WQ0000484_Monitoring - 08-2020_20201006

GW-59A COMPLIANCE REPORT FORM Permit # ACL nucCQ,-�
(Submit one each monitoring period with GIV-59 forms.)
1
Enter date monitoring results were due. ( Will this monitoring report (GW-59 and GW-59A)
YES
O
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? /f the answer is "Yes ", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below.,
'�� 1�11:� tit •`'t
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YE
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
eNO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YE
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
l `
Ci
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
—,
form with G W-59 forms for required wells to the address provided at the top of the current GW-59 form.
1 hereby acknowledge that the above Irormation was evaluated and the information submitted in this
oar
report (Compliance Report GW-59A) is dice and comge to the best of my knowledge.
o
o Tj
0
C-) C) Q
Signature of Nr ittee (or Authorized Agent) T, Date
Gyp'-59A 12/8/2003 `�

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
0
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: WQ0000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge x UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge '' "" NC 28357-0339 CountyRobeson
El Lagoon El Remediation: Infiltration Gallery
;Stale, ,zin'
❑� Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 08/25/20
FIELD ANALYSES:
WAS
Well Depth: 20.3 ft.
Well Diameter: 2 in.
H oo400: 5.39
p units Temp. 00010: 25.7 �C
DRY at
Depth to Water Level 82546: 8.0 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 6.0
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: El YES
X NO and field acidified: El YES K NO
LABORATORY INFORMATION
Date sample analyzed: 08/25-09/09/20
Laboratory Name: Cameron Testing Services Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 0.605
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 28.0 mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 <1.00 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <0.010 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 0009s µMhos
K - Potassium 00937
mg/L VOC 78732: method # EPA 8260E
Total Ammonia oo610 <0.100 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L ,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: WQ0000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge s ` -" NC 28357-0339 CountyRobeson
El Lagoon El Remediation: Infiltration Gallery
(Ciy)
❑� Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-15
Date sample collected: 08/25/20
FIELD ANALYSES:
WAS
Well Depth: 15.5 ft.
Well Diameter: 2 in.
pH ooaoo: 5.98 units Temp. 000lo: 26.8 °C
DRY at
Depth to Water Level 82546: 9.1 ft. below measuring
p g point Screened Interval: ft. to
_ft. Spec. Cond. 000sa: µ Mhos
time of
sampling,
Measuring Point is 4.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 3.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑M NO and field acidified: ❑ YES K NO
LABORATORY INFORMATION
Date sample analyzed: 08/25-09109/20
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO3) as N 00620 0.890
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 37.0 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 1.67 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 0.498 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # EPA 8260E
Total Ammonia oo6lo < 0.100 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3asN, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L ,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• ,
•
1617 MAIL SERVICE CENTER, RALEtGH, NC2i69iIg1617, Phate: [phone]
FACILITY INFORMATION Please Print Cleady or Type
PERMIT Number: WQ0000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
C'tf) ,Stole' `"
❑■ Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-37
Date sample collected: 08/25/20
FIELD ANALYSES:
WAS
Well Depth: 22.5 ft.
Well Diameter: 2 in.
pH 00000: 5.42 units Temp. 000lo: 26.0 °C
DRY at
Depth to Water Level 82546: 8.9 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 6.75
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
X NO and field acidified: ❑ YES N NO
LABORATORY INFORMATION
Date sample analyzed: 08125-09/09/20
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 11.8
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P o0665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 142 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 <1.00 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 12.9 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # EPA 8260E
Total Ammonia 000lo <0.100 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3asN: Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L ,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
David White, Dir. of Processing ' k � C—
Permittee (or Authorized Agent) Name and Title - Please print or type
( /C
Signature of Permifee (or Authorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL'RE$OURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
• ••
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge x UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge "" `" NC
28357-0339 Count Robeson
y
El Lagoon El Remediation: Infiltration Gallery
(Cary; ;Stste'rLi.)
H Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
30
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW47
Date sample collected: 08/25/20 FIELD ANALYSES:
WAS
Well Depth: 17.3 ft.
Well Diameter: 2 in.
pH 00000: 5-02 units Temp. 000lo: 23.4 °C
DRY at
Depth to Water Level 82546: 3.6
p ft. below measuring
point Screened Interval: ft.
to ft. Spec. Cond. 000sa: µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling:
6.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑
YES
❑■ NO and field acidified: ❑ YES
© NO
LABORATORY INFORMATION
Date sample analyzed: 0&25-09/09/20
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 60.3
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 513
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oom 2.60
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 73.6
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia oo610 0.893
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT dr NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • ,
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge x UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge `Sweet) NC 28357-0339 County Robeson
El Lagoon El Remediation: Infiltration Gallery
c*'I (Stale) f-7,n)
K Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW48
Date sample collected: 08/25/20
FIELD ANALYSES:
WAS
Well Depth: 18 ft.
Well Diameter: 2 in.
pH 00000: 5.51 units Temp. 000lo: 23.1 °C
DRY at
Depth to Water Level 82546: 8.2 ft. below measuring
p g point Screened Interval: ft. to
_ft.
Spec. Cond. 000sa: µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 5.25
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑■ NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 08/25-09/09/20
Laboratory Name: Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 4.97
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 284 mg/L
All - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 2.60 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 25.9 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260
Total Ammonia oo6lo <0.100 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen. NH3asN. Ammonia Nitrogen, Total)
Mn -Manganese oloss
ug/L
,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge x UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC
28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
a+>i (Stale)
` '
❑■ Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW49
Date sample collected: 08/25/20
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 2 in.
pH 00400: 4.56 units Temp. 000lo: 21.0 °C
DRY at
Depth to Water Level 82546: 7.1 ft. below measuring point Screened Interval: ft. to
— ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.25
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑
YES
❑■ NO and field acidified: ❑ YES NO
LABORATORY INFORMATION
Date sample analyzed: 08125-09/09/20
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead alo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.982
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Notes Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 103
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 20.7
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia oo6lo <0.100
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3 as N. Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
b#PARTMEN(0#' 1�i1/IRONMlENf&NARJkAL RCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC
28357-0339 CountyRobeson
El Lagoon El Remediation: Infiltration Gallery
st" l
`` °'
❑■ Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
30
❑ Water Source Heat Pump ❑ Other:
from Perm t
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-50
Date sample collected: 08/25/20 FIELD ANALYSES:
WAS
Well Depth: 17.5 ft.
Well Diameter: 2 in.
pH 00000: 4.99 units Temp. 000lo: 25.9 °C
DRY at
Depth to Water Level 82546: 3.1 ft. below measuring
point Screened Interval: ft.
to ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling:
7.50
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑
YES
© NO and field acidified: ❑ YES
© NO
LABORATORY INFORMATION
Date sample analyzed: 08125-09/09/20
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 17.6
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 447
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 5.32
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 109
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia oo610 <0.100
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH, as N. Anmonia Nitrogen, Total)
Mn -Manganese 01055
uglL ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%.
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC
28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
(co-y) 'stale)
""
❑M Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-51
Date sample collected: 08/25/20
FIELD ANALYSES:
WAS
Well Depth: 17.5 ft.
Well Diameter: 2 in.
pH 00000: 7.31 units Temp. 000lo: 23.8 °C
DRY at
Depth to Water Level 82546: 5.4
p ft. below measuring
point Screened Interval: ft. to
_ft. Spec. Cond. 0009a: µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
6.0
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑
YES
X NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 08/25-09/09/20
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.076
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 256
mg/L
Al -Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 17.1
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 51.8
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia oo610 1.65
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3 as N. Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
IM1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC
28357-0339 CountyRobeson
El Lagoon El Remediation: Infiltration Gallery
'Stale)
I`l''
M Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-52
Date sample collected: 08/25/20
FIELD ANALYSES:
WAS
Well Depth: 17.3 ft.
Well Diameter: 2 in.
pH 00000: 5.65 units Temp. 000lo: 22.7 °C
DRY at
Depth to Water Level 82546: 7.3
p ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 000sa: µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.25
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑
YES
91 NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 08/25-09/09/20
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 19.9
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 592
mg/L
Al -Aluminum oilo5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 11.4
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 107
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia 000lo <0.100
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen. NH. as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY4NFORM ATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge '""t' NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
c*,; st te; =,
M Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
30
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-53
Date sample collected: 08/25/20 FIELD ANALYSES:
WAS
Well Depth: 17.5 ft.
Well Diameter: 2 in.
pH oo400: 5.69 units Temp. 000lo: 23.0 °C
DRY at
Depth to Water Level 82546: 3.5
p ft. below measuring point Screened Interval: ft.
to ft. Spec. Cond. 000sa: µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling: 7.00
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES
NO and field acidified: ❑ YES
K NO
LABORATORY INFORMATION
Date sample analyzed: 08/25-09/09/20
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 2 /100mL
Nitrate (NO3) as N 00620 26.3
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 5380 mg/L
All - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 1.68 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 55.5 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia oo6lo 0.452 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3asN. Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L ,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT'' EW1l``t0NMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC
28357-0339 Count Robeson
y
El Lagoon El Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
30
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-54
Date sample collected: 08/25/20 FIELD ANALYSES:
WAS
Well Depth: 17.5 ft.
Well Diameter: 2 in.
pH 00000: 5.15 units Temp. 000lo: 22.9 °C
DRY at
Depth to Water Level 82546: 9.0 ft. below measuring
point Screened Interval: ft.
to ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling:
4.50
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑■ NO and field acidified: ❑ YES
® NO
LABORATORY INFORMATION
Date sample analyzed: 08125-09/09120
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
rmg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 29.9
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(NoteUse MPN method for highly turbid samples)
Orthophosphate 7oso7
m /L Other $ g (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 378
mg/L
All -Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.61
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 74.4
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia o0610 <0.100
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHS as N; Ammonia Nitrogen, Total)
Mn - Manganese otoss
ug/L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: WQ0000484 Expiration Date: 02/28/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 Count Robeson
y
❑ Lagoon ❑ Remediation: Infiltration Gallery
(CAN) (`tale) (Zi:)
❑■ Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
30
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-55
Date sample collected: 08/25/20
FIELD ANALYSES:
WAS
Well Depth: 17 ft.
Well Diameter: 2 in.
pH oo400: 6.02 units Temp. 000lo: 25.1 °C
DRY at
Depth to Water Level 82546: 7.6 ft. below measuring point Screened Interval: ft.
to ft.
Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085:
Volume of water pumped/bailed before sampling: 4.50
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: El YES
❑■ NO and field acidified: ❑ YES
(] NO
LABORATORY INFORMATION
Date sample analyzed: 08125-09/09/20
Laboratory Name: Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 0.664
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 61.5 mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 <1.00 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 10.7 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260
Total Ammonia 000lo <0.100 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3 as N. Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L
,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010