WQ0020793_Monitoring - 03-2024_20240408

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * March
Report Information
Type *
GW-59
WQ0020793
Tyson Farms, Inc. Hays Hatchery
Year:* 2024
Upload Document*
Wells DMR March 24 signed.pdf
PDF Only
4.35 M B
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * James Brown
Signature:
0,14.-tr ot~
Date of submittal: 4/8/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0020793
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 5/3/2024

(2)
Tyson Foods, Inc.
April >, 2024
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER,
RALEIGH, NC 27699-1617 Phone: [phone]
Subject: Ground Water Quality Monitoring
Tyson Farms, Inc. Hays Hatchery
Compliance Report — March, 2024
To whom it may concern:
Enclosed is the quarterly Groundwater Compliance report for Hays Hatchery.
Please contact me at 336- 651-3836, should you have any questions.
Sincerely,
qa�w 4;vt�
James Brown
Complex Environmental Manager
Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-3836 336.838.2171 Fax:[phone] www.tysonfoods.com

GW-59A COMPLIANCE REPORT FORM Tyson Farms, Inc. Permit # W00020793
(Submit one each monitoring period with GW-59 forms.)
j
Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and GW-59A)
YES
be submitted after the established due date?
YES
NO
2
Was any required information missing on the GW-59 report forms?
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes-, contact the Regional Office for guidance.
E
NO
4
Are any monitored constituents equal to or above the established standards?
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below
03/12/24 PH 6.5- 8.5 Ammonia 1.5 Nitrate 10 Fecal
MW - 1 PH - 6.1
MW-2 PH-6.3 6.72mg/1
MW-3 PH-5.8
MW -4 PH - 5.3
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
ES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
if the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
GW Standards Nitrate 10 GW Standards ammonia 1.5
i
MW-2 3-12-24 5.71 mgA
MW-2 11-9-23 5.71 mgA
MW-2 7-6-23 6.16 mgA
MrW-2 3-2-23 5.6 mgll
MW-2 11-3-22 4.14 mgA
MW-2 7-7-22 4.48 mg/
G
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
if the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
Is the permittee implementing previously approved actions required by the Division involving this
7
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days: an evaluation may be
rreguired to determine the imi2aact the waste disposal system is having at the review and compliance
boundaries surroundina this facility. Failure to do so maI6 su�iect the permittee to a Notice of Violation.
fines. and/or penalties.
R
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW-59A) is true and complete to the best of my knowledge.
C2-a--1P7yL6
Signature of rmittee (or Autfiorized Agent) Date

Worksheet # 4b
Tyson Farms, Inc.
Completed by
James Brown
Title :
CEM
Date :
3-A r-24
No, of Wells to be Sampled 4
Hays Hatchery
GroundWate Water sampling data Hays Hatchery Compliance Data
Constituents equal to or above the established Standards
Has
1 er 100ML
500 moll
250 mg/
1.5 m /I
10 m /1
NA
6.5-8.5
Date
Wells ID:
Fecal
TDS
Chloride
Total NH3
Nitrate
Phos hours
PH
Mar-3-2022
MW - 1
<1
243
<10
<0.1
2.54
<0.1
6.0
MW-2
<1
160
13.3
4.03
0.84
<0.1
6.3
MW-3
<1
75
11.5
<0.1
6.10
<0.1
5.0
MW-4
<1
115
18.6
<0.1
3.13
<0.1
5.7
July-7-2022
MW-1
<1
272
<10
<0.1
2.01
<0.1
6.3
MW-2
<1
72
20.4
4.48
1.06
<0.1
6.3
MW-3
<1
177
11.5
0.11
5.29
<0.1
5.2
MW-4
<1
124
21.3
<0.1
3.08
<0.1
5.6
Nov-3-2022
MW - 1
<1
196
<10
<0.1
2.68
<0.1
6.2
MW-2
<1
155
16.5
4.14
1.45
<0.1
6.4
MW - 3
<1
57
11.3
0.34
4.78
<0.1
5.3
MW-4
<1
113
20.0
1.12
2.26
<0.1
5.8
Mar-2-2023
MW - 1
<1
342
<10
<0.1
3.06
<0.1
6.4
MW-2
<1
174
18.7
11.1
5.60
<0.1
2.63
5.04
<0.1
<0.1
6.5
5.5
MW-3
<1
57
MW-4
<1
96
19.6
<0.1
1.55
<0.1
6.0
July-7-2023
MW - 1
<1
246
11.9
<0.1
4.55
1 <0.1
6.4
MW-2
<1
239
21.3
6.16
4.68
0.11
6.0
MW-3
<1
81
1 10.2
0.11
4.74
<0.1
5.4
MW-4
<1
100
17.9
<0.1
1.12
<0.1
5.6
Nov-9-2023
MW - 1
<1
165
<5
<0.1
3.69
<0.1
6.2
MW-2
<1
776
23.8
5.71
3.96
<0.1
6.5
MW-3
<1
55
13.9
<0.1
6.04
<0.1
5.7
MW-4
<1
48
17.7
<0.1 1
1.45
<0.1
5.6
Mar-12-24
MW - 1
<1
233
34.6
<0.1
2.54
<0.1
6.1
MW-2
<1
193
_
60.3
6.72
3.17
<0.1
6.3
MW - 3
<1
71
69
<0.1
5.62
<0.1
5.8
MW-4
<1
61
61.2
<0.1
0.91
<0.1
5.3
Maximum
0
342
43
6
8
2
7
Minimum
<1
53
10
0
1
0
5

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Pont
Clearly or Type
PERMIT Number: WQ0020793 Expiration Date: 07/31/2026
Facility Name: Tyson Farms, Inc.
Non -Discharge WQ0020793 UIC
NPDES Other
Permit Name (if different):
Facility Address: P.O. Box 936/3649 Airport Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑Lagoon El Remediation: Infiltration Gallery
NORTH WILKESBORO istreeti NC 28659 County Wilkes
❑ Spray Field ❑ Remediation:
Contact Person: James Brown
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Hays Hatchery
No. of wells to be sampled: 4
❑ Water Source Heat Pump X Other: Evaporation/Infiltration Pond
;from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW - 1
Date sample collected: 3/12/2024
FIELD ANALYSES:
WAS
Well Depth: 40 ft.
Well Diameter: 2 in.
pH 00400 6.1 units Temp. 000lo: 15.8 °C
DRY at
Depth to Water Level 82546: 25 ft. below measuringpoint Screened Interval: 23 ft.
p
to 40 Mhos
ft. Spec. Cond. oo09a: µ
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 1344.85
ft. Odor 00085 none
sampling,check
Volume of water pumped/bailed before sampling:
7.33
gallons
Appearance clear
here:
for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES NO
❑Samples
LABORATORY INFORMATION
Date sample analyzed 3/1212024
Laboratory Name: Statesville Analyitical
Certification No. 440/3775
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
rng/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO.,) as N 00620 2.54
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.1
mg/L
):Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 233
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 34.6
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC. GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC a7., _, method #
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
iArnmonia Nitrogen; NH, as N; Anmtonia Nitrogen. Total)
Mn - Manganese o1055
ug/L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mgiL Effluent Total VOCs: mg/L VOC Removal%
James Brown Complex Environmental Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEiGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0020793 Expiration Date: 07/31/2026
Facility Name: Tyson Farms, Inc.
Non -Discharge W00020793 UIC
NPDES Other
Permit Name (if different):
Facility Address: P.O. Box 936/3649 Airport Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Rernediation: Infiltration Gallery
NORTH WILKESBORO NC 28659 County Wilkes
❑ Spray Field ❑ Remediation:
Contact Person: James Brown
Telephone#: [phone]
❑ Rotary Distributor pp g ❑ Land Application of Sludge
Well Location/Site Name: Hays Hatchery
No. of wells to be sampled: 4
❑ Water Source Heat Pump 9 Other: Evaporation/Infiltration Pond
(from Per=U
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): PU1b r 2
Date sample collected: 03/12/2024
FIELD ANALYSES:
WAS
Well Depth: 36 ft.
Well Diameter: 2 in.
pH U0400: 6.3 units Temp. 000lo 16.6 °C
DRY at
Depth to Water Level 82546: 27 ft. below measuring point Screened Interval: 21 ft. to
36 ft. Spec. Cond. 00094: ftMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 1329.59 ft.
Odor 00085 none
sampling,
check
Volume of water pumped/bailed before sampling:
4.40
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑■ NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 3J12r2024
Laboratory Name: Statesville Analyitical
Certification No. 440/3775
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 3.17
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.1
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 193
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 60.3
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GUMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑E No (0 i
pecific Conductance 00095
pMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 6.72
mg/L
Mg - Magnesium 00927
mg/L method #
iAmmonia Nitrogen: NH,,, as N: Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mgiL Effluent Total VOCs: mg/L VOC Removal%
James Brown Complex Environmental Manager
Permitlee (or Authorized Agent) Name and 'ride - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0020793 Expiration Date: 07/31/2026
Facility Name: Tyson Farms, Inc.
Non -Discharge W00020793 UIC
NPDES Other
Permit Name (if different):
Facility Address: P.O. Box 936/3649 Airport Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
NORTH WILKESBORO NC 28659 County Wilkes
❑ Spray Field ❑ Remediation:
Contact Person James Brown
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Hays Hatchery
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑■ Other: Evaporation/Infiltration Pond
(from Permit 1
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Iv9+Jv` 3
Date sample collected: 3/12/2024
FIELD ANALYSES:
WAS
Well Depth: 36 ft,
Well Diameter: 2 in.
pH 00400: 5.8 units Temp. 0oolo: 14.5 °C
DRY at
Depth to Water Level 82546: 13 ft. below measuring
point Screened Interval: 21 ft. to
36
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 1306.40 ft.
Odor doom none
sampling,
check
Volume of water pumped/bailed before sampling:
11.25
gallons
Appearance clear
here:
for metals were collected unfiltered: ElYES
NO and field acidified ❑ YES ❑■ NO
❑Samples
LABORATORY INFORMATION
Date sample analyzed-311212024
Laboratory Name: Statesville Analyitical
Certification No. 440)3775
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug /L
Coliform: MF Fecal 31616 <1
I100mL
Nitrate (NO3) as N 00620 5.62
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0-1
mg/L
tNote Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units)-
issolved Solids:Total 703oo 71
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 69
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC. GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑■ No (0)
IS pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732 method #
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Totalj
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg,+L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg1'L Effluent Total VOCs: mg/L VOC Removal%
James Brown Complex Environmental Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YFI I OW PAPFR CINI Y
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT i£ NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
1617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0020793 Expiration Date: 07/3V2026
Facility Name: Tyson Farms, Inc.
Non -Discharge W00020793 UIC
NPDES Other
Permit Name (if different):
Facility Address: P.O- Box 936/3649 Airport Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Laaoon ❑ Remediation: Infiltration Gallery
NORTH WILKESBORO NC 28659 County Wilkes
❑ Spray Field ❑ Remediation:
Contact Person: James Brown
651-3836 Tele hone#: (336
p )
El Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: Hays Hatchery
No. of wells to be sampled: 4
❑ Water Source Heat Pump Other: Evaporation/Infiltration Pond
(from PermlU
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW - 4
Date sample collected: 3/12/24
FIELD ANALYSES:
WAS
Well Depth: 27 ft.
Well Diameter: 2 in.
pH 00400: 5.3 units Temp. 0o01o: 13.8 °C
DRY at
Depth to Water Level 82546: 10 ft. below measuringpoint Screened Interval 12 ft.
p
to 27
ft. Spec. Cond. ooa9a µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation 1324.13
ft.
Odor 00085 none
sampling.check
Volume of water pumped/bailed before sampling:
8 80
gallons
Appearance clear
Samples for metals were collected unfiltered: YES
El
® NO and field acidified: El YES
❑� NO
LABORATORY INFORMATION
Date sample analyzed :3/1212024
Laboratory Name: Statesville Analyitical
Certification No. 440/3775
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 u9 /L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.914
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0-1
mg/L
iNote- Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 703oo 61
mg/L
Al - Aluminum of im
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 61.2
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1)❑ No (0)
IS pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L
method #
iAmmonia Nitrogen; NHj as N: Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L
,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
I -or Kemealation systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
James Brown Complex Environmental Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
Signature
GW-59 Rev.212010

Analytical Results STATESVILLE
ANALYTICAL
Tyson Foods -Wilkesboro
704 Factory Street
Wilkesboro, NC 28697
Receive Date: 03/12/2024
Reported: 04/04/2024
For:
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
240312-34-01
Ammonia Nitrogen
MW-1
<0.1
mg/L
SM4500NH3C-2011
03/18/2024
LE
240312-34-01
Chloride
MW-1
34.6
mg/L
SM4500CIC-2011
04/04/2024
MD
240312-34-01
Fecal Coliforms
MW-1
<1
CFU100 ML SM9222D-2015
03/12/2024
CL
240312-34-01
Nitrate
MW-1
2.54
mg/L
(N 3+-NO2 M450 -
03/22/2024
CL
SM4500-NO3-F2016
240312-34-01
T. Phosphorous
MW-1
<0.1
mg/L
SN4450OPE-2011
03/27/2024
LE
240312-34-01
Total Dissolved
MW-1
233
mg/L
SM2540C-2015
03/13/2024
MD
Solids
240312-34-02
Ammonia Nitrogen
MW-2
6.72
mg/L
SM4500NH3C-2011
03/18/2024
LE
240312-34-02
Chloride
MW-2
60.3
mg/L
SM4500CIC-2011
04/04/2024
MD
240312-34-02
Fecal Coliforms
MW-2
<1
CFU100 ML
SM9222D-2015
03/12/2024
CL
240312-34-02
Nitrate
MW-2
3.17
mg/L
03/22/2024
CL
NO3F-NO2SM450
SM4500-NO3-F2016
240312-34-02
T. Phosphorous
MW-2
<0.1
mg/L
SM450OPE-2011
03/27/2024
LE
240312-34-02
Total Dissolved
MW-2
193
mg/L
SM2540C-2015
03/13/2024
MD
Solids
240312-34-03
Ammonia Nitrogen
MW-3
<0.1
mg/L
SM4500NH3C-2011
03/18/2024
LE
240312-34-03
Chloride
MW-3
69
mg/L
SM4500CIC-2011
04/04/2024
MD
240312-34-03
Fecal Coliforms
MW-3
1
CFU100 ML
SM9222D-2015
03/12/2024
CL
240312-34-03
Nitrate
MW-3
5.62
mg/L
(NO3- O2SM450
03/22/2024
CL
SN44500-NO3-F2016
240312-34-03
T. Phosphorous
MW-3
<0.1
mg/L
SM450OPE-2011
03/27/2024
LE
240312-34-03
Total Dissolved
MW-3
71
mg/L
SM2540C-2015
03/13/2024
MD
Solids
240312-34-04
Ammonia Nitrogen
MW-4
<0.1
mg/L
SM4500NH3C-2011
03/18/2024
LE
240312-34-04
Nitrate
MW-4
0.914
mg/L
(N3-NO2SN144500
03/22/2024
CL
SM4500-NO3-F2016
240312-34-04
T, Phosphorous
MW-4
<0.1
mg/L
SM450OPE-2011
03/27/2024
LE
240312-34-04
Total Dissolved
MW-4
61
mg/L
SM2540C-2015
03/13/2024
MD
Solids
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 5

Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
240312-34-04 Chloride MW-4 61.2 mg/L SM4500CIC-2011 04/04/2024 MD
240312-34-04 Fecal Coliforms MW-4 <1 CFU100 ML SM9222D-2015 03/12/2024 CL
Respectfully submitted,
>7p'%�'e, J. 11��
Melissa Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 5

Condition of Receipt
Sample Number 240312-34-01 Temp on Arrival: 6.0
pH on Arrival: <2
pH on Arrival: <2
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Parameter Schedule: T. Phosphorous
Sulfuric Acid
Received on Ice
Chemicals in containers, lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid
Received on Ice
Chemicals in containers, lab
Parameter Schedule: Nitrate
Received on Ice
Sample Number 240312-34-02 Temp on Arrival: 6.0
pH on Arrival: <2
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers. lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid
Received on Ice
Chemicals in containers, lab
Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Parameter Schedule: Nitrate
Received on Ice
Sample Number 240312-34-03 Temp on Arrival: 6.0
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3 of 5

Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Parameter Schedule: Nitrate
Received on Ice
Sample Number 240312-34-04 Temp on Arrival: 6.0
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Parameter Schedule: Nitrate
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 4 of 5

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Page 5 of 5