WQ0006058_Monitoring - 11-2016_20161230 (2)

GW -59A COMPLIANCE REPORT FORM Permit # M1Qp1pQ(Qp fB
(Submit one each monitoring period with GW -59 forms.)
I
Enter date monitoring results were due. ) Will this monitoring report (GW -59 and GW -59A)
YES
NO
be submitted after the established due date.
2
Was any required information missing on the GW -59 report forms?
YES
NO
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
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
O
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
O
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituents) and concentration(s)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO" contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation
fines, and/or penalties.
0
g
The person completing this portion (GW -59A) of the #tcE@tori� report should sign below and submit this
form with GW -59 forms for required wells to the addr ?rovidedidrthe top of the current GW -59 form.
,s_]
1 hereby acknowledge that the above information was evaluated arihe information submitted in this �?
treport (Compliance_Report GW -59A) is true and complete to the best of my knowledge.
6 - la - 3-o i .L
Signature of Permittee (or Authorized Agent) Date
GW -59A 12/8/2003

IGROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Clearly or Type
Facility Name: Perdue Foods, LLC
SUBMIT FORM ON YELLOW PAPER ONLY
Permit Name (if different):
Facility Address: 1201 State Road
Halifax str,e<) NC 27839 County Halifax
(5?are) t?ici
a
act Person: Joey Baggett Telephone#: [phone]
Location/Site Name: Down slope from application site No, of wells to be sampled: 3
DEPARTMENT OF ENVIRONMENT b NATURAL. RESOURCES.
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone, (919) 733-322
PERMIT Number: Expiration Date: 05/31/2020
Non -Discharge WQ0006058 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
QmirirL_uw uviiirummAr rury
/1'00ml-
Phosphorus: Total as P 00665 <0.04
If WELL
WELL ID NUMBER (from Permit): MW -4
Date sample collected: 11/02/16
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 4 in.
pH 00400: 5.5 units Temp. 000lo: 17.5 °C
DRY at
Depth to Water Level 82546: 12
p ft. below measuring point
Screened Interval: 20 ft. to 25 ft.
Spec. Cond. 00098: µMhos
time of
Measuring Point is 2 fit. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
sampling,check
Volume of water pumped/bailed before sampling: 8 gallons
mg/L
Appearance clear
here:
Samples for metals were collected unfiltered: 91 YES ❑ NO
and field acidified: ® YES ❑ NO
mg/L
Cd - Cadmium 01027
ate sample analyzed: 11/11/16 Laboratory Name: Enivronment 1 Certification No. 10
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51 u9 /L
Coliform: MF Fecal 31616 <1 /1 OOmL Nitrate (NO3) as N 00620 '0.09 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31508
/1'00ml-
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507_
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 152
mg/L
AI -Aluminum 01105
mg/L
_ DEC 3
pH (Lab) 00403 —
units
Ba - Barium 01007
ug/L
_
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 49
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe = Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ElYes (1) K No (0)
scific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732:_ method #
Total Ammonia 00610 <0.04
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NHgas N; Ammonia Nitrogen; Total)
Mn -Manganese 01055
ug/L
_
-
,method # '
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only - • • •
I certify that, to the best of my knowledge, and belief, the information submitted in this report is true,, accurate, and complete,. and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ certified laboratory. I am aware that there'are significant penalties for submitting false information, including the possibility of fines and imprisonment far knowing violations.
Wayne Black, Director PerdueAgribusiness
Terinittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or AUM6Cized Agent) (Date)
GW -59 Rev. 2/2010

I
SUBMIT FORM' ON YELLOW PAPER ONLY
(GROUNDWATER QUALITY MONITORING':
COMPLIANCE REPORT FORM'
Facility Name: Perdue Foods,LLC
Permit Name (if different):
Facility Address: 1201 State Road
Halifax (s.r :;- NC 27839 County Halifax
Contact Person: Joey Baggett Telephone#: [phone]
Well Location/Site Name: Down slope from application site No. of wells to be sampled: 3'
- (fromPemiit
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW -5 Date sample collected: 11/02/1.6
Well Depth: 25 ft. Well Diameter: 4 in.
Depth to Water Level 82546: 6 ft. below measuring point Screened Interval:, 20 ft. to 25' #t.
Measuring Point is 2 ft. above land surface Relative M,P', Elevation: ft.
Volume of water pumped/bailed before sampling: 12_ gallons
Number: Expiration Date;
harge WQ0006058 UIC
'DES _ Other
'PE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field 0 Remediation:
El Rotary Distributor ❑ Land Application of Sludge.
EJ Water Source Heat Pump El Other:
ate sample analyzed: 11/11/16 Laboratory Name: Enivronment 1 Certification No. 10
ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <.04 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL, Phosphorus: Total as P' oo665 0.28 mg/L flEC
(Note: Use MPN method for highly turbid samples)
If WELL
FIELD ANALYSES:
WAS
pH oo400: 6.9 units Temp..000lo: 18.1 °C'.
DRY at
Spec. Cond. oo094: µ Mhos
time of
Chloride 00040 17
sampling,
Odor oo085: none
check
Appearance clear
here: ❑
ate sample analyzed: 11/11/16 Laboratory Name: Enivronment 1 Certification No. 10
ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <.04 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL, Phosphorus: Total as P' oo665 0.28 mg/L flEC
(Note: Use MPN method for highly turbid samples)
mg/L
solved;Solids:Total 7o3oo 179
mg/L,
pH (Lab) 00403
units
- TOC 00880
mg/L
Chloride 00040 17
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552'
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
scific-Conductance 00095
µMhos
Total Ammonia ooslo <0.04'
mg/L.
(Ammonia Nitrogen; NH3 as N, Ammonia Nitrogen,; Total)
_ ug/L
TKN as N 00625
mg/L
Orthophosphate 70507
mg/L
AI -Aluminum oil o5
mg[L
Ba -Barium 01007
ug/L
Ca - Calcium o0916
mg/L
Cd = Cadmium 01027
ug1L
Chromium: Total, 01034
_ ug/L
Cu -Copper 01042
mg/L
Fe - Iron 01045
ug/L
Hg - Mercury 71900
ug/L
K- Potassium 00937
mg/L
Mg -.Magnesium 00027
mg/L
Mn = Manganese olo55
_ ug/L
Ni - Nickel 01057
ug/L
Other (Specify Compounds and ,Concentration ,lb
ORGANICS: (by GC, GC/MS, ,HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? 0 Yes (1) A No (4)
VOC 78732: method #
- - - method # -
tmethod
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total. VOCs'' __ _ _ mg/L . Effluent Total VOCs:
Wayne Black, Director Perdue Agribusiness Environmental
Permittee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev. 2/2010
VOC'Removal%
(;3 --, --L,!4-- o t

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:DIVISION OF WATER QUALITYaNFORMAMON PROCESSIMG UNIT
COMPLIANCE REPORT FORM • • • 1617 MAIL SERVICE CENTER, RALEIGH, NO 27699-1917 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05/31/2020
Facility Name: Perdue Foods, LLC Non -Discharge WQ0006058 UIC
Permit Name (if different): _ NPDES Other -
Facility Address: 1201 State Road TYPE OF PERMITTED OPERATION BEING MONITORED
Halifax ``" e`) NC 27839 County Halifax
Lagoon ❑ Remediation: Infiltration Gallery
( r�> i$ta<e) (Z P) 9 Spray Field ❑ Remediation:
Contact Person: Joey Baggett Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Down slope from application site No. of wells to be sampled: 3 ❑ Water Source Heat Pump ❑ Other:
(from Permit
If WELL
WELL ID NUMBER (from Permit): MW - 3 Date sample collected: 11/02/16
Well Depth: 18 ft. Well Diameter: 2 in.
Depth to Water Level 82546:13 ft. below measuring point Screened Interval: 13 ft. to 18 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 2 gallons
Samples for metals were collected unfiltered: ® YES . ❑ NO and field acidified: _® YES ❑ NO
Date sample analyzed: 11/11/16
VVA0
Laboratory Name: Enivronment 1
DRY at
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
Odor 00085: none
COD 00335
mg/L
Nitrite (NOZ) as N 00615
mg/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 3.61
mg/L
_
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 <0.04
mg/L
(Note: Use MPN,method for highly turbid samples)
Orthophosphate 70507
mg/L
dissolved Solids:Total 70300 14.8
mg/L
Al -Aluminum oil o5 -
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 22
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 _
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 <0.04
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3 as'N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
_ ug/L
TKN as N 00625
mg/L
Ni - Nickel 01667
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Wayne Black, Director Perdue Agribusiness Environmental
Permittee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev. 2/2010
FIELD ANALYSES:
VVA0
pH 00400: 5.1 units Temp. 00010: 19.1 °C
DRY at
Spec. Cond. 00094: µMhos
time ofsampling,
Odor 00085: none
check
Appearance clear
here:❑
Certification No, 10
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) X No (0)
VOC 78732: method #
method #
method #
method #
mg/L Effluent Total VOCs:
mg/L VOC Removal%
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