WQ0016376_Monitoring - 05-2020_20200811

FGRM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of 'C
Permit No.:�,WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -War sa
County: Duplin
Month: May
Year: 2020
PPI: 001
Flow Measuring Point: ❑ Influent ❑✓ Effluent E]No flow generated
Parameter Monitoring Point: ❑Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code -►
50050
00310
00940
50060
31sis
00610
00625
00620
00600
00400
00665
70300
00530
t6
Q E
O
O
E y
�...
O
O
LL.
o
O
m
U
@
F- y 0
U
R a
N U. 0
U
cc
0
E
Q
m rn
Y Y
O 2
+�
Z
m
1- +
Z
G
m s
FO
Tv ? v_
F 0
0 fn
at c '00
F-!n
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
07:00
10
70,890
2
00:00
0
20,000
3
00:00
0
20,000
4
07:00
10
68,910
5
07:00
10
78,100
6
07:00
10
78,770
7
0700
10
71,200
8
07:00
10
69,000
9
00:00
0
20,000
10
00:00
0
20,000
11
07:00
10
78,920
12
07:00
io
75,600
13
07:00
10
77,101
14
07:00
10
78,600
15
07:00
10
69,800
16
07:00
10
68,800
_
17
00:00
0
20,000
18
07:00
10
78,110
19
07:00
10
81,900
20
07:00
10
68,100
21
07:00
10
69,120
22
07:00
10
70,210
23
00:00
0
20,000
24
00:00
0
20,000
25
07:00
10
20,000
26
07:00
10
69,120
27
07:00
10
80,110
57
49
1850
70.1
81.3
<0.02
81.3
7.82
5.11
266
85
28
07:00
10
73,290
29
07:00
10
72,180
30
00:00
0
20,000
31
00:00
0
20,000
Average:
56,382
57.00
49.00
1,850.00
70.10
81.30
0.00
81.30
5,11
266.00
85.00
Daily Maximum:
81,900
57.00
49.00
1,850.00
70.10
81.30
0.02
81.30
7.82
5.11
266.00
85.00
Daily Minimum:
20,000
57.00
49.00
1,850.00
70.10
81.30
0.02
81.30
7.82
5.11
266.00
85.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
100,260
Daily Limit:
Sample Frequency:
Recorder
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly I
Monthly I
PAonthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page AL of
Permit No.: Q11 . .
Facility Name: S&J Villari Livestock Processing
.unty: Duplin•
1 1
11
•. ■ ■ .• • .Parameter
Monitoring '. ■ influent■Effluent ■ Groundwater Lowering 0 Surface Water
Parameter Code 10
1 11
m
• f
---------------
---------------

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -War sa
County: Duplin
Month: May
Year: 2020
PPI: 003
Flow Measuring Point: ❑Influent [2] Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code - 0
60060
00625
00610
00620
00665
31616
00600
m
>
U~
O
c
£�
H to
O
3
r
a c
��
Y
Z
°
o
q
m
"
Z
w
.�
N
a.
£
@o
LL
U
C
Mw
Z
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
1
07:00
10
70,890
0.8
0.4
1.31
2.14
13500
2.2
2
00:00
0
20,000
3
00:00
0
20,000
4
07:00
10
68,910
5
07:00
10
78,100
6
07:00
10
78,770
7
07:00
10
71,200
8
07:00
10
69,000
9
00:00
0
20,000
10
00:00
0
20,000
11
07:00
10
78,920
12
07:00
10
75,600
13
07:00
10
77,101
14
07:00
10
78,600
15
07:00
10
69,800
16
07:00
10
68,800
17
00:00
0
20,000
18
07:00
10
78,110
19
07:00
10
81,900
20
07:00
10
68,100
21
07:00
10
69,120
22
07:00
10
70,210
23
00:00
0
20,000
24
00:00
0
20,000
25
07:00
10
20,000
26
07:00
10
69,120
27
07:00
10
80,110
28
07:00
10
73,290
29
07:00
10
72,180
30
00:00
0
20,000
2
<0.2
4.55
0.14
215
6.6
31
00:00
0
20,000
Average:
56,382
1.40
0.20
2.93
1.14
1,703.67
4A0
Daily Maximum:
81,900
2.00
0.40
4.55
2.14
13,500.00
6.60
Daily Minimum:
20,000
0.80
0.20
1.31
0,14
215.00
2.20
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
L-Sample Frequency:
Recorder
Monthly
Monthly
Monthly
Monthly
Monthly

FO17M: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page A-_/ off
Sampling Person(s)
Name: GERALD LAMAR MATTHEWS
Name
Certified Laboratories
Name: Environmentat Chemists INC.
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El compliant ❑ Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: GERALD LAMAR MATTHEWS
Permittee: SAM VILLARI
Certification No.: 993131
Signing Official:
Grade: SI Phone Number: 910-289-7500
Signing Official's Title: OWNER
Has the ORC changed since the previous NDMR? 0 Yes ❑ No
Phone Number: 910-293-2157 Permit Expiration: 11/30/2025
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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 all qualified personnel properly gathered and evaluated 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 and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ( of
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: May
Year: 2020
Did irrigation
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
occur
Area (acres):
0.65
Area (acres):
1.16
..........._:
Area (acres):
�_-
1.12
Area (acres):
1.07
at this facility?
Cover Crop:OATS
Cover Crop:
P�
OATS
Cover Crop:
P�
OATS '
Cover Crop:
P�
OATS
0 YES ❑ NO
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Annual Rate (in):
41.96
Annual Rate (in):
41.96
Annual Rate (in):
41.96
Annual Rate (in):
41.96
Weather
Freeboard
Field Irrigated?
YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
`❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
p19
m
o
«LN
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mO.
~
p
a
a
c m
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°m
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CO
m
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-
rn
2C
L
E T c,
z
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J
m
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S
O M
=
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xEL
a� o
E
i
a
_0�L
rn
>. c
J�3
E T o)
'E `o
=gJcoto
K
°F
in
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R
0.1
2
C
20
18
3
C
41
C
7,833
23
0.44 -
0.44
1 13,979
42
0.44
0.44
13,497
40
0.44
0.44
12,895
39
0.44
0.44
5
C
1
7,837
23
0.44
0.44
13,987
42
0.44
0.44
13,505
40
OA4
0.44
12,902
39
0.44
0.44
6
C
7,729
23
0.44
0.44
13,793
42
0.44
0.44
13,317
40
0,44
0.44
12,723
39
0.44
0.44
7
C
7,296
23
0.41
0.41
13,020
42
0.41
0.41
12,571
40
0A1
0.41
12,010
39
0.41
0.41
8
R
1
9
CL
101
C
11
C
12
C
4,321
11
0.24
0,24
7,711
19
0.24
0.24
7,445
19
0.24
0.24
7,113
18
0.24
0.24
13
C
14
C
7,836
23
0A4
0.44
13,984
42
0.44
0.44
13,502
40
0,44
0.44
12,899
39
0.44
0.44
15
C
161
R
0.1
17
C
18
C
19
C
20
C
21
C
22
R
0.3
23
C
24
C
25
R
0.1
26
R
0.1
27
C
28
C
20
40
29
C
30
C
31
C
Monthly Loading:
42,852
2.43
76,474
2.43
73,837
2.434k
70,542
2.43
12 Month Floating Total (in):
14.67
14.67
14.67
14.67

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
WQ0016376
Facility Name: S&J Villari Livestock Processing Facility-Warsaws'
county: DuplinF-1
Did irrigation
=2MrfVFTUjr-M
lield Name:
occur
i -
at this facility.-
YES •Yi�
• ' .
1 •
e ' .�
.
• ' .
1 .
nnual Rate (in):
Annual Rate (in):
.•. .
z • .•�
•Field
irrigated?
•
• •. •
•
. Irrigated?Monthly
Loading:!;
12 Month Floating Total

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page i, of
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: May
Year: 2020
Did irrigation occur
Field Name
9
Field Name:
10
Field Name
11
Field Name:
12
facility?
Area (acres):
1
Area (acres):
1.46
Area (acres).
1.43
Area (acres):
1.23
at this
Cover Crop:OATS
Cover Crop:
P�
OATS
Cover Crop:
p:
OATS
Cover Crop:
p�
OATS
❑✓ YES ❑ NO
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Annual Rate (in):
41.96
Annual Rate (in):
41.96
Annual Rate (in)
41.96
Annual Rate (in):
41.96
Weather
Freeboard
Field Irrigated?
El YES [:'NO
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
YES ❑ No
Field Irrigated?
❑ YES ❑ NO
>.
p
L
m
0
ii
U
O�
rn`"
J (n
E
n
J
0
A
O
>1
��
= O
.O
i Q
y d
=
O
C
0
2
G
•
=OO
5U
E
pm
�0
TO
=E
0 Mt
=
°F
in
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R
0.1
2
C
20
18
3
C
4
C
12,051
36
0.44
0,44
17,595
53
0.44
0.44
17,233
51
OA4
0.44
14,823
44
0.44
0.44
5
C
127058
36
0.44
1 0.44
17,604
53
0.44
0.44
17,242
51
0.44
0.44
14,831
1 44
0.44
0.44
6
C
11,890''
36
0.44
0.44
17,360
53
0.44
0.44
17,003
51
0.44
0A4
14,625
44
0.44
0.44
7
C
11,224
36
0.41
0.41
16,388
53
0.41
0.41
16,051
51
0.41
0A1
13,860
44
0.42
0.42
8
R
1
9
CL
10
C
11
C
9,705
25
0.24
0.24
9,506
24
0.24
0.24
8,176
21
0.24
0.24
12
C
6,647
17
0.24
0.24
13
C
14
C
12,065
36
0.44
0.44
17,600
53
0.44
0.44
17,239
24
0,44
0.44
14,828
44
0.44
0.44
15
C
16
R
0.1
17
C
18
C
19
C
20
C
21
C
22
R
0.3
23
C
24
C
25
R
0.1
26
R
0.1
27
C
28
C
20
40
29
C
30
C
31
C
FMonthly Loading:
65,925
2.43
/
96,252
2.43
94,274
2.43
81,143
2.43
12 Month Floating Total (in):
14.67
14.67
14:67
14.67

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: May
Year: 2020
Did irrigation occur
Field Name:
13
Field Name:
14E
Field Name:
14W
Field Name:
15
facility?
Area (acres):
2A6
Area (acres):
13.73
Area (acres):
7.7
Area (acres):
0.73
at this
Cover Crop:OATS
Cover Crop:
P�
OATS
Cover Crop:
p�
OATS
Cover Crop:
P�
OATS
0 YES ❑ NO
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0,6
Hourly Rate (in):
0.6
Annual Rate (in):
41,96
Annual Rate (in):
31.6
Annual Rate (in):
24.21
Annual Rate (in):
30.44
Weather
Freeboard
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES j NO
Field Irrigated?
❑ YES ❑ NO
�.
o
d
V
L
�
(D
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m
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�
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0
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L
�
= O
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E N
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i Q
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F- 'C
rn
T C
�6
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3 i C
�M
2 p
J
m •o
E N
_moo
O Q
> Q
o
N w
E�
F�
�-
ca
?. C
•Fv
0 p
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E cm
` C
E=�o
_ p.
rd J;
m a
E N
�a
O O.
i Q
a
d y
_Em
F- •�
rn
T
�'v
p O
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E rn
E3'a
N= 0O
J
°F
in
in
in
gal -
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R
0.1
2
C
20
18
3
C
4
C
26,030
78
0.44-
0.34
1
8,797
26
0.44
0.44
5
C
1 26,045
1 78
0.44
0.34
8,802
26
0.44
0.44
6
C
25,683
78
0,44
0,34
8,680
26
0.44
0.44
7
C
24,245
78
0.41
0.32
8,194
26
0.41
0.41
8
R
1
128,469
384
0.34
0.05
72,048
216
0.34
0.10
9
CL
119,888
384
0.32
0.05
67,235
216
0.32
0.09
10
C
11
C
127,566
384
0.34
0.05
71,541
216
0.34
0.10
12
C
14,358
36
0,24
0.24
4,853
36
0.24
0.24
13
C
82,867
192
0.22
0.07
46,473
108
0.22
0 12''
14
C
26,039
78
0.44
0.34
8,800
26
0.44
0.44
15
C
120,912
384
0.32
0.05
67,809
216
0.32
0.09
16
R
0.1
17
C
18
C
19
C
201
C
21
C
22
R
0.3
23
C
24
C
25
R
0.1
26
R
0.1
27
C
28
C
20
40
29
C
30
C
Monthly Loading:
[tU
142400
2.43
579,702
//,,❑
1.56'AIM
325,106
j
1.56
48126
' ,f2.
Month Floating Total (in):
i
14.67
21.66
21.66
�ji,❑j1 •
,' /�O�i �!, %�67

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Q11 . . —71
Facility Name: S&J Villari Livestock Processing
. •
.
1 1
• irrigation
•
1at
.
.
■—
•
—1.
occur
1
this facility?
I
I
YES NO
Hourly Rate _�in�
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):'
AnnualRa te (in):
Annual Rate (in):
m
M__
--
®=-_
__
m
M©_®--
-_�_-_--
®
0==
MM12M
Monthly Loading:���W"�19=�W��Mffrj
• •. • •PJM
..M��HVKa
SEMI;
/• ,//.
.., �..i
KWA;
Ham..... F.

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
El Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑ Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? El Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑� Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
I ORC: Gerald Lamar Matthews
Certification No.: 993131
Grade: SI Phone Number: 910-289-7500
Has the ORC changed since the previous NDAR-1? ❑ Yes F No
�-�_
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Sam Villari
Signing Official:
Signing Official's Title: Owner
Phone Number: 910-293-2157
Permittee Certification
Permit Exp.: 11/30/25
r — w
Signature Date
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 all qualified personnel properly gathered and evaluated 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 and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

F6RM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _ of
Permit No.: W00016376
Facility Name: SU Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: May
Year: 2020
Field Name:
Zone 1
field Name:
Zone 2 -
Field Name:
Zone 3
Field Name:
Zone 4
Field Name:
Zone 5
Area (acres):
0.65
Area (acres):
1.16
Area (acres):
1.12
Area (acres):
1 A7
Area (acres):
1.19
Cover Crop:
Coastal Bermude
Cover Crop:
Coastal Bermudi
Cover Crop:
Coastal BermudE
Cover Crop:
Coastal BermudE
Cover Crop:
Coastal Bermuda
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES ❑ NO
Field Loaded?
P] Yam" ❑ NO
Field Loaded?
❑ YES ❑ NO
Field Loaded?
❑ YES ❑ NO
Field Loaded?
❑ YES ❑ NO
Q
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Month
gal
40,827
mg/L
Ibs/ac
Ibs/ac
gal
mg1L
lbslac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
June
33.8
17.7
17.7
39,952
33.8
9.7
9.7
39,952
33.8
10.1
10.1
39,369
33.8
10.4
10A
39,078
33.8
9.3
9.3
July
0
27.3
0.0
17.7
0
27.3
0.0
9.7
0
27.3
0.0
10.1
0
27.3
0.0
10.4
0
27.3
0.0
9.3
August
0
27.7
0.0
17.7
0
27.7
0.0
9.7
0
27.7
0.0
10.1
0
27.7
0.0
10A
0
27.7
0.0
9.3
September
149,379
21.4
41.0
58.7
146.177
21 A
22.5
32.2
146,177
21.4
23.3
33.3
144,045
21 A
24.0
34.4
143,007
21.4
21.4
30.7
October
0
38
0.0
58.7
0
38
0.0
32 2
0
38
0.0
33.3
0
38
0.0
34.4
0
38
0.0
30.7
November
0
33.2
0.0 1
58.7
0
33.2
0.0
32.2
0
33.2
0.0
33.3
0
33.2
0.0
34.4
0
33.2
0.0
30.7
December
0
46.2
0.0
58.7
0
46.2
0.0
32.2
0
46.2
0.0
33.3
0
46.2
&0
34.4
0
46.2
0.0
30.7
January
25,030
43.5
14.0
72.7
44,672
43.5
14.0
46.2
43,131
43.5
14.0
47.3
41,204
43.5
14.0
48.4
45,825
43.5
14.0
44.7
February
29,973
43
16.5
89.2
53,491
43
16.5
62.7,
51,647
43
16.5
63.9
49,341
43
16.5
64.9
54,875
43
16.5
61.2
March
42,537
48
26.2
115.4
75,912
48
26.2J128.6J73,837
,294
48
26.2
90.1
70,023
48
26.2
91.1
77,876
48
26.2
87.4
April
30,195
48
18.6
134.0
53,886
48
18.6,029
48
18.6
108.7
49,706
48
18.6
109.7
55,280
48
18.6
106.0
May
42,852
38.4
21.1
155.1
76,474
38A
21.1
38.4 1
21.1 1
129.8
70,542
38.4
21.1
130.8
78,451
38.4
21.1
127.1
12 Month Floating PAN Load
(Ibs/ac/yr):
155.1
128.6
129.8
130.8WEV111111111111M
"I,
127.1
Annual PAN Load Limit
(Ibs/ac/yr):
350
yffi�
350.00
350.00
I=
350.00
350.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 7i of
Permit No.: W00016376
Facility Name: SU Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: May
Year: 2020
Field Name:
Zone 6
Field Name:
Zone 7
Field Name:
Zone 8
Field Name:
Zone 9
Field Name:
Zone 10
Area (acres):
1.17
Area (acres):
1.05
Area (acres):
1.25
Area (acres):
1
Area (acres):
1.46
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
P YES NO
Field Loaded?
E-j YES ❑ NO
Field Loaded?
E YES No
Field Loaded?
L YES NO
Field Loaded?
❑ YES E:1 NO
Q.
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Month
gal
38,787
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbs/ac
lbs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
June
33.8
9.3
9.3
38,495
33.8
10.3
10.3
40,536
33.8
9.1
9.1
40,536
33.8
11.4
11.4
49,284
33.8
9.5
9.5
July
0
27.3
0.0
9.3
0
27.3
&0
10.3
0
27.3
0.0
9.1
0
27.3
0.0
11.4
0
27.3
0.0
9.5
August
0
27.7
0.0
9.3
0
27.7
0.0
10.3
0
27.7
0.0
9.1
0
27.7
0.0
11.4
0
27.7
0.0
9.5
September
141,911
21.4
21.6
31.0
140,844
21.4
23.9
343
148,313
21.4
21.2
30.3
148,313
21.4
26.5
37.9
180,323
21A
22.0
31_6
October 1
0
38
0.0
31.0
0
38
0.0
34.3
0
38
0.0
30.3
0
38
0.0
37.9
0
38
0.0
31.6
November
0
33.2
0.0
31.0
0
33.2
0.0
34.3
0
33.2
0.0
30.3
0
33.2
0.0
37.9
0
33.2
0.0
31.6
December
0
46.2
0.0
31.0
0
46.2
0.0
34.3
0
46.2
0.0
30.3
0
46.2
0.0
37.9
0
46.2
0.0
31.6
January
45,055
43.58
14.0
45.0
40,334
43.5
13.9
48.2
48,136
43.5
14.0
44.3
38,510
43.5
14.0
51.9
56,224
43.5
14.0
45.5
February
53,953
43
16.5
61.5
48,420
43
165
64.7
57,641
43
16.5
60.8
46,113
43
16.5
68.4
67,324
43
16.5
62.1
March
76,567
48
26.2
87.7
68,714
48
262
W9
81,803
48
26.2
87.0
65,442
48
26.2
94.6
95,545
48
26.2
88.3
April
54,352
48
18.6
106.3
48,777
48
18.6
109.5
58,068
48
18.6
105.6
46,453
48
18.6
113.2
67,823
48
18.6
106.9
May
77,133
38.4
21.1
127.4
69,224
38.4
211
130.7
82,408 1
38.4
21.1
126.7
65,925
38.4_
21.1
134.3
96,252
38.4
21.1
128.0
12 Month Floating PAN Load
(Ibs/ac/yr):
127.4
130.7We,
V1111111111�111111111,A
126.7
134.3
128.0
Annual PAN Load Limit
IN
(Ibs/ac/yr):
350
350.00
350.00
350.00
350.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of
Permit No.: W00016376
Facility Name: SU Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: May
Year: 2020
Field Name:
Zone 11
Field Name:
Zone 12
Field Name:
Zone 13
Field Name:
Zone 14E
Field Name:
Zone 14W
Area (acres):
1 A3
Area (acres):
1.23
Area (acres):
2.16
Area (acres):
1173
Area (acres):
7.7
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN_
Load Type:
PAN
Field Loaded?
M YES ❑ NO
Field Loaded?
I- YES ❑ NO
Field Loaded?
❑J YES NO
Field Loaded?
C YES ❑ NO
Field Loaded?
E YES ❑ NO
T
Z o
z
m
Z o
z
m
Z°
z
m
z
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L O
J
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= 0
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Month
gal
55,701
mg/L
Ibs/ac
I Ibs/ac
gal
mg/L
1bs/ac
lbs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
I mg/L
Ibstac
1 Ibs/ac
gal
mg/L
I Ibs/ac
Ibs/ac
June
33.8
11.0
11.0
45,202
33.8
10.4
10.4
27,121
33.8
3.5
3.5
1,`113,758
1 33.8
22.9
1 22.9
554,040
33.8
20.3
20.3
July
0
27.3
0.0
11.0
0
27.3
0.0
10.4
0
27.3
0.0
3.5
1,508,137
27.3
25.0
47.9
750,224
27.3
22.2
42.5
August
0
27.7
0.0
11.0
0
27.7
0.0
10.4
0
27.7
0.0
3.5
969,573
27.7
16.3
64.2
482,314
27.7
14.5
56.9
September
203,796
21.4
25.4
36.4
165,386
21A
24.0
34.4
99,231
21.4
8.2
11.7
856,196
21A
11.1
75.3
426,914
21.4
9.9
66.8
October
0
38
0.0
36.4
0
38
0.0
34.4
0
38
0.0
11.7
0
38
0.0
75.3
0
38
0.0
66.8
November
0
33.2
0.0
36.4
0
33.2
0.0
34.4
0
33.2
0.0
117
431,699
33.2
8.7
84.0
214,749
33.2
7.7
74.6
December
0 1
46.2
0.0
36.4
0
46.2
0.0
34.4
0
46.2
0.0
11.7
645,371
462
18.1
102.1
214,749
33.2
7.7
82.3
January
55,068
43.5
14.0
50.4
47,365
43.5
14.0
48.3
83,180
43.5
14.0
25.7
416,791
435
110
113.1
233,744
43.5
11.0
93.3
February
65,942
43
16.5
66.9
56,719
43
16.5
64.9
99,604
43
16.5
42.2
489,300
43
12.8
125.9
274,406
43
12.8
106.1
March
93,582
48
26.2
93.1
80,494
48`
26.2
91.1
141,354
48
26.2
68.4
322,736
48
94
135.3
180,996
48
9.4
115.5
April
66,428
48
18.6
111.7
80,494
48
26.2
117.3
100,341
48
18.6
87.0
736,314
48
21.5
156.8
412,895
48
21.5
136.9
May
94,274
38.4
21.1
132.8
81,143
38.4
21.1
138.4
142,400
38.4
21.1
108.2
579,702
38.4
13.5
170.3
325,106
38.4
13.5
150.5
12 Month Floating PAN Load
(Ibs/ac/yr):
132.8
13$.4
108.2MEW11111"',170.3
150.5
Annual PAN Load Limit
(Ibs/ac/yr):
350
350.00
350.00
350.00
350.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of
Permit No.: W00016376
Facility Name: SU Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: May
Year: 2020
Field Name:
Zone 15
Field Name:
Zone 16
Field Name:
Zone 17
FieldName:
Field Name:
Area (acres):
0.73
Area (acres):
1.25
Area (acres):
0.82
Area (acres):
Area (acres):
Cover Crop:
Norfolk
Cover Crap:
Coastal Bermudz
Cover Crop:
Coastal Bermudz
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES ❑ NO
Field Loaded?
u YES ❑ NO
Field Loaded?
❑ YES ❑ NO
Field Loaded?'
❑ YES ❑ NO
Field Loaded?
❑ YES ❑ NO
d
Q7Q
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Month
gal
23,913
mg/L
Ibs/ac
Ibs/ac
I gal
mg/L
Ibs/ac
lbs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
June
33.8
9.2
9.2
35,228
33.8
7.9
7.9
29,592
33.8
10.2
10.2
July
0
27.3
0.0
9.2
11,310
27.3
2.1
10,.0
9,500
27.3
2.6
12.8
August
0
27.7
0.0
9.2
0
27.7
0.0
10.0
0
27.7
0.0
12.8
September
87,493
21.4
21.4
30.6
52,381
21.4
7.5
17.5
44,000
21.4
9.6
22.4
October
0
38
0.0
30.6
0
38
0.0
17.5
0
38
0.0
22.4
November
0
33.2
0.0
30.6
0 ''
33.2
0.0
17.5
0
33.2
0.0
22.4
December
0
46.2
0.0
30.6
0
46.2
0.0
17.5
0
46.2
0.0
22.4
January
28,112 1
43.5
14.0
44.6
23,420
415
68
24.3 ';
15,363
43.5
6.8
29.2
February
33,663
43
16.5
61.1
0
43
0:0
24.3
0
43
0.0
29.2
March
47,771
48
26.2
87.3
24,998
48
8.0
32.3
16,399
48
8.0
37.2
April
33,911
48
18.6
105.9
31,371
48
10.0
42.3
20,580
48
10.0
47.2
May
48,126
38.4 1
21.1
127.0
19,846
38A
5.1
47.4
13.019 1
38.4
5.1
52.3

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page ,_� _ of
Did the mass loading rates exceed the limits in Attachment B of your permit? R1 compliant ❑ Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
IOperator in Responsible Charge (ORC) Certification 11 Permittee Certification I
ORC: Gerald Lamar Matthews
Certification Number: 993131
Grade: SI Phone Number: 910-289-7500
Has the ORC changed since the previous NDMLR? ❑ yes 0 No
Permittee:
SAM VILLARI
Signing Official:
Signing Official's Title: OWNER
Phone No.: 910-293-2157 Permit Exp.: 11/30/25
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 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 all qualified personnel property gathered and evaluated 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 and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

-71
Environmental Chemists, Inc.
ochem 6602 Windmill Way, Wilmington, NC 28405 - 910.392.0223 Lab » 910.392.4424 Fax
710 Bowsertown Road, k4anteo, NC 279.54 • 252.473.5702 Lab/Fax
S ' 255-A Wilmington liighwav, Jacksonville, NC 28540 • 910.347.5843 1-ib/ Fax
ANALYTICAL & CONSULTING CHEMISTS infoGlueneironnienfalchemists.cam
The Pork Company
892 Penny Branch Road
Warsaw NC 28398
Attention: Gerald Matthews
Date of Report: May 12, 2020
Customer PO #:
Customer ID: 08100099
Report #: 2020-07189
Project ID: Wastewater
Lab ID Sample ID:
20-17694 Site: PPI-002 Up
Test
Collect Date/Time
5/1/2020 9:00 AM
Method
Matrix Sampled by
Water Gerald Matthews
Results Date Analyzed
Ammonia Nitrogen
EPA 350.1
0.2 mg/L 05/07/2020
Total Kjeldahl Nitrogen (TKN)
EPA 351.2
< 0.5 mg/L 05/11 /2020
Total Phosphorus
SM 4500 P F
1.26 mg/L 05/07/2020
Fecal Coliform
SM 9222D MF
6500 Colonies/100ml- 05/01/2020
Total Nitrogen
Total Nitrogen
0.8 mg/L 05/12/2020
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA353.2
0.11 mg/L 05/01/2020
Nitrate+ N itrite-N itrogen
EPA 353.2
0.81 mg/L 05/04/2020
Nitrate Nitrogen
Subtraction Method
0.70 mg/L 05/08/2020
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
20-17695 Site: PPI-003 Down
5/1/2020 9:30 AM
Water Gerald Matthews
Test
Method
Results Date Analyzed
Ammonia Nitrogen
EPA 350.1
0.4 mg/L
05/07/2020
Total Kjeldahl Nitrogen (TKN)
EPA351.2
0.8 mg/L
05/11/2020
Total Phosphorus
SM 4500 P F
2.14 mg/L
05/07/2020
Fecal Coliform
SM 9222D MF
13500 Colonies/100ml-
05/01/2020
Total Nitrogen
Total Nitrogen
2.2 mg/L
05/12/2020
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA353.2
0.14mg/L
05/01/2020
Nitrate+Nitrite-Nitrogen
EPA353.2
1.45mg/L
05/04/2020
Nitrate Nitrogen
Subtraction Method
1.31 mg/L
05/08/2020
Comment:
Reviewed by
Report #:. 2020-07189
Pena 1 of t

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
Client:tt� I
Date: i i Report Number:
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Receipt of sample: Delivered
UPS ❑ FedEx D Other ❑
❑ YES
❑ NO
N/A
1. Were custody seals present on the cooler?
❑ YES
❑ NO
N/A
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt 0 °C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
❑ YES
❑ NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
If NO
4. Were proper custody procedures (relinquished/received) followed?
2C YES
❑ NO
5. Were sample ID's listed on the COC?
YES
❑ NO
6. Were samples ID's listed on sample containers?
YES
ID NO
7. Were collection date and time listed on the COC?
YES
❑ NO
8. Were tests to be performed listed on the COC?
YES
D NO
9. Did samples arrive in proper containers for each test?
YES
❑ NO
10. Did samples arrive in good condition for each test?
YES
❑ NO
11. Was adequate sample volume available?'
j>rp' YES
❑ NO
12. Were samples received within proper holding time for requested tests?
YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES
❑ NO
15. Were sulfide samples received at a pH >9?
YES
❑ NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑ YES
❑ YES
❑ NO
❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
88. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): HZSO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
1-UMIVICIY 13.
DOC. QA.002

6602 Windmill Way
=;0 min
ENVIRONMENTAL CHEMISTS, IN C OFFICE: 910-392-02231FAX [phone] s
Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: The Pork Company -Warsaw
PROJECT NAME: WWTF Effluent
REPORT NO:
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO: Gerald Matthews, ORC
PHONE/FAX:
Permit Number: W00016376
email:
Sampled By: 6,-,.- ✓ SAMPLE TYPE: I = Influent. E = Effluent. W = Well. ST = Stream_ sn = soil RI = Shirina nrhor-
Sample Identification
p
Collection
a
H
d
�,
�
m a
m
c o 0
cc7
c n
" �"
c
:EE
ow
m
J=
z
PRESERVATION
--- ---
-- --
ANALYSIS REQUESTED
Date
Time
Temp
c
z
$
=
z
_
<
_
_
=
o
PPI-001 (Effluent-1/month)
C
P
X
BOD,TSS,NO2
G
G
pH (field):
C
P
X
NO3,NH3,TKN,Total P, PAN, Total N
G
G
C
P
X
lFecal Coliform
G
G
March, July, November
C
P
X
ITDS, Chloride (triannuals)
G
G
PPI-002 (Upstream)
�tD
X
X
J
X
TKN, NH3,NO3,NO2,Total P, Fecal, Tot
G
GY.
C
P
G
G
PPI-003 Downstream
( )
�
C
P
i`-�
L;
X
X
�. '
X
TK NH3,NO3,NO2,Total P, Fecal,Tot
G
G
C
PN,
'9
G
G
C
P
E
F=
G
G
Samples due 1/month
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
T t h
empera ure w en Received. _Accepted: Rejected: _Resample R ested:
Delivered By: /YI Received By: Date: tr ! _Time:
Comments: ___ ___ TU AROUND:

Environmental Chemists,
Inc.
6602 Windmill Way. Wilmington, NC 28405 " 910.392.0223 Lab ! 910.3924424
Fax
sM'
710 Bowsertow•n Road, Maiiteo, NC 27954 252.473.5702 I_.ab/1'ax
255-A Wilmington F1ighLva�-, Jacksonville, NC 28540 " 910.347.5843 Lab /Fax
ANALYTICAL & CONSULTING CHEMISTS
uito(n!eiivironrrientalchemists.corn
The Pork Company
Date of Report: Jun 09, 2020
892 Penny Branch Road
Customer PO #:
Warsaw NC 28398
Customer ID: 08100099
Attention: Gerald Mathis
Report #: 2020-08803
Project ID: Effluent / Streams
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
20-21704 Site: Effluent
5/29/2020 8:00 AM Water Gerald Matthews
Test
Method Results Date Analyzed
PAN Used 30% Mineralization Rate.
Calculation 38.4 mg/L
06/09/2020
Ammonia Nitrogen
EPA 350.1 70.1 mg/L
06/04/2020
Total Kjeldahl Nitrogen (TKN)
EPA 351.2 81.3 mg/L
06/04/2020
Total Dissolved Solids (TDS)
SM 2540 C 266 mg/L
06/01 /2020
Residue Suspended (TSS)
SM 2540 D 85.0 mg/L
05/29/2020
Chloride
SM 4500 Cl E 49 mg/L
05/30/2020
Total Phosphorus
SM 4500 P F 5.11 mg/L
06/05/2020
BOD
SM 5210 B 57 mg/L
05/29/2020
Fecal Coliform
SM 9222D MF 1850 Colonies/100mL
05/29/2020
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2 0.12 mg/L
05/30/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2 0.04 mg/L
06/08/2020
Nitrate Nitrogen
Subtraction Method <0.02 mg/L
06/09/2020
Total Nitrogen (Cale)
Total Nitrogen
Total Nitrogen 81.3 mg/L
06/09/2020
2020-DB803
Penn � ..f ry

-7 7 0 7 Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 • 910392.0223 Lab • 910.392.4424 Fax
710 liowsertown Road, Manteo, NC 27954 " 252.473.5702 Lab/Pax
sal 255-A Wilmington liighwa�,,, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info<ii/environmentalchemists.com
The Pork Company Date of Report: Jun 09, 2020
892 Penny Branch Road Customer PO #:
Warsaw NC 28398 Customer ID: 08100099
Attention: Gerald Mathis Report #: 2020-08803
Project ID: Effluent / Streams
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-21705 Site: Upstream #1 5/29/2020 8:30 AM Water Gerald Matthews
Test Method Results Date Analyzed
Ammonia Nitrogen
EPA 350.1
< 0.2 mg/L
06/04/2020
Total Kjeldahl Nitrogen (TKN)
EPA 351.2
2.1 mg/L
06/04/2020
Total Phosphorus
SM 4500 P F
0.32 mg/L
06/05/2020
Fecal Coliform
SM 9222D MF
200 Colonies/100mL
05/29/2020
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2
0.02 mg/L
05/30/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
4.65 mg/L
06/08/2020
Nitrate Nitrogen
Subtraction Method
4.63 mg/L
06/09/2020
Total Nitrogen (Cale)
Total Nitrogen
Total Nitrogen
6.8 mg/L
06/09/2020
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
20-21706 Site: Downstream #1
5/29/2020 8:35 AM
Water Gerald Matthews
Test
Method
Results Date Analyzed
Ammonia Nitrogen EPA 350.1
< 0.2 mg/L
06/04/2020
Total Kjeldahl Nitrogen (TKN) EPA 351.2
2.0 mg/L
06/04/2020
Total Phosphorus SM 4500 P F
0.14 mg/L
06/05/2020
Fecal Coliform SM 9222D MF
215 Colonies/100mL
05/29/2020
Nitrate Nitrogen (Cale)
Nitrite Nitrogen EPA 353.2
0.02 mg/L
05/30/2020
Nitrate+Nitrite-Nitrogen EPA 353.2
4.57 mg/L
06/08/2020
Nitrate Nitrogen Subtraction Method
4.55 mg/L
06/09/2020
Total Nitrogen (Cale)
Total Nitrogen Total Nitrogen
6.6 mg/L
06/09/2020
Comment:
1
Reviewed by: I
Report #. 2020-08803
Paae 2 of 2

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392,0223
'J Sample Receipt Checklist
Client. T �i�r�-� Dater Report NumberQ - 0 8S 03
Receipt of sample:
Delivered U UPS ❑ FedEx ❑ Other ❑
❑ YES
CI
NO
N/A 1. Were custody seals present on the cooler?
❑ YES
113
NO
N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt `C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 iR Gun Correction Factor `C: 0.0
❑ YES
❑
NO
3. If temperature of cooler exceeded 6`C, was Project M r./CL4 notified?
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑
NO
S. Were sample ID's listed on the COC?
YES
❑
NO
6. Were samples ID's listed on sample containers?
Ak YES
❑
NO
7. Were collection date and time listed on the COC?
YES
❑
NO
8. Were tests to be performed listed on the COC?
YES
❑
NO
9. Did samples arrive in proper containers for each test?
YES
❑
NO
10. Did samples arrive in good condition for each test?
YES
❑
NO
11. Was adequate sample volume available?'
YES
O
NO
12. Were samples received within proper holding time for requested tests?
YES
❑
NO
13. Were acid preserved samples received at a pH of <2? •
❑ YES
❑
NO
14. Were cyanide samples received at a pH >12?
YES
❑
NO
15. Were sulfide samples received at a pH >9?
YES
❑
NO
16. Were NH3%TKN/Phenol received at a chlorine residual of <0.5 m/L? '
YES
❑
NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
113
NO
118. Were orthophosphate samples filtered in the field within 15 minutes?
• TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
`• Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any samples) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNOI HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002
.0

dmill
Way
i ENVIRONMENTAL CHEMISTS, INC o °F C'n910.392-0223'IFAX9910-392-44$245
Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info®environmentalchemists.com
COLLECTION AND CHAIN OF CUSTODY
Client: The Pork Company -Warsaw PROJECT NAME: WWTF Effluent REPORT NO: �U
ADDRESS: CONTACT NAME: PO NO:
REPORT TO: Gerald Matthews, ORC
PHONE/FAX:
Permit Number: W00016376
email:
Sampled By: /J
SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Collection s PRESERVATION
Sample Identification
m g o W o o m m m W
E o c9 c a. L E Q g z N
p o w ANALYSIS REQUESTED
Date
Time Temp �, " J z zz £
= z o
C
PPI-001 (Effluent-1/month)
G rl�b
X
BOD,TSS,NO2
CP
H (field): 2.0
G"�t� X
NO3,NH3,TKN,Total P, PAN, Total N
C
G
X Fecal Coliform
March, July, November
G X
L TDS, Chloride (triannuals)
C
PPI-002 (Upstream)
G /'I+ �� -1 X
IX TKN, NH3, NO3, NO2, Total
C
P, Fecal, T
25 G
$3s C
PPI-003 (Downstream)
G �` +��
��
X
X TKN, N1­113,NO3,1\102,Total P, Fecal,Tc
C P
G G
C P
G G
Samples due 1/month
Transfer
Relinquished By: Date/Time
M
R ived B Y: Daterrime
2.
Temperature when Received: �. a' _Accepted: Rejected:
Resample Requested:
Delivered ZlU'�
Comments::
_Received By: VM
Date: 5,�-tq v Time: I-2 , oa
TURNAROUND: