WQ0000957_Monitoring - 11-2016_20161228

VO,
December 13. 2016
VALLEY PROTEINS, INC.
RECEIVED
DEC 2 S 2016
DN SECTION
INFORMATION PROCESSING UNIT
Department of Environment & Natural Resources
Division of Water Resources — Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617 DEC $ 92016
Re: Valley Proteins, Inc. — Wadesboro Division, VME
Permit #WQ0000957
Enclosed please find the Quarterly Monitoring Wells Report for our Wadesboro, North
Carolina Division.
If you require any additional information or wish to discuss the information in this report,
please feel free to call me at [phone].
Sincerely,
Chris Bivans
General Manager
P.O. Box 718
Wadesboro, NC 28170
704-694-3701
Fax: [phone]
www.valleyproteins.com
Creating Renewable Resources Built on Tradition

UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
Name: Valley Proteins
Name (if different):
Address: 656 Little Duncan Road
County Anson
act Person: Chris Bivans Telephone#: [phone]
Location/Site Name: Behind Field #9 No. of wells to be sampled: 8
L ID NUMBER (from Permit): MW#1 Date sample collected: 11/8/2016
Depth: 33 ft. Well Diameter: 2 in.
i to Water Level: 15.07 ft. below measuring point Screened Interval: _ft.
wring Point is ft. above land surface Relative M.P. Elevation:
ne of water pumped/bailed before sampling: 9 gallons
ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER OUALITY4NFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: Expiration Date: uorourzu I o
Non -Discharge W00000957 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
El Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 7.00 units Temp. 16.6 °C
to _ft. Spec. Cord. µMhos
ft. Odor No Odor
Appearance Clear
Toles for metals were collected unfiltered: DYES ❑ NO and field acidified: ❑ YES ❑ NO
;ORATORY INFORMATION
sample analyzed: 11/8/16 - 11/14/16 Laboratory Name, PACE Analytical
IAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO2) as N mg/I Pb - Lead
Coliform: MF Fecal <1 /loom[ Nitrate (NO3) as N 18,1 mg/I Zn - Zinc
Coliform: MF Total /100ml Phosphorus: Total as P mg/I
Certification No.
mg/I
mg/I
(Note use NPH mamm mr m9h)y.wmid:ampleo)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
1060 mg/I
AI - Aluminum
mg/I
pH (when analyzed)
7.1 units
Ba - Barium
mg/I
MIS
TOC
1.3 mg/I
Ca - Calcium
mg/I
VMr
Chloride
330 mgA
Cd- Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
26 mg/I
Hg - Mercury
mgA
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia
<.10 mg/I
Mg - Magnesium
mg/I
method At
;Ammonia 1,111109en NH,.: N Ammon;a Hnro9en.
Tmal)
Mn - Manganese
mg/I
method #
TKN as N
mg/I
Ni - Nickel
mg/1
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs mg/!_ VOC Removal%
Chris Bivans (General Manager)
Permittee for Authorized Aqent) Name and Title - please print or type
GW -59 Rev l 112007
at
of

l`[T T, -I
Name and Affiiation
Well Information
Well ID: YA A)- /
Well Diameter: a 11
Total well Depth 3 ft
Static Water Level• /fi-, O'L ft
Height of Water Column: 332, o ft
Yield Drata Sheet
W0.APSboro, 6C ^ Project#
Well Locked:BL/Stainless
O)
Construction: Steel)
Multi Factor*: 0A0 0 3 [`(Radius/12)2 x 3.14 x 7.48]
Casing Volume: a,7 gallons
Cal. 3 Volumes:,. gallons
l
. Parge Information
Date Purged: /% / B / �b ish; Start: /O: S� Fm // ; 07 purge Rate: IV/4
Purging Method: 64 1 1 f v- Total Volume Purged: 9 p �mla)
Samplfna Information
Date Collected:1 / !Q$ o T;meCollected. 0930 Opm)
Sampling Equipment Used: 1-24 11AV— Instrument ID: YSy -*30 ?19 ju-S
Bottle Type Preservation Analysis Required
3-440 rht, voA Phar ACID
)-a5Uml- Nam, c�
(-SOO / 1-13ShQ�1-�sn,dL f-asstA1011VE
Field Measarements/Observations
Sample Temp CC): l (s-.7—Time: 0 c Turbidity (ntu):
-tn L
A))h-ntc /KIK 6ilpwik/ ph I -Kb
Nl f3 -W
Time:
Diss Oxy (m8/L): Time: -- Fe 2+ mg/L• Time:
Specific Cond. (uS):/a °� Time: 0'7:30 Res. Cl (mg/L)/(µg/L): Time: —'
Sample pH (s.u.): 7, O Time: 09:3 O Odor: A10N9 Time: 0930
ReDox (mV): Time: Appearance: Clea r Tim: 09 3 0
ReDox (EH value):YSI ProPlus +200mV _ Other: - Time:
General/Weather Observations YN w— I
Win Sd /0 (mph)
Sampler Signature
Stabilization Test
Document Nance: Field data SReet
Dete blued: July 28, 2016
Page; 1 Of j
Document Number. P -CAR -PLD -001-m.01
IssuingAutlwrlty. Face Huu:E�Ne Quality
Office
l`[T T, -I
Name and Affiiation
Well Information
Well ID: YA A)- /
Well Diameter: a 11
Total well Depth 3 ft
Static Water Level• /fi-, O'L ft
Height of Water Column: 332, o ft
Yield Drata Sheet
W0.APSboro, 6C ^ Project#
Well Locked:BL/Stainless
O)
Construction: Steel)
Multi Factor*: 0A0 0 3 [`(Radius/12)2 x 3.14 x 7.48]
Casing Volume: a,7 gallons
Cal. 3 Volumes:,. gallons
l
. Parge Information
Date Purged: /% / B / �b ish; Start: /O: S� Fm // ; 07 purge Rate: IV/4
Purging Method: 64 1 1 f v- Total Volume Purged: 9 p �mla)
Samplfna Information
Date Collected:1 / !Q$ o T;meCollected. 0930 Opm)
Sampling Equipment Used: 1-24 11AV— Instrument ID: YSy -*30 ?19 ju-S
Bottle Type Preservation Analysis Required
3-440 rht, voA Phar ACID
)-a5Uml- Nam, c�
(-SOO / 1-13ShQ�1-�sn,dL f-asstA1011VE
Field Measarements/Observations
Sample Temp CC): l (s-.7—Time: 0 c Turbidity (ntu):
-tn L
A))h-ntc /KIK 6ilpwik/ ph I -Kb
Nl f3 -W
Time:
Diss Oxy (m8/L): Time: -- Fe 2+ mg/L• Time:
Specific Cond. (uS):/a °� Time: 0'7:30 Res. Cl (mg/L)/(µg/L): Time: —'
Sample pH (s.u.): 7, O Time: 09:3 O Odor: A10N9 Time: 0930
ReDox (mV): Time: Appearance: Clea r Tim: 09 3 0
ReDox (EH value):YSI ProPlus +200mV _ Other: - Time:
General/Weather Observations YN w— I
Win Sd /0 (mph)
Sampler Signature
Stabilization Test
e 30 of 37
Time
Purged
Temp.
e p
(C)
Dire
(mg/L)
C nd,
(US)
pH (s.u.)
(mV)
(MV)
Volume -
Turbidity removed Water
(ntu) ��) level (ft)
Older
/0;57
lb, fe
—
117/
.710
—
— 3, to —
—
11 0l
Ae.3
S
:7-10
—
— 17-0 —
—
e 30 of 37

CBMH cal
ANALYTICAL RESULTS
Project: SPRAYFIELD WELLS
Pace Project No.: 92318941
Pace Analytical services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Sample: Mw -1 Lab ID: 92318941001 Collected: 11/08/1609:30 Received: 11/08/1615:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Field Data
Collected By
Field pH
Field Temperature
Appearance
Field Specific Conductance
MBIO 9222D Fecal Coliform CHT
Fecal Coliforms
2540C Total Dissolved Solids
Total Dissolved Solids
4500H+ pH, Electrometric
pH at 25 Degrees C
300.0 IC Anions 28 Days
Sulfate
350.1 Ammonia
Nitrogen, Ammonia
363.2 Nitrogen, NO2/NO3 unpres
Nitrogen, Nitrate
4500 Chloride
Chloride
63108 TOC
Total Organic Carbon
Date: 11232016 05:29 PM
Analytical Method
JJQ
1
11/08/16 09:30
7.0 Std. Units
0.10
1
11/08/16 09:30
16.7 deg C
0.50
1
11/08/16 09:30
CLEAR
1
11/08/16 09:30
1722 umhos/cm
1.0
1
11/08/1609:30
Analytical Method: SM 9222D
NO CFU/100 mL
1.0
1
11/08/1615:49
Analytical Method: SM 2540C
1060 mg/L
50.0
1
11/10/16 13:38
Analytical Method: SM 4500-H+B
7.1 Std. Units
1.0
1
11/14/1613:42
H6
Analytical Method: EPA 300.0
26.0 mg/L
2.0
1
11/12/16 20:31
14808-79-8
Analytical Method: EPA 350.1 1993 Rev 2.0
ND mg/L
0.10
1
11/12/1602:06
766441-7
Analytical Method: EPA 353.2
18.1 mg/L
0.20
10
11/09/1617:36
Analytical Method: SM 4500 -CI -E
330 mg/L
100
100
11/10/1623:48
16887-00-6
Analytical Method: SM 53108
1.3 mg/L
1.0
1
11/12/1621:58
744044-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the wifien consent of Pace Analytical Services, LLC.
Page 5 of 37

SUBMIT FORM ON YELLOW PAPER ONLY
TER QUALITY MONITORING:
E REPORT FORM
ity Name: Valley Proteins
tit Name (if different):
ity Address: 656 Little Duncan Road
idesboro NC 28170 County Anson
act Person: Chris Bivans Telephone#: [phone]
Location/Site Name: Behind Field #4 No. of wells to be sampled: 8
L 10 NUMBER (from Permit): MW#2 Date sample collected: 11/8/2016
Depth: 30 ft. Well Diameter: 2 in.
i to Water Level: 7.98 ft. below measuring point Screened Interval: ft.
wring Point is ft. above land surface Relative M.P. Elevation:
ne of water pumped/bailed before sampling: 1275 gallons
flat fnr...ntwre war. collected unfiltered' F1YFS ❑ NO and field acidified: 1:1 YES
to _ft.
ft.
'ARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
ISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
IRMIT Number: Expiration Date: 06/30/2018
n -Discharge W00000957 UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑x Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 7.00 units
Spec. Cord.
Odor No Odor
Appearance Clear
sample analyzed: 11-8-16 thru 11-14-16 Laboratory Name: PACE Analytical
4METERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO,) as N mg/I Pb - Lead
Coliform: MF Fecal <1 /100ml Nitrate (NOO as N 8.8 mg/I Zn - Zinc
Coliform: MF Total (100ml Phosphorus: Total as P mg/I
If WELL
Temp. 17.3 °C DRY at
µMhos time of
Certification No.
mg/I
mg/I
(rote. use NPN method for higms word samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
1130 mg/I
AI - Aluminum
mg/I
pH (when analyzed)
7.1 units
Ba - Barium
mg/I
TOC
<1 mg/I
Ca - Calcium
mg/I
Chloride
367 mg1l
Cd - Cadmium
mgll
2920
Arsenic
mg/I
Chromium:
mgll
a Otte
Grease and Oils
mg/I
Cu - CCopper
mgll
ORGANICS: (by GC, GC/M
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
5.5 mg/I
Hg - Mercury
mgll
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
mg/1
VOC method #
Total Ammonia
<.10 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen Nwas N. Ammonia Nitrogen
Taal)
Mn - Manganese
mg/l
, method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Effluent Total VOCs.
VOC Removal
Chris Evans (General Manager) � Z.
Permittee (or Authorized Agent) Name and Title -Please print or type Sin re pt Per ee (pr A homed Aqenn
GW -59 Rev. 1/2007
K

aceAnalWcal
/ aalaPeWe6ssan
I
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)2547176
Project: SPRAYFIELD WELLS
Pace Project No.: 92318941
Sample: MW -2 Lab ID: 92318941002 Collected: 11/08/1609:00 Received: 11/08/1615:05 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
Field Data
Collected By
Field pH
Field Temperature
Appearance
Field Specific Conductance
MBIO 9222D Fecal ColNorm CHT
Fecal Coliforms
2540C Total Dissolved Solids
Total Dissolved Solids
4500H+ pH, Electrometrlc
pH at 25 Degrees C
300.0 IC Anions 28 Days
Sulfate
350.1 Ammonia
Nitrogen, Ammonia
353.2 Nitrogen, N021NO3 unpres
Nitrogen, Nitrate
4600 Chloride
Chloride
531OB TOC
Total Organic Carbon
Date: 1123/2016 05:29 PM
Analytical Method
JJQ
1
11/08/16 09:00
7.0 Std. Units
0.10
1
11/08/1609:00
17.3 deg C
0.50
1
11/08/16 09:00
MURKY
1
11/08/16 09:00
1760 umhos/cm
1.0
1
11/08/1609:00
Analytical Method: SM 9222D
NO CFU/100 mL
1.0
1
11/08/16 15:49
Analytical Method: SM 2540C
1130 mg/L
50.0
1
11/10/16 13:38
Analytical Method: SM 4500-H+B
7.1 Std. Units
1.0
1
11/14/1613:42
H6
Analytical Method: EPA 300.0
5.5 mg/L
2.0
1
11/12/1620:40
14808-79-8
Analytical Method: EPA 350.1 1993 Rev 2.0
NO mg/L
0.10
1
11/12/1602:10
7664-41-7
Analytical Method: EPA 353.2
8.8 mg/L
0.10
5
11/09/1617:35
Analytical Method: SM 4500 -CI -E
367 mg/L
50.0
50
11/10/1623:53
16887-00-6
Analytical Method: SM 5310B
NO mg/L
1.0
1
11/12/1622:08
7440-44-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the w iten consent of Pace Analytical Services, LLC.
Page 6 of 37

�/'� Document Name: F" data sheet "'tt11D1•"•:� r
-•1 Documem Numher. P-CAR-FLD-ggi v.01 Usumg Authmlty: Pam It
Office
Name and ASliation (Sampler(s), T3 -?NlfC !
Name and AHllation (Inspector): Tlf a<Y
Well Information
Well ID: _ni lw i-2
Well Diameter:
1;L o
Total Well Depth: 33. O --J- ft
Static Water Level: 7• y ft
Height of Water Column: 2 .D .
Well Locked: (gy NO)
Construction: 'CgSteel/Stainless Steel)
MultiFactor": o' f 6 3 ['(Radius/12)2 x 3.14 x 7.481
Casing Volume: ! gallons
CaL 3 Volumes: /a. 3 gallons
Pump intake: /V / Fr ft
Phnge Information
Date Purged: I 1 / 0 / 1(0 Start, O : OT Finish Purge Rate: N' l
Purging Method: b clb r - Total Volume Purged: la •� S mis)
4amp�ing Information
Date Collected: L 1 /Q_/_L�_ Time Collected -.__,0, IIOU Wpm)
Sampling Equipment Used: bel( grlnafn,mnntID; 16=r -W3470 w2FA -1
Bottle Type Preservation Analysis Required
3-yDa1L VDA eat Af'fD lOL
(-;Wvr.L N4, Sa.03 recd Coliryx-vi
1-5o0ttk_O1-tastel-Z1-fach . NcvE -Tasi ty;Moir, 4Ixettlariek P144
l- I a5 m L If�so�t NHa -n/
Field Veasumments/Observations
Sample Temp (°C): 1 7.3 Time: 09 00 Turbidity (ntu): Time:
Dias Oxy (mg/L): — Time: Fe 2+mg/L: Time:
SpecificCond.(A: I-�(o0 Time: 0900 Res. a(mg/L)/(Pg/L): --Time ""
Sample pH (s.u.): -4.0 Time: 07 0 O Odor: NOry F Time: 09 40
ReDox (mV): Time: --Appearance: t1a ti,<`� Time: Cid D
ReDox (EH value):YSI ProPlus +200mV Other: Time:
General/WeatherObservations: t'VtW-.1.
Winci!A2�Q_(mph)
Sampler Signature
Stabilization Test
Time Temp.
Purged CC)
Diss Oxy.
(mg/L)
� �
(oS)
pH (a.u.)
ReDox
(mV)
Turbidity:
(ntu)
Volume
/�)
Waterremoved
level (it)
Oar
10:0 (T.,D
��
(q0
r ^-
T.I
10.92- r}.0
'
to•.)9
i ID5—
—
_
Page 31 of 37

FORM ON YE I OW PAPER ONLY
L ID NUMBER (from Permit): MW#3 Date sample collected. 11/8/2016
Depth: 29.2 ft. Well Diameter: 4 in.
i to Water Level: 12.73 ft. below measuring point Screened Interval: ft. to — ft.
wring Point is ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 14 gallons
ties for metals were collected unfiltered: OYES ❑ NO and field acidified ❑ YES ❑ NO
FIELD ANALYSES:
pH 7.10 units
Spec. Cord.
Odor No Odor
Appearance Mu
sample analyzed: 11-8-16 thru 11-14-16 Laboratory Name: PACE Analytical
AMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NOP) as N mg/I Pb - Lead
Coliform: MF Fecal <1 /100ml Nitrate (Nos) as N 4.1 mg/I Zn - Zinc
Coliform: MF Total /100ml Phosphorus: Total as P mg/I
Temp. 18.3 oC DRY at
µMhos time of
Certification No.
mg/I
mg/I
(Note Use MPN method for highly turbid samples)
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
Iw510N of wATER OUAurY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Pent Clearly or Type
PERMIT Number: Expiration Date: 06/30/2018
Facility Name: Valley Proteins
Non -Discharge W00000957 UIC
Permit Name (if different):
NPDES Other
Facility Address: 656 Little Duncan Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Wadesboro NC 28170 County Anson
❑ Lagoon ❑ Remediation: Infiltration Gallery
<1 mg/1
X1 Spray Field ❑ Remediation:
Contact Person: Chris Bivans Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Behind Field #1 No. of wells to be sampled: 8
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): MW#3 Date sample collected. 11/8/2016
Depth: 29.2 ft. Well Diameter: 4 in.
i to Water Level: 12.73 ft. below measuring point Screened Interval: ft. to — ft.
wring Point is ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 14 gallons
ties for metals were collected unfiltered: OYES ❑ NO and field acidified ❑ YES ❑ NO
FIELD ANALYSES:
pH 7.10 units
Spec. Cord.
Odor No Odor
Appearance Mu
sample analyzed: 11-8-16 thru 11-14-16 Laboratory Name: PACE Analytical
AMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NOP) as N mg/I Pb - Lead
Coliform: MF Fecal <1 /100ml Nitrate (Nos) as N 4.1 mg/I Zn - Zinc
Coliform: MF Total /100ml Phosphorus: Total as P mg/I
Temp. 18.3 oC DRY at
µMhos time of
Certification No.
mg/I
mg/I
(Note Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
1130 mg/I
AI - Aluminum
mg/I
pH (when analyzed)
7.1 units
Ba - Barium
mg/I
TOC
<1 mg/1
Ca - Calcium
mg/I
92016
Chloride
330 mg/I
Cd - Cadmium
mg/I�_
Arsenic
mg/1
Chromium: Total
mg/I
Jill
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC).
Phenol
mg/I
Fe - Iron
mg/1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
146 mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K- Potassium
mg/I
VOC method #
Total Ammonia
<. 10 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen. NH,as N. Ammonia Mogan.
Tote)
Mn - Manganese
mg/I
method #
TKN as N
mg/I
Ni - Nickel
mg/1
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs mg/L Effluent Total VOCs: mg/L VOC Removal
Ll
Chris Bivans (General Manager)
Penniftee (or Authorized Aaenn Name. and Title - Please print at tvpe
GW -59 Rev. 112007

Analytical"'
wewpsrolasacan
t
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)2547176
Project: SPRAYFIELD WELLS
Pace Project No.: 92318941
Sample: MW -3 Lab ID: 92318941003 Collected: 11/08/1610:00 Received: 11/08/16 15:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual
Field Data
Collected By
Field pH
Field Temperature
Appearance
Field Specific Conductance
MBIO 9222D Fecal Coliform CHT
Fecal Coliforms
2640C Total Dissolved Solids
Total Dissolved Solids
4600H+ pH, Electrometric
pH at 25 Degrees C
300.0 IC Anions 28 Days
Sulfate
350.1 Ammonia
Nitrogen, Ammonia
353.2 Nitrogen, N021NO3 impress
Nitrogen, Nitrate
4600 Chloride
Chloride
53105 TOC
Total Organic Carbon
Date: 11/232016 05:29 PM
Analytical Method
JJO
1
11/08/16 10:00
7.1 Std. Units
0.10
1
11/08/1610:00
18.3 deg C
0.50
1
11/08/1610:00
CLEAR
1
11/08/16 10:00
1866 umhos/cm
1.0
1
11/08/1610:00
Analytical Method: SM 9222D
NO CFU/100 mL
1.0
1
11/08/16 16:25
Analytical Method: SM 2540C
1130 mg/L
50.0
1
11/10/16 13:39
Analytical Method: SM 4500-H+B
7.1 Std. Units
1.0
1
11/14/1613:42
H6
Analytical Method: EPA 300.0
146 mg/L
20.0
10
11/15/1610:01
14808-79-8
Analytical Method: EPA 350.1 1993 Rev 2.0
NO mglL
0.10
1
11/12/1602:12
7664-41-7
Analytical Method: EPA 353.2
4.1 mg/L
0.020
1
11/09/16 17:13
Analytical Method: SM 4500 -CI -E
330 mg/L
50.0
50
11/10/1623:53
16887-00-6
Analytical Method: SM 53108
NO mg/L
1.0
1
11/12/1622:19
7440-44-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 7 of 37

Document Name: Pield dela Sheep
Docume�tAiumte , F�CAR HI,D-0el-rev,01
av,tion:
u ra e
Name
Q �1 tion Q N G P'oject
Name #:
Namand Aflliation (Sampler(s):
Name and AHHation (Inspector):
Well Information
Well ID: _ UN kA)- 3 Well Locked: / NO)
Well Diameter: '[ l l Construction: V Steel/Stainless Steel)
Total Well Depth: 02, a y ft Multi Factor+•• O'In53 C(Radtns/32)2 x 3.14 x 7.491
Static Water Level - --J2 a .7 3 ft casing Volume:. , 8pl(ony
Height of Water Column-! Cal. 3 V'oluaies:
hump Intake: ft
Purge Information
Date Purged:- IL/ 0I �—Ue—Start:- 3 Finish: /.q' 00 Purge Rate: N/�{
Purging Method: 6Ll l Fx Total Volume Purged: I'}. D Ar nils)
9amn14rig Information
Date collected: (l:/og/J. `� Time Collected: ) b' a �
Sampling Equipment used: ha I Z - Instrument ID• s'- Vt- 3*70 flr i11S
Bottle Type preservation Analysis Required
3-YOw,L VOA ,.24 gcip -"C.
1-QWmL
Nua.Sa.O+. V,Ctal
1--,Omsk//-/05-n- +1-aSDa�Q,haar�.F /VDN� Ips IUii+A�i�R+KcJ,lon7�e�1�<I�+46
1-/a5 m L IfaSDu Al
Field lyleasuremenls/Observations
Sample Temp CC): Time: /0:00 Turbidity (ntu): — Time: —
Diss Oxy (nWL): Time: Fe 2+ mg/L -- Time.
specific Cond. (14): / g O Time: 10! oo Res. a (mg/L)/(p8/L): ""'" Time:
Sample pH (s.u.): 7,1 Time: /0'00 Odor. NOA , Time:
ReDox (mV): Time: -- Appearance: CI5'4 Time: I D:00
ReDox (EH value):YSI Proplus +200mV — Other: Time•
General/WnaFt.n..rn,se...."--.. i. "j --k
Sampler Signature
Stabillzatlon Test
ny) Temp.rEv-("!?) Windstoio (mph)
it�o8�►b
ge 32 of 37
Time Temp.
Purged CC)
Dim OxySpec'
(mg/L)
(o • pH (s.u.)
ReDox
(mV)
Turbidity
(nm)
Volume
removes)
Water
level (ft)
Otiter
ge 32 of 37

SUBMIT FORM ON YELLOW PAPER ONLY
SAMPLING INFORMATION
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING;
WELL ID NUMBER (from Permit): MW#5
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
WAS
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
pH 6.5 units Temp. 17.0 aC
PERMIT Number: Expiration Date: 06/30/2018
Facility Name: Valley Proteins
Screened Interval: ft. to ft.
Non -Discharge WQ0000957 UIC
Permit Name (if different):
1.8 ri
NPDES Other
Facility Address: 656 Little Duncan Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Wadesboro NC 28170 County Anson
Odor No Odor
❑ Lagoon ❑ Remediation: Infiltration Gallery
Volume of Water pumped/bailed before sampling:
11.5 gallons
© Spray Field ❑ Remediation:
Contact Person: Chris BiyanS Telephone#: [phone]
Samples for metals were collected unfiltered: ❑YES
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Behind Pond #1 No. of wells to be sampled: 8
ni
❑ Water Source Heat Pump ❑ Other.
SAMPLING INFORMATION
Orthophosphate
If WELL
WELL ID NUMBER (from Permit): MW#5
Date sample collected: 11/8/2016
FIELD ANALYSES:
WAS
Well Depth: 29.2 ft.
Well Diameter: 2 in.
pH 6.5 units Temp. 17.0 aC
DRY at
Depth to Water Level: 9.50 ft. below measuring point
Screened Interval: ft. to ft.
Spec. Cord. µMhos.
time of
1.8 ri
Ca - Calcium
mg/I
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor No Odor
check
Volume of Water pumped/bailed before sampling:
11.5 gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: ❑YES
El NO and field. acidified: ❑ YES E] NO
Grease and Oils
ni
sample analyzed: 11-8-16 thru 11-14-16 Laboratory Name: PACE Analytical
tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/1 Nitrite (NO.) as N mg/I Pb - Lead
Coliform: MF Fecal <1 /100ml Nitrate (NO3) as N _024 mg/I Zn - Zinc
Coliform: MF Total 1100m1 Phosphorus: Total as P mg/I
Certification No.
mg/I
mg/I
wore Us. MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
1480 mg/I
AI -Aluminum
mg/I
pH (when analyzed)
6.6 units
Ba - Barium
mg/I
16
TOC
1.8 ri
Ca - Calcium
mg/I
Chloride
370 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
ni
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
33.1 mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
pMhos
K - Potassium
mg/I
VOC , method #
Total Ammonia
<.10 mg/I
Mg - Magnesium
mg/I
method #
lAmmoma Nitrogen: NH,as N: Ammoma Nitrogen,
Totah
Mn - Manganese
mg/I
method #
TKN as N
mg/l.
Ni - Nickel
mg/I
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal°/
Chris Bivans (General Manager)
Permittee (or Authorized Apentl Name and Title- Please print or type
GW -59 Rev. 1/2007

aceAnalyticale
owpecefabs.mmm
ANALYTICAL RESULTS
Project: SPRAVFIELD WELLS
Pace Project No.: 92318941
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Sample: MW -5 Lab ID: 92318941004 Collected: 11/08/1608:25 Received: 11/08/1615:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
Field Data
Collected By
Field pH
Field Temperature
Appearance
Field Specific Conductance
MBIO 9222D Fecal Collfonn CHT
Fecal Coliforms
2540C Total Dissolved Solids
Total Dissolved Solids
4500H+ li Electrometric
pH at 25 Degrees C
300.0 IC Anions 28 Days
Sulfate
350.1 Ammonia
Nitrogen, Ammonia
353.2 Nitrogen, NO2/NO3 unpres
Nitrogen, Nitrate
4500 Chloride
Chloride
53105 TOC
Total Organic Carbon
Date: 11/23/2016 05:29 PM
Analytical Method:
JJQ
1
6.5 Sid, Units
0.10
1
17.0 deg C
0.50
1
CLEAR
1
2543 umhos/cm
1.0
1
Analytical Method: SM 9222D
NO CFU/100 mL
1.0
1
Analytical Method: SM 2540C
1480 mg/L
50.0
1
Analytical Method: SM 4500-H+B
6.6 Std. Units
1.0
1
Analytical Method: EPA 300.0
33.1 mg/L
2.0
1
Analytical Method: EPA 350.1 1993 Rev 2.0
ND mg/L
0.10
1
Analytical Method: EPA 353.2
0.024 mg/L
0.020
1
Analytical Method: SM 4500 -CI -E
370 mg/L
50.0
50
Analytical Method: SM 53108
1.8 mg/L
1.0
1
REPORT OF LABORATORY ANALYSIS
This report shell not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
11/08/16 08:25
11/08/16 08:25
11/08/16 08:25
11/08/16 08:25
11/08/16 08:25
11/08/16 15:49
11/10/16 13:39
11/14/1613:42 H6
11/12/16 21:16 14808-79-8
11/12/16 02:16 7664-41-7
11/09/16 16:41
11110/1623:54 16887-00-6
11/12/1622:29 7440-44-0
Page 8 of 37

Document Name: Pield data Sheet -vaar usuea:lwy.rs, aio.
pag:of
Document Number: F-CAR•FLD-001-rev.oi bouing Authority. PaceHuntersvOte QuaUty
. - office
T Field Data Sheet
I(A (�Ly 1 rb je i hD Location W A4U&6fft1, n! (- Project #: . S43fa9 Li -EL 1)
Name and Aflliatlon (Sampler(s): TSCA. - PAC C
Name and Aflliation (Inspector): )V//1
Well Information
Well ID: _ i•%l W ''S
Well Diameter:
Total Well Depth:
Static Water Level:-__q__-
Height
evel:gi'AHeight of water Column:41li—ft
Well Locked:/ NO)
Construction: teet/Stainless Steel)
MultiFactor^ t5 C(Radt a/12)2 x 3.14 x 9.48)
Casing Volume: . z gallons
Ca1:3:Volumes: 9• (a gallons
Pump Intake: N %m ft
Purge Information
Date Purged: i I / 0 4- / (O start; 094 0 Plniah 0?'Y'% Purge Rate WA -
Purging Method b G I I •f . Total Volume Purged:///�(Rallons_ mis)
Sampling Information
Date Collected / / / 6
Sampling Equipment Used:
Bottle Type Preservation
3 -Y6 t+t L V#A abes 4CI D
/–asowi� 4�-sa-o3 ,
/-St7o�.,2 � /-t?6-a-P� /-lsDn•0, !-11sntl. /V oA/tG.
Field lKeasurementa/Observations
Sample Temp CC): /7!, D Time 681 S Turbidity (ntu):
Analysis Required
_ al Col'
"ipSy /l/i %t2 , MK EL�n✓1�pj Pit LAJs
A/4 -3-A/
Dias Oxy (mg/L): Time:
— Fe 2+ mg/L'______.--'
Thne:
Specific coed. (us): ;0543 Time.
ov S Res. Ci (mg/L)/(pg/L): =Time:
-"
SamplepH(s.u.): (e S Time;
01 "-'3 Odor: A/0A11C
Time: 04R25
ReDox (mV): Time:
— Appearance: C IPg v
Tie: D8� t1
ReDox (EH value):YSI ProPlus +200mV
Other
Time:
Generai/WeatherObservations: 144L.) -6L
_ (sunny/j!g�/rainy) Temp• ` O
(°l) WirtdS�/o (mph)
Sampler Signature
Stabilization Test
Time Temp.
Purged CC)(mg/L)
Turbidity. Volumed
/�)
Water
level (ft)
Other
Diss Oxy.
Conti
(US)(MV)()
pH(s.u.) ReDox
s(o I cy
-1
3 1
— 3, '
�S
7.0
7,0
—
aq;t
.2763
11D,5
—
:4,/
1,5 " Nil
I—
Page 33 of 37

SUBMIT FORM ON YELLOW PAPER ONLY
TER QUALITY MONITORING:
E REPORT FORM
acuity Name: Valley Proteins
'ermit Name (if different):
acility Address: 656 Little Duncan Road
Wadesboro NC 28170 County Anson
act Person: Chris Bivans Telephone#: [phone]
Location/Site Name: Behind Field #20 No. of wells to be sampled: 8
L ID NUMBER (from Permit): MW#6 Date sample collected: 11/8/2016
Depth: 45 ry, Well Diameter: 2 in.
i to Water Level: 10.60 ft. below measuring point Screened Interval: _ft. to _ft.
,uring Point is ft, above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 9.0 gallons
PARTMENT OF ENVIRONMENT d NATURAL RESOURCES
'ISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
:RMIT Number: Expiration Date: uor.surzu l o
,n -Discharge W00000957 UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field El Remediation
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 6.6 units
Spec. Cord.
Odor No Odor
Appearance Murky
iples for metals were collected unfiltered: LJ YES LJ NO and field acidified: LYES LJ NO
ORATORY INFORMATION
sample. analyzed: 11-8-16 thru 11-14-16 Laboratory Name: PACE Analytical
IAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO2) as N mg/I Pb - Lead
Coliform: MF Fecal <1 /100ml Nitrate (NO3) as N .022 mg/I Zn - Zinc
Coliform: MF Total 11 00m Phosphorus: Total as P mg/I
Temp. 18.5 aC DRY at
pMhos. time of
Certification No.
mg/I
mg/I
Wmd. uae MFNmatb.dfo,h,9hlyw,mdsamptesl
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
138 mg/I
Al - Aluminum
mg/I
ViFr 9 n ?n.�
pH (when analyzed)
6.6 units
Ba - Barium
mg/I
TOC
<1 mg/I
Ca - Calcium
mg/I�
Chloride
13.2 mg/I
Cd - Cadmium
mg/I
Arsenic
mgll
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mgll
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
5.1 mgt(
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
pMhos
K- Potassium
mg/I
VOC method #
Total Ammonia
<• 10 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nnmgen; NH,as u; Ammoma M .... n. Tmal)
Mn - Manganese
mgll
method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
Chris Bivans (General Manager) /�fiw-(������
Permittee (or Authorized Agent) Name and Title- Please print or type Signature gf Permittee for Authorized Agenn
GW -59 Rev. 1/2007
a

aceAnalytical
� wµwpaele0ccom
ANALYTICAL RESULTS
Pace Analytical services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: SPRAYFIELD WELLS
Pace Project No.: 92318941
Sample: MW -6 Lab ID: 92318941005 Collected: 11/08/1612:05 Received: 11/08/1615:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Field Data
Analytical Method:
Collected By
JJQ
1
11/08/1612:05
Field pH
6.6 Std. Units
0.10
1
11/08/16 12:05
Field Temperature
18.5 deg C
0.50
1
11/08/16 12:05
Appearance
MURKY
1
11/08/16 12:05
Field Specific Conductance
160.4 umhos/cm
1.0
1
11/08/16 12:05
MBIO 9222D Fecal Coliform CHT
Analytical Method: SM 9222D
Fecal Coliforms
NO CFU/100 mL
1.0
1
11/08/1616:25
2540C Total Dissolved Solids
Analytical Method: SM 2540C
Total Dissolved Solids
138 mg/L
25.0
1
11/10/16 13:59
D6
4500H+ pH, Electrometric
Analytical Method: SM 4500-H+B
pH at 25 Degrees C
6.6 Std. Units
1.0
1
11/14/16 13:42
H6
300.0 IC Anions 28 Days
Analytical Method: EPA 300.0
Sulfate
5.1 mg/L
2.0
1
11/12/1621:25
14808-79-8
350.1 Ammonia
Analytical Method: EPA 350.1 1993 Rev 2.0
Nitrogen, Ammonia
NO mg/L
0.10
1
11/12/1602:21
766441-7
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2
Nitrogen, Nitrate
0.022 mg/L
0.020
1
11/09/1617:21
4500 Chloride
Analytical Method: SM 4500 -CI -E
Chloride
13.2 mg/L
1.0
1
1111011623:55
16887-00-6
631OB TOC
Analytical Method: SM 53108
Total Organic Carbon
NO mg/L
1.0
1
11/12/1622:40
744044-0
Date: 11/23/2016 05:29 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 9 of 37

s�
aaeAna"cal'
i
(ment Name: Field data Sheet
LE;;
Date Issued; July 28, 2016
Pa - 1 od
Number. P-CAR-PLD-001-rev,01
Iuu Auawrl - Pace Hunteowille
f ty- Q
Office
``Yield
Data Sheet
Client �G I't._� PViliQt.1PLocation:
t5(10�D ,NC . prajectN a t�
Name and ASllation (Sampler(.):
P iQG�- -
Name and Af kation (Inspector)..
Preservatto�}, Analysis Required
Well Information
Jahns kei I&-
Well ID: M i->- (/
Well locked:/ NO)
Well Diameter: ;)11
construction ;;eel/Stainless Steel)
Total Well Depth 4 i i • B ft Multi Factor*:Oi f� (•(Radius/12)2 x 3.14 x 7.481
Static Water Level• 10.(eD ft Casing Volume: 5' (o gym
Height of Water Column a�L' i Cal. 3 Volumes: 16's gallons
Pump Intake: A1/A
Purge Information
Diss Oxy.
(mg/L)
Date Purged: )� /�/ /1
0)(0 Stert:lt't-,S(, Finish: 5: Purge RAP-- /Ii1N
Purging Method: bet,') -e"
_Total Volume Purged: qiO W ons )
Sampling Information
D -y
Date Collected: I l /.Lb/Lb
Time Collected: 1x.05 (aai�pm�j
Sampling Equipment Used: fi4 i I e r
Ln•trument ID:_ yir fd 3y70 A+y �IUS
Bottle Type
Preservatto�}, Analysis Required
3-4..OML doR
Jahns kei I&-
1- 3RY
N 5 o3 Pe
1-Szt Q, 1 a59� 1-�sz+ P�la�s Q
.vexvF N)!K citlo.;AC
(f-asoy NN -3
Field Measurements/Observations
—'
Sample Temp CC): I$ 55 Time:
1?:05 Turbidity (ntu): Time:
Diss Oxy (mg/L): —^ Time:
J Fe 2+mg/L- --- Time: —,
Specific Cond. (ilS): 10 D Time: Res. Cl (mg/L)/(pg/L): —Time:
Sample pH (s.u.): (a' ro Time 3'05 Odor: NIJx)V
ReDox (mV): — Time:
— Appearance: to -YKIj Time: /a: oS
ReDox (EH value):YSI ProPlus +200tnV
_ Other: Time. —�
GeneraVWeatherObservations: MW
-(O
(aunny/ oud rainy) Tempjf (°F) Winds�i/G_(mph)
Sampler Signature: ,4 „--t�LDate: W000
0 8
Stabilization Test .
pH[A6
Time Temp.
Purged CC)
Diss Oxy.
(mg/L)
Spec'
�d.
pH (s.u.)
ReDox
(mV)
Turbidity:
(ntu)
Volume
removed
of /mis)
Water
level ft
( )
Other
: o
ss•
--
—'
9,n
—
age 34 of 37

SUBMIT FORM ON YELLOW PAPER ONLY
TER QUALITY MONITORING:
E REPORT FORM
acility Name Valley Proteins
'ermit Name (if different):
acilityAddress: 656 Little Duncan Road
Wadesboro NC 28170 County Anson
act Person: Chris Bivans
Location/Site Name: Behind Field #19
Telephone#: [phone]
No. of wells to be sampled:
L ID NUMBER (from Permit): MW#7 Date sample collected: 11/8/2016
Depth: 52 ft. Well Diameter: 2 in -
1 to Water Level: 22.06 ft. below measuring point Screened Interval: _ft. to
wring Point is ft. above land surface Relative M.P. Elevation: ft,
ne of water pumped/bailed before sampling: 9.25 gallons
e sample analyzed: 11-8-16 thru 11-14-16 Laboratory Name: PACE Analytical
RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO_) as N
mg/I
Coliform: MF Fecal
<1 /1 OOml
Nitrate (NO3) as N
,17 mg/I
Colfform: MF Total
/1o0ml
Phosphorus: Total as P
mg/I
(Note Use MPNmethodforhlgMyturbldsample$)
Orthophosphate
mg/I
Dissolved Solids: Total
315 mg/I
Al - Aluminum
mg/I
pH (when analyzed)
7.2 units
Be - Barium
mg/I
TOC
<1 mg/I
Ca - Calcium
mg/I
Chloride
29.3 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/l
Cu - Copper
mg/I
Phenol
mg/I
Fe - Iron
mg/I
Sulfate
5.8 mg/I
Hg - Mercury
mg/I
Specific Conductance
µMhos
K - Potassium
mg/I
Total Ammonia
<10 mg/l
Mg - Magnesium
mg/I
(Ammonia Nitrogen: NH,asA'. Ammonia Namgen, Total)
Mn -Manganese
mgll
TKN as N
mg/I
Ni - Nickel
mg/I
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
pARTMENT OF ENVIRONMENT & NATURAL RESOURCES
ISION OF WATER QUALITYJNFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
!RMIT Number: Expiration Date: 06/30/2018
n -Discharge WO0000957 UIC
IDES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
K Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES: WAS
pH 7.2 units Temp. 18.0 "C DRY at
ft. Spec. Conti pMhos time of
sampling,
Odor No Odor check
Appearance Clear here: 11
Certification No.
Pb - Lead mg/I
Zn -Zinc mg/I
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) ❑ No (D)
VOC method #
method #
method #
method #
Effluent Total VOCs:
VOC Removal
Chris Bivans (General Manager)l �ia o /1
Permittee (or Authorized Agent) Name and Title- Please print or type Signature o�Aermittee (or Authorized Apentl
GW -59 Rev. 1/2007

ZeAnalyficale
alYlCPafeaae.COrl1
i
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: SPRAYFIELD WELLS
Pace Project No.: 92318941
Sample: MW -7 Lab ID: 92318941006 Collected: 11/08/1611:30 Received: 11/08/1615:05 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
Field Data
Analytical Method:
Collected By
JJQ
1
11/08/16 11:30
Field pH
7.2 Std. Units
0.10
1
11/08/16 11:30
Field Temperature
18.0 deg C
0.50
1
11/08/16 11:30
Appearance
CLEAR
1
11/08/16 11:30
Field Specific Conductance
514.4 umhos/cm
1.0
1
11/08/16 11:30
MBIO 92220 Fecal Coliform CHT
Analytical Method: SM 9222D
Fecal Coliforms
NO CFU/100 mL
1.0
1
11/08/16 16:25
2640C Total Dissolved Solids
Analytical Method: SM 2540C
Total Dissolved Solids
315 mg/L
25.0
1
11/10/16 14:00
4600H+ pH, Electrometrle
Analytical Method: SM 4500-H+B
pH at 25 Degrees C
7.2 Std. Units
1.0
1
11/14/16 13:42
300.0 IC Anions 28 Days
Analytical Method: EPA 300.0
Sulfate
6.8 mg/L
2.0
1
11/12/1621:34
14808-79-8
350.1 Ammonia
Analytical Method: EPA 350.1 1993 Rev 2.0
Nitrogen, Ammonia
ND mg/L
0.10
1
11/12/1602:22
766411-7
363.2 Nitrogen, NO2IN03 unpres
Analytical Method: EPA 353.2
Nitrogen, Nitrate
0.17 mg/L
0.020
1
11/09/16 17:16
4600 Chloride
Analytical Method: SM 4500 -CI -E
Chloride
29.3 mg/L
1.0
1
11/1011623:56
16887-00-6
53108 TOC
Analytical Method: SM 5310B
Total Organic Carbon
NO mg/L
1.0
1
11/1211623:11
7440-44-0
Date: 1123/2016 05:29 PM
REPORT OF LABORATORY ANALYSIS
This report shell not be reproduced, except in full,
without the written consent of Pace Analytical Services, U.C.
H6
Page 10 of 37

Client VAI IEw PrAee vls Location:s ' FS^ f7YU JdG project#: JRra'SEL
Name and ABllatioon (Sampier(s):(_ ?4(6c
Name and Aflliation (Inspector): N/A
Well Information
Well ID:, Y11 Ltj- Well Locked: QY NO)
Well Diameter a Construction PVC Steel/Stainless Steel)
Total Well Depth: 5'J, a 8 ft Multi Pactoe: o• 1 b 3 C(Radius/72)213.14 x 7.48]
Static Water Level-'--!!a� • O(o ft Casing Volume: -5, 1 gallons
Height of Water Column i3 L --j- jt CaL 3 Volumes: 1 '5, 3 gallons
Pump Intake: WIA ft
Purge Information
Date Purged:11 / 67 / //a Start: 1405 Phjsh /`/ 3/ Purge Rate: N/A
Purging Method: bel't ler Total Volume Purged: 5 Dr (gallons/mis)
Sampline Information
Date Collected I) /2_8/jj�L Time Collected: 1a (apm)
V
Sampling Equipment Used: Q N tr instrument ra Y S T -#t-: c*7b Dia.pw
Bottle Type Preservation Analysis Required
3-4OmL trok fol?as help
/- d370 Nv> s, 0:4 P
1 -Soo nQ;-i�sMi- I +R f-fss ,e Alc�/SC Ira - C lwf�e� VHlhb
/-rasrnU /lasdtF
Field Massurements(Observations
Sample Temp CC): f 8 D Time: I / 3 J Turbidity (mu): '— Time:
Diss Oxy (mg/L): — Time: Fe 2+mg/L: -- Time:
Specific Cond. (uS): 5/ L}, L Time: // 13L? Res. Cl (mg/L)/(µg/L): — Time:
Sample pH (s.u.): Time: f1:30 Odor: NONf< Time.. /I 3 t7
ReDox (mV): Time: Appearance: cleay- - Time: //'.3O
ReDox (EH value):YSI ProPlus +200mV _ Other: Time-
General/Weather ObservationsL---]M GI , *
Sampler Signature
Stabilization Test
v;
WindSdD(0 (mph)
Time Temp.
Purged (°C)
Document Name: Field data Sheet
Date Issued: July 28, 2016
/gggq/'
Pa 1 of _
Document Number. P-CAR-PLD401-r sol
lisuing Autiwrity. Pace liuntwville Quality
Office
�((
Client VAI IEw PrAee vls Location:s ' FS^ f7YU JdG project#: JRra'SEL
Name and ABllatioon (Sampier(s):(_ ?4(6c
Name and Aflliation (Inspector): N/A
Well Information
Well ID:, Y11 Ltj- Well Locked: QY NO)
Well Diameter a Construction PVC Steel/Stainless Steel)
Total Well Depth: 5'J, a 8 ft Multi Pactoe: o• 1 b 3 C(Radius/72)213.14 x 7.48]
Static Water Level-'--!!a� • O(o ft Casing Volume: -5, 1 gallons
Height of Water Column i3 L --j- jt CaL 3 Volumes: 1 '5, 3 gallons
Pump Intake: WIA ft
Purge Information
Date Purged:11 / 67 / //a Start: 1405 Phjsh /`/ 3/ Purge Rate: N/A
Purging Method: bel't ler Total Volume Purged: 5 Dr (gallons/mis)
Sampline Information
Date Collected I) /2_8/jj�L Time Collected: 1a (apm)
V
Sampling Equipment Used: Q N tr instrument ra Y S T -#t-: c*7b Dia.pw
Bottle Type Preservation Analysis Required
3-4OmL trok fol?as help
/- d370 Nv> s, 0:4 P
1 -Soo nQ;-i�sMi- I +R f-fss ,e Alc�/SC Ira - C lwf�e� VHlhb
/-rasrnU /lasdtF
Field Massurements(Observations
Sample Temp CC): f 8 D Time: I / 3 J Turbidity (mu): '— Time:
Diss Oxy (mg/L): — Time: Fe 2+mg/L: -- Time:
Specific Cond. (uS): 5/ L}, L Time: // 13L? Res. Cl (mg/L)/(µg/L): — Time:
Sample pH (s.u.): Time: f1:30 Odor: NONf< Time.. /I 3 t7
ReDox (mV): Time: Appearance: cleay- - Time: //'.3O
ReDox (EH value):YSI ProPlus +200mV _ Other: Time-
General/Weather ObservationsL---]M GI , *
Sampler Signature
Stabilization Test
v;
WindSdD(0 (mph)
Time Temp.
Purged (°C)
Turbidity:
(ntu)
DissOxy.
(mg/L)
Spec
Cored.
(US)
pH (s.u.)
ReDox
(mV)
Volume - Water
ono mis) level (ft)
Other
—9.
S,a5 —
/q;31 1:T 3
—
a
—
—
, ;z5' Dr
Page 35 of 37

SUBMIT FORM ON YELLOvv PAPER ONLY
ROUNDWATER QUALITY MONITORING:
DMPLIANCE REPORT FORM
acility Name: Valley Proteins
ermit Name (if different):
acility Address: 656 Little Duncan Road
Wadesboro NC 28170 County Anson
act Person: Chris Biyans Telephone#. [phone]
Location/Site Name: Behind Field #16 No. of wells to be sampled: 8
L ID NUMBER (from Permit): MW#8 Date sample collected: 11/6/2016
Depth: 30 ft. Well Diameter: 2 in.
h to Water Level: 6.52 ft. below measuring point Screened Interval: _ft. to _ft.
luring Point is ft. above land surface Relative M.P. Elevation: ft.
Tie of water pumped/bailed before sampling. 10.25 gallons
rARTMENT OF ENVIRONMENT & NATURAL RESOURCES
ISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
RMIT Number: Expiration Date: 06/30/2018
n -Discharge W00000957 UIC
'DES. Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 6.9 units
Spec. Cond.
Odor No Odor
Appearance Clear Ihere: 71
Temp. 18.0 eC DRY at
µMhos time of
sample analyzed: 11-8-16 thru 11-14-16 LaboratoryName: PACE Analytical
tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO2) as N mg/I Pb - Lead
Coliform: MF Fecal <1 /loom[ Nitrate (NO3) as N <.020 mg/I Zn - Zinc
Coliform: MF Total /100ml Phosphorus: Total as P mg/I
Certification No.
mg/I
mg/I
(Npta. use MPNmemod M,h,9hiylummsamplesl
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
317 mg/I
Al - Aluminum
mg/I
pH (when analyzed)
6.9 units
Ba - Barium
mg/I
DEG 2
TOC
<1 mg/I
Ca - Calcium
mg/I
Chloride
67.4 mg/I
Cd - Cadmium
mg/I
VW
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
8.3 mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance.
ItMhos
K - Potassium
mg/l
VOC method If
Total Ammonia
<.10 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen. NH,as N. Ammonia Nitrogen, Toted
Mn - Manganese
mg/I
method #
TKN as N
mg/I
Ni - Nickel
mg/l
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs. mg/L Effluent Total VOCs. mg/L VOC Removal
Chris Bivans (General Manager)
Permittee (or Authorized Apeml Name and Title- Please print or type
GW -59 Rev. 112007

1eAnalytical e
eawpacdsbacam
I
ANALYTICAL RESULTS
Pace Analytical services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)2547178
Project: SPRAYFIELD WELLS
Pace Project No.: 92318941
Sample: MW -8 Lab ID: 92318941007 Collected: 11/08/1611:00 Received: 11/08/1615:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Field Data
Analytical Method:
Collected By
JJQ
1
11/08/1611:00
Field pH
6.9 Std. Units
0.10
1
11/08/16 11:00
Field Temperature
18.0 deg C
0.50
1
11/08/16 11:00
Appearance
CLEAR
1
11/08/16 11:00
Field Specific Conductance
491.5 umhos/cm
1.0
1
11/08/1611:00
MBIO 9222D Fecal Coliform CHT
Analytical Method: SM 92220
Feral Coliforms
NO CFU/100 mL
1.0
1
11/08/1616:25
2540C Total Dissolved Solids
Analytical Method: SM 2540C
Total Dissolved Solids
317 mg/L
25.0
1
11/10/16 14:00
4600H+ pH, Electrometric
Analytical Method: SM 4500-H+B
pH at 25 Degrees C
6.9 Std. Units
1.0
1
11/14/16 13:42
300.0 IC Anions 28 Days
Analytical Method: EPA 300.0
Sulfate
8.3 mg/L
2.0
1
11/12/1621:43
14808-79-8
350.1 Ammonia
Analytical Method: EPA 350.1 1993 Rev 2.0
Nitrogen, Ammonia
NO mg/L
0.10
1
11/12/1602:24
766441-7
363.2 Nitrogen, NO2IN03 unpres
Analytical Method: EPA 353.2
Nitrogen, Nitrate
NO mg/L
0.020
1
11/09/1617:15
4600 Chloride
Analytical Method: SM 4500 -CI -E
Chloride
67.4 mg/L
10.0
10
11/10/1623:57
16887-00-6
53108 TOC
Analytical Method: SM 5310B
Total Organic Carbon
NO mg/L
1.0
1
11112/1623:21
7440-44-0
Date: 11123/2016 05:29 PM
REPORT OF LABORATORY ANALYSIS
This report shell not be repmducao, except in NII,
without the written consent of Pace Analytical Services, LLC.
H6
Page 11 of 37

Ce.
Name and
DOCUme t Nemo: Field data Sheet
Name and Af Nation (Inspector): )Q) A
Well Information
Well ID:
Well Diameter a
Total Well Depth: o�g ft
Static Water Level: Jr2 ft
Height of Water Column:�ft
_Project #:
Well Locked:Y�F / NO)
Construction: <EStwllStainless Steel)
Multi Factor-: 0,163 rRadius/42)2x3.14x7.48]
Casing Volume: 3 .'Z gallons
Cal.3 Volumes: If, Lj gallons
Pump Intake: 1 ft
Purge Information
Date Purged: l l / O_ / (� Start1320 %0 Finish: 13'`41 Purge Rate•. u I
Purging Method: ba t l2v Total Volume Purged: j0. S allons )
DY -1
I±ampling Information
Date Collected: IT,( a eti�y 1 Time Collected•. I l ' � pm)
f
Sampling Equipment Used; be L cr Insbument ID: �SZ *Yq?c eoA(Us
Bottle Type Preservation Analysis Requited
3-yt�mL Vo 04CS 4cop t
-/^350r+'t /1/4J -S x0 Ft"C•a iDl� h1
/-Soo -/3s. it i Q/f /�5>r 2 �/,O E _r4 Af) k %L At V_ t1✓sni ,, P//LA6
/- la Srn L_ I Lzs174 Algia -A/
Field WAsurements/Observations
Sample Temp CC): 1$ , D Th ' O C) Turbidity (ntu): Time:
Diss Oxy (mg/L): Time: Fe 2+ mg/L: Time:
Specific Cond. (uS): t•( 9 I 1 S Time: //: DO Res. CI (nWL)/(pg/L): Time
Sample pH (s.u.): Time: 11: O O Odor•. N b V F- Time: I I: a0
ReDox (mV): Time: --Appearance. d e4v Time ! i : OC)
ReDox (EH value):YSI ProPlus+200mV —" Outer: Time: '—
General/Weather Observations:
n (sunny/ Q)/rainy) Temp.JaO_(*p) wind k10 (r
Time Temp.
Purged eC)
DissOxy.
(mg/L)
Ca d.
(US)
pH (s.u.)
ReDox TurMdity: , remooved Water
(mV) (ntu) „�� 7 level (ft)
Other
•3. Icy
W2.
of ;L5 Pr
-
Page 36 of 37

ON YF1 I OVV PAPER ONLY
TER QUALITY MONITORING:
E REPORT FORM
1RTMENT OF ENVIRONMENT & NATURAL RESOURCES
'.ION OF WATER QUALITY -INFORMATION PROCESSING UNIT
MAIL SERVICE CENTER, RALEIGH. NC 27699.1617 Phone: [phone]
FACILITY INFORMATION "tlJ ""' ""°"y" 'YP` PERMIT Number: Expiration Date: Ub/JU/[U-I o
Facility Name: Valley Proteins Non -Discharge W00000957 UIC
Permit Name (if different): NPDES Other
Facility Address: 656 Little Duncan Road TYPE OF PERMITTED OPERATION BEING MONITORED
Wadesboro NC 28170 County Anson ❑ Lagoon ❑ Remediation: Infiltration Gallery
Rl Spray Field ❑ Remediation:
Contact Person: Chris Bivans Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Behind Field #14 No. of wells to be sampled: 8 ❑ Water Source Heat Pump ❑ Other
LID NUMBER (from Permit): MW#9 Date sample collected: 11/8/2015 FIELD ANALYSES:
Depth: 29 ft. Well Diameter: 2 In. pH 6.8 units Temp. 17.5 OC
h to Water Level: 13.24 ft. below measuring point Screened Interval: _ft. to _ft. Spec. Cord. pMhos
curing Point is ft. above land surface Relative M.P. Elevation: ft. Odor No Odor
ne of water pumped/bailed before sampling; 10.75 gallons Appearance Clear
31es for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
sample analyzed: 11-8-16 thru 11-14-16
LaboratoryName:
PACE Analytical
Certification No.
tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO.) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal
<1 /100ml
Nitrate (NO3) as N
<.40 mg/I
Zn - Zinc mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
(Note. use MPN method for highly wreid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
1010 mg/1
Al - Aluminum
mg/I
pH (when analyzed)
6.9 units
Ba - Barium
mg/I
TOC
<1 mg/I
Ca - Calcium
mg/I
Chloride
432 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper-�nmig�A
}
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
—'Q— " aT p`MRS
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
23.8 nrl
Hg - Mercury
g/I
VM
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
g/I
VOC method #
Total Ammonia
<.10 mg/I
Mg - Magnesium
mg/l
, method #
(Ammon. N,Vogen: NH,as N. Ammonia Nitrogen,
Total)
Mn -Manganese
mg/I
,method #
TKN as N _ _ _
mg/I
Ni - Nickel
mg/I
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
Chris Bivans (General Manager)
Permft ee (or Authorized Agent) Name and Title -Please print or type
GVV-59 Rev. 1/2007
Effluent Total VOCs-
VOC
at
of
ISI

Analytical
asra:0ac81&bs era
j
ANALYTICAL RESULTS
Pace Analytical services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: SPRAYFIELD WELLS
Pace Project No.: 92318941
Sample: Mw -9 Lab ID: 92318941008 Collected: 11/08/1610:35 Received: 11/08/1615:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
Field Data
Collected By
Field pH
Field Temperature
Appearance
Field Specific Conductance
MBIO 9222D Fecal Coliform CHT
Fecal Coliforms
2540C Total Dissolved Solids
Total Dissolved Solids
4500H+ pH, Electrometric
pH at 25 Degrees C
300.0 IC Anions 28 Days
Sulfate
350.1 Ammonia
Nitrogen, Ammonia
353.2 Nitrogen, NO2IN03 unpres
Nitrogen, Nitrate
4600 Chloride
Chloride
53108 TOC
Total Organic Carbon
Date: 11/23/2016 05:29 PM
Analytical Method
JJq
1
11/08/16 10:35
6.8 Std. Units
0.10
1
11/08/1610:35
17.5 deg C
0.50
1
11/08/1610:35
CLEAR
1
11/08/16 10:35
1861 umhos/cm
1.0
1
11/08/1610:35
Analytical Method: SM 9222D
NO CFU/100 mL
1.0
1
11/08/1616:25
Analytical Method: SM 2540C
1010 mg/L
25.0
1
11/10/1614:01
Analytical Method: SM 4500-H+B
6.9 Std. Units
1.0
1
11/14/16 13:42
Analytical Method: EPA 300.0
23.8 mg/L
2.0
1
11/12/1621:53
14808-79-8
Analytical Method: EPA 350.1 1993 Rev 2.0
NO mg/L
0.10
1
11/12/1602:28
766441-7
Analytical Method: EPA 353.2
0.40 mg/L
0.020
1
11/09/1617:14
Analytical Method: SM 4500 -CI -E
432 mg/L
30.0
30
11/10/1623:58
16887-00-6
Analytical Method: SM 5310B
NO mg/L
1.0
1
11/12/1623:39
744044-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the when consent of Pace Analytical Services, LLC.
H6
Page 12 of 37

i/ --"""v
Document Name hkld ds49heet
Date Iaaued: July 28, 2016
FaAc 1 o
Documa�k Nuetber. P-CAR-FLD-001-tev.01
La�in6 Authority: Face eevllle QueBly
Office
j Field Oda Sheet
Client_ V�tllCvl �rOtce�Js Location wt4d[SSo.Afc amect#:Q�✓
Name and Aflliation (Sampler(s): P�
Name and Af Nation (Inspector):
Well Information
Well ID: m ki •- `'(
well Diameter.
Total Well Depth:
static water Level•
Height of Water Column: /5. R $ ft
Well Locked: / NO)
Construction: e2SjSteei/Stainless Steel)
Multi Factor•• 0, 16 3 rlg,di„e/7.42 x aux 7A8]
Casing volume: _ -?. Cs gallons
Cal.3 Volumes: T-2 gallons
Fumy Intake Nf ft
Information
Date Furged I O / (O Start; 1' Finish: (1; 5l purg Ratte::��
Purging Method: (34, )tr . Total Volume purged: lolg5 '^ ! nils)
Samvilax Information
Date Collected i/&U i (a Tim Conected: IO : 3 5 (atn/Pm)
Sampling Equipment Used: i7 4, l t Instrument ID: YET # 3k70
Bottle Type Preservation Analysis Required
3-HOmi- Vow s /4ti -IO r✓
SD r7 5;66 p
n -C -aso 1, -04 /NONE_. /✓,irafP RIICc(t(oria(� P)444�
Field Measurements/Observations
Sample Temp (C): - S Time: (0 '3S
Turbidity (ntu):
Time: --'
Diss Oxy (nWL): Time:
Fe 2+mg/L• —
Time:
Specific Cond. (uS):8 6 I Time: I �3S
Res. Cl (mg/L)/(µg/L)��:
Time: —
e D
SamplepH(s.u.): (OpTime: LOY
Odor: nlonE
--
ReDox(mV): Time: —
Appeanmce: Clta�
Tian /0:35
ReDox (EH value):YSI ProPlus +200mV --
Other:
Time --
General/Weather Observations: M w-11
6.
--
Y--- �/cloudy/rainy) Temp.SO
(°I� Wind(o (mph)
Sampler Signature
Stabilization Test
Time
Purged
Temp .
CC)
Dias Oxy.
(mg/L)
Ste'
(CDn .
pH (s.u.)
ReDox
(mV)
Turbidity
(�)
Volume Wafter
remove ) level (ti)
mls
Other
p:38
p
--
)Va
S
la: y 3
6.
--
i N5
to R—
tX.It
(b,y
6.8
-,;� a�.
e 37 of 37

ADDMONAL COMMENTS
BYIAFFILIATIDN
DATE I TIME
SAMPLER NAME AND SIGNATURE
PRINTNameaTSANIKER:
SIGNATURE a SAMPLER
'ImeYlwN Nda'BY aemtN s,' f—Yw:m acxpS)ry Pox's NET 30 JaY VYmaru la'm aM geepg Wl:aa Wlppy d l'I,W mf
ACCEPTED BY I AFFR.IATKIN I DATE TNAE
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SAMPLE CONDITIONS
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8
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CHAIN -OF -CUSTODY / Analytical Request Document
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The Chaln of- Cusfotly
is
a LEGAL DOCUMENT.
n,
All relevant faWs must he completes accumtety.
p
aan.pxNaea.pm
m
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Section A
Section IS
Raeuired Client Information:
RaRahatl Project InlomiMbn:
Section C
Page:
of st
Cortpany
Report Ta.
Imolee Infonnatan:
Astl ess:
`
L� v
Copy To:
Comp22
any Name:
— _. •�
REGULATORY AGENCY
Astlreas
Entail T.
NPDES GROUNDWATER '- DRINKING WATER
Purchase OtOar No.: Duma
Ptrone: Fax:
PrgegN
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UST ,-' RCRA
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flarmee� �\ li� \
Site Loeallon
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STATE; /v
Section D
Requested
Analysis
Filtered
(TINt
Rm1WroeCuem Mlormatm
N.W. Cache
MATRIXt, e CO
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COLLECTED
z
Onlslry water Ow
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Preservatives
>
Water WT
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Waste water WWO
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F
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Protluct P s
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ENCNaUe
SAMPLE ID
asaesaatl a=
WIN WP
8
(A -z. Dar;1
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Sample IDs MUST BE UNIOUE
Tissue
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SAMPLER NAME AND SIGNATURE
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SIGNATURE a SAMPLER
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GW -59A COMPLIANCE REPORT FORM Permit # VJ00000957
(subme9lM nch ewaindeg ped,a von cw_sa romw.)
1
Enter data monitoring results were due. ( 12/30/2018 ) NO this monitoring report (GW49 and GW -59A)
YES
be submitted after the established due date?
2
Was any required Information missina on the GW -59 report forms?
YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
An any of the monitor wells In need of repair ar maintenance (damaged casing, unlocked or missing cap, missing
YES
Identification plate, Brea overiptron, etc.)7f the answer is "YES", contact to Regional Office for guidance
1
Ars any nitoring constituents equal to or above the established standards?
NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 Is "YES1ist the affected walls individually with constguents(s) and concentration(s)
exceeding stsnderds in the specs provided below:
MAN 1, 2, 3, 5 and 9 exceed ground water standards for Total Dissolved Solids.
MW# 1, 2, 3, 9 and 9 exceed for chlorides.
MW#1 exceeds for nitrate.
S
For the same constituents Identified In question 4 above, have standards been exceeded previously for the
_
NO
same constituents s in the same "Ileet In the last two ears?
9 the answer to question 5 is "NO", skip to section 8.
U the answer to question 9 is "YES"Jilt in the space provided below, each well with constituent(s) exceeding
standards, corwentralion(s) reported, and sample collection date for each occurrence (for the last two years).
See Report enclonted.
9
Are the monitorin "Ile listed In section a located or or beyond the review boundary?
NO
R the answer Is "YES", a groundwater quality problem may be oecuring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE If the answer Is "NO", monitoring wells may be Improperly
located; contact the Regional Office
7
Is the pematlee Implementing previously approved actions required by the Division Involving this
NO
groundwater quality problem?
If the answer to question 7 is'YES", describe those actions in the space provided below.
If the answer to question 7 Is "NO e
required to cletannint, the Impact the waste disposal system Is havin, at the reviver and connolis ee
bounded" suntrundina this act!!-. Failure bo do so my sublect the pimmitte" to - Notice of violat on
fines. anWor oenelties.
Plezometera were placed In one irrigation fields to determine water quality.
Total Dissolved Solids and Chloride* are naturally high In this area.
Sprinkler heads ware purposely capped off near monitoring well #1 as instructed by Jim Barber (Division of Water Resources)
to ass H the nitrate level wtil change in the well.
8
The Person completing this portion (GW -99A) of the monitoring report should sign below and submit this
form with GW -59 forms for required wells to the address; provided at the top of the current GW49 form.
I hereby Belmewledge that the above hammerer, was evaluated and the infatuation submitted In this
report lCon Maurice'.RWort istn» and complete ts"'A R: of my knowledge.
l
ignature of Permittee (or Authorized Agent) 6ate
GW59A 12/8/2003