WQ0002005_Monitoring - 02-2022_20220330 (2)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * February
Report Information
WQ0002005
House of Raeford Rosehill
Year:* 2022
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR NDMR,NDAR-1,NDMLR 2.24MB
February 2022.pdf
PDF Only
GW-59 GW-59.pdf 4.97MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * Mason. [e-mail]
Name of Submitter: * Mason Drew
Signature:
kt4s A/ W,
Date of submittal: 3/30/2022
This will be filled in automatically

Initial Review
Reviewer: EADS\wgerald 1
Is the project number correct?* WQ0002005
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 4/4/2022

Facility flame- House of Raeford Farms, Inc.
Permit Name (if different)
Facility Address: 3333 u. &HAN 117 South
Pose Hill NC 28455
act Person: Joe Teachey
Location/Site Name: map On file
�jr Type
SUBMIT FORM ON YELLOW PAPER ONLY
County Dupfin
Telephone: [phone]
No. of wells to be sampled: 17
T
l
e:
Date:
lNon-Discharga•
NPDES
Other
TYPE OF PERMITTED OPERATION i-
It Spray Field
0 Rendediation:
C1 Rotary Distributor
11 i Application of Sludge
0 Water Source Heat Pump
11 Other.
L ID NUMBER € - -
collected; February 1 2022 — FIELD ANALYSES -
Depth: 15 ft, WellDiameter: 2 in. pHoo4ho 5,92 units Temp, 000,u 12.7 O DRY at
to water Leve,82546:3.80 ft. below measuring point Screened Interval. 2 ft, to 12 ft, :ond_ o :� 3 µMhos time of
® sampling,
Faring Point is 3 ft. above land Surface Relative M.P.Elevation: 102.77 ft, Odor 85: none check
ne of water pumped/balled before sampling 3 galloons Appearance clear here:
)Ies for metals were collected unfitte d: WI F-1 NO and field acidified: ® YES 171 N
sampleIto _ NOTE-ntal Cherniste
jZAMETERS Laboratory Name: -
_ should
reflect dissolved and colloidal concentrations.
COD 0335
mg
Nitrite (NO.) as N ooiii5 9. 3
rng&
cell arrn; MF Fecal y616 <1
1100mL
Nitrate (NO as N o 20 0,o4
mg1L
Conform: MF Total 31556
/100mL
Phosphorus: Total as P 5 <6,
g/L
kt k. use PN mmmod rLr h9bly tumd �es)
Orthophosphate 79507
rraglL
solved olids:Total 793c i 248
g/L
Ai - Aluminum 01€05
mg/L
H (Lab) oc4 3
units
Be - Barium 01007
ug/L
TOC Due8o 37-2
mg1L
Ca - Calcium oogis
mglL
Chloride oag4o 26
mglL
Cd - Cadmium 01027
ug/L
Arsenic 01,002
ugfL
Chromium: Total oio34
ug/L
Grease and 005 00552
rng1L
Cu - Copper a 2
mg1L
Phenol 3273
ug/L
Fe - Iron o1o4s
ug/L
Sulfate s 21
mglL
Hg - Mercury 71 _
u
eci is Conductance O 5
µMhos
K - Potassium 0 937
rnglL
Total Ammonia v s10 02
mg1L
Mg - Magnesium 00927
mglL
jAnvm Nitrogen: Nn_ as Nv nla a r', go l
Mn - Manganese 0 0sR
uglL.
TIN as N 525 1.6
mglL
Ni - Nickel 0=0=67
ug/L
Certification No.94
Pb - Lead cic51 ugiL
n inc 7 2 mg.
Other (Specify Compounds and Concentration Units):
sodium: 50.1
!` a
y GC, GCIMS, HPLC)
(Sgricify test -.
Lab yf No
method #
method
For Remschation Systems Only (Attach Lab Reports)- influent Total VC)Cs- mg/L Effluent Total VOCs! mg/L VOC Removal%
Ni le Reynolds, Plant Manager
Per;n:ttee for Authorized AQatna Narnee and Title - Please i nn't or tvpe
GW-59 Rev.21201

EDIT FORM ON YELLOW PAPER ONLY
COMPLIANCEGROUNDWATER QUALITY MONITORING:
#
FACILITY s
Facility Name. House of Raeford Farms, Inc,
Permit Name (if differentl:
Rose Hill NC 28458 County DUplin
act Person: Jae TeacheY Telephone: 10c2 01 8
Location/Site Name: map on file Noof wells to be sampled: 17
surfaceID NUMBER (from Permit): 2a Date sample collected'. February 2022
Depth: 15 tL Well Diameter; 2 in.
i to Water Level 82r_%46� 3.50 ft. below measuring point Screened Interval: 2 ft, to 12 ft.
ft. above land uring Point is 3
Relative M.P. Elevationi
e of waterf e sampling: 3 gallons
iles for metals were collectedd acidified.
.. sampleanalyzed-
kRshould reflect dissolved and colloidal
concentrations.
COD 00335
mgfL
Nitrite (NO,) as N 1s o.04
mg/L
oliform: MF Fecal 31616 1
1100 lL
Nitrate (NO3) as N 20 11.
t
Caliform: MF Total 31504 ' 'tl
11OOmL
Phosphorus: Tatar asPom6s 1.56
M191
,NOW: Use 6. M rMthod €Or niON eii _
Orthophosphate n5o7
mg/L
wal ed Solid&Total 7o3oo 457
mg/L
Al - Aluminum to11o5
mq/L
H (Lab) GG403
units
Ba m Barium 01007
ug/L
TOO 00680 14.6
Mgj,1
a - Calcium 00916
mg/L
Chloride c 55
rrtgiL
d - Cadmium o127
ug/L
Arsenic G10 2
ug/L
Chromium: Total D1034
ug/L
Grease and Oils G0552
mg,`L
Cu - Copper 01D42
mg/L
Phenol 32730 _uq1L
Fe - Iran u105
ug/L
Sulfate 0-a45 49
rmc/L
H - Mercury 719
a 1L
i s Conductance con-9-5
a 4hos
K a Potassium 4-0937
mg/L
Total Ammonia %- 16,0 <03 2
mgtL
Mg -- Magnesium t9 7
rngtL
'..Ar-, r9 Ns a:. NH as €a: Affrrrma Nknoaan,Taeg,
Ii4r1= Manganese 01055
a IL
TKN as N OCZ25 '=.g
mg1L
Ni - Nickel 01067
ugIL
Influent Total VOCs:
Nicole Reynolds, Plant Manager
Pe ,ttee for Authorized ant? Name and Tifle - Please prini or ivre
G -59 Rev..212o1fi
Number -Expiration
Date:
IDES
Other
PE OF PERMITTED OPERATION BEIN(; MONITORED
K Spray Field
El Romediation:
0 Rotary Distributor
11 Land Application of Sludge
FIELD ANALYSES.
YYA�
pH oo400 6.56 units
Trap. 0001P 11.2 0
DRY at
Spec, Land. o : 718
4Mhos
time of
sampling,
Odor 0 5: none
check
Appearance clear
here:
Certification No. 94
Pb - Lead olo51
ug/L
n - Zinc 01092
mg/L
Other (Specify Compounds and Concentration Units):
-Sodium: 102 mg 1
ORGANICS- (by GC, GCIMS. HPLC)
-(Specify test and method #, ATTACH LAB REPORT.1
methodLab Report Attached? El Yes (1) 0 No to)
;
method#
method #
method #
mg/L Fluent Total V Cs:

SUBMIT FORM ON YELLOW PAPER ONLY
JGROUNDWATER QUALITY MONITORING:
`PO It
REPORT
FACILITY ORINFMATION'
Number:
Facility Name: House of Raeford Farms, Inc.
l,Non�Discharge WQ0002005
Name (if different);
Other
�Facifity Address: 3333U.S.Hwyll7South
PERMITTEDPermit
TYPE OF OPERATION BEING MONITORED
Rose Hill NC
eIn
El Lagoon Remediation, Infiltration Gallery
Spray Field
Person: Joe Teachey
Telefthmne* 91G-264-0148
i
El Rotary Distributor Land Application of Sludge
'Well�Cantact
Location/SiteName:wells
sampled. a
_ _ Heat Pump Other
RMATIO.-LING INFO:_FIf
WELL
(from
.
Wall Depth: 15 ft
Well Diameter'. 2 in,
pH oo4oc� 5,02 units Temp. 000lo:
Esat
LevelItime
Depth to Water }
of
Point Is 3 ft. above land surface
RelativeMeasuring Elevation:s
Volume of water _ -
Appearance
collected'Samples for metals were unfilteredi 0 YES
0 NO and field acidified: YES
NO
For ' Reports):
Nike Reynolds, Plant Manager
Fermitzee fof Authorized Agent) Name anc Tate - Please onnt or tie

use Pit Clearly or Type
Facility Name: House 0f Raeford Farms, Inc.
Permit Name (if different):
Facility Address: 3333 U.S. Hwy 117 South
Rose Hill NC
SUBMIT FORM ON YELLOW FEARER ONLY
Locafion/Sitesampled:
(fromL ID NUMBER Date sample collected: February 1. 2024'
ScreenedDepth: 15 ftWell Diameter: 2 in.
to Water Level 82546,. 2-05 ft. below measuring point
Elevation:
waterne of pumped-lbailed #••. dry gallons
)Ies for metals were collected unfiltered: W YES F-1 NO and fieldacidified:
Laboratory
l Chermst3
MAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
OD oo 35
1g/L
Nitrite tN 1) as N rle615 ao4
mg/L
olifdrrtl: CIF Fecal 3161 < 1
/100mL
Nitrate (N 3) as N W620 1.02
mg/L
oliform's ME Total 31504 <1
1100mL
Phosphorus: Total as P 5 <0.04
mg/L
tt le Use Wei ma-Sto 3 for ht :fib Sa BSI
Orthophosphate 70507
mg/L
solved olids:Total 70300 596
rno/L
AI - Aluminum oil 05
mg/1
PH (Lab) 00403
units
Be - Badurn 01007
ug/L
TOC 0D13- 1d,
mg/L
Ca - Calcium rlogi6
rr4,L
Chloride 0094o 229
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01 02
ug1LChromium:
Total 0103
ug/L
Grease and Oils 00552
mg/L
CU - Copper 01042
mg1L
Phenol 32-t30
ug/L
Fe - Iron o1045
ug1L
Sulfate 00945 15
mg/L
Hg - Mercury 719N
ug/L
ecific Conductance 0oc05
ulvthos
K - Potassium 00937
mg/L
Total Ammonia 000,o 3-4
mg/L
Mg - Magnesium OD927
mg1L
Fi mw Ni w NH, as N; Pia Nitrogen. Tot$]
-
Mn ^ Manganese o10ss
uglL
T N as N OD62s 3,5
rig,#L
Ni - Neel 01067
-ug/L
Number:
.DES
Other
OF PERMITTED OPERATION BEING MONITORED
LagoonPE
El
El Rotary Distributor
01 Land Application
Water Source Heat
FIELD ANALYSES, W,
PH t 4 - 5,34 units Temp. 0ooio: 115 0 DRY at
Spec. Cond. ow94 1040 PMhos time of
sampling,
Odor oM5! none check
Appearance clear here: 11
b - Lead oiw. ug/L
n - Zinc o 2 mg/L
Other (Specify Compounds E Concentrationfts
•` a -
.-.
. Report ,.,
methodmethod #
# A
For Remadiation Systems Only (Attach Lab Reports): influent Total VOCs: ma/L Effluent Total VOCs: mq/L VOC Removal%
Nicole Reynolds, Plant Manager
Peffnil..ee Or Authorized A.4 nt) Name and rft -Please print or tVpe
Gvi-59 Rev. 2,12010

SUBMIT FORM CAN YELLOW PAPER ONLY
; A ILITY INFORMATIO ejease mne uteany or type
=acility Name: House of Raeford Farms, Inc,
:'errn t Nye (if different):
=acility Address: 3333 U. S Ftwy 117 South
Rose Hill NC 28458 County. Du0n
act Person: Joe Teaehey
Location/ Site Name: map on file
E NUMBER (from Permit): 5
Depth:
Wateri to below measuring point
Vring Point is 3 ft. above land surface
ne of water pumped/balled before {
ries for metals were collected unfiltered! 0 YES 11
Telephone#:#
of
Diameter:
Date sample collected: February 1, 2022_
Well
gallons
NO and field acidified: W1 YES ® NO
ite sample analyzed: 2" - -9/2022 Laboratory Name* Environmental Chernists
jZAMETERS NOTE: Values should refiect dissolved and colloidal concentrations. Z__
COCA D0335
mg1L
Nitrite (NOa) as N oo6i5 0.03
mg/L
Coliforrm: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0< 2
mg/L
ulif : MF Total 31so4 «
/100mL
Phosphorus. Taal as Pnm5 £g-
mg/L
(Note. ! Sa MPN m e hThly
Orthophosphate 70&V
mg/L
salved Solids:Total 703oo 452
m91L
At - Aluminum ct io5
mg/L
pH (Lab) 04503
units
Be - Barium 01007
u L
TOG mac 1.6
mg/L
Ca - Calcium oo916
mg/L
Chloride oo g4o 203mg/L
Cd - Cadmium 01027
ug#L
Arsenic 01 D02
uq1L
hromium: Taal 01034
u
Grease and Oils ,355
mg/1
Cu - Copper 01C 2
mgfL
Phenol 32730 -
uglL
Fe - IrGn rlio45 _
ugtL
Sulfate 00 3 <5
mgIL
Hg - Mercury 7igoo
ug1L
ec=fic Conductance s
gMhc
- Potassium 00937
mg/L
Total Ammonia mto 0.3
mg/L
Mg - Magnesium O27
(s'i nra N" gn: NH ac N. Apia Nml gm, Tut }
Mn - manganese litom
ugfL
TKN as N 00625 13
/L
Ni - Nickel 01067
ug/L
. - s
RMIT Number- i
n-Discharge
PERMITTEDIDES Other
PE OF OPERATION BEING MONITORED
® Lagoon E3 Remediation: infiltration Gallery
SprayFieldEJ_e
El Rotary Distributor 0 Land ApplicationSludge
D Water Source Heat Pump 13 Othec
FIELD ANALYSES;
Appearance clear
It WELI
WAS
Temp. 00010: 1 l.9 DRY at
i.iMhos time of
Pb - Lead 0t5 ugl
Zn - Zinc of 2 mg/L
CompoundsOther (Specify
Sodium:
ORGANICS: (by GC, GC/MS, HPLCj
(Specify test and method #. ATTACH LAB k
method Lab Report Attached? El 'Yes(Ij 0 No(0)
method If
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOC& - — mg/L VOC Removal%
Nicole Reynolds, Plata Manager
Permit=ee (or Authorized Arlen ? Name and Title - Pieria print or type
GW-59 Rev.2,e2010

SUBL41T FORM ON YELLOW PALER ONLY
FACILITY INFORMATION "ease Pr€?tr uieany or type
Facility Name House of Raeford Farms, Inc.
?ermit Name (if different).
Facility Address° 3333 U. S. Hwy 117 Muth
Rose Hill NC 28458 county Cuplin
act Person: Joe Teachey
Location/Site Name: map on file
to . - 50 ft. bellow, _ ! point
unngft. above land surface
waterne of f j # before sampling:
14es for metals were collected unfiltered' P YES
Telephone#: [phone]
No. of wells to be sampled: 17
sampleDate 4
Well Diameter: 2 in.
�m
Laboratory Name: Envi—mental Chemists
jZAMETERS NOTE: Values should reflect dissolved and colloidal co-rceTurtions.
COD 00335
L
Nitrite (O,2) as N =s <o.o2
mg/L
Coliform- ME Fecal -31616 <1 _
1100mL
Nitrate (NO3) as N 00620 0,04
- L
Coliform: MF Total 3451
11 ml-
Phosphorus: Total as P oo685 0.10
mgr
("0 Use MPN, tttcaa fa, hkmy!u= ,j Safes)
Orthoptlosphate 70507
M91L
salved olids:Total 7i)300 48
rmgrL
Al - Aluminum 01105
Mail
pH (Lab.) 00403
units
Be - Ba um 01007
ug/L
TOC iii ao 10-7
mg1L
Ca - Calcium 00916
mg/L
Chloride orizA,, 7
mg!L
Cd - Cadmium'
ugll-
Arsenic 01oD2
ug/L
Chromium: Total lo3it
ug/L
Grease and Oils -52
m L
Cu - Copper 01 42
rr /L
Phenol 3273
ug/L
Fe - Iran i a5
uq1L
Sulfate D s
mg L
Hg - Mercury 7190
ug/L
ecific Conductance o 5
gMhos
K - Potassium 009,37
mall -
Total Ammonia c�610 0.5
€r g1t.
Mg - Magnesium 00927
rngt=L
{ rz!a Nitr an NH N; -ginw Nitrogen, T o )
Min - Manganese Rio
u
TKN as N rtm;l5 O} 8
rnglL
Ni - Nickel oio67
ug1L
Influent Total VOCs:
Nicole Reynolds, Plant Manager
riemdtaa (ar Authorized Agent) Name and Title - Please mint or t)tge
GW-59 Rev.212010
I
u
'RMIT Number- Expiration
DES Other
PIE OF PERMITTED OPERATION BEING MONITORED
El Lagoon El Remedlation: Infiltration Gallery
Spray Field El _#
Rotary Distributor 11 Land Application of Sludge
Ell Water Source Heat Pump EJ
"FIELD ANALYSES:
pH 004no 5-75 units
Snone
Door 0&385:
pec,
Temp. ulo: 11. °
rfilllyos
Ph Lead oio5i ug/L
Zn - Zinc 01 092 mgr!L.
Other (Specify Compounds and Concentration Units):
Sodium 2.80 m l
#-
�e
methodLab Report Attached? El Yes (1 No (0)
method #
fL Effluent Total VOCs.
rng7L VOC Re€ oval

SUBMIT FORM ON YELLOW PAPER ONLY
=si
ZACILITY INFORMATION so mitt urearry or r oe
=acility Name: House of R f Farms; Inc.
'ermit Name (if different):
:acility Address: 3333 D. Hwy117 South
Rase Hill NC 28458 County Duplin
act Person: Joe T:chey
Location/Site Name: map on file
No, of wells
Telephone#:[phone]
to be sampoled:
sampleL ID NUMBER (from Permit): 7 Date
Depth'. is ftWell
) to Water s s- s • s. Diameter:
Relativewring Point is 3 ft, above land surface
ne of water pumped/balled before s_ i
-les for metals were collected unfiltered. R YES El NO and field acidified: R YES EJI NO
CES
muwr
01I
'DES Other
PE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedistion- Infiltration Gallery
Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Water Source Heat Pump Other,
FIELD ANALYSES:
pH oo400: 6A5 units
Odor ootias, none
Appearance dear
ate sample analyzed. " _ 2512022
Laboratory Name_ Environmental Chemists
Certification No, 94
kRAIMETERS NOTE. Values should reflect dissolved and colloidal concentrations.
COD 00335
L
Nitrite (NO2) as N oo6i5 o.
mg/L
Pb - Lean oio53 uq/L
Coliform: MF FBI 3t tr 1
/1 0mL
Nitrate (NO.) as N 00620 0,05
mg/L
Zn - Zinc nl s2 mg/L
ColIform: MF Total 31504 >6000
11100mL
Phosphorus; Taal as P o s 010
mg/L
Irow Use MPN rneftd for Ngmy card sanocal
Orthophosphate 7O7
L
Other (Specify y nt �� Units):
F Y artt� Concentration it rj3i3 ).
;solved Solids:Total 70300 553
mg/L
Al - Aluminum 01105
rL
Sodium: 93.0
pal (Lab) OG403
units
Sa - Barium 01007 7
u /LL
TCC tic 32.5
mg/L
Ca - Calcium c€ §s
mg/L
Chloride 00940 59
mg/L
Cd - Cadmium 01027
ug/L
Arsenic r,1!002
ug1L
Chromium: Total ow34
u /L
Grease and Oils o055�1
rng/L
Cu - Copper 042
mg/L
ORGANICS: (by GC, GC IDS, HPLC)
Phenol 3273t7
L
Fe - Iron 0io4
a
(Specify test and meth #. ATTACH LAB REPORT.)
Sulfate 5 <5
mg/L
Hg - Mercury 71900
alb
Lab Report Attached? 10 Yes (1) IN No (0)
cif c Conductance ocoi95
gMhog
K - Potassrunill 00937
/L
VCC 75732' . method
Total Ammonia oocio 49.9
moll-
Mg - Magnesium 00927
MMIL
method# 6200C
-
Mn - Manganese wom
u9/L
method If
TKN as 10r 25 55.0
mg/L
Ni - Nickel 01067
u _
method
For Rernediation Systems Only (Attach Lab Repo): Influent Total VOCs: mg/L Effluent Total VCCs: mg/L VOC Removal%
Nicole Reynolds, Kant Manager
Pe"Atee (or Authorized A; t) Narne title - Pkease prin3 or type
W-59 Rev. 212 10

€ BMIT FORM ON YELLO11V PAPER ONLY
=AGILITY INFORMATION Please Pfmt Clearly or Type
¢acility Name:. House of Raeford Farms, Inc.
3ermlt Name (if different):
acuity Address: 3333 LI. S. Hwy 117 South
Rose Hill NC 2845B County Duplin
act Person: joe Teechey
L tiont'Site Name: map Or, file
Telephone: [phone]
No, of wells to be sampled- 17
l
IDES
Other
PE OF PERMITTED OPERATION BEING MONITOR
01 Lagoon
El Remedistiom Infiltration Gallery
Rotary Distributor
0 Land •g-
If WELL
belowWELL ID NUMBER (from Permit): 8
Well Depth: 15 ft.
point
Measuring Pointis 3 ft, above € surface
Volume of water pumperilbailed before sampling: 3
iamples; for metals were collected unfiltered* W1 YES F�
Date sample collected: February 1, 2022
Well Diameter= 2 in.
Screened Interval' 2 ft. to 12 ft.
Relative M.P. Elevation: 8.73 ft.
�1111111uw
late sample _-- 25,7022 Laboratory+,
`�ARAMIETERS NOTE- Values should reflect.. dissolved and cello!A co-Tceitwitions.
COD 0033-9
mglL
Nitrite (N #) as N 00-815 0,04
l fL
Caliform: ME Fecal 31616 <1
/100mL
Nitrate (NO.3) as N 00620 0,36
miglit.
oliform. ME Total 31504 > 0l U
111 rr1L
Phosphorus: Total as Pow-, 8-69
mg!L
M-le Use MPN method W holy l Abld samoes.1
Orthophosphatse 7s=
mg/L
ltssolved SolidsJotal 70300 541
L
At - Aluminum 0 €105
m
PH (Lab) dw3
units
Be - FiatiUrrt 01007
TOC oo6ao 9-8
mg/L
Calcium 00916
mg/L
Chloride o0 0 12
L
Cd - Cadmium 01027
ug/L
Arsenic o1+ 2
ug/LChromium:
Total 01034
ug/L
Grease and Oils 00552
MWL
Cu - Copper 01042
mgJL
Phenol 327-AO
/L
Fe - Iron o1045
ug/L
Sulfate 0099455 6
mg1L
Hg - Mercury 719M
u L
3pecific Conductance ooms
AMhos
K - Potassium 37
mg/L
Total Ammonia 00610 19.0
rng1L
Mg - Magnesium 00927
mg/L
lArr- n,a N ogen, NH, as N Arnrncinia Nit en, t a i
Mn - Manganese o1o55
u
TIN as N M62s 21.8
mg/L
Ni - Nickel 01067
a /L
FI€LD ANALYSES:
PH o04 6.48 units Temp. owiti 11-9
Spec. Cond. oc, : 908 I Mhos
Odor none
Appearance clear
rlrfrfmfflx
Pb - Lead o1o51 ug/L
n - Zinc 01092 mg/L
ORGANICS:
tvt2sta. ix - - ff.
x Report Attached?
method
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mgd- Effluent Total VOCs: rng/L VOC Removal%
Nicole Reynolds, Plant manager
Per-mittee Or Auihorized Amnu Narne and Tide - Pleasp print nr type
GW-89 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
_ _
!I'GROUNDWATER QUALITY MONITORING:
COMPLIANCEREPORT FOR
INFORMATION
Plonse PrOt Cftady or Type
to
MIRMIT Number: Expirat' n Date: 1(1-2023
FacilityEACILITY
a
Name (if different)
—,INPDES Other
Facility Address- 3333U.S-Hw-yl17Somh
PERMITTED'Permit
F OPTYPE 0 ERATtON BEING
Hill NC
28458 County Duplin
LagoonRose
X Spray Field = o
:Contact Person: Joe Teachey
Telephone_.
0 Rotary Distributor Land Application of Sludge
. Name: map on file
No. of wells to be l
Water - at Pump 0 Other
SAMPLING IL4E0RMATIQN
if WELL
�WELL ID NUMBER (from Permit)- 9
Date sample collected: February 1. 2022
FIELD ANALYSES:
WAS
'Well Depth- 16 iL
Well Diameter, 2
in.
pH owoo: 6.60 units Temp. oomo: 11 7 Oc
DRY at
iDepth to Water Level 82546! 630 ft- below measuring point Screened IntervaL 2
ftto 12 ftSpec. Gondow--4: 286 4mhos
above land 'Measuring Point is 3 ft,
_8
check 1
,:Volume of water -
Appearance
1
Samples for metWs _ collectedunfiltered:
_#_ , s,.
n
-
-
f
me, nhatV4 %ice. ?ytic-4
Nicole Reynolds, Runt Manager
�r'tee for thaca d A nt) Name and €tle t [ease nnnt or t.m
mm
r 59 Rev. 212010

!
Facility Name: House of RaefordFay, Inc.
Permit Name (if different):
Facility Address: 3333 U. & Hwy 117 South
Rase Hill
act Person: Joe T ,ey
Locationl ite Name: reap on file
,�UUFAII I-LJM,%q iJN Tr-LLkJVV t-At'C UNL7
NC 28458 County Duplin
Telephon #: 910-264-0148
No. of wells to be sampled: 17
Diameter*LID NUMBER (from Permit)- 10 Date sample collected� February 1, 2022
Depft 15 it, Well
Relative! to Water Level 82546: 954 ft- below measuring point Screened Interval: 2 ft, to 12 ft,
:un'ng Point is 3 ft. above land surface
waterne of p
iles for metals were collected unfiltered i E YES F1 NO and field acidifie&. E YES NO
analyzed:
�te sample
4RAMETERS NOTE: Values should reffect dissolved and colloidal concentrations.
COD 00335
mg/L
NftTite (NO£) as N 00615 0-02
mg/L
Coliform MF Fecal 31616 <1
1100rnL
Nitrate (NO3) as N m2o 008
mg/L
Coliform: MF Taal 31so4 1DOO
/100mL
Phosphorus: Total as P DoW5 5.88mg/L
(Note Use 064PN relhA forntgNy tumid sa
Orthophosphate 70507
mg/L
salved Solids:Total 70300 715
malt
A - Aluminum of ivy
rng/L
pH (Lab) ootw
units
Be - Barium 01007
u 1L
TOC 006LXI&,;
mg!L
Ca - Calcium mis
mg/L
Chlorite oris4o 153
mg/L
Cd - Cadmium 01027
ug
Arsenic 310G
a /L
Chromium: Total ow34
ugtL
Crease and Oils 00552
m91L
Cu - Copper 010,12
mg/L
Phenol 32730
a 1L
Fe - Iron 0* 5
u
UIl'ate 133 1 24
mg/L
Hg - Mercury 71o3ts
a 1L
ecific Conductance no --,—
Amhos
K - Potassium 00937
mg/1-
Total Ammonia 310 5<5
mg:!L
Mg - Magnesium 00927mg/L
A ease Mt og n, NH, as N: mania NI-Nen, T I
Mn ' Manganesef
ti L
TKN as N ao625 73A
mg1L
Ni - Nickel 01067
ug/L
. i - Number.,
Date:10-2023 ._
Discharge W00002005
UIC
DES
Other
PE OF PERMITTED OPERATION BEING MONITORED
Lagoon
-
Spray Field
. _ ■
Rotary Distributor
0 Land Application of Sludge
Other-
FIELD-
Odor oomnone
Appearance
IMUMEMMEMM
Pb - Lead ol D51 a 1L
n - Zinc 01 D92 - mg/L
#
•
methodLab Report Attached? 0 Yes (1) El No (0)
method #
For Rernedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mgIL Effluent Total VoCs- mgJL VOC Removal%
Nicole Reynolds, Plant Manager
Pernsttee (or Auftwiz Agent) Name and Title Plea—s-prinlortwe
GVV-59 Rev, V2010

SUBMIT FORA ON YELLOW PAPER ONLY
MONITORING -
R MR
REPORT FORM
FACILITY INFORMATION Please .ME
PERMIT Number. ExpirationDate:
I Facility Name� House of Raeford Farms, Inc.
Non-Discha,-ge WQ0002005 Ulc
Permit Name (if ®_
PDOther
�'Facility Address: 3333U.S.Hwyll3rSouth
=1-ryPE
OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC 28458
county..
_ o Infiltration
'Lntact
Field Reniediabom
Person: Joe Teachey
TelephoneM 91G-264-0148
SludgeSplay
Rotary Distributor Land Application of
Wall Locationisite f _ map an
-
N
*_ -
.. �•
-=
i
If WELL
NUMBERWELL ID •.
E
i
,.Well Depth- ft
Well Diameter- 2 in.
pH ootono, 6,64 units TeMp, 000io7 15A cc
DRY at
,Depth to Water Level 82546: ft, below a point
-
Screened .. - _.. •
_...
-
Itime, of
s ,
Point is 3 ft. above land surface
Elevation:.Measuring
Relative M,P,
.Volumepumped/balled before sampling.gallons
iF
!Samples far metals were collected unfiltered YES 0
NO and field acidifie& U YES E] NO
its sample analyzed: 2=1- 2 "2022 Laboratory Name: Environmental Chemists
kRAMETERS NOTE. Values should reflect clissol;vad and colloidal concentrations.
COD 00335 mg/L Nitrite NO,) as Nits G. mg/L Pb - Lead otost
Coliform: &IF FaCW 31616 <1 /100mL Nitrate (NO3) as N ODS20 0.4 m n - Zinc 01092
ollform: RAF Total 31504 1800 11OOmL
€€ots, Use MPN rmthDd"or hghN airwd safer:
iced tllis:Total 70300 689
mg/L
ply (Lab) D0403
units
T) > 14,2
mg/L
Chloride crug4o 183
/L
Arsenic 012
ug/L
Grease and Of 00552
L
Phenol 32730
ug/L
SUIfate D0945 <6
moll-
fic Conductance 0004-5
VMhos
Total Ammonia 0s 10 76.8
mg/L
(A nm Ntr € , Nri as 4. Annonla Nitrogen, To'tW)
TKN as N o042s 79.6 mg/L
Phosphorus. Total as P W665 8.62
mgtL
Orthophosphate 7M7
r1L
At - Aluminum o11o5
mg/L
e - Barium 01007
ug/L
Ca - Calcium 00910
mg1L
d - Cadmium 01027
ug/L
ChromiumTotal01034
a 1L
U - Copper Ot 2
rng1L
F - Iron 010
ug/L
H - Mercury 719Gu
a /L
- Potassium w93=
mg/L
Mg - Magnesium 00927
mg/L
n ¢ Manganese u'10s
ug/L
i - Mickel 0107
ug/L
NERMEMOMM
- o' - - - - -
Sodium: 114 s
ORGANICS:
x 4 metbul Ill.t t ,. .
methodLab Report Attached? El Yes (1) A No (0)
methodmethod #
- .,.
Lar,atmedlation Systems Only (Attach Lab Reports). influent Total VOCs: � mg1L Effluent Total VOCsi --mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Pe,m tt tar Authorized Aft) Name and Tift - Please Print or t
GW-59 Rev.2t2010

SUBMIT FORM ON YELLOW PAPER ONLY
MILITY INFORMATION
PERMIT Number:
Expiration Date: 10-2023
I'Facility Name: House of Raeford Farms, Inc.
Non -Discharge WOO-302005
UIC
Permit Name (if different):
4NPDES
Other
. Address!
'Facility1
... OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC 28458
County Dublin
13 Lagoon
El Rernediation: Infiltration Gallery
All Spray Field
0 Remedation:
Contact Persom Joe Teachey
Telephone* 910-264-0418
Rotary Distributor
0 Land Application of Sludge
rWell Lo
- sampled:Waters
o
WELL 4 NUMBER (from •_samplem
ANALYSES;
Well Depth: 20 fL
Well Diameter� 2 in.
pHowo, 693 units Temp. 000lo, 12.4 Oc DRY at
Depth to Water Level 82w: 6-93 ft. below measuring point
Screened Interval: 2 ft. to 17
ft, SpecCon& =94 196
�Whos
Measuring Polmlis 3 ft. above land surface
Relative M.P, Elevatiow 82,18 fL
Odor WN5 none
Volume of water pumped/balled before sampfing3
gallons
Appearance clear
Samples for metals were- collected unfilteredi Wl YES El
NO and field addifiedi W1 YES NO
EiCertification
JMMETERS NOTE- Values should reflect dissolved and colloidal concentrations.
COD 00335 fNitrite -
f
T
Conform: tv1F Total 335114 100 11 0ml-
Ived SolidsJotal 7 300
tdtl
mg/L
pH (Lab) ONO3
units
TC 00630
l&2
mg/L
Chloride a=b94
1mgtL
Arsenio 01
Grease and Oils C0552
tvtsll
Phenol 32730
ugtL
Sulfate 5
11
mg/L
41c Conductance 5
jaMho
Total Ammonia w
d. g
L
,Amato.jia Nitrogen, NH,as N, Arununia N11jogan.. T}
Nicole Reynolds, Plant Manager
Permitlee (car Authorizerr Agen4 Name and Title - Ptease print or lym
Grid- 9 Rev.2a2010
Phosphorus. Total as P 0,—j65 _
mg/L
OrthOlDhoSphate 705617
mgr'L
Al - Aluminum M5
mq/L
Be - Barium o7
ug/L
Ca - Calcium %
mg/L
Cd Y Cadmium 01027
ug/L
Chromium: Total o1o34
ug/L
u- Copper 01042
mgIL
Pe - Iron 01045
ug/L
Fog - lvlercury 71
ug/L
K - Potassium 00937
mQ1L
Mg - Magnesium 927
mg/L
Mn - Manganese o, 5s
uglL
Ni - Nickel =67
ug/L
Other (Specify Compounds and Concentration Un-Its):
a- -
a .*a
method #
method #
muff- Effluent Total s:

SUBMIT FORM ON YELLOW PAPER ONLY
=ABILITY INFORMATION mease ertnr Lreapy or r
=acility Tame: House of Raeford Farms, Inc.
permit fame (if different):
acility Address: 3333 U. . H 117 -
Rose Hill _ NC 28458 County Du lin
act Person: Joe Teachey
No. of wells to be g 7
fG t"T
Number:RMIT
ExpirationDate,
IDES
Other
PE OF •- r
Lagoon
[I Remediabon: Infiltration Gallery
Spray Field
El Remediation:
Rotary Distributor
17 Land Application of Sludge
WELL ID NUMBER from Permit): 13 Date sample collected: February 1, 2022
Well Depth: 15 ft. Well Diameter: 2 im
Depth to water Level sffi 5.1 ft. o measuring pent Screened Interval: ft. to 12 ft-
Measuring Point is 3 ft, above land surface Relative M.P. Elevation: 81.47 ft.
Volume of water pumpedfbailed before sampling: 3 gallons
Samples for metals were collected unfiltered: 0 YES El NO and field acidified: 0 YES ® NO
FIELD ANALYSES.
phl moo; 7=09 units Temp. 000lcl: 11.0 '
—
Bpec. fond_ pMhos
Odor 5: none
Appearance Meer
WAS
DRY at
time of
check
here:
LA5gRLTORY!NEORMATIQN
Date sample analyzed: Z11-11122
Laboratory Name: Environmental Chemists
Certification Inca, 94
PARAMETERS NOTE- Value should raflect
dissolved and colloidal concentrations.
COD o03m
m L
Nitrite (NO2) as N outs 0.03
mg/L
Pb - Lead o 1 uglL
oliforrn: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N ODS20 0,19
t g1L
Zn - Zinc oi.ow mg/L
Col orris: MF Total 31504 >6000
1 gmL
Phosphorus: Total as Poo66s 1.75
mg/L
U-se MPN d�oa ioF Nahti, turwd es>
Orthophosphate -10507
mg/L
Other (Specify Compounds and Concentration Units):
Nasolved olids:Totel 703oo 31
L
At -Aluminum ot105
ttigtLSodium:
434 engl
pH (Lab) y 03
units
Be - Barium 01007
ug[L
TOC 006aG 10.1
_ mg/L
Cal - Calcium aootomg/L
Chloride 00940 <5
mg/L
Cd - Cadmium 01027
u 1L
Arsenic 0 002
uWL
hromWm: Total 01034
u L
Grease and Oils 00552
if WL
Cu - Copper 01042
argil
ORGANICS.- (by GC, ,,M , HPL ?
Phenol 3273o
ug1L
Fe - Iron OIG45
ug/LL
)Specify test and method Ill, ATTAR LAB REPORT.)
Sulfate 00945 9
L
Hg - Mercury 71 goo
a 1L
Lab Report Attached? El Yes f 1 ) No (0)
'specific Conductance 00095
jxMhos
K - Potassium 037 -
mg/L
VOC 73732: , method
Total Ammonia ociif10 Z2
mg/L
fig - Magnesium 00927
mg/L
method#
(Armoni. Nrtmgan. NH_ 8 N-40 . Total)
Mn - Manganese otv
u L
method ##
TKN as N Doss 4.1
IL
loll - Nickel 01067
ucIL
method
For Remilidiation Systems Only (Attach Lab Reports): Influent Total VOCs: mg!L Effluent Total VOCs:
11
Nicole Reynolds, Man, Manager i -(0 3rr202
P ermdee ter Audiorized Merit} Marne and Tile - Please arint or t, � ature or pemlitt (or A 'zed A nil (Date)
W-59 Rev.212010

SUBMIT FARM ON YELLQVVPAPER ONLY
rs •
FACILITY s;PLesse Pont ClaaOy or Type
PERMIT .
Facility Name: House of Raeford Farms, inc,
Non�Cilschaiqe W00002005
UIC
Permit Name (if different):
Other
jFacility Addressi 3333U.S. Hwy 1117 South
li�TYPE OF PERMITTED OPERATION BEING MONITORED
Rose H91 NC
28458 County DuPlin
Lagoon
El Remediation: infiltration Gallery
Person: i Teachey
3 -_s
Distributor'Contact
of
LocationiSite Name! map On, file
Noz of wells to be
sampled -!Well
Water Source Heat Pump
Other:
�AMPLJNG INFORMATION
I WELL
WELL r NUMBER *•
sample collected: February 1 2022
FIELD ANALYSES-
it
Well Depth: 15 ft.
Well Diamelerk 2
pH 00400 7-10 units Temp,
�-Y at
ouloier 112 CRelative
Depth to Water Level 8254C &05 --ft, Wow measuring
point Screened Interval: 2 ft, to 12
iL Spec. Cond. aoo94: 718
Neasuning Point is 3 ft. above land surface
w 82.33 ft.
Odor oc*85, none
Volume of water bailed beforeAppearance
} ..@. - zclear
�.
Samoles for rrietals were collected unfiltered: 50 YES
10 NO and field acidified: 0 YES C3 NO
Date sample analyzed: Z•t - 11,2 22 Laboratory Name: Environmental Chemists
PARAMETERS MOTE: Values should reflect dissolved and colloidal concentrations.
COD 1-335 rng1L Nitrite (NO2) as N w6is Q. 3 m9ft
Gnl form: MF Feel 31616 <1 .1100mL Nitrate (NO:,!) as N oo620 O.05 ,mg[L
Gcliform: MF Total 315rA >6000 i`100mL Phosphorus: Total as P oo665 1 m L
to -PN r t r fth t 7 517 rrr
Ved Sel ds:Total 703oo 408
m91L
H {Lab) L t 3
units
T C -Mao 29,6
mg!L
Chloride oD94o 8
RVIL
Arsenic 0 2
ug/L
Grease and 011s 00552
ma/L
Phenol 32730
ugtL
Sulfate 00 5 24
mg L
Tic Conductance 00095
gMhos
Total Ammonia 3t r o 03
mg L
TKN as N ut 25 1,'
L
At - AJuminurn o11o5
mgtL
a - Banum 01007
ug11_
Ca - Calcium tiogiti
mg1L
Gd - Cadmium 01027
ug}L
Ghr miurn Total0i534
ug1L
u - Copper 41042
rngJL
e - Iron 01045
g/L
Hg - Mercury { 4 WU
uq/L
K - Potassiurn 000337
MWL
Mg - Magnesium 009211
ni `L
Mn - Manganese 0105
€rg/L
Ni - Nickel or -,
g/L
. .*
Pb- Lead t#to5 = ug1L
ri - Zinc 0io92 mg/
Other (Specify Compounds and Concentration Units):
Sodium: .70 mgn
ORGANICS, (try GC, GC/MS, HPLCI
(Specify test and method C ATTACH LAB REPORT.)
Lair Report cued' Yes (f ) X No (0)
VGC 7 732: method #
m ttod # 6200C
meter
method
L Effluent Total tl G :
Nicole Reynolds, Plant Manager 41 A r 31T22
effnittee (or Amhorized Aoentl Narne and T3tde - Please Dont or N-De Lure of Pe .,�tt (ornorz Agent) (hate)
r
CkV-5 Rev, 2.12010 i

SUBMIT FORM ON YELLOW RAPER ONLY
GROUNDWATER QUALITY MONITORING:
J Copy
0
MOE
REPORT �.
tw
F&CILITY INFORMATION
�PERMJT Number: .iration .
Name: House of Raeford Farms, Inc.
'Non -Discharge WQ0002005 UIC
Other
Permit Name lif different): i.NPDES
_.
Address:Facility
Facility 117 South
PERMITTED OPERATION BEING MONITORED
11 Lagoon 0 Rernediation: Infiltration Gallery
Rose Hill NC 28458 County Dupfin
'Contact Pe­rsow Joe Teachey
Telephone#: 910=264-0148
El Rotary Dist6butor Land Application of Sludge
'iWell Location/Site Name: map on Me
No. of be x l
wellsI
17
.. Heat
i..
If WELL
WAS
.,
Y at
firne of
check
E r
#
Nicole Reynolds, Plant Manager
ermi see (or A thorsz Accent) Name and Tide = Please mint or type
10
GW-59 Rev. 212010

FWATE¢MONITORING:
.®
._ .
T14lP Please Print Cbaarl)t or
acility lathe: House of Raeford Farms. Inc.
:ierrnit Name (if different):
6acilfty Address: 3333 UI S. Hwy 117 South
Rase Hid NC 28458
SUBMIT IT FORA ONYELLOW PAPER ONLY
minty ouplin
Name: # on file Noof wells to be led
ID NUMBER (from Permit)16
Depth: 15 it,
_a- 1 ft, below measuring point
,,uhng Point is 3 ft, above land surface
ne of water pumped/bailed before sampfingdry
iles for metals were collected unfiltered: W YES L
in-
"kelative M.P. Elevation-, 106-00 ft.
gallons
NO and field acidified: 0 YES 0 N
le sample analyzedL 211 Laboratory Name: En 'ronmental
RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 5
M911
Nitrite (NOf) as N ooFi6 o.o3
mg/L
Coliform: MF Fecal 31616
<1
j100mL
Nitrate (NO-,) as N 010620 235
mg/L
Col forrm ME Total 3 €so4
27
,100mL
Phosphorus. Total as R 66 <o.i
L
NO* Use K €*tom 1Dr k igl y to d saes
rtt:opf;osphate 707
rrtglL
solved ohds:Total 70300
41
m L
Al - Aluminum a l05
mg/L
pH (Lab) 0,3403
units
Ba - Barium 01007
u
TOC Glisan
1.6
mg/L
Ca _ Calcium 009ic
mg/L
Chloride Doan
<5
mg L
Cd - Cadmium 01027
ug&
ArseinlC 01002
a /L
Chromium: Total 01034
u lL
Grease and Mils 0 552
mg/L
CU £ Copper 01042
mg/L
Phenol 32730
a fL
Re - Iron 01045
ug/L
Sulfate --0 5
<5
mg/L
Hg - Mercury 719M
u
eciftc Conductance s
IlMh s
K s Potassium 00937
mg/L
Total Ammonia - 16
<g.mg/L
Mg - Magnesium 00927
mg/L
jAiftmnja =.t aP; NHI as N: Armmma NF L, To 1
n - Manganese t 9 o66
u91L
TKN as N D0625
<0.5
mg./L
Ni - Nickel 01 7 _
uglL
� ray
DCESOW VW
RMIT Number:
Expiration Date, 10-2023
OES
Other
PE OF PERMITTED OPERATION BEING MONITORED
Li Lagoon
0 Remediation: infiltration Gallery
N Spray Field
El Remediation:
Rotary Distributor
El Land Application of Sludge
.0 Water Source Heat Pump
EJ Other:
FIELD AL WAS
pH i 4 -15 units Temp. 10: 12,5 OC DRY at
Spec, Conti 0nom: 58 pMhos time of
sampling,
Odor cka5 none check
Appearance clear here;
P - Lead 01 1 u /L
Zap - Zinc U,e92 mg/L
Other (Specify Compounds and Concentration Units);
Sodium-, 1.28 mg1l
mgfL Effluent Total VOCs:
method #
method #
Niue Reynolds, Plantaneger A 3022
Pew -.!tee (or Authorized A nt) Narne an'. Titte - Pieria enn', or t lure of Pe, m tee for ;zea Arient) Mate!
W-59 Rev.2r2010

SUBMIT PORN ON YELLOW PAPER ONLY
FACILITY INFORMATION e7 t-nnt weanyOr ype
Facility Name: House of Raeford Farms, Inc.
Permit Name (1f different):
Facility Address: 3333 U. S. H-vvy 1?7 south
Rose Hill NC 28458 County Duplin
Telephor1 :910-264-0148
No. of wells to be sampled: 1
-IT Number-
Expiration D10-2023
DES
Other
PE OF OPERATION BEING MO
Lagoon
Remediation: Infiltration Gallery
X Spray Field
Remediations
Distributor10
E3 Rotary
« Application
El Water Source Heat Pump
Other-
L ID NUMBER (front Permit): 17 - - Date sample collected: February 1, 2022 FIELD ANALYSE
Depth: 14 ft. WellDiameter: 2 in. PH moo: 5-02 units Temp. avio 12.2 O
i to Water Level 2 *3: 3.52 ft, below measuring point Screened interval: ? ft. to 12 ft, Spec Cond. o o 244 a ho
soaring Point is 2 ft, above land surface Relative M.P. Elevation 105.82 ft. � Odor 5: none
ne of water purnped1bailed before sampling: dry gallons Appearance clear
)ies for metals were collected unfiltered. 0 YES El NO and field acidified: YES ® N
Date sample analyzed. 2t 1 -1 U2022
Laboratory Name: Environmental Chemists
—Certification No. 94
PARAMETERS NOTE. Values should reflect
d of and colloidal concentrations.
B 00335
mg/L
Nitrite (NO,,) as N 00615 0.0
mg/L
Pb - Lead ut 51. ug/L
oliform: ME Fecal 31616 1 —
100mL
Nitrate (NO,) as N om2o .t5
mg/1
Zn - Zinc 5-*92 mg/L
oliform: ME Total 311900
1100 L
Phosphorus. Total as P oo665 <0.
mg/L
Neft. use PAPN moth(or highly t"u
Orthophosphate 70507
Other (Specify Compounds and Concentration Units):
)issolved Soiids:Total 70 130
mg/L
Al - Aluminum A,' 1 5
rng/L
sodium: 35.3 mgA
p (Lab) o040-3
units
Be - Ban= 01007
ugtL
— —
TOG omo 8A
mg/L
Oa - Calcium 0,0916
mg/L
Chloride oow 38
mg/L
Cd - CadmiUM 01027
uglL
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L.
Grease and 0i1s :00552
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCISAS, I-IPL 1
Phenol 32730
ug/L
Fe - Iron u1 4s
u
f Specify test and method . ATTACK LAB PORT.
Sulfate 5
mg/L
Hg - Mercury nqoci
ug/L
Lab Report Attached? El Yes (1) A No (01
Specific Conductance o 5
jaMhos
K - Potassium W937
L
VOC 78732 , method
Total Ammonia omio 0.2
mg1L
Mg - Magnesium 27
mg/L:
- mett 6200
(Ammania 40W, H, N. ;a NILI n, Ty
Mn - Manganese Dto55
ug/L
method
N as N 0062 0,5
mgrL
Ni - Nickel 01067
ug/L
method #/
For Remediation Systems Only Attach Lair Reports}-
Influent Total VO s: mo/L
Effluent Total O s: rng, L VOC Remo al
49
Niue Reynolds, Plant Manager
. 3/2822
P rrnitte r with riZ� t1, t e tt z.ed Agent) -_- (Datel --_.
( nt) Name and Title - Please pnrst or tie S � u � �E �� � t
-5 Rev. Z`2010 t
ova