076
1338
0.081
1.29
1.371
NA
0.011 v
0.175
0.186'
267
0.000k/
0.005
0.005%1
15 V
0.005
0.075
0.080
NA
0.030
0.454
0.484
374
0.005
0.059
0.064
89 ✓
0.200
3.599
3.799
2498
20.497
...._........
Date lbs/ac
'rior Years Cumulative lbs/ac
)urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
ermit PAN Limit l st/2nd Crop
_..
i cernry, unaer penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
iformation, including the possibility of fines and imprisonment for knowing violations."
AIL;'
Signature of Land Applier
9- 3 -1r7
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
r)FNR FORM FSF (19/9nnAi

ANNUAL LAND APPLICATION FIELD S
RY
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED ,AND SU�BMMITTED FORREACH FIELD
Facility Name: Baxter Healthcare PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. APPLIED ON
Land Owner: Douglas Poplin WQ Permit #: WQ0031725 Field #: DPl-B
Annual Dry Tons Applied: 2.8340 Acres Utilized: 1.6
Operator: Douglas poplin Predominant Soil Series: FcC2 Site #: DPl-B Acres Permitted: 1.6
Crop 1 Name: Fescue Crop 1 Max. PAN: 158 Cation Exchange Capacity (non 503):
-�� Crop 2 Name: Crop 2 Max. PAN:
Volume applied
(enter one) Solids/ o Volume Residual Sources Soil precip, y c /o Applied per (NPDES #, W # Cond. Z Nitrate
° Liquid Solids Acre Q ' Past 24 cu a w, w R, q PAN Name of crop T
Q Fert., Animal (Dry, �' �' ; cow TKN ° and Applied P Type
Cu. Yds Gallons Waste etc) wet, ems' a * � * ( lbs/acre Receiving Residual'
(Dry Tons/Ac) o * �'* p .�, Nitrite )
.2-2016 28.35 Moist) inches Application
11.87 1.771 WQ0031725 0 mg/k9 mg/kg mg/kg Crop1
0 s 0.5 0.3 82300 6490 Crop 2 Crop 1 Crop 2
0.000 28.1 92.163 NA Fescue
0.000 0.000 0.000
0.000 0.000 0.000
0:000 0.000 0.000
0.000 0.000 0.000
0.000 0.000 0.600
0.000 0.000 0.000
0.000 0.000 0.000
0.000 0.000 0:000
0.0000.000 0.000 0.000
--- • ...a■�-ppucations totals on FORM FSF su attach FO u•uuu 0.000
TALS: 28.- - 0 pp ( RM FSF supp to this form):
As Cd Cu Cr Pb H
.nnuallbs/acre MO NiSe Zn P 92.163
0:025 000 Lime A lie
V 0.007 0.453 0.280 0.039 0.001 0.018 0.103t- 0. 18�
nor Years Cumulative lbs/ac 0.093 0.025 1.479 0.964 0.131 0.004 0.056 0.341 - 0.043 2.793
0.687 0.486 - --
urrent Cumulative lbs/ac Date lbs/a
0.118 0.032 1.932 1.244 0.170 0.005 0.074 0.444' 0.061• 3.480
ermitted C. P. L. R.**** 36 '
'rmit PAN Limit lst/2nd Crop 34 1338 NA 267 15 374
_ .. NA 89 2498
...........
certify,_. _ :..
_ -..._ 158
under penalty _.,_ p ty of law, that this document was prepared under my direction or supervision in accordance with a system designed t
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
iformation, including the possibility of fines and imprisonment for knowing violations." g o assure that
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization, Rate: Surface -0.5, Injection/Incorporation- 1.0
Signature of Land Applier *** Mineralization Rates: Compost -0.1, anaerobially digested -
Date
aerobically digested -0.3, raw sludge -0.4 g 0.2,
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006) `

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0031725 Field 0: DPI-C Acres Utilized:
3
Annual Dry Tons Applied: 5.6681 Site #: DPI-C Acres Permitted: 3
Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: 158 [,�-- Crop 2 Name:
Crop 2 Max. PAN:
o
°
A
12-2016
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
56.7
%
Solids
11.87
Volume
Applied per
Acre
(Dry Tons/Ac)
1.889
Residual Sources
(NPDES # WQ#,
Fert., Animal
Waste, etc)
QQO031725
Soil
Cond.
(Dry,
We
Moist)
dry
Preci .
p
Past 24
Hrs.
inches
0
y
b
a o'
o
a.....
'�
s
c
�
--
* N'
*
o
0
0.5
��.
w
;
+
* m.
*
�
0.3
TKN
mg/kg
1 82300
Z
q
co o
e w
mg/kg
6490
Nitrate
and
Nitrite
mg/kg
28.1
PAN Applied
(Ibs/acre)
Name of CropType
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
98.307
NA
Fescue
0.000
0.000
0.000
-0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
-0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
OTALS: 56.7 0
►nnual lbs/acre
Tior Years Cumulative lbs/ac
As
0.026 ,/
0.671.
0.697
36
Residuals Applications totals
Cd Cu Cr
0.008. 0.484 0.298
0.037 2.1 1.313
0.045 2.584. 1.611
34 1 1338 NA
on FORM FSF supp ( attach FORM FSF supp to this form):
Pb H Mo Ni Se Zn P 98.307 0.000
0.042, 0.002 0.019 0.110 0.019 0.733 75.182
0.177 0.005 0.077 0.471 0.059 4.137•
0.219 0.007 0.096 0.581 kf 0.078 V 4.8 00
267 15 NA 374 89 2498
'
Lime Applied
Date
lbs/ac
11-2016
2000
:urrent Cumulative lbs/ac
ermitted C. P. L. R.****
ermit PAN Limit l st/2nd Crop
T
_
_ «1.71 uuu�l Fcuaiiy V.L law, Mai Luis document was prepared under my direction or supervision in accordance with a system designed to assure that
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
iformation, including the possibility of Lines and imprisonment for knowing violations."
Signature of Land Applier
3-1
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725Field #: DPI-D
Annual Dry Tons Applied: 16.4144 Site #: DP1-D Acres Permitted: 9.6
Predominant Soil Series: FcC2 Cation Exchange Ca acity (non 503)•
Crop 1 Max. PAN:
Acres Utilized: 9.6
p _
158 Crop 2 Name: Crop 2 Max. PAN:
°
°
11�°
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc )
Soil
Cond.
wry.
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
� 10
a 12,
0 o
A P
*
o
w
*
t
o
.» ;
* ==
*0
TKN
mg/kg
Z
o �
mgikg
Nitrate
and
Nitrite
mg/kg
PAN Applied
pp
( lbs/acre)
Name of CropT
Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1-2016
58.5
11.87
0.609 ✓
WQ0031725
dry
0
s
0.5
0.3
82300
6490
28.1
31.696
NA
Fescue
7-2016
29.2
11.87
0.304
WQ0031725
dry
0
s
0.5
0.3
82300
6490
28.1
15.8211
NA
Fescue
:0-2016
76.5
11.87
0.797
WQ0031725
dry
0
s
0.5
0.3
82300
6490
28.1
41.449b
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
J 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
t e
Residuals Applications totals on FORM FSF supp ( attach
FORM
FSF supp to this form):
OTALS:
164.21
Or
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
88.966
1 0.000
Lime Applied-'
mnual
lbs/acre
0.024 ,v
0.094
0.118 .,/
36
0.007
0.025
0.032
34
0.438
1.499
1.937
1338
0.270
0.99
7 1.260
NA
0.038
0.156
0.194
267
0.001
0.003
0.00
15
0.017
0.057
0.074 .
NA
0.099
0.333
0.432
374
0.017 L,
0.031
0.048
89
0.661
2.652
3.31.5
2498
68.058
.................
Date
lbs/ac
rior Years Cumulative lbs/ac
!urrent Cumulative lbs/ac
ermitted C. P. L. R.****
ermit PAN Limit 1st/2nd Crop
_.
158
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
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
kformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
npmp Fnphii FCG 117i7nnrn

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP-3 Grass Acres Utilized: 6.983
Land Owner: Douglas Poplin Annual Dry Tons Applied: '25.7112 Site #: DP-3 Grass Acres Permitted: 6.983
Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 4_- Crop 2 Name: Crop 2 Max. PAN -
Volume 1" d S '1 .
o
s~
_ Q o
3-2016
5-2016
)-2016
0-2016
app ie
(enter one) Solids/
Liquid
Cu. Yds Gallons
59.9
30.7
82.4
84.2
ova
Solids
11.87
11.87
11.87
11.87
Volume
A lied er
PP P
Acre
D Tons/Ac
t ry 1
0.858
0.439 v
1.180 v
1.205./
Residual Sources
(NPDES # WQ#
Fert., Animal
Waste, etc)
WQ0031725
WQ0031725
WQ0031725
WQ0031725
O1
Cond.
(Dry,
We t'
Moist)
dry
dry
dry
dry
Precip.
Past 24
Hrs.
inches
0
0
0
0
y
4 b
a
o w
ia.
s
s
s
s
o
� 0
w
* M
o
0.5
0.5
0.5
0.5
;d =
w
*
w"
0
0.3
0.3
0.3
0.3
T1
mg/kg
82300
Z
�
o
�;
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
P YP
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6490
28.1
44.618
NA
Fescue
82300
82300
6490
28.1
22.868
NA
Fescue
6490
28.1
61.3-78w
NA
Fescue
82300
6490
28.1
62.718
NA
Fescue
0.000
)TALSI V 257,
nnual lb /acre
for Years Cumulative lbs/ac
irrent Cumulative lbs/ac
:rmitted C. P. L. R_****
0.000
0.000
0.000
0.000
0.000
(17b
Residuals Applications totals on FORM
FS
As
Cd
Cu
Cr
Pb I
H
0.051
0.015
0.943
0.582
0.081
0.003j
0.268
0.088 '
4.773
3.194
0.418
0.011
0.320 V
0.103
5.716.
3.776
0.499,
0.014.
36
34
1338
NA
267
15
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
ipp ( attach FORM
FSF supp to this form):
Mo
Ni
Se
Zn
P 191.581 0.000
146.544
Lime Applied
Date lbs/ac
0.037.,
0.214
0.037.
1.429
0.17t
0.945
0.474
10.563
11-2016
2506
0.208
1.159
0.511
11.992
NA
374
89
2498
rmit PAN Limit lst/2nd Crop _
certify, under penalty of law; that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ialified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
formation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
r
I lJ 3-�1 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name:
Corn
WQ Permit #: WQ0031725 Field #: DP3-Corn Acres Utilized: 5.877
Annual Dry Tons Applied: 14.5351 Site #: DP3-Corn Acres Permitted: 5.877
Predominant Soil Series.-ce-2- Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: -2-14 Crop 2 Name: Crop 2 Max. PAN:
°
N
Q
Volume applied
enter one Solids/
( )
Liquid
q
Cu. Yds Gallons
o
/a
Solids
Volume
Applied per
Acre
D Tons/Ac
�' )
Residual Sources
(NPDES # WQ#
Fert., Animal
Waste, etc)
Soil
Cond.
(Drys
Wet,
Moist)
Precip,
Past 24
Hrs.
inches
>
II
5 'S
a
p
o
o
o
7y
w
-
#
o
o
TKN
mglkg
Z
q
o °
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4-2016
145.4
11.87
2.473 `V.
WQ0031725
dry
0
Inc
1
0.3
1 82300
6490
28.1
144.738
NA
Corn
0.000
0.000
0.000
0.000
0.000
0.000
01.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
OTALS:
145.41
0
.
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
144.73
0.000 :
Lime Applied
annuallbs/acre
0.035 I✓
0.309
0.344 ✓
36
0.010
0.095
0.105
34
0.633,1
5.26
5.893
1338
0.391
3.566
3.957
NA
0.054
0.469
0.523
267 1
0.002
0.013
0.015
15 1
0.0251
0.19
0.215
NA
0.143
1.071'
1.214'
374
0.025A
0.49
0.515
89
6.960
11.304
12:264.
2498
98.425
Date
lbs/ac
`rior Years Cumulative lbs/ac
11-2016
2500
.urrent Cumulative lbs/ac
ermitted C. P. L. R.****
ermit PAN Limit lst/2nd Crop
214
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
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
iformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
-z
3-11 Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP-4
Annual Dry Tons Applied: 23.1121 V Site #: DP-4
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194 c_-,/ Crop 2 Name:
Acres Utilized: 8.7
Acres Permitted: 8.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
$-.
o y
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds G811onS
%
Solids
Volume
Applied r
pP per
Acre
D Tons/Ac
(ry )
Residual Sources
(NPDES # WQ#
Fert., Animal
Waste, etc)
Soil
Cond.
D
Wei'
Moist)
Precip.
Past 24
His.
inches
y
b
b
a �
C
o
�'
* PM
o
p
7y :Z
F
o'
o
TKN
mglkg
Z
cE
o
�, o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
2-2016
56.3
11.87
0.647 ,/
WQ0031725
dry
0
s
0.5
1 0.3
82300
6490
28.1
33.660t1
NA
Fescue
3-2016
149
11.87
1.712
WQ0031725
dry
0
s
0.5
0.3
82300
6490
28.1
89.082V
NA
Fescue
4-2016
25.9
11.87
0.298
WQ0031725
dry
0
s
0.5
0.3
82300
6490
28.1
15.48.5v.NA
Fescue
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0':000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
OTALS:
231.21
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
138.227
0.000
Lime Applied
�rmual
lbs/acre
0.037
0.208,
0.245 ✓
36
0.01 1,f,
0.062
0.07.3
34
0.680
3.413•
4.093
1338
0.420
2.391
2.811
NA
0.058
0.291.
6.349
267
0.002 v
0.009
0.011
15
0..027
0.124
0.151
NA
0.154
0.802
0.950
374
0.027 V
0.071
0.098
89
1.931.
7.608
8.639,E
2498
105.749
Date
lbs/ac
Tior Years Cumulative lbs/ac
11-2016
2000
;urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
ertnit PAN Limit lst/2nd Crop
194.....
•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
ivalified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
a- 3 •-1'1
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
* * * Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit W #•
• Q0031725 Field.. #: Dp_g AcresUtilized:_ 15.9
Land Owner: Douglas Poplin Annual Dry Tons Applied: 25.5713 V Site #• DP-5
Acres Permitted: 15.9
Operator: Douglas Poplin Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):.
Crop 1 Name: Fescue Crop 1 Max PAN• 158 C
°
°
4-20 66
:-2016
1-2016
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
574
$7.2
77.9
33.3
oho
Solids
11.87
11.87
11.87
11.87
Volume
Applied per
Acre
(Dry Tons/Ac)
0.361 v
0.548 V
0.490 V
0.209
•
Soil
Residual. Sources
DES #, W # Cond.
Q '
Fert., AnimalWe'Hrs.
etc)
Moist )0
WQ0031725 dry
WQ0031725 dry
WQ0031125 dry
WQ0031725 dry
4---
rop
2 Name:
Crop 2 Max. PAN:
Precip. y
Past 24 b
o s
¢ o*
inchesoi-2016
0 s
0 s
0 s
0 s
C
7y 2
p;
* C'
��.
;n
?»
w
1XN
m9/k9
Z Nitrate
o andkPANppliedReceivin
w Nitrite
coo cre)gWaste,
mg�kg mg/kg Crop 2
Name of Crop Type
Residual
Application
Crop 1 Crop 2
0.5
0.3
82300
6490 28.1 18.778 NA
Fescue
0.5
0.3
82300
6490 28.1 28.526 NA
Fescue
0.5
0:3
82300
6490. 28.1 25.484 NA
Fescue
0.5
0.3
82300
6490
28.1
10.894 NA
Fescue
0.000
0:000 0.000
0.000
0000 0:000
0.000
0.000 0:000
0.000
0:000 0.000
0.000
0.000 0.000
0.000
0:000 0.000
0.000
0.000 0.000
0 000
0:000
Residuals Applications totals on FORM FSF supp ( attach FORM
TALS:
0.000
FSF supp to this form):
255.8o As Cd I
mual lbs/acre 0.023 V'0.006.
Cu
0.412
Cr
0.254
Pb I H Mo Ni, Se Zn
P 83.681 0.000 Lime A lies
for Years Cumulative lbs/ac 0.194 0.056
3.078
2.054
0.035 O:OOI 0:016 0.093 0:016 0.624
0.281 0.009
63.998 Date
lbs/ai
irrent Cumulative lbs/ac 0.21.7 ✓ 0.062
3.490
2.3 88
0.114 0.729 0.059 6.796.
0.316 0.010 0.130 0.822 0.075
11-2016
1000
emitted C. P. L. R.**** 36 34
1338
NA
7.420
267 15 NA 374 89
_
mit PAN Limit lst/2nd Crop
2498
certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to
alified personnel properly gathered and evaluated
assure that
the information submitted. I am aware that there are significant for false
penalties submitting
brmation, including the possibility of fines and imprisonment for knowing violations."
_ *Application Method: S - Surface, IN - Injection, INC - Incorporation
h **Volatilization
Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier
Date *** Mineralization, Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
WQ Permit #: WQ0031725 Field #: DP-6
Annual Dry Tons Applied: 11.3161 Site #: DP-6
Predominant Soil Series: FcC2
Crop 1 Name: Fescue Crop 1 Max. PAN: 158 _� Crop 2 Name:
Acres Utilized: 5.5
Acres Permitted: 5.5
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
°
° °
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
tNPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
y
K b
o'
a
* �
C
o
;h �;
w �
;
*MM
0
w •,
CD E.
* r
*
TKN
mglkg
Z
q
o
°;
o w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5-2016
113.2
11.87
2057
WQ0031725
dry
0
s
0.5
0.3
1 82300
6490
28.1
107.055
NA
Fescue
0000
0.000
0.000
0:000
0.000
1 0.0.00
0.000
0.000
0.000
0.000
0:000
0.000
0:000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach
FORM
FSF supp to this form):
OTALS:
113.21
0
_
........_.
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
107.055
0.000 ...
Lime A lied
umual
lbs/acre
0.029.v
0.281.
0.310
36
0.008 p
0.082
0.090 v
34
0.527 v
4.585
5.112 v
1338
0.325'
3.238
3.563
NA
_ 0.04$
0.432
0.477
267
0.002
0.011•
0.0131
15
0.021
0.168
0.189
NA
0.119
0.86
0.979.
374
0.021
0.073.
0.094
89
0.798^'
9.747
10.545
2498
81.869
Date
lbs/ac
'rior Years Cumulative lbs/ac
11-2016
2000�
:urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
ermit PAN Limit l st/2nd Crop
158 _.
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
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
iformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD :APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE
Facility Name: Baxter Healthcare WQ Permit #: W00031725 Field #: DP-7 .
Land Owner: Douglas Poplin Acres Utilized: 4.4
g P Annual Dry Tons Applied: 8.1972 Site #: DP-7 Acres Permitted: 4.4 Cation Exchange Capacity (non 503)
Operator: Douglas Poplin Predominant Soil Series: FcC2 : -
:
Crop 1 Name: Fescue Crop 1 Max. PAN: 158 `- Crop2 Name:
Crop 2 Max. PAN:
Volume applied Vol -Soil -
o
a; o
e
(enter one) Solids/ o
/o Applied per
ieridual Sources
DES #, WQ#,
cip.
24
a
zs
n
%c4
oa0.382300
Z
Nitrate
PAN Applied
Name of Crop Type
a
Liquid Solids Acre
., Animals.
L(D
Jet
o m
w
# K'c°4c
o
and
(lbs/acre)
Receivin Residual
g
Cu.. Yds G811ons (Dry Tons/Ac)
Waste, etc)a
o*
0
o �,
Nitrite
Application
i-2016
82 11.87 1.863
WQ0031725
dry
es
0
o
og
mg/kg
mg/kg
Crop 1 Crop:2
Crop 1 Crop 2
0.000
s
0.5
6490
28.1
96.936 NA
Fescue
0.000
0.000 0.000
TALS:1 821 -
inual lbs/acre
or Years Cumulative lbs/ac
rrent Cumulative lbs/ac
mitted C. P. L. R.****
mit PAN Limit 1 st/2nd (
0.000
0,000
0.000
0.000
0.000
0.000
0.000
OA00 .
0.000
0.000
0.000
Oe000
0:000
0;000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp
( attach FORM'FSF supp to this form):
0.000
0.000
As
0.026 ✓
Cd I
0.007,
Cu
0.477•1.
Cr
0.294
I Pb
I H2
Mo
I Ni
Se
Zn P
96.936
0.000 Lime A lied
0.223.
0.06
O.Q41,
0.001 4
0.019
0.108-
0.01.9
0.723 74.147
Date lbs/ac
0.249
3414
2.319
0.315
0.01
0.127
0.818
0.07
........... ........
7.2.47,
11-2016 2000
• ✓
0.067
3.891
2.613
0.356
0.011
0.146
0.926
0.089
7.970
36
34
1338
NA
267
15
NA
374
89
2498
158
certify, under penalty -of flaw, that this document was prepared under my direction or supervision in accordance' with a system designed to assure that
ilified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
ormation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

-cuiviuia
http://yields.soil.ncsu.edu/index.php#count)
Realistic Yields for FcB2r Fairview sandy clay loam, 2 to 8 percent slopes,
moderately eroded in Wilkes County
Realistic
Estimated Phosphorus
Crop
Nitrogen
Nitrogen
Removal
Yield
Factor
hate (Ibs/acre)
(Ibs P205/acre)
Barley (Grain)
67 Bushels
1.49
99
Corn (Grain)
129 Bushels
0.92
119
25
57
Corn (Silage)
19.6 Tons
10.9
214
67 —
Cotton
637 Pounds
0.081
52
18
Sorghum (Silage)
16.7 Tons
7.6
127
Oats (Grain)
83 Bushels
1.13
50
94
21
Peanuts
0 Pounds
0
0
Rye (Grain)
49 Bushels
2.01
98
0
16
Small Grain (Silage)
8.8 Tons
11.1
98
Sorghum (Grain)
49 CWT
1.72
84
48
Soybeans (Double Cropped)
33 Bushels
0
0
37
Soybeans (Full Season)
39 Bushels
0
_
0
27 /
Soybeans (Double Cropped - Manured)
33 Bushels
3.89
130
31
Soybeans (Full Season - Manured)
39 Bushels
3.89
152
27
Tobacco (Burley)
0 Pounds
0.074
0
31
Tobacco (Flue Cured)
2548 Pounds
0.029
74
0
Triticale (Grain)
69 Bushels
1.52
104
13
Tropical Corn (Silage)
19.6 Tons
6.5
127
23
Wheat (Grain)
49 Bushels
2.01
98
67
Bahiagrass (Hay)
3.4 Tons
44
151
25
Caucasion/Old World Bluestein (Hay)
3.4 Tons
44
39
Common Bermudagrass (Hay)
3.4 Tons
_
44
151
151
41
Dallisgrass (Hay)
3.4 Tons
44
151
42
Fescue (Hay)
4.4 Tons
44
194
45
Hybrid Bermudagrass (Hay)
4.4 Tons
44
194
69
Hybrid Bermudagrass overseeded with Rescuegrass
0 Tons
44
54
(Hay)
0
0
Mixed Cool Season Grass (Hay)
3.2 Tons
44
140
Orchardgrass(Hay)
3.4 Tons
44
151
45
Pearl Millet (Hay)
3.7 Tons
_
49
50
180
49
Rescuegrass(Hay)
0 Tons
44
0
0
Sorghum Sudan (Hay)
4.2 Tons
49
204
58
Timothy Grass (Hay)
0 Tons
44
0
0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
of 2

http://yields.soil.ncsu.edu/index.php#count
Realistic Yields for FcC2: Fairview sandy clay loam, a to ZS percent slopes,
moderately eroded in Wilkes County
Realistic
Estimated Phosphorus
Crop
Nitrogen
Nitrogen
Removal
Yield
Factor
Rate (Ibs/acre)
(Ibs PZOs/acre)
Barley (Grain)
54 Bushels
1.49
81
Corn (Grain)
106 Bushels
0.92
97,
21,/'
4�
Corn (Silage)
16 Tons
10.9
174
-
54
Cotton
520 Pounds
0.081
42
15
Sorghum (Silage)
13.6 Tons
7.6
103
Oats (Grain)
68 Bushels
1.13
77
41
Peanuts
0 Pounds
0
0
17
Rye (Grain)
40 Bushels
2.01
80
0
Small Grain (Silage)
7.2 Tons
11.1
8p
13
Sorghum (Grain)
40 CWT
1.72
69
39
Soybeans (Double Cropped)
27 Bushels
0
0
30
Soybeans (Full Season)
32 Bushels
0
0
22
Soybeans (Double Cropped - Manured)
27 Bushels
3.89
106
26
Soybeans (Full Season - Manured)
32 Bushels
3.89
124
22
Tobacco (Burley)
0 Pounds
0.074
0
26
Tobacco (Flue Cured)
2080 Pounds
0.029
60
0
Triticale (Grain)
56 Bushels
1.52
85
10
Tropical Corn (Silage)
16 Tons
6.5
104
19
Wheat (Grain)
40 Bushels
2.01
80
54
Bahiagrass(Hay)
2.8 Tons
44
123
20
Caucasion/Old World Bluestem (Hay)
2.8 Tons
44
32
Common Bermudagrass (Hay)
2.8 Tons
44
123
33
Dallisgrass (Hay)
2.8 Tons
44
123
123
34
Fescue (Hay)
3.6 Tons
44
158
37
Hybrid Bermudagrass (Hay)
3.6 Tons
44
158
57
Hybrid Bermudagrass overseeded with Rescuegrass
0 Tons
_
44
(Hay)
44
0
0
Mixed Cool Season Grass (Hay)
2.6 Tons
44
114
Orchardgrass (Hay)
2.8 Tons
44
123
37
Pearl Millet (Hay)
3 Tons
49
147
41
Rescuegrass (Hay)
0 Tons
44
0
40
Sorghum Sudan (Hay)
3.4 Tons
49
_
167
0
Timothy Grass (Hay)
0 Tons
44
0
47
—
0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
2 of 2

Location of Samples
The Plant process diagram on the flowing page shows the location of where the following
samples were taken.
The Analysis from Waypoint Analytical report number 16-036-0202 was taken from the Belt
Filter Press, and is labeled with a red X (X on the diagram.
The Fecal Coliform Samples from Statesville Analytical Sample IDs 160113-22-01, 160113-22-
02, 160113-22-03, 160113-22-04, 160127-15-01, 160127-15-02, 160127-15-02 were taken from
Aerobic Digester No. 1 and is labeled with a blue X (* on the diagram.
The Volatile Solids In, Sample ID Baxter A 160133-22-09 was taken from where the solids from
the clarifier are pumped to the aerobic digesters and is labeled with a green X W on the
diagram.
The Volatile Solids Out, Sample ID Baxter B 160113-22-1.0 was taken from Aerobic Digester
No. 1 and is labeled. with a blue X (* on the diagram.
The TCLP test Sample ID 160113-22-08 was taken from Aerobic Digester No.1 and is labeled
with a blue X on the diagram.

PLAN_ WASTEWATER TREATMENT
scams, j•_ aa' PLANT EVALUATION
BARTER HEALTHCARE CORPORATION
McDoIIE-�co�rr, NORTH CAROLMA
T T
Il
I y,`
I �
I. 1
I i
CLARIFIER CLARIFIER zn
No.3 No.4
I I_
IV I ♦ /7`
�o\P•�/ 6"CPS— —
%�Q��� s"CIP—Jou' CHLORINE
I CONTACT i D
I CHAMBER
150,000 GALLON
FILTER SLUDGE BASIN
WATER
FILTER
WASHWATER
T
I
I
I
I
I
_.1
I
I
I
f
I
JB
12"CIP TO
HOLDING
BASIN

Page: 1 of 2
Report Number: ° 16-036-0202
Account Number: 46381
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Wa Yp®intao
ANALYTICAL
Project: BAXTER
NC CERT#257
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
REPORT OF ANALYSIS Date Sampled: 2/2/2016 14:15:00
Lab Number: 66665 Date. Received: 02/05/2016 00:00
Sample Id: BAXTER Date Reported: 02/17/2016
Total Solids *
11.87
118700
100.0
JM
02/05/2016 16:00
SM-2540G
Moisture *
88.13
100.0
JM
02/05/2016 16:00
SM-2540G
Total Kjeldahl Nitrogen
8.23
82300
10.0
JM
02/09/2016 09:20
SM-4500-NH3C-TKN
Total Phosphorus
1.99
19900
100
KM
02/17/2016 14:38
SW 6010C
Total Potassium
0.86
8570
100
KM
02/17/2016 14:38
SW 6010C
Total Sulfur
1.20
12000
100
KM
02/17/2016 14:38
SW 6010C
Total Calcium
1.33
13300
100
KM
02/17/2016 14:38
SW 6010C
Total Magnesium
0.48
4760
100
KM
02/17/2016 14:38
SW 6010C
Total Sodium
0.52
5160
100
KM
02/17/2016 14:38
SW 6010C
Total Iron
9860
100
KM
02/17/2016 14:38
SW 6010C
Total Aluminum
2000
100 _
KM
02/17/2016 14:38
SW 6010C
Total Manganese
122
5
KM
02/17/2016 14:38
SW 6010C
Total Copper
128
5
KM
02/17/2016 14:38
SW 6010C
Total Zinc
194
5
KM
02/17/2016 14:38
SW 6010C
Ammonia Nitrogen
0.65
6490
10.0
JM
02/09/2016 09:20
SM-4500-NI3C
Organic N
7.58
75810
10.0
02/09/2016 09:20
CALCULATION
Nitrate+Nitrite-N
28.1
2.00
JM
02/08/2016 09:00
SM-450ONO3F
Total Cadmium
2.0
2.0
KM
02/17/2016 14:38
SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients. and may not be reproduced in whole or part. nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our p: for written authorization.
Debbie Holt

Page: 2 of 2
Report Number: 16-036-0202
Account Number: 46381
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Waypoint
ANALYTICAL
Project: BAXTER
NC CERT#257
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
REPORT OF ANALYSIS Date Sampled: 2/2/2016 14:15:00
Lab Number: 66665 Date Received: 02/05/2016 00:00
Sample Id: BAXTER Date Reported: 02/17/2016
roiai Unromiurn
19
5
KM
02/17/2016 14:38
SW 6010C
Total Nickel
29
5
KM
02/17/2016 14:38
SW 6010C
Total Lead
11
5
KM
02/17/2016 14:38
SW 6010C
Total Arsenic
7.0
3.0
KM
02/17/2016 14:38
SW 6010C
Total Mercury
<0.4
0.4
KM
02/08/2016 09:00
SW-7471 B
Total Selenium
<5.0
5.0
KM
02/17/2016 14:38
SW 6010C
pH (Standard Units) *
7.97 '
2.00
JM
02/08/2016 09:00
SW-9045D
Total Molybdenum
5
5
KM
02/17/2016 14:38
SW 6010C
Comments:
QUALIFIER: THE LRB WAS OUT OF LIMITS FOR "Mn". THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al" AND "Se". ALL OTHER QC DATA IS
ACCEPTABLE.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients. and may not be reproduced in whole or part. nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Debbie Holt

PAN
Mineralization
v v I
as decimal
ITotal dry
tons/year
IAcres
Applied on
67.06
Rate
0.3
TKN
82300
NH3
64.90
NO3
28.1
NO2
0
%Solids
0.1187
136.19
PAN Surface ✓
26016.1 I mg/kg 52.0322 lbs/dry ton
7086.265 1 lbs total PAN
105.6705 Ibs PAN/acre
PAN Injection
29261.1 imglkg 58.5222 lbs/dry ton
7970.138 1 lbs total PAN
118.8509 1 lbs PAN/acre
Dry Tons/1000 ual.
0.494979
1st year PAN
Surface lbs.
7086265318
1st year PAN
Injected lbs.
7970.138418
lbs./acre
Surface
105.6705237
lbs./acre
Injected
118.8508562
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8.34 X %solids X sp. gravity
2000
"=dry tons/1 000gal. 11

SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
✓ ✓ ✓
Na M /L Ca M /L M M /L
612.49 L 1578.71 1 565.01
Na ME
Ca ME
1
Ma lME)
26.63
78.9355
47.08417
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 3.354803 (From Mg/L entered above) V
SAR= 3 354932 (From ME entered below)
Na (ME)
Ca ME
78.93
M ME
26.63
1 47.08
The amour
amount of E
Permitting

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/27/2016
Reported: 01/29/2016
For: Baxter
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
160127-15-01
Fecal Coliforms
1
�30 am)
MPN/g
SM92210E-2006
01/28/2016
CL
160127-15-01
Percent Solids
1
1.65
%
SM2540B-1997
01/28/2016
CL
160127-15-02
Fecal Coliforms
2
31 � D
MPN/g
SM92210E-2006
01/28/2016
CL
160127-15-02
Percent Solids
2
1.58
% -
SM2540B-1997
01/28/2016
CL
160127-15-03
Fecal Coliforms'
3
18,9.87
MPN/g
SM92210E-2006
01/28/2016
CL
160127-15-03
Percent Solids
3
1.58
%
SM254OB-1997
01/28/2016
CL
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

Client: s ,
11
Address.
Contact Person:
" Via• �. � ��/
PO #
Customer
Sample ID#
Lab -ID # Time Sampled
(Grab Only)
�xf�,-
`7-1 V.
1Jn���r
V �.9j � / • 3�j` �Tn
Relinquished by:
Received by:
Relinquished by:
Received by:
Composite.Samplina #1:
Tiime•begin
am, pm
Date
Time end
am, pm
.Date
Composite Sampling
#'2:
rme begin
am, pm
Date.
Tige,end
am, pm
Date / /
STATESVILLE ANALYTICAL
122 Court Street • P.O. Box 228
Statesville, NC 28687
—' [phone]
Phone # �
G s '73 .i FAX# J�6 - i a r I = �+ p Chain of
Requisitioned by: (-rime Date) Custody Record
Date Sampled a Matrix
(Grab Only) o Slu a Parameters requested for C7 (J W WW
-
/ d'
Time ! - I V. am, r6 Date l /�' / j6
Sampled by: 7 Y�
Time i f (� am, �' Date �j f
1 Transported by: z
Time am, pm Date
Holding times met:
Time.- am, pm Date
Compliance work:
Non-compliance work:
Lab Comments:

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/13/2016
Reported: 02/15/2016
For: Baxter
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
160113-22-01
Fecal Coliforms
1
28;90
MPN/g
SM92210E-2006
01/13/2016
WL
160113 -22-01
Percent Solids
1
1.73
%
SM254OB-1997
01/13/2016
WL
160113-22-02
Fecal Coliforms
2
150943�
MPN/g
SM92210E-2006
01/13/2016
WL
160113-22-02
Percent Solids
2
1.59
%
SM254OB-1997
01/13/2016
WL
160113-22-03
Fecal Coliforms
3
149 068
MPN/g
SM9221 CE-2006
01/13/2016
WL
160113-22-03
Percent Solids
3
1.61
%
SM254OB-1997
01/13/2016
WL
160113-22-04
Fecal Coliforms
4
�8,97
MPN/g
SM9221 CE-2006
01/13/2016
WL
160113-22-04
Percent Solids
4
1.75
%
SM254OB-1997
01/13/2016
WL
Respectfully submitted,
"Op'-WVV ` ,6)t I
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Condition of Receipt
s
ample Number 160113-22-01 Tem
on Arrival:
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 160113-22-02
Temp on Arrival:
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 160113-22-03 Temp on Arrival:
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 160113-22-04 Temp on Arrival -
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 160113-22-08 Temp on Arrival:
Parameter Schedule: Reactivity
Received on Ice
Parameter Schedule: Corrosivity
Received on Ice
Parameter Schedule: Ignitability
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

Client: 6,n:
Address: L�ID v1y-tlContact Persrei.., C
PO # 17
Customer
Sample ID# Lab-lD #
o2.
8�rV C
Relinquished by: - il-,
Received by: I��� �✓V'
Relinquished by. -
Received by:
Composite Sampling #1
Time begin am, pm Date_J_/_
Time end am, pm Date
Composite Sampling #2-
Time begin am, pm Date
Time end am, pm Date
STATESVILLE ANALYTICAL
- 122 Court Street • P.O. Box 228
Statesville, NC 28687
• ('164) 872- 697 a
Phone #
336 _ S _ �, ,� FAx# 33� 61 Li p Chain of
Requisitioned by: (rime Date) Custody Record
Date Sampled a. Matrix
(Grab Only) o �� a TP.aramet�ersrequested for analysis
9 W +-1�3-1 �ta.) :.
Time 3 , am, Jm Date / 3/( )� Sampled by:
Time 3. j am,60 Date '. /� J_&" Transported by: Y_f, /_
tr
Time -am, pm Date
Holding times met:
Time am, pm Date _/_/_ /
Compliance work: ✓
Non-compliance work:
Lab Comments:

VS in
0.0133
VS out
0.0054
VSFR=
0.59721
Do
UO-71"J
,E�133"
o o -7
d c.3 2T

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/13/2016
Reported: 02/03/2017
For: Baxter
Comments:
Sample Number
Parameter
Sample ID
Result
Unit Method
Analyzed
01/94/2016
01/14/2016
Analyst
WL
WL
160113-22-09
160113-22-09
% Volatile Solids
Percent Solids
Baxter A
Baxter A
1.33
1.60
% SM254OG
% sM254os-1997
Respectfully submitted,
�QP.-w ,j"'It ,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

Condition of Receipt
Sample Number 160113-22-09 Temp on Arrival:
Parameter Schedule: Percent Solids
Parameter Schedule:
Received on Ice
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/13/2016
Reported: 02103/2017
For: Baxter
Comments:
Sample Number
Parameter
Sample ID
Result
Unit Method
Analyzed
01/14/2016
01/14/2016
Analyst
WL
WL
160113-22-10
160113-22-10
% Volatile Solids
Percent Solids
Baxter B
Baxter B
0.54
0.81
% SM2540G
% SM2540B-1997
Respectfully submitted,
,Op - a, J'n t
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 i 704/872/4697
Page 1 of 2

Condition of Receipt
_Sample Number 160113-22-10 Temp on Arrival:
Parameter Schedule:
Received on Ice
Parameter Schedule: Percent Solids
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2

Client:
(J tt� T Y\
=
'Address-
(
l
ftj
STATESVII.LE ANALYTICAL
122 Court Street • P.O. Box 228,
lJ N r . ,n
Statesville, NC 28687 ,
c704) 872- 697 .... o
'Contact Person: r Phone #
.
`` !, 36- A S� - �S'�1
FAX#
3 3 ' gs-1 `ty0
Chain of
PO #
Requisitioned by:
(rime Date)
Custody Record '4
Customer
Sample ID#
Lab -ID # Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
a
a
Matrix Parameters requested for analysis
Sludge W
WW
1 %3 „.,.
3-
Relinquished by:j
Received by;
Relinquished by:
Received by:
Composite Sampling
#1:
Time begin
am, pm Date _/_/_
Time end
am, pm Date_/_/_
Composite Sampling
#2-
Time begin
am, pm Date
time end
am, pm Date
/ - I I F- X V/d VS . •
Time ` I S
am, pm Date
1 / 13/ 1 �
Sampled by: Z !Ar .
Time �� . ��
am, pi Date
/
Transported by:
Time
am, pm Date
Holding times met: f
Time
am, pm Date
Compliance work:
Non-compliance work:
Lab Comments:

aceAnalytical
WWW,pacalabs.cm
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 160113-22-08
Pace Project No.: 92283107
Sample: 160113-22-08 Lab ID: 92283107001 Collected: 01/13/16 13:47 Received: 01/14/16 10:45 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions,
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8081 GCS Pesticides, TCLP
Analytical Method: EPA 8081 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311;
01/25/16 14:30
gamma-BHC (Lindane)
Chlordane (Technical)
ND
ug/L
0.50 1
01/26/16 11:30
01/26/16 16:25
58-89-9
Endrin
ND
ug/L
3.0 1
01/26/16 11:30
01/26/16 16:25
57-74-9
Heptachlor epoxide
ND
ND
ug/L
0.50 1
01/26/16 11:30
01/26/16 16:25
72-20-8
Methoxychlor
ug/L
0.50 1
01/26/16 11:30
01/26/16 16:25
1024-57-3
Toxaphene
ND
ug/L
1000 1
01/26/16 11:30
01126/1616:25
72-43-5
Surrogates
ND
ug/L
3.0 1
01/26/16 11:30
01/26/16 16:25
8001-35-2
Decachlorobiphenyl (S)
Tetrachloro-m-xylene (S)
74
%
10-138 1
01/26/16 11:30
01/26/16 16:25
2051-24-3
70
%
10-110 1
01/26/16 11:30
01/26/16 16:25
877-09-8
8151 Chlorinate Herbicide TCLP
Analytical Method: EPA 8151
Preparation Method: EPA
3510
2,4-D
2,4,5-TP (Silvex)
ND
mg/L
0.010 1
01/22/16 08:20
01/23/16 04:58
94-75-7
Surrogates
ND •
mg/L
0.010 1
01/22/16 08:20
01/23/16 04:58
93-72-1
2,4-DCAA (S)
93
%
42-142 1
01/22/16 08:20
01/23/16 04:58
19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010A
Leachate Method/Date:
EPA 1311; 01/15/16 20:10 Initial
pH: 7; Final pH: 5
Arsenic
Barium
ND
mg/L
0.060 1
01/20/16 00:20
01/20/16 11:47
7440-38-2
Cadmium
ND
mg/L
0.25 1
01/20/16 00:20
01/20/16 11:47
7440-39-3
Chromium
ND
mg/L
0.0050 1
01/20/16 00:20
01/20/16 11:47
7440-43-9
Lead
ND
mg/L
0.025 1
01/20/16 00:20
01/20/16 11:47
7440-47-3
Selenium
ND
mg/L
0.025 1
01/20/16 00:20
01/20/16 11:47
7439-92-1
Silver
ND
mg/L
0.10 1
01/20/16 00:20
01/20/16 11:47
7782-49-2
ND
mg/L
0.025 1
01/20/16 00:20
01/20/16 11:47
7440-22-4
7470 Mercury, TCLP
Analytical Method:
EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 01/15/16 20:10 Initial pH: 7; Final pH: 5
Mercury
ND r
mg/L
0.00020 1
01/25/16 11:45
01/25/16 15:09
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01125/1614:30
1,4-Dichlorobenzene
2,4-Dinitrotoluene
ND
ug/L
50.0 1
01/26/1613:15
01/27/1616:15
106-46-7
Hexachloro-1,3-butadiene
ND
ND
ug/L
ug/L
50.0 1
01/26/1613:15
01/27/1616:15
121-14-2
Hexachlorobenzene
ND
ug/L
50.0 1
50.0
01/2611613:15
01/27/1616:15
87-68-3
Hexachloroethane
ND
ug/L
1
01/26/1613:15
01127/1616:15
118-74-1
2-Methyl phenol(o-Cresol)
ND
ug/L
50.0 1
01126/1613:15
01/27/1616:15
67-72-1
3&4-Methylphenol(m&p Cresol)
ND
ug/L
50.0 1
50.0
01/26/1613:15
01/2711616:15
95-48-7
Nitrobenzene
ND
1
01/26/16 13:15
01/27/16 16:15
Pentachlorophenol
ND
ug/L
50.0 1
01/26/1613:15
01/27/1616:15
98-95-3
Pyridine
ug/L
100 1
01/26/1613:15
01/27/1616:15
87-86-5
2,4,5-Trichlorophenol
ND
ND
ug/L
50.0 1
01/26/1613:15
01/27/1616:15
110-86-1
2,4,6-Trichlorophenol
ND
ug/L
50.0 1
01/26/1613:15
01/27/1616:15
95-95-4
ug/L
50.0 1
01/26/1613:15
01127/1616:15
88-06-2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/12/2016 04:24 PM without the written consent of Pace Analytical Services, Inc..
Page 4 of 23

aceAnalytical
wwx!pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 160113-22-08
Pace Project No.: 92283107
Sample: 160113-22-08 Lab ID: 92283107001 Collected: 01/13/16 13:47 Received: 01/14/16 10:45 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8270 MSSV TCLP Sep Funnel Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01/25/16 14:30
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
33 %
12-102
1
01/26/16 13:15 01/27/16 16:15 4165-60-0
Terphenyl-d14 (S)
37 %
78
13-107
1
01/26/16 13:15 01/27/16 16:15 321-60-8
Phenol-d6 (S)
16 %
21-132
1
01/26/16 13:15 01/27/16 16:15 1718-51-0
2-Fluorophenol (S)
24 %
10-110
1
01/26/16 13:15 01/27/16 16:15 13127-88-3
2,4,6-Tribromophenol (S)
36 %
10-110
1
01/26/16 13:15 01/27/16 16:15 367-12-4
27-108
1
01/26/16 13:15 01/27/16 16:15 118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260 Leachate Method/Date:
EPA 1311; 01117/16 10:43
Benzene
2-Butanone (MEK)
ND ug/L
ND
100
20
01/21/16 14:48 71-43-2
Carbon tetrachloride
u /L
9
ND ug/L
200
20
01/21/16 14:48 78-93-3
Carbonenzene
ND ug/L
100
20
01/21/16 14:48 56-23-5
Chloroform
ND ug/L
100
20
01/21/16 14:48 108-90-7
1,4-Dichlorobenzene
ND ug/L
100
20
01/21/16 14:48 67-66-3
1,2-Dichloroethane
ND ug/L
100
20
01/21/1614:48 106-46-7
1,1-Dichloroethene
ND ug/L
100
20
01/21/16 14:48 107-06-2
Tetrachloroethene
ND ug/L
100
20
01/21/16 14:48 75-35-4
Trichloroethene
ND ug/L
100
20
01/21/16 14:48 127-18-4
Vinyl chloride
ND ug/L
100
20
01/21/16 14:48 79-01-6
Surrogates
100
20
01/21/16 14:48 75-01-4
1,2-Dichloroethane-d4 (S)
100 %
70-130
20
Toluene-d8 (S)
111 °
/°
01/21/16 14:48 17060-07-0
4-Bromofluorobenzene (S)
99 %
67-135
20
01/21/16 14:48 2037-26-5
70-130
20
01/21/16 14:48 460-00-4
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
98.3 %
0.10
1
01/15/16 07:04
1010 Flashpolnt,Closed Cup
Analytical Method: EPA 1010
Flashpoint
>200 deg F
70.0
1
01/27/16 11:20
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
6.9 Sid. Units
0.10
1
.
01/18/16 14:50
733C S Reactive Cyanide
Analytical Method: SW-846 7.3.3.2
Cyanide, Reactive
ND mg/kg
60.1
1
01/19/16 23:47
735S Reactive Sulfide
Analytical Method: SW-846 7.3.4.2
Sulfide, Reactive
ND mg/kg
601
1
01/19/16 16:25
Date: 02/12/2016 04:24 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 23

auuftlytical
WW1V./J8CBi8t18.COrn
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Project: 160113-22-08
Pace Project No.: 92283107
Sample: 160113-22-08
Lab ID: 92283107002 Collected: 01/13/16 13:47
Received: 01/14/16 10:45 Matrix: Water
Parameters
Results
Units
Report Limit
DF
Prepared
Analyzed
CAS No. Qual
8082 GCS PCB
Analytical Method: EPA 8082
Preparation Method: EPAL3510
PCB-1016 (Aroclor 1016)
PCB-1221 (Aroclor 1221)
ND
ug/L
5.0
1
02/11/16 16:30
02/12/16 12:32
12674-11-2
PCB-1232 (Aroclor 1232)
ND
ND
ug/L
ug/L
5.0
1
02/11/16 16:30
02/12/16 12:32
11104-28-2
PCB-1242 (Aroclor 1242)
ND
ug/L
5.0
1
02/11/16 16:30
02/12/16 12:32
11141-16-5
PCB-1248 (Aroclor 1248)
ND
ug/L
6.0
1
02/11/16 16:30
02/12/16 12:32
53469-21-9
PCB-1254 (Aroclor 1254)
ND
ug/L
5.0
1
02/11/16 16:30
02/12/16 12:32
12672-29-6
PCB-1260 (Aroclor 1260)
ND
ug/L
5.0
1
02/11/16 16:30
02/12/16 12:32
11097-69-1
Surrogates
5.0
1
02/11/16 16:30
02/12/16 12:32
11096-82-5
Decachlorobiphenyl (S)
37
%
10-132
1
02/11/16 16:30
02/12/16 12:32
2051-24-3
9095 Paint Filter Liquid Test
Analytical Method: EPA 9095
Free Liquids
FAIL
1.0
1
02/11/16 12:55
Date: 02/12/2016 04:24 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 6 of 23

Parameter Schedule: TCLP
Received on Ice
Parameter Schedule:
Received on Ice
Sample Number 160113-22-09 Temp on Arrival:
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule:
Received on Ice
Sample Number 160113-22-10 Temp on Arrival:
Parameter Schedule:
Received on Ice
Parameter Schedule: Percent Solids
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3 of 3

Client:
0 v 1 l2 r t, S m .' v; rs 'S ,t ,
Address: 9 S
STATES VILLE ANALYTICAL
122 CourtStreet % P.O. Box 228
roar:
srr
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no ai {. N L �� k
Statesville, NC 28687
�...q (704) 8724697 .
Contact Person:
Phone # q
G�13r
FAX#
t
Chain of
Requisitioned by:
Crime
Date)
Custody Record
Customer
Sample ID#
Lab -ID # Time Sampled .
(Grab Only)
Date Sampled a a
(Grab Only) CU
Matrix
Sludgew VJw
Parameters requested for analysis
jj
° re.
1
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,
s
s s
s i
i
t S
Relinquished by:
Time 1
am;jPmDate%/3/
Sampled by:
Received by:
�'{ l�J� ��'
Time 1
am,ate�
I?
_
l/' t�
Transported by: Z 1�
'
J
— — —
Relinquished by:
Time
am, pm Date
—/_/
✓�
Holding times met:
Received by:
Time
am, pm Date
Composite Sampling
#1:
Compliance work:
Time begin
am, pm Date _/ /
Non-compliance work:
Time end
am, pm Date
Lab Comments:
Composite Sampling
#2:
Time begin
am, pm Date _I /
Time end
am, pm Date _/ /_

► riiiutu, rt�ltivhLlr A1VL VrUTUH A TRACTION REDUCTION FORM (02T Rules)
Facility Name: Baxter Healtcare Corporation WQ Permit Number: WQ0031725
WWTP Name: Baxter Healtcare Corporation NPDES Number: NC0006564
Monitoring Period: From 1/1/2016 ,% To 12/31/2016 }/
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative
Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testis
A1t.D (No Prior Test) ❑ Process to Further Reduce Pathoae
ble to alternative performed (Cl
111 Heat Drying ❑
❑ 1 Gamma Ray ❑
Class B: I Alt. (1) Fecal Density
If applicable to alternative performed (Cl,
Lime Stabilization ❑ Air
Anaerobic Digestion ❑
ble to alternative
Parameter
Fecal Coliform
(in lieu of fecal
Vector
Allowable Level
in Sludge
2 x 10 to the MPN
6th power
per gam of
total solids CFU
1000 mpn per gram
of total solid (dry
3 MPN per 4 grams
total solid (dry
iss A only) indicate "Process to Further Reduce Pathog
Heat Treatment ❑ ThermopY
Pasteurization ❑
Process to Significantly Reduce Pathoge
iss B only) indicate "Process to Significantly Reduce Pa
Drying ❑ I Composting ❑ Aerobic
A or Class B) complete the
Geo. MeanjMaximunr Units
gs
�J
,estion ❑
wowing monitoring data:
umber ot Frequency Sample a ytic
Excee- Tech-
dences of Analysis Type
18987 44229.7 150943 MPN/g 0
NVAC mT 1111171 _ 'Di.,...,,._i ---
7 1 grab I sm9221
Alt.1 (VS reduction) 21
-- • i
Alt. 2 (40-day bench) ❑
------.---..+.vww saswaasauvG "U'l1VI- III Cui
Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. OZ uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
C'FR TTFTC' A Truly CT A TlWl%XVIrm
1 -i... _ _L - _,_ �.-
. - W .."%AI,. 11,.c Appi upi-,ate statement)
R1 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T 1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an .explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
� A 4 h, 9-4L r- `ng/ Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature of Preparer* � '�--`
p Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
r)Gnlp Crnone ONIMC nn+ .� ,,...,...

NCDA&CS Agronomic Division Phone: [phone]
hV Predictive
Soil Report
`'t •.tk.vur.5,
Website: wmw.ncagr.gov/agronomi/
Client: Doug Poplin
594 Austin Little Mtn Rd
Ronda NC 28670
Mehlich-3 Extraction
Sampled County: Wilkes
Sampled: 10/31/2016 Received: 11/03/2016 Completed: 11/18/2016 Farm:
Sam=History:
Recommendations: Lime -
Nutrients (Ib/acre)
Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu
Lim1_ Fescue/OGrass/Tim, M 0.0 120-200 0 0 0
2_ 0 0 0 0
Test Results [units - WN in g/cnf; CEC and Na in men/100 crrA NO N • —1
Report No. FY17-SL012128
3r: Zach Key
Southern Soil Builders,
Inc.
958 Hoots Rd
Roaring River, NC 28669
Links to Helpful Information
More
B Information
0 Note: 12
3- m mg/d j:
Soil Class:
Mineral
HM% WN CEC
BS% Ac pH P-1 K-1
Ca% Mg% S-1 Mn-I
Mn-All Mn Al2
J
Zn-1 Zn-AI
0.27 0.94 19.5
94. 1.1 6.5 ✓ 483 580
50 29 319 256
Cu-fl Na S
Sample ID: DPI
Recommendations: Lime
164
772 772 965
0?g 4
Crop (tons/acre)
N
Nutrients (lb/acre)
Lime History:
1=Fescue/OGrassrrim, M 0.0
P2O5 K2O
120-200
Mg S
M° Zn Cu B
2-
0 0
0 0
0 0 0 0
Test Results [units - WN
in g/cnr ; CEC and Na in MOO cO- NO3-N . ldrrr�
HM% WN CEC
\
BS%
In mg ].
Soil Class:
Mineral
0.36
Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All
Mn-Al2
Zn-I Zn-AI
Cu-I
0.89 15.0
Sample ID: DP1C V
90 1.6 5.9 304 308
Recommendati
53 26 227
147
105
969 969
700•
Lime
Crop (tons/acre)
Nutrients (lb/acre)
Lime History:
1 - Fescue/OGrass/Tim, M 1.0 -
N P2O5
120-200
K2O
M g
S
Zn
Cu
2-
0
0
0
0
0
p 0
0
Test Results [units - WN in glcrrP; CEC and Na in meq/100 crrP; NO3-N in mg/dd]:
HM% WN CEC
BS% Ac P-1 K-1
Soil Class:
Mineral
0.36 0.94 13.3
/pH
Ca% Mg% S-1
Mn-I
Mn-All
Mn AI2
Zn4 Zn-AI
Cu-1
84 2.2 5.5 243 188
55 21 73
147
105
927 927
1164
North Carolina
[A,
hacc+, ?Icnt Fm;d Cuaam+�l.�r+
SS-1 NO3-N
More
Information
Note: 12
Na ESP SS-1 NO3-N
0.5 3
More
B Information
0 Note: 12
Na ESP SS-1 NO3-N
0.1 1
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Trox

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
i
Report
No. FY17-SL012128
Doug Poplin
-
Sample ID: DP1 D Recommendations: Lime
Page 2 of 4
�
Nutrients (lb/acre)
Lime History:
Crop (tons/acre)
1- Fescue/OGrass/Tim, M 0.0
N P2O5
120-200
K2O
Mg S Mn Zn
'
Cu
B
More
Information
2-
0
0
0 0 0 0
0
0
Note: 12
Test Results [units - WN in g/cO; CEC and Na in meq/100 cnr3; NO3-N in mg/d0]:
Soil Class: Mineral
HM% W/V CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2 Zn-I Zn-AI
' Cu-I Na
ESP
0.32 0.97 12.9 89 1.4 6.3 189 130
57 27 50
93
69
SS-1 NO3-N
Sample ID: DP2 ,�
.Recommendations: Lime
696 696
733 0:1,
1
Nutrients (lb/acre)
Lime History:
Crop (tons/acre)
1 -Corn, silage 1.1
N PzOS
K20
Mg S Mn Zn
Cu
More
B Information
2-
180-220 0
40
0 0 0 0.
0
0 Note:3
Test Results [units - WN in g/cO; CEC and Na in meq/100 crrr3; NO3-N in mg/dnP]:
Soil Class: Mineral
HM% WN CEC BS% Ac H
P P-1 K-1
o o
Ca /o Mg /o S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I Na
0.51 0.98 9.7 78 2.1 5.3 152 81
50 24 99
ESP -'SS-I NO3-N
Sample ID: DP3C
Recommendati Lime
78
64 590 590
671 0.1
1 /
Crop (tons/acre)
Nutrients (Ib/acre)
More
N P2O5
K2O
Mg S
Lime History:
1-Fescue/OGrasslrim, M 1.5
120-200 0
0
Mn Zn
Cu
B T
Information
2-
0 0 0 0
0
01
Note: 12
Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/deft
Soil Class: Mineral
HM% W/V; CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I Na
ESP
0.46 1.11 7.3 70 2.2 4. 163 91
44 20 57
103
79
SS-1 NO3-N
Sample ID: DP3G /
Recommendatis:_ Lime
297 297
192 0.1
1
'✓
Crop (tons/acre)
Nutrients (lb/acre)
More
N P2O5
K2O
Mg S
Lime History:
1 -Corn, silage 1.7
180-220 0
120
Mn Zn
0 0
Cu
B Information
2_
0 0
0
0 Note: 3
Test Results [units - W/V in g/crrP; CEC and Na in meq/100 cO; NO3-N in mg/dO]:
Soil Class: Mineral
HM% W/V CEC BS% Ac p P-1 K-1
Ca% Mg% S-1
Mn-1
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I Na
ESP
0.46 0.97 8.8 69 2.7 4.9 102 40
47 19 55
110
83
SS -I NO3-N
463 463
198 0.1
1

NCDA&CS Agronomic Division Phone: [phone] Website: vwvw:ncagr.gov/agronomi/
+
Report No.
FY17-SLO12128
Doug Poplin
Page 3 of 4
Sample ID: DP4 /
V
Recommendations: Lime
Nutrients (Ib/acre)
Lime History:
Crop (tons/acre) N P205
1- Fescue/OGrass/Tim, M 1.0 120-200 0
K20
Mg S Mn
Zn
Cu B
More
Information
2-
30
0 0 0
0
0 0
Note: 12
Test Results [units - WN in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnP]:
Soil Class: Mineral
HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-1
Zn-AI
Cu-I Na
ESP SS-1 NO3-N
0.41 0.97 12.0 82 2.2 .5 173 57 55 25 57
111
84 835
835
697 0.1
1
Sample ID: DP5
Recommendatio : Lime
Nutrients (lb/acre)
Lime History:
Crop (tons/acre) N P205
1-Fescue/OGrass/Tim, M 0.3 120-200
K20
Mg S Mn
Zn
Cu B
More
Information
0
2-
10
0 0 0
0
0 0
Note: 12
Test Results [units - WN in g/cO; CEC and Na in meq/100 crn3; NO3-N in mg/do]:
Soil Class: Mineral
-
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-1
Zn-AI
Cu-I Na
ESP SS-1 NO3-N
0.60 0.92 12.5 85 1.9 r. ° 123 70 55 27 53
97
75 102
1028
687 0.1,
1
Sample ID: DP6 V
Recommendati§9: Lime
Nutrients (lb/a e)
Lime History:
Crop (tons/acre) N P205
1-Fescue/OGrassfFim, M 1.2 120-200
K20
Mg S Mn,
--Zn
Cu B
More
Information
0
2-
0
0 0 0-
0
0 0
Note: 12
Test Results [units - WN in g/crrP; CEC and Na in meg1100 cmP; NO3-N in
mg/drr?]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-1
Mn-All Mn AI2 Zn-1
Zn-AI
Cu-I Na
ESP SS-1 NO3-N
1.14 0.92 11.2 79 2.4 F5 4 70 156 45 27 59
108
82 757
757
456 0.1
1
Sample ID: DP7
Recommendation '. Lime
Nutrients (lb/acre)
I
Lime History:
Crop (tons/acre) N P205
1- Fescue/OGrass/Tim, M 0.7 120-200
K20
Mg S Mn
Zn
Cu B
More
Information
0
2-
20
0 0 0
0
0 0
Note: 12
Test Results [units - WN in g/crap; CEC and Na in meq/100 co; NO3-N in mg/dni]`
Soil Class: Mineral
HM% WN CEC BS% Ac H P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I Na
ESP SS-1 NO3-N
0.41 0.97 11.4 82 2.0 (5,".9 173 65 56 24 52
87
69 764
764
624 0.1
1