NCS000130_COMPLETE FILE - HISTORICAL_20191216

• - • �= STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT N0..
f 1I � S � � o 17DU
f"
DOC TYPE
LCOMPLETE FILE =HISTORICAL
DATE OF
O
RESCISSION
YYYYMMDD

Mi
Perdue Food_ s
Perdue Foods LLC
Environmental Services
416 South Long Drive
Rockingham, NC 28379
www.perdue,com
Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
December 11, 2019
Subject: Storm Water Monthly Monitoring Report
Permit No. NCS000130
Perdue Farms, Rockingham Facility
To Whom It May Concern,
As specified under the Tier Two Storm Water permit requirements, please find
attached two copies of the November monthly storm water monitoring report for
the Perdue Foods LLC facility located at Rockingham, North Carolina.
This monitoring report meets the requirements under Part 11; Section B: Analytical
Monitoring Requirements for the facility's Storm Water Permit.
The storm water sample was collected on November 15, 2019 during a qualifying
rain event.
If you need any additional information, please do not hesitate to contact me on my
cell phone at [phone].
Sincerely yours,
paxi a. ?Je�
Paul B. Roberts
Regional Environmental Manager
[e-mail]
cc: Fayetteville Regional Office
Division of Water Resources
215 Green Street
Fayetteville, NC 28301
Perdue Foods. R Heritage of Innovation.

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 0<0<2) i a
FACILITY NAME (`caml 19_
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab 4
�12r C Lab tt
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from tie laboratory.)
COUNTY
PHONE NO, S
F
NATURE OF PERMITTEE OR DESIGNEE
QUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall0�
C
t
�t1S
,lG
A)i+ra .P tJ
� � �
molddl yr
MG
inches
L
d
/ S"
l
-017
O
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?Vyes _no
(if yes, complete Part B)
Part B. Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G1TPH
(Method 1664
SGT-HEM), if
a I.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m l
m l
unit
al/mo
Form SWU-247, last revised 2/2/2012
Page l of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date �% %�` %51 �1 Attn: Central Files
Total Event Precipitation (inches): �� 7� 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) Raleigh. North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted 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 a imprisonment for knowing violations."
?10L'S 2. l 4-r� ,; (//i/ 5
(Signature of Permittee)
(Date)
Form S W U-247, lust revised 21212012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Client: Perdue Farms
416 S. Long Drive
Rockingham, NC 28379
Meritech Work Order # 11151928
Parameters
BOD, 5 day
COD
Total Suspended Solids
Chloride
TKN
Nitrate/Nitrite, Nitrogen
Nitrogen, total
Phosphorus, total
Fecal Coliform
Oil & Grease (HEM)
pH
Free Chlorine
Sample: Stormwater Grab
88.5 mg/L
151 mg/L
506 mg/L
9.0 mg/L
5.09 mg/L
0.55 mg/L
5.64 mg/L
1.76 mg/L
23,636 col/100 ml
18 mg/L
6.44 S.U.
0.02 mg/L
11/15/19
11/22/19
11/19/19
11/20/19
11/20/19
11/25/19
11/25/19
11/22/19
11/15/19
11/19/19
11/15/19
11/15/19
Report Date: 11/26/2019
Date Sample Rcvd: 11/15/2019
2.0 mg/L
15 mg/L
2.5 mg/L
0.10 mg/L
0.20 mg/L
0.10 mg/L
0.20 mg/L
0.020 mg/L
9 col/100 ml
5 mg/L
1.0 - 14.0 S.U.
0.02 mg/L
11/15/19
Method
SM 5210B
EPA 410.4
SM 2540D
SM 4500 Cl B
EPA 351.1
EPA 353.2
EPA 353.2
EPA 200.7
SM 9222D
EPA 1664B
SM 4500 H B
SM 4500 CIG
I hereby certify that I have reviewed and approve these data. )4rn a M yic-akp
aboratory Represe tative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
NPDES#:
Client: Perdue Foods Phone:, 910-997-8634
t � � � � � � � � INC.
9
A t.
r
Address:_ 416 S Long Drive Fax: [phone]
ENVIRONMENTAL LABORATORIES
Rockingham, NC, 28379 Email: [e-mail]
642 Tamco Rd. Phone: [phone]
Project:
Reidsville NC 27320 Fax: [phone]
P.O.#:
Email: [e-mail]
Attention:_ William Moore Turn Around Time`
*RUSH work needs prior approval.
How would you like your report sent?
WWW.mErlteChlaF3S.COm
5td-(i—oda�(Sf 3-5 oa s 24-aRHrs
Circle all that apply- Email (preferred), Fax, Mail/07
`'_ ❑i
Sampling Dates &Times
Person Ta . Sample (Sign/Print):
William Moore
use only
Sample Location and/or ID #
u-
Start
End
comp?
n of
Test(s)
Required
on rce?
e3/
pH OK?
Date
Time
Date
Time
Grab?
Cont.
No
Cl OK?
Stormwater
/S
1,04,,,"
G
1
BOD / TSS,CI p
Stormwater
fI
G
1
COD,TKN,T1C (H25O4)
Stormwater
',jq �
G
1
Metals - Ptot (w/HNO3)
Stormwater
l��/7
!D
G
1
Olt. & GREASE (w / HCI)
Stormwater
// /�
l�.�r✓'
G
1
Fecal Coliform
Ph G t_
/�
Free Chlorine 0. d Z-
Temperature Upon
Receipt: _
Method Of
"• Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation.
Comments:
Compositor #
Shipment:
❑ UPS
Jug #
0 Fed Ex
Are th results for regulatory purposes? Yes : No ❑
Report results in: mg/L Or mg/kg ❑ ug/L ❑
Hand Delivery
Relinquished by: Date: Time: •.
l/ / J�; c► o
R eive y: , Date: Tim
_ �"f'�! 6
❑ Other
Rel' qoi ed b ' Date:• Time=
�• j ",�
Stormwater
Relinquished by: Date: Time:
ceived ab:. t o7n)e