HomeMy WebLinkAboutNCG060217_2022 DMR_20220615NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO60000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG05 p2I rl
Person Collecting Samples:
Facility Name: S ;� _ 'Is
Laboratory Name:
Facility County:
Laboratory Cert. No.:
Discharge during this period: ® Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ® Yes ❑ No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via htttos://edocs.deg.nc.gov/Forms/SW-DMR ® Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
1<p'
C0530
TSS in mg/L (100 or 50*)
pH in standard units (6.0-9.0 FW,
00400
6.8-8.5SW)
r7,1
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
I QO
61211
Enterococci per 100 ml of saltwater
(if required) (500)
Chemical Oxygen Demand in mg/L
00340
(120)
351
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS Iimit of 50 mg/L. All other water classifications have a benchmark of 100 mg/t
FW (Freshwater) SW (Saltwater)
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information
submitted is, to the best of my know) ge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, including the posof fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
1S Z6 Z�
Date
C cz,v . c-, ci°r 4- 76 3
Email dress Phone Number
)MICROBAC"
R,.
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2EO242
Project Description
Stermwater Sample - Semi Annual
For:
Kerry B. Strong
Smithfield Farmland -Wilson
2401 Wilco Blvd.
Wilson, NC 27893
Administration
Brittany Smith
Thursday, May 26, 2022
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
your report was completed by Microbac Laboratories, Inc. - Fayetteville. If you have any questions, comments, or require further
assistance regarding this report, please contact your service representative listed above.
I certify that all test results meet all of the requirements of the accrediting authority listed within this report. Analytical results are
reported on a 'as received' basis unless specified otherwise. Analytical results for solids with units ending in (dry) are reported
on a dry weight basis. A statement of uncertainty for each analysis is available upon request. This laboratory report shall not be
reproduced, except in full, without the written approval of Microbac Laboratories. The reported results are related only to the
samples analyzed as received.
Microbac Laboratories, Inc.
2592 Hope Mills Rd i Fayetteville, NC 28306 1910.864.1920 p j www.microbac.com
Page 1 of 7
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2EO242
Analytical Testing Parameters
Client Sample ID: Stormwater, Grab
Sample Matrix: Stormwater Collected By: Brandon Farley
Lab Sample ID: K2E0242-01 Collection Date: 05/12/2022 12:45
Microbiology Result MDL
Method: SM 9222 D-2015
Fecal col4orms 180 1.0
Inorganics Total Result MDL
Method: Chemical Oxygen Demand Preparation/SM 5220 D-2011
Chemical Oxygen Demand (COD) 359 7.93
Method: EPA 1664E
Oil & Grease (HEM) 6.6 1.7
Method: SM 2540 D-2015
Total Suspended Solids (TSS) 40.8 20.0
Method: SM 4500-11 B-2011
pH (at 25'C) 7.7 1.0
RL Units DF Note Prepared Analyzed Analyst
1.0 per 100ni 1 H 0506122 1428 05/17122 1338 WPR
RL
Units
❑F Note Prepared Analyzed
Analyst
10.0
mg1L
1 05118/22 1407 05/18/22 1607
KNL
6.2
mglL
1 05/23/22 1614 05/24/22 1702
WPR
20.0
mg/L
8 05/19122 1905
BNS
1.0 S.U. 1 H
05113l22 1458 SXH
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbat.com Page 3 of 7
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2EO242
Batch Log Summary
_ Method
_Batch
Laboratory -IDD
Client 1 Source ID
SM 4500-H+ B-2011
KE21314
KE21314-DUP1
K2E0186-02
K2E0242-01
Stormwater, Grab
Method _
Batch
Laborato ID
Client I Source ID
SM 9222 D-2015
KE21327
KE21327-BS1
K2E0242-01
Stormwater, Grab
KE21327-BLK1
KE21327-DUP1
K2E0242-01
Method
Batch
Laboratory ID
Client 1 Source ID _
SM 5220 D-2011
KE21704
KE21704-CCV2_
KE21704-BLK1
KE21704-C C B 1
KE21704-CCB2
K E21704-CC V 1
KE21704-CCV3
KE21704-DUP1
K2E0012-01
K E21704-BS 1
KE21704-MS1
K2E0012-01
K2E0242-01
Stormwater, Grab
KE21704-CCV4
KE21704-CCB3
Method
Batch
LaboratoU ID
Client 1 Source ID
SM 2540 D-2015
KE21716
KE21716-BLK3
KE21716-BS1
KE21716-DUP3
K2E0087-01
KE21716-DUP2
K2E0086-01
KE21716-DUP1
K2E0085-01
KE21716-BLK2
KE21716-BLK1
K2E0242-01
Stormwater, Grab
_ Method _
Batih,
Laboratory ID
Client! Source ID
_
EPA 1664B
KE22014
KE22014-MS1
K2E0122-01
KE22014-BSI
KE22014-DUP1
K2E0122-02
KE22014-BLK1
K2E0242-01
Stormwater, Grab
Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 4 of 7
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2EO242
Spike Source
%REC RPD
Microbiology
Result
RL
Units Level Result %REC
Limits RPD Limit Notes
Batch KE21327 - Wet Chem Aqueous - SM 9222 D-2015
Blank (KE21327-BLK1)
Prepared: 05/16/2022 Analyzed: 05117/2022
Fecal coliforms
<1.0
1.0
per
100mL
LCS (KE21327-BSI)
Prepared: 05/16/2022 Analyzed: 05/17/2022
Fecal coliforms
3500
1.0
per
0-200
100mL
Duplicate (KE21327-DUPI)
Source: K2E0242-01
Prepared: 05/16/2022 Analyzed: 05/17/2022
Fecal coliforms
180
1.0
per 180
0 10
100ml-
Spike Source
%REC RPD
Inorganics Total
Result
RL
Units Level Result %REC
Limits RPD Limit Notes
Batch KE21314 - Wet Chem Aqueous - SM 4500-H+ B-2011
Effluent, CompositeD (KE21314-DUP1)
Source: K2E0186-02
Prepared & Analyzed: 05/13/2022
pH (at 25°C)
7.0
1.0
S.U. 6,9
2 10
Batch KE21704 - COO —Prep - SM 5220 D-2011
PBW01 (KE21704-BLK1)
Prepared &Analyzed: 05/18/2022
Chemical Oxygen Demand (COD)
<10.0
10.0
mglL
LCSW01 (KE21704-BS1)
Prepared &Analyzed: 05118/2022
Chemical Oxygen Demand (COD)
483
10.0
mglL 500 97
90-110
Effluent, compositeD (KE21704-DUPI)
Source: K2E0012-01
Prepared & Analyzed: 05/18/2022
Chemical Oxygen Demand (COD)
116
10.0
mglL 117
0.9 10
Effluent, compositeS (KE21704-MS1)
Source: K2E0012-01
Prepared & Analyzed: 0511812022
Chemical Oxygen Demand (COD)
376
10.0
mglL 250 117 103
80-120
Batch KE21716 - Wet Chem Aqueous - SM 2540 D-2015
PBW01 (KE21716-BLK1)
Prepared &Analyzed: 05/19/2022
Total Suspended Solids (TSS)
<83.3
83.3
mg/L
PBW02 (KE21716-BLK2)
Prepared & Analyzed: 05/19/2022
Total Suspended Solids (TSS)
<83.3
83.3
mglL
PBW03 (KE21716-BLK3)
Prepared & Analyzed: 0511912022
Total Suspended Solids {TSS)
<83.3
83.3
mglL
LCSW01 (KE21716-BS1)
Prepared & Analyzed: 05/19/2022
Total Suspended Solids (TSS)
98.1
2.50
mg1L 99.8 98
95-105
Influent, CompositeD (KE21716-DUP1)
Source: K2E0085-01
Prepared & Analyzed: 05/19/2022
Total Suspended Solids (TSS)
129
35.7
mglL 129
0 10
Influent, CompositeD (KE21716-DUP2)
Source: K2EO086-01
Prepared & Analyzed: 05/19/2022
Total Suspended Solids (TSS)
265
30.1
mglL 266
0.5 10
Influent, CompositeD (KE21716-DUP3)
Source: K2E0087-01
Prepared & Analyzed: 05/19/2022
Total Suspended Solids (TSS)
220
83.3
mglL 220
0 10
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 5 of 7
(!�)MfrI0.,
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2E0242
Spike Source %REC
Inorganics Total Result RL Units Level Result %REC Limits RPD
Batch KE22014 - Wet Chem Aqueous - EPA 1664B
RPD
Limit Notes
Blank (KE22014-BLK1)
Prepared: 05/23/2022 Analyzed: 05/24/2022
Oil & Grease (HEM)
c5.1 5.1
mglL
LCS fKE22014-BSI)
Prepared: 05/23/2022 Analyzed: 05/24/2022
Oil & Grease (HEM)
38.2 5.1
mg/L 40.0 95 78-114
Duplicate (KE22014-DUPI)
Source: K2E0122-02
Prepared- 05/2312022 Analyzed: 05/24/2022
Oil & Grease (HEM)
49.5 10.8
mg1L 50.7 2 18
Matrix Spike (KE22014-MS1)
Source: K2E0122-01
Prepared: 05/23/2022 Analyzed: 05/24/2022
Oil & Grease (HEM)
132 11.8
mg1L 80.0 49.2 103 78-114
Definitions
H:
mglL
RL:
RPD:
S.U.:
Cooler Receipt Log
Analyte was prepared and/or analyzed outside of the analytical method holding time
Milligrams per Liter
Reporting Limit
Rotative Percent Difference
Standard Units
Cooler 1D: Default Cooler
Temp: 4.6°C
Cooler Inspection Checklist
Ice Present or not required?
Yes
Shipping containers sealed or not required?
Yes
Custody seals intact or not required?
Yes
Chain of Custody (CDC) Present?
Yes
CDC includes customer information?
Yes
Relinquished and received signature on CDC?
Yes
Sample collector identified on COC?
Yes
Sample type identified on CDC?
Yes
Correct type of Containers Received
Yes
Correct number of containers listed on CDC?
Yes
Containers Intact?
Yes
COC includes requested analyses?
Yes
Enough sample volume for indicated tests received?
Yes
Sample labels match CDC (Name, Date & Time?)
Yes
Samples arrived within hold time?
Yes
Correct preservatives on CDC or not required?
Yes
Chemical preservations checked or not required?
Yes
Preservation checks meet method requirements?
Yes
VOA vials have zero headspace, or not recd.?
Yes
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11
North Carolina DENR NPDES
Report Comments Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this. and other accompanying documents, represents only the
sample(s) analyzed This report is incomplete unless alf pages indicated in the footnote are Brittany Smith
present and an authorized signature is included The services were provided under and Administration
subject to Microbac's standard terms and conditions which can be located and
reviewed at <htt s:1/www.microbac.com/standard-terms-conditions. Reported: 05/26/2022 19A6
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com
Page 6of7
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Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2E0242
Smithfield Farmland - Wilson Project Name: Stormwater Sample - Semi Annual
Kerry B. Strong Project! PO Number: NIA
2401 Wilco Blvd. Received: 05/13/2022
Wilson, NC 27893 Reported: 05/26/2022
Sample Summary Report
Sample Name Laboratory ID Client Matrix Sample Type Sample Begin Sample Taken Lab Received
Slormwater, Grab K2E0242-01 Stormwater Grab 05/12/22 12:45 05/13/22 13:00
Page 2 of 7