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HomeMy WebLinkAboutNCG060021_MONITORING INFO_20191125NSW STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑ HISTORICAL FILE ❑'MONITORING REPORTS DOC DATE ❑ o) a s YYYYMMDD T Tyson November 18, 2019 North Carolina Department of Environment, Health and Natural Resources Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: General Permit No. NCG060000 Tyson Foods, Roaring River Feed Mill COC NCG060021 Wilkes County Dear Madam or Sir: RECFIvFr) NOV 2 5 2019 CEN i Vi L HLES DN/R SECTION Enclosed are two copies of the required storm water sampling results. For the outfalls Covered under the above subject permit and certificate of coverage. Tyson Farms, Inc. Storm water sampling Period 2 semi-annual monitoring. Data receive for PRISM labs indicated parameters was below the benchmark. Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the parameter of concern. Please contact me at 336- 651.2871 should you have any questions. Si .lames Brown Complex Environmental Manager Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697 336-651-3836 336.838.2171 Fax: 33.651.3867 w .tysonfoods.com SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT For North Carolina Division of Water Quality General Permit No NCG060000 Date submitted: 11-18- 2019 OF COVEAGE SAMPLE YEAR 2019 FACILITY CERTIFICATENAME TyssonFarms Inc. 060021 RECEIVE® FACILITY ACTIVITIEOSNNCLUDE (check all that apply): Roaring River Feed Mill NOV 2 5 2019 ❑ use/process meats ® use animal fats/byproducts COUNTY Wilkes DISCHARGING TO SALTWATERS? []YES ®NO PERSON COLLECTING SAMPLES James Brown CENTRALFILES LABORATORY Prism Labs Lab Cert. # 402 WM SECTION; PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Storm water Benchmarks and Monitoring Results Total event r ' 112100 ❑ Outfall No. Benchmark300 TSS, mg/L or 504 pH, Standard units Within 6.0 — 9.0 COD, mg/L 120 oinfa Oil and Grease, mg/L 30 or No discharge Fecal Coliform', Colonies per 100 ml 1000 this perioa- Enterococci3, Colonies per 100 ml 500 RRIV-01 U, 60 6.77 59 5.0 NA ryA RRIV - 02 74 6.89 89 5.0 NA NA RRIV - 04 62 6.99 54 5.0 NA NA � .�.....i_------ — ..., .. re....., ... 'ups um t uoq process meets. 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 ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for farilitipc ayaravinn � cc ..I �r n ... __+ u r . (if yes• complete Part B) Outfall No. Sample Collected, Mo./dd./yr. Oil and Grease, mg/L Non Polar Oil &Grease/TPH mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 15 100orW 6.0-9.0 - RRIV-04 10/30/2019 5.0 5.0 62 6.99 215 z 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. 'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Pagel of2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. 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 ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO IrCJa' 1:1Ixe1[iI�Ll�ilyy[y�K�1P�lfe[�1� �I_\tail i 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." /L/F5-/9 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ora/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 WDENR Storm water Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://12ortal.ncdenr.grg/web/wg/ws/su/npdessw#tab-4 Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1 Facility Name: Tyson Farms Inc Roaring River Feed Mill County: Wilkes Phone No: 336.696.2741 Inspector: Raymond Nichols Date of Inspection: 10/30/2019 Time of Inspection: Lk 0p t1'\ Total Event Precipitation (inches): 2.00 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Vyes Q No Please verify whether Qualitative Monitoring must be performed during a "representative storm event"or "measureable storm event" (requirements vary, dependingon thepermit). , quantattve monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this s"ture, I certify t )at this report is accurate and complete to the best of my knowledge: Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. KKIv - d Structure (pipe, ditch, etc.) �e l'E Receiving Stream: �li�rrt.rttC L �f:li�lwH Ao A- Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L-:5h F 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): (\ vyt f 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 0 3 4 5 5. Floating Solids: Choose the number which best describes the amount of Floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 02 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 u2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 1� 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 'C% 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 NCDENR , Storm water Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: htto://nortal.ncdenr org/web/wq/ws/suu/nodessw#tab-4 Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1 Facility Name: Tyson Farms Inc Roaring River Feed Mill County: Wilkes Phone No: 336.696.2741 Inspector: Raymond Nichols Date of Inspection: 10/30/2019 Time of Inspection: tE .lo Q M Total Event Precipitation (inches): 2.00 Was this a "Representative Storm Event" or" Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed d uring a "representative storm event" or "measureablestorm event" (requirements vary, depending on the permit). ttuautanve monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this sig Lure, I certify that this report is accurate and complete to the best of my knowledge: (Signature ff Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: �\y _p )\ Outfall No. . Structure (pipe, ditch, etc.) 'VCt% �. t— ReceivingStream: Mima:1n "Vtr Describe the industrial activities that occur within the outfall drainage area: A •, n 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L ; S h E 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): h A Z 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 0 3 4 5 S. Floating Solids: Choose the number which best describes the amount of Floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids: 1 0 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 0 3 4 5 7. Is there any foam in the stormwater discharge? Yes /No 8. Is there an oil sheen in the stormwater discharge? Yes I� 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NC ENR Storm water Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit: httR//portal ncdenr ore/w b/wa/wc/s t/nadessw#tab-4 Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1 Facility Name: Tyson Farms Inc. Roaring River Feed Mill County: Wilkes Phone No: 336.696.2741 Inspector: Raymond Nichols Date of Inspection: 1 30 2019 Time of Inspection: fa Total Event Precipitation (inches): 2.00 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) nYes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event"or "measureablestorm event" (requirements vary, depending on the permit). ltuamanve monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event' or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this g,ature, I certif ghat this report is accurate and complete to the best of my knowledge: Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outiall D_escript'on: OutfallNo, V-O� Structure (pipe, ditch, etc.) 5kc ko6; swe.kl, Receiving Stream: 11.Anumec.'tt' h44c � 41, Nac 'Vex Describe the industrial activities that occur within the outfall drainage area: a of 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: l—, Sh 4 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): V%Un e- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 V ,Z1�1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of Floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids: 1 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Roaring River Storm Water Calu. Sheet Date 10-30-2019 Rain Begin: 3:25 PM iightonandoff Runoff Begin: 3:30 PM Grab Samples: 4:00 PM Rain at end of Storm Event: 2.00 Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2 Q = CIA 1 = 2.00 " (Total) C = 0.35 Q = 0.35(2.00/12)(6,534,000-7.5)/1,000,000 = 2.859 MG Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2 Q = CIA I = 2.00 " (Total) C = 0.95 Q = 0.95(2.00/12)(96485-7.5)/1,000,000 = 0.115 MG Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2 Q = CIA I = 2.00" (Total) C = 0.95 Q = 0.95(2.00/12)(75,085`7.5)/1,000,000 = 0.089 MG /"RISM ®OIA90NNTeNIE$ ING Full -Service Analytical & Environmental Solutions Tyson Farms, Inc. -Roaring River Raymond Nichols 179 Roaring River Rd. Roaring River, NC 28669 NC certification No. 402 NC Drinking Water Can No. 37735 SC Certification No. 99012 Project: Stormwater Lab Submittal Date: 10/31/2019 Prism Work Order: 9110017 Case Narrative 11/14/19 10:37 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are Flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Terri W. Cole Project Manager Data Qualifiers Key Reference Reviewed By Terri W. Cole Project Manager OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not extracted for TPH (SGT-HEM). BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 704/529.6364 - Toll Free Number: 1-8001629-6364 - Fax: 704/625-0409 Page 1 of 8 /EP Fi I S M I Full -Service al Solutions s Envtronmentel aoWeons ®Uuew�rwn&wc Tyson Farms, Inc. -Roaring River Attn: Raymond Nichols 179 Roaring River Rd. Roaring River, NC 28669 Laboratory Report 11/14/2019 Project: Stormwater Client Sample ID: RRIV-01 Prism Sample ID: 9110017-01 Prism Work Order: 9110017 Sample Matrix: Water Time Collected: 10/30/19 16:00 Time Submitted: 10/31/19 17:45 Parameter Result Units Report MOIL Dilution Method Analysis Analyst Batch Limit Factor Datefrime ID General Chemistry Parameters Chemical Oxygen Demand 59 mglL 60 10 1 'SM6220 D 1116/19 11:14 SLS P9K0114 Oil & Grease (HEM) BRL mg/L 5.0 1.7 1 '1664B 11/12/19 9:15 SLS P91<0229 Total Suspended Solids 60 mg/L 12 0.70 1 'SM2540 D 1114119 14:65 CBM P9K0053 This report should not be reproduced, except in its entirety, without the written consent of Pnsm Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 7041529.6364-Toll Free Number: t-8001629-6364-Fax: 7041626-0409 Page 3 Df 8 Sample Receipt Summary I S M � Fu166orvmee Analytical a Environmenlel Solutions Quaaurw,ca ixc 11114/2019 Prism Work Order: 9110017 Client Sample ID Lab Sample ID Matrix DatelTime Sampled Date/Time Received RRIV-01 9110017-01 Water 10/30/19 16:00 10/31/19 17:45 RRIV-02 9110017-02 Water 10/30/19 16:10 10/31/19 17:45 RRIV-04 9110017-03 Water 10/30/19 16:20 10/31/19 17:45 Samples were received in good condition at 5.0 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, INC 28224-0543 Phone: 704/529-6364 - Toll Free Number: i-8001629-6364-Fax: 7041625-0409 Page 2 of 8 /1 /P R I S M I FWI_6ervlce Analytical a 1 Environmental Solution. Tyson Farms, Inc. -Roaring River Attn: Raymond Nichols 179 Roaring River Rd. Roaring River, NC 28669 Laboratory Report 11/14/2019 Project: Stormwater Client Sample ID: RRIV-02 Prism Sample ID: 9110017-02 Prism Work Order: 9110017 Sample Matrix: Water Time Collected: 10/30/19 16:10 Time Submitted: 10/31/19 17:45 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Chemical Oxygen Demand 89 mg/L 60 10 1 'SM5220 D 11/6119 11:14 SLS P9K0114 Oil & Grease (HEM) BRL mg/L 5.0 1.7 1 '1664B 11/12/19 9,15 SLS P91<0229 Total Suspended Solids 74 mg/L 12 0.70 1 'SM2640 D 1114119 14:55 CBM P9K0063 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704IS29-6364 - Toll Free Number: 1-800/629-6364 - Fax: 704/626-0409 Page 4 of 8 Laboratory Report I S M Full-Sarvica Analytical 8 GP R usauron,ea,xc Environmental Solutions 11/14/2019 Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: RRIV-04 Attn: Raymond Nichols Prism Sample ID: 9110017-03 ' 179 Roaring River Rd. Prism Work Order: 9110017 Roaring River, NC 28669 Sample Matrix: Water Time Collected: 10/30/19 16:20 Time Submitted: 10/31/19 17:45 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Chemical Oxygen Demand 54 mg1L 60 10 1 'SM6220 D 11/6/19 11:14 SLS P9K0114 Oil B Grease(SGT-HEM) BRLOG mg/L 5.0 1.6 1 '16648 11/12/19 9.15 SLS P9K0230 Total Suspended Solids 62 mg/L 12 0.70 1 'SM2640 D 11/4119 14:65 CBM P9K0063 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 29224-0543 Phone: 7041529-6364- Toll Free Number: 1-800/629-6364 - Fax: 7041525-0409 Page 5 Df 8 n Full -Service Analytical & dP R I S M I Evlronmemal Solutions Level II QC Report 11/14/19 Tyson Farms, Inc. -Roaring River Attn: Raymond Nichols 179 Roaring River Rd. Roaring River, NC 28669 General Chemistry Parameters - Quality Control Analyte Batch PSK0053 - NO PREP Project: Stormwater Reporting Result Limit Units Prism Work Order: 9110017 Time Submitted: 10/31/2019 5:45:OOPM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Blank (P9KO053-BLK1i Prepared & Analyzed: 11/04/19 Total Suspended Solids BRL 5.0 mg/L LCS (P9K0053-BS1) Prepared & Analyzed: 11/04/19 Total Suspended Solids 480 5.0 mg/L 477.0 101 90-110 Duplicate (P9K0063-DUP1) Source: 9110017-03 Prepared & Analyzed: 11/04/19 Total Suspended Solids 70 5.0 mg/L 62 11 20 Batch P9K0114 - NO PREP Blank (P9KO114-BLK1) Prepared & Analyzed: 11/06/19 Chemical Oxygen Demand BRL 50 mg/L LCS (1391<0114-BSI) Prepared & Analyzed: 11/06/19 Chemical Oxygen Demand 508 50 mg/L 500.0 102 90-1 to Matrix Spike (P9KO114-MS1) Source: 9110017-02 Prepared & Analyzed: 11/06/19 Chemical Oxygen Demand 565 50 mg/L 500.0 89.4 95 80-120 Matrix Spike Cup (P9KO114-MSD1) Source: 9110017-02 Prepared & Analyzed: 11/06/19 Chemical Oxygen Demand 551 50 mg/L 500.0 89.4 92 80-120 3 20 Batch P9K0229 - NO PREP Blank (P9K0229-BLK1) Prepared & Analyzed: 11/12/19 Oil & Grease (HEM) BRL 20 mg/L This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, INC 28224-0643 Phone: 7041629.6364-Tall Free Number: l-8001629.6364-Fax: 7041626-0409 Page 6 0f 8 Level II QC Report Full -Service Analytical 8 Env1 Full-SnmentelticalSolutions 11/14/19 �9ueauroa,u ixc Tyson Farms, Inc. -Roaring River Project: Stormwater Prism Work Order: 9110017 Attn: Raymond Nichols Time Submitted: 10/31/2019 5:45:00PM 179 Roaring River Rd. Roaring River, NC 28669 General Chemistry Parameters - Quality Control Reporting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P9K0229 - NO PREP Blank (P9K0229-BLK2) Prepared & Analyzed: 11/12/19 Oil & Grease (HEM) BRL 5.0 mg/L LCS (P9K0229-BS1) Prepared & Analyzed: 11/12/19 Oil & Grease (HEM) 160 20 mg/L 160.0 100 78-114 Batch P91K0230 - NO PREP Blank (P9K0230-BLK1) Prepared & Analyzed: 11/12/19 Oil & Grease (SGT-HEM) BRL 20 mg/L LCS (PSK0230-BS1) Oil & Grease (SGT-HEM) Prepared & Analyzed: 11/12/19 62A 20 mg/L 80.00 78 64-132 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: l-800/629-6364-Fax: 7041626-0409 Page 7 of 8 CHAIN OF CUSTODY RECORD : ,s``/A,Full-Service Analytical& R I S, I /rik YES NO tl , Environmental Solutions PAGE_ OF QUOTE k TO ENSURE PROPER BILLINGr Samples INTACT upon arrival? I_ 00 VuoosnrdmEs n+c T .. Project Name: Received ON WET ICE? _� m 449 Spring Phone 7041U529fi36{ Fax: 7tW52552 Road • Charlotte, 282t7 -0e09 Short Hold Analysis: (Yes) (No) USTProject: (Yes) (NO) PROPER PRESERVATIVES indicated?. j, 'Please ATTACH any project specific reporting (QC LEVEL 1 II III IV) Received WITHIN, HOLDING TIMES? m Client Company Name: provisions and/or OC Requirements CUSTODY SEALS INTACT? - ;- = Q_ Report To/Contact Name: Invoice To: VOLATILES reed HEADSPACE? - rr R Orting Ad/)dfBas: l Q ACiAc Address: _W/OUT .; PROPER CONTAINERS used? • `i\l L[_ 'r1�(p1✓Ct .TEMP: Therm,ID(- / Phone:I'l ax (Yes) (No): ON Purchase Order No./Billing Reference TO BE FILLED IN BY CLIENTISAMPLING PER _ NEL Email Address: . ►S GIu(.i lia i4WL e01% Requested Due Date O 1 Day O 2 Days Cl 3 Days O 4 Days ❑ 5 Days Certification: NELAC_ DOD FL_ INC EDD Type: PDF eel Other YP �E "Working Days" O 6-9 Days O Standard 10 days ❑ Rush Work Must Be Site Location Name: K—alej f i de Pre -Approved Samples received after 14:00 will be processed next business day. SC_ OTHER N/A n �C Site Location Physical Address: JCI F40Wi Aa:l ` V et P&Turnanxind time is based on business days, "riuding weekends and holidays. Water Chlorinated: YES_ NO — (SEE RENDS E BY PRISM RSE FOR TERMS LABORATORIES INC. TOIONS REGARDING CLIENT)SERVICES Sample Iced Upon Collection: YES_ Nn_ CLIENT SAMPLE DESCRIPTION I DATE COLLECTED TIME COLLECTED MILITARY MATRIX (SOIL, WATER OR SAMPLE CONTAINER PRESERVA- TIVES ANALYSIS REQUESTED / REMARKS PLAB RISM -TYPE NO. SIZE to NO. HOURS SLUDGE) SEE BELOW QLU -� 1 iD 30' tq q ov Pm Q 3 c I w I P locc: (Iona _� I tnttinbtr i0-3 �, tc% Loopm W 50 StLt Cob OZ FINS CG —I cm Lu t 10-3GL`\ W P IOcC `(1py1,G iS� cc,r Sampler's Signature Sampled By (Print Name) C.— r, Affiliation Upon relinquishing, this CWain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writing to the Prism Project Manager. There will he charges for any changes after analyses have been Initialized. y:( R BY 19Pdm Deb ^ r Additional Comments: Site Arrival Time: Z _ e lnC' YI R Y• Sgnaturei 'Site Depadure Time: I: 1 � Lim Field Tech Fee: Inau %:( ) Rvrnvotl IF. BY Date 1 (� `.--y-._� IA"JI-li ` (7-15 Mileage: ethod a SNpmenc NOTE: ALL SAMPLECOOLERS O LD B AP M W U DY S La FOR TMNSPORTATION TO THE LABORATORY. a/�Gmup No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDCV ,l �/1 RECEIVED AT THE LABORATORY -I I'OtJ I / O Fed E• O UPS O HanEEelivered Prism Field Service OOthar NPDES: UST: GR NDWATER: DRINKING WATER: SOLID WASTE: RCRACERCLA LANDFU-L OTHER: `I I ❑NCOSC ❑NC❑SC ❑ C ❑SC ❑NC ❑SC ❑NC ❑SC ❑NC❑SCI O❑NC ❑SC ❑❑NC ❑SCI ❑❑NC❑SC n n ❑ ❑ ❑ ❑ — 'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL 9 Tyson. November 18,20i9 North Carolina Department of Environment, Health and Natural Resources Division of Water Qualliy Attn: DWQ Central Files 1617 Mail Service Center Raleigh NC 27699-1617 Subject: General Permit No. NCG060000 Tyson Foods, Roaring River Feed Mill COC NCG060021 Wilkes County Dear Madam or Sir: Enclosed are two CC^y:es of the required storm water sampling results. For the outfalls Covered under the above subject permit and certificate of coverage. Tyson Farms, Inc. Storm water sampling Period 2 semi-annual monitoring. Data receive for PPI 1i 1 labs indicated parameters vvas below the be ie.umar lC. Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the parameter of concern. Please contact me at 336- 651.2871 should you have any questions. lSincerely. James Brown Complex Environmental Manager Tyson Farms Inc. Fresh Retail Division 704 FactoryWilkesboro, N.C. 28697 336-651-3836 336.838.2171 Fa :33.651.3867 w .tysonfoods.com NNUAL STORMVVATER DISCHARGE MONITORING CERTIFICATE OF COVERAGE NO. NC:G06002.1 FACILITY NAME Tyson Farms In(. - Roaring liiver Feed Mill COUNTY Wilkes PERSON COLLECTING SAMPLES James Brown LABORATORY Prism Labs Lab Cert. It 402 Part A: Storm water Benchmarks and Monitorin Re It 71 Date submitted: 11-18- 2019 SAMPLE COLLECTION YEAR 2019 FACILITY ACTIVITIES INCLUDE (check all that 0 use/process meats ® use animal DISCHARGING TO SACFWATERS? EYES F PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Outfall Plo. RRIV-Ol RRIV - 02 RRIV - 04 !iample Collected, Mo./dd./yr. 10/30/2019 10/30/2019 10/30/2019 TSS, mg/L 100 or 50' 60 74 62 su s l pH, - -Standard units .Within 6.0 - 9 0 _ 6.77 6.89 6.99 COD,Fa6nd . mg/L.Benchmark _ 120 ,� 59 g9NA 54 I otal event rainfall 22.00 or L No discharge Fecal Coliform', Colonies p_r 10(1 ml _100�0•500 NPR NAOnly this period' Enterocoaci';• Coloniesper-100 ml A applies to facilities that use/process meats. -- The total precipitation must be recorded using data from an on -site rain gauge. nFor sampling periods with no discharge at anv outfalls. You must still submit this discharge monitoring report with a checkmarl; here. See General Permit text, "fable 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? 0 Yes ❑ Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. o. Sample Collected, Oil and Grease, Non Polar Oil TSS,— PJHNMotor Mo./dd./yr. mg/L &Grease/TPH mg/L Standal FBenchinbrk30rng/L —15 100 or 50° 6.010/:30/20].9 .5.0=-- 5.0 62 6.-- - no (if es, complete Pa Oil Usage, average gal/mo 215 Only applies to facilities that use/process meats. — rt B) 'The total precipitation must be recorded using data from an on -site rain gauge. ' 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. S W U-249 Last Revised: October 18, 2012 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS, 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 L_j NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO j/ 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." (SignatuFe of (Date) Additional copies of this form may be downloaded at: htt.n_//Iiortal.ticdetir.org/web/w ws/su idesswtttab-4 SWU-249 Last Revised: October 18. 2012 Pa,-e 2 of 2 NEW Storm water Discharge Outfall (SDO) oaitiA>Mnnrg pp, --falatp ;..6 .�a-tsc:a a Forguidanceonjulingouttnisform,please visit: http://Dortal.ncdenr-ore/web/wn/ws/s i.pde � ss•�•#._. Permit No: N/C/G/0/6/0/0ID/nV or Certificate of Coverage No. N/C/G/0/6/0/0/2/1 Facility Name: Tyson Farms Inc. RoarinL7 River FPPd Min County: Wilkes Phone No: 336.6962741 Inspector: Raymond Nichols Date of Inspection: 10/30/2019 Time Of Inspection' Lk<.tb Total Event Precipitation (inches): 2.00 Was this a'Repr eseatatiyz Storm Event" or Measureable Storm Event" as defined by the permit? (See information below.) dYes ` [:] No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureahlestorm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if aDolicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hour s Drior. The 72-hour storm . interval terval dies ,.;;• nn,.! ,: i, "1e „o_,,,:..,. -rry Y`-`--•. �.�2 i5 aui2 to d6CllIIlent thata SilOfCer Interval is representative for local storm events during the sampling period, and the permittee obtains approval from the ! local DWQ Regional Office. By thi sigyure, I certify lthat this report is accurate and complete to the best of my knowledge: Permi—LLee or Designee) Page 1 of 2 SWU-242, Last modified 1012512012 1. Outfall Description: Outfall No. KNt - L Structure (pipe, ditch, etc.) U V t'i ReceivingStream: V.rl�e� %t�"-A �1� --i VtC- Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: (--t -,h ir 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 1 � tk e 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: / 1 2! 3 4 5 5. PloatingSolids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 L) 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwaterdischarge, where 1 is no solids and 5 is extremely muddy: 1 VI 3 4 5 7. Is there any foam in the stmrmwater (Iischarge? Yes No v 8. Is there an oil sheen in the stormwater discharge? Yes N 9. Is there evidence of erosion or deposition at the outfall? Yes N�� 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/20 12 MC® NR Storm water Discharge Outfall (SDO) Qualitative Monitorine Re1Dort Forouidonce on filling out thisform, please visit: http:l/12ortal.ncdenr.org/web/wq/ws/su/npdessw#tah-4 Permit No: N%C/G/O/6/0/0/0/0 or Certificate of Coverage No. NBC/G!0/6/0/0/2/1 Facility Name: Tyson Farms Inc Roaring River Feed Mill County: Wilkes Phone No: 336.696.2741 Inspector: Raymond Nichols Date of Inspection: 10/30/901 Q Time of Inspection: q le V n Total Event Precipitation (inches): 2.00 Was this a "Representative Storm Event" or " Measureable Storm Event" as defined by the permit? (See information below.) �H/Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureablestorm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this stggature,l certify th5t this report is accurate and complete to the best of my knowledge: (Signature Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfa�lll_Descripttiion: V Outfall No. )1'--t-� -� �lx Structure (pipe, ditch, etc.) � VE[ Jr —1�•-� Receiving Stream: 1)'Jg 1 Au Describe the industrial activities that occur within the outfall drainage area: �ic�Ak-, nc; eC 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L t S h 1, 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the numberwhich bestdescribes the clarity of the discharge, where 1 is clearand 5 is very cloudy: 1 �2� 3 4 5 5. Floating Solids: Choose the number which best describes the amount of Floating solids in the stormwater discharge, where 1 is no solids and 5is the surface covered with Floating solids: 1 2) 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: I 1 2 3 4 5 7. Is there any foam in the stormwaterdischarge? Yes N�o 8. Is therein oil sheen in the stormwaterdischarge? Yes No v 9. Is there evidence of erosion or deposition at the outfall? Yes No v 10. Other Obvious indicators ofStormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SwU-242, Last modified 10/25/2012 NC®ENR Storm water Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on.Filling out thisf rm, please visit. htto:/!Portal ncdenr orgjwebjwgjws/sujnodessw#tab-4 Permit No: NiCiG/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/OL'0/0/7/1 Facility Name: Tyson Farms Inc Roaring River Feed Mill County: Wilkes Phone No: 336.6962741 Inspector: Raymond Nichols Date of Inspection: 10// 30/20�)19 Time of Inspection: Total Event Precipitation -(inches): 2.00 Was this a "Representative Storm Event" or "Measureabie Storm Evert as defined by the permit? (See information below-) dYes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event"or "measureablestorm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most Permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0-1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify/tlhat this report is accurate and complete to the best of my knowledge: or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. \l -OC` Structure (pipe, ditch, etc.) S 11C o w JC L.; kk Receiving Stream: �Aj�r1C mr3 iif' (i -1--- 4 }-L �a(�K 1 Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and not (light, medium, dark) as descriptors: L, c IN r 3. Odor: Describe any distinct odors that he discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A t;11 C- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 \2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of Floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids: 1 U, 3 4 5 v 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: r 1 2J 3 4 5 i 7. Is there any foam in the stormwater discharge? Yes No L� 8. Is there an oil sheen in the stormwater discharge? Yes No i; 9. Is there evidence of erosion or deposition aC the outfall? Yes No v 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Roaring River Storm Water Calu. Sheet Date 1 n-'I()-9n_ 19 Rain Begin 3:25 PM light.8M off Runoff Begin: 3:30 PM Grab Samples: 4:00 PM Rain at and of Storm Event: 2.00 Sampling - Point RRIV- 01 Dr ain, age Area _ (1 s0 .... `435e0) ct 9 Q = CIA 1 = 2.00 " (Total) C = 0.35 Q = 0.35(2.v0ii2)(6,534,CCC'7.511,000,^.00 = 2.859 MG Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2 Q = CIA 1 = 2.00 " (Total) C = 0.95 Q = 0.95(2.00/12)(96485'7.5)/1,000,000 = 0.115 MG Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2 Q = CIA I = 2.00" (Total) C = 0.95 Q = 0.95(2.00/12)(75,085'7.5)/1,000,000 = 0,089 MG LIRISM �OiL ATMIEs,we Full -Service Analytical & Environmental Solutions Tyson Farms, Inc. -Roaring River Raymond Nichols 179 Roaring River Rd. Roaring River, NC 28669 NC Certification No. 402 NC Drinking Water Cent No. 37735 SC Certification No. 99012 Project: Stormwater Lab Submittal Date: 10/31/2019 Prism Work Order: 9110017 Case Narrative 11/14/19 10:37 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. .Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Terri W. Cole Project Manager Reviewed By Terri W. Cole Project Manager Data Qualifiers Key Reference: OG HEM 0&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not extracted for TPH (SGT-HEM). BRL Below Reporting Limit MOIL Method Detection Limit RPD Relative Percent Difference Results reported to the reporting limit. All other results are reported to the MDL with values between MOIL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 7041529-6364 - Toll Free Number: 1-8001629-6364 - Fax: 7041626-0409 Page 1 of B n aP snalyt ds\R ISM I Mirounnnernel Solutions Sample Receipt Summary 11/14/2019 Prism Work Order: 9110017 Client Sample ID Lab Sample ID Matrix Date/Time Sampled Date/Time Received RRIV-01 9110017-01 Water 10/30/19 16:00 10/31/19 17:45 RRIV-02 9110017-02 Water 10/30/19 16:10 10/31/19 17:45 RRIV-04 9110017-03 Water 10/30/19 16:20 10/31/19 17:45 Samples were received in good condition at 5.0 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 29224-0643 Phone: 7041629-6364 - Toll Free Number: 1-80016296364 - Fax: 7041625-0409 Page 2 of S 6P R I S M I Full-eenice Analytical 8 Laboratory Report 6nmroementei Solutions i l /14/2019 Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: RRIV-01 Attn: Raymond Nichols Prism Sample ID: 9110017-01 179 Roaring River Rd. Prism Work Order: 9110017 Roaring River, NC 28669 Sample Matrix: Water Time Collected: 10/30/19 16:00 Time Submitted: 10/31/19 17:45 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DatelTime ID General Chemistry Parameters Chemical Oxygen Demand 59 mg/L 50 10 1 'SM6220 D 11/6119 11:14 SLS P91(0114 Oil & Grease (HEM) BRL mg/L 5.0 1.7 1 '1664B 11/12/19 9:15 SLS P91<0229 Total Suspended Solids 60 mg/L 12 0.70 1 'SM2640 D 11/4119 14:56 CBM PSK0053 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 7041629.6364 - Toll Free Number: 1-8001629-6364 - Fax: 704/625-0409 Page 3 of 8 ^ Full -service Analytical & 4P R I S M environmental Solutions Q..eoaooa,e, a� Tyson Farms, Inc. -Roaring River Attn: Raymond Nichols 179 Roaring River Rd. Roaring River, NC 28669 Laboratory Report 11/14/2019 Project: Stormwater Client Sample ID: RRIV-02 Prism Sample ID: 9110017-02 Prism Work Order: 9110017 Sample Matrix: Water Time Collected: 10/30/19 16:10 Time Submitted: 10/31/19 17:45 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Chemical Oxygen Demand 99 mg/L 50 10 1 'SM5220 D 11/6119 11:14 SLS P9K0114 Oil & Grease (HEM) BRL mg/L 5.0 1.7 1 '1664B 11/12/19 915 SLS P91<0229 Total Suspended Solids 74 mg/L 12 0.70 1 'SM2540 D 11/4119 14:66 CBM P9K0053 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, INC 29224-0643 Phone: 7041529-6364-Tell Free Number: 1-8001529-6364 - Fax: 704/626-0409 Page 4 of 8 PRISM- Laboratory Report Full -Service Analytical a Env ronmentel Solutions 11114/2019 `7 t,•c Tyson Farms, Inc. -Roaring River Project: Stonnwater Client Sample ID: RRIV-04 Attn: Raymond Nichols Prism Sample ID: 9110017-03 179 Roaring River Rd. Prism Work Order: 9110017 Roaring River, NC 28669 Sample Matrix: Water Time Collected: 10/30/19 16:20 Time Submitted: 10/31/19 17:45 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Datefrime ID General Chemistry Parameters Chemical Oxygen Demand 64 mg/L 50 10 1 'SM5220 D 11/6/19 11:14 SLS P91(0114 Oil & Grease (SGT-HEM) BRLOG mg/L 5.0 1.6 1 '1664B 11/12/19 9:15 SLS P91<0230 Total Suspended Solids 62 mg/L 12 0.70 1 'SM2640 D 11/4119 14:55 CBM P9K0063 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041629-6364 -Toll Free Number: 1-8001629-6364 - Fax: 704/626-0409 Page 5 Gf 8 mA iP R I S M Full -Service Analytical 8 Environmental Solutions �/ueonwtonins,wc Tyson Farms, Inc. -Roaring River Attn: Raymond Nichols 179 Roaring River Rd. Roaring River, NC 28669 General Chemistry Parameters - Quality Control AnaNte Project: Stormwater Level II QC Report 11/14/19 Prism Work Order: 9110017 Time Submitted: 10/31/2019 5:45:OOPM Reporting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Batch PS K0053 - NO PREP Blank (P9K0053-BLK1) Prepared & Analyzed: 11/04/19 Total Suspended Solids BRL 5.0 mg/L LCS (P9K0053-BSI) Prepared & Analyzed: 11/04/19 Total Suspended Solids 480 5.0 mg/L 477.0 101 90-110 Duplicate (PSK0053-DUPt) Source: 9110017-03 Prepared & Analyzed: 11/04/19 Total Suspended Solids 70 5.0 mg/L 62 11 20 Batch P91<0114 - NO PREP Blank (P9K0114-BLK1) Prepared & Analyzed: 11/06/19 Chemical Oxygen Demand BRL 50 mg/L LCS (PSK0114-BSI) Prepared & Analyzed: 11/06/19 Chemical Oxygen Demand 508 50 mg/L 500.0 102 90-110 Matrix Spike (139K0114-MS1) Source: 9110017-02 Prepared & Analyzed: 11/06/19 Chemical Oxygen Demand 565 50 mg/L 500.0 894 95 80-120 Matrix Spike Dup (P9K0114-MSD1) Source: 9110017-02 Prepared & Analyzed: 11/06/19 Chemical Oxygen Demand 551 50 mg/L 500.0 89.4 92 80-120 3 20 Batch 1391<0229 - NO PREP Blank (P9KO229-BLKI) Prepared & Analyzed: 11/12/19 Oil & Grease (HEM) BRL 20 mg/L This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 70416296364 - Toll Free Number: 1-800/629-6364 - Fax: 7041526-0409 Page 6 of 8 17 &K02-RrI S M Full -Service Analytical & Envi onmental Solutions lusonnxa¢x�wc Tyson Farms, Inc. -Roaring River Attn: Raymond Nichols 179 Roaring River Rd. Roaring River, NC 28669 General Chemistry Parameters - Quality Control Batch P91<0229 - NO PREP Project: Stormwater Reporting Result Limit Units Level II QC Report 11/14/19 Prism Work Order: 9110017 Time Submitted: 10/31/2019 5:45:OOPM Spike Source %REC RPO Level Result %REC Limits RPO Limit Notes Blank (P9K0229-BLK2) Prepared & Analyzed: 11/12/19 Oil & Grease (HEM) BRL 5.0 mg/L LCS (P9K0229-BS1) Prepared & Analyzed: 11/12/19 Oil & Grease (HEM) 160 20 mg/L 160.0 100 78-114 Batch P9K0230 - NO PREP Blank (P9K0230-BLK1) Prepared & Analyzed: 11/12/19 Oil & Grease (SGT-HEM) BRL 20 mg/L LCS (P9K0230-BS1) Prepared & Analyzed: 11/12/19 Oil & Grease (SGT-HEM) 62.4 20 mg/L 80.00 78 64-132 This report should not be reproduced, except in its entirety, without the wntten consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 7041529.6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041626-0409 Page 7 of 8 CHAIN OF CUSTODY RECORD LAB USE ONLY , E > t Full -Service Analytical & YES NO N/A - Environmental Solutions PAGE_ OF _ GUMS a To ENSURE PROPER BILLING. Samples INTACT upon aniviil? ✓ _. __ - O �Vvwonnowcs we Project Name:. Received ON WET ICE? � `_—/•� — — Co 449 Springbrook Road • Charlotte, NC 28217 Short Hold Analysis: (Yes) No UST PFO ect: es NO y ( ) ( ) i (Yes)( ) PROPER PRESERVATIVES indkated?: ., % _ ,_ OI Phone 70M529-6364 • Fax: 7041525-0409 'Please ATTACH any project specific reporting (QC LEVEL I II III IV) Received WITHIN HOLDING TIMES? m Client Company Name: r provisions anNor QC Requirements CUSTODY SEALS INTACT? Report TolContact Namrte: '9t Invoice To: VOLA.TILES,recd W/OUT HEADSPACE? R(g}polling A reSS: l�{ Af rrL� Address: - -- PROPER CONTAINERS used?- -I TEMP. Thenn,ID:�'�.�T. — "(' Observed 5_O °C / Corr �A' --' °C nAC i 1L1 i\lam( MC •r�.s iOlnq Phone. SI I- FaJ�X( Y S) (No): - Purchase Order No./Billing Reference TO BE FILLED IN BY CLIENT/SAMPLING PE ONNEL ' Email Addre�. A) G U 4 Requested Due Date O 1 Day ❑ 2 Days ❑ 3 Days 134 Days O 5 Days Certification:_ NELAC_ DOD_ FL_ NC_ EDD Type: PDF cel_,,' Other 'Working Days' ❑ 6-9 Days ❑ Standard 10 days ❑ RushPrP�v dust Be SC_ OTHER N/A Site Location Name' pth4' LIL'L` Ce[,G ni.• U Samples received after 14:00 will be processed next business day. ` time is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO_ Site Location Physical Address: 1 t(�t (> ,,V; Aci V et aTurnaound (SEE REVERSE FOR TERMS A CONDITIONS REGARDING SERVICES Sam Ie Iced Upon Collection: YES_ NO P P NO — RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) CLIENT ( DATE TIME COLLECTED MATRIX (SOIL, SAMPLE CONTAINER PRESERVA- TIVES ANALYSIS REQUESTED / / REMARKS PRISM LAB ID NO. 'TYPE SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR NO. SIZE HOURS SLUDGE) SEE BELOW (I jc. 30-ly q'.o'o Pat Q %C. l45`y Cbb w w Q loci npnc `j w c icG� ►k��, t�G m4;ntc1- i0_SO, 1\' to pm W 5p ,SUu OD U L Q jiJo goItile. 5 W w G 1cr�o �L gJC; —I tT\ w wTc jo 3° ►y tk :r1b $� Q 5� jjp5c k o 3 -6 w Sampler's Signature Sampled By (Print Name) �..> n. Affiliation`s Upon relinquishing, this ClWaln of Custody Is your authorization for Prism to proceed with the analyses as requested above. Any changes must be a submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been Initialized. r. I ey: ,n _ Additional Comments: Site Arrival Time: 'Site Departure Time: Y 1 BY: SgrmWre) Field Tech Fee: I. elatVw Y l ! Raravod Far PrgPylrmoyes yLo i� •1 I _l S Ir3m� 17 S^ Mileage: etrad d repment NO AL AMP A ED H RH u Dr SEALS FOR TRI1�N3`POit/TATION TD THE LABORATORY No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC U RECEIVED AT THE LABORATORY. /,� I 1 0 0 Imo/ t / d Oilier _- I D Fed Ex ❑ UPS D Handdelivered dsm R.W Sentke D IL L RCLA iDES-UST. R qnl D RCLA I❑ NC OTHER: ❑ Cl SC ❑ NC I ❑ SC ❑C ❑ SCAR. ❑RNC SOAR. I ❑ C❑ SSC� ❑ ❑ SC OENC ❑ SC I O NCD ❑ SC ❑O NC ❑ SC 'CONTAINER TYPE CODES: A=Amber C = Clear G= Glass P = Plastic: TL=Tefion-Lined Cap VOA= Volatile CirganlCS Anarysls t�vru neau opawi ORIGINAL