HomeMy WebLinkAboutWQ0007521_Monitoring - 03-2023_20230425Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * March
Report Information
Type *
GW-59
WQ0007521
Laughlin Washstation, LLC
Year:* 2023
Upload Document*
March GW9.pdf
PDF Only
5.31 MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * jim.lynch@goldsboromilling.com
Name of Submitter: * Jim H Lynch
Signature:
Date of submittal: 4/25/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* W00007521
Is the monitoring report accepted?* Yes NO
Regional Office* Washington
Reviewer: _anonymous
Review Date: 6/16/2023
GW-59A COMPLIANCE REPORT FORM Permit # "a
(Subillit one each nonitoring period with GIV--59 fornisj
j
Enter date monitoring results were due. { ) WiEI this monitoring report (GW-59 and GW-59A)
YES
O
be submitted after the established due date.
2
Was auy required information missing on the CW-59 report forms?
YES
O
1F the answer to question I 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 ally of the monitor Wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the ansi>>er is "Yes", contact the Regional Ojfice, 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 constituents) 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.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem maybe 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.
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.
! hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GIN-59A) is true and complete to the best of my knowledge.
OL
�V,2 3
Si ture of Permittee (or Authorized Agent) IJate
GW-59A 12/8/2003
SUBMIT FORM ON YELL0,14 PAPER ONLY
GROUNDWATER QUALITY MONITORING:
.
0
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Laughlin Washstation LLC
Non -Discharge W00007521 UIC
Permit Name (if different):
NPDES Other
Facility Address: Goldsboro, NC 27534
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 i
W I
3a),3
If WELL
WELL !D NUMBER (from Permit):
Date sample collected:
FIELD ANALYSES: ((
WAS
Well Depth: E �ft.
Well Diameter�L in.
pH o040o: units Temp. 000lo: ! 7 F eC
DRY at
Depth to Water Level 82546:� (. $ ft. below measuring point
Screened Interval: 3. S ft.
to 13 4ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is ft. above land surface
Relative IMP. Elevation:
ft.
Odor 0008s: Nang
sampling,
check
Volume of water pumped/bailed before sampling: I D
gallons
Appearance C rQo,./
here:❑
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: See Attached
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 6
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 I C. rV /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):
Dissolved Solids:Total 70300 5 7 mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC ooss0 [ . Q mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 '-97^ 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 oo095 µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 .01 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH�as N; Ammonia Nitrogen. Total)
Mn - Manganese o1o5s
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%
Laughlin Washstation LLC - James J. Laughlin, Manager
Permittee (or ". •1horized Aqent) Name and Title - Please print or type
Signature of Permitt(e (or
GW-5. Rev.3-1-2016
SUBMIT FORM, ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT CF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 9IM07-6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Laughlin Washstation LLC
Non -Discharge WQ0007521 UIC
Permit Name (if different):
NPDES Other
Facility Address- Goldsboro, NC 27534
TYPE OF PERMITTED OPERATION BEING MONITORED
Goldsboro, NC 27534
County Wayne
❑ Lagoon ❑ Remediation: Infiltration Gallery
K 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 t1
WELL ID NUMBER (from Permit): IM — -1
Date sample collected: �j� 3/073
FIELD ANALYSES:
If WELL
WAS
Well Depth: )y ft.
Well Diameter:a in.
pH 00400:units Temp. 000lo: 17 eC
DRY at
Depth to Water Level 82546: ft. below measuring point Screened Interval: k ft. to
I S
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is :_ft. above land surface
Relative M,.P. Elevation: ft.
Odor 000ss: Al v, e
sampling,
check
Volume of water pumped/bailed before sampling:
I
gallons
Appearance C Nacv
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: See Attached
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 (
/100mL
Nitrate (NO3) as N 00620 (,q '3
mg/L Zn - Zinc 01092 m9 /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 6 3
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 Lf , I
units
Ba - Barium 01007
ug/L
TOC 00680 1 .3
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 'C-
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 oo095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 r
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%
Laughlin Washstation LLC - James J. Laughlin, Manager
Permittee (or ^ 'horized Agent) Name and Title - Please print or type
Signature of Permittee (or
ilk IZ
GW-5. Rev.3-1-2016
SUBMIT FORM ON YELLOW rAPEF: ONLY
GROUNDWATER QUALITY MONITORING:
INK• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name. Laughlin Washstation LLC
Non -Discharge W00007521 UIC
Permit Name (if different):
NPDES Other
Facility Address: Goldsboro, NC 27534
TYPE OF PERMITTED OPERATION BEING MONITORED
❑Lagoon ❑Remediation: Infiltration Gallery
Goldsboro, NC 27534 County Wayne Y
0 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
IAJ
6
2
5j/1�3
If WELL
WELL ID NUMBER (from Permit): —
Date sample collected: l/
FIELD ANALYSES:
WAS
Well Depth: ( � ft.
Well Diameter: in.
pH 00400: 4.9 units Temp. 00010: l/ C• 7 eC
DRY at
Depth to Water Level 82546: 3 g ft. below measuring
point Screened Interval:ft. to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: IV, n Q
sampling,
check
Volume of water pumped/bailed before sampling:
1 t7
gallons
Appearance C rr
here:
Samples for metals were collected unfiltered: ❑
YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: See Attached
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
/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):
Dissolved Solids:Total 70300 7
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 �f -�
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 S
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
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
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%
I certify that, to the best of my knowledge and belief, the information submitted in this reportis true. accurate, and complete, and -that the laboratory analytical data was produced using approved methods of analysis by a
DW R-certified laboratory.' I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
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 Phone: 919-807-6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Laughlin Washstation LLC
Non -Discharge WQ0007521 UIC
Permit Name (if different):
NPDES Other
Facility Address: Goldsboro, NC 27534
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Goldsboro, NC 27534 County Wayne
X 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 �1 ,
WELL ID NUMBER `Y
Permit): V✓ %
IL2 3
If WELL
WAS
(from
Date sample collected:
FIELD ANALYSES:
Well Depth: Z ft.
Well Diameter: 2 in.
/
pH 00400. q 3 units Temp. 00010: �7 �( °C
DRY at
Depth to Water Level 82546: (, ft. below measuring
p
g point Screened Interval: ft. to
(a`
ft. Spec. Cond. 0009a: µMhos
time of
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: 1 / a dl Q
sampling,
check
Volume of water pumped/bailed before sampling:
( S
gallons
Appearance C IP'
here:
Samples for metals were collected unfiltered: ❑
YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: See Attached
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):
Dissolved Solids:Total 70300 Z
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 9 , 3
units
Ba - Barium 01007
ug/L
TOC 00680 1.13
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 17- 5
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
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 o0610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as 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%
Laughlin Washstation LLC - James J. Laughlin, Manager
Permittee (or •'horized Agent) Name and Title - Please print or type
GW-5, Rev.3-1-2016
FFWW�--- 49
ANALYTICAL & CONSULTING CHEMISTS
Laughlin Poultry
212 Rifle Range Road
Goldsboro NC
Attention:
Lab ID Sample ID:
23-10798 Site: MW-6
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 4, 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
infoLenvironmentalchemists.com
Date of Report: Mar 15, 2023
Customer PO M
27534 Customer ID: 12110005
Report M 2023-04347
Project ID: Livestock Truck Wash MW
Test Method
Collect Date/Time Matrix Sampled by
3/3/2023 11:30 AM Water Eric McHorney
Color
Color
Depth to water, ft.
Depth to water, Ft.
Ammonia Nitrogen
EPA350.1, Rev. 2.0, 1993
Gallons bailed before sampling
Gallons Bailed before sampling
Odor
Qualitative
Total Dissolved Solids (TDS)
SM 2540 c-2016
Temperature
SM 2550 8.2010
pH
SM 4500 H B-2011
Total Organic Carbon (TOC)
SM 5310 8-2014
Fecal Coliform
SM 9222 0-2015 MF
Chloride
SM4600 Cl E-2011
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2,0, 1993
Nitrate+Nitrite-Nitrogen
EPA 353.2. Rev. 2.0, 1993
Nitrate Nitrogen
Subtraction Method
Results Date Analyzed
Clear
03/03/2023
3.8 feet
03/03/2023
< 0.2 mg/L
03/10/2023
10 gallons
03/03/2023
None
03/03/2023
57 mg1L
03/06/2023
16.7 C
03/03/2023
4.8 units
03/03/2023
5.6 mg/L
03/03/2023
<1 Colonies/100ml-
03/03/2023
< 5 mg/L
03/06/2023
< 0.02 mg/L
0.21 mg/L
0.21 mg/L
03/03/2023
03/08/2023
03/13/2023
Report #;: 2023.04347 Page 3 of 4
-:-Oqqi
Environmental Chemists,
Inc.
envirochem
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
Py:
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 6 910.347,5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS
info(a;environmetttalcheinists.com
Laughlin Poultry
Date of Report: Mar 15, 2023
212 Rifle Range Road
Customer PO #:
Goldsboro NC 27534
Customer ID: 12110006
Attention:
Report #: 2023-04347
Project ID: Livestock Truck Wash MW
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-10799 Site: MW-7
3/3/2023 12:50 PM Water Eric McHorney
Test
Method Results Date Analyzed
Color
Color Clear
03/03/2023
Depth to water, ft.
Depth to Water, Ft. 6.0 feet
03/03/2023
Ammonia Nitrogen
EPA 350.1, Rev. 2.0,1993 < 0.2 mg/L
03/10/2023
Gallons bailed before sampling
Gallons Bailed before sampling 15 gallons
03/03/2023
Odor
Qualitative None
03/03/2023
Total Dissolved Solids (TDS)
SM 2540 C-2015 41 mg/L
03/06/2023
Temperature
SM 2550 B-2010 15.9 C
03/03/2023
pH
SM 4500 H B-2011 4.3 units
03/03/2023
Total Organic Carbon (TOC)
SM 5310 B-2014 1.3 mg/L
03/03/2023
Fecal Coliform
SM 9222 D-2015 MF <1 Colonies/100mL
03/03/2023
Chloride
SM4500 Cl E-2011 < 5 mg/L
03/06/2023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 20, 1993 < 0.02 mg1L
03/03/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2. Rev. 2 0. 1993 0.61 mg/L
03/08/2023
Nitrate Nitrogen
Subtraction Method 0.61 mg/L
03/13/2023
Comment: NJ�Jd�
�� ��Reviewed by:
Report #:: 2023.04347 Page 4 of 4
F00007 q1 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@environmentalchcmists.com
Laughlin Poultry
212 Rifle Range Road
Goldsboro NC 27534
Attention:
Date of Report: Mar 15, 2023
Customer PO #:
Customer ID: 12110005
Report #: 2023-04347
Project ID: Livestock Truck Wash MW
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-10797 Site: MW-4
3/3/2023
12:25 PM Water Eric McHorney
Test
Method
Results Date Analyzed
Color
color
Clear
03/03/2023
Depth to water, ft.
Depth to water, Ft
12.0 feet
03/03/2023
Ammonia Nitrogen
EPA 3501. Rev, 20. 1993
< 0.2 mg/L
03/10/2023
Gallons bailed before sampling
Gallons Balled before sampling
15 gallons
03/03/2023
Odor
Qualitative
None
03/03/2023
Total Dissolved Solids (TDS)
SM 2540 C-2015
63 mg/L
03/06/2023
Temperature
SM 2550 B•2010
17.0 C
03/03/2023
pH
SM 4500 H B-2011
4.1 units
03/03/2023
Total Organic Carbon (TOC)
SM 5310 B-2014
1.3 mg/L
03/03/2023
Fecal Coliform
SM 9222 D-2015 MF
<1 Colonies/100mL
03/03/2023
Chloride
SM4500 Cl E-2011
< 5 mg/L
03/06/2023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev, 2.0. 1993
< 0.02 mg/L
03/03/2023
Nitrate+Nitrite-Nitrogen
EPA353.2, Rev 2,0, 1993
1.93 mg/L
03/08/2023
Nitrate Nitrogen
Subtraction Method
1.93 mg/L
03/1312023
Report # : 2023.04347 Page 2 of 4
--7441
Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 0 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info(n*environmentalchenlists.com
Laughlin Poultry
212 Rifle Range Road
Goldsboro NC 27534
Attention:
Date of Report: Mar 15, 2023
Customer PO M
Customer ID: 12110005
Report M 2023-04347
Project ID: Livestock Truck Wash MW
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-10796 Site: MW-1
3/3/2023
12:00 PM Water Eric McHorney
Test
Method
Results Date Analyzed
Color
color
Clear
03/03/2023
Depth to water, ft.
Depth to Water, Ft,
11,8 feet
03/03/2023
Ammonia Nitrogen
EPA 350A. Rev. 2.0. 1993
< 0.2 mg/L
03/10/2023
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
03/03/2023
Odor
Qualitative
None
03/03/2023
Total Dissolved Solids (TDS)
SM 2540 C-2015
57 mg/L
03/06/2023
Temperature
SM 2550 B•2010
17.3 C
03/03/2023
pH
SM 4500 H B-2011
4.4 units
03/03/2023
Total Organic Carbon (TOC)
SM 6310 B•2014
1.0 mg/L
03/06/2023
Fecal Coliform
SM 9222 D-2015 MF
<1 Colonies/100mL
03/03/2023
Chloride
SM4500 Cl E-2011
< 5 mg/L
03/06/2023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev, 2.0, 1093
< 0.02 mg/L
03/03/2023
Nitrate+Nitrite-Nitrogen
EPA353.2, Rev. 2.0. 1993
3.67 mg/L
03/08/2023
Nitrate Nitrogen
Subtraction Method
3.67 mg/L
03/13/2023
Report ff:: 2023.04347 Page 1 of 4
7707 Environmental Chemists, Inc.
• 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab s 910.392.4424 Fax
710 Bowscrtown 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(tteiivironmentatchemists.com
Laughlin Poultry Date of Report: Mar 15, 2023
212 Rifle Range Road Customer PO #:
Goldsboro NC 27534 Customer ID: 12110006
Attention: Report #: 2023-04345
Project ID: Livestock Truck Wash -Goldsboro
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-10791 Site: PPI 001 Effluent 3/3/2023 10:50 AM Water Eric McHorney
Test Method Results Date Analyzed
Ammonia Nitrogen
EPA 360.1, Rev. 2.0, 1993
16.1 mg/L
03/10/2023
- Total Kjeldahl Nitrogen (TKN)
EPA 351.2, Rev. 2.0, 1993
20.3 mg/L
03/10/2023
Total Phosphorus
SM 4600 P (F-H)-2011
27.8 mg/L
03/13/2023
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2, Rev. 2,0, 1993
2.39 mg/L
03/03/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0, 1993
3.33 mg/L
03/07/2023
Nitrate Nitrogen
Subtraction Method
0.94 mg/L
03/13/2023
Lab ID Sample ID:
Collect Date/Time Matrix
Sampled by
23-10792 Site: PPI 001 Effluent, field 3/3/2023 10:50 AM Water
Eric McHorney
Test Method Results Date Analyzed
Temperature
pH
Comment:
Reviewed by:
SM 2560 B-2010
SM 4500 H B-2011
17.6 C 03/03/2023
7.1 units 03/03/2023
Report#:: 2023.04346 Page 1 of 1
Date: [ 7Jf
Analyst:_ .Eric McHorne
Cerlificni(op N 9{
Facility \sate: y->f,� a
Permit N; ('co `
PH
Reference Glib ti Tieihod: SS14500I-I=B -3oI I fusirunteat ID. MkRA221 : 1(0
'
ra on Ime Cal Buller 4.0 s u Cal Buffe( 10.0 s U. Check Huffer 70 s.0 Comments
g' �o�-�• ��e l (�) Woff' ' �7 M
Atilt check buffer must read s%ithill ±0.1 pl f tlnim ofthc hurfcr's true +m1uc. `
sir butter I.otHf:Jticca._�l I_[�R69 E� _zit 11f23 7 su buffer L&c ota/:_ca 2(1? A38 Gxn. 12%23 )0 sit butler 3�
Lot, :�R C ',1'f Ir 0 i F_ -per 3
Sample location Sample Collection Sarnple duahsia pl I Result 10' Post- al>uly.sis Btil156
��y• flmee Tinte♦ s.0 Check sal"_ s it Conttucnti'E)ato Qualifiers
► Post analysis buffer check is required ishen performing analyses at multiple sampling locations and must be within a 0 1 units of the buffer's true t aluc
All p11 values in pit units (to C. s u ) Record all data to the nearest 001 s it and report to the nearest 0 1 s it
Total Residual Chlorine (TRC)
1Zcfcrcncc 1ltrtlrnd• s\r eutn r•r.mn1 i- rr..,,i, o.a ....
-��� �• �a� r,i�rii�r�, ,nstnnnem n). ttA( tH Colorimeter 090SLI29475
Daily Cheek Post -analysis Time Check
Check Std San, tle Sample Sample
Standard Result Standard I TRC Result
(sdienanah-Alle Location Collection :\nalysls Cummcutsq)ala(ualilicrs
pgA, or nteJl. Analyzed Tillie Time P± 7. or mg9. 1
at multiple sites)
TRC Daily Check Standard true value ooll. or niart n1..,. P..—_
-- ,.N..11... L".. �rr.I,arva 11AI-11AVUS2f
ter � shut arils must recover a ilbin �t04o oftlte check sttutdard's true valor
Annual Calibration Cun-e Verification Datc: 11/25/22 LOT N. IDEiXX 22012 Freea_F.xp, Date:2l28/23 JQFXX 220130 (7olal) Gxn. Dater/23 Reagent [)lank Value; (When applicable_ Analyze and docantent a reaeent blank when standards, sample dilutions or PT Samples tire prepared)
Dissolved Oxygen (DO)
Refcrvnec MethodSM 4500 i) (i -201 G htsiniment ID YSl Pilo 20 181,100010
Calibration variable • Post analysis calibration
Calibrations Meier reading verification (Wien iicessan)
Ccrilicatian 6
or .e efficiency
Time fcoi Ilarttntetnc after calibration ('uinrr,nts
,,Cp pressure Sainilty. fhcareuea! Calculated
mntl I PPI Value mg,9. Vithic mg'I.
Sample Location
e Collection { $Sample Analysis
Time j 'ri—
I -se Otis rat, t,hcn Pcrfi rnduR a cerlftcation instead of
Comments Data Qualifiers
• 1t11en performing analyses at multiple locations, the meter must be recalibmted at each site before anolysis or a post -analysis calibration verification must be performed
I I iaiitple li nlCaiUfed d1rCCll\' 111 the slfeam and'Or An31te, ant.% time analyzed v%ould t4 recorde.t "tth a IIUIC that the% are nrrasUred ut situ or immcdntals
Temperature
Reference bfeihod; SSE �550 B-2010 Instrument ID: STARA221 : K053f
Sample 'Sample Temperature -
Sample I.otation Collection Analysis -C Commcrtts Data Qualifiers
Time Time
�,.
' It ,aus le r; measured ,.freed% it the stream and or ar sit; ,-.h t!•tte a^a".:e noel S (•e r;cor2:Yf, s' i i. a I i ,..!"lt t!r,A IF-' C'das'I'[d in sits Or
Aimiva) Ve(dicauon Date I 1-25-22
Field Personnel \'Ole:
► Post analysis buffer check is required ishen performing analyses at multiple sampling locations and must be within a 0 1 units of the buffer's true t aluc
All p11 values in pit units (to C. s u ) Record all data to the nearest 001 s it and report to the nearest 0 1 s it
Total Residual Chlorine (TRC)
1Zcfcrcncc 1ltrtlrnd• s\r eutn r•r.mn1 i- rr..,,i, o.a ....
-��� �• �a� r,i�rii�r�, ,nstnnnem n). ttA( tH Colorimeter 090SLI29475
Daily Cheek Post -analysis Time Check
Check Std San, tle Sample Sample
Standard Result Standard I TRC Result
(sdienanah-Alle Location Collection :\nalysls Cummcutsq)ala(ualilicrs
pgA, or nteJl. Analyzed Tillie Time P± 7. or mg9. 1
at multiple sites)
TRC Daily Check Standard true value ooll. or niart n1..,. P..—_
-- ,.N..11... L".. �rr.I,arva 11AI-11AVUS2f
ter � shut arils must recover a ilbin �t04o oftlte check sttutdard's true valor
Annual Calibration Cun-e Verification Datc: 11/25/22 LOT N. IDEiXX 22012 Freea_F.xp, Date:2l28/23 JQFXX 220130 (7olal) Gxn. Dater/23 Reagent [)lank Value; (When applicable_ Analyze and docantent a reaeent blank when standards, sample dilutions or PT Samples tire prepared)
Dissolved Oxygen (DO)
Refcrvnec MethodSM 4500 i) (i -201 G htsiniment ID YSl Pilo 20 181,100010
Calibration variable • Post analysis calibration
Calibrations Meier reading verification (Wien iicessan)
Ccrilicatian 6
or .e efficiency
Time fcoi Ilarttntetnc after calibration ('uinrr,nts
,,Cp pressure Sainilty. fhcareuea! Calculated
mntl I PPI Value mg,9. Vithic mg'I.
Sample Location
e Collection { $Sample Analysis
Time j 'ri—
I -se Otis rat, t,hcn Pcrfi rnduR a cerlftcation instead of
Comments Data Qualifiers
• 1t11en performing analyses at multiple locations, the meter must be recalibmted at each site before anolysis or a post -analysis calibration verification must be performed
I I iaiitple li nlCaiUfed d1rCCll\' 111 the slfeam and'Or An31te, ant.% time analyzed v%ould t4 recorde.t "tth a IIUIC that the% are nrrasUred ut situ or immcdntals
Temperature
Reference bfeihod; SSE �550 B-2010 Instrument ID: STARA221 : K053f
Sample 'Sample Temperature -
Sample I.otation Collection Analysis -C Commcrtts Data Qualifiers
Time Time
�,.
' It ,aus le r; measured ,.freed% it the stream and or ar sit; ,-.h t!•tte a^a".:e noel S (•e r;cor2:Yf, s' i i. a I i ,..!"lt t!r,A IF-' C'das'I'[d in sits Or
Aimiva) Ve(dicauon Date I 1-25-22
Field Personnel \'Ole:
-- ,.N..11... L".. �rr.I,arva 11AI-11AVUS2f
ter � shut arils must recover a ilbin �t04o oftlte check sttutdard's true valor
Annual Calibration Cun-e Verification Datc: 11/25/22 LOT N. IDEiXX 22012 Freea_F.xp, Date:2l28/23 JQFXX 220130 (7olal) Gxn. Dater/23 Reagent [)lank Value; (When applicable_ Analyze and docantent a reaeent blank when standards, sample dilutions or PT Samples tire prepared)
Dissolved Oxygen (DO)
Refcrvnec MethodSM 4500 i) (i -201 G htsiniment ID YSl Pilo 20 181,100010
Calibration variable • Post analysis calibration
Calibrations Meier reading verification (Wien iicessan)
Ccrilicatian 6
or .e efficiency
Time fcoi Ilarttntetnc after calibration ('uinrr,nts
,,Cp pressure Sainilty. fhcareuea! Calculated
mntl I PPI Value mg,9. Vithic mg'I.
Sample Location
e Collection { $Sample Analysis
Time j 'ri—
I -se Otis rat, t,hcn Pcrfi rnduR a cerlftcation instead of
Comments Data Qualifiers
• 1t11en performing analyses at multiple locations, the meter must be recalibmted at each site before anolysis or a post -analysis calibration verification must be performed
I I iaiitple li nlCaiUfed d1rCCll\' 111 the slfeam and'Or An31te, ant.% time analyzed v%ould t4 recorde.t "tth a IIUIC that the% are nrrasUred ut situ or immcdntals
Temperature
Reference bfeihod; SSE �550 B-2010 Instrument ID: STARA221 : K053f
Sample 'Sample Temperature -
Sample I.otation Collection Analysis -C Commcrtts Data Qualifiers
Time Time
�,.
' It ,aus le r; measured ,.freed% it the stream and or ar sit; ,-.h t!•tte a^a".:e noel S (•e r;cor2:Yf, s' i i. a I i ,..!"lt t!r,A IF-' C'das'I'[d in sits Or
Aimiva) Ve(dicauon Date I 1-25-22
Field Personnel \'Ole:
- 1 ENVIRONMENTAL CHEMISTS, INC 910.392.0223 252.473.5702
info@environmentalchem ists.com
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
r..C1I I Ff_TIMI Aun I-WARu nc t1 Q'rnnV
CLIENT:Lau hlin Poultry
PROJECT NAME: Livestock TrUck Wash -Goldsboro
REPORT NO: 2 3 -Q
ADDRESS: 212 Rifle Range Road
CONTACT NAME: Jim Lynch
PO NO:
Goldsboro, NC 27534
REPORT TO: Keith Na for Lau hlin Poult
PHONE/FAX: 919.222_�4791
COPY TO:
email: iim.lynch@goldsboromilling.com
Sampled Bv: .,,-'CA e- 1, i„!vk-to..i_�.'vW
CA11U01 C TVDC• 1 - ir.q..
Sample identification
p
Collection
a CL
e
o
E a 0
_
o b
L
"
W
m j
z
PRESERVATION
JANALYSIS REQUESTED
Date
Time
Temp
o
z
_"
0
0
z
o
s
o
!f
Well; 7Akw
Z : So
C
P
II
X
ITDS, NO2, Ch€oxide
G
G
Depth to water. -7 2
X
IN03, NH3 �-
G
G
Gallons bailed: 15
C
P
X
Fecal Coliform
G
G
pH Id): 3
�,
C
P
X
TOC
G
G
Odor O
C
P
X
I
I
IVOC's
(November)
G
G
Color: Gfzak
C
P
G
G
C
P
G
G
C
P
G
G
Tatai of 4 wells: due March, July, November. Site located on Best Sand b Gravel Road -Goldsboro, NC,
Transfer
Relinquished By:
Date/Time
Received By:
Datef ime
1.
2.
..r...-....- -. ....—V..uu ., r�ccepzea:�L
Delivered By:_��_� r r Received By:
Comments:
mple K quested:
� -_3 Time:3:&-)/0"
TURNAROUND:
= ENVIRONMENTAL CHEMISTS, I N C 910.39ZA223 252.473.5702
WMIlligWiinfo@environmentalchemists.com
Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
CLIENT:Lau hlin PoultryPROJECT
NAME: Livestock Truck Wash -Goldsboro
REPORT NO: 2 3 -o 43
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@goldsboromilling.com
SamDled BY: r. `Ac AL ,,", SAMPLE TYPE: i = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
W
a�
m
o n
o
0
_
C
a
�j =
W
L a
V
m
z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
2
=
S
o
z
xp
z
o
=
p
Well: IAV- (;f
C
P
1 (�
X
TDS, NO2, Chloride
G
G
�t
Depth to water.
C
P
r'
X
NO3, NH3 Je�C
G
G
Gallons bailed,
C
P
X
Fecal Coliform
G
G
pH (field). 4.
C
P
1xi
I
I
I
TOC
G
G
Odor.
C
P
X
VOC's (November)
G
G
_1
Color: U.r
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 S Gravel Road -Goldsboro, NC.
Transfer
Relinquished By:
DatefTirne
Received By:
Datemme
1.
2.
Temperature when Received *C: Accepted: Rejected: Resample a ested:
Delivered By: ` Received ByZ�e -; t_ - _ Date: 3 ot-? Time:
Comments: TURNAROUND:
910-392.0223
ENVIRONMENTAL CHEMISTS, INC nfa@envronment.473.5ists.com
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
f _rIl 1 Pi"TIrIM AK]r) a UAIKI nr III Fc-r^nv
CLIENT:Lau hlin Poultnt
PROJECT NAME: Livestock Truck Wash -Goldsboro
REPORT NO: —Q (4 3
ADDRESS: 212 Rifle Range Road
CONTACT NAME: Jim Lynch
PO NO:
Goldsboro, NC 27534
REPORT TO: Keith Na for Laughlin Poultry
PHONEIFAX: 919.222.4791
COPY TO:
email: 'im,l nch oldsboromiliin .com
Sampled Bv:
SAMPI F T)fDF• I = Infl.-4 C — CfFY,.--f IN—1A1.,F1 CT — Caw..-- C/1 — e_:l ewe — e1..1 _ /'1.L_.-
Sample lde #IficatlOn
Collection
m m
A
to
m
b A
o
o
c C1
o
O a
C
o f
=
Q ui
m
g
x
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Tempu"
z
O
Z
v
o
_"
0
z
x
o
a
z
p
x
r
S
a
Well:
C
P
X
TDS, NO2, Chloride
k 3-Z
JZ:2•S
G
G
Depth to water. i t rr
X
ING3, NH3 f 1
G
G
Gallons bailed:
C
P
X
Fecal Coliform
G
G
J
pH (field): 1
7_
C
P
X
TOC
G
G
Odor: Of7e.
C
P
I
X
VOC`s (November)
G
G
Color: G eipt `
G
G
C
P
G
G
C
P
G
G
Total of 4 wells: due March, July, November. Site located on Best Sand & Gravel Road -Goldsboro, NC,
Transfer
Relinquished By:
DatefTime
Received By:
DatefTime
1.
2.
. ..... r.a.. .+aura: aucu ,x�, vu ►r, w • r�caep�ea: v Kejecrea: Resam pie a nested:
Delivered By: Received By:Date: Time: 3 : O 0/4—
Comments: TURNAROUND:
Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
910.392.0223 252.473.5702
info@environmentalchem ists.com
CLIENT:Lau hlin Poultry
PROJECT NAME: Livestock Truck Wash -Goldsboro
REPORT NO: 2 3- d L4S
ADDRESS: 212 Rifle Range Road
CONTACT NAME: Jim L nch
PO NO:
Goldsboro, NC 27534
REPORT TO: Keith Naylor Lau hlin Poultry
PHONE/FAX: 919,222.4791
COPY TO:
email: jim.lynch@ggldsboromilling.com
Sampled By: JE�,, AAcA4 SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other_
Sample Identification
Collection
mo
A ,�
�
m
a�
a o
rj
�
o
Ci
E�
o.
am
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
-
o
3
o
a
w
Well: M
I 3
C
P
�
X
TDS, NO2, Chloride
3
11.00r--
G
G
�
Depth to water. 1 y 1
C
P
`' `�
X
I
IN03, NH3
G
G
Gallons bailed: tQ
C
P
I
X
Fecal Coliform
G
G
� t
H (field): L-4. 3 0)
C
P
X
ITOC
G
G
Odor: Ns
C
P
X
VOC's (November)
G
G
Color: C Le&_�
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 & Gravel Road -Goldsboro, NC.
Transfer
Relinquished By:
Date/Time
Received By:
Datefrime
1.
2.
Temperature when Received °C:
Delivered By:
Comments:
.1
Accepted:
Rejected::
By;L-.- zr�,
Resample a nested:
Date: .2 3 Time: --
TURNAROUND:
Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client: �lr\ Q,�]u,A+ U Date: Report Number: 23-��7 C4-t' �
�— . _
Receipt of sample: Echem Pick up Client Delivery ❑ UPS ❑ FeclEx ❑ Other ❑
❑ YES
10 NO JF3 N/Al
11. Were custody seals present on the cooler?
❑ YES
I0 NO N/Al
12, If custody seals were present, were they intact/unbroken?
Original temperature upon receipt 2 . 5 °C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank ❑ Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
❑ YES
❑ NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑ NO
S. Were sample ID's listed on the COV
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
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
YES
0 NO
10. Did samples arrive in good 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?
gi YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES ID
NO
14. Were cyanide samples received at a pH >12?
O YES
❑ NO
15. Were sulfide samples received at a pH >97
YES
❑ NO
16. Were NH3/TKN/Phenol 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?
❑ YES
❑ NO 1
18. Were orthophosphate samples filtered in field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for Incorrectly preserved samples, obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC.QA.002 Rev 1
" ENVIRONMENTAL CHEMISTS, INC 910.392.0723 252.473.5702
info@environm entalchem ists.com
Analyticat & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NGDHHS: [3LS CERTIFICATION # 37724
COLLECTION AND CHAIN OF CUSTODY
CLIENT:Lau hlin Poultry
PROJECT NAME: Livestock Truck Wash -Goldsboro
REPORT NO: 2 —�
ADDRESS: 212 Rifle Range Road
CONTACT NAME: Jim Lynch
Permit number. W00007521
Goldsboro, NC 27534
REPORT TO: Keith Na for L.au hlin Poultry
PHONE/FAX: 919.222.4791
COPY TO:
email: jim.lynch@goldsboromillin .com
Sampled By; SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
m
CL m
vs
a
`o
o
U
_
cc4
`
w o
o a
U
m
��
o a
L E
[7
ow
m m
2
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
o
z
o
z
z
x
z
o
p
PPI 001/Effluent
��'{°
C
P
NO2
3 3 13
0: Sb
G
G
pH(Field): -7 oS
C
P
d'
X
P'�{-Z
NO3,TKN,NO3+NO2,P,NH3
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
March, July, November_ Site located on Best Sand S Gravel Road -Goldsboro, NC.
Transfer
Relinquished By:
Date/Time
Received By:
DatelTime
1.
2.
Temperature when Received °C: Q ,,� Accepted: ✓ Rejected:
Delivered By;
Comments:
Received By:
;Zesamplerequested:
Date: "s Time: 3 =*-<=1
TURNAROUND:
Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client: Lai aw-1 Date: ``��
ReportNumber: �—0�3`�-`]
Receipt of sample: Echem Pick up Client Delivery ❑ UPS ❑ FedEx ❑ Other ❑
❑ YES
10 NO
N/Al
1. Were custody seals present on the cooler?
❑ YES
10 NO
N/A
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt--? • "C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank X Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor "C: 0.0
❑,11111. YES
❑ NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑ NO
5. 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
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
El YES
❑ NO
10. Did samples arrive in good condition for each test?
YES
❑ NO
11. Was adequate sample volume available?'
YE5
❑ 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?
❑ YES
Cl NO
15. Were sulfide samples received at a pH >97
ff YES
11 NO
16. Were NH3/TKN/Phenol 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?
❑ YES 10
NO
18. Were orthophosphate samples filtered in field within 15 minutes?
* TOCNolatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria 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(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC.QA.002 Rev 1
Date:
Analyst; 1�1C�1(4CtIeY
,SCer�
t atianX _ 9i
Facility x'ame: L4tr LA �h j�e
pH
Malbod SM450011rB -201 1
Lar€orauon rime
Cal Bufrer 4.0 s.u-
Cal Buffer i o.0 s _a,
Check nufrcr 7.0 s u,
' pi I check buffer must
read Nvitltin ± 0.1 pi I units of the buffer's true value
4 su huffy(l,o HlYlticca 4 Z&e Fsn 11123
7 su buf1cr i,ot4/ Ricca?I,j2138 I?_xp12`23.
Sample location
SimpleCollecfion
SamplcAnalysis
pElRestdl
►post-analysis8.,J&
T€me•
T1InC4
At
Check talus s u
trument ID.
comments
IO su bulfir t,ot:,_K1GCA 31 i2750 F�p�(2�_
CrnttmenisA)ala Qualifiers
1 Post analysis burro check is required when performing analyses at multiple sampling locations and must be x ithin ? 0 I ultits of the buffer's laic i aloe
A11 pf t values in pll units (i c , 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 \Iclhod: SJf 4500 CI-G3011: Mach 8167 IiR: ( Please circle o licable Diettlod) instrument I I IIACFI Colorimeter 0908E
[)ail} -Check Post -analysis
Time check Sample Check Std Simple P ' Sample
Standard Result Standard li TRC Result
(tdicn analv>.irtg l,ucalinn CuRccliou :\nalgsis CommcutsrDuta QuahPcrs lrg�l. or mrJL Anal zed Time Time 11$1, or mg'I.
_ atmuitiplesites)
TRC [)ail} Cheek Standard true s'aluc P911. or ntg/L acceptance range or GUSIDS 11ACI1 A0038
Check standards tnust recover a i(hin }I0% of the check standard's true value
Annual Calibration Curve Veri0calion Dale: 1 1J25/22 LOTH IDEXX 2201291FrcclFSp. Datc: /2 /23 ID 2201301Totail Isxp Uat� / Sr23
Reaacnt plank \'aloe—_(Wl€cn applicable Anolyze and docuntcltt a rcaeenl blank oleo standards, sample dilutit+ns or PT Samples are p(epared)
Dissolved Oxygen (DO)
Rcrcmncc NeA+od:S\I 7500OG �01(Instrument 11), YS1 MOM 18LI00010
Calibration variable 4Post-analysis calibration
Calibration( deter reading verification (rehert mvessar))
\'crincation
flmc romp Ilaronletric Salinity
C pressure
mml{ ppt
Sample Location I Sample Collection
or % c0iciency
niter calibration Theoretical Calculated
Value 1110. Value mg4.
*Sample Analysis I DO reading
('UnllnenLi
t'se 11€15 roN %$hen performing s rerificatlon i
CommentsData Qualrftcrs
Wicit perfonming analyses at multiple locations, the meter must be recalibraled at each site before ana
f tal%sis or a pose -analysis calibration verif€cation must be performed ' Iulple +s €neasurcd directly in the stream and or onsne, only time analyzed %Wuld be recorded %%ith a note that th:y are me —wired in sou or it tmcchateN
Temperature
Reference Method, SSI 2550 13.2010 Insinancrit lD: STAFU221 : K653%
Sample I.oedtron
Sample
Collection
•Sample
Analysts
I 'temperature
=C'
Time
Time
"'�t/w "/
,• �°�-
! Y:,It >j�^
.Ivy
`
$,b P_
/.I : ra 4--
1 r . a
Comments. Uata Qualifiers
li ;ample is +reasured directly it: [be;us�irn and or ur` 3;te. ly t; ne acal�zrd sot;l' ire recorL':.1. Mth a r at fi€e; ar. measured in .,1,t o,
Annual Verification Dute I 1-25-22
Field Personnel xolet