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HomeMy WebLinkAboutNCG060265_MONITORING INFO_20181217STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ @06 I YYYYMMDD G 0 P, ,. C1 fi •O �-'P O r ate December 12, 2018 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report — December 2018 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: Enclosed is the completed Semi -Annual Stormwater Discharge Outfall Monitoring Report as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. Mission Foods conducted the pH test in the field at the time the sample was taken. The pH meter was calibrated according to manufacture instruction prior to the field analysis. Calibration records and result of the field test are attached to the Outfall Monitoring Report. If you have any questions or concerns regarding the report, please feel free to contact me at (952) 567-5630 or via email at arinde@uscompliance.com. Sincerely, Alexa Rinde Environmental Specialist Enclosures Cc: Lou Pena — Mission Foods DEC 17 2018 dWa S fL �_CTION U.S. Compliance Corporation 520 Third Street • Suite 100 • Excelsior, MN 55331 • Phone 952.252.3000 • Fax 952.252.3001 www.uscompliance.com STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06 Q 2 6 5 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Kevin Best LABORATORY Pace Analytical Lab Cert. tf 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June X July -Dec or ❑ Monthlys month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall�0.14 or ❑ No discharge this period Outfall No. Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 10001 5001 Parameter Code - C0530 00400 00340 00556 31616 61211 001 11/02/2018 < 4.4 7.4 30.8 < 1.1 NIA N!A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalis. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. sMonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑■ no (ice complete Part B) Permit Date:11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, IncheS2 New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4 Parameter Code - 46529 NCOI L 00552 C0530 Footnotes from Part A also apply to Part B *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor. _Marl an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or of end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQCentraI Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee 1 t +-sf ) L g Date Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 2 of 2 aceAnalytical • wwwpacelabs.cam November 16, 2018 Guadalupe Flores Mission Foods 401 Gateway Dr Goldsboro, NC 27534 RE: Project: Stormwater 1112 Pace Project No.: 92405808 Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092` Dear Guadalupe Flores: Enclosed are the analytical results for sample(s) received by the laboratory on November 02, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNUNELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com (828)254-7176 Project Manager Enclosures cc: Rita Baeza, Mission Foods Kevin Best, Mission Foods Ramon Moralo, Mission Foods Candace Rollins, Mission Foods Phillip Turner, Mission Foods REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, 1-I.C. Page 1 of 21 acmnalytrcal * www.pacalatacom Pace Analytical services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092' CERTIFICATIONS Project: Stormwater 11/2 Pace Project No.: 92405808 Charlotte Certification IDs 9800 Kinsey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 Louisiana/NELAP Certification # LA170028 Flodda/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 VrginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NCO30 VrginiaNELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 21 aceAnalytical. rwwpacetab&= Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092" SAMPLE SUMMARY Project: Stormwater 1112 Pace Project No.: 92405808 Lab ID Sample ID Matrix Date Collected Date Received 92405808001 STORMWATER 001 Water 11/02/18 07:15 11/02/18 12:36 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 21 aceAnalytical www.paWan:aom SAMPLE ANALYTE COUNT Project: Slormwater 1112 Pace Project No.: 92405808 Pace Analytical Services, LLC 9800 Kimey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92405808001 STORMWATER 001 EPA 1664B JMS 1 PASI-C EPA 200.7 Rev 4.4 1994 DS 5 PASI-A EPA 245.1 Rev 3.0 1994 SER 1 PASI-A SM 254OD-2011 CEH 1 PASI-A EPA 9040C SMK 1 PASI-A TKN+NO3+NO2 Calculation DMN 1 PASI-A EPA 350.1 Rev 2.0 1993 NAL 1 PASI-A EPA 351.2 Rev 2.0 1993 MFO 1 PASI-A EPA 353.2 Rev 2.0 1993 KDF1 1 PASI-A EPA 365.1 Rev 2.0 1993 MDW 1 PASI-A SM 4500-CN-E-2011 KDF1 1 PASI-A SM 5220D-2011 GC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 4 of 21 aoAnalytical e "Wpacefabxcbm ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092' Project: Stormwater 1112 Pace Project No.: 92405808 Sample: STORMWATER 001 Lab ID: 92405808001 Collected: 11/02/1807:15 Received: 11/02/18 12:36 Matrix: Water Parameters Results Units PQL MDL OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease <1.1 mglL 4.8 11 1 11116/1804:52 200.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Arsenic <5.0 ug1L 10.0 5.0 1 11/05/1805:30 1111011817:07 7440-38-2 Copper 7.8 ug1L 5.0 2.5 1 11/05/18 05:30 11/10/18 17:07 7440-50-8 Lead <2.5 ug1L 5.0 2.5 1 11105/18 05:30 11/10/18 17:07 7439-92-1 Nickel 61.4 ug1L 5.0 2.5 1 11/05/18 05:30 11/10/18 17:07 7440-02-0 Zinc 135 ug1L 10.0 2.5 1 11/05/18 05:30 11/10/18 17:07 7440-66-6 245.1 Mercury Analytical Method: EPA 245.1 Rev 3.0 1994 Preparation Method: EPA 245A Rev 3.0 1994 Mercury <0.070 uglL 0.20 0,070 1 11/0711812:05 11/08/1812:46 7439-97-6 2540D Total Suspended Solids Analytical Method: SM 2540D-2011 Total Suspended Solids <4.4 mg1L 4.4 4.4 1 11/06/18 04:12 9040 pH Analytical Method: EPA9040C pH at 25 Degrees C 7.0 Std. Units 0.10 0A0 1 11/04/18 17:36 H3 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 1.9 mg1L 0.52 1 11/15118 16:22 350.1 Ammonia Analytical Method: EPA 350.1 Rev 2.0 1993 Nitrogen, Ammonia 1.1 mg/L 0,10 0,050 1 11/08/18 12:08 7664-41-7 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993 Nitrogen, Kjeldahl, Total 1.7 mglL 0,50 0.25 1 11/05/18 11:49 11108/18 03A5 7727-37-9 353.2 Nitrogen, N021NO3 pres. Analytical Method: EPA 353.2 Rev 2.0 1993 Nitrogen, NO2 plus NO3 0.14 mg1L 0.020 0.010 1 11/14/18 13:33 365.1 Phosphorus, Total Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993 _ Phosphorus 0.068 mg1L 0.050 0.025 1 11/05/18 20:45 11/06/18 20:23 7723-14-0 450OCNE Cyanide, Total Analytical Method: SM 4500-CN-E-2011 Preparation Method: SM 4500-CN-E-2011 Cyanide <0.0040 mg1L 0.0080 0.0040 1 11/08/1811:24 11/09/1809:28 57-12-5 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 30.8 mg1L 25.0 12.5 1 11/08118 19:11 11/09/18 00:08 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 21 (� aceAnalytical� mvw,pacelabs carry Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 442754 QC Batch Method: EPA 1664B Associated Lab Samples: 92405808001 METHOD BLANK: 2430131 Associated Lab Samples: 92405808001 Parameter Units Oil and Grease mg/L Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Matrix; Water Blank Reporting Result Limit MDL Analyzed Qualifiers <1.1 4.8 1.1 11/16/18 04:51 LABORATORY CONTROL SAMPLE: 2430132 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 38.5 35.1 91 78-114 MATRIX SPIKE SAMPLE: 2430133 92405852001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L NO 40 36.3 91 78-114 MATRIX SPIKE SAMPLE: 2430134 92405852002 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 37.4 93 78-114 MATRIX SPIKE SAMPLE: 2430135 92405985001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L NO 40 37.4 93 78-114 Results presented on this page are in the units Indicated by the 'Units- column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 21 aceAnalytical www.pawlabscam QUALITY CONTROL DATA Project: Stormwater 1112 Pace Project No.: 92405808 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 OC Batch: 440781 Analysis Method: EPA 245.1 Rev 3.0 1994 QC Batch Method: EPA 245.1 Rev 3.0 1994 Analysis Description: 245.1 Mercury Associated Lab Samples: 92405808001 METHOD BLANK: 2420855 Matrix: Water Associated Lab Samples: 92405808001 Blank Reporting Parameter Units Result Limit MDL Analyzed Qualifiers Mercury uglL <0.070 0.20 0.070 1110811812:09 LABORATORY CONTROL SAMPLE: 2420856 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Mercury uglL 2.5 2.5 102 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2420857 2420858 MS MSD 92405869002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Mercury uglL ND 2.5 2.5 2.5 2.5 101 99 70-130 2 20 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2420859 2420860 MS MSD 92405813002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Mercury uglL ND 2.5 2.5 2.0 2.1 76 82 70-130 8 20 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11 /16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 21 aceAnalytrcal wwwpmlebs.com QUALITY CONTROL DATA Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 440195 Analysis Method: EPA 200.7 Rev 4.4 1994 QC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET Associated Lab Samples: 92405808001 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)675-9092 METHOD BLANK: 2418360 Matrix: Water Associated Lab Samples: 92405808001 Blank Reporting Parameter Units Result Limit MDL Analyzed Qualifiers Arsenic ug/L <5.0 10.0 5.0 11110/1816:49 Copper ug/L <2.5 5.0 2.5 1111011816:49 Lead ug/L <2.5 5.0 2.5 1111011816:49 Nickel ug/L <2.5 5.0 2.5 11/1011816:49 Zinc ug]L <2.5 10.0 2.5 11/1011816:49 LABORATORY CONTROL SAMPLE: 2418361 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Arsenic ug/L 500 476 95 85-115 Copper ug/L 500 497 99 85-115 Lead ug/L 500 482 96 85-115 Nickel ug/L 500 484 97 85-115 Zinc ug/L 500 486 97 85-115 MATRIX SPIKE 8, MATRIX SPIKE DUPLICATE: 2418362 2418363 MS MSD 92405808001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Arsenic ug/L <5.0 500 500 484 477 97 95 70-130 1 20 Copper ug/L 7.8 500 500 506 502 100 99 70-130 1 20 Lead ug/L <2.5 500 500 484 479 97 96 70-130 1 20 Nickel ug/L 61.4 500 500 546 542 97 96 70-130 1 20 Zinc ug/L 135 500 500 633 626 100 98 70-130 1 20 Results presented on this page are In the units Indicated by the "Units' column except where an alternate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 21 lacieAnalytical www.pamlabs.com Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 440445 QC Batch Method: SM 2540D-2011 Associated Lab Samples: 92405808001 METHOD BLANK: 2419355 Associated Lab Samples: 92405805001 Parameter Units Total Suspended Solids mglL LABORATORY CONTROL SAMPLE: 2419356 Parameter Units Total Suspended Solids mg1L SAMPLE DUPLICATE: 2419357 Parameter Units Total Suspended Solids mg1L Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit MDL Analyzed Qualifiers <2.5 2.5 2.5 11/06/18 04:08 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 248 99 90-110 92405743002 Dup Max Result Result RPD RPD Qualifiers ND <5.0 5 SAMPLE DUPLICATE: 2419358 92405800001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 32.0 31.2 3 5 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 21 aceAnalytrcal" www.pacelabs.cam QUALITY CONTROL DATA Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 440223 Analysis Method: EPA 9040C QC Batch Method: EPA 9040C Analysis Description: 9040 pH Associated Lab Samples: 92405808001 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE DUPLICATE: 2418406 92405575001 Dup Max Parameter Units Result Result RPD RPD Qualifiers pH at 25 Degrees C. Std. Units 6.8 6.8 0 9 H3 SAMPLE DUPLICATE: 2418407 92405846002 Dup Max Parameter Units Result Result RPD RPD Qualifiers pH at 25 Degrees C Std. Units 6.7 6.6 0 9 H3 Results presented an this page are In the units indicated by the -Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 21 aceAnalytical W&Pm1abs.com QUALITY CONTROL DATA Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 440609 Analysis Method: EPA 350.1 Rev 2.0 1993 QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia Associated Lab Samples: 92405808001 METHOD BLANK: 2420112 Associated Lab Samples: 92405808001 Parameter Units Nitrogen, Ammonia mg/L LABORATORY CONTROL SAMPLE: 2420113 Parameter Units Nitrogen, Ammonia mg/L Matrix: Water Blank Reporting Result limit a0.050 0.10 Spike LCS Conc. Result 5 5.1 Pace Analytical Services, LLG 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 MDL Analyzed Qualifiers 0.050 11 /08/18 11:34 LCS % Rec % Rec Limits Qualifiers 103 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2420114 2420115 MS MSD 92405648002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Ammonia mg1L ND 5 5 5.0 5.0 100 100 90-110 1 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2420116 2420117 MS MSD 92405708001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Ammonia mg/L 79.2 5 5 87.1 87.1 159 159 90-110 0 10 M6 Results presented on this page are in the units indicated by the 'Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC, Page 11 of 21 aceAnalytical www.pwalabs.com QUALITY CONTROL DATA Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 440302 Analysis Method: EPA 351.2 Rev 2.0 1993 QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN Associated Lab Samples: 92405808001 METHOD BLANK: 2418611 Associated Lab Samples: 92405808001 Parameter Units Nitrogen, Kjeldahl, Total mg/L LABORATORY CONTROL_ SAMPLE: 2418612 Parameter Units Nitrogen, Kjeldahl, Total mg1L Matrix: Water Blank Reporting Result Limit <0.25 0.50 Spike LCS Conc. Result 10 10.9 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 MDL Analyzed Qualifiers 0.25 11/08/18 02:16 LCS % Rec % Rec Limits Qualifiers 109 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2418615 2418616 MS MSD 92405560003 Spike Spike MS MSD MS MSD % Rec Max Parameter units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg1L 136 10 10 127 91.0 -87 -452 90-110 33 10 M6,R1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2418656 2418657 MS MSD 92405625001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, Kjeldahl, Total mg/L 101 10 10 113 111 121 95 90-110 2 10 M6 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 1111612018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 21 laceAnalytical www.psoelab&com QUALITY CONTROL DATA Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 442157 Analysis Method: EPA 353.2 Rev 2.0 1993 QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92405808001 METHOD BLANK: 2427298 Associated Lab Samples: 92405808001 Parameter Units Nitrogen, NO2 plus NO3 mglL LABORATORY CONTROL SAMPLE: 2427299 Parameter Units Nitrogen, NO2 plus NO3 mg1L Matrix: Water Blank Reporting Result Limit <0.010 0.020 Spike LCS Conc. Result 2.5 2.5 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvilie, NC 28078 (704)875-9092� MDL Analyzed Qualifiers 0.010 11114/18 13:10 LCS % Rec % Rec Limits Qualifiers 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2427300 2427301 MS MSD 92406472013 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mg1L 0.42 2.5 2.5 2.7 2.7 92 92 75-125 0 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2427302 2427303 MS MSD 92406472014 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Nitrogen, NO2 plus NO3 mglL ND 2.5 2.5 2.4 2A 97 98 75-125 1 10 Results presented on this page are in the units Indicated by the 'Units- column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 21 m aceAnalytical wwwpacelahs.com Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 440423 QC Batch Method: EPA 365.1 Rev 2.0 1993 Associated Lab Samples: 92405808001 METHOD BLANK: 2419261 Associated Lab Samples: 92405808001 Parameter Units Phosphorus mg/L LABORATORY CONTROL SAMPLE: 2419262 Parameter Units Phosphorus mg1L QUALITY CONTROL DATA Analysis Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus, Total Matrix: Water Blank Reporting Result Limit <0.025 0.050 Spike LCS Cone. Result 2.5 2.7 Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 MDL Analyzed Qualifiers 0.025 11/06/18 20:15 LCS % Rec % Rec Limits Qualifiers 106 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2419263 2419264 MS MSD 92405686006 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mg1L 0.69 2.5 2.5 3.3 3.3 104 104 90-110 0 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2419265 2419266 MS MSD 92405811005 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Phosphorus mg/L 0.25 2.5 2.5 0.27 0.27 1 1 90-110 2 10 M1 Results presented on this page are In the units Indicated by the "Units' column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/1612018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 14 of 21 aceAnalytical www.pacetaDst o n QUALITY CONTROL DATA Project: Stormwater 1112 Pace Project No.: 92405808 QC Balch: 440866 Analysis Method: SM 4500-CN-E-2011 QC Batch Method: SM 4500-CN-E-2011 Analysis Description: 450OCNE Cyanide, Total Associated Lab Samples: 92405808001 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 2421349 Matrix: Water Associated Lab Samples: 92405808001 Blank Reporting Parameter Units Result Limit MDL Analyzed Qualifiers Cyanide mglL <0.0040 0.0080 OA040 11/09/1809:22 LABORATORY CONTROL SAMPLE: 2421350 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Cyanide mglL .1 0.10 103 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2421351 2421352 MS MSD 92405760001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc, Conc. Result Result % Rec % Rec Limits RPD RPD Qual Cyanide mglL ND .1 .1 0.081 0.084 76 BO 80-120 4 10 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2421353 2421354 MS MSD 92405808001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Cyanide mglL <0.0040 .1 .1 0.10 0.10 100 101 80-120 1 10 Results presented on this page are in the units Indicated by the "Unite" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 15 of 21 e aceAnalytical wwwpacelabs.cam QUALITY CONTROL DATA Project: Stormwater 1112 Pace Project No.: 92405808 QC Batch: 441148 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92405808001 METHOD BLANK: 2422559 Associated Lab Samples: 92405808001 Parameter Units Chemical Oxygen Demand mg1L LABORATORY CONTROL SAMPLE: 2422560 Parameter Units Chemical Oxygen Demand mglL Matrix: Water Blank Reporting Result Limit <12.5 25.0 Spike LCS Conc. Result 750 757 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 MDL Analyzed Qualifiers 12.5 11 /09118 00:04 LCS % Rec % Rec Limits Qualifiers 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2422561 2422562 MS MSD 92406236003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Chemical Oxygen Demand mg/L 107 100 100 216 216 109 109 90-110 0 3 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2422563 2422564 MS MSD 92405876001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Chemical Oxygen Demand mg1L ND 100 100 130 133 113 116 90-110 2 3 M1 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/16/2018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 16 of 21 aceAnalytical" wwwpacelab&cam QUALIFIERS Project: Stormwater 1112 Pace Project No.: 92405808 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 POL - Practical Ouantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chioroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PAST-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS H3 Sample was received or analysis requested beyond the recognized method holding time. M1 Matrix spike recovery exceeded OC limits. Batch accepted based on laboratory control sample (LCS) recovery. M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/1612018 03:02 PM without the written consent of Pace Analytical Services, LLC. Page 17 of 21 acmnalytical wmpacefabscom QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: Stormwater 1112 92405808 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92405808001 STORMWATER 001 EPA 16649 442754 92405808001 STORMWATER 001 EPA 200.7 Rev 4.4 1994 440195 EPA 200.7 Rev 4.4 1994 440259 92405808001 STORMWATER 001 EPA 245.1 Rev 3.0 1994 440781 EPA 245.1 Rev 3.0 1994 440835 92405808001 STORMWATER 001 SM 2540D-2011 440445 92405808001 STORMWATER 001 EPA 9040C 440223 92405808001 STORMWATER 001 TKN+NO3+NO2 442652 Calculation 92405808001 STORMWATER 001 EPA 350.1 Rev 2.0 1993 440609 92405808001 STORMWATER 001 EPA 351.2 Rev 2.0 1993 440302 EPA 351.2 Rev 2.0 1993 440449 92405808001 STORMWATER 001 EPA 353.2 Rev 2.0 1993 442157 92405808001 STORMWATER 001 EPA 365.1 Rev 2.0 1993 440423 EPA 365.1 Rev 2.0 1993 440454 92405808001 STORMWATER 001 SM 4500-CN-E-2011 440866 SM 4500-CN-E-2011 441143 92405808001 STORMWATER 001 SM 5220D-2011 441148 SM 5220D-2011 441293 Date: 11/16/2018 03:02 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 18 of 21 Document Name: Document Revised: February 7, 2018 Sam le Condltlat U on Reset t SCi1R Page 2 of 2 Document No.: Issuing Authority: C8,411�rir, F[AR.CS-033-Rev.06 Pace Carolinas Quality CifflCe Laboratory receiving'sampies: Asheville ❑ Eden[] Gteenwood ❑ Huntersvllie ❑ RaleigO Mechanicsville[] Client Pro�ettt WO : 92405808 ' iss,vn �-ut7�1 II! Courier'; ❑FSd Ex UP5 CUSPS []Client ❑ Commercial {�]�ace ❑Dther: 11 lill ��� 92405808 Custody Seat Present? ❑ [Yes 8 o Seals Intact? Yes LV o Dateprattals Person WmWn` Contcnt:rj]M I� az%D Packing Material: ❑Bubble Wrap Q(.bble Bags []None ❑ ' Other Blofogfcal Tissue Frozen? Thermometer: Q I �/y �.�— QYes ❑No (g?O/A QIR Gun ID: I �- Type of ice: let []BlueQNona Cooler Temp ('Q: 1-to Correction Fartor: Add/Subtract l'Ci J— Temp should be above freezing to 5'C Cooler Temp Corrected ('C): []samples out of temp criteria. Samples an ice, raotlng process has begun USDA Regul ated Sall (VNJA.water sample) Old samples o�rtgl to in a quarantine tone within the United States: CA, NY, or SC (check maps)? Did samples adginata from a foreign sourte (ante^m�e/tMIIY, rlYne f " Irdodina Hawaii and Puena RhaN []Yes [SX0 Comments O@trepan : Chain of Custody Present? es QNo QNJA 1. Samples Arrived within Hold flme? Q10 N/A 2. Short Hold Time Ana e72 hr.)? es ❑No EINIA 3. Rush Tum Around Time Requested? gY, Q4., N/A 4. SufdicientValume? es a N/A S. &4J 'IN CIS rvsn�yht S mL OF Sam G Correct Containers Used? -Pace Containers used? 94 es ❑Na Na •0141/A N/A 6. Containers Intact? cs No N/A 7. Dissolved analysis: Samples Field Flitered? o No Sample Labels Match COC? •includes Date/Tfine/lo/Analysis Matrix: es t QNo QN/A 9. Heads ace In VOA Vials >5-6mm}? es QN0 A 10. Trip Blank present? Trip Blank Custody Seals Present? []Yes 13yun QNo MNO jgfVA A 11 COMMEMS/SAMPtE OtSCREPANCY CLIENT NOTIFICATION/RESOCt1TlON Person contacted: Date/Time: Lot ID of saiit containers: Fuld Data Required? []Yes [ INO Project Manager SCURF Review: Date: r r J r Project Manager SRF Review: Date: i Page 19'-of 21 ' N V G 40 @ ti 01 N + W N - Itemp BPAIU-225 mL Plastic Unpreserved (N/A) (CI-) BP3U-250 mL Plastic Unpreserved (N/A) SM-500 mL Plastic Unpreserved (N/A) ..r BP1U-1 titer Plastic Unpreserved IN/Al BP4S-125 mL Plastic H2SO4 (pti c 2) (M) BPM-250 mL plastic HN3 (pH < 2) TA �A BP4Z-225 mL Plastic ZN Acetate & NaOH (a9) BP4C-M mL Plastic NaOH (pH a 12) ICH WGFU-Wlda-mouthed Glass ]or Unpreserved AGIU-S liter Amber Unptaserved (N/A) (Cy AG1H-1 Rter Amber HCl (pH < 2) AG3U-250 mL Amber Unpreserved (N/A) (CI-) AG15-1 liter Amber H2SO4 (PH c 2) AGBS-250 mL Amber H2SO4 (pH c 2) AG3A(PG3A}250 mLAmberNH40 (N/A)(Q-) DGSH-40 mL VOA HCI (N/A) VG9T40 mL VOA Na25203 (N/A) V49U-40 mL VOA Unp (N/A) QQ91-40 mL VOA 1`13P (N/A) VOAk IS vials per kltl-5035 Idt (N/A) WGK 13 vials per kit)-VPH/Gas klt tN/A) SPST-125 ml.Sterile Plasttt (N/A —lab) sp2T-230 mL Sterile Plastic (N/A— lab) MA-250 mL Plastic (NHZ)2SO4 (9.3-9.7) AGOU-100 mL Amber U npresarved vials (N/A) VSGIl-20 mL SdndllatlOn vials (N/A) O69U-40 mL Amber Unpreserved vials (N/Aj N � 1 PL 3 d 3 =rr ? O a�i x o M 3 rL K O a n S m P 7 3 0 Qr, o m O GrL � � Z 0 4 9 � N A CHAIN -OF -CUSTODY I Analocia"I Request'Document The ch&pcPcuz" Is a LEGAL DocuioENT. An rswmrK -Wd aomauWy, ;alclem*Wcar j,4L co SocUon A sacdm W., Section C RequM Ciml Wdorrrmrdcn: Paqutrod Ppopd Irtfammuon: lavoliot Inkirftudlaft: Raport To: Auardlair Pogo. of .2191942 4)A Co py To: Camanpy Norm RF-dULATOlt*,A.GE.hcY'-- -7 <FY Addmes: - "I�Q WATER r NMES f- GROUND WATER - rDR r- liv r- RCRA r onjER Purchme Ordor No: Oud. Rcll�. Prcqvd Name: P' Ralba Riquacted Bulk DaWTAT: i7mber. 1pSTATE (YIN) • mzbu coon FI8qLdmdClwttIxdom%0M MATRD( I CODE WWng VftW DW wow wr VV�Wffbw WW Product P sowsow SL on a0 SAMPLE ID Woe WP Air AR SwngAa On MUST BE UNIQUE Thum Ts Olher OT q tu 0 8 F . y LLP A COLLECTED z 5 z z QOa 0 ak pmsemUms --ii-loaffc WTAPff cow-affm V) :6 0 z v7 to 0 L Io 5 t NcJ Lab I.D. Pace Prelec tmm, 11 TIME OATE TIME - i 4)0 1 CS MV Ig"30 11-)4fl7-14- 1,01 '1 It 1 12 1 1 1 1 00 L 2 .3 T.- 121 C;dmm ADDIT10WIL jlj�s kmlmc� Ery I XEFTIED.RY SmAkE COMMONS IIJ 4. e- Aul-mg "L--,G • AmAir mmm-"Tihw PRIIXT Nsm *9 aAwpLEF-- Get-, Fj IS 12 in a 11L A SIGNATURE of SAMMM, e -F-6A DATE I I (wilapr= //- .2 >d 1Y 'WVorWMNola Bys0I Mrum ywlre ecor na P-cft NFT 30 d" I Mr Is -nJ agmeM, 10 We try at S.S% Par mon7t fix4wTy kmvWA no pak! xftn 30fts. SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 1/17/2017 CERTIFICATE OF COVERAGE NO. NCG06 0 2 6 5 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Dustin Gernale LABORATORY Pace Analytical Lab Cert. # it, Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE --> Total event rainfall 0.62 in or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 - 9.0 120 30 1000 500 001 12/19/16 <25 7.15 <12.5 <1.1 N/A N/A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [-]yes ] no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 - 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at Iny outfalls, you must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Qfjg5, complete Part 8) SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OLITFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor. In addition, sample results are emailed to Thom Edgerton semi-annually regardless of exceedance. Mail an on final and one copy of this DMR including all "No Discharge"' re arts within 30 days of recei t of the lab results for at end o monitoring period in the rase of "No Discharge" reports] to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." gnature of Perm (13te) Additional copies of this form may be downloaded at: hUp..I/portal.ncdenr.org/web/wglws/­­su/­npdesswiltgb-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor. In addition, sample results are emailed to Thom Edgerton semi-annually regardless of exceedance. Mail an original and one copy of this DMR,_ including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of (Da e) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 It May 20, 2016 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED MAY 3 1 Z016 CENTRAL FILES DWR SECTION Re: Stormwater Discharge Outfall Monitoring Report — May 2016 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 14 Permit Number: NCG060265 To Whom It May Concern: &.-Zp COPV Enclosed is the completed Semi -Annual Stormwater Discharge Outfall Monitoring Report as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. isMission Foods conducted the pH test in the field at the time the sample was taken. The pH meter was calibrated according to manufacture instruction prior to the field analysis. Calibration records and result of the field test are attached to the Outfall Monitoring Report. 17J If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at nbradley@uscompliance.com. Sincerely, Nick Bradley Environmental Specialist Enclosures Cc: Scott Shafer, Manuel Galvez — Mission Foods U.S. Compliance Corporation 520 Third Street • Suite 100 a Excelsior, MN 55331 a Phone 952.252.300D *Fax 952.252.30D4 www.uscompliance.com 0 0 • SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 5/23/2016 CERTIFICATE OF COVERAGE NO. NCG06 0 2 6 5 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Brandon Woodard LABORATORY Pace Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE --> Total event rainfall 2 0.80 in or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 Soo 001 515116 <3.3 7.15 <25.0 <5.0 hi1A NIA Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Q no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0-9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. wee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SV 0-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor. In addition, sample results are emailed to Thom Edgerton semi-annually regardless of exceedance. Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete, i am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Perm (Date) Additional copies of this form may be downloaded at: http:LlPortal.ncdenr.org/web/w ws su/npdesswl#tab-4 SWIi-2Last Revised: Oct o 8, 2012 � . 2of2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 6/1/2015 CERTIFICATE OF COVERAGE NO. NCG06 0265 _ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Paul Gillard LABORATORY Pace Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES [gNO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z 1 - 3 3 or ❑ No discharge this period? Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 001 05/11/15 <2.7 7.62 <25.0 <5.0 N A N/A .II I Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - JE D 2015 DWR SECTION INFORMATION PROCESSING UNIT 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part e) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ _ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office SlJpervisor In addition, sample results are emailed to Thom Edgerton each month regardless of exceedance. Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." gnature of Permittee) 6 / 15 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 - --" Last Revised: October i 8, 2012 Page 2 of 2 SAMPLING DOCUMENTATION FORM Mission Foods 401 Gateway Drive Goldsboro, NC 27534 Lt_ A-m- Name of individual(s) who performed sampling: I Date of sample: Time of sample Sr Outfall sampled: 6 O 1 pH level (std. units): �. Co Z Signature: PLEASE FILE THIS FORM I THE SWPPP AND ATTACH A COPY TO THE LABORATORY RESULTS OAKTON pH Meter Calibration Log Mission Foods 401 Gateway Dr. Goldsboro, NC 27534 Instrument: OAKTON pHTestr 30 The pH meter is calibrated according to the EUTECH Instruments instruction manual. A copy of the calibration instruction manual is attached to the log. Date Calibration Reading Person Conducting Initials (standard units) 1 Calibration 7,01 IUC �iu-/Ylid aceAnalytical" www.pacefabscom May 21, 2015 Paul Gillard Mission Foods 401 Gateway Driye Goldsboro, NC 27534 RE: Project: Storm Water 5/11 Pace Project No.: 92249561 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Paul Gillard: Enclosed are the analytical results for sample(s) received by the laboratory on May 13, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc: Myles Peterson, U.S. Compliance Corp REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 • aceAnalytical www.pacelabs.wm Project: Storm Water 5111 Pace Project No.: 92249561 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 2BO78 (704)875-9092 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS FlaridalNELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification M 99030001 West Virginia Certification #: 356 VirginiafVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 aceAnalytical" www.paaabs.corn SAMPLE ANALYTE COUNT Project: Storm Water 5111 Pace Project No.: 92249561 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92249561001 001 EPA1664B CLW 1 PASI-C SM 2540D WRC 1 PASI-A EPA 9040 MLS 1 PASI-A SM 5220D MAB 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnalytrcal www.pacefabs.=M ANALYTICAL RESULTS Project: Storm Water 5111 Pace Project No.: 92249561 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersvil%, NC 28078 (704)875-9092 Sample: 001 Lab ID: 92249561001 Collected: 05/11/15 09:45 Received: 05/13115 09:45 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Oual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mg1L 5.0 1 05/21/15 12:50 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids NO mg/L 2.7 1 05/18/15 14:23 9040 pH Analytical Method: EPA 9040 pH 6.8 Std. Units 0,10 1 05119/1512:05 06,1-13, H6 5220D COD Chemical Oxygen Demand Date:-05/2112015 04:42 PM Analytical Method: SM 5220D ND mg/L 25.0 1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. 05/20115 16:35 Page 4 of 12 aceAnalyiical www.pacelabs.com QUALITY CONTROL DATA Project: Storm Water 5111 Pace Project No.: 92249561 QC Batch: GCSV121394 Analysis Method: EPA 1664B QC: Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92249561001 METHOD BLANK: 1464947 Matrix: Water Associated Lab Samples: 92249561001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 05/21/15 12:45 LABORATORY CONTROL SAMPLE: 1464948 Parameter Units Oil and Grease mg1L MATRIX SPIKE SAMPLE: 1464949 Parameter Units Oil and Grease mg1L Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 35.5 89 78-114 92249629005 Spike MS MS % Rec Result Conc. Result % Rec Limits Qualifiers ND 40 35.4 88 78-114 Results presented on thle page are In the units Indicated by the 'Units- column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: *05/2112015 04:42 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 e aceAnalytical www.pecalabs.ibm QUALITY CONTROL DATA Project: Storm Water 5111 Pace Project No.: 92249561 QC Batch: WET137519 Analysis Method: SM 2540D QC Balch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92249561001 METHOD BLANK: 1461723 Matrix; Water Associated Lab Samples: 92249561001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 05/18/15 14:19 LABORATORY CONTROL SAMPLE: 1461724 Parameter Units Total Suspended Solids mglL SAMPLE DUPLICATE: 1461725 Parameter Units Total Suspended Solids mglL SAMPLE DUPLICATE: 1461726 Spike LCS Conc. Result 250 250 92249548001 Dup Result Result ND ND 92249368001 Dup Parameter Units Result Result Total Suspended Solids mg1L ND NO Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 LCS % Rec % Rec Limits Qualifiers 100 90-110 RPD Qualifiers RPD Qualifiers Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the resutt. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale:17512112015 04:42 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytrcal " www.pacelabs.tcm QUALITY CONTROL DATA Project: Storm Water 5111 Pace Project No.: 92249561 QC Batch: WETI37511 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples: 92249561001 SAMPLE DUPLICATE: 1461395 Parameter pH 92249561001 Dup Units Result Result RPD Qualifiers Std. Units 6.8 5.4 23 D6,1-13,1-16 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Results presented on this page are In the units Indicated by the "Units" column except where an altemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date:•0512112015 04:42 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalytical www.pacelabs.mm QUALITY CONTROL DATA Project: Storm Water 5111 Pace Project No.: 92249561 QC Batch: WETA122977 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92249561001 METHOD BLANK: 1462324 Matrix: Water Associated Lab Samples: 92249561001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg1L ND 25.0 05/20/16 16:35 Pace Analytical Services, Inc. 9B00 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1462325 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mglL 750 781 104 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1462326 1462327 MS MSD 92249550004 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mglL ND 750 750 791 791 105 105 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1462328 1462329 MS MSD 92250331006 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mglL 7760 15000 15000 23200 23200 103 103 90-110 0 Results presented on this page are in the units indicated by the 'Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date:,0512112015 04:42 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 Pace Analytical Services, Inc. m 9800 Kincey Ave. Suite 100 aceMalXical Huntersville. NC 28078 wwwpacefa6 c" (704)875-9092 QUALIFIERS Project: Storm Water 5111 Pace Project No.: 92249561 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenyihydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenyla mine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. H3 Sample was received or analysis requested beyond the recognized method holding time. H6 Analysis initiated outside of the 15 minute EPA recommended holding time. REPORT OF LABORATORY ANALYSIS This report shag not be reproduced, except in full. Date:-0512112015 04:42 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical® *W..pacelabs.rom QUALITY CONTROL DATA CROSS REFERENCE TABLE' Project: Storm Water 5/11 Pace Project No.: 92249561 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92249561001 001 EPA 16646 GCSV121394 92249561001 001 SM 2540D WET137519 92249561001 001 EPA 9040 WET137511 92249561001 001 SM 52200 WETAI22977 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Rate' 05121/2015 04:42 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 t� x LIaocal" CHAIN -OF -CUSTODY I Anaiytical Request Document The Chair oi-Custody is a LEGAL DOCUMENT. M relevant Uaid9 must be o=;deted aowraWy. page: of Section A Section B Section C Required Ghent IrdannabarL Required Prayed Inlama=n; mom Im'arrm rtion.;'If Aj _ G :Rc.^,ort, Te: r _ Copy,ra nY nx= REGULATORY AGENCY NPOES i GROUNDWATER - DRINKING WATER UST - RCRA OTHER Email To: Pure zze Order No.: Q=e Ptgnc..r _ _ Fa>G _ _ - Project Name: PIVO Site Location STATE: Requeswd Oue MbatrAT- Project Number vas pmfm c. Requested Artalysis Filtered (YIN) 5ec1{on O Matrix Codes z R rquuvd[0eat kCa MLL MALTaa I c- DM = COLLECTED Preservatives 3� Drinkirg Water DW U ZO waxy ,VT u WaSleWiur tMrr . m composrm ENIJCW m Z SpiYSdia SL r O �► = SAMPLE ID Oil OL 3 Wipe wp W7-0.9;.) Air AR tu - u 0' _ Sample Lbs MUST 6_ UNIQUE . "Ut TS Q a o Oder OTip X L•J J V ip Q S. 7 O z U a to o= a o _ o DATE TIlac tort rwE a 2 2 2 z z z O r .. of Pace Project NO.! Lab I.D. 41 5 6 7 I k 8 1D ill [ EE11 I I I 1 11111 121 1 1 - - I 11111ti ADDITIONAL COMMENTS RELINQUISHED BY I AFFILIATION DATE TIME ACCEPTED BYIAFFILI ON DATE TIME SAMPLE CONDITIONS SAMPLER NAME AND SIGNATURE ` U o o � XUMT Name of SAMPLER:/,-' . • ,..- / r L L SIW"TURE of S4MPLE � J �i1 ` �; �• : ! !' ~ - U i+ vaevm nae: Sy U-^N Ta to� rw ma .x a= , Pxr::- . 30 ems• Parnerst kf� are aVWM m Lr4 Cam• a 15% oar rsxe,•a w any en s pa Nia . -• 30 car F-ALL-Q-020rev.07. 154Aay-2CD7 Rocuirsn Nirhi er; "'_ ' Au Issuln�,fharify:. ` Pace Hurite'rsv11le Qualify Office �� ,.. _,.... P•CHFt;CS;003�`revA6- Client Name:�Il�,`S Courier: Wed Ex [IUPS[:]USPS❑ Client[] Cominerclai❑ Pabe 01hor Custody Seal on Coolor/Box Present: ❑ yes GIT"no Seals Intact; Ej yes ❑ no Packing Material: ❑ Bubble V❑p ❑ )36bble Bags ❑ None ❑ Other Thermometer Usod: IR Oun T1461 type of-ice;? Blue Nona _.❑ S metes On tco,:cooling process has begun Temp Correction Faotar TI!q 1Vo Correction CW Corrected Cooler Tem •C Blolo�Ical Tissue Is Frozen: Yos rto iflA Dataari 'InIll � o - ergo ` nin ny �" eontenis� Tenn should be above ireezlnp to B'C ".cnnurr;n}a Chain of Custody Present: is ❑No- IJNIA 1. Chain of Custody Filled Out: p68 ONO ❑NiA 2, Chain of Custoft Reiingdlshed: Yes ❑No ❑NIA 3. Sampler Name & Signature on COD: ©< C1No ONIA 4. Sarn les Arrived within Hold Time: ©Yos ciNo 6RIA 6. Short Hold Time Anal sis �72hr : ©ros gtfo E]NiA 6. Rush Turin Around Time Requested., ❑Yes MN. CINrn 7, SuffielentVolume., ❑e ONO .CINiA 8, - Correct Containers Used., -Pace Containers Used: l Yes ❑No t:�Yes EINo ❑NIA ❑NIA 0, Containers Intact: Cl os ONO EIWA 10. Flltered volume received for Dissolved tests ❑Yes ❑No 119IA 11. Sample Labels match COO: -Includes dateltlmellD/Anal sls Matrix: L Ye's mQ " dWA 12, Ali containers needing preservation hiive been checked. All contalners needing preservatlon are found to be in compliance wllh EPA recommendation. oxcoplions: VOA, ooftim, Too, 0&0 W-URO {Meter) ryes ONO 47es []NO ❑Yos ENO ON/A ❑NIA 13. Samples chocked for dechlorination: Yes ❑No ❑NiA 14. Heads ace to VOA Vials >8mm : Oyss ❑No • NrA 16. - Tiip Blank Present: Trip blank Custody Seats Present Pace Trip Blank Lott) If purchased : fates ONo 2�1A ElYes ❑No ©wA 16. Client Notification/ Resolution: Field Data Required? Y / N Parson Contacted; Datefi'Ime: Comments! Resolution: SCURF Reviews �Date: 15 r k1 15 plain foher i,, - SRF Review: Data: r < < WQ# : 92249561 Note: Who never orthere hiadiscrepancy nttolth North iliao6rop11ance samples, a Dopy of this farm will be soot to the North Carolina DEHKR Codification 0Moo ( Le out of hold, incorrect preservative, out of temp, Incorrect containers) „ 92249361 Page 12 of 12 June 1, 201S Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report — May 2015 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: Enclosed is the completed Stormwater Discharge Outfall Monitoring Report as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. Mission Foods conducted the pH test in the field at the time the sample was taken. The pH meter was calibrated according to manufacture instruction prior to the field analysis. Calibration records and result of the field test are attached to the Outfall Monitoring Report. The results of the sample taken on 5/11/15 mark the third consecutive monthly pH sample within the benchmark range. As a result, Mission Foods will return to sampling on a semi-annual basis. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Scott Shafer — Mission Foods U.S. Compliance Corporation 520 Third Street a Suite 100 . Excelsior, MN 55331 • Phone 952.252.3000 • Fax 952.252.3001 www.uscompliance.com May 6, 2015 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report — April 2015 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: RECEIVED MAY 4 8 Z015 CENTRAL. FILES DWR SECTION Enclosed is the completed Stormwater Discharge Outfall Monitoring Report as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. Mission Foods did not experience a measurable discharge while trained SWPPP members were available on -site. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Scott Shafer — Mission Foods U.S. Compliance Corporation 520 Third Street a Suite 100 . Excelsior, MN 55331 . Phone 952.252.3000 . Fax 952.252.3001 www.uscompliance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 5/7/2015 CERTIFICATE OF COVERAGE NO. NCG06 0265 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z or ❑ No discharge this periad3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L PH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 001 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Q no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at 2U outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies (if yes• complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 "FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor In addition, sample results are emailed to Thom Edgerton each month regardless of exceedance. Mail an original and one copy of this DMR, including aff "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of (D te) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 3 / 19 / 2 015 CERTIFICATE OF COVERAGE NO. NCG06 0265 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Paul Gillard LABORATORY Pace Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO 1� PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z 0.81 or ❑ No discharge this period? Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Caliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo 001 315/15 126 7.82 41 ND <5.0 N/A NIA 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark 30 100 or 50 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) S W U-249 last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. * 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor In addition, sample results are emailed to Thom Edgerton each month regardless of exceedance. Mail an original and one copy of this DMR, including a!!_"No Discharge" reports, within 30 days of receipt -of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Perm 3 1 P I. - (Date) Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/`wq/­ws/su/npdesswtttab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 �pmpii r (• o+Darat�oo l Mission Foods 401 Gateway Drive Goldsboro, NC 27534 SAMPLING DOCUMENTATION FORM Name of individual(s) who performed sampling: G( Date of sample: 3 ' s [ S' Time of sample: Outfall sampled: 003 5 cxt r 7P �6CL pH level (std. �+ Z units): Signature: , PL'EASE'FILE THIS FORM IN rTHE'SWPP.P:AND ATTACH,' COPY TO THE LABORATDRY:RESULT `' • 0 aceAnalyticals wwwpacalab&mn March 18, 2015 Paul Gillard Mission Foods 401 Gateway Drive Goldsboro, NC 27534 RE: Project: Stormwater 315 Pace Project No.: 92240141 Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Paul Gillard: Enclosed are the analytical results for sample(s) received by the laboratory on March 06, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TN standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc; Myles Peterson, U.S. compliance Carp REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, tnc.. Page 1 of 12 aceAnalytical' .paceleb&com Project: Stormwater 315 Pace Project No.: 92240141 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, H untersvil le, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginiaNELAP Certification #: 450221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 Pace Analytical Services, Inc. aceAnalytical • 9800 Kincey Ave. Suite 100 Huntersvtlie, NC 28078 WWk ip (704)875-9092 SAMPLE ANALYTE COUNT Project: Stormwater 315 Pace Project No.! 92240141 Lab ID Sample ID Method Analysts Analytts Reported Laboratory 92240141001 003 EPA 1664B CLW 1 PASI-C SM 25400 TEP 1 PASI-A EPA9040 MLS 1 PASI-A SM 5220D MAB 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 Pace Analytical Services, Inc. aceAnalytica! s 9500 Kincey Ave. Suite 100 liuntersville, NC 28078 WWW.P3celabac0m (704)875-9092 e ANALYTICAL RESULTS Project: Stormwater 315 Pace Project No.: 92240141 Sample: 003 Lab ID: 92240141001 Collected: 03/05/15 15:00 Received: 03/06/15 13:20 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mg1L 6.0 1 03/17/15 10:52 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 126 mg1L 5.6 1 03112l15 06:18 9040 pH Analytical Method: EPA 9040 pH 6.1 Std. Units 0.10 1 03/08/15 15:05 H6 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 41.0 mglL 25.0 1 03/10/15 14:15 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 03/18/2015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnalytical' wwwpaceht6s corn QUALITY CONTROL DATA Project: Stormwater 315 Pace Project No.: 92240141 QC Batch: GCSVJ20651 Analysis Method: EPA 1664E QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92240141001 METHOD BLANK: 1412166 Matrix: Water Associated Lab Samples: 92240141001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 03/17/15 10:45 Pace Analytical Services, Inc. 9800 KincayAve. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1412167 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 36.9 92 78-114 MATRIX SPIKE SAMPLE: 1412168 92240674002 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 34.2 84 78-114 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Es presented to the rfght of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/18/2015 06:11 PM without the written consent of Pace Anaiylical Services, Inc.. Page 5 of 12 ace AnalyticaI Mww.paoslaba.rnm Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 2BO78 (704)875-9092 Project: Stormwater 315 Pace Project No.: 92240141 QC Batch: WET136149 QC Batch Method: SM 2540D Associated Lab Samples: 92240141001 METHOD BLANK: 1407961 Associated Lab Samples: 92240141001 Parameter Units Total Suspended Solids mg1L LABORATORY CONTROL SAMPLE: 1407962 Parameter Units Total Suspended Solids mg1L SAMPLE DUPLICATE: 1407963 Parameter Units Total Suspended Solids mg1L QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 03/12/15 06:17 Spike LCS Conc. Result 250 266 92240115003 Dup Result Result 4490 4710 SAMPLE DUPLICATE: 1407964 92240346001 Dup Parameter Units Result Result Total Suspended Solids mg1L 498 350 LCS % Rec % Rec Limits Qualifiers 106 90-110 RPD Qualifiers 5 RPD Qualifiers 35 D6 Results presented on this page are In the units indicated by the -Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 0311812015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical" www.pacelabs.com Pace Analytical Services, Inc 9800 Kincey Ave. Suite 100 Huniersv'tlle, NC 28078 (704)875.9092 Project: Stormwater 315 Pace Project No.: 92240141 QC Batch: WET136095 OC Batch Method: EPA 9040 Associated Lab Samples: 92240141001 SAMPLE DUPLICATE: 1405691 Parameter pH SAMPLE DUPLICATE: 1405692 Parameter PH QUALITY CONTROL DATA Analysis Method: EPA 9040 Analysis Description: 9040 pH 92240114001 Dup Units Result Result RPD Qualifiers Std. Units 6.4• 6A 1 D6,H6 92240076007 Dup Units Result Result RPD Qualifiers Std. Units 6.2 6.2 0 H6 Results presented on this page are In the units Indlcated by the "Units' column except where an alternate Unit Is presented to the fight of the result. REPORT OF LABORATORY ANALYSIS This report shall not tse reproduced, except in full. Date: 03/18/2015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalytical lvwrwPet:ala6s.wnt QUALITY CONTROL DATA Project: Stormwater 315 Pace Project No.: 92240141 QC Batch: WETA122165 Analysis Method: SM 52200 QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92240141001 Pace Analytical Services, Inc. 9800 Kincey;we. Suile 100 Hunlermille, NC 28078 (704)875-9092 METHOD BLANK: 1406529 Matrix: Water Associated Lab Samples: 92240141001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg1L ND 25.0 03/10/15 14:15 LABORATORY CONTROL SAMPLE: 1406530 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg1L 750 707 94 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1406531 1406532 MS MSD 92240048001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mglL 43.0 750 750 264 262 29 29 90-110 1 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1406533 1406534 MS MSD 92240002001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mglL 560 1500 1500 1190 1190 42 42 90-110 0 M1 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/1812015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalytical" w►w.pacelah&c= QUALIFIERS Project: Stormwater 315 Pace Project No.: 92240141 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to ditution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875,9092 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RFD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chioroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. H6 Analysis initiated outside of the 15 minute EPA recommended holding time. MS Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/18/2015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical www pacefabs.com QUALI"FY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwater 315 Pace Project No.: 92240141 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 Lab ID Sample 1D QC Batch Method QG Batch Analytical Method 92240141001 003 EPA 1664E GCSV120651 92240141001 003 SM 2540D WET136149 92240141001 003 EPA 9040 WET136095 92240141001 003 SM 5220D WETA122165 date: 03/18/2015 06:11 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch Page 10 of 12 CHAIN -OF -CUSTODY 1 Analytical Request Document The ChairwfCu3tcoy is a LEGAL DOCUMENT. All reievgrd 50ds must be Completed a=mtely. Section A w. Section B Section C pa R—I-d e3.m ifdnftyatk, Roauked Pfoi6d! AftwMaWK IrrIvice trjoRre uon: P*P*n To. x .7 ;L P�j Nam: REGULATORY AGENCY AIC Z -7'52 V NPDES GROUNDWATER DRINKING WATER T- LIST RCRA OTHER 4, f J (2 A/J.1 S , p"t ,r" No* 2; P-OP oum R**n�: Apfc" r!e7:7,1& 7EV? 1F"/ .? �, " — pme R,*a Site Locatlion STATE: Requested Due DatarrAT: Ptapa Nuirber. 'Requested Analysis Filtered (Y/N) Section 0 mvett codes R.QtdMdChbffl ltrerreerore M&IMLJ-= z 1 COLLECTED Presemealt-5 cwk*ft water aw .9 %V&W WT waw*waw vvw produet p STAICt &434AAA 0 sowsold SL CM co SAMPLE ID Od CR. Wipe V�p (A-7- 0-9 /,-) AR Swnpla IDS MUST BE UNIQUE Tissue Ts Cj 0 LU .2 %* Other OT X rr U, 0 U w I I I F I q;z 1-44 4�i v! 0 z 0 ID z o Lb DATE TwE DATE TIME =r,) X X X: Z Z M Pace Project No 1.13, 71 1011 1 ADDITIONAL C06h1&i3'-1- PXLW0=KWst1AFFwAT;ow DATE TIME ACCEPMSY1"FILIATION DATE THE SAWLE =NDMONS 13 `-0 V. SAW LER NAME AND SIGNATURE PpJNT ME of SAMPLER: —,,-I S • S*kAtURE ad SAINnEft: DATE Sdgr44 / 57- —PNOWN KWC My ZV'-g Eft farm ym " 8w-WQ PaM NET 30 Of p F-ALL-QVWrLw-Q1, 15a4aNV07 L" ��caAnalyflcal' Sa Document Number: F-CHR-CS-003-rev.16 1� Paas 1 of 2 Pace Huntersville Qualitv Office Client Name: Courier: ed Ex ❑ UPS❑ USPSEI Client❑ C mercial❑ Pace Other Custody Seat on Cooler/Box Present: ❑ yes no Seals intact: ❑ yes ❑ no Packing Material: ❑ Bubble V❑p ❑ <ubble Bags ❑ None ❑ Other Thermometer Used: IR Gun 940 4 � Type of lco: ek Blue None amples on Ice, cooling process has begun Temu Correction Factor 1N6 Correction f l� Corrected Cooler Temp.: 'C Temp should be above freezing to 6'C Biological Tissue Is Frozen: Yes No A 9 Comments: Date and Initials f son Qxam[y�n contents: '1 6 Chain of Custody Present Clyos o ❑NIA 1. Chain of Custody Filled Out: Yea ❑ o A 2, Chain of CustodZ Reiin uished: .. L s DwA 3. ,Sampler Name & Signature on COC: oN ❑N/A 4. Samples Arrived within Hold Time: ❑ ❑No WA 5. Short Hold Time Analysis <72hr : Dyes a PWA S. Flush Turn Around Time Requested: ❑Yes o ❑wA 7. Sufficient Volume: es12M, DwA 8. Correct Containers Used: -Pace Containers Used: ea o Yes No ❑NrA ❑N!A 9. Containers Intact: EIYes ONO OWA JO. Mitered volume received for Dissolved tests Dyes 2LK A 11. Sample Labels match COC: -Includes dateltimellDlAnal sis Matrix: es ONo DNA 12. All containers needing preservation have been checked. All containers needing preservation are found to be in compliance with EPA recommendation. exceptions: VOA, coriform, TOC, Odo, W-DRO (water) s ❑ Yes ❑No 0 es ❑No ❑ wA DNIA 13, Sam les checked for dechlodnation: Oyes ONO C79A Heads ace in VOA Vials >6mm : Dyes ONO WA Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # If purchased): []Yes ONO []Yes ONO OQA rA Client Notlfloation/ Resolution: Field Data Required? Y ! N Person Contacted: Daterl Ime: Comments/ Resolution: SCURF Review: �, Date: 3 d s ' Wa 9224. I.141 T — SRF Review: sate: Note: Whenever there is a discrepancy affecting North Caroli a compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certificattan Office (Le out of hold, Incorrect preservative, out of temp, 92240141' : ; Incorrect containers) Page 12 of 12 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 3/19/2015 CERTIFICATE OF COVERAGE NO. NCG06 0265— T FACILITY NAME Mission Foods � COUNTY Wayne PERSON COLLECTING SAMPLES Paul Gil lard LABORATORY Pace Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES QNO PLEASE REMEMBER TO SIGN ON THE REVERSE -) Total event rainfall 10.81 or ❑ No discharge this period3 Outfall No_ Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 500 001 3/5/15 126 7.82 41 ND <5.0 N/A N/A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 - 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page i of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS_ SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor In addition, sample results are emailed to Thom Edgerton each month regardless of exceedance. Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of recel t of the lab results tor at end o monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Per itt ) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 SAMPLING DOCUMENTATION FORM t+ e o nD[a Mission Foods 401 Gateway Drive Goldsboro, NC 27534 Name of individual(s) who performed sampling: Gr Date of sample: 3' s f s Time of sample: z- 5 p M Outfall sampled: do 3 S eu 7- 7 ? r*c6 i�NAu� Icy pH level (std. 7[ $Z units): �, Signature: PL:EASE'FI.LE THIS FORM IN.THE SINP.PP MD;ATTACH "ACOPY TO'THE t LABORATJORY::RESULTS aceAnalXical s wwrrpaoeJaesaam March 18, 2015 Paul Gillard Mission Foods 401 Gateway Drive Goldsboro, NC,27534 RE: Project: Stormwater 315 Pace Project No.: 92240141 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100! Huntersville, NC 28078 . (704)875-9092 Dear Paul Gillard: Enclosed are the analytical results for sample(s) received by the laboratory on March 06, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TN standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc; Myles Peterson, U.S. Compliance Corp Ell REPORT OF LABORATORY ANALYSIS This report shal3 not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 aceAnalytical " rww.yac0134com CERTIFICATIONS Project: Stormwater 315 Pace Project No.: 92240141 Pace Analytical Services, Inc. 9800 KinceyAve, Suite 100 Huntersville, NC 28078 (704)875-9092 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 FloridalNELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification M 5342 West Virginia Certification M 357 North Carolina Wastewater Certification #: 12 Virginia/VELAP Certification M 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 FloridaINELAP Certificafion #: E87648 Massachusetts Certification #: M-NC030 i North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification M 356 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 acmnalyfical www.pacewmcvm Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 l i Huntersville, NC 28078 (704)875-9092 Project: Stormwater 315 Pace Project No.: 92240141 SAMPLE ANALYTE COUNT Anaiytes Lab Ib Sample ID Method Analysts Reported Laboratory 92240141001 003 EPA1664B CLW 1 PASI-C SM 2540D TEP 1 PASI-A EPA 9040 MLS 1 PASI-A SM 5220D MAB 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnalytical WW pec*,WMcom Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 10o Huntersvilte, NC 28078 t' (704)875-9092 ANALYTICAL RESULTS Project: Stormwater 315 Pace Project No.: 92240141 Sample: 003 Parameters Lab ID: 92240141001 Collected: 03/05/15 15:00 Results Units Report Limit DF Received: 0106115 13:20 Matrix: Water Prepared Analyzed CAS No. Quaff HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg1L 5.0 1 03/17/15 10:52 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 126 mg1L 5.6 1 031121115 06:18 9040 pH Analytical Method: EPA 9040 pH 6.1 Std, Units 0A0 1 0310&1515:05 H6 5220D COD Analytical Method: SM 52200 Chemical Oxygen Demand 41.0 mg1L 25.0 1 03/10/15 14:15 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/18/2015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 acmnalyticals Mww.pac@bbs.com QUALITY CONTROL DATA Project: Stormwater 3/5 Pace Project No.: 92240141 QC Batch: GCSV/20651 Analysis Method: EPA 1664E QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92240141001 METHOD BLANK: 1412166 Matrix: Water Associated Lab Samples: 92240141001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 5.0 03/17/15 10A5 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1412167 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 40 36.9 92 78-114 MATRIX SPIKE SAMPLE: 1412168 92240674002 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 34.2 84 78-114 Results presented on this page are In the units Indicated by the "Units" column except where an alternate ¢nil is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shalt not be reproduced, except in full. Date: 03/18/2015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 acmnalytica!s »wscpaCela6Atzm Project: Stormwater 315 Pace Project No.: 92240141 QC Batch: WET/36149 QC Batch Method: SM 2540D Assocated Lab Samples: 92240141001 METHOD BLANK: 1407961 Associated Lab Samples: 92240141001 Parameter Total Suspended Solids QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Units Result Limit Analyzed Qualifiers mg/L ND 2.5 03/12/15 06:17 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntmville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1407962 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 266 106 90-110 SAMPLE DUPLICATE: 1407963 Parameter Total Suspended Solids SAMPLE DUPLICATE: 1407964 Parameter Total Suspended Solids 92240115003 Dup Units Result Result mg/L 4490 4710 92240346001 Dup Units Result Result mg/L 498 350 RPD Qualifiers 5 RPD Qualifiers 35 D6 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 03/18/2015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aoAnalytical, www.pacelaba.cam Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater 315 Pace Project No.: 92240141 QC Batch: WET136095 QC Batch Method: EPA 9040 Associated Lab Samples: 92240141001 SAMPLE DUPLICATE: 1405691 Parameter Units pH Std. Units QUALITY CONTROL DATA Analysis Method: EPA 9040 Analysis Description: 9040 pH 92240114001 Dup Result Result RPD Qualifiers 6.41 6.4 1 D6,H6 SAMPLE DUPLICATE: 1405692 92240076007 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 6.2 6.2 0 H6 Results presented on this page are in the units Indicated by the 'Units' column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/18/2015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 lac,eAnalyiical" wwwpacalabs.ccnl Project: Stormwater 315 Pace Project No.: 92240141 QC Batch: WETA/22165 QC Batch Method: SM 5220D Associated Lab Samples: 92240141001 METHOD BLANK: 1406529 Associated Lab Samples: 92240141001 Parameter Units Chemical Oxygen Demand mg1L LABORATORY CONTROL SAMPLE: 1406530 Parameter Units Chemical Oxygen Demand mg1L Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: SM 52200 Analysis Description: 5220D COD Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 25.0 0311011514:15 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 750 707 94 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1406531 1406532 MS MSD 92240048001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone, Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 43.0 750 750 264 262 29 29 90-110 1 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1406533 1406534 MS MSD 92240002001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 560 1500 1500 1190 1190 42 42 90-110 0 M1 Results presented on this page are In the units Indicated by the "Units" column except where an atternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03118/2015 06:11 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 ace"Iytical" ■arw.pec&1ab& n QUALIFIERS Project Stormwater 315 Pace Project No.: 92240141 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 100 Huntersville. NC 28078 (704)875-9092 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PAS I -A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. H6 Analysis initiated outside of the 15 minute EPA recommended holding time. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 03/18/2015 06711 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 Pace Analytical Services, Inc. ® 9900 Kincey Ave. Suite 100 �15eMalytical Huntersville, NC 28070 Www.pace476xcam (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwater 315 Pace Project No.: 92240141 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92240141001 003 EPA 1664E GCSV120651 92240141001 003 SM 2540D WETl36149 92240141001 003 EPA 9040 W ET136095 92240141001 003 SM 5220D WETA122165 Date: 0311812015 06:11 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 i % . aceAnafAcar .r..NU11Kwa Soction A O-....1-.w !•LMr IMnwr�nrYrr Section B t —W&d Pft"d Int0rrr0WK CHAIN -OF -CUSTODY 1 Analytical Request Document The Chair oe-Ct tndy a a LEGAL DOCUMENT -An relevem rWds ffxmt be completed acarrau0y. Sectlon C invdm 1fdnnn tiori' i• � �[iODS RWweport, T� u� : r-lii .S �'�,�ir� N •ice: rii�: ,-. fir• _ � gqg��' ' )�7'L G% jam';.; - v3 REGULATORY AGENCY �L•Li Sr�C,�p rt%C Z i53 z( i'i�- ..%�L - J } r'' . Ji l - ! • r �i %. - ✓ {i.; /•r NPDES t- GROUND WATER - DRINKING WATER r- UST RCRA OTHER E� p Tpp•• 1 -r'r i.+` �=i ua.1J � 1�/SSr6'� /� ash Order No.: ` •C-G.v1 "OidO i c1 R.r+.�rec. ,• of : 7 7� 7 ° �. `� r� 5. 7 5.1. 2 ? j P Name: 5iee Location STATE: Requested D"DOWTAT: pft"tNumeer. p-P1OL°r' Requested Analysis Filtered (Y" Section D Mahtr Codes NATf" r rms g p COL.ECTED Preservatives i z } DrV*hVwatmr DW tJ 6 watt wT Waste _x w mm ST�E erw�Aapmd ' SoIUsam SL OL SAMPLE 1D Ub %M A Z (A0.9 r : ? Air . AR w' a z F �� Samplo ID& MUST BE UNIOUE Tr4sue TOSS V m m f / L V y l 0 F� Ja LLL7 m �Nz�° O p x rn m a " �� m 2 y2�L[o1�� ca DA-M TIME DATE TIME rn a = x x z z O p a Pace Project No.i 2 3 .. L 5 6 ' 7 S ' 9 1g ' tt ' 12 ADDR70NALC0Ill16T3.':.: RELMOUiSHED RY f AFFWATION DATE 11M ACCEPTED BY f AFFKJAT*N DATE TIME SAMPLE CONDITIONS we 3- -� j Lull-( � SAMPLER NAME AND SIGNATURE U dr _ S O PRINT Naeu Of SAMPLER: i " v C.. �-7 • � � . � , t •� OL r' v � n � • SIGNATURE or SAMaLE)r fJ� / ` / S"n SignedS € � $ (MWDD+M. �aast Neat ey 20 M v eru feem 7- ra a-w**s Pacts WE'T >b dalr p7j11w11rm< and aD--i9 ti GYe eeegea of 15% Per maw for ary tn.oicea not po f waw 30 days FALL-Q-Mrev.07r 754%y. AO07 aceMnlytical� Sample Condition Upon Receipt (SCUR Pa e 1 of 2 i Document Number: IF Authority: F-CHR-CS-003-rev.15 Pace Huntersville Quality Office Client Name:—M�S5,^ r ds Courier: ❑mod Ex ❑ UPs❑ USPS❑ Client[] C merclal❑ Pace Other Custody Seal on CooterfBox Present: El yes no Seals intact: ❑ yes ❑ no so= Packing Material: ❑ Bubble VDp ❑ ubbte Bags ❑ None ❑ Other Thermometer Used: iR Gun Type Type of Ice: el Blue None amples on Ice, cooling process has begun elf Temp Correction Factor '%1401 Nd Correction I l� Corrected Cooler Temp-: -C Temp should be above freezing to 61C Biological Tissue is Frozen: Yes No p 9 Comments: Date and InitlalsAf arson "arnipin contents: f-i1" Chain of Custody Present: C Yes o Cl NIA 1. Chain oLMIody Filled Out: Yes ❑ o A 2. Chain of Custody Relinquished: -(. L s DwA 3. Sampler Name & Signature on COC: DJO-16,N-o ❑NIA 4. Samples Arrived within Hold Time: ❑ ❑No PWA 5. Short Hold Time Analysis <72hr : Dyes o NiA e. Rush Turn Around Time Requested: ❑Yea No ❑WA 7. Sufficient Volume: lb Yes o DwA 8. Correct Containers Used: -Pace Containers Used: s o ;.,eNo DWA ONIA g. Containers Intact Yes ❑No ❑wA JO, Filtered volume received for Dissolved tests ❑Yea A 11. Sample Labels match COC: -Includes date/timellD/Anal als Matrix: a, ❑No DwA 12. All containers needing preservation have been checked. All containers needing preservation are found to be In compliance with EPA recommendation. exce one: VOA, coffform, TOG, Od4, Wl-DRO (water) a O ea ONo es ©No D WA ❑NIA 13. Samples checked for dechlorination: 0es ❑No A Heads ace In VOA Vials >limnl : ❑Yes ONO ' WA JAT Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # if purchased): Dyes ❑No 0Ye3 ONo W., 0<1A Client Notification/ Resolution: Field Data Required? Y / N Person Contacted: DatelTime: Comments/ Resolutlon: SCURF Review: ;�, Date: 3 d �� UidQYT'� ti9224:a.114'�R —_- SRF Review:L Date: 3 Note: Whenever there Is a discrepancy affecting North Caroli a compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e out of hold, Incorrect preservative, out of temp, 92240141" Incorrect containers) �� __, Page 12 of 12 GOmp •O 0rPorat� March 19, 2015 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfali Monitoring Report — March, 2015 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: R,E7C�jv �4R 2 3 �� ('FNr zo�,� DIn�R `RAL L S N Enclosed is the completed Stormwater Discharge Outfall Monitoring Report as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. The stormwater sample was tested for pH on -site prior to submission to the lab. The pH level changed from the initial level of 7.82 std. units to 6.1 std. units when it was analyzed by the lab. The facility's pH meter was calibrated according to manufacture instruction prior to the analysis. if you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Omar E. Jimenez — Mission Foods U.S. Compliance Corporation 520 Third Street • Suite 100 • Excelsior, MN 55331 • Phone 952.252.3000 • Fax 952.252.3001 www.uscompliance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 2 / 19 / 2 015 CERTIFICATE OF COVERAGE NO. NCG06 0265 _ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Paul Gillard LABORATORY Pace Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1 0.63 or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 id Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 001 2/2115 1120 7.28 75 ND <5.0 NIA N/A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if ytS complete Part B) —ram: SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART ll SECTION B. • 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor In addition, sample results are emailed to Thom Edgerton each month regardless of exceedance. Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Sigh'ature of Pe Z IglpI5 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wcl/ws/su/`npdessw#tab-4 S WU-249 Last Revised: October 18, 2012 Page 2 of 2 • �OmU/i SAMPLING DOCUMENTATION FORM l� a e o Mission Foods 401 Gateway Drive Goldsboro, NC 27534 L Name of individual(s) who performed sampling: Date of sample: Z- Z- Z o i S Outfall sampled: D v Z Sls-Nd r pH level (std. units): 7. 2 es Signature: Time of sample: t 3 : a0 Prg At c= PLEASE FILE THIS FORM IN THE SWPPP AND ATTACH A COPY TO THE I LABORATORY RESULTS e accAnalytical www.pacelabs.com Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntefsvilie, NC 28078 (704)875-9092 February 16, 2015 Paul Gillard Mission Foods 401 Gateway Drive Goldsboro, NC 27534 RE: Project: Stormwater 2/2 Pace Project No.: 92236305 Dear Paul Gillard: Enclosed are the analytical results for sample(s) received by the laboratory on February 04, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TN standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc: Myles Peterson, U.S. Compliance Corp REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 6 aceAnalytical www.pacwabs.com Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092. Project: Stormwater 2/2 Pace Project No.: 92236305 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification M E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification M 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 ace Analytical —Pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: Stormwater 2/2 Pace Project No.: 92236305 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92236305001 002 EPA 1664B AM1 1 PASI-C SM 2540D MDW 1 PASI-A EPA 9040 MAB t PASI-A SM 5220D MAB t PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnalyfical www.pacefabs.cam Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Stormwater 212 Pace Project No.: 92236305 Sample: 002 Parameters Lab ID: 92236305001 Collected: 02/02/15 08:00 Results Units Report Limit DF Received: 02/04/15 09:30 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mglL 5.0 1 02/09/15 14:16 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 1120 mg1L 71.4 1 02/06/15 12:47 9040 pH Analytical Method: EPA 9040 pH 5.5 Std. Units 0.10 1 02/06/15 11:15 D6,1­16 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 75.0 mg1L 25.0 1 02/13/15 10:25 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/16/2015 03:40 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnaly#rcal www.pacelabs.00m Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Stormwater 212 Pace Project No.: 92236305 QC Batch: GCSV/20295 Analysis Method: EPA 1664E QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92236305001 METHOD BLANK: 1387462 Matrix: Water Associated Lab Samples: 92236305001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 021091i5 14:11 LABORATORY CONTROL SAMPLE: 1387463 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 39.4 98 78-114 MATRIX SPIKE SAMPLE: 1387464 92236555001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 36.8 89 78-114 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/16/2015 03:40 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalytical %%w.pacelahs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Stormwater 212 Pace Project No.: 92236305 QC Batch: WET135599 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92236305001 METHOD BLANK: 1386292 Matrix: Water Associated Lab Samples: 92236305001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 02/06/15 12:40 LABORATORY CONTROL SAMPLE: 1386293 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 236 94 90-110 SAMPLE DUPLICATE: 1386294 92236650001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 174 171 2 SAMPLE DUPLICATE: 1386295 92236210005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L ND ND Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/16/2015 03:40 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 A aceAnalytical www.pacelabacom Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwa ter 212 Pace Project No.: 92236305 QC Batch: WET135592 QC Batch Method: EPA 9040 Associated Lab Samples: 92236305001 SAMPLE DUPLICATE: 1386010 Parameter Units PH Std. Units SAMPLE DUPLICATE: 1386011 Parameter Units PH Std. Units QUALITY CONTROL DATA Analysis Method: EPA 9040 Analysis description: 9040 pH 92236305001 Dup Result Result RPD 5.5 5.1 92236350001 Dup Result Result 7.2 7.2 Qualifiers 7 D6,H6 RPD Qualifiers 0 H6 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/16/2015 03:40 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 e ace.Analytical _pacslabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater 212 Pace Project No.: 92236305 QC Batch: WETA/21890 QC Batch Method: SM 5220D Associated Lab Samples: 92236305001 METHOD BLANK: 1389938 Associated Lab Samples: 92236305001 Parameter Units Chemical oxygen Demand mg1L LABORATORY CONTROL SAMPLE: 1389939 Parameter Units Chemical Oxygen Demand mg/L QUALITY CONTROL DATA Analysis Method: SM 5220D Analysis Description: 5220D COD Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 25.0 02/1311510:25 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 750 784 105 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1389940 1389941 MS MSD 92237396001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 234 750 750 1170 1160 124 124 90-110 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1389942 1389943 MS MSD 92237155001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 44.0 750 750 1020 1010 130 129 90-110 1 M1 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right or the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/16/2015 03:40 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalytical www.pacelahs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Stormwater 212 Pace Project No.: 92236305 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL- Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for each analyte is a combined concentration, A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. H6 Analysis initiated outside of the 15 minute EPA recommended holding time. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/1612015 03:40 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 e aceAnalytical www.pac0abs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwater 212 Pace Project No.: 92236305 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92236305001 002 EPA 1664E GCSV120295 92236305001 002 SM 25400 WET135599 92236305001 002 EPA 9040 WETl35592 92236305001 002 SM 5220D WETA121890 Date: 02/16/2015 03:40 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch Page 10 of 12 tT aceAnalytical' slaAsam Oi CHAIN -OF -CUSTODY 1 Analytical Request Document r The Chain-of-Q=Wdy is a LEGAL`DOCUMF_NT. AN n9evant fields must be compietcd aowrot0y. ro / ■!�rJt7e Section Section 8 - Saetioll C - , Page: of .0 ReQuimd Orem kdDffnAtiom Prvioa Wwmatom Irwoke Irdormstfon: cR�-erd-W lCti.` FGV:%5 -�To. .7 r•. tion yAr c uJr� �' :�. ��i_ r't r CorrparryName REGULATORY AGENCY Z: Adder NPDES GROUNDWATER DRINKING WATER _" UST RCRA - OTHER Email Toi PurChj=OrEtrNo_ c.. �G� . f -.: _ .Fix, RCferonCe: Phone: PrgeA Name- PacoPfoiea Site Location 'STATE Du Roquasbod e DabNTAT: Project Number. Pace P!am x Requested Analysis FiftMd (YIN) se"a D M2Vft codes RoqulroeCSrntlydamaSee 'kAe1'rirx a COLLECTED .0tise — awes 3 DRd&Q Waxr DW S x 3 0 Water WT tewalor ww a p m . °OMPOSITE ss Product START ovac ,•f Soivso4d SL $ O y p �- SAMPLE 1D °' = o ti H , (A-Z. 0.91 r) Air AR u' v W Z' Samp1010sMUST SEUNIOUE Tawe TS.' O M cxnw OTC V .X. W zrA O /' r C IL O Cto Q �J22G3a ~ h DATE TIME DATE TIARE 2 S 2 Z Z i O �, . �. �' Pace jett No Lab S.D. 2 .. ,3 4 S s a - s 10 11 r1IKE 12 ADDrnomAL co&m NTS RELINQUISHED BY r AFPIUAnON DATE ACCEPTED BY1 AFFMIATION . DATE TIME SAMPLE CONDrnONS (( SAMPLER NAME AND SIGNATURE v o w � igb3 L=. PRINT Memo of SAMPLER :i .� . C z tc •� t 4 e �. d . $2 u ij a E 9 SIGNATURE of SAMPLER. ,� ��/� DATE Signed 1 �, G- :-yr I— (NM1D : `- v� zmoer:ra Now By sgrieg site arm you are " Pa NET 30 42y P)TM >; Iemn aoa a7eong m t= eW9ft of 11% per Mona Ar any hvoi= not W4 wNm 30 cap, FALL-Q-020rev.07, 15-May-2007 (_--palcoAlikalideal' Sample Condition Upon Receipt (SCUR) Page 1 of 2 Document Number: Issuing Authority: F-CHR-CS-003-rov.16 Pace Huntersvllle Qualitv Office Client Name. w Courier: Fed Ex ❑ UPS(] LISPS❑ Client❑�no C mmerclal❑ Pace Other ,. Custody Seal on Coo IadBox Present: ❑ yes Seals intact: ❑ yes ❑ no 4 1 Packing Material: ❑ Bubble Vr1NO ubble Bags ❑ None ❑ Other 91191uoThermometer Used: IR Gun Type of Ice: None emples on ice, cooling process has begun Temp Correction Factor T1orrection Corrected Cooler Tom �. -C p��� --. Temp should be above freezing to 61C Biological Tissue Is Frozen: Yes No rn Comments: Date and initial of orson raminin PP fi contents: Chain of Custody Present: K�r a DNA ❑N1A 1. Chain of Custody Filled Out: es Ao PM9 2. Chain of Custody Relinquished: �s as IA 3. Sampler Name & Signature on COC: ❑Yea [i] ONIA 4. Samples Arrived within Hold Time: s ❑No !A 5. Short Hold Time Anat sls a72hr : Dyes o 1A B. Rush Turn Around Time Requested: DyesNo Oft 7. Sufflclent Volume: es. o ❑NIA 8. Correct Containers Used: -Pace Containers Used: as o es ❑NIA ❑NIA 9. Containers Intact: es ONo Dom 1 Filtered volume received for Dissolved tests Dyes DNo e W 11. Sample Labels match COC: -Includes date/tlmellDlAnaf sis Matrix; Dyes o ©NIA 12, T$J S4,AP1G T b .- a iI All containers noeding presorvallon have been checked. All containers needing preservation are found to be in compliance vrith EPA recommendation. excepllons: VOA, colifoim, TOC, O&G, INI.ORO (water) PAIC ❑No �, s ❑Na ZscN, ❑wA ❑N!A 13. Samples checked for dechlorination: Dyes ONO M4 f4." Heads ace In VOA Vials >6mm : Dyes ❑No 21111A 45. Trip Blank Present: Trip Blank Custody Seals Present Pace'Tr[2 Blank Lot 1# if urohased ; DYes QNo Dyes ©No NIA N1A G. Client Notification/ Resolution: Field Data Required? Y 1 N Person Contacted: Date/ilme; Comments/ Resolution: SCURF Review: Dale: 5 , wo : 922363a6 SR Review: Date: HIM Note: Whenever there is a discrepancy affecting North Carol nacompliance �IIII I II IIIsamples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (I.e out of hold, incorrect preservative, out of temp, 92236305 Incorrect containers) Page 12 of.W G O In P / _D 0-;4 rp0rat February 19, 2015 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 5tormwater Discharge Outfall Monitoring Report — February 2015 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 Re: To Whom It May Concern: RECEIVED FEB 2 5 2015 CENTRAL FILES DWR SECTION Enclosed is the completed Stormwater Discharge Outfall Monitoring Report as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. The stormwater sample was tested for pH on -site prior to submission to the lab. The pH level changed from the initial level of 7.28 std. units to 5.5 std. units when it was analyzed by the lab. The facility's pH meter was calibrated according to manufacture instruction prior to the analysis. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Omar E. Jimenez — Mission Foods U.S. Compliance Corporation 520 Third Street • Suite 100 • Excelsior, NIN 55331 + Phone 952.252.3000 + Fax 952.252.3001 www.uscompliance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 2/2/2015 CERTIFICATE OF COVERAGE NO.`NCG06 6: 65 _ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Brandon Woodard LABORATORY Pace Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 RECEIVED FEB 0 4 2015 CENTRAL FILES DIAM SECTION Total event rainfall z or 0 No discharge this period; Outfall No. Sample Collected; . mo/dd/,yr T55, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 _ Within 6.0 — 9.0 12D 30 1000 500 001 1 Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? []yes ❑X no Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. OutfalbNo. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 -- 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ifyes, complete Part B) C3 �C SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR•PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor U.S. Compliance notified Thom Edgerton on 1/13/15 of the exceedance, via e-mail, on behalf of Mission Foods. Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lob results or at end o monitoring period in the case of "No Discharge" reports to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permi�toe) 2-2-1 ZV0 (Date) Additional copies of this form may be downloaded at: http_://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S WU-249 Cast Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCGO60000 Date submitted 01 / 13 / 2 015 CERTIFICATE OF COVERAGE NO. NCG06 0265 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Brandon Woodard LABORATORY Pace Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 RECEIVE[) JAN 15 2015 CENTRAL FILES FACILITY ACTIVITIES INCLUDE (check all that apply): DNfR SECTION ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? [—]YES TNO PLEASE REMEMBER TO SIGN ON THE REVERSE -i Total event rainfall z 0 . 93 or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies. per 100 ml Benchmark - 100 or 50 Within 6.0 —.9.0 120 30 1000 500 001 12/29/2014 34.9 5.4 60.0 ND <5.0 N/A N/A 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall'No. Sample Collected; Mo/dd/,yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil,Usage, Annual'average gal/mo Benchmark - 30 100 orr50 6.0 — 9.0. - 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 00" P� (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor U.S. Compliance notified Thom Edgerton on 1/13/15 of the exceedance, via e-mail, on behalf of Mission Foods. Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permi j 3 CIS (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2412 Page 2 of 2 aceAnalytical. www.pamobs.cm Pace Analytical Services. Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 January 08, 2015 Paul Gillard Mission Foods 401 Gateway Drive Goldsboro, NC 27534 RE: Project: Stormwater 12130 Pace Project No.: 92231250 Dear Paul Gillard: Enclosed are the analytical results for sample(s) received by the laboratory on December 30, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc: Myles Peterson, U.S. Compliance Corp P PCCRE TN1 r�" ORASO REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 acmnalytical www.pacelabs.com Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersvilte, NC 28078' (704)875-9092 CERTIFICATIONS Project: Stormwater 12130 Pace Project No.: 92231250 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 VirginiaNELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 West Virginia Certification #: 356 North Carolina Drinking Water Certification #: 37712 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc- Page 2 of 12 aceAnalytical www.pacefabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: Stormwater 12130 Pace Project No.: 92231250 Lab ID Sample ID Method Analysts Analyses Reported Laboratory 92231250001 001 EPA 1664B CLW 1 PASI-C SM 2540D MDW 1 PASI-A EPA9040 MAB 1 PASI-A SM 5220D JTJ 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 0 aceAnalytical www,pacefabs.cw Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Stormwater 12130 Pace Project No.: 92231250 Sample: 001 Lab ID: 92231250001 Collected: 12/30/14 08:00 Received: 12/30/14 10:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 12/30/14 15:40 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 34.9 mg/L 4.6 1 12/31/14 10:29 9040 pH Analytical Method: EPA 9040 pH 5.4 Std. Units 0.10 1 12/31/14 12:50 H6 5220D COD Analytical Method: SM 52200 Chemical Oxygen Demand 60.0 mg/L 25.0 1 01/07/15 14:00 Date: 01/08/2015 03:34 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnalyrrcal ; www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater 12130 Pace Project No.: 92231250 QC Batch: GCSV119955 QC Batch Method: EPA 1664E Associated Lab Samples: 92231250001 METHOD BLANK: 1361536 Associated Lab Samples: 92231250001 Parameter Units Oil and Grease mg1L QUALITY CONTROL DATA Analysis Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 12130/1415:38 LABORATORY CONTROL SAMPLE: 1361537 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 40 37.3 93 78-114 MATRIX SPIKE SAMPLE: 1361538 92231292004 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 37.7 93 78-114 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/08/2015 03:34 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalytical wivwpacelabs.com Pace Analytical Services, Inc. 9800 KinceyAve, Suite 100 Huntersville, NC 28076 (704)675-9092 QUALITY CONTROL DATA Project: Stormwater 12130 Pace Project No.: 92231250 QC Batch: WET135037 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92231250001 METHOD BLANK: 1361966 Matrix: Water Associated Lab Samples: 92231250001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 12/31/14 10:24 LABORATORY CONTROL SAMPLE: 1361967 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 236 94 90-110 SAMPLE DUPLICATE: 1361968 92231388001 Dup Parameter Units Result Result RPD Qualifiers - Total Suspended Solids mg1L 117 133 13 D6 SAMPLE DUPLICATE: 1361969 92231390001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 90.7 100 10 Results presented on this page are in the units indicated by the "Units" column except whore an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 01/08/2015 03:34 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical e wovw.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Stormwater 12/30 Pace Project No.: 92231250 QC Batch: WETA/21506 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92231250001 METHOD BLANK: 1364916 Matrix: Water Associated Lab Samples: 92231250001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 01/07/15 14:00 LABORATORY CONTROL SAMPLE: 1364917 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 726 97 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1364918 1364919 MS MSD 92231013001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 30.0 750 750 729 729 93 93 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1364920 1364921 MS MSD 92231423001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Quai Chemical Oxygen Demand mg1L 36.0 750 750 753 753 96 96 90-110 0 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/08/2015 03:34 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 PaceAnalj/�ica!® _% 1 www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Stormwater 12130 Pace Project No.: 92231250 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quanlitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC institute. LABORATORIES PAS I -A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. H6 Analysis initiated outside of the 15 minute EPA recommended holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/08/2015 03:34 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical® wwwpacelabs.c= Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project, Stormwater 12/30 Pace Project No.: 92231250 Lab ID Sample ID QC Batch Method QC Batch 92231250001 001 EPA 1664B GCSV/19955 92231250001 001 SM 2540D WET/35037 92231250001 001 EPA 9040 WET/35039 92231250001 001 SM 5220D WETA121506 Date: 01/08/2015 03:34 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Method Analytical Batch Page 10 of 12 �jical C HAIWOF-CUSTOPYI Ana lytical< Request Document The Chain-a-Custodyls a LEGAL DOCUMENT. All relevant fields must be completed accurately. rage - L ,,,,,Section B 1- ,Section % CL A eq iri�d C�-,Req R u ulr�d Projett information: Invoice information ReportTo. / ; .2- CopyTo;/Yj,/L6;7S rrte: $- REGULATORYAGENCY ?zo ;4,;­­-, -CIA -�;w A 'Li WATER F UST r_...RCRA-': --OTHER. E IT Order No.: ej Pace Quote loroj;�� Name: Pace Proma .,Site Location 7 -7-: {STATE., ,,V 4- Project Number Pace ProfUa M. -J� :,Re4iuested-Analysis'Filtered (YIN)' Fteqr;IrWdCaant­_L*ATRIXrjrCODE7 M, -COLLECTED - ves `Drinking Water :DW Water V%rr L) 0 ,waste Water WW 4� Product p - 12 _; COMPWITC ST�T COMPOSITE 0 112, z L - . SL la tz, I �SAMPLt Olt 01- a CD wipe. WP (A.Z: D-9 1'..)*V - Air _10­11�AR3�, 'Sample IDS IVUST�SE UNIQUE'-- 'Tissue TS 0 LIJ t" • Otri OT-r -V —0 in -8 tu. N 0 0 0 :S L, p Kj :3 v DATE TIME DATE." TIME •- z 0 z 01 r -,Pace: Project No.] Lab I.D. -7 Z_ t r3. 140 TT, JI :411:10 : .�j 'Z7 % U -4, RELINQUISHED BY I AFFILIATION: DATE 'nME BYJAFF[jj. A7�911 'DATE-. ..TIME' SAMPLE CONDITIONS k SAMPLER NAME AND SIGNATURE o Z A PRINT Name of SAMPLER: 39 Ax� LOLl. W60,2�� Izy A5 0 u Z 0. SIGNATURE of SAMPLER. x DATE Signed 2 . -Z -.8 N� .— ./!_/, 1�Lim .N T. . Paee's.NE 30 day payment terms and agreeing to late charges of 1.5% per month for any invoicas not paid MNn 30 days, F-ALL-0-020rev.07. 15-Mav-2nO7 ' (�XeAtwlylWl' Document Name: Document Revised: September 22. 2U14 Sample Cortdition,U on Recef t (SCUR) Page 1 of 2 Document Number: Issuing Authority: F-CHR-C3-003=rey:15 Pace Huntersville Quality Office Client Name:' IU 55(jh, Coui<ler: E ed F ❑ UPS❑ USPS❑ Client❑Commercial❑ Pace Other f 1 ., Custody Sea on Cooler/8ox Present: ❑ yes D. n• Seats intact: ❑ yes ❑ no . Packing Material: ❑ Bubble VDp ❑ Bubble Bags BNone ❑ Other Thermometer Used: IR Gun T1401 Type of Ice: de Blue None [9-s-rmples on Ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Temp.: s ,C Temp should be above freezing to 61C Biological Tissue Is frozen: Yes No & Comments: Date and Initials f Orion examlwna contents: Chain of Custody Present: B4s ONO ❑NIA 1, . - Chain of Custody Filled Out: es [IN, ❑wA 2, Chain of Custody Relln wished: Dyes EK ❑NIA 3, Sampler Name & Signature on COC: S4 ON, ❑NIA 4. Samples Arrived within Hold Time: [As ❑No. ❑NIA 5, Short Hold Time Analysts <72hr : ❑Yes C34 ❑NIA 6. Rush Turn Around Time Requested: Dyes R�o DwA 7. Sufficient Volume: t4ea ❑No ONIA 8. Correct Contalners Used: -Pace Conlalners Used: ❑Yes ONO 1�Yqs ©No ❑wA ❑NIA 9. Containers Intact: Efyos ❑No ❑N1A 10. Filtered volume received for Dissolved tests Dyes ONO 241A 11, Sample labels match COC: -Includes date/time/ID/Analysis Matrix: Yes ONO ❑NIA 12, All containers needing preservation have been chocked. All containers needing preservation are found to be In compliance with EPA recommendation. exceptions: VOA, eoliform, TOC, OaG, Wl-DRO (water) Ye ONO Yes No Yt o Ci No ❑NIA 13N1A 13. Samples checked for dechlorination: ClYlas ONO ❑N! 4. Headspace in VOA Vials >Omm : Dyes ©No CfNI 16. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank lot #f if urchased): Dyes ONO Dyes ONO ZIA 6. Client Notification/ Resolution: Field Data Requlred? Y I N Person Contacted: Date/Time: Comments/ Resolution: SCURF Revlew: Date: /f SRF Review' Date: a discrepancy affecting North Caro Note: whenever there is ls a compliance samples, a copy of this form will be sent to the North Carolina DEHNR ��� Certification Office ( 1.e out of hold, Incorrect preservative, out of tamp, 92231250! Incorrect containers) Page 12 of 12 is G December 11, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report — November 2014 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 7o Whom It May Concern: RtICEF/VlEFD DEC. 15 2014 CENTRgL FIiE DWR SECrlom Enclosed is the completed Stormwater Discharge Outfall Monitoring Report for October as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Omar E. Jimenez — Mission Foods U.S. Compliance Corporation 520 Third Street • Suite 100 • Excelsior, MN 55331 + Phone 952.252.3000 • Fax 952.252.3001 www.uscompliance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 12 / 11 / 2 014 CERTIFICATE OF COVERAGE NO. NCG06 0265 _ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Brandon Woodard LABORATORY Pace Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES ONO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 0 • 9 7 or ❑ No discharge this period' 'Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500. 001 11/26/2014 8.3 6.1 ND> 25.0 ND <5.0 N/A N/A ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month. Outfall No. "'f 'Sample,Collected, mo/dd/,yr, Oil and.Grease, mg/L_ TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark 30 * 100 or 50 6.0 — 9.0 - I Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT -ANY ONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor Mission Foods has also been in contact with I liom Edgerton of the Washington Regional Office reaardina the exceedance. Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to. Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the ossibility ines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http:l/portal.ncdenr.org/web/wq/ws/su/`npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 PaceAnalytical www.pacelabs.com December 10, 2014 Paul Gillard Mission Foods 401 Gateway Drive Goldsboro, NC 27534 RE: Project: Stormwater 11126 Pace Project No.: 92227340 Dear Paul Gillard: Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Hurtersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on November 26, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc: Myles Peterson, U.S. Compliance Corp Z��e pccR�Q,T`"o TNI •r ' n y qe0� 11Sp�F •' REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent cf Pace Analytical Services, Inc.. Page 1 of 12 m aceAnalyfrcal www.pacerabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: Storrnwater 11l26 Pace Project No.: 92227340 Charlotte Certification IDs 9800 Kincey Ave. Ste 100. Huntersville, NC 28078 FloridalNELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 VirginiafVELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 FloridalNELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 West Virginia Certification #: 356 North Carolina Drinking Water Certification #: 37712 VirginialVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, $nc.. Page 2 of 12 aceAnalytical wmr.Pacelabl.com SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater 11126 Pace Project No.: 92227340 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92227340001 001 EPA 1664B CLW 1 PASI-C SM 2540D MDW 1 PASI-A EPA 9040 MAB 1 PASI-A SM 5220D JTJ 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical services, Inc.. Page 3 of 12 aceAnalytrcal. www.pacelabs.com ANALYTICAL RESULTS Project: Stormwater 11126 Pace Project No.: 92227340 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 001 Parameters Lab ID: 92227340001 Collected: 11/26/14 07:30 Results Units Report Limit DF Received: 11/26/14 10:30 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 12/02/14 14:21 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 8.3 mg/L 2.6 1 12/02/14 09:45 9040 pH Analytical Method: EPA 9040 pH 6.1 Std. Units 0,10 1 11/28/14 13:45 H6 52200 COD Analytical Method: SM 5220D Chemical Oxygen Demand ND mglL 25.0 1 12/10/14 10:30 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/10/2014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnalytical Nmwpacefabs.r:orn QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stonnwater 11126 Pace Project No.: 92227340 QC Batch: GCSV119649 Analysis Method: EPA 1664E QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92227340001 METHOD BLANK: 1341045 Matrix: Water Associated Lab Samples: 92227340001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mglL ND 5.0 12102l14 14:14 LABORATORY CONTROL SAMPLE: 1341046 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mglL 40 37.1 93 78-114 MATRIX SPIKE SAMPLE: 1341047 92227170004 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mglL ND 40 37.8 94 78-114 Results presented on this page are In the unlis indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/10/2014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 ace Analytical www.pacela6s.cavn QUALITY CONTROL DATA Project: Stormwater 11126 Pace Project No.: 92227340 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: WET134534 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92227340001 METHOD BLANK: 1340850 Matrix: Water Associated Lab Samples: 92227340001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 12/02/14 09:43 LABORATORY CONTROL SAMPLE: 1340851 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 260 104 90-110 SAMPLE DUPLICATE: 1340852 92227394001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 1490 1470 1 SAMPLE DUPLICATE: 1340853 92227412001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 58.7 58.7 0 Results presented on this page are In the units Indicated by the Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/10/2014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 ace Analytical www.pacelabs.corn QUALITY CONTROL DATA Project: Stormwater 11126 Pace Project No.: 92227340 QC Batch: WET134508 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples: 92227340001 SAMPLE DUPLICATE: 1339984 Parameter Units pH Std. Units 92227360002 Dup Result Result RPD Qualifiers 7,8 7.8 0 H6 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, INC 28078 (704)875-9092 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to The right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/10/2014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalytical wwa+.pacelabac�om QUALITY CONTROL DATA Project: Stormwater 11126 Pace Project No.: 92227340 QC Batch: WETA121206 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92227340001 METHOD BLANK: 1347136 Associated Lab Samples: 92227340001 Parameter Units Chemical Oxygen Demand mg1L IABORATORY CONTROL SAMPLE. 1347137 Parameter Units Chemical Oxygen Demand mglL Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvii1e, NC 28078 (704)875-9092 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 25.0 12/1011410:30 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 750 744 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1347138 1347139 MS MSD 92228157002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 178 750 750 863 857 91 91 90-110 1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1347140 1347141 MS MSD 92228157003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 244 750 750 940 940 93 93 90-110 0 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/1012014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 acmnalytical www.pacelabs.com QUALIFIERS Project: Stormwater 11/26 Pace Project No.: 92227340 I•]4ill[,Irica].i--1 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS lib Analysis initiated outside of the 15 minute EPA recommended holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/10/2014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 'aceAnalytical ~..pacelabs.mn QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwater 11126 Pace Project No.: 92227340 Lab ID Sample ID QC Batch Method QC Batch 92227340001 001 EPA 16648 GCSV119649 92227340001 001 SM 25400 WET/34534 92227340001 001 EPA 9040 W ET134508 92227340001 001 SM 52201) WETA121206 Dates 1211012014 04:43 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Pace Analytical Services, Inc. 9800 Kircey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Method Analytical Batch Page 10 of 12 CHAIN -OF -CUSTODY I'Analytical Request Document N - ,,f'c CEAnalytical The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accuratery. o Section A - -, mod. Section B - "- " m Page: of Cn 03 , • r.- •. . - . Required Client InrormaGorc Required Project Information: Invoice Information;,t Company:..`. -'-- - - - - - - - - - - - - - _.` R�P.Pwt Ta: ASIenIIOn: % �-�-i ] Add 4 i, Uf �7Z 7c7/ kYl�r: Capy�o' L �f 1 � Company Name: ��" "BOG REGULATORY AGENGY . r f✓ = a �L �7� `� Sf�O L1'.`,EICY Z 3ff;:. �}��c7i-JSa,�/ 'fJSrfo:�l�ir, CGli .: Address: �Lr'''�'1=�` t-�; r �3exGROUNDWATER•r DRINKINGWATER:. r�_ �; . r� f•� �'.t' .NPDES:_' . r— UST r 1 RCRA" _ 7_ ; 7 r _:'' OTHER `GT` r - /cck G� Pu se Order No.: r �.� Pam Citrate �G ca d rss% c r r�-r� . Raf m _ Bho p PG C c Ft- 7.2ri 7 !1 7,5-�- Z 3Fe Project Name: Pam Prgod Manager. Site Location t,� ;it+ ri STATE: / I/ :8 ��. . Raquesfod Duo DatwTAT:i•' a_ a� .. v .s _ ProjectNurnber. - c_. _ . PamPrarie#: w .-A a• u•,- :_ .. ;t� U ., .j Requested Analysis Filtered (YINj- :.' •`,': '` . • ,> ; �..:'-'`";�� _ Soction D.. -, r� y 1r, -Matrix Codes RequlrodCiiem Mfenwnon ••'-� 7 �1 MATRIX 1'C4DE- ` a .: ' ' •COLLECTED- -� - - --Preservatives f`•%- ;2. '>''- ; _• �•- - - ' .,t= , �- ' '! • ... Drink' Water DW Water '. zo waste Wator Ww s cowalosrm START COnaGSME �+cww ur ..:, .._„ Product' P .. SoiVSDW . SL d g L9 ` ., _ . ., _ .. '3; r. 1 ' .1. y ;•f ' ° }: .-. . SAMPLE ID Oil OL _ -- _ _ _ - • .t - wipe WP. � .', AR ' � • .. 4 IL w i" ' Sample lDs MUST BE UNI&E • .-Tissue "-T,._ TS ' a' '_. - .. ZD m 'in- '`,-X - --r_ w m —i r 'O O o :y. '• v t' l� ! -m it' - f,h-�� :•' is V LL n .0. a 0 d r�' fl) m -, -DATE TIME 'DATE 'TIME Z S T Z 2 O y' O `I •� ,;, * f Pace Project Nol Lab J.D. P n� Wr I-2.54 Two 1 T'il 3 • -$. _• - ., '=.ii—_...: 1'':.. 'l._ _. i'ii'� r ,. - .�. - =F: �J f :k - - •t; s' _ is '/ _ .� .. : 6- 910 t2 .. ADOITtONAt COMMENTS - - REUNAUISHED BY f AFFILIATION -• .. DATE TIME - -_ ACCEPTED BY l AFFILIATION 7 DATE TIME SAMPLE CONDITIONS . SAMPLER NAME AND SIGNATURE ` c a o PRINT Name of SAMPLER: t i rll/.Yr,'l: ..x'l�fnrr.l E `; d i; Z • r o V d vir SIGNATURE of SAMPLER: DATE Signed g j `I �.y, y 'rmPartant NW& by 15g" rNs form you are ac=uV Pace's NET 30 day payment wrru and agrn g to rate durges of 1.5% per monM for any hwocm not paid w@tun 30 daM F-ALL-0-020rev.07. 15-May-2007 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 10 / 15 / 2 014 CERTIFICATE OF COVERAGE NO. NCGO6 0265 _ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Brandon Woodard LABORATORY Pace Analytical Lab Cert. # 12 Part A, Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 FACILITY ACTIVITIES INCLUDE (check all that apply). ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 1 - 5 7 or ❑ No discharge this period; Outfall No.. Sample Collected, mo/dd/yr ' TSS; mg/L pH, Standard units .. COD; mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark 100 or 50 Within 6.0 —,9.0 120 30 1000 Soo 001 09/08/2014 ND <4.2 5.1 ND < 25.0 ND <5.0 N/A N/A cF 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. ?0LhfaII'No. • 5arriple'C61lected, mo/dd/yr Oi6and°Giease, ,mg/L TSS, mg/L` pH, Standard units " New Motor OilUsage; Annual "average gal/mo, Benclimarli, - - - 30 100:or-`50" 6.0 — 9:0 Only applies to facilities that use/process meats. z The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any out:falls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. A 0 DEIVED T 21 2014 TRA1 IQWR SECViLtS TION (if yes, complete Part 6) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to_ Washington_ Regional Office Supervisor. Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end o monitoring period in the case of "No Discharge"' reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including tl}4 possibility of fines and imprisonment for knowing violations." (Signature of Per (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 aceAnalytical mwvpacelabs.com September 18, 2014 Brandon Woodard Mission Foods 401 Gateway Drive Goldsboro, NC 27534 RE: Project: Stormwater 001 918 Pace Project No.: 92216614 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Brandon Woodard: Enclosed are the analytical results for sample(s) received by the laboratory on September 09, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc: Myles Peterson, U.S. Compliance Corp 2``�Q accRFo�t�o N I., `RBORA��� REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except fn full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 ace Analytical —pacetebs.com CERTIFICATIONS Project: Stormwater 001 918 Pace Project No.: 92216614 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Charlotte Certification IDs 9800 Kincey Ave. Ste 100. Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #. 357 North Carolina Wastewater Certification #: 12 Virginia/VELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida]NELAP Certification #: E87648 South Carolina Certification M 99030001 Massachusetts Certification #: M-NC030 West Virginia Certification,#: 356 North Carolina Drinking Water Certification #: 37712 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in Full, without the written consent of Pace Analytical Services, inc.. Page 2 of 12 aceAnalytical —Pacelabsxom SAMPLE ANALYTE COUNT Project: Stormwater 001 918 Pace Project No.: 92216614 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 2807E (704)875-9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92216614001 001 EPA 1664B CLW 1 PASI-C SM 2540D JTJ 1 PASI-A EPA 9040 MAB 1 PASI-A SM 5220D SMW 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnalytical wwwpacelabs.00m ANALYTICAL RESULTS Project: Stormwater 001 918 Pace Project No.: 92216614 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilie, NC 28078 (704)878-9092 Sample: 001 Parameters Lab ID: 92216614001 Collected: 09/08/14 06:00 Results Units Report Limit DF Received: 09/09/14 09:40 Matrix: Water Prepared Analyzed CAS No, Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease N❑ mg1L 5.0 1 09/10/14 13:56 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg1L 4.2 1 09/15/14 15:08 9040 pH Analytical Method: EPA 9040 pH 5.1 Std. Units 0.10 1 09/10/14 14:46 H6 5220D COD Analytical Method: SM 52200 Chemical Oxygen Demand ND mglL 25.0 1 09/17/14 20:09 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/18/2014 12:34 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 ace Analytical wwwpacelabs.cam Project: Stormwater 001 918 Pace Project No.: 92216614 QC Batch: GCSV118838 QC Batch Method: EPA 1664B Associated Lab Samples: 92216614001 METHOD BLANK: 1282055 Associated Lab Samples: 92216614001 Parameter Units Oil and Grease mg1L LABORATORY CONTROL SAMPLE: 1282056 Parameter Units Oil and Grease mg/L Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 09110/1413:49 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 37.2 93 78-114 MATRIX SPIKE SAMPLE: 1282057 92216640001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 40.6 97 78-114 Results presented on this page are in the units Indicated by the -Units- column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/18/2014 12:34 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalytical www.patelabs.00m Project: Stormwater 001 918 Pace Project No.: 92216614 QC Batch: WET133170 QC Batch Method: SM 25400 Associated Lab Samples: 92216614001 METHOD BLANK: 1285390 Associated Lab Samples: 92216614001 Parameter Units Total Suspended Solids mglL QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 25400 Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 09/15/14 15:05 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville. NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1285391 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 256 102 90-110 SAMPLE DUPLICATE: 1285392 92216428005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 11.4 12A 8 SAMPLE DUPLICATE: 1285393 92216775001 ❑up Parameter Units Result Result RPD Qualifiers Total Suspended Solids, mglL 310 300 3 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/18/2014 12:34 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical —pacelabs.cam QUALITY CONTROL DATA Project: Storrrlwater 001 918 Pace Project No.: 92216614 QC Batch: WET133089 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples: 92216614001 SAMPLE DUPLICATE: 1282092 Parameter pH SAMPLE DUPLICATE: 1282093 Parameter pH 92216576001 Dup Units Result Result Std. Units 7,9 7.9 92216576002 Dup Units Result Result Std. Units 7.9 8.0 RPD Qualifiers 0 H6 RPD Qualifiers 1 D6,H6 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)8754)092 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/18/2014 12:34 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalytrcal —Pacelabs.com QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 KinceyAvo. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Stormwater 001 918 Pace Project No.: 92216614 QC Batch; WETA120277 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92216614001 METHOD BLANK: 1287176 Matrix: Water Associated Lab Samples: 92216614001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 09/17/14 20:09 LABORATORY CONTROL SAMPLE: 1287177 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg1L 750 767 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1287178 1287179 MS MSD 92216169001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone, Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 1670 1500 1500 2540 2540 58 58 90-110 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1287180 1287181 MS MSD 92216627001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 674 750 750 1450 1460 103 105 90-110 1 Results presented on this page are in the units Indicated by the "Units- column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/18/2014 12:34 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalyffrcal wwwpacefabs.com QUALIFIERS Project: Stormwater 001 9/8 Pace Project No.: 92216614 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. PQL- Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenyla mine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNi - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. H6 Analysis initiated outside of the 15 minute EPA recommended holding time. M1 Matrix spike recovery exceeded OC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 0911812014 12:34 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical www.pacelabs.corn A QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwater 001 9/8 Pace Project No.: 92216614 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92216614001 001 EPA 1664B GCSVl18838 92216614001 001 SM 25400 WET/33170 92216614001 001 EPA 9040 WET133089 92216614001 001 SM 52200 WETA120277 Date: 09/18/2014 12:34 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch Page 10 of 12 November 19, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report — October 2014 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: Enclosed is the completed Stormwater Discharge Outfall Monitoring Report for October as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Omar E. Jimenez — Mission Foods U.S. Compliance Corporation 520 Third Street . Suite 100 • Excelsior, MN 55331 • Phone 952.252.3000 . Fax 952.252.3001 www.0 scomplia nce.com y� SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 11 / 19 / 2 014 CERTIFICATE OF COVERAGE NO. NCG06 0265 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Brandon Woodard LABORATORY Paco Analytical Lab Cert. # 12 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Totol event roinfoll Z 1 . 57 or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COO, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml .Benchmark 100 or 50 Within 6.0 — 9.0 120 30 1000 5o0 001 10/15/2014 ND <3.9 4.2 25.0 ND c5.0 N/A N/A Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall'No. Sample Collected, mo/dd/yr Oil.and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - ' Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Written notification submitted to Washington Regional Office Supervisor. Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. l am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Perm (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 aceAnalytical www.pacelabs.cvm October 24, 2014 Paul Gillard Mission Foods 401 Gateway Drive Goldsboro, NC 27534 RE: Project: 001 Pace Project No.: 92221681 Dear Paul Gillard: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on October 16, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc: Myles Peterson, U.S. Compliance Corp REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 aceAnalytical wwwpacelebs.com Project: 001 Pace Project No.: 92221681 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Charlotte Certification IDS 9800 KinceyAve. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS FloridalNELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 ace Analytical www.pacelabs.com SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: 001 92221681 Analytes Lab I❑ Sample ID Method Analysts Reported Laboratory 92221681001 001 EPA 1664B CLW 1 PASI-C SM 2540D MLS 1 PASI-A EPA 9040 MAB 1 PASI-A SM 5220D JTJ 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnalytical I www.pacela6s com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvifle, NC 28078 (704)875-9092 Project: 001 Pace Project No.: 92221681 Sample: 001 Lab ID: 92221681001 Collected: 10115/14 09:28 Received: 10/16114 08:00 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease NO mg/L 5.0 1 10/17/14 13:19 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids NO mg/L 3.9 1 10/17/14 11:12 9040 pH Analytical Method: EPA9040 pH 4.2 Std. Units 0.10 1 10117/14 13:28 H6 5220D COD Analytical Method: SM 52200 Chemical Oxygen Demand 25.0 mg/L 25.0 1 10/23/14 12:50 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/24/2014 02:42 PM without the written consent of Pace Analytical Services, inc.. Page 4 of 12 aceAnalytical ` mvwp"Iabs.com Project: 001 Pace Project No.: 92221681 QC Batch: GCSVI19216 QC Batch Method: EPA 16649 Associated Lab Samples: 92221681001 METHOD BLANK: 1309682 Associated Lab Samples: 92221681001 Parameter Units Oil and Grease mglL LABORATORY CONTROL SAMPLE: 1309683 Parameter Units Oil and Grease mglL Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: EPA 16648 Analysis Description: 1664 HEM, Oil and Grease Matrix; Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 10/17/14 13:11 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 40 37.7 94 78-114 MATRIX SPIKE SAMPLE: 1309684 35159160001 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Oil and Grease mglL 1,1U 41.7 34.6 83 78-114 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/24/2014 02:42 PM wilhout the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalytical y�—pacelabs.00m Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: 001 Pace Project No.: 92221681 QC Batch: WET133796 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92221681001 METHOD BLANK: 1309447 Associated Lab Samples: 92221681001 Parameter Units Total Suspended Solids mgIL LABORATORY CONTROL SAMPLE: 130944E Parameter Units Total Suspended Solids mgIL SAMPLE DUPLICATE: 1309449 Parameter Total Suspended Solids SAMPLE DUPLICATE: 1309450 Parameter Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 10/17/1411:09 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 256 102 90-110 92221614001 Dup Units Result Result mg/L 5.4 ND 92221690002 Dup Units Result Result mg/L ND ND RPD Qualifiers RPD Qualifiers Results presented on this page arc in the units Indicated by tho "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/24/2014 02:42 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical www.pacelabs.com QUALITY CONTROL DATA Project: 001 Pace Project No.: 92221681 QC Batch: WET133794 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH Associated Lab Samples: 92221681001 SAMPLE DUPLICATE: 1309387 92221443001 Dup Parameter Units Result Result PH Std. Units 7.8 7.8 SAMPLE DUPLICATE: 1309388 92221843002 Dup Parameter Units Result Result PH Std. Units 6.6 6.5 RPD Qualifiers 1 H6 RPD Qualifiers 1 H6 Paco Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/24/2014 02:42 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalyfical " wwdcpacefebs.com Project: 001 Pace Project No.: 92221681 OC Batch: WETA120641 QC Batch Method: SM 5220D Associated Lab Samples: 92221681001 METHOD BLANK: 1313522 Associated Lab Samples: 92221681001 Parameter Units Chemical Oxygen Demand mg/L QUALITY CONTROL DATA Analysis Method: SM 5220D Analysis Description: 5220D COD Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 25.0 10123/1412:50 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 1D0 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1313523 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 757 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1313524 1313525 MS MSD 02221490005 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand rng1L ND 750 750 748 748 99 99 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1313526 1313527 MS MSD 92220339026 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 48.0 750 750 805 805 101 101 90-110 0 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in M, Date: 10/24/2014 02:42 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalytical I wwwpacefebs.cwn QUALIFIERS Project: 001 Pace Project No.: 92221681 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Ouantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS H6 Analysis initiated outside of the 15 minute EPA recommended holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/24/2014 02:42 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 ac,Mnalytical wwwpacelabs,can QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: 001 Pace Project No.: 92221681 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92221681001 001 EPA 1664B GCSV119216 92221681001 001 SM 2540D WET133796 92221681001 001 EPA 9040 WETI33794 92221681001 001 SM 5220D WETA120641 Date: 10/24/2014 02:42 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in fuH, without the written consent of Pace Analytical Services, Inc.. Analytical Batch Page 10 of 12 CHAIN -OF -CUSTODY. /n-oAnalytical Request Document. 1 4. The Chain -of -Custody is LEGAL DOCUMENT, All relevant fields must be cumwelLd accurately, 0 6a?ce CL) Pago: of 0) ro Section A Section B Section C Required Client triorinatio'n: Required Project Information: •Invoice Inlormation: ,nY'fn.) Report TO: Attention: w-, -1782119 Addres;tJ Copy To: Company Nam REGLILATCR-i-AGENCY f 4 /Z Address: F. NPDES, F:.,iqGRO f�90 ND ND ATER"F DRINnNG WATER UST F_ RCRA, .OTHER Email To, Pvrcriase Order No.: Pace Quote Raferenoo: Phone:- Fax: Project l Pam Project Mariner. Site Locat! on 'S TA TE., Requested DuaDaterrA Project Number.: Requested Analysis Filtered (Y'N)'L' 7-,A Section D Matrix Codes PAATRI>C'/ CODE % COLLECTED Pyis&rvath'es Prinking Wow OW Z Water WT 1- Waste Water V-1w Product P sCE0016�TE EN0Aiu%AJD 0 soilisolid SL -SAMPLE- I D Oil OL L) ;f o.-' Wipe WP Air AR Sample [Ds MUST BE UNIQUE T`.Zi? •LUur, I'_ z CID .0 Other 1 0' ., Lu LLI Z 0, ca USA LEI 2if. `LL- O. n. 0 "4 0 Z = 7- :3 0 DATE TIME -DATE q TIME- Y�- :r_ " 1: z 1: Z.) M z R z 2 < -6 IV it ;:-.Pace Project NoJ Lab I.D. 1. co 6- ,3 4 7 L 7- 11 Al5orlIONA!LeOMMENTS REUNQUISHED BY I AFFILIATION DATE, TIME ACCEPTED BY1AFFILIATION DATE TIME SAMPLE CONDITIONS I&L SAMPLER NAME AND SIGNATURE 0 — 75 PRINT Name of SAMPLER: •V Z U) DATE Signed SIGNATURE &SAMPLER, (MWDDIYY): to F-ALL-Q-020rev,07, 15-May-2007 -important Note: By signing this form you we a=piing Pa='s NCT M day paymoni wm%s anda9moing to late Chafqw of 1 S% per month 6 any i 30 days. �c�Ar�?lytrcal• Sample Condition U 'on.Recei t' SCUR Locument Nuinbdr: F-t. HR-CS-*0b3-rev.15, Client Name: Page 1 of 2 Issuing Authority: Pace Huntorsville Quality Office Courier: ❑ Fed ❑ UPS❑ USPCJ ClienkC• Commercial❑ Pace Other-- 0 Y A. Custody Seat on Cooler/Box Present: El yes [l:i no Seals intact: ❑ yes ❑ n0� FIN,t Packing Material: Bubble-Vop [f Bubble Bags ,❑ None ❑ Other Thermometer Used: IR.Gun 140 Type of Ece: , et Blue None [}-6amples on ice, tooting process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Temp.:3.5 •C Biological i issue is Frozen: Yes No dr Date and Initials of person examining contents: - C F- oj i �l ly, _ Temp should be above freezing to VC '• Comments: Chain of Custodj Present: C�res ❑No ❑NIA, 1. Chain of Custody Filled Out: CJYes 13 t10 ❑NIA _ I 2, tO Chain of Custody Relinquished: Dyes. CJNo ❑NIA 3. o IS N O fl Sam- ler Name & Signature on COC: 1! Yes ❑No ❑NIA 4. Sam les Arrived within Hold Time: L es ❑No •'❑NIA 6. Short Hold Time Analysis (<72hr): ❑Yes 9No ❑NIA 6, Rush Turn Around Time Requested: Ql es ON, , ONIA 7. Sufficient Volume: es ❑No . ❑NIA B, Correct Containers Used: E ❑No ' ❑NIA g. -Pace Containers Used: "Yes ❑No ❑NIA Containers Intact +'fls`❑No ❑NIA 10, Filtered Volume received for Dissolved tests C? Yes :❑No IfNIA 11. i; Sample Labels match COC: t S ❑No ❑NIA 12. -Includes date/lime/ID/Analysis Matrix: 13, All containers needing preservation have been checked. ❑No ❑N!A All conta€ners needing preservation are found to be In ❑No ° ❑N!A compliance with EPA recommendation. __; exceptions: VOA, eollform, TOC, O&G, W -DRO (water) k'JYes ON,' —�.� Samples checked for dechlorinat€on: f`lYes ❑No ' LJOA 14. Headspace in VOA Vials >6mm : 1, Yes El No. 1lI IA 15, Trip Blank Present: []Yes ❑No E N;A 16. ❑Yes ❑No, 6NIA Trip Blank Custody Seals Present Pace Trip Blank Lot # ifpurchased): Client Notification/ Resolution: , . Field Data Required? Y I N Person Contacted: ; Datefrime: Comments/ Resolution: , Two SCURF Reviewi t Date: Jk SRF Review: Date: k - ry (Vote: Whenever (here is a discrepancy affecting North C rollna compliance, samples, d copy of this form will be sent to the North C,,Folina DEHNR Certification Office (Le out of hold, Incorrect preservatije, out of temp, Incorrect containers) 1111�l�1111�1�11�1111 . _ ' . 922216811 Page 12 of 12 t� SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 9 / 11 /2 014 CERTIFICATE OF COVERAGE NO. NCG06 0265__ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES LABORATORY Pace Analytical Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 RECEIVED SEP.I 6 20?4 FACILITY ACTIVITIES INCLUDE (check all that apply): RAL FILES ❑ use/process meats ❑ use animal fats/byprod�RCT�ON DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 or 0 No discharge this period? Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 5D Within 6.0 — 9.0 120 30 1000 500 001 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil mUsage, Annual.average gal/mo Benchmark - 30 100 or 50 6:0 — 9.0 - Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an ordinal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-44 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 G0m p f I� n =4— c� C1 '� •o O �'p 0 r a September 3, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report —August 2014 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: Enclosed is the completed Stormwater Discharge Outfall Monitoring Report for August 2014 as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Omar E. Jimenez — Mission Foods U.S. Compliance Corporation 520 Third Street . Suite 100 • Excelsior, MN 55331 . Phone 952.252.3000 • Fax 952.252.3001 www.uscompliance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Datesubmitted 9/4/2014 RECEIVED CERTIFICATE OF COVERAGE NO. NCG06 0265 _ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Brandon Woodard LABORATORY Pace Analytical Lab Cert. # 12 & 40 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SEP 0 9 2014 FACILITY ACTIVITIES INCLUDE (check all that apply): NTRAL FILES ❑ use/process meats ❑ use animal fats/ byprod R SECTION DISCHARGING TO SALTWATERS? ❑YES QNO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall Z 0 . 3 or ❑ No discharge this period' outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 5o0 001 7/28/14 6.7 5.5 281 ND <5.0 N/A N/A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month: Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the mo?e protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: * A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. * 2 FXCEFDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. * TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results tor at end of monitoring period in the case of "No Discharge" reports) to: T Division of Water, Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." � r4 [Date] Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 aceAnalyrca! WWW pacdahs=M August 06, 2014 Kevan McCance Mission Foods 401 Gateway Drive Goldsboro, NC 27534 RE: Project: 001 Pace Project No.: 92211238 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 10o Huntersville, NC 28078 (704)875-9092 Dear Kevan McCance: Enclosed are the analytical results for sample(s) received by the laboratory on July 29, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 aceAnalyfical wwwpacefafia.com CERTIFICATIONS Project: 001 Pace Project No.: 92211238 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersvil le, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification M 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 VirginialVELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 North Carolina Wastewater Certification #: 40 FloridalNELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 West Virginia Certification #: 366 North Carolina Drinking Water Certification #: 37712 VirginialVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 acMnalyiical www.Paeafeba.oam SAMPLE ANALYTE COUNT Project: 001 Pace Project No.: 92211238 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92211238001 001 EPA1664B CLW 1 PASI-C SM 2540D MDW 1 PASI-A EPA 9040 MDW 1 PASI-A SM 5220D SMW 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 100 Maly�r`cal Huntersville, NC 28078 WWW.pb. (704)875-9092 ANALYTICAL RESULTS Project: 001 Pace Project No.: 92211238 Sample: 001 Lab ID: 92211238001 Collected: 07/28/14 06:00 Received: 07/29/14 08:00 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 07/31/14 10:08 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 6.7 mg/L 4.2 1 07/31/14 12:50 9040 pH Analytical Method: EPA 9040 pH 5.5 Std. Units 0.10 1 07/31/1411:14 H6 52200 COD Analytical Method: SM 5220D Chemical Oxygen Demand 281 mg/L 25.0 1 08/05/14 23:00 as REPORT OF LABORATORY ANALYSIS This report Shall not be reproduced, except in full, Date: 08/06/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnalytical www.pecelabs.com Project: 001 Pace Project No.: 92211238 QC Batch: GCSV118399 QC Balch Method: EPA 1664B Associated Lab Samples: 92211238001 METHOD BLANK: 1253602 Associated Lab Samples: 92211238001 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 1253603 Parameter Units Oil and Grease _ mglL Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 07/31/14 10:05 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 37.9 95 78-114 MATRIX SPIKE SAMPLE: 1253604 92211259005 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L ND 40 36.1 90 78-114 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/06/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 tD aceAnalytical www.pecWabs.cam QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvllle, NC 28078 (704)875-9092 Project: 001 Pace Project No.: 92211238 QC Batch: WET132393 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92211238001 METHOD BLANK: 1253812 Matrix: Water Associated Lab Samples: 92211238001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg]L ND 2.5 07/31/14 12:42 LABORATORY CONTROL SAMPLE: 1253813 _ Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 264 102 90-110 SAMPLE DUPLICATE: 1253815 92210991001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 54.4 53.6 1 SAMPLE DUPLICATE: 1253818 92211043001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 11.6 11,2 4 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/06/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnaIXical www.pacelahs.aom Project: 001 Pace Project No.: 92211238 QC Batch: WETl32384 QC Batch Method: EPA 9040 Associated Lab Samples: 92211238001 SAMPLE DUPLICATE: 1253435 Parameter Units Std. Units pH QUALITY CONTROL DATA Analysis Method: EPA 9040 Analysis Description: 9040 pH 92211238001 Dup Result Result RPD Qualifiers 5.5 5.6 1 H6 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/06/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalytical wwpecelebxcam QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: 001 Pace Project No.: 9221123E QC Batch: WETA119813 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92211238001 METHOD BLANK: 1257192 Matrix: Water Associated Lab Samples: 92211238001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mglL ND 25.0 08/05/14 23:00 LABORATORY CONTROL SAMPLE: 1257193 Spike LCS LCS % Rec Parameter Units Cone. Result _ % Rec Limits Qualifiers Chemical Oxygen Demand mg1L 750 726 97 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1257194 1257195 MS MSD 92211671002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 345 750 750 1120 1120 104 104 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1257196 1257197 MS MSD 92211156001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone, Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 959 750 750 1670 1660 95 94 90-110 0 Results presented on this page are In the units Indicated by the -Units- column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shNi not be reproduced, except in full, Date: 08/06/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page B of 12 laneAnalyfical"' www.pacatabs.com QUALIFIERS Project: 001 Pace Project No.: 92211238 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 HuntersWle, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL- Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-N itrosod iphenyla mine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte 1,q,T-IW&d410i17-1U7L;lVt.1 HB Analysis initiated outside of the 15 minute EPA recommended holding time. REPORT OF LABORATORY ANALYSIS This feport shall not be reproduced, except in full, Date: 08/06/2014 05:04 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical www.Aacafaftcom QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: 001 Pace Project No.: 92211238 Lab ID Sample ID QC Batch Method 92211238001 001 EPA1664B 92211238001 001 SM 2540D 92211238001 001 EPA 9040 92211238001 001 SM 5220D Date: 08/06/2014 05:04 PM Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 QC Batch Analytical Method GCSVI18399 WET132393 WET132384 WETA119813 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch Page 10 of 12 LVUUU111C3lt lVdllR6. uvvw nv, .., w....,..... ..... _...-. ?,rAlvtl,car- Sample Condition Upon Recei t (SCUR) Pagel of 2 Document Number: Issuing Authority: ' F-CHR-CS-003-rev.14 i Pace Huntersville Qualitv Office '/lent Name: Courier: Fed Ex ❑ UPS❑ USPS❑ Client❑ Commercial❑ Pace Other Custody Seal/ on Co oler/Box Present: ❑ yes P no Seals intact: ❑ yes ❑ no Packing Material: Wrap ON Bubble Bags ❑ None 0 Other Thermometer Used: IR Gun T1102 d1401 Type of lce: Wet Blue None Samples on ice, coating process has begun Temp Correction Factor T1102: No Correction T1301., No Correction Corrected Cooler Temp.: •C Temp should be above freezing to 6'C Biological Tissue is Frozen: Yes No WA Date and Initials of per n exa fining contents:�� Comments: Chain of Custody Present: Yes ❑No ❑NIA 1. Chain of Custody Filled Out: Yes ONO ❑NIA 2, Chain of Custody Relinquished: ❑Yes XNo ❑NIA 3• Sampler Name & Signature on COC: Yes ONO ❑NJA 4. Samples Arrived within Hold Time: Yes ONO El NIA 5. Short Hold Time Analysis (<72hr): ❑Yea No ❑NIA B. Rush Turn Around Time Requested: ❑Yes ONo ❑NIA 7. Sufficient Volume: Yes ONO ❑NIA f;_ Correct Containers Used: -Pace Containers Used: Yes ❑No Yes ❑No ❑NIA ❑NIA 9. ^-ntainers Intact: Yes ONO ❑NIA 10. "J - -ered volume received for Dissolved tests Dyes ONO NIA 11. ' Sample Labels match COC: -Includes dateltlme/ID/Anal sis Matrix: Yes ONO ❑NJA 12. All containers needing preservation have been checked. All containers needing preservation are found to be in compliance with EPA recommendation. exceptions: VOA, colNorm, TOC, O&G, WI-DRO (water) XYes ❑No a( es ONO Yes ❑No ❑NIA ❑NJA 13: ; , - - - - - -- - - Samples checked for dechlorinalion: Yes ❑No ❑N1A 14. `— "' — = - • - - Heads ace in VOA Vials >6mm): ❑Yes ONO N1A 15, Trip Blank Present: Blank Custody Seals Present Pace Trip Blank Lot # if purchased): []Yes ONO ❑Yes ❑No iA 21A 16,Trip Client Notification/ Resolution: Field Data Required? Y / ' N - Person Contacted: Date/Time: Comments/ Resolution: SCURF Review: Date: T SRF Review: ::JDate: 14 Note: Whenever there is a discrepancy affecting North Carol na compliance samples, a copy of this form will be sent to the North Carolina OSHNR Certification Orrice (l.e out of hold, incorrect preservative, out of temp, incorrect containers) cc ro 0 N WOt1:92211238 MI211236Yll� �F PkeAnaVical' slevr-aaWaa--am CHAIN-OF-CUF" `DY7 Analytical Request Document Thu Chain-ot-Custody is a L. _ DOCUMENT -All relevant fields must be rdrnpleled aLcuralely, Section A Section 6 Section C Pago; of Required Ctient information.- Required Project inWma[ion' lmoioo Information: - ComPany�^y i ; •t ReooA To: ,., l' rI 1 Attontiow �7 I 1789365 r h Z Andress: [ I e r ' Copy To: �_;' f `� • �i :C]T' Company Name: C N - r - - , REGULATORY."AGENCY. ` D �� e':!/ i'L� r "75 G Q5 i Ji r:;lam �'�• .l J`� )•� {'rr i:r�`t";/'`lC:;z�uS� v�-� rl'� a% r+ : . f,��+'+ Atldraas: �r / f� - tl NPOES - F GROUNOWATER . r DRINKING WATER F UST f— RCRA [ OTHER Emai Te: . jyr;_,-;'ter- Purchaae Order No.: Pace Ooote �bfl P �'� .�, G I'aa: �% ^ Pr ed Name: of Pace P r Managect Sitc.L_acatiori STATE: Requested Due Date[TAT: Protect Number Paea Fmcde is Requested_ Analysis'Filtered.{Y!N}';. Section D Matrix Codes = a Z. RequiretlCleru lrlonn W MATRIK f C9DE. S D COLLECTED Preservatives >. - Drinking Walcr DIN Waver WY E u ZO WasleWaler V�Y h CD TUPo-Sne ranPas Z - Soillsoiid SL SAMPLE IDwoe Oil wP ¢� �? q W m. IAd. O.9l;t An AR . • ' Sample IDs MUST BE UNIQUE Tissue 7S ' 0 . n. w �'H . W ' N' - - - Other OT X 11J W 0 -� Q C. i o CTJ 1 N y 7 Y T S Z Z �Q. DATE TIME ,DATE.: TIME =O, .. .. O .. _ ...,- - - _:. .. ..,:.: -:: ':-. -Pace.Project N t.D. �� �^ i- -a`l•i (,.sly!+• 1 � !.Y !^J �'�f'( G'^.J 2 3 S 6 7 e s 10 tt 121 LLL--L—LJ I ADOttIONAL COMMENTS . RELINQUISHED BY I AFFILIATION DATE -.TIME ACCEPTED BY l AFFILIATION DATE TIME SAMPLE CQNDITIUNS SAMPLER NAME AND SIGNATURE r tl `o ^ f PRVST Name of SAMPLER:l,J -a 15 / ? E- g � z m E } V a SIGNATURE et SAMPLER: '_ DATE Signed _ (f II F -. _ E y ' IMNVDDNY}: ( -Impnr 1 No:e. By'V'k" on hsm yw Ora arieylmg Psca'a NET 90 day Payment terns and ogmeog io We rhargea or 1.5%per POW nor an&voices rat paid wlhin 10 days. F-ALL-0-020rev.07, 15-May-2007 Page 12 of 12 . .. SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 4/1/2014 CERTIFICATE OF COVERAGE NO. NCG06 0265__ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Kevan McCance LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 RECEIVED FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? [—]YES QNO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 APR 11 2014 CEN,r[�AL FILES DWQ/BOG Tota/ event rainfall z or x❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 Soo 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.' Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at air outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including th_Q possibility of fines and imprisonment for knowing violations." (Signs re of Perm (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 G0M pl ZD -. C1 � •o Orp 0 ra�� April 1, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: 5tormwater Discharge Outfall Monitoring Report — March 2014 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: Enclosed is the completed Stormwater Discharge Outfall Monitoring Report for March 2014 as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Mike McCarty —Mission Foods Kevan McCance— Mission Foods U.S. Compliance Corporation 520 Third Street • Suite 100 • Excelsior, MN 55331 . Phone 952.252.3000 • Fax 952.252.3001 www.uscompiiance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Qua ityGeneral Permit No. NCG060000 Date submitted 6 3 1 CERTIFICATE OF COVERAGE NO. NCG06 0265 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 RECEIVED JUN 0 5 2014 CENTRAL FILES FACILITY ACTIVITIES INCLUDE (check all that apply): DWQI9QG ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE --> Total event rainfall Z or ] No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes X❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ifyes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge' reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ature of Pe cle3 i (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 G°mp/ t •o 0rP0r0, June 2, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report — May 2014 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: Enclosed is the completed Stormwater Discharge Outfall Monitoring Report for May 2014 as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, /15>� --- - Myles Peterson Environmental Specialist Enclosures Cc: Scott Shafer— Mission Foods U.S. Compliance Corporation 520 Third Street • Suite 100 . Excelsior, MN 55331 • Phone 952.252.3000 • Fax 952.252.3001 www.uscompliance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 5- 4 -! y CERTIFICATE OF COVERAGE NO. NCG06 0265 FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Kevan McCance LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE -i Total event rainfall 2 or 0 No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 5046.0 — 9.0 - S Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at an/ outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. S W U-249 (if yes, complete Part B) RECEIVED V ED MAY d i ZO14 CEDw AIQIQ BOGES Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 0 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Marl an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of. "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permoee) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdesswi#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 a COMP, 0rP0r-a May 5, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report —April 2014 Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7055 Permit Number: NCGO60265 To Whom It May Concern: Enclosed is the completed Stormwater Discharge Outfall Monitoring Report for April 2014 as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Scott Shafer— Mission Foods Kevan McCance — Mission Foods U.S. Compliance Corporation 520 Third Street . Suite 100 . Excelsior, MN 55331 . Phone 952.252,3000 . Fax 952,252,3001 www.uscompliance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 3/6/2014 CERTIFICATE OF COVERAGE NO. NCG06 0265 FACILITY NAME Mission Foods' COUNTY Wayne PERSON COLLECTING SAMPLES Kevan McCance LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? RYES ONO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z or 0 No discharge this period? Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at 2ny outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark 30 100 or 50 6.0-9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. S W U-249 (if yes, complete Part B) RECEIVED MAR 10 2014 CENTRAL FILES DWO/BOG Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of (A /,c (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 COMP, a =. � •o .-P 0 r a t� March 6, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: Enclosed is the completed Stormwater Discharge Outfall Monitoring Report as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp located at the address listed a bove. Mission Foods was not able to conduct stormwater sampling during February because the facility did not experience a measurable discharge. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, L ' /4-- Myles Peterson Environmental Specialist Enclosures Cc: Kai Crawford —Mission Foods Kevan McCance — Mission Foods U.S. Compliance Corporation 520 Third Street • Suite 100 . Excelsior, MN 55331 . Phone 952.252.3000 • Fax 952.252.3001 www.uscompliance.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 2- .3 " Z CERTIFICATE OF COVERAGE NO. NCG06 0265__ FACILITY NAME Mission Foods COUNTY Wayne PERSON COLLECTING SAMPLES Kevan McCance LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 RECEIVED FEB 0 5 2014 CENTRAL FILES °Wo/soc FACILITY ACTIVITIES INCLUDE (check all that apply]: ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES X❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE -) Totol event rainfoll z or x❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 —9.0 120 30 1000 500 2 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at apy outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 —9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at anA outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if m, complete Part B) SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO X❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of 0dirmittee) 22 / 3h L (Date) Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 Gore ' � •o Grp 0 ra�� February 3, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Discharge Outfall Monitoring Report Mission Foods Corp. 401 Gateway Drive Goldsboro, NC 27534-7058 Permit Number: NCG060265 To Whom It May Concern: Enclosed is the completed Stormwater Discharge Outfall Monitoring Report as required in the NPDES General Storm Water Permit for Industrial Activity for Mission Foods Corp. If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567- 5625 or via email at mpeterson@uscompliance.com. Sincerely, Myles Peterson Environmental Specialist Enclosures Cc: Kai Crawford — Mission Foods Kevan McCance —Mission Foods U.S. Compliance Corporation 520 Third Street a Suite 100 • Excelsior, MN 55331 a Phone 952.252.3000 a Fax 952.252,3001 www.uscompliance.com