WQ0016376_Monitoring - 08-2016_20161004 (2)

FORM IRR -2 Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
:Tract # Field # Zone 1 Facility Number WQ0016376 -
Field Size (wetted acres) _ (A) 1.40
Farm Owner Joseph Villari Irrigation Operator GERALD MATTHEWS
Owner's Address 892 Penny Branch Rd Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Warsaw, NC 28398 Address WALLACE,NC 28466
Owner's Phone # [phone] Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) _ (B)
(1) (2) .(3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mm/dd/yr)
Start End
Time Time
Total
Minutes
(3)-(2)
Irrigation
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
Waste
Analysis
PAN'
Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
Nitrogen
Balance"
(Ib/acre)
(B) - (10)
B= 234.75
08/10/16
44
8
86921
6209
0.42
2.61
232.14
08/11/16
44
8
13876
9911
0.42
4.16
227.98
08/12/16
48
8
12789
9135
0.42
3.84
224.14
08/13/16
22
8
4223
3016
0.42
1.27
222.88
08/15/16
44
8
8176
5840
0.42
2.45
220.42
08/16/16
44
8
9112
6509
0.42
2.73
217.69
08/17/16
441
8
99231
7088
0.42
2.98
214.71
08/22/16
44
8
1315
939
0.42
0.39
214.32
08/23/16
44
8
9207
6576
0.42
2.76
211.56
08/24/16
44
8
7090
5064
0.42
2.13
209.43
08/25/16
44
8
7161
5115
0.42
2.15
207.28
08/26/16
44
8
6556
4683
0.42
1.97
205.31
08/27/16
22
81
3800
2714
0.42
1.14
204.17
08/31/16
48
8
8847
6319
0.42
2.65
201.52
8
0
0.00
201.52
8
0
0.00
201.52
0.00
201,52
0.00
201= 57
z_
8
} , ti .
,, z.
0.00
,80
f*
0.001
201.52
0
0.00
UK: I JIM - G op.Gycle Totalsl I IU/(i/l
Owner's SignaturefAl Operator's Signature
Certified Operator (Print) GERALD MATTHEWS Operator's Certification No. 993131
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
s. A

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # I Zone 2
Field Size (wetted acres) = (A) 1.37
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number IWQ0016376 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN
Loading (Ib/acre) = (B) 300
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Date
(mm/dd/yr)
Start End
Time Time
Total
Minutes
(3)-(2)
Irrigation
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
Naste Analysi
PAN*
(Ib/1000 gal)
PAN Applied
(Ib/acre)
8 x 9
1000
B=
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
234.75
08/10/16
43
5
8506
6209
0.42
2.61
232.14
08/11/16
43
5
13579
9912
0.42
4.16
227.98
08/12/16
47
5
12515
9135
0.42
3.84
224.14
08/13/16
21
5
4133
3017
0.42
1.27
222.88
08/15/16
43
5
8001
5840
0.42
2.45
220.42
08/16/16
43
5
8916
6508
0.42
2.73
217.69
08/17/16
43
5
9710
7088
0.42
2.98
214.71
08/22/16
43
5
1287
939
0.42
0.39
214.32
08/23/16
43
5
9009
6576
0.42
2.76
211.56
08/24/16
43
5
6938
5064
0.42
2.13
209.43
08/25/16
431
5
7007
5115
0.42
2.15
207.28
08/26/16
43
5
6415
4682
0.42
1.97
205.31
08/27/16
21
5
3718
2714
0.42
1.14
204.17
08/31/16
:::
5
8658
6320.
s. -.,. 0.42
2.65..
:201.52
5
0
= j
0.00 ' ;:
:201.52
5
t 0 "-ice
0.00
0
0.00 ;.
,S ;;.:201.52
drop ycleT..otalsI1Ut539Z.UUI
Owner's Signature -S 1,1AU, Operator's Signature
Certified Operator (Print) GERALb MATTHEWS Operator's Certification No. 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
**Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2 Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Zone 3 Facility Number W00016376 -
Field Size (wetted acres) = (A) 1.37
Farm Owner Joseph Villari Irrigation Operator GERALD MATTHEWS
Owner's Address 892 Penny Branch Rd. Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Warsaw, NC 28398 Address WALLACE,NC 28466
Owner's Phone # [phone] Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date Start
(mm/dd/yr) Time
urt:
End Total
Time Minutes
(3)-(2)
Irri ation
# of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
taste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
B= 234.75
08/10/16
43
5
8506
6209
0.42
2.61
232.14
08/11/16
43
5
13579
9912
0.42
4.16
227.98
08/12/16
47
5
12515
9135
0.42
3.84
224.14
08/13/16
21
5
4133
3017
0.42
1.27
222.88
08/15/16
43
5
8001
5840
0.42
2.45
220.42
08/16/16
43
5
8916
6508
0.42
2.73
1 217.69
08/17/16
1 43
5
9710
7088
0.42
2.98
214.71
08/22/16
43
5
1287
939
0.42
0.39
214.32
08/23/16
43
5
9009
6576
0.42
2.76
211.56
08/24/16
43
5
6938
5064
0.42
2.13
209.43
08/25/16
43
5
7007
5115
0.42
2.15
207.28
08/26/16
43
5
6415
4682
0.42
1.97
205.31
08/27/16
21
5
3718
2714
0.42
1.14
204.17
08/31/16
5
8658
6320
0.42
2.65
201.52
5
0
0.00
201.52
5
0
0.00
201.52
5
0
0.00
201.52
5
0
0.00
201.52
5
0
0.001
201.52
5
0
0.00
201.52
5
;;
0
0.00
201.52
5
0
0.00
201.52
111yU I- Cycle Totalsi- 108392.00 33
Owner's Signature ?/ r p Operator's Signature
Certified Operator (Print) GERALD MATTHEWS Operator's Certification No. 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
-Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # I Zone 4
Field Size (wetted acres) = (A) 1.35
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number FW -Q-00-1 3-76 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN
Loading (Ib/acre) = (B) 300
111 121 (3) (4) 151 (R) (7) (R) (0) Mn) NIN
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
laste Analys
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
B=
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
164.81
08/10/16
42
5
1 8382
6209
0.42
2.61
162.20
08/11/16
42
5
13380
9911
0.42
4.16
158.04
08/12/16
47
5
12332
9135
0.42
3.84
154.20
08/13/16
21
5
4073
3017
0.42
1.27
152.94
08/15/161
42
5
7884
5840
0.42
2.45
150.48
08/16/16
42
5
8786
6508
0.42
2.73
147.75
08/17/16
42
5
9568
7087
0.42
2.98
144.77
08/22/16
42
5
1268
939
0.42
0.39
144.38
08/23/16
42
5
8878
6576
0.42
2.76
141.62
08/24/16
42
5
6836
5064
0.42
2.13
139.49
08/25/16
42
5
6905
5115
0.42
2.15
137.34
08/26/16
42
5
6322
4683
0.42
1.97
135.37
08/27/16
21
5
3664
2714
0.42
1.14
134.23
08/31/16
47
5
8531
6319
0.42
2.65
131.58
5
0
0.00
131.58
5
0
0.00
131.58
5
0
0.00
131.58
5
0
0.00
131.58
5
0
0.00
131.58
5
0
:; 0.00
131.58
"M. ' "'o ;fop cycleTotalsI l;Ub6Uyl
Owner's Signature �%rz ' Operator's Signature
Certified Operator (Print) GERALD MATTHEWS Operator's Certification No. 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Tract #
Field Size (wetted acres) _ (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Field # lZone 5
1.34
Joseph Villari
892 Penny Branch Rd.
Warsaw, NC 28398
910 293-2157
Facility Number WQ0016376 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) _ (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11l
Date Start End
(mm/dd/yr) Time Time
Total
Minutes
(3)-(2)
Irrigation
# of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
faste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
B=
Nitrogen
Balance-
(Ib/acre)
(B) - (10)
164.81
08/10/16
42
5
83201
6209
0.42
2.61
162.20
08/11/16
42
5
13281
9911
0.42
4.16
158.04
08/12/16
46
5
12241
9135
0.42
3.84
154.20
08/13/16
21
5
4042
3016
0.42
1.27
152.94
08/15/16
42
5
7825
5840
0.42
2.45
150.48
08/16/16
421
5
8721
6508
0.42
2.73
147.75
08/17/16
42
5
94971
7087
0.42
2.98
144.77
08/22/16
42
5
1259
940
0.42
0.39
144.38
08/23/16
42
5
8812
6576
0.42
2.76
141.62
08/24/16
42
5
6786
5064
0.42
2.13
139.49
08/25/16
1 42
5
6854
5115
0.42
2.15
137.34
08/26/16
42
5
6275
4683
0.42
1.97
135.37
08/27/16
21
5
36371
2714
0.42
1.14
134.23
08/31/16
46
5
8468
6319
0.42
2.65
131.58
5
0
0.00
131.58
5
0
0.00
131.58
5
0
0.00
131.58
5
0
0.00
131.58
501
0.001
131.58
urc: „iao Cr Cycle Totals 1� 060181
Owner's Signature'%C% Operator's Signature e
Certified Operator (Print)G LRAE D MATTHEWS Operator's Certification No. 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
'` Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Rn
6
Field Size (wetted acres) = (A) 1.33
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number WQ0016376 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN
Loading (Ib/acre) = (B) 300
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of
Sprinklers
Operating
Flow Total Volume
Rate (gallons)
(gal/min) (6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
taste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
B= 164.81
08/10/16
42
5
8258
6209
0.42
2.61
162.20
08/11/16
42
5
13182
9911
0.42
4.16
158.04
08/12/16
46
5
12150
9135
0.42
3.84
154.20
08/13/16
21
5
4012
3017
0.42
1.27
152.94
08/15/16
42
5
7767
5840
0.42
2.45
150.48
08/16/16
42
5
8656
6508
0.42
2.73
147.75
08/17/16
42
5
9427
7088
0.42
2.98
144.77
08/22/16
421
5
12491
939
0.42
0.39
144.38
08/23/16
42
5
8746
6576
0.42
2.76
141.62
08/24/16
42
5
6735
5064
0.42
2.13
139.49
08/25/16
42
5
6803
5115
0.42
2.15
137.34
08/26/16
42
5
6228
4683
0.42
1.97
135.37
08/27/16
21
5
3610
2714
0.42
1.14
134.23
08/31/161
1 1 461
5
1 84051
63201
0.421
2.65
131.58
5
01
0.00
131.58
DR: 11/98 Crop Cycle Totalsi 105228
Owner's Signature 1'/f Operator's Signature
Certified Operator (Print) GERALD MATTHEWS Operator's Certification No. - 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Zone 7
Field Size (wetted acres) _ (A) 1.32
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number WQ0016376 -7-7
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) = (B)
5
(1) (2) (3) (4) (5) (6) (7) (A) (9) (10) (11)
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)/(A)
faste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
B= 164.81
08/10/16
41
6
8196
6209
0.42
2.61
162.20
08/11/16
41
6
13083
9911
0.42
4.16
158.04
08/12/16
45
6
12058
9135
0.42
3.84
154.20
08/13/16
21
6
3982
3017
0.42
1.27
152.94
• 08/15/16
41
6
7709
5840
0.42
2.45
150.48
08/16/16
41
6
8591
6508
0.42
2.73
147.75
08/17/16
41
6
9356
7088
0.42
2.98
144.77
08/22/16
41
6
1240
939
0.42
0.39
144.38
08/23/16
41
6
8681
6577
0.42
2.76
141.62
08/24/16
41
6
6684
5064
0.42
2.13
139.49
08/25/161
41
6
6752
5115
0.42
2.15
137.34
08/26/16
41
6
6181
4683
0.42
1.97
135.37
08/27/16
21
61
3583
2714
0.42
1.14
134.23
08/31/16
1 1 45
61
1 83421
6320
0.42
2.65
131.58
61
01
0.00
131.58
WIN; I [IUD Crop Cycle Totaisl 'IU4436 33.23
Owner's Signature Operator's Signature
Certified Operator (Print) GERALD MATTHEWS Operator's Certification No.- 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Rn
8
Field Size (wetted acres) _ (A) 1.39
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number WQ0016376 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) _ (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
'mi
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of
Sprinklers
Operating
Flow Total Volume
Rate (gallons)
(gal/min) (6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
taste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
B=
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
164.81
08/10/16
44
5
8630
6209
0.42
2.61
162.20
08/11/16
44
5
13777
9912
0.42
4.16
158.04
08/12/16
48
5
12698
9135
0.42
3.84
154.20
08/13/16
22
5
4193
3017
0.42
1.27
152.94
08/15/16
44
5
8117
5840
0.42
2.45
150.48
08/16/16
44
5
9047
6509
0.42
2.73
147.75
08/17/16
44
5
98521
7088
0.42
2.98
144.77
08/22/16
441
5
1306
940
0.42
0.39
144.38
08/23/16
44
5
9141
6576
0.42
2.76
141.62
08/24/161
44
5
7039
5064
0.42
2.13
139.49
08/25/16
44
5
7110
5115
0.42
2.15
137.34
08/26/16
44
5
6509
4683
0.42
1.97
135.37
08/27/16
22
5
37731
2714
0.42
1.14
134.23
08/31/16
1 481
5
8784
6319
0.42
2.65
131.58
51
01
1
0.001
131.58
Crop Cycle Totalsi 109976
Owner's Signature Operator's Signature
Certified Operator (Print)GELD MATTHEWS Operator's Certification No. ' 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # I Zone 9
Field Size (wetted acres) = (A) 1.39
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number WQ0016376 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)/(A)
faste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
B=
Nitrogen
Balance-
(Ib/acre)
(B) - (10)
164.81
08/10/16
44
5
8630
6209
0.42
2.61
162.20
08/11/16
44
5
13777
9912
0.42
4.16
158.04
08/12/16
48
5
12698
9135
0.42
3.84
154.20
08/13/16
22
5
4193
3017
0.42
1.27
152.94
08/15/16
44
5
8117
5840
0:42
2.45
150.48
08/16/16
44
5
9047
6509
0.42
2.73
147.75
08/17/16
441
5
9852
7088
0.42
2.98
144.77
08/22/16
44
5
1306
940
0.42
0.39
144.38
08/23/16
44
5
9141
6576
0.42
2.76
141.62
08/24/16
44
5
7039
5064
0.42
2.13
139.49
08/25/16
44
5
7110
5115
0.42
2.15
137.34
08/26/16
44
5
65091
4683
0.42
1.97
135.37
08/27/16
221
5
3773
2714
0.42
1.14
134.23
08/31/16
481
5
8784
6319
0.42
2.65
131.58
5
01
1
0.001
131.58
DR: 11/98 Crop Cycle Totalsi 109976 3
Owner's Signature Operator's Signature
Certified Operator (Print) GERALD MATTHEWS Operator's Certification No. 993131
' NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
"` Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Zone 10
Field Size (wetted acres) = (A) 1.69
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number WQ0016376 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
lum
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of
Sprinklers
Operating
Flow Total Volume
Rate (gallons)
(gal/min) (6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
taste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
B=
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
164.81
08/10/16
53
6
10493
6209
0.42
2.61
162.20
08/11/16
53
6
16750
9911
0.42
4.16
158.04
08/12/16
58
6
15438
9135
0.42
3.84
154.20
08/13/16
26
6
5098
3017
0.42
1.27
152.94
08/15/16
53
6
9869
5840
0.42
2.45
150.48
08/16/161
53
6
10999
6508
0.42
2.73
147.75
08/17/16
531
6
11978
7088
0.42
2.98
144.77
08/22/16
53
6
15881
940
0.42
0.39
144.38
08/23/16
53
6
11114
6576
0.42
2.76
141.62
08/24/16
53
6
8558
5064
0.42
2.13
139.49
08/25/16
53
6
8644
5115
0.42
2.15
137.34
08126/161
53
6
7914
4683
0.42
1.97
135.37
08/27/16
261
6
4587
2714
0.42
1.14
134.23
.08/31/16
581
6
10680
6320
0.42
2.65
131.58
6
L0
0.00
131.58
DR: 11/98 Crop Cycle Totals 133710
Owner's Signature Operator's Signature
Certified Operator (Print) GERALD MATTHEWS Operator's Certification No. 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
**Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2 Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field #Zone 11 Facility Number W00016376 -
Field Size (wetted acres) = (A) 1.91
Farm Owner Joseph Villari Irrigation Operator GERALD MATTHEWS
Owner's Address 892 Penny Branch Rd. Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Warsaw, NC 28398 Address WALLACE,NC 28466
Owner's Phone # [phone] Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN
Loading (Ib/acre) = (B) 300
(1) (2) (3) (4) (5) (6) (7) (8) (g) (10)
In
Date
(mm/dd/yr)
Start End Total
Time Time Minutes
(3)-(2)
Irrigation
# of
Sprinklers
Operating
Flow Total Volume
Rate (gallons)
(gal/min) (6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
taste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
B= 164.81
08/10/16
60
9
11859
6209
0.42
2.61
162.20
08/11/16
60
9
18931
9912
0.42
4.16
158.04
08/12/16
66
9
17448
9135
0.42
3.84
154.20
08/13/16
30
9
5762
3017
0.42
1.27
152.94
08/15/16
60
9
11154
5840
0.42
2.45
150.48
08/16/16
60
9
12431
6508
0.42
2.73
147.75
08/17/16
60
9
13537
7087
0.42
2.98
144.77
08/22/16
60
9
1 1794
939
0.42
0.39
144.38
08/23/16
60
9
12561
6576
0.42
2.76
141.62
08/24/16
60
9
9672
5064
0.42
2.13
139.49
08/25/16
60
9
9769
5115
0.42
2.15
137.34
08/26/16
601
9
89441
4683
0.42
1.97
135.37
08/27/16
301
9
5184
2714
0.42
1.14
134.23
�
/31/16 631.$.0:42 2:.65
,Q. ODO 131 X58
r1/s8 x t, rop Cycle 7taTs 1"0,111'6 33
r., Ou(me>ssite UOp�rafors Signature
r
Certified Operao(R�m) :GERALD MATThE11,1�afor's Certification No 9931 X31
.. _ .
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # IZone 12
Field Size (wetted acres) _ (A) 1.55
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number FWQ0016371. -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type lBermuda Recommended PAN
Loading (Ib/acre) _(B) 300
Crop Type F-7�
(1) (2) (3) (4) (5) (6) (7) (8) (9) 1(10) (11)
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of
Sprinklers
Operating
Flow Total Volume
Rate (gallons)
(gal/min) (6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
faste Analy
PAN*
(Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
B=
Nitrogen
Balance*
(Ib/acre)
(B) - (10)
164.81
08/10/16
49
7
9624
6209
0.42
2.61
162.20
08/11/16
49
7
15363
9912
0.42
4.16
158.04
08/12/16
53
7
14159
9135
0.42
3.84
154.20
08/13/16
24
7
4676
3017
0.42
1.27
152.94
08/15/16
49
7
9052
5840
0.42
2.45
150.48
08/16/16
491
7
100881
6508
0.42
2.73
147.75
08/17/16
49
7
10986
7088
0.42
2.98
144.77
08/22/16
49
7
1456
939
0.42
0.39
144.38
08/23/16
49
7
10193
6576
0.42
2.76
141.62
08/24/16
49
7
7849
5064
0.42
2.13
139.49
08/25/16
49
7
7928
5115
0.42
2.15
137.34
08/26/16
491
7
72581
4683
0.42
1.97
135.37
08/27/16
241
7
4207
2714
0.42
1.14
134.23
08/31/16
53
7
9795
6319
0.42
2.65
131.58
7
0
1
0.001
131.58
DR: 11/98 Crop Cycle Totals 122634 33.2
Owner's SignatureOperator's Signature
Certified Operator (Print) GERAL MATTHEWS Operator's Certification No. 993131
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Zone 13
Field Size (wetted acres) = (A) 0.93
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number IWQ00163761 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
VasteAnalysi
PAN*
(Ib/1000 gal)
PAN Applied
(Ib/acre)
8 x 9
1000
B=
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
164.81
08/10/16
29
9
5774
6209
0.42
2.61
162.20
08/11/16
29
9
9218
9912
0.42
4.16
158.04
08/12/16
32
9
8496
9135
0.42
3.84
154.20
08/13/16
15
9
2806
3017
0.42
1.27
152.94
08/15/16
29
9
5431
5840
0.42
2.45
150.48
08/16/161
291
9
6053
6509
0.42
2.73
147.75
08/17/16
29
9
6592
7088
0.42
2.98
144.77
08/22/16
29
9
874
940
0.42
0.39
144.38
08/23/16
29
9
6116
6576
0.42
2.76
141.62
08/24/16
29
9
4709
5063
0.42
2.13
139.49
08/25/16
29
9
4757
5115
0.42
2.15
137.34
08/26/161
291
9
43551
4683
0.42
1.97
135.37
08/27/16
151
9
2524
2714
0.42
1.14
134.23
08/31/16
1 321
9
5877
6319
0.42
2.65
131.58
0
0.001
131.58
ure ivas rop Cycle Totalsi 735821
Owner's Signature -f /(fl, Operator's Signature
Certified Operator (Print) GERALD MATTHEWS Operator's Certification No. v 993131
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
**Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2 Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # IZone 14E Facility Number W00016376 -
Field Size (wetted acres) = (A) 13.73
Farm Owner Joseph Villari Irrigation Operator GERALD MATTHEWS
Owner's Address 892 Penny Branch Rd. Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Warsaw, NC 28398 Address WALLACE,NC 28466
Owner's Phone # [phone] Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN
Loading (Ib/acre) = (B) 300
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
HE
Date
(mm/dd/yr)
Start End Total
Time Time Minutes
(3)-(2)
Irrigation
# of Flow Total Volume
Sprinklers Rate (gallons)
Operating (gal/min) (6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
PAN Applied
Waste Analysis (Ib/acre)
PAN* 8 x 9
(Ib/1000 gal) 1000
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
6= 191.74
08/10/161
1 441
pivot 32
1188691
8658
0.42
3.64
188.10
08/11/16
411
pivot 32
106773
7777
0.42
3.27
184.84
08/12/16
441
pivot 32
84197
6132
0.42
2.58
182.26
08/13/16
200
pivot 32
40590
2956
0.42
1.24
181.02
08/15/16
401
pivot 32
86872
6327
0.42
2.66
178.36
08/16/16
401
pivot 32
86147
62741
0.42
2.64
175.73
08/17/161
401
pivot 32
91343
6653
0.42
2.79
172.93
08/22/16
401
pivot 32
131557
9582
0.42
4.02
168.91
08/23/16
401
pivot 32
74128
5399
0.42
2.27
166.64
08/24/16
401
pivot 32
67375
4907
0.42
2.06
164.58
08/25/16
4011
ivot 32
58099
4232
0.42
1.78
162.80
08/26/16
401
pivot 32
61452
44761
0.42
1.88
160.92
08/27/16
_ 200
pivot 32,_.
.40354
2939....,,_
,..,,0 42 __
1.23
1.59.69
-08/31/16
' 441
ivot32 ;`9$885
7202. '.' t,�:42
3.02
11 Of 32;=.'. _3 ''`
0.00
156 66
pivot 321; ....m;
0 Gu * r 0.00
DR: 11/98 ¢
Crop ' 3
Okc s Tlatals ``'1'146641
Owner' Signature 1/-f Operator's Signaiura J -- "�
Certified Operator (Print) GER LD MATTHEWS Operator's Certification No. 993131
* NCDA Waste Analysis or Equivalent or NRCS Estimate, Technical Guide Section 633.
<< x

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # I Zone
Field Size (wetted acres) = (A) 6.83
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd.
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
M
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
Waste Analysis
PAN*
(Ib/1000 gal)
PAN Applied
(Ib/acre)
8 x 9
1000
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
B= 191.74
08/10/16
219 pivot 32
59132
8658
0.42
3.64
188.10
08/11/16
219
pivot 32
53115
7777
0.42
3.27
184.84
08/12/16
219
pivot 32
41884
6132
0.42
2.58
182.26
08/13/16
100
pivot 32
20191
2956
0.42
1.24
181.02
08/15/16
199
pivot 32
43214
6327
0.42
2.66
178.36
08/16/16
199
ivot 32
42854
6274
0.42
2.64
175.73
08/17/16
199
pivot 32
45438
6653
0.42
2.79
172.93
08/22/16.
199
pivot 32
65443
9582
0.42
4.02
168.91
08/23/16
199
pivot 32
36875
5399
0.42
2.27
166.64
08/24/16
199
pivot 32
33516
4907
0.42
2.06
164.58
08/25/16
1991
pivot 32
28902
4232
0.42
1.78
162.80
08/26/161
199
pivTt 32
1 30569
4476
0.42
1.88
160.92
08/27/16
100
pivot 32
20074
2939
0.42
1.23
159.69
08/31/16
219
pivot 32
49190
7202
0.42
3.02
156.66
pivot 32
0
0.001
156.66
pivot 32
01
0.001
156.66
DR: 11/98 rop Cycle Totals 570397
f
Owner's Signature ..i Operator's Signature
Certified Operator (Print) GERALb MATTHEWS Operator's Certification No. 993131
* NCDA Waste Analysis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Zone 15
Field Size (wetted acres) = (A) 0.82
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number W00016376 -
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date Start
(mm/dd/yr) Time
End Total
Time Minutes
(3)-(2)
Irrigation
# of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
Waste
Analysis
PAN*
Ib/1000 gal
PAN Applied
(Ib/acre)
8 x 9
1000
Nitrogen
Balance**
(Ib/acre)
(B) - (10)
B= 164.79
08/10/16
261
8
5091
6209
0.42
2.61
162.18
08/11/16
26
8
8127
9911
0.42
4.16
158.02
08/12/16
28
8
7491
9135
0.42
3.84
154.18
08/13/16
13
8
2474
3017
0.42
1.27
152.92
08/15/16
26
8
4789
5840
0.42
2.45
150.46
08/16/16
26
8
53371
6509
0.42
2.73
147.73
08/17/16
261
8
5812
7088
0.42
2.98
144.75
08/22/16
261
8
770
939
0.42
0.39
144.36
08/23/16
26
8
5392
6576
0.42
2.76
141.60
08/24/16
26
8
4152
5063
0.421
2.13
139.47
08/25/16
26
8
4194
5115
0.42
2.15
137.32
08/26/16
26
8
38401
4683
0.42
1.97
135.35
08/27/16
13
8
2226
2715
0.42
1.14
134.21
08/31/16
281
8
5182
6320
0.42
2.65
131.56
8
0
0.00
131.56
8
0
0.00
131.56
8
0
0.00
131.56
8
0
0.00
131.56
8
0
0.00
131.56
8
0.00
131.56
81
--01
01
1
0.00
DR: 11/98 Cro Cycle Totals 64877 33.23
Owner's Signature'/ Operator's Signature
Certified Operator (Print) GERALIJ MATTHEWS Operator's Certification No. 993131 _,t,
* NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Zone 16
Field Size (wetted acres) = (A) 1.25
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number IWQ0016376 I-
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Recommended PAN 300
Loading (Ib/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date Flow..(lb/acre)
(mm/dd/yr)..
..l/min)
..
AppliedWaste PAN
1000
ogen
Balance—
(lb/acre)
•1 1
----�--�
1.
1 1 1
• 1 1
----�--�
1•
1 1 1
• 1 1
----�--�
1•
1 1 1
• 1 1
----�--�
1•
1 1 1
• 1 1
----�--�
1.
1 1 1
• 1 1
DR: 11/98 Cro Cycle Totalsi 0 0.00
Owner's Signaturef'/✓ Operator's Signature
Certified Operator (Print) GERALIJ MATTHEWS Operator's Certification No. 993131
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

FORM IRR -2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract # Field # Zone 17
Field Size (wetted acres) = (A) 1.05
Farm Owner Joseph Villari
Owner's Address 892 Penny Branch Rd
Warsaw, NC 28398
Owner's Phone # [phone]
Facility Number IWQ0016376 1-
Irrigation Operator GERALD MATTHEWS
Irrigation Operator's 183 GEORGE DUNN SHOLAR RD.
Address WALLACE,NC 28466
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Coastal Bermuda Recommended PAN 300
Loading (Ib/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Date
(mm/ddlyr)..
Volume
per Acre
..
Waste
Analysis
PAN Applied
(lb/acre)
Nitrogen
Balance—
(lb/acre)
•1 1�
-S-_�--�-
1 1 1
• 1 1'
DR: 11/98 CrQP Cycle Totalsl 0 .88'
Owner's Signature slLLOperator's Signature
0
Certified Operator (Print) GERALIJ MATTHEWS Operator's Certification No. 993131
NCDA Waste Anaylsis or Equivalent or NRCS Estimate, Technical Guide Section 633.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.

rexnrviroc7h]em
ANALYTICAL & CONSULTING CHEMISTS
The pork Compaary
892 Penny Branch Road
Warsaw NC 28398
Attention: Gerald Matthews
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info@environmentalchemists, com
Date of Report: Aug 22, 2016
Customer PO #:
Customer ID: 08100099
Report #: 2016-10897
Project ID: Effluent/ Streams
Lab ID Sample ID:
16-26462 Site: PPI -001
Test
Collect Date/Time
8/5/2016 10:15 AM
Method
Matrix Sampled by
Water Gerald Matthews
Results Date Analyzed
PAN
calculation
50.2 mg/L
08/22/2016
30% Mineralization rate used.
Ammonia Nitrogen
EPA 350.1
104 mg/L
08/09/2016
Total Kjeldahl Nitrogen (TKN)
EPA 351.2
97.7 mg/L
08/15/2016
Ammonia, TKN agree within analytical uncertainty.
Residue Suspended (TSS)
SM 2540 D
190 mg/L
08/08/2016
Temperature
SM 2550 B
28,9 C
08/05/2016
pH
SM 4500 H B
7.38 units
08/05/2016
Total Phosphorus
SM 4500 P F
17.7 mg/L
08/16/2016
BOD
SM 5210 B
118 mg/L
08/05/2016
Fecal Coliform
SM 9222D MF
450000 Colonies/100mL
08/05/2016
Nitrate Nitrogen (Calc)
Nitrite Nitrogen EPA 353.2 0.22 mg/L 08/05/2016
Nitrate+Nitrite-Nitrogen EPA 353.2 0.04 mg/L 08/11/2016
Nitrate Nitrogen Subtraction Method <0.02 mg/L 08/22/2016
Comment:
Reviewed by: r
Report #:: 2016-10897 Page 1 of 1

III on
Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
C01_I FCTlnN ANn rMAIN nl= P1I!crnnv
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: The Pork Company -Warsaw
PROJECT NAME: WWTF Effluent
REPORT NO: IQpS
ADDRESS:
CONTACT NAME:
PO NO:
G w
Q
z
REPORT TO: Gerald Matthews, ORC
PHONEIFAX:
J
ANALYSIS REQUESTED
COPY TO:
email:
Samoled Bv: SAMPLE TYPE' I = Influanf F = Fffluonf W = Wall CT = Cfrnam cn - e.,n ci - el -A — n4 -t --
Sample Identification
Collection
a
F-
a
w
c` •o
a 0 V
U
a C7
S
`
E
G w
Q
z
PRESERVATION
J
ANALYSIS REQUESTED
Date
Time
Temp
zE
z
o
m=
0
0
z
o=
PPI -001 (effluent)
2�.
Z
X
BOD;TSS,NO2
d
pH (field):ZCd
C
<18
X
I NO3,NH3,TKN,Total P, PAN
G
G
C
P
--
X
Fecal Coliform
G
G
C
P
G
G
PPI -002 (upstream)
C
P
X
X
X
TKN, NH3,NO3,NO2,Total P, Fecal
G
G
C
P
G
G
PPI -003 (downstream)
C
P
X
X
X
TKN, NH3,NO3,NO2,Total P, Fecal
G
G
C
P
G
G
C
P
G
G
Samples due 7/month
Transfer
R inqu' Bjp
. Date/Time Received By:
Date/Time
A
2.
p
.culNclaUlu VV lull n=%,a
Delivered By:
Comments:
i
By:
Kesample R u ted:
Date:—MTime: s�
TURNAROUND: