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WQ0016376_Monitoring - 05-2024_20240722
Monitoring Report Submittal Permit Number#* WQ0016376 Name of Facility:* S&J VILLARI LIVESTOCK PROCESSING FACILITY - WARSAW Month: * May Year: * 2024 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR WWT May 2024.pdf 6.32MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * gerald.m@vfgmail.com Name of Submitter: * Gerald Matthews Signature: Date of submittal: 7/22/2024 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* W00016376 Is the monitoring report accepted?* Yes NO Regional Office* Washington Reviewer: _anonymous Review Date: 7/25/2024 FORM. NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page i ofA- Permit No.: W00016376 Facility Name: S&J Villari Livestock Processing Facility-Warsa County: Duplin Month: May Year: 2024 PPI: 001 Flow Measuring Point: ❑ Influent 0 Effluent ❑ No now generated Parameter Monitoring Point: ❑ Influent 0 Effluent U Groundwater Lowerng ❑ Surface water Parameter Code -s 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530 O c O O u, m a U E- r U i _ U c o E < L Z t- CMF z V) o s a a dN aE vo f p g va¢c o ir 24-hr hrs GPD mg/L mg/L mg/L #/100 mL mg/L mg/L mg/L mg/L su mg/L mg/L mg/L 1 07.00 10 67,808 2 07:00 10 65,816 <0.1 7.7 3 07:00 10 59,504 194 7.79 4 07:00 4 11,244 5 15:00 2 23,148 6 07:00 10 68,856 7 09:00 10 72,522 8 07:00 10 69,881 9 07:00 10 73,117 164 <0.1 7 1 10 07:00 10 69,085 11 07:00 0 7,771 121 07:00 0 11,853 13 00100 10 67,621 14 00:00 10 78,699 15 07:00 10 81,539 16 07:00 10 67,235 179 <0. i 7.9 17 07:00 10 70,408 18 07:00 5 10,318 19 07:00 1 7,771 20 07:00 10 76,123 21 09:00 10 74,490 22 07:00 10 72,084 23 07:00 10 82,898 <0.1 7.3 24 07:00 10 69,894 251 07:00 5 10,584 26 15:00 1 14,688 27 07:00 10 22,289 28 10400 10 77,115 29 07:00 10 76,885 30 07:00 10 74,995 55 47 <0.1 471 95.1 101 <0.02 101 7 0.04 337 30.8 311 07:00 10 66,877 Average. 54,939 55,00 146.00 0.00 471.00 95.10 101-00 0.00 101.00 0.04 337.00 30.80 Daily Maximum: 82,898 55.00 194.00 0.10 471.00 95.10 101.00 0.02 101.00 7.90 0.04 337.00 30.80 Daily Minimum: 7,771 55.00 47.00 0.10 471.00 95.10 101.00 0.02 101.00 7.00 0.04 337.00 30.80 Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Monthly Avg. Limit: 100,260 I Daily Limit: Sample Frequency: Recorder Monthly Monthly Monthly Monthly Mcnthly Monthly Monthly Monthiy Monthly Monthly � FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0016376 Facility Name: S&,1 Villari Livestock Processing Facility-Warsa County: Duplin Month: May Year: 2024 PPI: 002 Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No Flow generated Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering 0 Surface water Parameter Code 0 50050 00625 00610 00620 00665 31616 00600 �. t6 Q E UH 00 C E '.' ~� ( o O LL O O O Y 2 .. o z f- E2 O E Q .�. Z N R to L o a o s a- � •- LL O U C O o. z 24-hr hrs GPD mglL mg/L mglL mglL #/100 mL mg/L 1 07:00 10 67,808 2 07:00 10 65,816 3 07 00 10 59,504 4 07:00 4 11,244 5 15:00 2 23.148 6 07:00 10 68,856 7 09:00 10 72,522 8 07:00 10 69,881 9 07:00 10 73,117 10 07:00 10 69,085 11 07:00 0 7,771 121 07:00 0 11,853 13 00:00 10 67,621 14 00:00 10 78,699 _ 15 07:00 10 81,539 16 07:00 10 67,235 17 07:00 10 70.408 181 07:00 5 10,318 19 07:00 1 7,771 20 07.00 10 76,123 21 09:00 10 74.490 22 07:00 10 72,084 23 07:00 10 82,898 _ 241 07:00 10 69,894 25 07.00 5 10,584 26 15:00 1 14,688 27 07:00 10 22,289 28 10:00 10 77,115 29 07:00 10 76,885 301 07:00 1 10 74,995 1.2 0.3 1.32 0.22 86 2.5 311 07:00 1 10 66,877 Average: 54,939 1.20 0.30 1.32 0.22 86.00 2.50 Daily Maximum: 82,898 1.20 0.30 1.32 0.22 86.00 2.50 Daily Minimum: 7,771 1.20 0.30 1.32 0.22 86.00 2.50 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 of Jt4 Permit No.: WQ0016376 Facility Name: S&J Villari Livestock Processing Facility-Warsa County: Duplin Month: May Year: 2024 PPL 003 Flow Measuring Point: ❑ it luent 0 Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code 0 50050 00625 00610 00620 00665 31616 00600 ro L O c Ct O C Y 2 y Z F_ l4 E a .. N i O Q r a E U C O` Z 24-hr hrs GPD mg/L mg/L mg/L mg/L #/100 mL mg/L 1 07:00 10 67,808 2 0700 10 65,816 3 07:00 10 59,504 4 07:00 4 11,244 5 15:00 2 23,148 6 07:00 10 68,856 7 0900 10 72,522 8 07:00 10 69,881 9 07:00 10 73,117 10 07:00 10 69,085 11 07:00 0 7,771 121 07:00 1 0 11,853 13 00:00 10 67,621 14 00 00 10 78,699 15 07:00 10 81,539 16 07:00 10 67,235 17 07:00 10 70,408 18 07:00 5 10,318 19 07:00 1 7,771 20 07:00 10 76,123 21 09:00 10 74,490 22 07.00 10 72,084 23 07:00 10 82,898 24 07:00 10 69,894 I 25 07:00 5 10,584 26 15:00 1 14,688 27 07:00 10 22,289 28 10:00 10 77,115 29 07:00 10 76,885 30 07:00 10 74,995 153 140 <0.02 12.5 >30000 154 311 07 00 10 65,877 Average: 54,939 153.00 14000 0.00 12.50 1.00 154.00 Daily Maximum: 82,898 153.00 140.00 0.02 12.50 0.00 154.00 Daily Minimum: 7,771 153.00 140.00 0.02 12.50 0.00 154.00 Sampling Type: Recorder Grab Grab Grab Grab Grab Monthly Avg. Limit: Daily Limit: Sample Frequency: Recorder Monthly Monthly Monthly Monthly Monthly FORM: NDMR03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page___9_� ofAL Sampling Person(s) Name: GERALD LAMAR MATTHEWS Name Certified Laboratories Name: Environmentat Chemists INC. Name: Water Agricultural Laboratories Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [ 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? Q yes ❑ No Phone Number: 910-293-2157 Permit Expiration: 11/30/2025 s 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 property 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 FORNAr NDAR-1 03-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page % 04 Permit No.: VVQ0016376 Facility Name: S&J Villari Livestock Processing Facility -Warsaw County: Dupfin Month: May Year: 2024 Did irrigation occur Field iLame: 1 Field Name: 2 Field (dame: 3 Field Name: 4 facility?Cover Area (acres): 0.65 Area (acres): 1.16 Area (acres): 1.12 Area (acres): 1.07 at this Crop: Coastal Bermuda Cover Crop: Coastal Bermuda Cover Crop: Coastal Bermuda Cover Crop: Coastal Bermuda ❑� YES ❑ No Hourly Rate (in): 0.6 Hourly Pate (in): 0.6 Hourly Rate (in): 0.6 Hourly Rate (in): 0.6 Annual Rate (in): 41.96 Annual Rate (in): 41.95 Annual Rate (in): 41.96 Annual Rate (in): 41.95 Weather Freeboard Field Irrigated? I✓ Yes i ; No Field Irrigated? [! YES u NO Field Irrigated? E YES No Field Irrigated? YES - No ❑('u d v U i rGG C aQ.+ O E >¢ ~❑ rn E o> ¢ ~ 0�0 >a _ :1 •a ° J _ 3_ C X so G o a Q rn 2 CD C m o J c� C mE o X o4-7 J °F in in in gal min in in gal min in in gal min in in gal min in in 1 C 48 60 2 C 3 C 4 R 0.07 5 R 0.09 6 R 0.03 _ 7 C 5,300 21 0.30 1 0.30 9,459 38 0.30 0.30 9,133 36 0.30 0,30 8,725 35 0.30 0.30 8 C 0.02 4,336 19 0.25 0.25 7,737 33 0.25 0.25 7,471 32 0.25 0.25 7,137 31 0.25 0.25 9 CL 1,921 12 0.11 0.11 3,429 21 0.11 0.11 3,311 20 0.11 0.11 3,163 19 0.11 0.11 10 C 11 C 121 C 13 C I 2,600 I 12 0.15 0.15 4,640 21 0.15 0.15 4,480 20 0.15 0.15 4,280 19 0.15 0.15 14 R± 15 R I 1 16 CL F0,O 17 C 5,695 20 0.32 0.32 10,163 35 0.32 0.32 9,812 34 0.32 0.32 9,374 33 0.32 0.32 18 R 1 19 CL 20 C 21 C 5,544 19 0.31 0.31 9,895 33 0.31 0.31 9,553 32 0.31 0.31 9,127 31 0 31 0.31 22 C 6,359 21 0.36 0.36 11,349 38 0.36 0.36 10,958 36 0.36 0.36 10,468 35 0.36 0.36 23 C 5,832 14 0.33 0.33 10,408 26 0.33 0.33 10,049 25 0.33 0.33 9.601 24 0.33 0.33 24 CL 25 C 26 C 27 R 0.5 28 C 29 C 30 C 31 C 60 54 j� i 64.767 -- - 1j _� Monthly Loading: 12 tllonth Floating Total 37 587 1-- 2. i3 17.80 67.080 I 1 2.13 17 80 i 2.13 17.80 i1- 61.875���- f 2.13 17.80 FORi,1: NDAR- i 08-11 NON -DISCHARGE APPLICA 1 !0N REPORT (NDAR-1) Page Z. of Permit No.? 1N000 i6376mmFacility Name: S&J Villari Livestock Processing Facility -Warsaw -i County: Duplin Month: May i Year: 2024 Dt'^pp cn C,f+Cr 7A_ �Y E`f �lYVil ®'VV�7C I Field Name: l 5 Field Name: 6 Field Name: 7 Field Name: l 8 t��Y� C�. �T@aScaCGBi��f'? Area (acres): 1.19 Area (acres): 1.17 Area (acres): 1.05 Area (acres): 1.25 at 6 Cover Crop: p: Coastal Bermuda Cover Crop: Coastal Bermuda Cover Crop: Coastal Bermuda Cover Crop: Coastal Bermuda YES -1 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 ElNo Field Irrigated? YES ❑ No Field Irrigated? ] YES ` No i a, o d 75 CD c n E C)J o c ° 61 ° J in m °, ° c� v •� o a > Q a U w i= a' '� 1 C c m J '= a ° S- J E o a i Q N c a' ~ �` c a J E T � C o° = J 0) is C c a CL Q z3 N E ci r CM 1 C G J E � � o S= J "o F N -CL CL � Q � Q7 „�-, E rn ~ rn A c ❑° E rn E o p° Z J °e in in in gal I min in in gal min in in gal min in in gal min in in 1 C 48 60 2 C 93 C 4 R 0.07 5 R 10.09 6 R 0.03 C 9,704 39 0.30 0-30 9,541 38 0.30 0.30 8,562 34 0.30 0.30 10193 40 0.30 0.30 8 C 0.02 7.938 34 0.25 0.25 7,804 34 0.25 0.25 7,004 30 0.25 0.25 8,338 36 0.25 0.25 9 CL 3.518 21 0-11 0.11 3,459 21 0.11 011 3,104 19 0.11 0.11 3,695 22 0,11 6.11 10 C 11 C I 12 C I 13 C 4,760 21 0.15 0.15 4,680 21 015 0.15 4.200 19 0.15 0.15 5,000 22 0.15 0.15 14 R 1 15 R 1.5 16 CL 17 C 10.425 36 0,32 0.32 10,250 26 0.32 0.32 9,1199 32 0.32 0.32 i0,951 38 0.32 0.32 18 R 0.03 19 CL 20 C 7-1 C 10,151 34 0.31 0.31 9.980 34 0.31 0.31 8.956 30 0.31 0.31 10.662 36 0.31 0.31 22 C 11,642 39 0.36 0.36 11,447 38 0.36 0.36 10,273 34 I 0.36 0.36 12,229 40 0,36 0.36 23 C 10,677 26 0.33 0.33 10,498 26 0.33 0.33 9,421 23 0.33 0.33 11.216 28 0.33 0,33 24 CL 25 C 26 C t 27 R 0.5 i j 28 C 129 =C 311 C I 1 60 54 1 68,815 1 _ f ��� ,�� 1� Monthly Loading. (12 Month Floating Total (in) 2.13 17.80 _- i 67,659 !� - i , _ 2.13 17.80 1� 60,719 �� 2.13 17.80 I 72,284 I _ 2.13 17.80 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --3 of Permit No. W00015376 ._. Facility Name: S&J Villari Livestock Processing Facility -Warsaw I County:�L Duplin Month: May Year: 2024 Did 1 ®ccwrr Field Name: 9 Field Name: 10 Field Name: 1 i Field Name: 12 h' gation V facif ? Area (acres): i Area (acres): 1.46 Area (acres): 1.43 Area (acres): 1.23 a•C c us try Cover Crop:Coastal Bermuda Cover Crop: p� Coastal Bermuda Cover Crop: P� Coastal Bermuda Cover Crop: p: Coastal Bermuda 71 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? [i YES ❑ NO Field Irrigated? ] Y S NO Field Irrigated? C YES ❑ No T p a 0 1 f0 ° a .�+ 'a 6 d d O rn m° J fn w O cn u E 2 o CL E a U w E i= •� _ rn ?� C 0 m p 0 -j O c C =� o s o J 0 -O E .2 � a o a B a d .e0. E� i= P' - c� T S @ a o o J E u) C E�-0 S o 2i J E O � Q 0 2 > Q 'V 2 E� i= `�� _ m T C � a o o .._1 E M 7 C E 5 0 o J a� LC N � Q o a > Q -a N .U. E r F .°1 T C E a p p E T rn 7 C E� 'v = o 'r in in in gal min in in gal min in in gal min in in gal min in in 1 C 48 60 2 C 3 C 4 R 0.07 5 R 0.09 6 R 0,03 7 C 8,155 32 0.30 030 11,906 47 0.30 0.30 11,661 46 0-30 0.30 10,030 40 0.30 0.30 8 C 0.02 6,670 29 0.25 0.25 9,739 42 0.25 0.25 9,538 41 0.25 0.25 8,204 35 0.25 0.25 9 CL 2,956 18 0.11 0.11 4,316 26 0.11 0.11 4,227 26 0.11 0.11 3,636 22 0.11 0.11 10 C 11 C 12 C 13 C 4,000 18 0.15 0.15 5,840 26 0.15 0.15 5,720 26 0.15 0.15 4,920 22 0.15 0.15 14 R t 1 15 R 1.5 16 CL 17 C , 8,761 31 0.32 0.32 12,791 45 0.32 0 32 12,528 44 0.32 0.32 10,776 38 0.32 0.32 18 R 0.03 19 CL 20 C El I 21 C 8,530 29 031 0.31 12,454 42 0.31 0.31 12.198 41 0.31 0111 10.492 35 0.31 0.31 22 C 9,784 32 0.36 0.36 14,284 I 47 0-36 0.36 13,990 46 0.36 0.36 12.034 40 0.36 0.36 23 C 8,973 22 0.33 I 0.33 13,100 32 0.33 0.33 12.831 32 0.33 0.33 11.036 27 0.33 0.33 24 CL 25 C 26 C 27 R 0.5 I28 C �� f 29 C 30 C 31 C 60 54 57 829 F I 2 13 1 ,• 80__ k 84.430 2.13 h Monthly Loading 2.13 17,80 i 82,693 - �_✓ 71,128 2.13 12 Month Floating Total (in) - - 17. 80 _ 17.80 _ _�J FORIvi NDAR-1 08-1 i NON-DISCHAi?GE APPLICATION REPORT (!©1R-1) Page-0.- - � Permit No.: W00016376 Facility Name: S&J Villari Livestock Processing Facility -Warsaw County: Duplin Month: May Year: 2024 Did irrigation ®CCUi Field Name: 13 Field Name: 14E Field Name: 14W Field Name: a 15 'e h facility? Area (acres): 2.16 Area (acres): 13.73 Area (acres): 7.7 Area (acres). 0.73 at E S Cover Crop: Coastal Bermuda Cover Crop: Coastal Bermuda Cover Crop: Coastal Bermuda Cover Crop. Coastal Bermuda Q YES ❑ NO Hourly Rate (in): 0.6 Hourly Rate (in): 0.6 Hourly Pate (in): 0.6 Hourly Rate (in): 0.6 Annual Rate (in): 41.96 Annual Rate (in): 31.6 Annual Rate (in): 24.21 Annual Rate (in): 30.44 Weather Freeboard Field Irrigated? ❑YES ❑ No Field Irrigated? EYES No Fieid Irrgated? ; YES `II NO Field Irrigated? 0 YES ❑ NO a o N r 0 CL c °m o E .� R > Q o °o =o CL � E ~° fM 6 0 -.1 E M o a: J . J iQ -a � _ � rn __ro J r c) o = 0 a -a E ~E c E cc , o mO O J °F in in in gal I min in in gal min in in gal min in in gal min in in 1 C 48 60� �I= I 2 C I 3 C 4 R 0 07 5 F 0,09 6 P. 0.03 7 C 17,614 70 0.30 0.26 114,903 346 0.31 C 05 64,439 194 0.31 0.10 5,953 24 0.30 0.30 8 C 0-02 14,408 62 0.25 0.24 3,907 311 0.01 0.00 2,191 175 0.01 0.00 4,869 21 0.25 0.25 9 CL 6,385 39 0,11 0.11 2,158 13 0.11 0.11 10 C 11 C 12 C 13 C I 8,640 1 39 0.15 0.15 2,920 13 0.15 0.15 14 R 1 I - 15 R 1.5 16 CL 17 C 18,923 66 0-32 0.29 6,395 22 0.32 I 0.32 18 R 003 _ 19 CL 20 C I 21 C 18,425 62 0.31 0.30 6.227 21 0.31 0.31 22 C 21,132 70 0.36 0.31 7.142 24 0,36 0.36 231 C 1 19,381 1 48 0.33 0.33 I 6.550 16 0.33 0.33 24 CL 25 C _ 26 C 27 R 0.5 28 C f 29� C 301 C 311 C I 60 54 1y 'i Monthly Loading:�j 124,908 2.13 17.80 ,j 118,810 4 y- 0-32 17-39 l' _ i 66.630 1 �� 0.32 17.39 42,214 2.13 1 17.80 12 Month Floating FORM: NDAR-1 08-11 iqON-DISCrIARG' APPLICATION REPORT (NDAR-1) Page of Permit No.: VV00016376 Facility Name: S&J ViElari Livestock Processing Facility -Warsaw County: Duplin Month: May Year: 2024 D�d irr ig eccur Field Name:` 16 Field Name: 17 Field Name:i Field Name: LJon this Area (acres):I 1.25 Area (acres): 0.82 Area (acres): Area (acres): at )y' ���� Cover Crop:Coastal Bermuda Cover Crop: p: I Coastal Bermuda Cover Crop: p: I Cover Crop: p: [� YES rlo Hourly Rate (in): 0.6 Hourly Rate (in): 0.5 Hourly Rate (in): Hourly Rate (in): Annual Rate (in): I 13.83 Annual Rate (in): 16.95 Annual Rate (in): Annual Rate (in): Weather Freeboard Field Irrigated? ii YES C, NO Field Irrigated? ❑ YES ] NC Field Irrigated? ] YcS r10 Field Irrigated? [ YES JI r10 o 0 ro Q a m .� Q c p I o F (U _Z; E .2 O a u 2 Ei U-) a E p E U) c� c v p � m O Q. �� � c 0 3� c E Cc O � ti O C) a; �- = M 7i C 'v X � �v o E c F � c E arn . °F I in i in in gal min in in gal min in in I coal min in in gal min in in 1 C 48- 2 C 3 C 4 R 0.07 I 5 P, 0.09 6 R 0.03 I 7 C 8 C 0.02 9 CL 10 C 11 C 12 C 13 C 11,643 181 0.34 0.11 7,638 119 0.34 0.17 14 R 1 151 R 1.5 1161 CL 171C 181 R 0.03 19 CL 20 C 21 C 22 C 12,616 181 0.37', 0.12 8,276 119 0.37 0.19 23 C 24 CL I 25 C 26 C 27! R 05 -- 28 C R — 29i C 30 C 31 C 60 54 Monthly Loading: 24.259 j —� �0.71_. 15.914 0.71 0 ��T 0.00 I 0 0.00 I 12 Month Floating Total (in): l 7.73 FORM: NDAR-1 e5-11 NON-DISCH�,RGc APPUCATION REPORT (NDAR-1) Page � o, Did the application rates exceed the limits in Attachment B of your permit? 0, Compliant ❑ Non -Compliant VVere adequate measures taken to prevent effluent ponding in or t•unoff from the sites? ❑✓ 'compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? p Compliant -❑ Nan -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ElCompliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? [] 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 NDAR-1? i Yes C No Phone Number: 910-293-2157 Permit Exp.: 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. NDNILR 10-13 NON -DISCHARGE MASS '_,O.,*hDING cPOr; (Il!DIVILR) Page- I- of Permit No.: b'1/Q0016376 s Faciliny -Name: S&J Villari Livestock Processing Facility -Warsaw l� County: Duplin Month: Nflay Year: Field Name: Zone i I Field Name: Zone 2 Field Name: Zone 3 II Field Name: � Zone 4 Field Name: l Zone 5 Area (acres): 0.65 area (acres): 1.16 Area (acres): 1.12 Area (acres): 1.07 Area (acres):I 1.19 Cover Crop: Coastal Bermuciz Cover Crop: Coastal Bermude Cover Crop: Coastal Bermud Cover Crop:ICoastal BermuclE Cover Crop: Coastal Bermuda Load Type: PAN Load Type: PAN Load Type: PAN Load Type:! PAN Load Type: PAN Field Loaded?I I] YES ❑ No Field Leaded? CI YES � No Field Loaded? 0 YES NO Field Loaded? U YES � rio Field Loaded? YES � NO m > Q< - c o Q 13 C o a 'O a a o ¢ a QQ o Q CD 0- - M 0.o- > o > a LL O - d 0 O c J Z F¢ d F 0� N O O C -� i E< N N O u -C O = J Z E d ti O i V L O J it Z d 07 c tti U O r J 3 E z 3 > C O 7 a U 7 > C O 7 a U C > C O 7 a V > C O< V 3 > C O 7 a O Q �j O G �j c. O Q V O C U rc' O Q �j U > > > > > Month gal mg/L Ibslac Ibs/ac gal mg/L Ibs/ac Ibslac gal mg/L Ibslac Ibs/ac gal mg/L ibs/ac Ibslac gal mg/L Ibs/ac Ibslac June 19,824 37 9.4 9A 35,380 37 9.4 9.4 34,160 37 9-4 I 9.4 32,638 37 T 9.4 9.4 32,638 37 8.5 8.5 July 23.085 55.8 16.5 25.9 41,198 55.8 16.5 25.9 39,777 55.8 16.5 25.9 38,002 55.8 16.5 25.9 38,002 55.8 14.9 23.3 August 21,276 36.6 10.0 35.9 37,970 36.6 10.0 35.9 36,661 36.6 10.0 35.9 35,024 36.6 10.0 35.9 38,952 36.6 10.0 33.3 September 53,310 42.8 29.3 65.2 95,138 42.8 29.3 65.2 91,858 42.8 29.3 65.2 87,758 42.8 T29.3 65.2 97.598 42.8 29.3 62.6 October 41,191 51.1 27.0 92.2 73,513 51.1 27.0 92.2 70,977 51.1 27.0 92.2 67,809 51.1 27.0 92.2 75,415 51.1 27.0 89.6 November 20,377 123 32.2 124.4 36,364 I 123 32.2 124.4 35,110 123 32.2 124.4 33,543 123 32.2 124.4 37,304 123 32.2 121.8 December 47,206 150 90.9 215.2 84,245 150 90.9 215.2 81,342 150 90.9 215.2 77,709 150 I 90.9 215.2 86,424 150 90.9 212.6 January 0 117 0.0 215.2 0 117 0.0 215.2 0 117 0.0 215.2 0 117 0.0 215.2 0 117 0.0 212.6 February 0 87.9 0.0 215.2 0 87.9 0.0 215.2 0 87.9 0.0 215.2 0 87.9 0.0 215.2 0 87.9 0.0 212.6 March 21,264 96.8 26A 241.6 37,946 96.8 26.4 241.6 36,638 96.8 26.4 241.E 35,002s 96.8 26.4 241.6 38,927 96.8 26.4 239.0 April 29,340 53.8 20.3 261.9 52,359 53.8 20.3 261.9 50,556 53.8 20.3 261.9 48,298 53.8 20.3 261.9 53,716 53.8 20.3 259.3 ,Jiay 37,587 49.4 23.8 285.7 67,080 49.4 23.8 285.7 64,767 49.4 23.8 285 7 61,875 49.4 I - 23.8 285.7 68,815 49.5 23.9 283.1 12 Uonth Floating PAN Load 2857 .7 ; r 285.7 f 285.7 1285.7 j 283.1 T Annual PAN Load Limit Ij ! I 1^ I (Ibs/aclyr}: 350 1--,- ; 1. ._ -- 350.00 i - - ---- `---- 350.00 I 1350.00 - - s�I - 1350.00 -- - -�. -- I --- FO=1v1: NDMLR 10-13 NON -DISCHARGE B,GSS LOADING REPORT (NDNfiLR) Pace of Permit No.: WQ0016376 f Facility Name: SU Villari Livestock Processing Facility -Warsaw County: Duplin � _ iWonth: May Year: 2024 Field Name: Zone 6 II ; ieid Name: Zcne 7 i Field Name: Zone 8 Field Flame: s- Zone 9 Field Name: Zone 10 Area (acres): 1.17 ,' rea (acres): I 1.05 Area (acres): 1.25 Area (acres): 1 Area (acres): 1.46 Cover Crop: Coastal Bermudz Cover Crop: Coastal Bermudz Cover Crop: Coastal BermudE 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 L No Field Loaded? 17i YES ❑ NO Field Loaded? YES N0 Field Loaded? E YES - No Field Loaded? [-'] YES ❑ No '° c 'a z 2 z z W z z a 0. CL r a a -° Q 0) C V > ti Q >�ro' Jz U :E Z :E iV E a) C 'JE = o °v ' ° i o ° i Uo > ' a' Q ¢ < U o Q V > > > > > Month gal mg/L Ibslac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal m /L g lbs/ac Ibs/ac gal mglL Ibs/ac Ibslac June 35,685 37 9.4 9.4 32,025 37 9.4 _ 9.4 38,125 37 9.4 9A 30.500 37 9.4 9.4 44.531 37 9A 9.4 July 41,553 55.8 16.5 25.9 37,291 55.8 16.5 25.9 44,395 55.8 16.5 25.9 35,516 55.8 16.5 259 51,853 55.8 16.5 25.9 August 38,298 36.6 10.0 35.9 34,370 36.6 10.0 35.9 40,917 36.6 10.0 35.9 32,732 36.6 10.0 35.9 47,791 36.6 10.0 35.9 September 95,958 42.8 29.3 65.2 86,117 42.8 29.3 65.2 102,521 42.8 29.3 65.2 82,016 42.8 29.3 65.2 119,734 42.8 29.3 65.2 October 74,147 51.1 27.0 92.2 66,541 51,1 27.0 92.2 79.216 51.1 27.0 92.2 63,373 51.1 27.0 92.2 92,524 51.1 27.0 92.2 November 36,677 123 32.2 124.4 32,915 123 32.2 124.4 39,189 123 32.2 124.4 31,349 123 32.2 I 124.4 45,769 123 32.2 124.4 December 84,972 150 90.9 215.2 76,256 150 90.9 215.2 90,782 150 90.9 215.2 72,627 150 90.9 215.2 106,033 150 90.9 215.2 January 0 117 0.0 215.2 0 117 0.0 215.2 0 117 0.0 215.2 0 117 0.0 2152 0 11-1 0.0 215.2 February 0 87.9 0.0 215.2 0 87.9 0.0 215.2 0 87.9 0.0 215.2 0 87.9 0.0 215.2 0 87 9 0.0 215.2 March 38,273 96.8 26A 241.E 34,347 96.8 26A 241.6 40,890 96.8 26.4 241.6 32,713 96.8 26.4 241.6 47,760 96.8 26.4 241.6 April 52,813 53.8 1 20.3 261.9 47,395 53.8 20.3 261.9 56,423 53.8 20.3 261.9 45,138 53.8 20.3 261.9 65,903 53.8 20.3 261.9 May 67,659 49.4 23.8 285.7 60,719 49.4 23.8 285.7 72,284 494 23.8 285.7 57.829 49.4 23.8 285.7 84.430 49.4 23.8 285.7 12 Month Floating PAN Load Ibslacl r _ 285.� I350.00 285.7 ! 285.7 350.00I 285.7 ) 285.7 y Annual PAN Load Limit 350 350.00 j jj I350.00 (Ibs/ac/yr): II 4 11 FORM. NDMLR 10-13 i,-ION-DISCHARGE MASS LOAF-/11,.'G REPORT (RDi ,SLR) Page or S Permit No.: W00016376 Facility Name: SU Villari Livestock Processing Facility -Warsaw County: Month: May Year: 2024 Field Name: Zone 11 Field A!ame: Zone 12 Field Name: Zane 13 TDuplin Field Name: Zone 14E Field Name:l Zone 14UV Area (acres): 1.43 I Area (acres):1 1.23 Area (acres): 2.16 Area (acres): 13.73 Area (acres): 7.7 Cover Crop: Coastal Bermudil a Cover Crop: Coastal SermudE Cover Crop: Coastal Bermuda Cover Crop: Coastal Bermuda Cover Crop: Coastal Bermuda Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Load Type. PAN Field Loaded? O' YES ❑ NO Field Loaded? YES ❑ NO Field Loaded? a YES ❑ NO Field Loaded? ' YES ❑ NO Field Loaded? Yes ❑ NO _ � 'p � t Q > Q< > °< B ¢a a a m a o - -0 o o. EL a_ m o Q Z. aa .ro° aR-0 ra z co a .0 O Z CU �J a,.J _j E U E ¢ a Q aC J EZ ua � a < 0a < UQ nv > > a > ¢ o o Month gal mg/L Ibs/ac I Ibs/ac gal mg/L Ibslac lbs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac� lbs/ac mg/L Ibs/ac Ibslac gal June 43,617 37 9.4 9.4 37,515 I 37 I 9.4 9.4 65,881 37 9.4 9.4 286,429 37 6.4 6.4 160,633 1 37 6.4 6.4 July 50,787 55.8 16.5 1 25.9 43,684 55.8 1 16.5 25.9 76.713 1 55.8 16.5 25.9 413,380 55.8 14.0 20.4 231,830 55.8 14.0 20.4 August 46,808 36.6 10.0 35.9 40,262 313 6 10.0 35.9 70,703 36.6 10.0 35.9 387,717 36.6 8.6 29.1 217,438 36.6 8.6 29-1 September 117,284 42.8 29.3 65.2 100,881 42.8 29.3 65.2 177.154 42.5 29.1 65.0 282,056 42.8 7.3 36.4 158,183 42.8 7.3 36.4 October 90,623 51.1 27.0 92.2 I 77,948 51.1 1 27.0 92.2 136.884 51.1 27.0 92.0 1,122,333 51.1 34.8 71.2 588,398 51.1 32.6 69.0 November 44,828 123 32.2 124.4 38,559 123 1 32.2 124.4 67,712 123 32.2 124.2 875,365 123 65.4 136.6 490,920 123 65.4 134.4 December 103,855 150 90.9 215.2 89,330 150 1 90.9 215-2 156,871 150 90.9 215.0 127.319 150 11.6 148.2 71,402 150 11.6 146.0 January 0 117 0.0 215.2 0 117 0.0 215.2 0 117 0.0 215-0 765,274 117 54.4 202.6 429,178 117 54.4 200.4 February 0 87.9 0.0 215.2 0 87.9 0.0 215.2 0 87.9 0.0 215.0 711,660 87.9 38.0 1240.6 399,110 87.9 38.0 238.4 March 46,778 86.8 23.7 238.9 40,236 96.8 26.4 241.6 70.658 96-8 26.4 241.4 506.716 96.8 29.8 270.4 284,173 96.8 29.8 268.1 April 64 548 53.8 20.3 259.2 55,520 53.8 20.3 261.9 97,500 53.8 20.3 261.7 956,377 53.8 31.3 301.7 536,350 53.8 31.3 299.4 May 82,693 49.4 23.8 283.0 71,128 1 49.4 �� 23.8 285.7 124,908 49.4 23.8 285.5 118,810 49.4 3.6 305.2 ! 305.2 66.630 ; I 49.43.6 303.0j 3039 12 Month Floating PAN Load 283.0 I 285.7 1 II 285.5 1 (Ibs/ac/yr): f # f ! T ! Annual PAN Load Limit ! (Ibs/ac/yr); 350 i 350.00 I ? 350.00 350.00 r 350.00 FORM: NDMLR 10-13 NONd-DIS i;`-% GE SFVIASS LOADING REPO : i (NDMLR) Page 4 of Permit No.: VV00016376 Facility Name: S&J Vilfari Livestock Processing Facility -Warsaw County: Duplin Month: May Year: 2024 0 Field Name: Zone 15 Field Name:l Zone 16 Field Name: Zone 17 Field Nlama:l 1 Field Name: Area (acres): 0.73 Area (acres): 1 25 Area (acres): 0.82 Area (acres): Area (acres): Cover Crop: Norfolk Cover Crop: Coastal BermudE Cover Crop: Coastal Bermude Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN Load Type:I PAN Load Type: PAN Field Loaded? '. YES ❑ No Field Loaded? Fj YES ❑ :ao Field Loaded? (] YES ❑ No Field Loaded? ❑ YES ?F 0 7 Field Loaded. YES ❑ No a c ° O < < W _ 2 O < > ° 'a Q Z < ELL G < > ° Z < 0 G < D Z r < Z z z a- CU> a W U J F Z fi N aL. J Z W W J Z E W W J ' Z W ro W J Z E ' W c ° _< ° o > c =< E 0 c E ,[�0 c� > 0 E o < v U ° o < o ° U 2 o > o < ° v ° o > o < ° n` U > v v a > > v > v > v o > < Month gal mg1L lbslac Ibs/ac gal mg/L lbsiac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibslac ibs/ac gal mg/L lbslac lbslac June 22,264 37 9.4 9.4 24,801 37 6.1 6.1 16,269 37 6.1 6.1 July 25.927 55.8 16.5 25.9 26,666 55.8 9.9 16.1 17,494 55.8 9.9 16.1 August 23,895 36.6 10.0 35.9 20 489 36.6 5.0 21.1 13,440 36.6 5.0 21.1 September 59,872 42.8 29.3 65.2 36,603 42.8 10.5 31.5 24.011 42.8 10.5 31.5 October 46,262 51.1 27.0 92.2 27,706 51.1 9.4 41.0 18.175 51.1 9.4 41.0 November 22,884 123 32.2 124.4 24,526 123 20.1 61.1 16,089 123 20.1 61.1 December 53,018 150 90.9 215.2 27,168 150 27.2 88.3 17,822 150 27.2 88.3 January 0 117 00 215.2 0 117 0.0 88.3 0 117 0.0 88.3 February 0 87.9 0.0 215.2 0 87.9 0.0 88.3 0 87.9 C.0 88.3 March 23,879 96.8 26.4 241.6 25.515 96.8 16.5 104.7 16,737 96.8 16.5 104.7 April 32,952 53.8 20.3 261.9 25,348 53.8 9.1 113.8 16,628 53.8 9.1 113.8 May 42,214 1 49.4 23.8 285 7 24,259 49.4 8.0 121.8 15,914 49.4 8.0 121.8 12 Month Floating PAN Load (Ibslac/yr): 285.7 i 121.8 �_-� 121.8 . 00 0.0 Annual PAN Load Limit Ibslac! r ( Y ): 350 I 1 . 35 0.00 I ! 350A0 I 0.00 f ; 1 0.00 i ! III , r- FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADINGREPORT (NDMLR) Page S of J Did the mass loading rates exceed the limits in Attachment B of your permit? I] 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 necessarv. 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 2 No Phone No.: 910-293-2157 Permit Exp.: 11/30/25 e—Z(, ^20Z S cr"---r A-z6— Cot 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 property 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 C�lop7 7 -rochem ANALYTICAL & CONSULTING CHEMISTS Envirenyme,rAtal Chemists, Inc. 6602 Windmill Way, Wilmington, INC 28405 ° 910.392,0223 Lab ° 910,392.4424 Fax 710 Dow5ertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 ° 910.347.5843 Lab/Fax infa�r:cm�ironmentalcherrl ists.com The Pork Company Date of Report: Jun 11, 2024 892 Penny Branch Road Custorer PO #: Warsaw NC 28398 Customer ID: 08100099 Attention: Report #: 2024-12341 Project ID: WWTF Eff - Mthly Lab iD Sample ID: Collect DatefTitne Matrix Sampled by 24-29917 Site: Effluent Grab 5/30/2024 10:20 AM Water Gerald Matthews Test Method Results Date Analyzed PAN Calculation 49 4 mg/L 06/10/2024 Used 30%Mineralization Rate. Fecal Coliform idexKCorilerl-1e 471 MPN/100m1 05130/2024 Total Dissolved Solids (TDS) SM 2540 C-2015 337 mg/L 05/30/2024 Residue Suspended (TSS) SM2540D-2015 30,8mg/L 05/31/2024 Ammonia Nitrogen SM 4500 NH3 C-2011 95.1 mg/L 05/31/2024 Total Kieldahl Nitrogen (TKN) SPA 4500 Norg B-2011 101 mg/L 05/31/2024 Total Phosphorus SM 4500 P (F-H)-2011 0.04 mg/L 06/05/2024 BOD SM 5210 B-2016 55 mg/L 05/31/2024 All QC requirements for DO depletion not met. Result estimated. Chloride SM4500 CI E-2011 47 mg/L 0513112024 Nitrate Nitrogen (Caalc) Nitrite Nitrogen EPA 353 2 Rev. 2.0. 1993 0.07 mg/L 05/31/2024 Nitrate Nitrogen SublracVonMethod <0.02mg/L 05/31/2024 Total Nitrogen (Cale) Nitrate+Nitrite-Nitrogen EPA 3632 Rev, 20.1993 0.05mg/L 05/31/2024 Total Nitrogen Total Nitrogen 101 mg/L 05/31/2024 Report tk. 2024-12341 Page 1 of 2 Environmental ental Chemists, Into • 6602 Windmill Way, Wilmington, NC 28405 + 910.392.0223 Lab 4 910.392.4424 Fax M) 710 Bowsertown Road, Manteo, NC 27954 a 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 0 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info;i, �environinentalchemists.com The Pork Company Date of Report: Jun 11, 2024 892 Penny Branch Road Customer PO #: Warsaw NC 28398 Customer ID: 08100099 Attention: Report #: 2024-12341 Project ID: WWTF Eff - Mthly Lab ID Sample ID: Collect Date/Time Matrix Sampled by 24-29918 Site: PPI-002 Upstream 5/30/2024 10:00 AM Water Gerald Matthews Test Method Results Date Analyzed Ammonia Nitrogen EPA 350.1, Rev. 2.0, 1993 0.3 mglL 06/03/2024 Total Phosphorus SM 4500 P (F-H)-2011 0.22 mg/L 06/05/2024 Fecal Coliform SM 9222 D-2015 MF 86 Colonies/100ml- 05/30/2024 Nitrate Nitrogen (Cale) Nitrite Nitrogen EPA 353 2, Rev 2.0, 1993 0.02 mg/L 05/31/2024 Nitrate Nitrogen Subtraction Method 1.32 mg/L 05/31/2024 Total Nitrogen (Cate) Total Kjeldahl Nitrogen (TKN) EPA351.2, Rev. 2.0, 1993 1.2 mg/L 06/05/2024 Nitrate+ -Nitrite -Nitrogen EPA353.2, Rev. 2.0, 1993 1.34 mg/L 05/31/2024 Total Nitrogen Total Nitrogen 2.5 mg/L 06/05/2024 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 24-29919 Site: PPI-003 Downstream 5/30/2024 9:45 AM Water Gerald Matthews Test Method Results Date Analyzed Ammonia Nitrogen Total Phosphorus Fecal Coliform Nitrate Nitrogen (Cale) Nitrite Nitrogen Nitrate Nitrogen Total Nitrogen (Cale) Total Kjeldahl Nitrogen (TKN) Nitrate+Nitrite-Nitrogen Total Nitrogen Comment: Reviewed by: EPA 350.1. Rev. 2.0, 1993 SM 4500 P (F-H)-20t 1 SM 9222 0-2015 MF EPA 353.2. Rev. 2.0, 1993 Subtraction Method EPA 351.2, Rev. 2.0. 1993 EPA 353.2, Rev. 2.0, 1993 Total Nitrogen 140 mg/L 06/03/2024 12.5 mg/L 06/07/2024 ?30000 Colonies/100mL 05/30/2024 1.60 mg/L <0.02 mg/L 163 mg/L 1.23 mg/L 154 mg/L 05/31/2024 05/3'1/2024 06/05/2024 05/31/2024 06/05/2024 Report d:: 2024.12341 Page 2 of 2 Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 COLLFCTION AND CHAIN OF C11STODY 6602 windmill Way Wilmington, NC 28405 OFFICE: 910-392-02.23 FAX 910-392-4424 info@environmentalchemists.com --7. 1 , , Client: The Ports Company -Warsaw PROJECT NAME: WWTF Effluent REPORT NO: ADDRESS: CONTACT NAME: PO NO. t REPORT TO: Gerald Matthews, ORC PHONE/FAX: Permit Number: W00016376 email: Samoled Bv: RIt- SAMPLE TYPE' I = Influent_ F = FffiuPnf_ W = Well ST = Straam RO = Snil SI = 'Rh Ana rlfhar- Sample IdentificationIL Collection o h e N o U a o U ' m C o m U£ � Dtu m J 2 PRESERVATION ANALYSIS REQUESTED Date Time Temp i z = o _ 0 = o z o w O PPI-001 (Effluent-1/month) 0' 0 3.- C BOD, TSS, NO2 pH (field): , (?�{ (� X NO3, NH3, TKN, Total P, PAN, Total N X Fecal Coliforrn G PPI-001 Effluent March, July, November X TDS, Chloride (triannuals) P PPI-002 (Upstream) C P X IN02 P 1011 X TKN, NH3, NO3, TP, TN G G p X Fecal G PPI-003 (Downstream) X NOZ G G P '' CV, X G TKN, NH3, NO3, TP, TN C P X Fecal Samples due 1/mon1h Transfer Relin. wished By: DatelT' e R ceive y: DatelTi e 2. Temperature when Received °C: /_Accepted: Delivered By: "Received Comments: Requested'-- f lr.. Environmental Chemist, Inc., Wilmington, NC Lab #94 Sample Receipt Checklist 6602 Windmill Way Wilmington, NC 28405 910,392.0223 Client:_VO4 UMOMA Date: Report Number: _ 2024- Receipt of sample: ECHEM Pickup Client Delivery ❑ JUPS ❑ FedEx ❑ Other ❑ ❑ YES I0 NO 49 N/A 1. Were custody seals present on the cooler? ❑ YES 10 NO 10 N/A 2. If custody seals were present, were they intact/unbroken? Original temperature upon receipt Corrected temperature upon receipt °C How temperature taken: ❑ Temperature Blank ❑x Against Bottles 1R Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction Factor °C: 0.0 f] YES ❑ NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified? 0 YES ❑ NO 4. Were proper custody procedures (relinquished/received) followed? ® YES Cl NO 5. Were sample ID's listed on the COC? L YES ❑ NO 6. Were samples ID's listed on sample containers? ® YES ❑ NO 7. Were collection date and time listed on the COC? D YES ❑ NO 8. Were tests to be performed listed on the COC? ❑O YES ❑ NO 9. Did samples arrive in proper containers for each test? 121 YES ❑ NO 10. Did samples arrive in good condition for each test? O YES 10 NO 11. Was adequate sample volume available?' Eq YES ❑ 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 ❑ 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 18. Were orthophosphate samples filtered in the 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 HCl 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