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HomeMy WebLinkAboutWQ0007521_Monitoring - 07-2022_20220907GW-59A COMPLIANCE REPORT FORM Permit # 0 6 0 -752 1 (Submit one each monitoring period with GW-59 forms.) 7 1 Enter date monitoring results were due. 3i 2 ) Will this monitoring report (GW-59 and GW-59A) YES l be submitted after the established due date. 2 Was any required information missing on the GW-59 report forms? YES NO IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and explain the problems encountered in obtaining the required information. 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES O identification plate, area overgrown, etc.)? !f the answer is "Yes", contact the Regional Offce for guidance. 4 Are any monitored constituents equal to or above the established standards? YES NO If the answer to question 4 is "NO", skip to section 8. If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s) exceeding standards in the space provided below: 5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO same constituent(s) in the same well(s) in the last two years? If the answer to question 5 is "NO", skip to section 8. f If the answer to question 5 is "YES", list in the space provided below, each ud ll with. cobstituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurr ce the last two years). 6 Are the monitoring wells listed in section 5 located at or beyond the review bou ry? YES NO 1, If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located; contact the Regional Office. 7 Is the permittee implementing previously approved actions required by the Division involving this YES NO groundwater quality problem? If the answer to question 7 is "YES", describe those actions in the space provided below. If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be required to determine the impact the waste disposal system is having at the review and compliance boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation, fines, and/or penalties. Lp- Q O (� ..a 8 The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form. I hereby acknowledge that the above information was evaluated and the information submitted in this report (Compliance Rep rt GW-59A) is true and complete to the best of my knowledge. Sign re of Permittee (or Authorized Agent) Date GW-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY • � bEPARTMENT OF ENYIRQWAtW, t QUALITY n11N' OF WATER RESQURCES GROUNDWATER QUALITY MONITORING: IN�5'�ES��� COMPLIANCE REPORT FORM rs Alt.sER! CE-0 +tTER FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 10/31/2028 Facility Name: Laughlin Washstation LLC Non -Discharge WQ0007521 UIC Permit Name (if different): NPDES Other Facility Address: 151 Best Sand And Gravel Rd TYPE OF PERMITTED OPERATION BEING MONITORED Goldsboro "'' NC 27534 County Wayne ❑ Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: Contact Person: Jim H Lynch Telephone#: 919 222 4791 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Washstation No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): Mw - I Date sample collected: 7/7/2022 FIELD ANALYSES: WAS Well Depth: 13•5 ft. Well Diameter: 2 in. pH 00400: 4•S units Temp. 000lo: ZA. Y °C DRY at Depth to Water Level azsaa: It-t• (, ft. below measuring point Screened Interval: 3.S ft. to ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: Z 0 gallons Appearance lev Via„ here:❑ Samples for metals were collected unfiltered: K YES ❑ NO and field acidified: ❑■ YES ❑ NO LABORATORY INFORMATION 41 Z Date sample analyzed: P e(Sc Sa< 444,k Laboratory Name: Environmental Chemists, Inc. Certification No. 094 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 L /100mL Nitrate (NO3) as N 00620 3,19 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P ooss5 mg/L (Note: Use MPN method for highly turbid samples) 63 Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 70300 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 Lt. units Ba - Barium 01007 Dj ug/L TOC 00680 g mg/L Ca - Calcium oo916 mg/L Chloride 00940 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 < . Z mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3asN, Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01057 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT FORM ON YELLOW PAPER ONLY IGROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Name: Laughlin Washstation LLC Name (if different): Address: 151 Best Sand And Gravel Rd boro " NC or 27534 County Wayne Contact Person: Jim H Lynch Telephone#: 919 222 4791 Well Location/Site Name: Washstation No. of wells to be sampled: 4 PERMIT Number: Expiration Date: 10/31/2028 Non -Discharge WQ0007521 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: JAMFLINU INFUKMAI IUN 11/�I U WELL ID NUMBER (from Permit): V' 1 Date sample collected: 7/7/2022 Well Depth: ft. Well Diameter: 2 in. P � Depth to Water Level 82546:133. T(_ft. below measuring point Screened Interval: t+ ft. Measuring Point is 7-sampling, ft. above land surface Relative M.P. Elevation: Volume of water pumped/bailed before sampling: 20 gallons Samples for metals were collected unfiltered: ■❑ YES ❑ NO and field acidified: i] YES to ft. ft. ❑ NO FIELD ANALYSES: pH coaoo: �. `� units Temp. 000io: � C Spec. Cond. 00094: µMhos Odor 000s5: None Appearance 7qg � 6� If WELL WAS DRY at time of check here:❑ LABORATORY INFORMATION Date sample analyzed: PI00C SQe_ G }4&Qe Laboratory Name: Environmental Chemists, Inc. Certification No. 094 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead oio5i ug/L Coliform: MF Fecal 31616 G /100mL Nitrate (NO3) as N 00620 z , 7 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P ooss5 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 6 -' mg/L Al - Aluminum oilo5 mg/L Di pH (Lab) 00403 t{, 4 units Ba - Barium 01007 ug/L TOC 00680 4 mg/L Ca - Calcium 00916 mg/L Chloride 00940 5 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 C , 2 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3asN; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: Laughlin Washstation LLC Permit Name (if different): Facility Address: 151 Best Sand And Gravel Rd Goldsboro " `"" NC Please Print Clearly or Type 27534 County Wayne IContact Person: Jim H Lynch Telephone#: 919 222 4791 Well Location/Site Name: Washstation No. of wells to be sampled: 4 WELL ID NUMBER (from Permit): Well Depth: 12 ft. Depth to Water Level 82546:3 -_3 ft. below measuring point Measuring Point is 2 ft. above land surface Volume of water pumped/bailed before sampling: Z 0 Samoles for metals were collected unfiltered: ❑■ YES ❑ Date sample collected: 7/7/2022 Well Diameter: 2 in. Screened Interval: .S ft. Relative M.P. Elevation: to 12 ft. ft. gallons NO and field acidified: © YES ❑ NO :RMIT Number: Expiration Date: 10/31/2028 in -Discharge WQ0007521 UIC 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑■ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: If WELL FIELD ANALYSES: WAS pH 00400:5- 1 units Temp. 000lo: 2-0. 7 °C DRY at Spec. Cond. 00094: µMhos time of sampling, Odor 00085: None check Appearance C JeA! f 1 a.1 here:❑ Date sample analyzed: ,v�lptr0 Ste �+gcNeZ Laboratory Name: Environmental Chemists, Inc. Certification No. 094 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 < /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Z issolved Solids:Total 70300 J mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 b . units Ba - Barium 01007 ug/L Di TOC 00680 'I. 6 mg/L Ca - Calcium oo916 mg/L Chloride 00940 < S mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 4. mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Lu✓L0it W � S'1f 1 1T101 � � L L — p noP3 J • L-4u'j � �i 1 � M C' Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.06-07-2018 Signature of SI2,ilzL,- SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • • • • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date 10/31/2028 Facility Name: Laughlin Washstation LL.0 Non -Discharge WQ0007521 UIC Permit Name (if different): NPDES Other Facility Address: 151 Best Sand And Gravel Rd TYPE OF PERMITTED OPERATION BEING MONITORED Goldsboro NC 27534 County Wayne ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ti Spray Field ❑ Remediation: Contact Person: Jim H Lynch Telephone#: 919 222 4791 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Washstation No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION M '7 If WELL WELL ID NUMBER (from Permit): ' '` I Date sample collected: 7/7/2022 FIELD ANALYSES: WAS Well Depth: 1 Z ft. Well Diameter: 2 in. pH 00400: �>•O units Temp. 00010: 23. 2, °C DRY at p •Z ft. below measuring point Screened Interval: 2 ft. Depth to Water Level 62546: g p to �2 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is Z ft. above land surface Relative M.P. Elevation: ft. Odor 00065: None check Volume of water pumped/bailed before sampling: gallons Appearance c' lea.- here:❑ Samples for metals were collected unfiltered: A YES ❑ NO and field acidified: K YES ❑ NO LABORATORY INFORMATION I II l Date sample analyzed: P ekjC See Qt i1(Ld, Laboratory Name: Environmental Chemists, Inc. Certification No. 094 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 C /100mL Nitrate (NO3) as N 00620 S8 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 31 mg/L Al -Aluminum 01105 mg/L Di pH (Lab) 00403 6.0 units Ba - Barium 01007 ug/L TOC 00660 1.0 mg/L Ca - Calcium 00916 mg/L Chloride 00940 ­11 S mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7673 method # Total Ammonia 00610 < • 2 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3asN; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% 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 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com Laughlin Poultry 212 Rifle Range Road Goldsboro NC 27534 Attention: Date of Report: Jul 20, 2022 Customer PO #: Customer ID: 12110005 Report #: 2022-12732 Project ID: Livestock Truck Wash -Goldsboro Lab ID Sample ID: Collect Date/Time Matrix Sampled by 22-30868 Site: MW-1 7/7/2022 11:50 AM Water jcb/envirochem Test Method Results Date Analyzed Color Color Clear/Tan 07/07/2022 Depth to water, ft. Depth to Water, Ft 14.6 feet 07/07/2022 Ammonia Nitrogen EPA 350.1, Rev. 2.0, 1993 < 0.2 mg/L 07/14/2022 Gallons bailed before sampling Gallons Bailed before sampling 20 gallons 07/07/2022 Odor Qualitative None 07/07/2022 Total Dissolved Solids (TDS) SM 2540 C-2015 63 mg/L 07/08/2022 Temperature SM 2550 B-2010 20.8 C 07/07/2022 pH SM 4500 H B-2011 4.5 units 07/07/2022 Total Organic Carbon (TOC) SM 5310 B-2014 0.8 mg/L 07/08/2022 Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 07/07/2022 Chloride SM4500 Cl E-2011 6 mg/L 07/12/2022 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2, Rev. 2.0, 1993 < 0.02 mg/L 07/07/2022 Nitrate+Nitrite-Nitrogen EPA 353.2, Rev. 2.0,1993 3.19 mg/L 07/12/2022 Nitrate Nitrogen Subtraction Method 3.19 mg/L 07/20/2022 Report ttc 9099-19732 Pana 1 of d [enyirrochem 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 info@environmentalchemists.com Laughlin Poultry Date of Report: Jul 20, 2022 212 Rifle Range Road Customer PO #: Goldsboro NC 27534 Customer ID: 12110005 Attention: Report #: 2022-12732 Project ID: Livestock Truck Wash -Goldsboro Lab ID Sample ID: Collect Date/Time Matrix Sampled by 22-30872 Site: MW-4 7/7/2022 11:30 AM Water jcb/envirochem Test Method Results Date Analyzed Color Color Tan/Turbid 07/07/2022 Depth to water, ft. Depth to Water, Ft. 13.8 feet 07/07/2022 Ammonia Nitrogen EPA 350.1, Rev. 2.0, 1993 < 0.2 mg/L 07/14/2022 Gallons bailed before sampling Gallons Bailed before sampling 20 gallons 07/07/2022 Odor Qualitative None 07/07/2022 Total Dissolved Solids (TDS) SM 2540 c-2015 65 mg/L 07/08/2022 Temperature SM 2550 B-2010 18.1 C 07/07/2022 pH SM 4500 H B-2011 4.4 units 07/07/2022 Total Organic Carbon (TOC) SM 5310 B-2014 1.4 mg/L 07/08/2022 Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 07/07/2022 Chloride SM4500 Cl E-2011 5 mg/L 07/12/2022 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2, Rev. 2.0, 1993 0.04 mg/L 07/07/2022 Nitrate+Nitrite-Nitrogen EPA 353.2, Rev. 2.0,1993 2.83 mg/L 07/12/2022 Nitrate Nitrogen Subtraction Method 2.79 mg/L 07/20/2022 Reportk: 2022-12732 Pane 2 of Environmental Chemists, Inc. envirochem J 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@environmentalchemists.com Laughlin Poultry 212 Rifle Range Road Goldsboro NC 27534 Attention: Date of Report: Jul 20, 2022 Customer PO #: Customer ID: 12110005 Report #: 2022-12732 Project ID: Livestock Truck Wash -Goldsboro Lab ID Sample ID: Collect Date/Time Matrix Sampled by 22-30873 Site: MW-6 7/7/2022 12:15 PM Water jcb/envirochem Test Method Results Date Analyzed Color Color Clear/Tan 07/07/2022 Depth to water, ft. Depth to water, Ft. 5.3 feet 07/07/2022 Ammonia Nitrogen EPA 350.1, Rev. 2.0, 1993 < 0.2 mg/L 07/14/2022 Gallons bailed before sampling Gallons Bailed before sampling 20 gallons 07/07/2022 Odor Qualitative None 07/07/2022 Total Dissolved Solids (TDS) SM 2540 C-2015 52 mg/L 07/08/2022 Temperature SM 2550 B-2010 20.7 C 07/07/2022 pH SM 4500 H B-2011 5.1 units 07/07/2022 Total Organic Carbon (TOC) SM 5310 B-2014 7.6 mg/L 07/08/2022 Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100ml- 07/07/2022 Chloride SM4500 Cl E-2011 < 5 mg/L 07/12/2022 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2, Rev. 2.0, 1993 < 0.02 mg/L 07/07/2022 Nitrate+Nitrite-Nitrogen EPA 353.2, Rev. 2.0,1993 0.19 mg/L 07/12/2022 Nitrate Nitrogen Subtraction Method 0.19 mg/L 07/20/2022 Report #:: 2022-12732 Paae 3 of 4 envirochem ANALYTICAL & CONSULTING CHEMISTS Laughlin Poultry 212 Rifle Range Road Goldsboro NC Attention: Lan iu Sampie lu: 22-30874 Site: MW-7 Test Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4-424 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@environmentalchemists.com Date of Report: Jul 20, 2022 Customer PO #: 27534 Customer ID: 12110005 Report #: 2022-12732 Project ID: Livestock Truck Wash -Goldsboro Color Depth to water, ft. Ammonia Nitrogen Gallons bailed before sampling Odor Total Dissolved Solids (TDS) Temperature pH Total Organic Carbon (TOC) Fecal Coliform Chloride Nitrate Nitrogen (Calc) Nitrite Nitrogen Nitrate+Nitrite-Nitrogen Nitrate Nitrogen Collect Date/Time Matrix 7/7/2022 11:05 AM Water Method Color Depth to Water, Ft, EPA 350.1, Rev. 2.0, 1993 Gallons Bailed before sampling Qualitative SM 2540 C-2015 SM 2550 B-2010 SM 4500 H B-2011 SM 5310 B-2014 SM 9222 D-2015 MF SM4500 Cl E-2011 EPA 353.2, Rev. 2.0, 1993 EPA 353.2, Rev. 2.0, 1993 Subtraction Method Comment: 7 Reviewed by: Results Sampled by jcb/envirochem Date Analyzed Clear 07/07/2022 9.2 feet 07/07/2022 < 0.2 mg/L 07/14/2022 20 gallons 07/07/2022 None 07/07/2022 31 mg/L 07/08/2022 23.2 C 07/07/2022 6.0 units 07/07/2022 1.0 mg/L 07/08/2022 <1 Colonies/100mL 07/07/2022 < 5 mg/L 07/12/2022 < 0.02 mg/L 0.58 mg/L 0.58 mg/L 07/07/2022 07/12/2022 07/20/2022 Report #:: 2022-12732 Page 4 of 4 Date: l 11 1 L 2— Analyst: J • P—.-) CT,V_ ,� ry certiCteat a 94 Facility Name: Permit I$: F 1 l _� pH Rrfrrrn Method- . M410n H+R -201 1 Tnstnlment ID - Calibration Time Cal Buffer 4.0 s u. Cal Buffer 10.0 s.u. Check Buffer 7.0 s.u. Comments ­,76 1. C>0 14 t D�— (J) 1 D'o k (I) 02 (11 •pl I check buffer must read within ± 0.1 pH units of the buffer's true value. 4 su buffer Lot#/: Ricca 4112869 Exo 11/22 7 su buffer Lott//: Ricca 2112A38 Exp. 12/23 10 su buffer Lot#: RICCA 2112750 Exp. 5/23 Sample location Sample Collection Time* Sample Analysis Time* pl�i Result s.0 ►Post -analysis Buffer Check value s.u. CommentslData Qualifiers Q w--1 : S o t. 1 1 5 2 .y[ b OH-4 1-.30 11 '31 C43 MW-la (2-'.1 t21117 N13 11 ;Z5 11*.7-b (0101 ► Post analysis buffer check is required when performing analyses at multiple sampling locations and must be within t u.l units of the butters true vatuc All pl-I values in pH units (i.e., s.u.). Record all data to the nearest 0.01 s.0 and report to the nearest 0,1 s.u. Total Residual Chlorine (TRC) n„c .,..,..,, WAo1k, A- CNA .14nn !`I nont I • u..,a, a IF7 LID / plow ri.rin °.. H. hlo mml, A 1—tmmrnt ID• Daily Check Post -analysis Check Std.Standard Time check Sample Sample Sample TRC Result Standard Result (when analyzing Location Collection Analysis pgn- or mg/L Comments/Data Qualifiers pg/L or mg/L at multiple sites) Analyzed Time Time 'fRC Daily Check Standard true value µg/I, or mg/l, acceptance range µg/L or mg/L Check standards must recover within f 10% of the check standard's true value Annual Calibration Curve Verification Date: LOT # IDEXX 2109792 Exp. Date: 08/31/22 Reagent Blank Value: (When applicable. Analyze and document a reagent blank when standards, sample dilutions or PT Samples are prepared) Dissolved Oxygen (DO) Rrrerrnre Methnd-SM 4500 O G_-201 1 Instrument ID: Calibration/ Verification Time Calibration variable Meter reading or%efficiency after calibration *Post -analysis calibration verification (when necessary) Comments Temperature Barometric pressure Theoretical Value mg/L Calculated Value mg/L Use this row when performing a verification instead of calibratiQn Sample Location Sample Collection Time *Sample Analysis Time DO reading mg/L Comments/Data Qualifiers Q ♦ When performing analyses at multiple locations, the meter must be recalibrated at each site before analysis or a post -analysis calibration verfcation must be performed. ' If sample is measured directly in the stream and/or onsite, only time analyzed would be recorded with a note that they are measured in situ or immediately Temperature Der .. -e AA-k-1- QAA 9550 R-9nln lnctnlment ID - Sample Location Sample Collection Time "Sample Analysis Time Temperature °C Comments/Data Qualifiers -1 l : 7 11 '.52 zo.b "vv -4 1 I 1g,1 Mvv -jo iZ.tS 1z'1� Z_D, II\A Vv 2S 1 t '- Z-u Z3. Z ' If sample is measured direc In the stream and/or on site, only time analyzed would be recorded, with a note that they are measured In situ or tmmeatamy Annual Verification Date ��_ Field Personnel Note: Rev 1-2022 QA.001 Environmental Chemist, lnc., Wilmington, NC Lab #94 6602 Windmill W; Wilmington, NC 284C I Sample Receipt Checklist 910-392.022 Client.: Date: Z —=j}— Report Number; _ 2022- Z��I- Receipt of sample, ECHEM Picku ❑ YES ❑ NO P Client Delivery ❑ UPS ❑ ❑ YES /A 1. Were custodyseals_present on the cooler? FedEx ❑ NO ❑ Other ❑ Original temperature upon receipt I N/A 2. If custody seals were present, wefe they intact u `_oC How temperature taken: Corrected temperature upo ture Blann receipt en7 iR Gun 1D: Thomas Traceable S/N❑19251.1657 k Against Bottles 'C iin ion Factor YES ❑ NO 3. If temperature of cooler exceeded 6'C, was Projec 0.0 YES ❑ NO 4. Were-' custod olect Mgr./QA notified? YES ❑ NO p YProcedures (relinquished/received) followed? S. Were sample IDIs listed on the COC? YES ❑ NO 6. Mere samples Us listed on sample containers? YES ❑ NO 7_ V/ere collection da e -aCr -� •rr-, , and t!rre I' ``d c, LIIE COL? J�I.tC•., UJ i_U on the COC? _ I YES ❑ fi0 10. Did samples arrive it; road c cJi 1 ❑ i�10 a ondition for each test? ---- 17• }%�/,S �rlanrr?tc ��01!r . � I -------- YES ❑ NO - m avail=ble? -- 12. Were samples received within proper -j YES I❑ NO P p r holding time for requested to ts? ❑ I13. l'Vere acid �-�-;,� �^�_ YES ❑ prese --d samples received at a � x ❑ `r _S 1 NO 114, 1:A/ere C;1anide samples r: p'� of <2? I- NO 15. 1�/etc sulfide sam.lo- received at a pII >12? YES ❑ 1 ,� � received at a pH >g? _ NO �16. 11/ere t� 3/TK�1/Phenol received at a chlorine residual of <0, U YES ❑ NO 17. Were Sulfide/Cyanidz received at a ' ❑ YES 5 �❑ l'!0 18, Were orthophosphate sam Ip chlorine residual of<0.5 m/L? p s filtered in the field within i5 7O /vofa.1125 minut s? s are Pr checked z_c`an�h ?. ## B'riaria 5?,TPIeS a'� n _ Y� r; Corded 0 the C?^,Cr>SheA-. the .C_r: for Ch 'J."iti? ct ti17 ° o`an?';sis and rer o ded on the be„ch5heet. Sample Preservation: (Must be completed for any sampfe(s) incorrectly preserved or with headspace) Sample(s) ? were received incorrectly preserved and were adjusted accordingly by adding (Circle one): H SO_ Time of reSa HNO_ HCi NaOH P -,cation: z If more than - r one p eservatiti,- is needed not -ot:�/t��,,�, ,_ _ Iy�-es�-:,-2�;,� ._- ob_ to in comdents below ✓olatfles Samp:ej t were received with headspa,-e COMMENTS: ENVIRONMENTAL CHEMISTS, I N C 910.392.0223 252.473.5702 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@enviranmentalchemists.com COLLECTION AND CHAIN OF CUSTODY CLIENT:Laughlin Poultry PROJECT NAME: Livestock Truck Wash -Goldsboro REPORT NO: loLG• - lz4s L- ADDRESS: 212 Rifle Range Road CONTACT NAME: Jim Lynch PO NO: Goldsboro, NC 27534 REPORT TO: Keith Na Ior@Lau hlin Poultry PHONE/FAX: 919.222.4791 COPY TO: email: 'im.l nch@goldsboromillin .corn Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification p Collection y E n~ 0d UI .0 a o o c� S U' a oa " " M C J o m t E " 2 W m m gj Z PRESERVATION ANALYSIS REQUESTED Date Time Temp W o z J o o r _ z = = °a z o iE w iE o Well: '7 2a if ;a L. f c C P rV bW X TDS, NO2, Chloride G G y Depth to water: HS� C P X NO3, NH3 G G Gallons bailed: C P X Fecal Coliform G G pH (field). ��ff 1. X TOC G G Odor: t4 a►'►L C P X VOC's (November) G G Color: L�Lo C P G G C P G G C P G G Total of 4 wells: due March, July, November. Site located on Best Sand d, Gravel Road -Goldsboro, NC. Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. Temperature when Received °C: Accepted. Rejected: ResampI R quested: Delivered By: Received By:. 't�� Date: 3' n=-= Time: Comments: TURNAROUND: � fo,� Analytical & Consulting Chemists CLIENT:Laughlin Poultry ADDRESS: 212 Rifle Range Road Goldsboro, NC 27534 Sampled By: ENVIRONMENTAL CHEMISTS, I N C 910.392.0223 252.473.5702 NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY PROJECT NAME: Livestock Truck Wash -Goldsboro REPORT NO: CONTACT NAME: Jim Lynch PO NO: REPORT TO: Keith Naylor@Laughlin Poultry PHONE/FAX: 919.222.4791 COPY TO: email: jim.l nch goldsboromilling. CAMDI F TVDP:• I - I-f,.-4. c - ccr,.. Sample Identification Collection ° a w wW c° U " o a V `" CD _ = O7 U m 0° 2 Z PRESERVATION JANALYSIS REQUESTED Date Time Temp z z z o = 0 x 0 z 20_ i- U O Well: f C P X ITDS, NO2, Chloride G G� a Depth to water: C P D,'D X 2- NO3, NHS G G Gallons bailed: L-20 C P I X Fecal Coliform G G pH (field): 7' y7 C P X ITOC G G Odor: A 3. Ate C P X I IVOC's (November) G G � Color: /j '^'�► ♦ J C P G G C P G G 4 C P G G Total of 4 wells: due March, July, November. site located on Best sand & Gravel Road-Goidsboro, NC. Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. Tmmnnr�+„ - ...k. o... ,t,. .a on. 7 F Delivered By: Comments: �cN�cu. eke a: Kesample Requested:_ _Received By: Date: ZZ_Tim TUR� D: Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTnnY 910.392.0223 252.473.5702 info@environmentalchemists.com CLIENT:Laughlin Poultry PROJECT NAME: Livestock Truck Wash -Goldsboro REPORT NO: ADDRESS: 212 Rifle Range Road CONTACT NAME: Jim Lynch PO NO: Goldsboro, NC 27534 REPORT TO: Keith Naylor@Laughlin Poultry PHONE/FAX: 919.222.4791 COPY TO: email: jim.lynch goldsboromiIli n .com Sampled Bv: RAMP] F TYPF• I = Infliinnt F = Ffflnnnt W = Wall CT = Ctrn— Qn —'--if QI - Q1. 4 ,- r)4.6 . Sample Identification Collection y N O o di — _o °aEg° W J o W. W m m ANALYSIS REQUESTED Date Time ZPRESERVATION z o ap _ o_ w oE Well: ��� C P X TDS, NO2, Chloride G G Depth to water: 6 C P X L NO3, NH3 G G Gallons bailed: C P X Fecal Coliform G G pH (field).- ;'t 13 C P X TOC G G Odor: v •»c C P X VOC's (November) G G Color: �-'j� C P G G C P G G C P G G Total of 4 wells: due March, July, November. Site located on Hest Sand & Gravel Road -Goldsboro, NC. Transfer Relinquished By: DatelTime Received By: Date/Time 1. 2. I emperature when Kecelved "G: D. V Accepted Delivered By: Comments: Rec Reje ted: Resample Requested: eived B Date: ZZ Time: TURNAROUND: • - • ENVIRONMENTAL CHEMISTS, I N C 910.392.0223 252.473.5702 Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com ('()I I G('Tlr%Kl AAI7l ('uAIAI nE7 rl Ic-rnnv CLIENT:Laughlin Poultry PROJECT NAME: Livestock Truck Wash -Goldsboro REPORT NO: ADDRESS: 212 Rifle Range Road CONTACT NAME: Jim Lynch PO NO: Goldsboro, NC 27534 REPORT TO: Keith Naylor@Laughlin Poultry PHONE/FAX: 919.222.4791 COPYTO: email: jim.lynch@goldsboromilling.com Sampled By: SAMPI F TYPP- I = Infhitanf F = Ffflnon4 1A1 - W/ 11 CT - C♦..,..... on _ o a CI .- -_ 11aL__. Identification Collection E a tAo F a 0o _ M U:E =6+ E m � z PRESER VATIONE ANALYSIS REQUESTED D to Time Temp z a z OmSample w x Well: X TDS, NO2, Chloride G G n Depth to water: I10 C P ���`� X Z NO3, NH3 G G Gallons bailed: L0 C P X Fecal Coliform G G H (field): G. 0/ C P X TOC G G Odor: n' ^ `- C P X VOC's (November) G G C&Ic/ Color: C P G G C P G G C P G G Total of 4 wells: due March, July, November. Site located on Best Sand 6 Gravel Road -Goldsboro, NC. Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. i cinNciawic vriicll CI.CIVCU V. v HGGe LeO: ✓ Kee ea;J esamp a Requested:_ Delivered By: Received By:"'_� _Date: ZZ Time: Comments: ___ TURNAROUND: •NPDES FORM IRR-2 Lagoon Liquid Irrigation Fields Record One Form for Each Field per Crop Cycle Tract # Field Size (acres) = (A) Farm Owner Owner's Address Owner's Phone # Field # 1 4.19 Maxwell Foods Inc. P.O. Box 10009 Goldsboro, NC 27532 919-778-3130 Crop Type Bermuda Facility Number W00007521 - 0 Irrigation Operator Maxwell Foods Inc. Irrigation Operator's P. O. Box 10009 Address Goldsboro, NC 27532 Operator's Phone # 919 778 3130 From Waste Utilization Plan Recommended PAN 237 Loading (lb/acre) = (B) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Date (mm/dd/yr) 1 Waste•..Nitrogen Analysis PAN PAN (lb/acre) (8) x (9) Balance (lb/acre) Weather code* Total Minutes # of Sprinklers Flow Rate Total Volu Me (gallons) ------- -- -- ------- -- -- ------- -- -- ------- -- -- ------- -- -- ------- -- -- Crop Cycle Totals Owner's Signature Certified Operator (Print) Jim H L ch Operator's Signature �,f � Lc,— Operator's Certification No. 991752 " Weather Codes: C-Clear, PC -Partly Cloudy, CL-Cloudy, R-Rain, S-Snow/Sleet, W-Windy `* Persons completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes. NPDES FORM IRR-2 Tract # Field Size (acres) = (A) Farm Owner Owner's Address Owner's Phone # Field # 1 4.19 Maxwell Foods Inc. P.O. Box 10009 Goldsboro, NC 27532 919-778-3130 Crop Type Bermuda Lagoon Liquid Irrigation Fields Record One Form for Each Field per Crop Cycle Facility Number IWQ00075211 - Irrigation Operator Maxwell Foods Inc. Irrigation Operator's P. O. Box 10009 Address Goldsboro, NC 27532 Operator's Phone # 919 778 3130 From Waste Utilization Plan Recommended PAN Loading (lb/acre) = (B) 237 (1) (2) (3) (4) (5) (6) (7) (RI tM ti m Ill\ Lagoon ID Date (mm/dd/yr) Irrigation Waste Analysis PAN (lb/1000 gal) PAN Applied (lb/acre) 8 x 9 1000 Nitrogen Balance (lb/acre) (B) - (10) Weather code' Inspections (Initials)" Start Time End Time Total Minutes (3) - (2) # of Sprinklers Operating Flow Rate (gal/min) Total Volume (gallons) (6) x (5) x (4) Volume per Acre (gal/acre) (7) / (A) B= t-rop L-ycie i otaisl u I Owner's Signature Certified Operator (Print) Jim H Lynch �8a Operator's Signature Operator's Certification No. 991752 * Weather Codes: C-Clear, PC -Partly Cloudy, CL-Cloudy, R-Rain, S-Snow/Sleet, W-Windy '* Persons completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes. NPDES FORM IRR-2 Lagoon Liquid Irrigation Fields Record One Form for Each Field per Crop Cycle Tract # Field Size (acres) = (A) Farm Owner Owner's Address Owner's Phone # Field # 2 6.62 Maxwell Foods Inc. P.O. Box 10009 Goldsboro, NC 27532 919-778-3130 Crop Type Bermuda (1) (2) (3) (4) (5) (6) Facility Number IWQ0007521 - 0 Irrigation Operator Maxwell Foods Inc. Irrigation Operator's P. O. Box 10009 Address Goldsboro, NC 27532 Operator's Phone # 919 778 3130 From Waste Utilization Plan Recommended PAN 246 Loading (lb/acre) = (B) (7) (8) (9) (10) 0 1) Date (mm/dd/yr) Waste Analysis PAN PAN Applied (lb/acre) (8) x (9) Nitrogen Balance (lb/acre) Weather code* mom # of Sprinklers Flow Rate Total Volume (gallons) Volume per Acre (gal/acre) C •. ...• 1. 1 � � � .1 �� :� 11 :11 .1 1 1 1® ��®i ------- -- -- ------- -- -- ------- -- -- ------- -- -- ------- -- -- crop cycle I otalsl ibbuu I Owner's Signature ow� I _-, Certified Operator (Print) Jim Flnch I u..s5 I Operator's Signature k/ Operator's Certification No. 1752 * Weather Codes: C-Clear, PC -Partly Cloudy, CL-Cloudy, R-Rain, S-Snow/Sleet, W-Windy NPDES FORM IRR-2 Tract # Field Size (acres) = (A) Farm Owner Owner's Address Owner's Phone # Field # 2 6.62 Maxwell Foods Inc. P.O. Box 10009 Goldsboro, INC 27532 919-778-3130 Lagoon Liquid Irrigation Fields Record One Form for Each Field per Crop Cycle Facility Number IWQ0007521 - Irrigation Operator Maxwell Foods Inc. Irrigation Operator's P. O. Box 10009 Address Goldsboro, NC 27532 Operator's Phone # 919 778 3130 From Waste Utilization Plan Crop Type Bermuda Recommended PAN Loading (lb/acre) = (B) 246 (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Lagoon ID Date (mm/dd/yr) Irrigation Waste Analysis PAN (lb/1000 gal) PAN Applied (lb/acre) (8) x (9) 1000 Nitrogen Balance (lb/acre) (B) - (10) Weather code' nspections (Initials)" Start Time End Time Total Minutes (3) - (2) # of Sprinklers Operating Flow Rate (gal/min) Total Volume (gallons) (6) x (5) x (4) Volume per Acre (gal/acre) (7) / (A) B= crop t ycie i otaisl u I Owner's Signature Certified Operator (Print) Jim H Lynch I u.uu I Operator's Signature Operator's Certification No. 991752 Weather Codes: C-Clear, PC -Partly Cloudy, CL-Cloudy, R-Rain, S-Snow/Sleet, W-Windy