WQ0016376_Monitoring - 06-2020_20201027

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of _k-
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility-Warsa
County: Duplin
Month: June
Year: 2020
PPI: 001
Flow Measuring Point: __. Influent L�j Effluent No now generated
Parameter Monitoring Point: Influent Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050
00310
00940
50060
31616
00610
0L0625
00620
00600
00400
00665
70300
3!0
0N'NN5
0
>
y
U
C
N
~
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L
N
d
'D
�d
> C
W U
E
._
U
C
E
Q
C
0a) CD
Y
a)
d
OCL
ZO
O
0U
a
>
nrn
t'0
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
07:00
10
68.970
2
07:00
10
72,010
3
07:00
10
77,890
4
07:00
10
78,970
5
07:00
10
80,010
6
07:00
10
78,900
7
00:00
0
20,000
8
07:00
10
71,280
9
07:00
10
80,100
10
07:00
10
79,280
11
07:00
10
79,220
12
07:00
10
79,890
131
07:00
10
72,890
141
00:00
0
20,000rN
151
07:00
10
70,820
1Vj
16
07:00
10
81,980
17
07:00
10
78,170
S
S
18
07:00
10
78,700
Q
19
07:00
10
69,110
(�
20
00:00
0
20,000
21
00:00
0
20,000
22
07:00
10
69,280
23
07:00
10
73,700
24
07:00
10
75,080
25
07:00
10
83,110
26
07:00
10
80,780
27
07:00
10
71,780
28
00:00
0
20,000
29
07:00
10
78,920
80
45
29500
64.3
65.1
<0.02
65.1
7.03
7.79
284
86
30
07:00
10
79,180
31
Average:
67,001
80.00
45.00
29.500.00
64.30
65.10
0.00
65.10
7.79
284.00
86.00
Daily Maximum:
83,110
80.00
45.00
29,500.00
64.30
65.10
0.02
65.10
7.03
7.79
284.00
86.00
Daily Minimum:
20,000
80.00
45.00
29,500.00
64.30
65.10
0.02
65.10
7.03
7.79
284.00
86.00
Sampling Type:
Recorder
Grab
Grab
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
Monthly
Monthly
Monthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __�, - of A -
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility-Warsa
County: Duplin
Month: June
Year: 2020
PPI: 002
Flow Measuring Point: Influent 2 Effluent ] No Flow generated
Parameter Monitoring Point: Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code 11.
50050
00625
00610
00620
00665
31616
00600
>
cc
>
Q E
U~
0
o
C
O
y
E d
F
U
O
3
o
LL
t
R C
y
mat
Y o
�-
Z
0
I
c
o
E
Q
y
M
Z
U)
z
o
o o
~ 0
t
a
d
LL 0
U
C
y
0 0
Z
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
1
1 07:00
10
68,970
2
07:00
10
72,010
3
07:00
10
77,890
4
07:00
10
78,970
5
07:00
10
80,010
6
07:00
10
78,900
7
00:00
0
20,000
8
07:00
10
71,280
9
07:00
10
80,100
10
07:00
10
79,280
11
07:00
10
79,220
12
07:00
10
79,890
13
07:00
10
72,890
14
00:00
0
20,000
15
07:00
10
70,820
16
07:00
10
81,980
17
07:00
10
78,170
18
07:00
10
78,700
19
07:00
10
69,110
20
00:00
0
20,000
21
00:00
0
20,000
22
07:00
10
69,280
231
07:00
10
73,700
24
07:00
10
75,080
25
07:00
10
83,110
26
07:00
10
80,780
27
07:00
10
71,780
28
00:00
0
20,000
29
07:00
10
78,920
1.4
0.5
0.87
0.18
105
30
07:00
10
79,180
31
Average:
67,001
1.40
0.50
0.87
0.18
105.00
Daily Maximum:
83,110
1.40
0.50
0.87
0.18
105.00
Daily Minimum:
20,000
1.40
0.50
0.87
0.18
105.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Recorder
Monthly
Monthly
Monthly
Monthly
Monthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page J of
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility-Warsa
County: Duplin
Month: June
Year: 2020
PPI: 003
Flow Measuring Point: _ Influent Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent ❑Effluent ❑Groundwater Lowering ❑ Surface water
Parameter Code 0
50050
00625
00610
00620
00665
31616
00600
j
`
Q E
O
C
O
y
E a;
P-
O
3
2Y
LL
E
M C
d M
o
_
:� Z
F
M
C
o
E
E
Q
y
..
Z
V)
n
m t
o a
H
a
E
�c o
-
LL p
U
C
A rn
o 2
H ...
Z
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
1
07:00
10
68,970
2
07:00
10
72,010
3
07:00
10
77,890
4
07:00
10
78,970
5
07:00
10
80,010
6
07:00
10
78,900
7
00:00
0
20,000
8
07:00
10
71,280
9
07:00
10
80,100
10
07:00
10
79,280
11
07:00
10
79,220
121
07:00
10
79,890
13
07:00
10
72,890
14
00:00
0
20,000
15
07:00
10
70,820
16
07:00
10
81,980
17
07:00
10
78,170
181
07:00
10
78,700
19
07:00
10
69,110
20
00:00
0
20,000
21
00:00
0
20,000
22
07:00
10
69,280
23
07:00
10
73,700
24
07:00
10
75,080
25
07:00
10
83,110
26
07:00
10
80,780
27
07:00
10
71,780
28
00:00
0
20,000
29
07:00
10
78,920
1.7
1.1
0.03
0.15
160
30
07:00
10
79,180
31
Average:
67,001
1.70
1.10
0.03
0.15
160.00
Daily Maximum:
83,110
1.70
1.10
0.03
0.15
160.00
Daily Minimum:
20,000
1.70
1.10
0.03
0.15
160.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Recorder
Monthly
Monthly
Monthly
Monthly
Monthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ( of
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? M 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? 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 _I- of
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: June
Year: 2020
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Did irrigation 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 Cro P�
OATS
❑ YES ❑ NO
Hourfy 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?
/I YES NO
Field Irrigated?
YES ❑ NO
Field Irrigated?
YES `, No
Field Irrigated?
0 YES ❑ NO
T
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G� vC
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7`0
X oX
0
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3:
°F
in
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
8,220
23
0.47
0.47
14,669
42
0.47
0.47
14,163
40
0.47
0.47
13,531
39
0.47
0.47
2
C
54
0
7,794
23
0.44
0.44
13,910
42
0.44
0.44
13,430
40
0.44
0.44
12,830
39
0.44
0.44
3
C
3,864
12
0.22
0.22
6,896
21
0.22
0.22
6,658
20
0.22
0.22
6,361
19
0.22
0.22
4
C
7,297
21
0.41
0.41
13,022
38
0.41
0.41
12,573
36
0.41
0.41
12,011
35
0.41
0.41
5
C
7,725
23
0.44
0.44
13,786
42
0.44
0.44
13,310
40
0.44
0.44
12,716
39
0.44
0.44
6
R
0.01
7
C
8
C
3,931
12
0.22
0.22
7,015
21
0.22
0.22
6,773
20
0.22
0.22
6,471
19
0.22
0.22
9
C
3,084
12
0.17
0.17
5,504
21
0.17
0.17
5,315
20
0.17
0.17
5,077
19
0.17
0.17
10
CL
5,591
21
0.32
0.32
9,978
38
0.32
1 0.32
9,634
36
0.32
0.32
9,204
35
0.32
0.32
11
R
1
12
C
13
C
14
C
151
C
16
R
0.02
17
C
18
C
19
CL
20
C
211
C
221
C
23
C
24
C
7,843
23
0.44
0.44
13,997
42
0.44
0.44
13,514
40
0.44
0.44
12,911
39
0.44
0.44
25
R
0.02
26
R
0.03
27
C
281
C
29
C
66
0
7,085
23
0.40
0A0
13,644
42
0.43
0.43
12,208
40
0.40
0.40
11,663
39
0.40
0.40
30
C
4,995
16
0.28
0.28
8,914
29
0.28
0.28
8,607
28
0.28
0.28
8,222
27
0.28
0.28
31
Monthly Loading:
67,429
3.82
121,335
3.85
116,185
3.82
110,997
3.82
12 Month Floating Total (in):
17.42
17.42
17.42
17.42

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: June
Year: 2020
Did irrigation occur
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
Area (acres):
1.19
Area (acres):
1.17
Area (acres):
1.05
Area (acres):
1.25
at this facility?
Cover Crop:OATS
Cover Crop:
P:
OATS
Cover Crop:
P�
OATS
Cover Cro P�
OATS
❑ YES P1 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?
',J YES ❑ NO
Field Irrigated?
YES ❑ NO
Field Irrigated?
❑ YES ` NO
Field Irrigated?
❑✓ YES ❑ NO
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in
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
15,048
43
0.47
0.47
14,795
42
0.47
0.47
13,278
38
0.47
0.47
15,807
45
0.47
0.47
2
C
54
0
14,269
43
0.44
0.44
14,030
42
0.44
0.44
12,591
36
0.44
0.44
14,989
45
0.44
0.44
3
C
7,074
21
0.22
0.22
6,955
21
0.22
0.22
6,242
19
0.22
0.22
7,431
22
0.22
0.22
4
C
13,358
39
0.41
0.41
13,134
38
0.41
0.41
11,787
34
0.41
0.41
14,032
40
0.41
0.41
5
C
14,142
43
0.44
0.44
13,905
42
0.44
0.44
12,478
1 38
0.44
0.44
14,855
45
0.44
0.44
61
R
1
0.01
7
C
8
C
7,196
21
0.22
0.22
7,075
21
0.22
0.22
6,350
19
0.22
0.22
7,559
22
0.22
0.22
9
C
5,647
21
0.17
0.17
5,552
21
0.17
0.17
4,982
19
0.17
0.17 1
5,931
22
0.17
0.17
10
CL
10,236
39
0.32
0.32
10,064
38
0.32
1 0.32
9,032
34
1 0.32
0.32
10,752
40
0.32
0.32
11
R
1
121
C
13
C
14
C
15
C
16
R
0.02
17
C
18
C
191
CL
201
C
21
C
22
C
23
C
24
C
14,359
43
0.44
0.44
14,118
42
0.44
0.44
12,670
38
0.44
0.44
15,083
45
0.44
0.44
25
R
0.02
261
R
1
0.03
27
C
28
C
29
C
66
0
12,971
43
0.40
0.40
12,753
42
0.40
0.40
11,445
38
0.40
0.40
13,626
45
0.40
0.40
30
C
9,145
30
0.28
0.28
8,991
29
0.28
0.28
8,069
26
0.28
0.28
9,606
31
0.28
0.28
31
Monthly Loading:
123,445
3.82
121,372
3.82
108,924
3.82
129,671
3.82
12 Month Floating Total (in):
17.42
17.42
17.42
17.42

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page j__ of
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: June
Year: 2020
Did irrigation
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
12
occur
Area (acres):
1
Area (acres):
1.46
Area (acres):
1.43
Area (acres):
1.23
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 J NO
Field Irrigated?
YES ] No
Field Irrigated?
YES J No
Field Irrigated?
YES No
o
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T c
16
C a
O
J
E T rn
3- c
x o
rp = O
J
°F
in
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
12,645
36
0.47
0.47
18,462
53
0.47
0.47
18,083
51
0.47
0.47
15,554
44
0.47
0.47
2
C
54
0
11,991
36
0.44
0.44
17,507
53
OA4
0.44
17,147
51
0.44
0.44
14,749
44
0.44
0.44
3
C
5,945
18
0.22
0.22
8,660
26
0.22
0.22
8,501
26
0.22
0.22
7,312
22
0.22
0.22
4
C
11,226
32
OA1
0.41 1
16,389
47
0.41
0.41
16,053
46
0.41
0.41
13,808
40
0.41
0.41
5
C
1
11,884
36
0.44
0.44
17,351
53
1 0.44
0.44
16,995
1 51
0.44 1
0.44
14,618
1 44
0.44
0.44
6
R
0.01
7
C
8
C
6,047
18
0.22
0.22
8,829
26
0.22
0.22
8,648
26
0.22
0.22
7,438
22
0.22
0.22
9
C
4,745
18
0.17
0.17
6,928
26
0.17
0.17
6,786
26
0.17
0.17
5,836
22
0.17
0.17
10
CL
8,601
32
0.32
0.32
12,558
47
0.32
0.32
12,300
46
0.32
0.32
10,580
40
0.32
0.32
11
R
1
12
C
13
C
14
C
15
C
16
R
0.02
171
C
18
C
19
CL
20
C
21
C
22
C
23
C
24
C
12,066
36
0.44
0.44
17,617
53
0.44
0.44
17,255
51
0.44
0.44
14,842
44
0.44
0.44
25
R
0.02
26
R
0.03
27
C
281
C
29
C
66
0
10,900
36
0.40
0.40
15,915
53
0.40
0.40
15,588
51
0.40
0.40
13,408
44
0.40
0.40
30
C
7,684
25
0.28
0.28
11,219
37
0.28
0.28
10,989
36
0.28
0.28
9,452
31
0.28
0.28
31
Monthly Loading:
103,734
3.82
151,435
3.82
148,345
3.82
127,597
3.82
12 Month Floating Total (in):
17.42
17.42
17.42,1A
17.42

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4 of
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: June
Year: 2020
Field Name:
13
Field Name:
14E
Field Name:
14W
Field Name:
15
Did irrigation occur
Area (acres):
2.16
Area (acres):
13.73
Area (acres):
7.7
Area (acres):
0.73
at this facility
Cover Crop:
OATS
Cover Crop:
OATS
Cover Crop:
OATS
Cover Crop:
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):
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 NO
Field Irrigated?
❑ YES ❑ NO
>.
p
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°F
in
in
in
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min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C 1
27,314
78
0.47
0.36
9,231
26
0.47
0.47
2
C
54
0
25,901
78
0.44
0.34
8,753
26
0.44
0.44
3
C
12,841
39
0.22
0.22
4,340
13
0.22
0.22
4
C
24,247
70
0.41
0,35
8,195
24
0.41
0.41
5
C
25,670
78
0.44
0.34
8,676 1
26
0.44
1 0.44
6
R
0.01
7
C
8
C
13,062
39
0.22
0.22
129,362
384
0.35
0.05
72,549
216
0.35
0.10
4,415
13
0.22
0.22
91
C
1
10,246
39
0.17
0.17
128,671
384
0.35
0.05
72,161
216
0.35
0.10 1
3,464
13
0.17
0.17
10
CL
18,579
70
0.32
0.27
121,563
346
0.33
0.06
68,175
194
0.33
0.10
6,279
24
0.32
0.32
11
R
1
12
C
13
C
14
C
151
C
161
R
1
0.02
17
C
18
C
19
CL
20
C
21
C
221
C
1
114,177
346
0.31
0.05
64,033
194
0.31
0.09
231
C
24
C
1
26,063
78
0.44
0.34
76,954
263
0.21
0.05
43,157
147
0.21
0.08
8,808
26
0.44
0.44
25
R
0.02
26
R
0.03
27
C
28
C
29
C
66
0
23,545
78
0.40
0.31
45,987
L 154
0.12
0.05
25,790
86
0.12
0.09
7,957
26
0.40
0.40
30
C
1
16,598
54
0.28
0.28
384,985
554
1.03
0.40
215,906
86
1.03
0.72
5,610
18
0.28
0.28
31
Monthly Loading:
224,066
3.82
1,001,699
2.69
561,771
2.69
75,728
3.82
12 Month Floating Total (in):
17.42
21.36
21.36
17.42

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin1
1
• irrigation occur
Area (acres):
Area (acres):
Area (acres):
at this facility?
YES 7j NOHourly
'.te (in):
Hourly -.
I
• -.
Hourly Rate (in):
Annua[Rate(iny
Annual Rate (iny
••Ar
Irrigated?
Field Irrigated?
Field Irrigated?
logo
Monthly Loading:Field
1 • :
iiiaii�aaa�iiii�iiiiiii,oiiaii.
111
iiaiioiiiii
11•
,wo

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page to of I_
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑� Compliant ❑ Non -Compliant
L] Compliant ❑ Non -Compliant
D Compliant ❑ Non -Compliant
❑J Compliant ❑ Non -Compliant
0 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 NDAR-1? ❑ yes 0 No
Phone Number: 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 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page -J- of S
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: June
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):
1.07
Area (acres):
1.19
Cover Crop:
Coastal Bermude
Cover Crop:
Coastal Bermude
Cover Crop:
Coastal Bermudz
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?
2 YES ❑ NO
Field Loaded?
_°' YES - NO
Field Loaded?
0 YES ❑ No
Field Loaded?
YES NO
Field Loaded?
❑ YES ❑ No
a
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Month
gal
0
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
July
27.3
0.0
0.0
0
27.3
0.0
0.0
0
27.3
0.0
0.0
0
27.3
0.0
0.0
0
27.3
0.0
0.0
August
0
27.7
0.0
0.0
0
27.7
0.0
0.0
0
27.7
0.0
0.0
0
27.7
0.0
0.0
0
27.7
0.0
0.0
September
149,379
21.4
41.0
41.0
146,177
21.4
22.5
22.5
146,177
21.4
23.3
23.3
144,045
21.4
24.0
24.0
143,007
21.4
21.4
21.4
October
0
38
0.0
41.0
0
38
0.0
22.5
0
38
0.0
23.3
0
38
0.0
24.0
0
38
0.0
21.4
November
0
33.2
0.0
41.0
0
33.2
0.0
22.5
0
33.2
0.0
23.3
0
33.2
0.0
24.0
0
33.2
0.0
21.4
December
0
46.2
0.0
41.0
0
46.2
0.0
22.5
0
46.2
0.0
23.3
0
46.2
0.0
24.0
0
46.2
0.0
21.4
January
25,030
43.5
14.0
55.0
44,672
43.5
14.0
36.5
43,131
43.5
14.0
37.3
41,204
43.5
14.0
38.0
45,825
43.5
14.0
35.4
February
29,973
43
16.5
71.5
53,491
43
16.5
53.0
51,647
43
16.5
53.8
49,341
43
16.5
54.5
54,875
43
16.5
52.0
March
42,537
48
26.2
97.7
75,912
48
26.2
79.2
73,294
48
26.2
80.0
70,023
48
26.2
80.7
77,876
48
26.2
78.2
April
30,195
48
18.6
116.3
53,886
48
18.6
97.8
52,029
48
18.6
98.6
49,706
48
18.6
99.3
55,280
48
18.6
96.7
May
42,852
38.4
21.1
137.4
76,474
38.4
21.1
118.9
73,837
38.4
21.1
119.7
70,542
38.4
21.1
120.4
78,451
38.4
21.1
117.9
June
67,429
32.4
28.0
165.5
121,335
32.4
28.3
147.2
116,185
32.4
28.0
147.7
1 11,997
32.4
3.0
123.5
123,445
32.4
28.0
145.9
12 Month Floating PAN Load
(Ibs/ac/yr):
165.5
147.2
147.7
VlAfffflll"
123.5
rlAff4"
145.9
350.00
Annual PAN Load Limit
(Ibs/ac/yr):
350V111
V,
V1111111AVIIA
350.00FEUR
350.00E/Eff/M/Em
350.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _;__ of �_
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: June
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 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?
[�] YES NO
Field Loaded?
2 YES ❑ NO
Field Loaded?
❑ YES NO
Field Loaded?
YES ❑ NO
Field Loaded?
❑ YES NO
Qd C�do
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Month
gal
0
mg/L
lbs/ac
lbslac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbs/ac
lbs/ac
July
27.3
0.0
0.0
0
27.3
0.0
0.0
0
27.3
0.0
0.0
0
27.3
0.0
0.0
0
27.3
0.0
0.0
August
0
27.7
0.0
0.0
0
27.7
0.0
0.0
0
27.7
0.0
0.0
0
27.7
0.0
0.0
0
27.7
0.0
0.0
September
141,911
21.4
21.6
21.6
140,844
21.4
23.9
23.9
148,313
21.4
21.2
21.2
148,313
21.4
26.5
26.5
180,323
21.4
22.0
22.0
October
0
38
0.0
21.6
0
38
0.0
23.9
0
38
0.0
21.2
0
38
0.0
26.5
0
38
0.0
22.0
November
0
33.2
0.0
21.6
0
33.2
0.0
23.9
0
33.2
0.0
21.2
0
33.2
0.0
26.5
0
33.2
0.0
22.0
December
0
46.2
0.0
21.6
0
46.2
0.0
23.9
0
46.2
0.0
21.2
0
46.2
0.0
26.5
0
46.2
0.0
1 22.0
January
45,055
43.58
14.0
35.6
40,334
43.5
13.9
37.9
48,136
43.5
14.0
35.1
38,510
43.5
14.0
40.4
56,224
43.5
14.0
36.0
February
53,953
43
16.5
52.2
48,420
43
16.5
54.4
57,641
43
16.5
51.7
46,113
43
16.5
57.0
67,324
43
16.5
52.6
March
76,567
48
26.2
78.4
68,714
48
26.2
80.6
81,803
48
26.2
77.9
65,442
48
26.2
83.2
95,545
48
26.2
78.7
April
54,352
48
18.6
97.0
48,777
48
18.6
99.2
58,068
48
18.6
96.5
46,453
48
18.6
101.8
67,823
48
18.6
97.3
May
77,133
38.4
21.1
118.1
69,224
38.4
21.1
120.3
82,408
38.4
21.1
117.6
65,925
38.4
21.1
122.9
96,252
38.4
21.1
118.5
June
121,372
1 32.4
28.0
146.1
108,924
32.4
28.0
148.4
129,671
32.4
28.0
145.6
103,734
32.4
1 28.0
150.9
11 151,435
32.4
28.0
I 146.5
12 Month Floating PAN Load
146.1
148.4
145.6
150.9
146.5
(Ibs/ac/yr):
Annual PAN Load Limit
350
350.00
350.00
350.00
350.00
(Ibs/ac/yr):

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 3 of S
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: June
Year: 2020
Field Name:
Zone 11
Field Name:
Zone 12
Field Name:
Zone 13
Field Name:
Zone 14E
Field Name:
Zone 14W
Area (acres):
1.43
Area (acres):
1.23
Area (acres):
2.16
Area (acres):
13.73
Area (acres):
7.7
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermudz
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?
❑' YES NO
Field Loaded?
L11 YES ❑ NO
Field Loaded?
[A YES NO
Field Loaded?
IJl YES _ NO
Field Loaded?
❑ YES ❑ NO
ZamOio
Z
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mQ
aa
ZN
Z
d
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aa
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>
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>
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Month
gal
0
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
July
27.3
0.0
0.0
0
27.3
0.0
0.0
0
27.3
0.0
0.0
1,508,137
1 27.3
25.0
25.0
750,224
27.3
22.2
22.2
August
0
27.7
0.0
0.0
0
27.7
0.0
0.0
0
27.7
0.0
0.0
969,573
27.7
16.3
41.3
482,314
27.7
14.5
36.7
September
203,796
21.4
25.4
25.4
165,386
21.4
24.0
24.0
99,231
21.4
8.2
8.2
856,196
21.4
11.1
52.5
426,914
21.4
9.9
46.5
October
0
38
0.0
25.4
0
38
0.0
24.0
0
38
0.0
8.2
0
38
0.0
52.5
0
38
0.0
46.5
November
0
33.2
0.0
25.4
0
33.2
0.0
24.0
0
33.2
0.0
8.2
431,699
33.2
8.7
61.2
214,749
33.2
7.7
1 54.3
December
0
46.2
0.0
25.4
0
46.2
0.0
24.0
0
46.2
0.0
8.2
645,371
46.2
18.1
79.3
214,749
33.2
7.7
62.0
January
55,068
43.5
14.0
39.4
47,365
43.5
14.0
38.0
83,180
43.5
14.0
22.2
416,791
43.5
11.0
90.3
233,744
43.5
11.0
73.0
February
65,942
43
16.5
55.9
56,719
43
16.5
54.5
99,604
43
16.5
38.7
489,300
43
12.8
103.1
274,406
43
12.8
85.8
March
93,582
48
26.2
82.1
80,494
48
26.2
80.7
141,354
48
26.2
64.9
322,736
48
9.4
112.5
180,996
48
9.4
95.2
April
66,428
48
18.6
100.7
80,494
48
26.2
106.9
100,341
48
18.6
83.5
736,314
48
21.5
133.9
412,895
48
21.5
116.7
May
94,274
38.4
21.1
121.9
81,143
38.4
21.1
128.0
142,400
38.4
21.1
104.6
579,702
38.4
13.5
147.5
325,106
1 38.4
13.5
130.2
June
148,345
32.4
28.0
149.9
127,597
32.4
28.0
156.1
224,066
32.4
28.0
132.E
1,001,699
32.4
19.7
167.2
561,771
32.4
19.7
149.9
12 Month Floating PAN Load
149.9
156.1
132.6
167.2
149.9
(Ibs/aclyr):
Annual PAN Load Limit
350
350.00
350.00
350.00
350.00
(Ibs/ac/yr):

_ FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 6 of
Permit No.: W00016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: June
Year: 2020
Field Name:
Zone 15
Field Name:
Zone 16
Field Name:
Zone 17
Field Name:
Field Name:
Area (acres):
0.73
Area (acres):
1.25
Area (acres):
0.82
Area (acres):
Area (acres):
Cover Crop:
Norfolk
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
0 YES ❑ NO
Field Loaded?
'_- YES -1 NO
Field Loaded?
❑� YES ❑ NO
Field Loaded?
-' YES `_i NO
Field Loaded?
❑ YES ❑ NO
Qa
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Q
Q
Q
Q
Q
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w o
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;
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an
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a
Month
gal
0
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
July
27.3
0.0
0.0
11,310
27.3
2.1
2.1
9,500
27.3
2.6
2.6
August
0
27.7
0.0
0.0
0
27.7
0.0
2.1
0
27.7
0.0
2.6
September
87,493
21.4
21.4
21.4
52,381
21.4
7.5
9.5
44,000
21.4
9.6
12.2
October
0
38
0.0
21.4
0
38
0.0
9.5
0
38
0.0
12.2
November
0
33.2
0.0
21.4
0
33.2
0.0
9.5
0
33.2
0.0
12.2
December
0
46.2
0.0
21.4
0
46.2
0.0
9.5
0
46.2
0.0
12.2
January
28,112
43.5
14.0
35.4
23,420
43.5
6.8
16.3
15,363
43.5
6.8
19.0
February
33,663
43
16.5
51.9
0
43
0.0
16.3
0
43
0.0
19.0
March
47,771
48
26.2
78.1
24,998
48
8.0
24.3
16,399
48
8.0
27.0
April
33,911
48
18.6
96.7
31.371
48
10.0
34.4
20,580
48
10.0
37.1
May
48,126
38.4
21.1
117.8
19,846
38.4
5.1
39.5
13,019
38.4
5.1
42.1
June
75,728
1 32.4
28.0
145.8
50,918
1 38.4
13.0
52.5
33,403
38.4
13.0
55.2
12 Month Floating PAN Load
145.8
52.5
55.2
0.0
0.0
(Ibs/ac/yr):
0.00
Annual PAN Load Limit
350
350.00
350.00
0.00
(Ibs/ac/yr):

FORM: NDMLR 10-13
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page _�7 of ,-
Did the mass loading rates exceed the limits in Attachment B of your permit?
2✓ 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 Number: 993131
Signing Official:
Grade: SI Phone Number: 910-289-7500
Signing Official's Title: OWNER
Has the ORC changed since the previous NDMLR? ❑ Yes D No
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 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

•
sM
ANALYTICAL & CONSULTING CHEMISTS
The Pork Company
892 Penny Branch Road
Warsaw NC 28398
Attention: Gerald Matthews
Lab ID Sample ID:
20-26591 Site: Upstream #1
Test
Ammonia Nitrogen
Total Kjeldahl Nitrogen (TKN)
Total Phosphorus
Fecal Coliform
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
Nitrate+Nitrite-Nitrogen
Nitrate Nitrogen
Lab ID Sample ID:
20-26592 Site: Downstream #1
Test
Ammonia Nitrogen
Total Kieldahl Nitrogen (TKN)
Total Phosphorus
Fecal Coliform
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
Nitrate+Nitrite-Nitrogen
Nitrate Nitrogen
Comment.
Reviewed by:
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392,0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
inl'oi zlenvironmentalchemists.com
Date of Report: Jul 10, 2020
Customer PO #:
Customer ID: 08100099
Report #: 2020-10594
Project ID: Effluent / Streams
Collect Date/Time Matrix Sampled by
6/29/2020 8:45 AM Water Gerald Matthews
Method Results Date Analyzed
EPA 350 1
EPA 3512
SM 4500 P F
SM 9222D MF
EPA 353 2
EPA 3532
Subtraction Method
Method
Collect Date/Time Matrix
6/29/2020 9:00 AM Water
0.5mg/L
07/01/2020
1.4 mg/L
07/08/2020
0.18 mg/L
07/03/2020
105Colonies/100mL
06/29/2020
0.09 mg/L
06/30/2020
0.96 mg/L
07/08/2020
0.87 mg/L
07/10/2020
Sampled by
Gerald Matthews
Results Date Ana
EPA 3501
1.1 mg/L
07/01/2020
EPA 351.2
1.7 mg/L
07/08/2020
SM 4500 P F
0.15 mg/L
07/03/2020
SM 9222D MF
160 Colonies/100mL
06/29/2020
EPA 353 2
0.03 mg/L
06/30/2020
EPA 353 2
1.32 mg/L
07/08/2020
Subtraction Method
1.29 mg/L
07/10/2020
Report # 2020-10594 Page 2 of 2

Environmental Chemists, Inc.
envirochem j6602 Windmill Way, Wilmington, NtC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway, Jacksonville, ;ANC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS into(a�emirontnenrllehemists.com
The Pork Company Date of Report: Jul 10, 2020
892 Penny Branch Road Customer PO #:
Warsaw NC 28398 Customer ID: 08100099
Attention: Gerald Matthews Report #: 2020-10594
Project ID: Effluent / Streams
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-26590 Site: Effluent 6/29/2020 8:30 AM Water Gerald Matthews
Test Method Results Date Analyzed
PAN Used 30% Mineralization Rate. Calculation 32.4 mg/L 07/10/2020
Ammonia Nitrogen
EPA 350 1
64.3 mg/L
07/02/2020
Total Kieldahl Nitrogen (TKN)
EPA 351.2
65.1 mg/L
07/08/2020
Total Dissolved Solids (TDS)
SM2540C
284mg/L
07/01/2020
Residue Suspended (TSS)
SM 2540 D
86.0 mg/L
06/29/2020
Chloride
SM 4500 CI E
45 mg/L
07/01 /2020
Total Phosphorus
SM 4500 P F
7.79 mg/L
07/03/2020
BOD
SM 5210 B
80 mg/L
06/29/2020
Fecal Coliform
SM 9222D MF
29500 Colonies/100ml-
06/29/2020
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353 2
0.08 mg/L
06/30/2020
Nitrate+Nitrite-Nitrogen
EPA 353 2
0.04 mg/L
07/08/2020
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
07/10/2020
Total Nitrogen (Calc)
Total Nitrogen
Total Nitrogen
65.1 mg/L
07/10/2020
RepoC # 2020-10594 Page 1 of 2

Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
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: 614(( ' 14 P Y�46A,
Samwea Bv: C aGrG17t II 1r 44L mi QARA01 a �n­
Sample Identification
p
Collection
d
E
S- 4
o° 0
_
6
a
o.
8'
t E
"
m
J=
z
PRESERVATION
av = Oull, al. = aluuge, umer:
ANALYSIS REQUESTED
Date
Time
Temp
_
°_
$
o
=
0
Z
0
=
o
PPI 001 (Effluent-1 /month)
c
pH (field):
C
c1
G-(q
11(�
b��
X
X
BOD,TSS,NO2
NO3,NH3,TKN,Total P, PAN, Total N
IV
C
G
G
C
X
I
IFecal Coliform
G
March, July, November
PPI 002 (Upstream)
C
,i
2�1
X
X
k
y�
If
I
X
I
JTDS, Chloride (triannuals)
TKpie -AN, NH3,NO3,NO2,Total P, Fecal, Tot
-t'`►?J�
: �;:/1`
C
G
G
C
91
G
PPI 003 (Downstream)®
•Lys
'�
C
X
X
,,�� -A jk
T�N, t H3,NO3,NO2,Total P, Fecal,Tot I
C
P
G
G
C
P
G
G
Samples due 1/month
Transfer
42 Relinquished By:
Date/Time
R eived By:
Date/Time
2.
Temnnraturo when Rorni..n.l•
r• A ..__,_A. f
Delivered
Comments:
-1
nCsanlpie ri esiea: _
Received By: �,
-- - -- Date:--- zJ�-Lc' Time: I ' 10 _
- - ----------- —TURNAROUND:
N
A

Environmental Chemist, Inc., 'Nilmington, NC Lab $094
Client:
Sample Receipt Checklist
i�-i-t✓ �O �K.
a.�.�ot of samele• �.t�.,...,,
�602 Windmill Way
Nilm+ngton, NC 28405
910 392.0223
Date: Report NumberIQ_�0 5 y
❑ YES D NO
---I-----P, u �edEx LJ Other ❑
v/A 1. Wert custody seals present on the cooler?
❑ YES C] 140
N/A 2. if custody seals weft present, were the ntact/unbroken?
Or final temperature upon
receipt 5• 'C
Corrected temperature upon receipt C
How temperature taken:
D Temperature Blank Against Bottles
R Gun 10' Thomas Traceable S/N 192S11657 R Gun Correwtwn Factor T: 0.0
❑ YES ❑ v0
3. if temperature of cooler exceeded 6'C, was Pro ect M r./C1/► notified?
YES ❑ 140
4. Were proper Gust txedures (relinquished/received) followed?
YES ❑ v0
5. Here sample ID's listed on the COC?
YES ❑ 40 6. were sam les IO's listed on sample containers?
311 YES D NO
7. were co+lection date and time listed on the COC?
YES D 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 D 40
10. Did samples arrive In good condition for each test?
YES D 40
11. Nas adequate sampitvoil avadabler
YES D 40
112. 'were samples received within OfOpef holdin time for requested tests?
YES ❑ NO
13. Were acid preserved samples received at a pH of c2? •
O YES ❑ NO
14. were cyanide samples received at a pH >12?
YES D 40
i 15 were sulfide samples received at a pH >9?
YES ❑ 40
116. were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? "
vE5 O 40
117 'Nero Suifide/Cyanide received at
O YES '❑ 1140
I
a chlorine residual of <0 5 m/L?
1,18 'Nero orthophosphate samples filtered in the field within 15 minutes?
i
' HOC/Volatile+ are pH checked at !Ime of analysts and recorded on the bMchsheet.
'• 3actena samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation:
Must be completed for any sampiels► Incorrectly preserved or vlth headsoace)
Sample(s)
by adding (cycle one):
vere received Incorrectly preserved and were adjusted accordirgly
-I.SOJ NO,
yCl 4a0H
Time of preservation:
se'
f more than ore preservative !s needed, notate n comments below
NOtt VOt�t'p er ;lrY �C! mmld,itllV rOr nC Of�ectt y Or-eserved samples. Cttam a ^ew sarrole or
ndt,fv the State ab ,f 1Ireoed!o ar`alvzed 0V !Me C�StOmer Nho was ^Otf•ed .'.at! Jr^d time.
volatile+ Sample(s)
vere received with headsoace
COMMENTS:
nr no .gym