WQ0016376_Monitoring - 07-2020_20210201

UHM! 1 1 'ri,A t N' iLd.IM> P/+PER. (;NL'
IGKO ,:t,Ps,'VII TER QUALITY MONITORING:
COMPLIANCE REPORT FORM
=ACILITY INFORMATION Please Print Glearly or Type
-acility Name: S & J Villari
'ermit Name (if different):
acility Address: 892 Penny Branch Rd.
Warsaw ' £" NC 28398 County Duplin
ontact Person. Gerald Matthews
fell Location/Site Name. MW-1
Telephone#: [phone]
No. of wells to be sampled: 8
PERMIT Number: Expiration Date:
Non -Discharge W00016376 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
91 Lagoon ❑ Remediation: Infiltration Gallery
X❑ Spray Field ❑ Remediation:
El Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
WELL
/ELL ID NUMBER (from Permit): 17568 Date sample collected: 7/15/2020 FIELD ANALYSES:
/ell Depth: ft. Well Diameter: 2 in. pH 4.6 units
erith to Water Level. 11.3 ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond.
leasuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor None_
oluine of water pumped/bailed before sampling: 10 gallons Appearance Clear �Y here: -�
amp:es f.jr metals were collected unfiltered: ®YES ❑ NO and field acidified: ❑ YES ❑ NO _
late sample- analyzed: 7/15/2020 Laboratory Name: Environmental Chemists,INC
ARAMET, ERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mgil Nitrite (NO2) as N <0.02 mg/I Pb - Lead
Caiiforn: MF Fecal <1 /100ml Nitrate (NO3) as N 1.43 mg/I Zr, - Zinc
-oliform. MF Total <1 /100ml Phosphorus: Total as P 0.25 mg/I
Temp.
20.1 °C DRY at
),Mhos time of
sampling,
Certification No. 94/ DLS 37729
mg/I
mg/I
;Mote Use 1dpN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentra*ion Units):
Dissolved Sclids: Total
40 mg/I
AI -Aluminum
mg/I
pH (when analyzed)
4.6 units
Ba - Barium
mg/I
TOC
1.0 rng/i
Ca - Calcium
mg/I
_
Chloride _
10 mg/I
Cd - Cadmium
mg/I
? 1) .1 ?r.21 v
Arsenic
mg/I
Chromium: Total a
mg/I
_
Grease and Oils
mg/I
Cu - Copper
mg/l
ORGANICS: (by GC, GC`MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate _
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) FC No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method # 6200 C
Total Ammonia
<0.2 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
/C)21J
Permittee (or Authorized Aqent), Name and Title - Please print or tysx Signature of Permittee (or Authorized Age;,t) (Date)
GlN-59 Rev 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
FACILITY INFORMATION Please,Pnntuteanyor type
Facility Name: S & J Villari
Permit Name (if different):
Facility Address: 892 Penny Branch Rd.
Warsaw ";CE; NC 28298
County Duplin
act Person: Gerald Matthews
Location/Site Name: MW-2
Telephone#: [phone]
No. of wells to be sampled:
u
PERMIT Number: Expiration Date:
Non -Discharge W00016376 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
© Lagoon ❑ Remediation: Infiltration Gallery
?C❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): 17569 Date sample collected: 7/15/2020
Depth: ft. Well Diameter: 2 in.
i to Water Level: 10.7 ft. below measuring point Screened Interval: ft. to _ft.
,uring Point is ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 10 gallons
>les for metals were collected unfiltered: ®YES ❑ NO and field acidified. ❑ YES ❑ NO
FIELD ANALYSES:
pH 4.6 units
Spec. Cond.
Odor None
Appearance Clear
Temp.
WELL
21.0 °C DRY at
µMhos time of
sampling,
sample analyzed: 7/15/2020
Laboratory Name: Environmental Chemists,INC Certification No. 94/ DLS 37729
IAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
<0,02 mg/1
Pb - Lead mg/I
Coliform: MF Fecal
<1 /100ml
Nitrate (NO3) as N
12.8 mg/I
Zn - Zinc mg/I
Coliform: MF Total
<1 /100ml
Phosphorus: Total as P
0.21 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
214 mg/I
Al - Aluminum
_mg/I
pH (when analyzed)
4.6 units
Ba - Barium
mg/I
TOC
1.6 mg/1
Ca - Calcium
mg/I
Chloride
46 mg/I
Cd - Cadmium
mg/I
_
Arsenic
mg/I
Chromium: Total
mg/I
_
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method # 6200 C
Total Ammonia
<0.2 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH3 as N, Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
A
GW-59 Rev.1/2007

SUBMIT FORM ONYELILOW PAPER ONLY
WNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
FACILITY INFORMATION riease rnnr ueany or type
Facility Name: S & J Villari
Permit Name (if different):
Facility Address: 892 Penny Branch Rd.
Warsaw "`£E` NC 28398 County Duplin
act Person: Gerald Matthews
Location/Site Name: MW-3
Telephone#: [phone]
No. of wells to be sampled: 8
L ID NUMBER (from Permit): 17570 Date sample collected: 7/15/2020
Depth: ft. Well Diameter: 2 in.
1 to Water Level: 9.1 ft. below measuring point Screened interval: ft. to _ft.
wring Point is ft. above land surface Relative M.P. Elevation: _ ft.
ne of water pumped/bailed before sampling: 10 gallons
)les for metals were collected unfiltered: ®YES ❑ NO and field acidified: ❑ YES ❑ NO
:RMIT Number: Expiration Date:
,n-Discharge WQ0016376 UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
© Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL
FIELD ANALYSES:
pH 5.1 units
Spec. Cond.
Odor Sulfur
Appearance Tan/Clear Ihere: ❑
Temp.
17.4 °C DRY at
µMhos time of
sampling;
a sample analyzed: 7/15/2020
Laboratory Name:
Environmental Chemists,INC Certification No. 94/ DLS 37729
;AMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
<0,02 mg/I
Pb - Lead mg/I
Coliform MF Fecal
<1 /100ml
Nitrate (NO3) as N
0.04 mg/I
Zn - Zinc mg/I
Coliform. MF Total
<1 /100m1
Phosphorus: Total as P
2.73 mg/I
(Note. Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
76 mg/I
Al - Aluminum
mg/I
_
pH (when analyzed)
5.1 units
Ba - Barium
mg/I
TOC
0.5 mg/I
Ca - Calcium
mg/1
Chloride
5 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/l
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) W No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method # 6200 C
Total Ammonia
<02 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen. NH3as N. Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N
mg/1
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOC& mg/L Effluent Total VOCs: mg/L VOC Removal%
r-IIIIucc dui nt{ciul ivaiiic a ILA iuic ­aac 11-111 Iyyc
GW-59 Rev.1/2007
!Date)

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
�...... ....... �.,... Please Print Cleariv or
Facility Name: S & J Villari
Permit Name (if different):
Facility Address: 892 Penny Branch Rd.
Warsaw "`E` NC 28398 County Duplin
act Person: Gerald Matthews
Location/Site Name: MW-9
Telephone#: [phone]
No. of wells to be sampled: 8
PERMIT Number: Expiration Date:
Non -Discharge W00016376 . UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
® Lagoon ❑ Remediation: Infiltration Gallery
I Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
-L ID NUMBER (from Permit): Date sample collected: 7/15/2020
I Depth: 19 ft. Well Diameter: 2 in
th to Water Level: 7.9 ft. below measuring point Screenea Interval: ft. to _ft.
inuring Point is ft. above land surface Relative M.P. Elevation: ft.
ime of water pumped/bailed before sampling: 10 gallons
1Dles for metals were collected unfiltered: ®YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH 4.9 units
Spec. Cond.
Odor Sulfur
Appearance Clear
If WELL
Temp. 20.6 °C DRY at
µMhos time of
Date sample analyzed: 7/15/2020
Laboratory Name: Environmental Chemists,INC Certification No. 94/ DLS 37729
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
<0,02 mg/I
Pb - Lead mg/I
Coliform. MF Fecal
<1 /100ml
Nitrate (NO3) as N
0.13 mg/I
Zn - Zinc mg/I
Coliform: MF Total
<1 /100ml
Phosphorus: Total as P
9.63 mg/I
(Note. Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
169 mg/I
Al - Aluminum
mg/1
pH (when analyzed)
4.9 units
Ba - Barium
mg/I
TOC
9.5 mg/I
Ca - Calcium
mg/I
Chloride
53 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method # 6200 C
Total Ammonia
3.7 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH,as N, Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Gerald Matthews ORC
'ermittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.1/2007
El

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
Please Print Clearly or Type
-acility Name. S & J Villari
'ermit Name (if different):
=acility Address: 892 Penny Branch Rd.
Warsaw "EQ` NC 28398 County Duplin
act Person: Gerald Matthews
Location/Site Name: MW-5
Telephone#: [phone]
No. of wells to be sampled:
r
L ID NUMBER (from Permit): 17572 Date sample collected: 7/15/2020
Depth: ft. Well Diameter: 2 in.
i to Water Level: 7.8 ft. below measuring point Screened Interval: ft.
,uring Point is ft. above land surface Relative M.P. Elevation:
ne of water pumped/bailed before sampling: 10 gallons
RESOURCFS
7:; 3-:3','I
PERMIT Number: Expiration Date:
Non -Discharge W00016376 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
® Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to _ft.
ft.
moles for metals were collected unfiltered: ® YES ❑ NO and field acidified: ❑ YES Ci NO
FIELD ANALYSES:
pH 5.1 units
Spec. Cond.
Odor Sulfur
Appearance Clear
WELL
Temp. 22.4 °C DRY at
uMhos time of
sample analyzed: 7/15/2020
Laboratory Name: Environmental Chemists,INC Certification No. 94/ DLS 37729
tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
<0,02 mg/I
Pb - Lead mg/I
Coliform: MF Fecal
<1 /100ml
Nitrate (NO3) as N
0.02 mg/I
Zn - Zinc mg/I
Coliform: MF Total
<1 /100ml
Phosphorus: Total as P
3.09 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
104 mg/I
Al - Aluminum
_mg/I
pH (when analyzed)
5.1 units
Ba - Barium
mg/I
TOC
7.3 mg/I
Ca - Calcium
mg/I
Chloride
10 mg/1
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method # 6200 C
Total Ammonia
<0.2 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, N1-13as N: Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Gerald Matthews ORC
Permittee (or Authorized Agent) Name and Tide - Please print or type
GW-59 Rev.1/2007
Si4na;,;re of P�rmitte: ;rr
re: ❑

SUBMIT FORM ON YELLOW PAPER ONLY
OUNDWATER QUALITY MONITORING:
MPLIANCE REPORT FORM
�u ITV urenouwTrnu Please Print Clearly or
-acility Name: S & J Villari
"ermit Name (if different): _
acility Address: 892 Penny
Warsaw &t'W
Branch Rd.
NC 28398 County Duplin
act Person: Gerald Matthews Telephone#: [phone]
Location/Site Name: MW-6 No. of wells to be sampled: 8
refaT d trtATtSRAL ,ESA
a. ;ra�rTYtAtFORMs ?4!v PROCEsW'! UNIT
tr CRALEIGH, NC 2� � ;ae.1919) 73i
PERMIT Number: Expiration Date:
Non -Discharge W00016376 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
® Lagoon ❑ Remediation: Infiltration Gallery
X) Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): 17573 Date sample collected: 7/15/2020
Depth: ft. Well Diameter: 2 in.
i to Water Level: 5.6 ft. below measuring point Screened Interval: ft. to _ft.
Turing Point is _ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 10 gallons
)les for metals were collected unfiltered: ®YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH 4.4 units Temp.
Spec. Cond.
Odor None
Appearance Tan/Clear
WELL
19.2 °C DRY at
µMhos time of
sampling,
sample analyzed: 7/15/2020
Laboratory Name:
Environmental Chemists,INC Certification No. 94/ DLS 37729
tAMETERS NOTE: Values should
reflect dissolved and
colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead mg/I
Coliform: MF Fecal
<1 /100ml
Nitrate (NO3) as N
<0.02 mg/I
Zn - Zinc mg/I
Coliform: MF Total
<1 /100ml
Phosphorus: Total as P
0.34 mg/I
(Note Use MPN method for highly tUrbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
322 mg/I
At - Aluminum
mg/I
pH (when analyzed)
4.4 units
Ba - Barium
mg/1
TOC
1.0 mg/I
Ca - Calcium
mg/I
Chloride
69 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
_ _ mail
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method # 6200 C
Total Ammonia
<0.02 mg/I
Mg - Magnesium
—mg/I
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Gerald Matthews OF
Permittee (or Authorized Agent) t
GW-59 Rev.1/2007
and Title - Please print or type
Siq 2t�re of
re: ❑

SUBP ��T FORM ON YELLOVV PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name- S & J Villari
Permit Name (if different):
Facility Address: 892 Penny Branch Rd.
Warsaw ""r ` NC 28398 County Duplin
ntact Person: Gerald Matthews Telephone#: [phone]
:II Location/Site Name: MW-7 No. of wells to be sampled: 8
:LL ID NUMBER (from Permit): 17574 Date sample collected: 7/15/2020
fll Depth: ft. Well Diameter: 2 in.
pth to Water Level: 5.8 ft. below measuring point Screened Interval: ft.
!asuring Point is ft. above land surface Relative M.P. Elevation:
lume of water pumped/bailed before sampling: 10 gallons
moles for metals were collected unfiltered: ® YES ❑ NO and field acidified: ❑ YES ❑
PERMIT Number: Expiration Date:
Non -Discharge W00016376 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
® Lagoon ❑ Remediation: Infiltration Gallery
91 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to _ ft.
ft.
FIELD ANALYSES:
pH 4.7 units
Spec. Cond.
Odor Sulfur
Appearance Tan
Temp.
If WELL
19.8 °C DRY at
µMhos time of
sampling,
sample analyzed: 7/15/2020
Laboratory Name:
Environmental Chemists,INC Certification No. 94/ DLS 37729
IAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD
mg/1
Nitrite (NO2) as N
<0,02 mg/I
Pb - Lead mg/I
Coliform: MF Fecal
128 /100ml
Nitrate (NO3) as N
0.05 mg/I
Zn - Zinc mg/I
Coliform: MF Total
128 /100ml
Phosphorus: Total as P
0.71 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
327 mg/I
Al -Aluminum
mg/I
_
pH (when analyzed)
4.7 units
Ba - Barium
mg/I
TOC
6.5 mg/I
Ca - Calcium
mg/I
Chloride
79 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC. GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
rng/I
Report Attached? ❑ Yes (1) 5d No (0)
Specific Conductance
µMhos
K - Potassium
_____ mg/i
VOC method # 6200 C
Total Ammonia
7•6 mg/I
Mg - Magnesium
mg!I
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
method #
TKN as N
mg/I
Ni - Nickel
Mmg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Agent)
here ❑
GW-59 Rev.1,12007

JUMVIi i t•UMM VN YtLLUVV F'AYtK ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
FACILITY INFORMATION ~tease t-nnt ctearty or type
Facility Name: S & J Vlllari
Permit Name (if different):
Facility Address: 892 Penny Branch Rd.
Warsaw iSt'ef'" NC 28398 County Duplin
%C az:
act Person: Gerald Matthews
Location/Site Name: MW-8
L ID NUMBER (from Permit): 17575
Depth: ft.
h to Water Level: 8.2 ft. below measuring point
luring Point is ft. above land surface
ne of water pumped/bailed before sampling:
Telephone#: [phone]
No. of wells to be sampled: 8
Date sample collected: 3t'6/202C
Well Diameter. 2 in.
Screened Interval: �ft.
Relative M.P. Elevation.
10 gallons
PERMIT Number: Expiration Date:
Non -Discharge W00016376 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
® Lagoon ❑ Remediation: Infiltration Gallery
91 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to ft.
ft.
FIELD ANALYSES:
pH 5.3 units
Spec. Cond.
Odor Sulfur
Appearance Tan
Temp.
If WELL
21.3 °C DRY at
µMhos time of
sampling.
Date sample analyzed: 3/16/2020
Laboratory Name:
Environmental Chemists,INC Certification No. 94/ DLS 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mg/1
Nitrite (NO2) as N
0.09 mg/I
Pb - Lead mg/I
Coliform: MF Fecal
<1 !100ml
Nitrate (NO3) as N
3.76 mg,"
Zn - Zinc mg/I
Coliform: MF Total
<1 /100ml
Phosphorus: Total as P
0.33 mg/I
(Note: Use MPN methoa for highly turbid samples)
Orthophosphate
mg/1
Other (Specify Compounds and Concentration Units)'
Dissolved Solids: Total _
115 mg/I
Al - Aluminum
mg/I
pH (when analyzed)
5.3 units
Ba - Barium
mg/I
_
TOC
3.7 mg/i
Ca - Calcium
mg/I
Chloride
20 mg/I
Cd - Cadmium,
mg/I
Arsenic
mg/I
Chromium: Total
_-mg/l
Grease and Oils
mg/1
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
_'tg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
_ _mg!I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance
µMhos
K - Potassium-mg/1
VOC method # 6200 C
Total Ammonia
<0.2 mg/1
Mg - Magnesium
�mgr'I
method #
(Ammonia Nitrogen, NH,as N, Ammonia Nitrogen, Total)
Mn -Manganese
__ , __ mg/;
,method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: — mg!L Effluent Total VOCs: mg/L VOC Removal%
■❑
Gerald Matthews ORC . ,2O2G
Permittee (or Authorized Agent) Name and Title -Please print or type :iirar;ature of !�e: m!i e ur Autf prized Aqent) (Date)
GW-59 Rev.1/2007

SM
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 a 910.392.0223 Lab e 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 a 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 a 910.347.5843 Lab/Fax
infora environmentalchemists.com
The Pork Company Date of Report: Jul 30, 2020
892 Penny Branch Road Customer PO #:
Warsaw NC 28398 Customer ID: 08100099
Attention: Report #: 2020-11766
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-29527 Site: MW - 1 7/15/2020 1:05 PM Water jcb/envirochem
Test Method Results Date Analyzed
Color
color
Clear
07/15/2020
Depth to water, ft.
Depth to Water, Ft
11.3 feet
07/15/2020
Ammonia Nitrogen
EPA 350.1
< 0.2 mg/L
07/16/2020
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/15/2020
Odor
Qualitative'.,
None
07/15/2020
Total Dissolved Solids (TDS)
SM 2540 c
40 mg/L
07/16/2020
Temperature
SM 2550 B
20.1 C
07/15/2020
Chloride
SM 4500 Ci E
10 mg/L
07/27/2020
pH
SM 4500 H B
4.6 units
07/15/2020
Total Phosphorus
SM 4500 P F
0.25 mg/L
07/21 /2020
Total Organic Carbon (TOC)
SM 5310 B
1.0 mg/L
07/15/2020
Fecal Coliform
SM9222DMF
<1 MPN/100ml
07/15/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA353.2
< 0.02 mg/L
07/15/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
1.43 mg/L
07/26/2020
Nitrate Nitrogen
Subtraction Method
1.43mg/L
07/27/2020
Report #. 2020-11766 Page 1 of 8

—,qql
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473,5702 Lab/Fax
sM 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS infoin environment alchemists.com
The Pork Company
892 Penny Branch Road
Warsaw NC 28398
Attention:
Date of Report: Jul 30, 2020
Customer PO #:
Customer ID: 08100099
Report #: 2020-11766
Project ID: Monitoring Wells
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
20-29528 Site: MW - 2
7/15/2020
12:50 PM Water jcb/envirochem
Test
Method
Results
Date Analyzed
Color
color
Clear
07/15/2020
Depth to water, ft.
Depth to Water, Ft
10.7 feet
07/15/2020
Ammonia Nitrogen
EPA 350.1
< 0.2 mg/L
07/16/2020
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/15/2020
Odor
Qualitative
None
07/15/2020
Total Dissolved Solids (TDS)
SM 2540 C
214 mg/L
07/16/2020
Temperature
SM 2550 B
21.0 C
07/15/2020
Chloride
SM 4500 Cl E
46 mg/L
07/27/2020
pH
SM 4500 H B
4.6 units
07/15/2020
Total Phosphorus
SM 4500 P F
0.21 mg/L
07/21 /2020
Total Organic Carbon (TOC)
SM 5310 B
1.6 mg/L
07/15/2020
Fecal Coliform
SM 9222D MF
<1 MPN/100ml
07/15/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
< 0.02 mg/L
07/15/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
12.8 mg/L
07/26/2020
Nitrate Nitrogen
Subtraction Method
12.8 mg/L
07/27/2020
Report p 2020-11766 Page 2 of 8

SM
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infora environmentalchemists.com
The Pork Company Date of Report: Jul 30, 2020
892 Penny Branch Road Customer PO #:
Warsaw NC 28398 Customer ID: 08100099
Attention: Report #: 2020-11766
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-29529 Site: MW - 3 7/15/2020 1:20 PM Water jcb/envirochem
Test Method Results Date Analyzed
Color
color
Tan/Clear
07/15/2020
Depth to water, ft.
Depth to Water, Ft
9.1 feet
07/15/2020
Ammonia Nitrogen
EPA350.1
< 0.2 mg/L
07/16/2020
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/15/2020
Odor
Qualitative
Sulfur
07/15/2020
Total Dissolved Solids (TDS)
SM 2540 C
76 mg/L
07/16/2020
Temperature
SM 2550 B
17.4 C
07/15/2020
Chloride
SM 4500 ci E
5 mg/L
07/27/2020
pH
SM 4500 H B
5.1 units
07/15/2020
Total Phosphorus
SM 4500 P F
2.73 mg/L
07/21 /2020
Total Organic Carbon (TOC)
SM 5310 B
0.5 mg/L
07/15/2020
Fecal Coliform
SM 9222D MF
<1 MPN/100ml
07/15/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353 2
< 0.02 mg/L
07/15/2020
Nitrate+Nitrite-Nitrogen
EPA 3532
0.04mg/L
07/26/2020
Nitrate Nitrogen
Subtraction Method
0.04 mg/L
07/27/2020
Report # 2020-11766 Page 3 of 8

F", �- -7 7 Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info(q,environmentalchemists.com
The Pork Company
892 Penny Branch Road
Warsaw NC 28398
Attention:
Date of Report: Jul 30, 2020
Customer PO #:
Customer ID: 08100099
Report #: 2020-11766
Project ID: Monitoring Wells
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
20-29530 Site: MW - 5
7/15/2020
11:50 AM Water jcb/envirochem
Test
Method
Results Date Analyzed
Color
Color
Clear
07/15/2020
Depth to water, ft.
Depth to Water, Ft.
7.8 feet
07/15/2020
Ammonia Nitrogen
EPA 350.1
< 0.2 mg/L
07/16/2020
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/15/2020
Odor
Qualitative
Sulfur
07/15/2020
Total Dissolved Solids (TDS)
SM 2540 C
104 mg/L
07/16/2020
Temperature
SM 2550 B
22.4 C
07/15/2020
Chloride
SM 4500 CI E
10 mg/L
07/27/2020
pH
SM 4500 H B
5.1 units
07/15/2020
Total Phosphorus
SM 4500 P F
3.09 mg/L
07/21 /2020
Total Organic Carbon (TOC)
SM 5310 B
7.3 mg/L
07/15/2020
Fecal Coliform
SM 9222D MF
<1 MPN/100ml
07/15/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353 2
< 0.02 mg/L
07/15/2020
Nitrate+ N itrite-N itrogen
EPA 353 2
0.02 mg/L
07/26/2020
Nitrate Nitrogen
Subtraction Method
0.02 mg/L
07/27/2020
Report It:: 2020.11766 Page 4 of 8
9 ,

cy
ANALYTICAL & CONSULTING CHEMISTS
F""" -. -:,Oqql
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
The Pork Company
892 Penny Branch Road
Warsaw NC 28398
Attention:
Date of Report: Jul 30, 2020
Customer PO #:
Customer ID: 08100099
Report #: 2020-11766
Project ID: Monitoring Wells
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
20-29531 Site: MW - 6
7/15/2020
12:05 PM Water jcb/envirochem
Test
Method
Results
Date Analyzed
Color
Color
Tan/Clear
07/15/2020
Depth to water, ft.
Depth to Water, Ft.
5.6 feet
07/15/2020
Ammonia Nitrogen
EPA 350.1
< 0.2 mg/L
07/16/2020
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/15/2020
Odor
Qualitative
None
07/15/2020
Total Dissolved Solids (TDS)
SM 2540 C
322 mg/L
07/16/2020
Temperature
SM 2550 B
19.2 C
07/15/2020
Chloride
SM 4500 Cl E
69 mg/L
07/27/2020
pH
SM 4500 H B
4.4 units
07/15/2020
Total Phosphorus
SM 4500 P F
0.34 mg/L
07/22/2020
Total Organic Carbon (TOC)
SM 5310 a
1.0 mg/L
07/15/2020
Fecal Coliform
SM92220MF
<1 MPN/100ml
07/15/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
< 0.02 mg/L
07/15/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
< 0.02 mg/L
07/26/2020
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
07/27/2020
Report # 2020-11766 Page 5 of 8

envirochem
SM
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
The Pork Company Date of Report: Jul 30. 2020
892 Penny Branch Road Customer PO #:
Warsaw NC 28398 Customer ID: 08100099
Attention: Report #: 2020-11766
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-29532 Site: MW - 7 7/15/2020 12:20 PM Water jcb/envirochem
Test Method Results Date Analyzed
Color
color
Tan
07/15/2020
Depth to water, ft.
Depth to Water, Ft
5.8 feet
07/15/2020
Ammonia Nitrogen
EPA 350.1
7.6 mg/L
07/22/2020
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/15/2020
Odor
Qualitative
Sulfur
07/15/2020
Total Dissolved Solids (TDS)
SM 2540 c
327 mg/L
07/16/2020
Temperature
SM 2550 B
19.8 C
07/15/2020
Chloride
SM 4500 CI E
79 mg/L
07/27/2020
pH
SM 4500 H B
4.7 units
07/15/2020
Total Phosphorus
SM 4500 P F
0.71 mg/L
07/22/2020
Total Organic Carbon (TOC)
SM 5310 B
6.5 mg/L
07/15/2020
Fecal Coliform
SM 9222D MF
128 MPN/100ml
07/15/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353 2
< 0.02 mg/L
07/15/2020
Nitrate+Nitrite-Nitrogen
EPA353.2
0.05mg/L
07/26/2020
Nitrate Nitrogen
Subtraction Method
0.05 mg/L
07/27/2020
Report #:: 2020-11766 Page 6 of 8

SM
ANALYTICAL & CONSULTING CHEMISTS
FF07- —.-07
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info(a emvironmentalchemists.com
The Pork Company
892 Penny Branch Road
Warsaw NC 28398
Attention:
Date of Report: Jul 30, 2020
Customer PO #:
Customer ID: 08100099
Report #: 2020-11766
Project ID: Monitoring Wells
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
20-29533 Site: MW - 8
7/15/2020
12:35 PM Water jcb/envirochem
Test
Method
Results
Date Analyzed
Color
color
Tan
07/15/2020
Depth to water, ft.
Depth to Water, Ft
8.2 feet
07/15/2020
Ammonia Nitrogen
EPA 350.1
< 0.2 mg/L
07/22/2020
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/15/2020
Odor
Qualitative
Sulfur
07/15/2020
Total Dissolved Solids (TDS)
SM 2540 C
115 mg/L
07/16/2020
Temperature
SM 2550 B
21.3 C
07/15/2020
Chloride
SM 4500 Cl E
20 mg/L
07/27/2020
pH
SM 4500 H B
5.3 units
07/15/2020
Total Phosphorus
SM 4500 P F
0.33 mg/L
07/22/2020
Total Organic Carbon (TOC)
SM 5310 B
3.7 mg/L
07/15/2020
Fecal Coliform
SM9222DMF
<1 MPN/100ml
07/15/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353 2
0.09 mg/L
07/15/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
3.85 mg/L
07/26/2020
Nitrate Nitrogen
Subtraction Method
3.76 mg/L
07/27/2020
Report #: 2020-11766 Page 7 of 8

envirochem
SM
ANALYTICAL & CONSULTING CHEMISTS
r-77 I
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infofa environmentalchemists.com
The Pork Company Date of Report: Jul 30, 2020
892 Penny Branch Road Customer PO #:
Warsaw NC 28398 Customer ID: 08100099
Attention: Report #: 2020-11766
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-29534 Site: MW - 9 7/15/2020 1:35 PM Water jcb/envirochem
Test Method Results Date Analyzed
Color
color
Clear
07/15/2020
Depth to water, ft.
Depth to Water, Ft
7.9 feet
07/15/2020
Ammonia Nitrogen
EPA350.1
3.7mg/L
07/22/2020
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/15/2020
Odor
Qualitative
Sulfur
07/15/2020
Total Dissolved Solids (TDS)
SM 2540 C
169 mg/L
07/16/2020
Temperature
SM 2550 B
20.6 C
07/15/2020
Chloride
SM 4500 Cl E
53 mg/L
07/27/2020
pH
SM 4500 H B
4.9 units
07/15/2020
Total Phosphorus
SM 4500 P F
9.63 mg/L
07/28/2020
Total Organic Carbon (TOC)
SM 5310 B
9.5 mg/L
07/16/2020
Fecal Coliform
SM9222DMF
<1 MPN/100ml
07/15/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
< 0.02 mg/L
07/15/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
0.13 mg/L
07/26/2020
Nitrate Nitrogen
Subtraction Method
0.13 mg/L
07/27/2020
Comment:
Reviewed by:
Report M. 2020-11766 Page 8 of 8

N I a: � /-, ii: /-1 -
tnslyst: TO
4 Certiflcatfoo M 94
Facility Name:�'-G Permit s: � Q o 0I Y 3-4-6
pH
Reference Method SM4500 H+B -2011 Instrument ID' iib�jlJ
Calibration Time
Cal Buffer 4 0 s u
Cal Buffer 10 0 s u
Check Buffer 7 0 s u.
Comments
'pH check buffer must read within t 0 I pH units of the buffer's true value.
a su buffer Lots/ Rica 2901791 Exp 12R0 7 sir buffer Lots/ Rica 2g0g744 Exec 71`20 10 su buffer Lots Rica 2905A94 Exo 10/20
Sample location
Sample Collection
Times
Sample Analysts
Time•
pH Result
s it
► Post -analysis Buffer
Check value s u.
Comments/Deta Qualifiers
ok/o3M
f/
sac2
)/
//
/i
h
► Post analysis buffer check is required when performing analyses at multiple sampling locations and must be within + 0 1 units of the bu1Ter's true value
All pH values in pH units it e , s u ) Record all data to the nearest 0 01 s u and report to the nearest 0 1 s U.
Total Residual Chlorine (TRC)
Reference Method: SM 4500 CI-G2011 Hach $167 HR• t Please circle aopliable Method Instrument ID
Duly Check
Standard Result
yg/L or mWIL
Post -analysis
(wh�"k Slid n
L muluule sites
Time check
Standard
Analyzed
Sample
Semple
Collation
Time
Sample
Analysis
Time
TRC Resume
Ng/L or m
CommentsiData Qualifim
rRC Daily Check Standard true value )tg/L or rng/L acceptance range yg/L or mg/L
Check standards must recover within t 101/a of the check standard's true value
tinnuai Calibration Curve Venfication Date:
Reagent Blank Value: _;,When applicable Analyze and document a reagent blank when standards, sample dilutions or PT Samples are prepared)
Dissolved Oxygen (DO)
Reference Method SM 4500 0 G: 201 I Instrument ID
Calibration/
Verification
rime
Calibration variable
Mew reading
ur %efficiency
after calibration
a Post -analysis calibration
crification (when necessary)
Comments
Temperature
Barometric
Pressure
ncaoretial
Value m
Calculated
Value m
I .e Ode row when performing a verifkation inrtead of
Sample Location
Sample Collation
Time
*Sample Analysis
Time
DO reeding
m
Comments/DataQualifiers
• When performing analyses at multiple locations, the meter must be recahbrated at each site before analysis or a post-analvsis calibration ventication must be performed
I' .einple is mca,ured dircct1% n the .oram amor oncnc. ❑nk time mah t d -old iv recnrdcd olc that he% alc neasmcd i uu m iii ned'ately
retnpersture
Reference Method SM 2550 R-2010 nstrument ID "x Lo
Sample Location
Sample
Collection
rime
Sample
Analysis
T me
Temperature
'C
Comments/Data Qualifiers
f�av I Irtttu L�s�
2
/!K /L
4.1 1.
pw( 0161
-t! /!la
/ /k
/►L
/7
r i npl� t inc tsurcd ,lu:ctic i Vic scam did it . I ;,I 1.1 Id hr ,u,i l ,l it) i n.,ic dais thc, i t nc t.t i •d n i r imidli tlK
\onual Vf nlication Date 1 '020
Yh ek! � o7 t' �h l r few t nnet mat : US'r j /1 !l 1ZSt. !hs j 24.1
Rev 07 2019

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 2840;
910.392.0223
-�1 , ;},� n/` Sample Recei t Checklist
Client: 1 t'�G ?V�y�J . Dater o�o Report Number• J 10
Receipt of sample.
Delivere UPS ❑ FeclEx ❑ Other ❑
❑ YES
❑
NO
N/A
1. Were custody seals present on the cooler?
O YES
❑
NO
P
N/A
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt ff C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank A ainst Bottles
IR Gun iD� Thomas Traceable S/N 192S116S7 iR Gun Correction Factor'C: 0.0
❑ YES
❑
NO
3.
If temperature of cooler exceeded VC, was Project M r./QA notified?
YES
YES
❑
❑
NO
4.
Were proper custody procedures (relinquished/received) followed?
NO
S.
Were sample ID' s listed on the COC?
YES
❑
NO
6.
Were samples ID's listed on sample containers?
YES
❑
NO
7.
Were collection date and time listed on the COC?
YES
❑
NO
S.
Were tests to be performed listed on the COC?
YES
❑
NO
9.
Did samples arrive in proper containers for each test?
YES
❑
NO
10.
Did samples arrive in ood condition for each test)
YES
❑
NO
11.
Was adequate sample volume available?'
YES
❑
NO
12.
Were samples received within proper holding time for requested tests?
YES
❑
NO
13.
Were acid preserved samples received at a pH of <27 •
YES
❑
NO
14.
Were cyanide samples received at a pH >127
❑ YES
❑
NO
1S.
Were sulfide samples received at a pH >97
YES
O YES
❑
❑
NO
16.
Were NH3/TKN/Pheno4 received at a chlorine residual of <0.5 m/L
❑ YES
❑
NO
17.
Were Sulfide/Cyanide received at a chlorine residual of <0,5 m/L)
NO
18.
Were orthophosphate samples filtered in the field within 15 minutes)
•TOC/Volatllls are pH checked at time of analysis and recorded on the benchsheet
Bacteria samples are checked for Chlorine at time of analysls and recorded on the benchsheet.
sample Preservation: (Must be completed for any sample(s) Incorrectly preserved or with headspace)
Samples) were received incorrect)
by addln y preserved and were adjusted accordingly
g (circle one►. HISO, HNOt 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
notrty the state lab if directed to analyted by the customer who was notified. date and time
yolatlles Sample(s) were received with headspace
COMMENTS:
DOC CIA 002
'C

ENVIRONMENTAL CHEMISTS, INC
Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
info )env iron me ntalchemists.com
Client: The Pork Company -Warsaw
PROJECT NAME: Monitoring Wells
REPORT NO: 7 O "
ADDRESS:
CONTACT NAME: Gerald Matthews, ORC
PO NO:
REPORT TO:
PHONE/FAX:
Permit: W00016376
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
m
E r
N~
°a `o
a
m _
`o
u n
m
o m
u E
m
g=
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Tempo
_
=
p
i
o
=
0
_
o
w
Well:
C
P
X
TDS, CI, NO2
G
G
a
De th to water: /3 4
C
P
•�
X
1
NO3, Total P, NH3
G
G
gallons bailed:
C
P
X
Fecal coliform
G
G
H (field):
C
P
X
TOC, VOC-November only)
G
G
field color: ��-
C
P
G
G
field odor:
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 8 wells: 1,2,3,5,6,7,8,9 due in March, July, November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: 6 Accepted: V Rejected: Resample VReested:
Delivered By: Z'V� Received By: Date: Time:Comments: TUOUND:

ENVIRONMENTAL CHEMISTS, INC
Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: Monitoring Wells
REPORT NO: 0
ADDRESS:
CONTACT NAME: Gerald Matthews, ORC
PO NO:
REPORT TO:
PHONE/FAX:
Permit: W00016376
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
G. m
CL
m
`n
0_W
p a
E `o
`o
U a
`o E
u
2 W
m f
g z
PRESERVATION
ANALYSIS REQUESTED
Dat
Time
Temp
=
2
=
'p
i
j
=
0
_
o
~
w
o
Well: Z
Z`
C
P
1i
X
JTDS, CI, NO2
G
G
Depth to water: 1!
C
P
X
NO3, Total P, NH3
G
G
gallons bailed: to
C
P
X
Fecal coliform
G
G
H (field):
C
P
I X
TOC, VOC-November only)
G
G
field color: C �"`�
C
P
G
G
A 3�
field odor:
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 8 wells: 1,2,3,5,6,7,8,9 due in March, July, November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: 3 Accepted: 4/ R ected: Resample eq ested:
Delivered By: -F C Received By: Date: Timer:5 7
Comments: TURNAROUND:

- ENVIRONMENTAL CHEMISTS, INC
Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: Monitoring Wells
REPORT NO: cO 0— �l
ADDRESS:
CONTACT NAME: Gerald Matthews, ORC
PO NO:
REPORT TO:
PHONE/FAX:
Permit: W00016376
email:
Sampled BY: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
E F
2
E o
m _
3 `o
m
c
`o 63
jrPRESERVATION
9 w
m
ANALYSIS REQUESTED
Djate
Time
Temp
i
p
o
0
o
w
3
Well:
„ u
<! I
C
P
` (/�
X
TDS, CI, NO2
G
G
„
Depth to water: �09'
C
P
X
l
NO3, Total P, NH3
G
G
gallons bailed: /,D
C
P
X
Fecal coliform
G
G
H (field):
C
P
X
TOC, VOC-November only)
G
G
field color: G�K/
C
P
G
G
field odor:
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 8 wells: 1,2,3,5,6,7,8,9 due in March, July, November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: 3 Accepted:
Delivered By: Received By
Comments:
R cted: Resample eq ested:
Dater 11- Time: o?'S
TURNAROUND:

ENVIRONMENTAL CHEMISTS, INC
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 2a405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: Monitoring Wells
REPORT NO:
ADDRESS:
CONTACT NAME: Gerald Matthews, ORC
PO NO:
REPORT TO:
PHONE/FAX:
Permit: W00016376
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil. SL = Sludge. Other:
le Identification
Collection
m
E
w~C^
o
m _
a
"
m
E
"
w
o coSam
Z
PRESERVATION
ANALYSIS REQUESTED
Qatp
Time
Temp
Z
C
=a
°
z
9
=
oU
Well: 1
v
S�
Lt• y
C
P
;7
��
X
I
ITDS, Cl, NO2
G
I G
Depth to water: `%3
C
P
�'�
X
a
NO3, Total P, NH3
G
G
gallons bailed:
C
P
X
I
Fecal coliform
G
G
H field): Qa
C
P
X1
TOC, VOC-November only)
G
G
field color: G <<'r
C
P
G
G
field odor:
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 8 wells: 1,2,3,5,6,7,8,9 due in March, July, November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: Accepted: ✓ Z�7
cted: Resample a ested:
Delivered By: �- Received By: Dater l i'O Timec�:,a_%
Comments: TURNAROUND:

-• ENVIRONMENTAL CHEMISTS, INC
Analyt cal &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: Monitoring Wells
REPORT NO: 0 — 11
ADDRESS:
CONTACT NAME: Gerald Matthews, ORC
PO NO:
REPORT TO:
PHONE/FAX:
Permit: W00016376
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
p
Collection
E
a~
E `o f7
U
a
U '-'
J
L E
U
m f
Z
PRESERVATION
ANALYSIS REQUESTED
I?atV
Time
Temp
Z
2
=
o
I
0
Z
0
_
=
O
Well: *'
L
°�
X
TDS, CI, NO2
G
G
Depth to water: �;
C
P
0'
X
o2
NO3, Total P, NH3
G
G
gallons bailed:
C
P
X
I
Fecal coliform
G
G
H field : 11y i'
C
P
X
I
I
TOC, VOC-November only)
G
G
field color:
C
P
G
G
field odor: nJ ^ c-
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 8 wells: 1,2,3,5,6,7,8,9 due in March, July, November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: 3 Accepted: ' ted: Resample q ested:
Delivered By: C."� Received By: �— Date: � � a 0 Time: o(:
Comments: TURNAROUND:

ENVIRONMENTAL CHEMISTS, INC
Analyt cal &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 2a405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: Monitoring Wells
REPORT NO:
ADDRESS:
CONTACT NAME: Gerald Matthews, ORC
PO NO:
REPORT TO:
PHONE/FAX:
Permit: WQ0016376
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
p
Collection
m m
E
'~
=
m
a o=
_
c l7
o
0
m
g a
vE
o w
co
gi
PRESERVATION
ANALYSIS REQUESTED
D t
Time
Tem
W
=
_
o
_
=
Z
o
w
o
Well:
(T•Y
C
P
L
1 I'C7SS
X
ITDS, Cl, NO2
G
G
�
Depth to water: 9
C
P
�'
X
IN03, Total P, NH3
G
G
gallons bailed: I ''
C
P
X
Fecal coliform
G
G
H (field):
C
P
X
TOC, VOC-November only)
G
G
field color: ✓ >� ��
C
P
G
G
field odor: r,� f'�`�
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 8 wells: 1,2,3,5,6,7,8,9 due in March, July, November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: Accepted: Rejected: Resample Requested:
Delivered By: C`L Received By: Date: < T!me: J : S
Comments: TURNAROUND:

`W ENVIRONMENTAL CHEMISTS, INC
Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: Monitoring Wells
REPORT NO: Q2 Q —
ADDRESS:
CONTACT NAME: Gerald Matthews, ORC
PO NO:
REPORT TO:
PHONE/FAX:
Permit: W00016376
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
m
o m
m _
O o
a
m
c�
o f
"
Ow
g
z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp"
o
=
_
N
_
Z
s
Q
z
=
~
w
o
Well:
L� 3
C
P
ti
X
TDS, CI, NO2
G
G
Depth to water: `>�7 �
C
P
t)'�
X
a
NO3, Total P, NH3
G
G
gallons bailed: �`�
C
P
X
Fecal coliform
G
G
H (field): s L 7
C
P
X
I
1TOC, VOC-November only)
G
G
11
field color:
C
P
G
G
field odor: SG �'�`�
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 8 wells: 1,2,3,5,6,7,8,9 due in March, July, November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: Accepted: R cted: ResamI Re uested:
Delivered By: �� C7Received By: Date. Time: �' J
Comments: TURNAROUND:

-r� ENVIRONMENTAL CHEMISTS, INC
Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 2a405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: Monitoring Wells
REPORT NO: Q —
ADDRESS:
CONTACT NAME: Gerald Matthews, ORC
PO NO:
REPORT TO:
PHONE/FAX:
Permit: W00016376
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
m
E
H
E 'o E
U
c `o
U a
m
c=
`o E
U
ow
m
g=
2
PRESERVATION
ANALYSIS REQUESTED
D to
Time
Temp
i
i
=
o
_
0
=
0
Z
o
w
O
Well: I
t'`�'
C
P
y
743f
X
TDS, Cl, NO2
G
G
Depth to water'Fir
C
P
X
o1
H
NO3, Total P, NH3
G
G
gallons bailed: 1
C
P
X
Fecal coliform
G
G
H (field): Q °
C
P
X
TOC, VOC-November only)
G
G
field color: c.,
C
P
G
G
r
field odor: 6.4 (T`�
C
P
G
G
C
I
G
I G
C
P
G
G
C
P
G
G
Total of 8 wells: 1,2,3,5,6,7,8,9 due in March, July, November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: 3 Accepted: ---
Delivered By: L Received By:
Comments:
Rejected: Resampl ke nested:
�-- Dated/' Time:a:5
TURNAROUND:

F000-- Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 ' 910.392.0223 Lab ' 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway, Jacksonville, NC 28540 ' 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
The Pork Company
892 Penny Branch Road
Warsaw NC 28398
Attention: Gerald Matthews
Lab ID Sample ID:
20-32207 Site: Effluent
Date of Report: Aug 14, 2020
Customer PO #:
Customer ID: 08100099
Report #: 2020-12746
Project ID: Effluent / Streams
Collect Date/Time Matrix Sampled by
7/30/2020 9:00 AM Water Gerald Matthews
Test Method Results Date Analyzed
PAN Calculation
Used 30% Mineralization Rate.
26.6 mg/L 08/14/2020
Ammonia Nitrogen
EPA350.1
52.5mg/L
08/06/2020
Total Kjeldahl Nitrogen (TKN)
EPA351.2
53.3mg/L
08/06/2020
Total Dissolved Solids (TDS)
SM 2540 C
292 mg/L
07/30/2020
Residue Suspended (TSS)
SM 2540 D
87.9 mg/L
07/31 /2020
Chloride
SM 4500 Cl E
60 mg/L
08/14/2020
Total Phosphorus
SM 4500 P F
6.45 mg/L
08/07/2020
BOD
SM 5210 a
31 mg/L
07/30/2020
Fecal Coliform
SM 9222D MF
>30000 Colonies/100mL
07/30/2020
Total Nitrogen
Total Nitrogen
53.4 mg/L
08/14/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
0.09 mg/L
07/31/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
0.11 mg/L
08/13/2020
Nitrate Nitrogen
Subtraction Method
0.02 mg/L
08/14/2020
Report # 2020-12746 Page 1 of 2

Environmental Chemists, Inc.
nvirochem
6602 Windmill Way, Wilmington, NC 28405 ' 910,392.0223 Lab ' 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax
srd 255-A Wilmington Highway, Jacksonville, NC 28540 ' 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
The Pork Company
892 Penny Branch Road
Warsaw NC 28398
Attention: Gerald Matthews
Date of Report: Aug 14, 2020
Customer PO M
Customer ID: 08100099
Report M 2020-12746
Project ID: Effluent / Streams
Lao tv aampte iu: conect uatelf i Ime matrix sampled by
20-32208 Site: PPI-002 Up 7/30/2020 8:45 AM Water Gerald Matthews
Test Method Results Date Analyzed
Ammonia Nitrogen EPA 350.1 1.4 mg/L 08/06/2020
Total Kjeldahl Nitrogen (TKN) EPA351.2 2.2mg/L 08/06/2020
Total Phosphorus SM 4500 P F 0.48 mg/L 08/07/2020
Fecal Coliform SM 9222D MF 285 Colonies/100mL 07/30/2020
Total Nitrogen Total Nitrogen 3.3 mg/L 08/14/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
Nitrate+Nitrite-Nitrogen
Nitrate Nitrogen
Lab ID Sample ID:
20-32209 Site: PPI-003 Down
Test
EPA 353.2
EPA 353.2
Subtraction Method
Method
Collect Date/Time Matrix
7/30/2020 8:30 AM Water
0.65 mg/L
07/31 /2020
1.05 mg/L
08/13/2020
0.40 mg/L
08/14/2020
Sampled by
Gerald Matthews
Results Date Analyzed
Ammonia Nitrogen
EPA 350 1
2.8 mg/L
08/06/2020
Total Kjeldahl Nitrogen (TKN)
EPA 351.2
3.4 mg/L
08/06/2020
Total Phosphorus
SM 4500 P F
0.36 mg/L
08/07/2020
Fecal Coliform
SM 9222D MF
7500 Colonies/100mL
07/30/2020
Total Nitrogen
Total Nitrogen
7.1 mg/L
08/14/2020
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
0.10mg/L
07/31/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
3.65 mg/L
08/13/2020
Nitrate Nitrogen
Subtraction Method
3.55 mg/L
08/14/2020
Comment:
Reviewed by:
ReportU 2020-12746 Page 2 of 2

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
v ,1mvigton, NC 28�05
910 39'
Sam I �•D«3
p e Recel t Checklist
Client:,_
Pax
to Date -7 3o QC)
4ep0rt Number.
Receipt of sample.
l0 YES ❑ N0
Jellverr BPS ❑ FedEx ❑ Other ❑
N/A
❑
NO
1. Were custody seals present on the cooler?
G al temperature
uES
pon
receipt
N/A2
44.4
If custody seals were present, were they Intact/broken?
C Corrected temperature upon receipt How temperature taken: ❑ Temperature Blank
lR Gun ID-
Thomas Traceable S/N 192511657
❑ YES
❑
NO
3.
lR Gun Correction Factor* Ct0 0
If temperature of cooler
YES
❑
NO
4.
exceeded 6'C, was Pro ect M r
Were proper ) /� notified
D per custody
YES
❑
NO
5
procedures (relinquished/received) followed?
Were sample ID's listed on the COC?
YES
❑
NO
6.
Were samples ID's listed on sample containers?
YES
❑
NO
7.
Were collection date and time listed on the COC7
YES
❑
NO
8.
Were tests to be performed listed on the COC?
YES
❑
NO
9.
Did samples arrive in proper containers for each test,,
YES
❑
NO
10.
Did samples arrive In ood condition for each test?
YES
l❑
NO
11.
Was adequate sample volume available?'
YES
YES
❑
❑
NO
12.
Were samples received within proper holding time for requested tests
YES
❑
NO
13.
Were acid preserved samples received at a pH of <2? '
❑ YES
❑
NO
14.
Were cyanide samples received at a pH >12)
NO
15.
Were sulfide samples received at a pH >9?
YES
❑ YES
❑
❑
NO
16.
Were NH3/TKN/Phenol received at a chlorine residual of <0.5 ni ' •
❑ YES
❑
NO
NO
17.
Were Sulfide/Cyanide received at a chlorine residual of <0 5 m/P
18
Were orthophosphate samples filtered to the field within 15 minutes)
' TOC/Vo at les are pH checked at time of analysis and recorded on the benchsheet
Bactena samples are checked for Chlorine at time of analysis and recorded on the benchsheet
Sample Preservation: Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s1 were received Incorrect)
e) H,SO� HNO, Y preserved and were adjusted accordingly
by adding (circle on
HCI NaOH
Time of oreservatlon f more than one r
D eservative Is needed, notate In comments below
`0te NotN customer service mmeattly for incorremy oreSe'Yed samples Obta n A ^ew samole or
notify t^e state 2t ,f directed to Ana Wed bi, the cu storne• who was noof-ed date and time
volatiles Sample(s)
were received with headspace
COMMENTS:
DOC CIA 002
'C

ENVIRONMENTAL CHEMISTS, INC
Analyt cal &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: WWTF Effluent
REPORT NO: =<,
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO: Gerald Matthews, ORC
PHONE/FAX:
Permit Number: W00016376
email:
Sampled By: i t- / SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
m m
E
s
q
E `o
m
C (�
o
m
C
`o
c� E
O W
m f
g z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
=
z
o
=
0
x
0
z
o
w
o
PPI-001 Effluent-1/month
�o) A.
C
P
�1C�
X
MOD, TSS, NO2
G
G
H (field): S'Ju
C
P
X
1
NO3, NH3, TKN, Total P, PAN, Total N
G
G
C
P
X
Fecal Coliform
G
G
C
P
G
G
March, July, November
C
P
X
TDS, Chloride triannuals
G
G
C
P
G
G
PPI-002 (Upstream)
C
P
_
X
NO2
75 20
S
G
G
C
P
X
,
Lt'
TKN, NH3, NO3, TP, TN
G
G
C
P
X
Fecal
G
G
PPI-003 Downstream
C
P
' , 70
X
NO2
0 -U
G
G
C
P
G S
X
TKN, NH3, NO3, TP, TN
G
G
C
P
X
Fecal
G
G
Samples due 1/month
Transfer
Relinquished By:
Date/Time
R ceived By:
Date/Time
1.
Ji:w /'1 7°2,�
2.
Temperature when Received °C: Accepted: Rejected: Resample Re uested:
Delivered By: Received By: 1/1Y- Date: �t/���� Time:
Comments: TURNAROUND: