WQ0016376_Monitoring - 01-2024_20240312

Monitoring Report Submittal
Permit Number#* wg0016376
Name of Facility:* S&J VILLARI LIVESTOCK PROCESSING FACILITY - WARSAW
Month:* January Year: 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR wwt January 2024.pdf 5.78MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Gerald Matthews
Signature:
Date of submittal: 3/12/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* wg0016376
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 3/15/2024

FORM: NUMP 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page f of�
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility-Warsa
County: Duplin
Month: January
Year: 2024
PPI: 001
Flow Measuring Point: ❑ Influent 0 Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ influent 0] Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -►
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
�p
O
CE
4 E
U
0
c
O
E
H
O
LO
0
to
O
V
O O
~Q'U
Qj '.S
�U
Q
O
NZ
0
O
7:
`
a� .G CL
h O
a
v
.�, 0 TJ
H L,
o
® i7
J_ Nto
1
24-hr
00:00
hrs
0
GIRD
18,550
mg/L
mg/L
mg/L
#/100 mL
I mg/L
mg/L
mg/L
mg/L
su
I mg/L
mg/L
mg/L
2
07:00
10
79,905
3
07:00
10
74,029
41
7 21
4
07:00
10
75,257
5
07:00
10
76,556
6
08:00
8
76,148
7
10:00
4
11,400
8
07:00
10
75,310
9
07:00
10
88,960
10
07:00
10
79,014
92
7 69
11
07:00
10
72,400
12
07:00
10
19,868
13
07:00
5
10,860
14
15:00
1
77,950
15
07:00
10
78,490
16
07:00
10
81,580
17
07:00
10
77,850
153
7 7
18
07:00
10
72,159
<0.11
7.2
19
07:00
10
75,090
20
07:00
4
14,560
21
11:00
3
77,820
22
07:00
10
87,490
23
07:00
10
79,650
24
07:00
10
81,970
81
7.63
25
26
07:00
07:00
10
10
84,421
69,743
355
<0.1
24200
202
252
0.55
253
7.13
0.58
456
101
15,970
88,970
M
79,950
81,920
79,980
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg. Limit:
66,575
88,970
10,860
Recorder
100,260
355.00
355.00
355.00
Grab
91.75
153.00
41,00
Grab
0.00
0.10
0.10
Grab
24,200,00
24,200.00
24,200.001
Grab
202.00
202.00
202.00 1
Grab
252.00
252.00
252.00 1
Grab
0.55
0.55
0.55
Grab
253.00
253.00
253,00
Grao
7. 00
7.13 1
Grab
0 58
0.58
0.58
Grab
456.00
456.00
456.00
Grab
101.00
101.00
101.00
Grab
Daily Limit:
Sample Fmquency:j Recorder _
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2- of
Permit No.: WQ0016376
1Facility Name: S&J Villari Livestock Processing Facil
PPI: 002
Flow Measuring Point: ❑ tnFluent ❑ Effluent ❑ No flow generated
Parameter Code - 0
50050
00625
00610
00620
00665
31616
00600
c
O
2 a
C
W
o
E
Y
N
C
O
af
O
_
Z
4
tO
c
LL O
O p
f
O
RU'
O
o
a
U
z
F
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
#/100 mL
rnglL
1
00:00
0
18,550
2 07:00
10
79,905
3 07:00
10
74,029
4 07:00
10
75 ?fi7
i-warsal County: Duplin I Month: January I Year: 2024
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑� Surface Water
5 07:00
10
76,556
6 08:00
8
76,148
7 10:00
4
11,400
8 07:00
10
75,310
9 07:00
10
88,960
10 07:00
10
79,014
11
07:00
10
72,400
12
07:00
1C
19,868
13
07:00
5
10,860
14
15:00
1
77,950
15
07:00
10
78,490
16
07:00
10
81,580
17
07:00
10
77,850
18
07:00
10
72,159
19
07:00
10
75,090
20
07:00
4
14,560
21
1100
3
77.820
22
07:00
10
87,490
23
07:00
10
79,650
24
07:00
10
81,970
25
07:00
10
84,421
<0.5
<0.2
1.53
<0.04
955
16
26
07:00
10
69,743
27
07:00
6
15,970
28
13:00
1
88,970
29
07:00
10
79,950
30
0700
10
81,920
31
07:00
10
79,980
Average:
66,575
0.00
a00
1.53
0.00
955.00
1.60
Daily Maximum:
88,970
0.50
0.20
1.53
0.04
955.00
1.60
Daily Minimum:
10,8 00
0.50
0.20
1.53
0.04
955.00
1.60
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Recorder
Monthly
Monthly
Monthly
Monthly
Monthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility-Warsa
County: Duplin
Month. January
Year: 2024
PPI: 003
Flow Measuring Point: ❑ Influent [A Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering M Surface Water
Parameter Code -►
50050
00625
00610
00620
00665
31616
00600
•?
v F
O
Pin
O
i°
'c
Y°
oZ
H
E
4
°
o a
~ 0
0.
LL U
c
~
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
1
00:00
0
18,550
2
07:00
10
79,905
3
07:00
10
74,029
4
07:00
10
75,257
5
07:00
10
76,556
6
08:00
8
76,148
7
10:00
4
11,400
8
07:00
10
75,310
9
I
07:00
10
88,960
11
07:00
10
72,400
12
07:00
10
19,868
-
13
07:00
5
10.860
14
15:00
1
77,950
15
07:00
10
78,490
16
07:00
10
81,580
17
07:00
10
77,850
18
07:00
10
72,159
19
07:00
10
75,090
20
07:00
4
14,560
21
11:00
3
77,820
22
07:00
10
87,490
23
07:00
10
79,650
24
07:00
10
81,970
25
07:00 1
10
84,421
0.9
0.4
1.43
0.1
1450
2.4
26
07:00
10
69.743
27
07:00
6
15,970
28
13:00
1
88,970
29
07:00
10
79,950
30
07:00
10
81,920
31
07:00
10
79,980
Average:
66,575
0.90
0.40
1.43
0.10
1,450.00
2.40
Daily Maximum:
88,970
0.90
0.40
1.43
0.10
1,450.00
2.40
Daily Minimum:
10,860
0.90
0.40
1.43
0.10
1,450.00
2.40 LL
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Recorder
Monthly
Monthly
Monthly
Monthly
Monthly

FORM: NDMR 03-12
Sampling Person(s)
Name: GERALD LAMAR MATTHEWS
Name:
NON -DISCHARGE MONITORING REPORT (NDMR)
Certified Laboratories
Name: Environmentat Chemists INC.
Name: Water Agricultural Laboratories
Page q of +
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [A Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: GERALD LAMAR MATTHEWS Permittee: SAM VILLARI
Certification No.: 993131 Signing Official:
Grade: SI Phone Number: 910-289-7500 Signing Official's Title: OWNER
Has the ORC changed since the previous NDMR? El Yes ❑ No Phone Number: 910-293-2157 Permit Expiration: 11/30/2025
—24,z s
—Z I —Z Y
Signature Date Signature
Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, 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 all qualified personnel properly gathered and evaluated 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 knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: January
Year: 2024
Did irrigation occur
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
at this facility?
Area (acres):
0.65
Area (acres):
1.16
Area (acres):
1 12
Area (acres):
1.07
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
I] YES ❑ No
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Annual Rate (in):
41.96
❑ YES [] No
Annual Rate (in):
Field Irrigated?
41.96
❑ YES No
Annual Rate (in):
Field Irrigated?
41.96
❑ YES [] No
Annual Rate (in):
Field Irrigated?
41.96
❑ YES 0 NO
Weather Freeboard
Field Irrigated?
m
o
U
y
v c
o
4
a
H iL
c a�
O m
o
°� o
v
rn
_o
m
m B
E .m
a
v
W 2
E m
Qi
m
�, a
v
m m
E m
= ma c
E 9 v
p tp
E m
W m
_ m
E
> E
m
E
3' c
E 0 a
m� m
E d e
o a _E ro
> �'
R z3
Earn
c
X_E _ ij
m a
E 2
v
m a;
m
._
rn
T C
J
E �
7, c
_I
1
C
°F
in
in
48
in
72
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
2
C
3
C
4 C
5 C
6 R
kO.7
CL.8
R
9 R
1.75
10 CL
11 CL
0.09
12 C
13 C
14 CL
15 CL
16 CL
17 C
18 C
19 CL
20 C
21 C
22 C
23 CL
24 CL
25 R
0.03
26 R
0.15
27 CL
28 C
29 CL
30 R
0.02
31 R
0.3
24
24
Monthly Loading:
0 0.00
22.57
0
0.00
0
>„_
0.00
0
0.00
12 Month Floating Total (in):
22.57
2.2.57
22.57

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ?,. of K
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin Month: January Year: 2024
Field Name: 7 Field Name: 8
Did irrigation occur
Field Name:
5
Field Name:
6
at this facility?
Area (acres):
1.19
Area (acres):
1.17
Area (acres):
( )
1.05
Area (acres): 1.25
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop: Coastal Bermuda
(] YES ❑ NO
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in): 0.6
Annual Rate (in):
41.96
Annual Rate (in):
41.96
Annual Rate (in):
Field Irrigated?
g
°'a�i m�
E�
o a °�
i= '�
gal min
41.96
�J YES 1 ] No
> c Earn
o E t c
`° a m
❑ o x o
in in
Annual Rate (in): 41.96
Weather
Freeboard
Field Irrigated?
YES �] NO
Field Irrigated?
❑YES [J No
Field Irrigated? YES NO
❑
1
m
p
1,
Y
CL11.
3
a
E
o
°•
v
a�
C d
°o�
rn p
J U)
rn
o
inn
,�
N 'Ll
E°'
�°
o Q
>¢
'4
mQ;
E�
if E
LA
ro ro
ca o
J
E
mac
' b
aoC o
Ed
2 Q
o a
>¢
vm
E�
F .`
aC
��
❑ o
E��
E»
K o
m= o
my
E 1)
' Q
o a
o rn
Ern '� `E
0
E m
E''v
o m
°F
in
in
48
in
72
gal
min
in
in
gal
min
in
nn
gal
min in
in
2
C
3
C
4
5
C
C
6 R
7 CL
8 R
9 R
10 CL
11 CL 0.09
0 0.00 0 0.00
12 C
13 C
14 CL
15 CL
16 CL
17 C
18 C
19 CL
20 C
21 C
22 C
23 CL
24 CL
25 R 0.03
26 R 0.15
27 CL
ZS C
29 CL
30 R 0.02
31 R 0.3 24 24
Monthly Loading:
0 0.00
22.5? 1
0 10.00
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw County: Duplin
Month: January
Year: 2024
Did irrigation occur
Field Name:
9
Field Name:
10 Field Name:
11
Field Name:
12
at this facility?
Area (acres):
1
Area (acres):
1.46 Area (acres):
1.43
Area (acres):
1.23
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
❑ YES ❑ NO
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6 Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Annual Rate (in):
41.96
Annual Rate (in):
41.96 Annual Rate (in):
41.96
Annual Rate (in):
41.96
Weather Freeboard
Field irrigated?
❑ YES ❑ NO
_ Field Irrigated?
❑ YES ❑ NO Field Irrigated?
❑YES ( No
Field Irrigated?
❑YES NO
❑
m
U
m
y
L
m
a
IF
_
a
`
a
°oc�I�
m
ro°o
J U)
jin
axa
a
.� 6(
��
Ero
Q1
~`
s
mo
ro
J
��e
Eav
x o ro
N i J
°'m
�'-
=
CL
> Q
d m
E@
rn
~
°'
�. =
v
�a ro
❑ J
ETrn my
7 _
E�-a
a
ro= J .� Q
V
a0.�
°'ro
E
�'
rn
A =
m
❑ O
J
E rn
�' C
M
E 0 M
ro= O
J
mo
ET
a
O a
J Q
a
w2
E ro
P .1
:-
rn
m a
❑ O
J
E
_E v
x O ro
2= J
1
C
OF
in
in
48
72
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
2
C
3 C
4 C
5 C
6 R
0.5
7 CL
8
R
0.03
9
R
1.75
10
CL
11
CL
0.09
12
C
13
C
14
CL
15
C I-
16
CL
17
C
18
C
19
CL
20
C
21
C
22
C
23
CL
24
CL
25
R
0.03
26
R
0.15
27
CL
28
C
29
CL
30
R
0.02
31
R
0.3
24
24
Monthly Loading: 0 0.00
12 Month Floating Total (in): 22.57
n
0
0.00
0
0.00r
0 0 .00
.00
22.57
22.57
_

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4 of �
Permit No.: WQ0016376
Did irrigation occur
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin IMonth: January
Field Name: 14W Field Name:
Year: 2024
Field Name:
13
Field Name:
14E
15
at this facility?
Area (acres):
2.16
Area (acres):
13.73
Area (acres):
( )
7.7
Area (acres):
0.73
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
r] YES ❑ NO
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Hourly Rate (in):
0.6
Annual Rate (in):
41,96
Annual
Rate (in):
31.6
Annual
Rate (in):
Irrigated?
�' T
Err,
~ Z:
min
24.21
U YES ❑ No
rn Earn
a e a e
m Ea'a
O cxOZ O
in in
Annual Rate (in):
30.44
Weather
Freeboard
Field irrigated?
❑ YES n N0
Field
Irrigated?
[�� YES ❑ NO
Field
Field Irrigated?
❑ YES No
❑
1
a
O
CL
CD
y °F
C
e
o
'2
a
a a)
rn
JfA
rn
'�°
o
to
Cn
a
M
T
a s
oe©o
�<CJ
a4mi,
rn
'E
E
aye
E a `aE
x0Qi=rn
M3: 0
FE-w
v
m°3
ro
�-
m
>c
a
orom
J
EO�
a>cET
E o
xom
O2J
a
,Q
my nrn
E m a) 2
o m
O O. 1=.m
> c
@vE'i
E
a 6ro°
'X O N
in
in
48
in
72
gal
in
in
gal
min
in
in
gal
gal min
in
in
2
3
4
5
6
C
C
C
C
R 0.5
12,743
63,947
114,620
74,371
384
192
346
308
0.03
0.17
0.31
0.20
0.01
0.05
0.05
0.04
7,147
35,863
64,280
41,709
216
0.03 0.01
108
194
172
0.17 0.10
0.31 0.10
0.20 0.07
7
CL
8 R 0.03
9 R 1.75
10 CL
11 CL 0.09
12 C
13 C
14 CL
15 CL
16 CL
17 C
133.879
384
0.36
0.06
75,081
216 0.36 010
18 C
19 CL
20 C
21 C
22 C
23 CL
24 CL
25 R 0.03
50,564
58, 354
127,447
129,349
192
192
384
384
0.14
0.16
0.34
0.35
0.04 28,357
0.05 32, 726
0.05 71,474
0.05 72,541
108 0.14 0.08
108 0.1 6 0.09
216 0.34 0.09
216 0.35 0.10
26 R 0.15
27 CL
28 C
29 CL
30 R 0.02
31 R 0.3 24 24
Monthly Loading::::l
0 -
'
0.00
0
*: 22.57
1
765,274 1
2.05
429,17$ 2.05 0 0.00
16.931 00 97
12 Month Floating Total (in):
1693
.

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page S of 1
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: January Year: 2024
Field Name: Field Name:
Did irrigation occur
Field Name:
16
Field Name:
17
at this facility?
Area (acres):
1.25
Area (acres):
0.82
Area (acres):
Area (acres):
Cover Crop:
Coastal Bermuda
Cover Crop:
Coastal Bermuda
Cover Crop:
Cover Crop:
❑✓ YES ❑ No
Hourly Rate (in):
0.6
Hourly Rate (in):
0.5
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
13.83
Annual Rate (in):
16.95
Annual Rate in
( )
Annual Rate (in):
Weather
Freeboard
_Field Irrigated?
❑ YES [J No
Field Irrigated?
❑ YES [Jj NO
Field Irrigated?l
❑ YES ❑ No
Field Irrigated?
❑ YES ❑ NO
c0
p
U
o
y
m
°
0)T
ro
0
N V
'o
E En
N
7 c
N j N ' O
E )
EN
roC:
o a
°
E �:o
. >
'°
E E E
CM
aE vrop
N
i
>Q
S�>
°
��
n0LP
Qo M o
o
r
JaJ >
J
7
°F in
in
in
gal
min
in
in
gal
min
in
in
ga! min in in gal min in in
1
C
48
72
2
C
3
C
4
C
5 C
6%R1
7
8
9
101112131415
16 CL
17 C
18 C
19 CL
20 C
21 C
22 C
23 CL
24 CL
25 R
0.03
26 R
0.15
27 CL
28 C
29 CL
0 0.00 0 0.00
30 R
0.02
31 R
0.3
24
24
Monthly
Loading:1
0
_ 0.00
8.04
-' `
0
0.00
12
Month Floating
Total
(in):
Mfrs_
8.04

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 6 of _ 6
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Compliant ❑ Non -Compliant
Q Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
El Compliant El Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Gerald Lamar Matthews Permittee:
Sam Villari
Certification No.: 993131 Signing Official:
Grade: SI Phone Number: 910-289-7500 Signing Official's Title: Owner
Has the ORC changed since the previous NDAR-1? El Yes 2 No Phone Number: 910-293-2157 Permit Ex
p•: 11/302025
Signature Date Signature
Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, 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 all qualified personnel properly gathered and evaluated 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 knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I of S�
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: January Year: 2024
Field Name:
Zone 1
Field Name:
Zone 2
Field Name:
Zone 3
Field Name:
Zone 4
Field Name: Zone 5
Area (acres):
0.65
Area (acres):
1.16
Area (acres):
1.12
Area (acres):
1.07
Area (acres):
1.19
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field
Loaded?
YES
❑ No
Field
Loaded?
E YES
No Field
Loaded?
0 YES
❑ NO
Field Loaded? YES
n NO
Field
Loaded?
F11 YES
[I NO
O-
Q '�OL
Q
> 'D
C1
Ig,
Q a
Q
j 'L7
Q .O
ZQ
d .p
"'"� O Z
Q1
N
Z CU
Z
Q
a.
N .`.,
m
N J
4
M
N O
fL
a 'O
f0 O
Q d es M
0. (�
a.
N
W
E
N (D
U
>,
L O
�-'
=
EQ
N
B
d +`+
O) C
L°
A
-s+
' .� Q
Z
E¢
N
m C
f0 N
T N
"�
J
Ez
.ty
+T Q! .„ T icl
0 .0 o
fU d
=9 J
a
Q
d
N a..
m C
>, 'D
L O
N O
>J
v
U O"
,°'j
CJ
E
a
U
O
U il
++
> O J
Z
d
=
fO N
C
J
7
O
>
Q V
O
>
4 U
U
O
Q U
Q
> Q U
V
0
>
V
O
U a
Month
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
Ibs/ac
>
Ibs/ac gal
mg/L
Ibs/ac
lbs/ac
gal mg/L Ibs/ac
Ibs/ac
gal
Q
mg/L
Ibs/ac
Ibs/ac
February
0
31.8
0.0
0.0
0
31.8
0.0
0.0 0
31.8
0.0
0.0
0 31.8 0.0
o.0
F-0
-31.8
March
60,397
41
31.8
31.8
107,787
41
31.8
31.8 104,071
41
31.8
31.8
99,425 41 31.8
31.8
99,425
41
0.0
0.0
April
36,868
28.6
13.5
45.3
65,797
28.6
13.5
45.3 63,527
28.6
13.5
45.3
60,692 28.6 13.5
45.3
60,692
28.6
28.6
12.2
28.6
40.7
May
75,027
24.4
23.5
68.8
133,893
24.4 123.5
68.8 129,275
24.4
23.5
68.8
L123,505 1 24.4 23.5
68.8
123,505
24.4
21.1
61.9
June
19,824
37
9.4
78.2
35,380
37
9.4
78.2 34,160
37
9.4
78.2
32,638 37 9.4
78.2
32,638
37
8.5
70.3
July
23,085
55.8
16.5
94.7
41,198
55.8
16.5
94.7 39,777
55.8
16.5
94.7
38,002 55.8 16.5
94.7
38,002
55.8
14.9
85.2
August
21,276
36.6
10.0
104.7
37,970
36.6
10.0
104.7 36,661
36.6
10.0
104.7
1 35,024 36.6 10.0
104.7
38,952
36.6
10.0
95.2
September
53,310
42.8
29.3
134.0
95,138
42.8
29.3
134.0 91,858
42.8
29.3
134.0
L 87,758 1 42.8 293
134.0
97,598
42.8
29.3
124.4
October
41,191
51.1
27.0
161.0
73,513
51.1
27.0
161.0 70,977
51.1
27.0
161.0
67,809 51.1 27.0
161.0
75,415
51.1
27.0
151.5
November
20,377
123
32.2
193.2
36,364
123
32.2
193.2 35,110
123
32.2
193.2
33,543 123 32.2
193.2
37,304
123
32.2
December
47,206
150
90.9
284.0
84,245
150
909
284A 81,342
150
90.9
284.0
77,709 150 90.9
284.0
86,424
150
90.9
183.6
January
0
117
0.0
284.0
0
117
0.0
2840 0
117
0.0
284.0
0 117 0.0
284.0
0
274.5
12 Month
Floating PAN
Load
117
0.0
274.5
(Ibs/ac/yr):
284.0
284A
284.0
284.0
274.E
5
Annual
PAN Load
Limit
(Ibs/ac/yr):
350
350.00
350.00
350.00
350.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page Z of `C
Permit No.:
W00016376
Facility Name:
S&J Villari Livestock Processing Facility -Warsaw
County:
Duplin
Month:
January
Year:
2024
Field Name:
Zone 6
Field Name:
Zone 7
Field Name:
Zone 8
Field Name:
Zone 9 Field Name: Zone 10
@
Month
February
March
April
May
Area (acres):
Cover Crop:
Load Type:
Field Loaded?
z
a ¢°
¢ m e
�, U
d C
gal mglL
0 31.8
108,717 41
66,364 28.6
135,047 24.4
1.17
Area (acres):
1.05
Area (acres):
1.25
Area (acres):
1
Area (acres):
1.46
Coastal Bermud
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud Cover Crop: Coastal Bermud
PAN
Load Type:
PAN
Load Type:
PAN
Load Type,
PAN Load Type: PAN
D YES
Q
ro
a+ J
C
Ibs/ac
0.0
31.8
13.5
23.5
NO
> v
16 -i
3
Z
¢
Ibs/ac
0.0
31.8
45.3
68.8
Field
v
¢
y
E
gal
0
97,567
59,556
121,196
Loaded?
¢°
m.,
°� s
Lp 47
W U
mg/L
31.8
41
28.6
24.4
L1 YES
Q
c o
,,,,,
C
tbslac
6.0
31.8
13.5
23.5
NO
d a
m J
E¢
Ibs/ac
0.0
31.8
45.3
68.8
Field
°'
¢
N
E
gal
0
116,151
70,901
144,281
Loaded?
z o
m
m e
ro O
V
a v
mg/L
31.8
41
28.6
❑, YES ❑ No
z y
v ro°
ro
L O 7
t' J E z
Ibs/ac Ibs/ac
0.0 0.0
31.8 31.8
13.5 45.3
rFieldaded?
Q 31.8
92,920 41
56,722 28.6
YES f� NO Field Loaded? YES
z d z c z
a .° t= o a a- m a
s �° J ¢ m y v
ro
y, -1 2 O ro v t Oj
U o Q°
>
No
roo
°
_I
a
Ibslac
0.0
31.8
13.5
lbslac gal mg/L Ibslac
0.0 0 31.8 0.0
31.8 135,664 41 31.8
31 8 5,66 2 1 31.5
Ibs/ac
0.0
31.8
31.8
June 35,685
July 41,553
August 38,298
September 95,958
October 74,147
November 36,677
December 84,972
January 0
12 Month Floating PAN
(Ibs/ac/yr):
37
55.8
36.6
42.8
51.1
123
150
117
Load
9.4
16.5
10.0
29.3
27.0
32.2
90.9
00
284.0
78.2
94.7
104.7
134.0
161.0
193.2
284.0
284.0
32,025
37,291
34,370
86,117
66,541
32,915
76,256
0
37
55.8
366
42.8
51.1
123
150
117
9.4
16.5
10.Q
29.3
27.0
32.2
90.9
0.0
284.0
350.00
78.2
94.7
404.7
134.0
161.0
193.2
2$4.0
284.0
38,125
44,395
40,917
102,521
79,216
39,189
90,782
0
3
55
24W29.3134.0
36
42
51.1 1
123
150
117
27.0
32.2
90.9
0.0
284.0
161.0
193.2
284.0
284.0
115,424 24.4 23.5
30,500 37 9.4
35,516 55.8 16.5
32,732 36.6 10.0
82,016 42.8 29.3
63,373 51.1 27.0
31,349 123 32.2
72,627 150 90.9
0 117 0.0
284.0
350.00
68.8
78.2
947
104.7
134.0
161.0
193.2
7.84A
284.0
168,518 24.4 23.5
44,531 37 9.4
51,853 55.8 16.5
47,791 36.6 10.0
119,734 42.8 29.3
92,524 51.1 27.0
45,769 123 32.2
106,033 1 150 90.9
0 117 1 0.0
284.0
68.8
78.2
94.7
104.7
134.0
161.0
193.2
284.0
284.0
Annual PAN Load Limit
(Ibs/ac/yr):
350
350 00
350.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page __ of `S�
Permit No.: WQ0016376
Facility Name: S&J Villari Livestock Processing Facility -Warsaw
County: Duplin
Month: January Year: 2024
Zone 13 Field Name: Zone 14E Field Name: Zone 14W
Field Name:
Zone 11
Field Name:
Zone 12
Field Name:
Area (acres):
1.43
Area (acres):
123
Area (acres):
2.16
Area (acres):
13.73 Area (acres): 7.7
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud
Cover Crop:
Coastal Bermud Cover Crop: Coastal Bermud
Load
Type:
PAN
Load
Type:
PAN
Load
Type:
PAN
Load
Type:
PAN
Load Type: PAN
Field
Loaded?
2 YES
❑ NO
Field
Loaded?
YES
❑ NO
Field
Loaded?
0 YES NO
Field
Loaded?
❑YES
,,
❑ NO Field Loaded? ❑YES
0
2
Q '0
'�
<
Z
'
Q O
Z(0
Z
T
�qQ
Z
13
) Z
NO
Q
a
a
o
c
a¢
Q
°`=
>
E
t o
E Q
m
�3Z
.a
¢
a)
me
M _j
07
<
W
a
>,mmJ
B O
aZ
¢
DC 0
Jv
> c
C
o
a.�
oN
=Z
Q
� `�
E,j
zC
E
>
CU
U
<L
)
0
a.
U
Month
gal
rn
Ibs/ac
Ibs/ac
ga[
mg/L
Ibs/ac
Ibs/ac
1 gal
mg/L
Ibs/ac Ibs/ac
gat
mg/L
U
Ibs/ac
Ibs/ac gal mg/ L Ibs/ac
Ibs/ac
February
0
31.8
0.0
0.0
0
31.8
0.0
0.0
10
31.8
0.0 0.0
246,807
31.8
4.8
4.8
March
132,877
41
31.8
31.8
114,293
1 41
31.8
31.8
200,711
41
31.8 31.8
1 689,966
41
17.2
138,414 31.8 4.8
4.8
April
81,111
28.6
13.5
45.3
69,768
28.6
13.5
45.3
122,517
28.6
13.5 45.3
631,610
28.6
11.0
22.0 386,943 41 17.2
32.9 354,216 28.6
22.0
May
165,057
24.4
23.5
68.8
141,972
24.4
23.5
68.8
249,316
24.4
23.5 68.8
L 558,451
24A
8.3
11.0
41.2. 313,186 24.4 8.3
32.9
June
43,617
37
9.4
78.2
37,515
37
9.4
78.2
65,881
37
9.4 78.2
286,429
37
6.4
47.6 160,633 37 6.4
41.2
47.6
July
50,787
55.8
16.5
94.7
43,684
55.8
16.5
94.7
76,713
55.8
16.5 94.7
413,380
55.8
14.0
61.6 231,830 55.8 14.0
61.6
August
46,808
36.6
10.0
104.7
40,262
36.6
10.0
104.7
70,703
36.6
10.0 104.7
387,717
36.6
8.6
70.3 217,438 36.6 8.6
70.3
September
117,284
42.8
29.3
134.0 11
100,881
42.8
29.3
134.0
177,154
42.5
29.1 133.8
282,056
42.8
7.3
77.6 158,183 42.8 7.3
October
90,623
51.1
27.0
161.0
77,948
51.1
27.0
161.0
136,884
51.1
27.0 160.8
282,056
51.1
8.8
588,398
86.4 588,398 51.1 32.6
77.6
November
44,828
123
32.2
193.2
38,559
123
32.2
193.2
67,712
123
32.2 193.0
875,365
123
65.4
151.8 123 65.4
110.2
December
103,855
150
90.9
284.0
89,330
150
90.9
284 0
156,871
150
90.9 283.8
127,319
150
11.6
163.4 71,402 150 11.6
175.6
187.2
January
12 Month Floating
0
PAN
117
Load
0.0
284.0
0
117
00
284.0
0
117
0.0 283.8
765,274
117
54.4
217.7 11 429,178 117 54A
241.6
(Ibs/ac/yr):
284.0
284.0
�-
283.8
217.7
241.6
Annual PAN Load
Limit
(lbs/ac/yr):
117
11. )0
350.00
350.00
350.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 4 of S-
Permit No.: WQ0016376
Facility Name:
S&J Villari Livestock
Processing
Facility -Warsaw
County:
Duplin
Month: January Year: 2024
Field Name:
Zone 15
Field Name:
Zone 16
Field Name:
Zone 17
Field Name:
Field Name:
0.73
Area (acres):
1.25
Area (acres):
0.82
Area (acres):
Area (acres):
Area (acres):
Norfolk
Cover Crop:
Coastal Bermud
over Crop:
Coastal Bermud
Cover Crop:
Cover Crop:
Cover Crop:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
PAN Load Type: PAN
0 YES
❑ No
Field Loaded?
[ 1 YES
No
Field
Loaded?
0 YES
❑ No
Field Loaded?
Field Loaded?
.o
❑ YES
(] NO Field Loaded? ❑YES 0 No
2 Z
o.
d
z
Q
m
mz C
L
Z C
z
z 0
z
Z z
a
'0
o
aa
0
z d
°
>
r� E I u
CU
= �
E z
9) ro W
u_
z
m
m W
E o
J
Z
y m e
0 r Q > m m
J
O Q o
U a
3 > O
0
V
>
> p
O
7 a
U
3 y C
p 7 a 7 W C J j Q
a
> U
> ¢ U
>
Q U
0 a U
O
o Q o U a
Month gal mg/L
February 0
Ibs/ac
Ibs/ac
gal mg/L
Ibs/ac
ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
>
gat mglL
U
Ibs/ac Ibslac gal mg/L Ibslac Ibslac
31.8
0.0
0.0
11,783 31.8
2.5
2.5
7,730
31.8
2.5
2.5
March 67,833 41
31.8
31.8
24,159 41
6.6
9.1
15,849
41
6.6
9.1
April 41,407 28.6
13.5
45.3
23,725 28.6
4.5
13.6
15,563
28.6
4.5
13.6
May 84,259 24.4
23.5
68.8
24,162 24.4
3.9
17.6
15,851
24.4
3.9
17.6
June 22,264
37
9.4
78.2
24,801 37 6.1
23.7 1
16,269
37
6.1
23.7
July 25,927
55.8
16.5
94.7
26,666 55.8 9.9
33.6
17,494
55.8
9.9
33.6
August 23,895
36.6
10.0
104.7
20,489 36.6 5.0
38.6
13,440
36.6
5.0
38.6
September 59,872
42.8
29.3
134.0
36,603 42.8 10.5
49.1 1
24,011 1
42.8
10.5
49.1
October 46,262
51.1
27.0
161.0
27,706 51.1 9.4
58.5 1
18,175
51.1 1
9.4
58.5
November 22,884
123
32.2
193.2
24,526 123 20.1
78.6 1
16,089
123 1
20.1
78.6
December 53,018
150
90.9
284.0
27,168 150 27.2
105.8
17,822
150
27.2
105.8
January 0
117
0.0
284.0
0 117 0.0
105.8
0
117
0.0
105.8
12 Month Floating PAN
Load
(Ibs/ac/yr):
284.0
105.8
105.8
0.0 0.0
Annual PAN Load Limit
(Ibs/ac/yr):
350
35000
350.00
0.00 0.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 5-of S___,
Did the mass loading rates exceed the limits in Attachment B of your permit?
M Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
nntinntO taken Aff—h nfbnfi—I she ;s.............._.
----. , I .
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Gerald Lamar Matthews Permittee:
SAM VILLARI
Certification Number: 993131 Signing Official:
Grade: SI Phone Number: 910-289-7500 Signing Official's Title: OWNER
Has the ORC changed since the previous NDMLR? ❑ Yes [D No Phone No.: 910-293-2157 Permit Exp,: 11/30/25
2 21-2ozj�
Signature Date Signature
Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, 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 all qualified personnel properly gathered and evaluated 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 knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Environmental Chemists, Inc.
` At 6602 Windmill Way, Wilmington, NC 28405 s 910.392.0223 Lab 4 910,392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/ Fax
255-A Wilmington Highway Jacksonville, NC 28540 w 910.347.5843 Lab; Fax
ANALYTICAL. & CONSULTING CHEMISTS info!t+ environnlen€allchemists.com
The Pork Company Date of Report: Feb 08, 2024
892 Penny Branch Road Customer PO #:
Warsaw NC 28398 Customer ID: 08100099
Attention: Report #: 2024-02141
Project ID: WWTF Eff - Mthly
Lab ID Sample ID: Collect Daterrime Matrix Sampled by
24-05048 Site: Effluent Grab 1/25/2024 8:00 AM Water Douglas Stallworth
Test
Method
Results
Date Analyzed
PAN
Used 30%Mineralization Rate.
Calculation
117 m 9!L
02/02/2024
Fecal Coliform
Idebc Colilert-18
24200 MPN/100ml
01 /25/2024
Total Dissolved Solids (TDS)
SM 2540 C-2015
456 mg/L
01/26/2024
Residue Suspended (TSS)
SM2540 D-2015
101 mg/L
01/26/2024
Ammonia Nitrogen
SM 4500 NH3 C-2011
202 mg/L
01 /27/2024
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg a-2011
252 m /L
9
01 /27/2024
Total Phosphorus
SM, 4500 P (F-H)-2011
0.58 mg/L
02/05l2024
BOD
Sample estimated. Did not meet
SM 5210 B-2016
quality control requirments: blank= 0 23 mg/L, above
355 m /L
acceptable limit of 0.2D mg/L
01/26/2024
Nitrate Nitrogen (Calc
Nitrite Nitrogen EPA 353 2, Rev 2.0. 1993 0.30 mg/L 01 /25/2024
Nitrate+Nitrite-Nitrogen EPA 3532, Rev 2.0.1993 0.85 mg/L 01/29/2024
Nitrate Nitrogen Subtraction Method 0.55 m /L
Total Nitrogen (Calc) g 02/02/2024
Total Nitrogen Total Nitrogen 253 mg/L 02/02/2024
Report 9. 2024-02141
Page 1 of 2

F"00--71 Environmental Chemists, Inc.
nvirochem 6602 Windmill Way, Wilmington, NC 28405 1 910.392.0223 Lab a 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 4 252.473.5702 I-ab,"'Fax
255-A Wilmington Highway, Jacksonville, NC 28540 i 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS ini'o i.environnlentalchemists.com
The Pork Company Date of Report: Feb 08, 2024
892 Penny Branch Road Customer PO #:
Warsaw NC 28398 Customer ID: 08100099
Attention: Report #: 2024-02141
Project ID: WWTF Eff - Mthly
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
24-05049 Site: PPI-002 Upstream 1/25/2024 8:15 AM Water Douglas Stallworth
Test Method Results Date Analyzed
Ammonia Nitrogen EPA 350.1, Rev 2.0, 1993 < 0.2 mg/L 01/31/2024
Total Phosphorus SM 4500 P (F-H)-2011 < 0.04 mg/L 02/05/2024
Fecal Coliform SM 9222 0-2015 MF 955 Colonies/100mL 01/25/2024
Nitrate Nitrogen (Cale)
Nitrite Nitrogen EPA 353.2, Rev 2.0. 1993 0.02 mg/L 01/25/2024
Nitrate Nitrogen Subtraction Method 1.53 mg/L 02/02/2024
Total Nitrogen (Cale)
Total Kjeldahl Nitrogen (TKN) EPA 351.2, Rev. 2.0, 1993 < 0.5 mg/L 02/06/2024
Nitrate+Nitrite-Nitrogen EPA 353.2. Rev. 2.0, 1993 1.55 mg/L 01/29/2024
Total Nitrogen Total Nitrogen 1.60 mg/L 02l06/2024
Lab ID Sample ID: Collect Daterrime Matrix Sampled by
24-05050 Site: PPI-003 Downstream 1/25/2024 8:30 AM Water Douglas Stallworth
Test Method Results Date Analyzed
Ammonia Nitrogen EPA 350.1, Rev. 2.0, 1993 0.4 mg/L 01/31/2024
Total Phosphorus SM 4500 P (F-H)-2011 0.10 mg/L 02/05/2024
Fecal Coliform SM 9222 D-2015 MF 1450 Colon ies/1 00m L 01/25/2024
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2. Rev. 2.0, 1993
0.02 mg/L
01/25/2024
Nitrate Nitrogen
Subtraction Method
1.43 mg/L
0210212024
Total Nitrogen (Cale)
Total Kjeldahl Nitrogen (TKN)
EPA 351.2. Rev. 2.0, 1993
0.9mg/L
02/0612024
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0. 1993
1.45mg/L
01/29/2024
Total Nitrogen
Total Nitrogen
2.40 mg/L
02/06/2024
Comment:
Reviewed by: �J�4
Report #:: 2024-02141
age 2 of 2

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
Sample Receipt Checklist 910.392.0223
Client: ��Q �U Y � C =
,� Date: Report Number: 2024-
Receipt of sample:
❑ YES ❑
Client Delivery ❑ UPS ❑ FedEx ❑ Other ❑
❑
NOere
gol
custody seals present on the cooler?
Original
YES
temperature
❑
NO
upon°C
custody seals were present, werethey intact/unbroken?
Corrected temperature upon receipt
How temperature taken: ❑ Temperature Blank 0
Against Bottles
IR Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction Factor'C: 0.0
Z
®
YES
❑
NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
�YES
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
❑
NO
5. Were sample ID's listed on the COC?
D
YES
❑
NO
6. Were samples ID's listed on sample containers?
0
YES
❑
NO
7. Were collection date and time listed on the COC?
®
YES
❑
NO
8. Were tests to be performed listed on the COC?
0
YES
❑
NO
9. Did samples arrive in proper containers for each test?
!]
YES
❑
NO
10. Did samples arrive in good condition for each test?
D
YES
❑
NO
11. Was adequate sample volume available?'
G
YES
If
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
❑
NO
15. Were sulfide samples received at a pH >9?
YES
YESIII--
❑
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑
YES.
Were Sulfide/Cyanide received at a chlorine residual of <0.5 r"11
187.
Were orthophosphate samples filtered in the field within 15 minutes?
' TCC/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 Samples) were received with headsl)ace
COMMENTS:
DOC. QA.002 Rev 1

-
Y gt
ENVIRONMENTAL CHEMISTS INC 6602 Windmill Way Wilmington, NC 28405
Analytical & Consulting Chemists
! OFFICE: 910-392-0223 FAX [phone]
NCDENR: DWO CERTIFICATION # 94 NCVHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
CLIENT. The Pork Company
PROJECT NAME: WWTF Effluent
REPORT NO: -
ADDRESS: 1012 US H 117
CONTACT NAME:
PO NO:
Warsaw, NC 28398
REPORT TO: Gerald Matthews, ORC
PHONEWAX:
Permit Number. W00016376
— ---
email:
Sampled By: 0 "
I'
SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST =Stream, SO = Soil, SL = Sludge, Other:
�
Collection
m
a
a
o
PRESERVATION
Sample Identification
m
o .9 a CL o a� m m W
Date
Time Temp
w
a g z °z
s z° o ANALYSIS REQUESTED
x y r
PPI-001 (Effluent-1/month)
J U
in>rt.1
t
G I G X
BOD,TSS,NO2
PPI-001 Effluent-1/month)
G I
X fl, NO3, NH3, TKN,Total
H (field): !
C I P
P. PAN, Total N,
G G
C P
X Fecal Coliformt
G I G
C P
March, July, November
PPI-001 (Effl-Triannua{s)
G G X
C P
TOS, Chloride
G G
C P
G G X
NO2
PPI-002 (Upstream)
PPI-002 (Upstream)
C P
G G
X TKN, NHi, NOS Total P, Totni N
PPI-002 (Upstream)
C P
G G
X Fecal Coliform'
C P
G I G
PPI-003 Downstream
G G I X
NO2'
PPI-003 (Downstream)
G •G
X +
TKN, NH3, NO3, Total P,
Total N_
;PPI-003 (Downstream)
C P
GG
-
X Fecal Coliform
Samples due Iimonth
-
Transfer
Relinquished By: )ate/Time
Received By:
ate/Time
2.
e .
Temperature when Received °C:
Accepted: Rejected:
--
1
esample Requested:
Delivered By:
r A. Rec
l�
/
Comments:
Q
,Date: Time:
RNARO D: