NCG060390_2021 DMR_20210526

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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.no.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ / l / / l / {}l or
Facility Nam :
County: Of,40
Inspector:
Date of Inspection:
Time of Inspection: f ' 5 C� v✓1
Total Event Precipitation (inches): L 1 -
flccate f Coverage o.: N_/C/G/6 I (Gl C l`5lq AG I
Phone No. ' '-N -7 �C(.. J 7 5
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Regional Office.
By this signature, I ctrtify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitted or Designee)
1. Outfall Description: _
Outfall No, C1011 Structure (pipe, ditch, etc.):
Receiving Stream:
the industrial
es thatccZr witpin the outfall
S 14n r r L`r O A �- L
mr'ik71
Page 1 of 2
area,
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SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge usirig basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ ��C .lf �� ��1
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): k ,,--_ce-or
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
, 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 5 is the surface covered with floating solids:
1 1:1J 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:
j 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes 00.
S. Is there an oil sheen in the stormwater discharge? OYes O" No.
9. Is there evidence of erosion or deposition at the outfall? O Yes 0No.
10. Other Obvious Indicators of Stormwater Pollution:
I + r
List and describe �`�' 6kt"Ici, t it irr fS o+ - 'L-fynk t'd r Lita
Ice-,
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 06/01/2018

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SMITHFIELD FRESH MEATS CORP
Wastewater Nitrate 1 COD
Analysis Log
D R6000
I�
SamDle Date: r
NITRATE
Sample Time (or)
Sample Date
Sample Location
Analysis Date
Sample
Type
QCICIG
Sample
Vol.(mL)
Reading
(mg/L)
Dilution
Factor
ReportValue
mg1L
INIT.
ANOX EFF
G
1
10
F E
C
1
10
Sample Time (or)
Sample Date
Sample Location
Analysis Date
Sample
Type
(QCICIG)
Sample
Vol.(mL)
Reading
(mg/L)
Dilution
Factor
Report Value
mg/L
INIT,
DAV INF
G
2
1
DAF EFF
C
0.2
10
DAF EFF - filtered
C
0.2
10
AN EFF
C
0.2
10
ANOX EFF
G
2
1
UV int
G
2
1
ESS
G
2
1
-7
Revised on 2123/2021 Notify management of any UV value in excess of 80 mg/L summer limits
150 mg/L winter limits

TIME IN OVEN
TIME OUT OF OVEN
SAMPLE LOCATION BLANK
SMITHFIELD FRESH MEATS CORP
Wastewater Laboratory
SUSPENDED SOLIDS ANALYSIS LOG
(SM 2540 D-2011 Aqueous)
SAMPLE DATE D �1L3 1� `
ANALYSIS DATE 1 U ;-L
ANALYST INIT
DAF EFF C ANL EFF C CLAIR EFF C FIE C FIE C DUP
FILTER ID #
SAMPLE VOL mis----------•----
2 2 100
100
DRY WT. gm
TARE WT. gm
WT, DIFF. gm
TSS mg1L
ASH WT_ gm
Avg =
ASH WT_ DIFF gm
%RPD =
TVSS mglL
Report Value. =
SAMPLE LOCATION MLSS
RAS DAV MLSS DAV RAS ESS
FILTER ID #
SAMPLE VOL mis 20
20 20 20
DRY WT. gm
10, 4/ Lf
TARE WT gm
r/i1q 7
l��Y�1t7 �j
WT. DIFF. gm
TSS mg1L
ASH WT. gm
ASH WT. DIFF gm
TVSS mg/L
Final Eff results will be reported on DMR report; all other sample results will be for Process control check.
Final Effluent Permit Limits:
Daily Max : 1997.5lbs/ day; monthly average: 998.7 Ibs/day
Revised on 4/28/2021

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Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
the
Date: J`� �� Report Number: �� S
Receipt of sample:
ECHEM Pickupy Client Delivery ❑ UPS ❑ FedEx ❑ Other ❑
❑ YES
❑
NO
N/A 1. Were custody seals present on the cooler?
❑ YES
10
NO
ilk N/A 2. if custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank X Against Bottles
IR Gun ID: Thomas Traceable 5/N 192511657 IR Gun Correction Factor "C: 0.0
❑ YES
10
NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
10
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
10
NO
5. Were sample ID's listed on the CQC?
Ep YES
10
NO
6. Were samples ID's listed on sample containers?
YES
10
NO
7. Were collection date and time listed on the COC?
YES
I ❑
NO
8. Were tests to be performed listed on the COC?
YES
10
NO
9. Did samples arrive in proper containers for each test?
YES
❑
NO
10. Did samples arrive in good condition for each test?
YES
❑
NO
Ill. Was adequate sample volume available?'
YES
Ill
NO
112. Were samples received within proper holding time for requested tests?
YES
10
NO
113. Were acid preserved samples received at a pH of <2?
YES
❑
NO 114.
Were cyanide samples received at a pH >12?
❑ YES
❑
NO 115.
Were sulfide samples received at a pH >9?
❑ YES
❑
NO 116.
Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?'*
❑ YES
Ill
NO 117.
Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
❑
NO 118,
Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
" * Bacteria samples are checked for Chlorine at rime of analysis and recorded on the benchsheet_
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): HzSOa HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
°C

[en7virrochem]
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Wli dmill Way, Wilmington, NC 28405 . 910 392.0223 1.ab e 910.392.4424 Fax
710 Bowsertown llnad, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255 A Wilmington I fighway, Jacksonville, NC 28540 e 910.347 5843 Lab/Fax
into u environrnentalchemists.com
Smithfield Fresh Meats Corp. - Tarheel Date of Report: May 17, 2021
15855 Hwy, 87 Customer PO #:
Tarheel NC 28392 Customer ID: 08100118
Attention: Xiaolin Chen Report#: 2021-07541
Project ID: Stormwater
Lab ID Sample ID: Collect Daterrime Matrix Sampled by
21-18623 Site: DC Stormwater 5/10/2021 11:15 AM Water WW Operators
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5.0 mg/L 05/12/2021
Comment. -
Reviewed by: {]�
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