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HomeMy WebLinkAboutNCG060024_MONITORING INFO_20190207STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE p � � � � D a ID YYYYMMDD 0��5i'ngl SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Resources General Permit No. NCG060000 216119 fVC'Go�oo.�� CERTIFICATE OF COVERAGE NO. NCG060 0 0 0 FSAMPLE COLLECTION YEAR 2018 HB 0 i 2a19 FACILITY NAME Mexican Original Sanford, NC —. FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Lee CENTRAL FILES use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Mike Perry DWR SECTION DISCHARGING TO SALTWATERS? []YES QNO LABORATORY Prism Lab Cert. # 5342 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE -) Total event rainfall 2 0.59 or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard; units COD, mg/L Oil and Grease, mg/L .. Fecal Caliform , ' -Colonies.per,1.00;m1_ Eriterococci �..-Coiohles,per=100'inl� Benchmark - 100 or SO Within 6.0 — 9.0 120 30 1000 Soo 1 12/20/18 126 7.36 74.3 4.8 (ND) 2 12/20/18 3.1 7.38 25 (ND) 4.8 (ND) 3 12120/18 40.4 7.24 31.3 4.8 (ND) RECEIV 1 Only applies to facilities that use/process meats. ♦-LDS U i Lu ij 2The total precipitation must be recorded using data from an on -site rain gauge. ENTRAL FILE 3 For sampling periods with no discharge at any; outfalls. You must still submit this discharge monitoring report with a checkmark here. ENT SECTION See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [] yes 0 no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month: Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L ;: TSS, mg/L. Op Staridard:units New Motor.Oii'Llsage; Annual averake gal/mo s Benchmark - 30 100 or SO 6.0 — 9.0 ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.' 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ifyes, complete Part B) S"-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART If SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑.NO ❑■ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cogX of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results tor of end of monitories period in the case of "No Discharge" reports) to: '�*rLq b resu lb 1"e Gc v-ek V i a C' h1q i( o n 2/s- f f q, Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 2/6/2019 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wo/ws/su/npdessw#tab-4 S WU-249 Last Revised: October 18, 2012 Page 2 of 2 aceAnalyrcal www.paoEgabs.com � Pace Analytical Services, LLC Or' R 9800 Kincey Ave. Suite 100 Huntersville, NC 2BO78 (704)875-9092 December 28, 2018 Mr. John Stewart ECS Carolinas, LLP 4811 Koger Blvd Greensboro, NC 27407 RE: Project: Tyson Stormwater Pace Project No.: 92412096 Dear Mr. Stewart: Enclosed are the analytical results for sample(s) received by the laboratory on December 26, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, � Taylor Ezell taylor.ezell@pacelabs.com (704)875-9092 Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 15 i aceAnalytica!® www,pecelabs.cam t t Project: Tyson Stormwater Pace Project No.: 92412096 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Louisiana/NELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification [Ds 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Eden Certification IDs 205 East Meadow Road Suite A. Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiafVELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification M 460222 North Carolina Wastewater Certification #: 633 VirginiafVELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 This report shall not be reproduoed, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 15 aceftlXiml www.pacefahs.cam Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 2BO78 (704)875-9092 SAMPLE ANALYTE COUNT Project: Tyson Stormwater Pace Project No.: 92412096 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92412096001 Outfall #1 SM 254OD-2011 SOB 1 PASI-E EPA 1664E JMS 1 PASI-C SM 5220D-2011 GC 1 PASI-A 92412096002 Outfall #2 SM 254OD-2011 SOB 1 PASI-E EPA 1664B JMS 1 PASI-C SM 5220D-2011 GC 1 PASI-A 92412096003 Outfall #3 SM 2540D-2011 SOB 1 PASI-E EPA 1664E JMS 1 PASI-C SM 5220D-2011 GC ti 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 15 aceAnalytical www.pacelabs.com d Project: Tyson Stormwater Pace Project No,; 92412096 Lab Sample ID Client Sample ID Method Parameters 92412096001 Outfall #1 SM 2540D-2011 Total Suspended Solids SM 5220D-2011 Chemical Oxygen Demand 92412096002 Outfall #2 SM 254OD-2011 Total Suspended Solids 92412096003 Outfall #3 SM 25400-2011 Total Suspended Solids SM 5220D-2011 Chemical Oxygen Demand SUMMARY OF DETECTION Result Units Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Nuntersville, NC 28078 (704)875-9092 Report Limit Analyzed Qualifiers 126 mg/L 11.4 12/27/18 09:03 74.3 mg1L 25.0 12/27/18 23:08 3.1 mg/L 2.5 12/27/18 09:03 40.4 mg/L 5.6 12/27/18 09:03 31.3 mg1L 25.0 12/27/18 2108 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 4 of 15 �IaceAnalytical* f www.pacelabs=m i t ANALYTICAL RESULTS Project: Tyson Stormwater Pace Project No.: 92412096 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: Outfall #1 Lab lD: 92412096001 Collected: 12/20/18 10:45 Received: 42/26118 12:52 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 126 mglL 11.4 1 12/27/18 09:03 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 4.8 1 12/28/18 06:01 5220D COD Analytical Method: SM 52200-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 74.3 mg/L 25.0 1 12/27/18 18:34 12/27/18 23:08 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 12/28/2018 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 15 Pace Analytical Services, LLC 9800 Kinoey Ave. Suite 100 aceAr�alytical Huntersville, NC 28078 www.pacelabs.com (704)875.9092 ANALYTICAL RESULTS Project: Tyson Stormwater Pace Project No.: 92412096 Sample: Outfall #2 Lab ID: 92412096002 Collected: 12/20/18 10:50 Received: 12126/18 12:52 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual 2540D Total Suspended Solids Analytical Method: SM 2540D-2011 Total Suspended Solids 3.1 mg1L 2.5 1 12/27/18 09:03 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 4.8 1 12/28/18 06:02 5220D COD -Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand ND mglL 25.0 1 12/27/18 18:34 12/27/18 23:08 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 12/28/2018 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 15 aceAnalyfical s+sm!Paca(abs.wm I 1 ANALYTICAL RESULTS Project: Tyson Stormwater Pace Project No.: 92412096 Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: Outfall #3 Lab ID: 92412096003 Collected: 12/20/18 10:55 Received: 12/26/18 12:52 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua] 2640D Total Suspended Solids Analytical Method: SM 2540D-2011 Total Suspended Solids 40.4 mg1L 5.6 1 12/27/18 09:03 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 4.8 1 12/28/18 06:02 5220D COD Analytical Method: SM 522OD-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 31.3 mg/L 25.0 1 12/27/18 18:34 12/27/18 23:08 Date: 12/28/2018 03:58 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in fall, without the written consent of Pace Analytical Services, LLC. Page 7 of 15 aceAnalytical www.Aaceiaucorn r i QUALITY CONTROL DATA Project: Tyson Stormwater Pace Project No.: 92412096 QC Batch: 449710 Analysis Method: SM 254OD-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92412096001, 92412096002, 92412096003 Pace Analytical Services, LLG 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 2461816 Matrix: Water Associated Lab Samples: 92412096001, 92412096002, 92412096003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 12/27/18 09:01 LABORATORY CONTROL SAMPLE: 2461817 Spike LCS LCS % Rec Parameter Units Conc, Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 274 110 90-110 SAMPLE DUPLICATE: 2461818 92412058002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 8.8 11.4 26 06 SAMPLE DUPLICATE: 2461819 92412125001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L ND ND 0 Results presented on this page are in the units indicated by the "units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/28/2018 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 15 aceAnalytical wwwpaaelstacom i i QUALITY CONTROL DATA Project: Tyson Stormwater Pace Project No.: 92412096 QC Batch: 449913 Analysis Method: EPA 16646 QG Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92412096001, 92412096002, 92412096003 METHOD BLANK: 2462574 Matrix: Water Associated Lab Samples: 92412096001, 92412096002, 92412096003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mglL ND 4.8 12/28/18 06:00 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 2462575 Spike LCS LCS % Rec Parameter Units Conc.. Result % Rec Limits Qualifiers Oil and Grease mglL 38.5 36.5 95 78-114 MATRIX SPIKE SAMPLE: 2462576 35438702001 Spike MS MS % Rec. Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 8.8 38.5 44.5 93 78-114 Results presented on this page are in the units indicated by the "Units" Column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/28/2018 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 15 aXAnalytical' www,pscelabs.cam I - QUALITY CONTROL DATA Project: Tyson Stormwater Pace Project No.: 92412096 QC Batch: 449866 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92412096001, 92412096002, 92412096003 Pace Analytical Services, LLC 9800 Kricey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 METHOD BLANK: 2462436 Matrix: Water Associated Lab Samples: 92412096001, 92412096002, 92412096003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 12/27/18 23:06 LABORATORY CONTROL SAMPLE: 2462437 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 766 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2462438 2462439 MS MSD 92412068001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mglL 589 100 100 678 699 88 110 90-110 3 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2462440 2462441 MS MSD 92412108001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mgA- 1220 100 100 1320 1320 105 100 90-110 0 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/28/2018 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 15 aceAnalytical www.paceabs.00m Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Tyson Stormwater Pace Project No.: 92412096 DEFINITIONS OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. NO - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MOIL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) OUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-E PaceAnalytical Services -Eden . ANALYTE QUALIFIERS 06 The precision between the sample and sample duplicate exceeded laboratory control limits. Mt Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/28/2018 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 15 aceAnalylical www.peralab&WM i I QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Tyson Stormwater Pace Project No.: 92412096 ' Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92412096001 Outfall #1 SM 2540D-2011 449710 92412096002 Outfall #2 SM 254OD-2011 449710 92412096003 Outfall #3 SM 2540D-2011 449710 92412096001 Outfall #1 EPA 1664E 449913 92412096002 Outfall #2 EPA 1664B 449913 92412096003 Outfal1 #3 EPA 1664E 449913 92412096001 Outfal1 #1 SM 5220D-2011 449866 SM 5220D-2011 449879 92412096002 Outfal1 #2 SM 5220D-2011 449866 SM 5220D-2011 449879 92412096003 Outfal1 #3 SM 5220D-2011 1 449866 SM 5220D-2011 449879 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/28/2018 03:58 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 15 Document Name: Document Revised: February 7, 2016 FSample Condition Upon Rocolpt{SOUR} Page 1 of i ,' , ace�#rlalyral� Document No.: ;'i' 'ssuingAutitarity: F-CAFt-CS-033-Rev.06 Pace Carolinas Quality Office Laboratory receiving samples: Asheville [] Eden[] Greenwood ❑ Huntersviile ❑ Ralelgh� Mechanicsville❑ Client Name: O 24120,E y . .. Project W ' C S (ac �bcsr0 _ il11 IIlll ttf A Courier, []Fed Ex ❑UPS []USPS []Client El! , Irv.I i - I'; • Commerda[ .ace []Other. ` . 92412096. CustodySeal Present? L=i f ❑Y ❑No { []Yes No Seals intact? es � � � ��• Date/Uiltials Person Examtnins Contents: YL (afo i I //dZh Packing Material: C3t;ubbie Wrap []Bubble Bags ❑None ❑ Other Biological Tissue Ftozert7 j Thermometer. -_(Dyes [3No E]NrA ❑IRGun ID: 'R%TDc7_*S Type of ice: 101&t []Blue[]None Cooler Temp i'C}: b . L-A Correction Factor: Add/Subtract ('C) r p. i -• S Temp should be'abov"6'freezing to VC Cooler Temp Corrected('C}:____ F]Sarn tf iout gftemperiteda.samples onIce, cooling process has begin? USDA Regulated Soil {[Rl /& water sample) Did ss-amples orlginate in a quarantine zone within the United States: CA, NY, or SC {check maps}7 Did samples originate From a foreign source lintemaConally, -r I yLt 171N. - inrf.rA:n. Nam. It and ftm 01-17 rIVP[- 171N. Comments/DtSae arvq- Chain of Custody Present? es No N/A 1. - Samples Arrived within Hold Time? ©No N A Z Short Hold Time Anal sis {t72 hr.j7 s ❑Na NIA 3. Rush Turn Around Time Requested? Yes o N/A 4. " Sufficient Volume? es No [ ]WA S. Correct Containers Used? -Pace Containers Used? lyres es ON. Ho -ON/A N/A 6. Containers Intact? Elf. No ❑N/A 7. Dissolved analysis: Samples Feld Filtered? QY. ON. /A 8. ` •} "= Sample Labels Match COC7 -Includes Ora te/nmellD/Anal sis Matrix: gfe-1 ❑No []MIA 9. .mod. Headspace In VOA Vials (>5-bmrrt)7 YrsCIN. N/A Trip Blank Present? LTrip Blank Custody Seals Present? Dyes OY.$ lw]Na ONO EKIA /A COMMENTS/SAMPLE DISCREPANCY Fleld data Requlred? ❑Yes []NO Lot ID of split containers! CLIENT NOTIFICATION/RESOLUTION VA Project Manager SCURF Review: Date: W tQ Project Manager SRF Review; Page 13 of 15 'Check mark top half of box if pH and/or dechlorinatlon is verified and within the acceptance range for preservation samples. Exceptlons: VOA, Collform, TOC, Oil and Grease, DRO18015 (waterl WC, LLHg "Bottom half of box Is to list number of bottle n yt z R C C T V V a6 A 7 2 N V p dowa E T = m 2 N r y a � y�y MCL � c c c O m u - n A E n w 1w s y� o a a M. a G E a n ryE vEr ppE « E E E E m m 0 m inco 0 In 3 i a a a a a' MEMEMEN REME. M MENEM 006,00M on' so MEMMEMEMEMMEME ME ME OIL M ���■DM AB �\\OWNS \IMMENEMOM MOMME ��iii►�►M, ON ii�� a Dui In�EMEMONEEMEMEMEMME L Oki Eq ff ME M M ME ILI MEMEMMOMMEN 11 PH Adjustment log for Preserved Samples._..: _ Sample ID Type of Preservative pH upon receipt Rate preservation adjusted Time preSenat(cr.i' adjusted Amount of Preservative added 1 of A r Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina OEKNR Cartlficailon Office (i.e. Out of hold, Incorrect preservative, out of temp, Incorrect containers, Page 14 of 15 Y. kaf" Section A Rea mil Cliern CHAIN -OF -CUSTODY I Analytical Request Document The Chain -of -Custody Is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section B so"on C Recmired PmL-ci lrwfw Lion: bwb" Information: onan I Of i Cerra rvy: ECS IROPOdTO: R*n0yCboIF— AA—Aiom all BtOCL "I d, Copy TO. ccmww Na": NO 27407 AddMW. EmelL reirvanin m ledcam PLechb" Order P: P=OQLK"; Plans 5692 Far pfd�ba kww 7 5lormwrter Pace Pr4oc4M-Lagm I2VIorMM!9pWMJftb6,oI3,n Requested DIM Data: pnod 0- pnce proills At A 5" NC WRcr com COLLEMD = Preservatives DW ncn wr ft.wwe.. ww LL-. Lr S) MPLE ID 44M.1w CL a OL : — !I START END 40: Orms 4 haractw per box A pf WP At 0 w z z V, A-4 " F. -) k kis nuisd be untcrue YAW aT k—T13 I" t* M 2,4 11 DATE MME DATE 7VAE -I z 1 2 0 I �1111 out;hl (I 10"'D *6 le,451 y Ot OLL) 4 1 1 t2u� jll #3 6 44, 101, P446 YIN I i I I I I 00�3 7 M-41- levorl'Urc- PI —13S NA11:03 Time- 0-23'C 7.;Iq r PRArr Warm of SAMPLEP- k pg�ry SIGNATURE of S=PLFJL- C)?& p I DATE Signed: 0 Ln SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Resources General Permit No. NCGO60000 Date submitted 7117/18 �K_6_ 0 (avoa . CERTIFICATE OF COVERAGE NO. NCG060 0 0 0 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Mexican original Sanford, NC r�, - , r CILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Lee E IL.� ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Mike Perry AUG! n 2w DISCHARGING TO SALTWATERS? ❑YES QNO LABORATORY Prism Lab Cert. # 402 `` NTWL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 0-48 or ❑ No discharge this period' ,Outfall No. Sample Collected, mo/dd/yr... TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonles.per 100 ml Enterococci Colonies per,100:m1 ` Benchmark - ..100or50 Within' 6.0 — 9.0 120. .30 1000 500, . 1 06/26/18 140 8.06 210 5 - - 2 06/26/18 16 7.71 160 5 3 06/26/18 35 7.57 160 5 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at aEU outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [a no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L- TSS, mg/L pH, Standard units ' !New Motorail Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 - 9.0.7,,t Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART 8 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER z REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Q IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this -MR, including all "No Discharge" reports, within 30 days of receipt of the lab -results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Al (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 5 W U-249 Last Revised: October 18, 2012 Page 2 of 2 NC Certification No. 402 Case Narrative Full -Service Analytical & NC Drinking Water Cent No, 37735 07/10/2018 P ISM Environmental Solutions SC Certification No. 99012 AWL GORATOAIE& INC. Tyson Foods MO Sanford Project: Tyson MO Sanford SW Sampling Michael E. Perry 800 E. Main Street Lab Submittal Date: 06/28/2018 Sanford, NC 27332 Prism Work Order: 8060395 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Terri W. Cole Project Manager Data Qualifiers Key Reference: Reviewed By Jackie Ziner For Terri W. Cole Project Manager BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference # Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041526-0409 Page 1 of 7 ](] .,'•� n".�a�xI FiAnalytical & Environmental SalutianaqM Ml— Sample Receipt Summary 07/10/2018 Prism Work Order: 8060395 Client Sample ID Lab Sample ID Matrix DatelTime Sampled Outfall #1 8060395-01 Water 06/26/18 14:38 Outfall #2 8060395-02 Water 06/26/18 14:46 Outfall #3 8060395-03 Water 06/26/18 14:52 Samples were received in good condition at 2.0 degrees C unless otherwise noted. DaterTime Received 06/28/18 12:00 06/28/18 12:00 06/28/18 12:00 This report should not be reproduced. except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-0364 -Toll Free Number: 1-800/529-6364 - Fax: 7041525-0409 Page 2 of 7 ,P R ! S Mi Environmental Solutions oludions Laboratory Report 07/10/2018 Tyson Foods MO Sanford Project: Tyson MO Sanford SW Client Sample ID: Outfall ##1 Attn: Michael E. Perry Sampling Prism Sample ID: 8060395-01 800 E. Main Street Prism Work Order: 8060395 Sanford, IBC 27332 Sample Matrix: Water Time Collected: 06/26/18 14:38 Time Submitted: 06/28/18 12:00 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time 1D General Chemistry Parameters Chemical Oxygen Demand 210 mg1L 50 17 1 `SM5220 D 7/3118 12:30 EMS P8G0032 Oil & Grease (HEM) BRL mg1L 5_0 1.8 1 '1664B 713118 12:36 SLS P8G0030 Total Suspended Solids 140 mg1L 25 0.40 1 'SM2540 D 6129/18 13:44 CBP P8F0496 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529.6364 - Toll Free Number: 1.8001529-6364 - Fax: 7041525-0409 Page 3 at 7 Laboratory Report Full Service Analytical AP R I S M Enviranmantai $Ol ufians �:.�igiiaiFRrti 07/10/2018 Tyson Foods MO Sanford Project: Tyson MO Sanford SW Client Sample ID: Outfall #2 Attn: Michael E. Perry Sampling Prism Sample ID: 8060395-02 800 E. Main Street Prism Work Order: 8060395 Sanford, NC 27332 Sample Matrix: Water Time Collected: 06/26/18 14:46 Time Submitted: 06/28/18 12:00 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Chemical Oxygen Demand 160 m91L 50 17 1 ISM5220 D 713118 12:30 BMS PSGO032 Oil & Grease (HEM) BRL mg/L 5.0 1.4 1 *16646 716118 16:28 SLS P8G0067 Total Suspended Solids 16 mg1L 2.8 0.40 1 'SM2540 D 6129118 13:44 CBP PBF0496 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spring brook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-BD01529-6364 - Fax: 7041525-0409 Page 4 of 7 Laboratory Report A` 1 Fuil-Sc-ice EMRRISM i Fnvlrcnnw,,', Anaiytica€ a r so)"lions 07/10/201 B Tyson Foods MO Sanford Project: Tyson MO Sanford SW Client Sample ID: ODtfall #3 Attn: Michael E. Perry Sampling Prism Sample ID: 8060395-03 800 E. Main Street Prism Work Order: 8060395 Sanford, NC 27332 Sample Matrix: Water Time Collected: 06/26/18 14.52 Time Submitted: 06/28/18 12:00 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Chemical oxygen Demand 160 mg1L 50 17 1 'SM5220 D 713118 12:30 BMs PSGO032 Oil & Grease (HEM) BRL mg/L 5.0 1.4 1 '1664B 716118 16:28 SLS PSGO067 Total Suspended Solids 35 mg1L 9.6 0.40 1 'SM2540 D 6129118 13:44 CBP P8F0496 This report should not be reproduced, except in its entirety, without the written consent of Prism laboratories, Inc. 449 Springbrook Road - P.D. Box 240543 - Charlotte, NC 28224.0543 Phone* 7041529-6364 -Toll Free Number: l-8001529-6364-Fax; 7041525-0409 Page 5 of 7 Level II QC Report P^� Full -Service Analytical & P R i S M I Environmental Solutions 7110118 Tyson Foods MO Sanford Project: Tyson MO Sanford SW Prism Work Order: 8060395 Attn: Michael E. Perry Sampling Time Submitted: 6/28/2018 12:00:OOPM 800 E. Main Street Sanford, NC 27332 General Chemistry Parameters - Quality Control Reporting Spike Source %REC RPD Analyse Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P81F0496 - NO PREP Blank (P8F0496-BLK1) Prepared & Analyzed: 06/29/18 Total Suspended Solids BRL 5.0 mg/L Batch PBG0030 - NO PREP Blank (P8G0030-BLKI) Prepared & Analyzed: 07/03/18 Oil & Grease (HEM) BRL 5.0 M91L LCS (PSGo030-BSI) Prepared &Analyzed: 07/03/18 Oil & Grease (HEM) 36.7 5.0 mg/L 40,00 92 78-114 Batch P8GO032 - NO PREP Blank (P8G0032-BLK1) Prepared & Analyzed: 07/03/18 Chemical Oxygen Demand BRL 50 mglL LCS (P8G0032-BS1) _ Prepared & Analyzed: 07/03/18 Chemical Oxygen Demand 528 51 mglL 505.1 105 90-110 Batch P8GO067 - NO PREP Blank (P8G0067-BLK1) Prepared: 07/05/18 Analyzed! 07/06/18 Oil & Grease (HEM) BRL 5.0 mglL LCS (P8G0067-BS1) Prepared: 07/05/18 Analyzed: 07/06/18 Oil & Grease (HEM) 35.6 5.0 mg/L 40.00 89 78-114 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.D. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800/529.6364 - Fax: 7041525-0409 Page 6 of 7 CHAIN OF CUSTODY RECORD a, RISM Full-Service Analytical A Environmental Solutions PAGE OF QUOTE p TO ENSURE PROPER BILLING: waUA00F >fs. MQ Project Name: I voh A U 5�n" 6W bomb II m 0626 ( a 449 Springbrook Road • Charlotte, NC 28217 T Phone 7041529- i364 • Fax: 7041525.0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) Client Company Name; m Nods. ri ,S a7 •Please ATTACH any project specific reporting (QC LEVEL 1 it III IV) provisions and/or QC Requirements Report To/Contact Name: Invoice To: Reporting Address: W E_al1�l Si't- Address: Sc� n 4'e rd `G 2733 _. t i :YES i ;NO Nf r— Received ON WETJCE7 PROPER PRESERVATIVES it dkkeO �VVlfHIN HOL17(NG TIMES? m C(JSTO DY SEALS INTACT T VOLATILE$ reed WtOUT,HEADSPACE? i PROPER CONTAINERS used TEMR,Th'ertnlD:� �„.'�Oliserveii�'2 6-"C'lCorr-z"O °G Phone. M1-7r 1'f 7`L•0_ _Fax (Yes)(No). Purchase Order No.113illing Reference TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Email AddreSS' MiiC. ]Qe 1+'=,s, ��- �T' EDD Type: PD17_1f*�Excel ttier na co M Requested Due Date ❑ 1 Day O 2 Days ❑ 3 Days Q Days 4 Days L7 5 D ~working Days" Cl 6-9 Days ❑ Standard 10 days ❑ Rush ork Must Be Certification: NELAC QoQ FL NC Location Name:. ved Pro-AppSite Samples received after 14:00 will be processed nerd business day. SC OTHER -N!A Site Location Physical Address: Turnaround time is based on business d excluding weekends and hdida �� s �- Water Chlorinated: YES_,,,,,_, NO (SEE REVERSE FDA PERMS & CONDITIONS REGARDING SERVICES RENDERED BY PRi8M.LABGRATORIES,INC. TOCLIENT) Sample Iced Upon Collection: YES_ NO____ CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY MATRIX (SOIL, WATER OR SAMPLE CONTAINER , PRESERVA- TIVES ANALYSIS REQUESTED REMARKS PRISM LAB "TYPE HOURS SLUDGE) SEE BELOW NO. SIZE {��' I NO. Iq,3 W4-kr OF-1 d-8A1, zjj o� ouf4PA I i J_ NA 113 039 w er out q 1 i City . �'m a 14.: q{ War G 4CL 10F A 00-7 71 ZJC1 01 aU ti1 a 6la6119 I 1 :4 I rIaso`! o qf-(I %l 3 If G a C L F-3 7 57 aq.7C 03 old 3 .)6118 I4s), '5� W r P ( flR504 X_ av � � i 3 � >6 �� 1 � w er� P _ j one Sampler's Signature Irda&VI Sampled lay {Print Name} 1 @ h Affiliation Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writing to the Prism Project Manager. There will be charges for any changfs after analyses have been initialized. cr-nqulghedr y_ (ignaturo) r Rccernd By (Sgnaturo} ate fiitaryr ours 6�Z7-i81F: rival Time: Additional Comments: 7SS,'11o, e_HnquEsned y:l na e) - y / — eceved y- signawr f Dena epanureTlrne', Rermquahed By,. (Signature) Rawfved For Pn3m Laboraronas By: Date Field Tech Fee: �j Metirod of Shgvnnn[: NOTE: ALL SAMPLE COOLERS skioULD BE TAPED siillT wrrH CUSTODY SEALS FoR TRAN ORTATION TO- H LA ORATORY. cou Group No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LA RATOItY. 13 Fod Ex ❑ UPS ❑ Hand.delvered U Prism Field Service a Other 3 � ' , NP,D�ES; UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: N'NC0SC QNC ❑SC� 0NC ❑SC � ❑NC ❑SC � ❑NC ❑SC I DNCQSCI ❑NCC]SCICINC ❑SCI El NC ❑SC ' rt n n n n n n n in "CONTAINER TYPE CODES:^ A=Amber C = Clear G= Glass P = Plastic; TL = Tenon -Lined Cap VOA= Volatile Organics Analysis (Zero Head Space) ORIGINAL STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2017 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or A 1 Certificate of Coverage (COC) No. NCG❑0 ©❑0 ®EE 1 `� R F��r1��� This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. JAN 23 Facility Name: Tyson Foods Mexican Original Inc. DWRSPCTIQN County: _ LEE INFORMATION PROMS,9ING uNj Phone Number: ( qlg )774-7925 Total no. of SDOs monitored 3 Outfall No. 1 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No X Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No X If this outfall was in Tier.2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other _ ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No X �r Parameter, (units) Totals ?s,7� Raantaii, inahesi.� , Benchmark. N/A COD TSS O&G off Temp SW U-264-Generic-13Dec2012 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2017 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG©©®®®❑0 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Tyson Foods Mexican Original Inc. County: LEE _ Phone Number: ( g19) _ 774-7925 Total no. of SDOs monitored 3 Outfall No. 2 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No X SWU-264-Generic-13Dec2012 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2017 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG®® lid ®®❑0 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Tyson Foods Mexican Original Inc. County. �LFF Phone Number: ( 9i9 )__Z74-7g25_ _ _ Total no. of SDOs monitored 3 Outfall No. 3 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ]� Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No X If this outfall was in Tier 2 fast year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWo to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No X SW U-264-G eneric-13 Dec2012 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature LIA.A. Date I ha r_ _ For questions, contact your local Regional Office: DWQ Regional Office Contact Information: ASHE_ VII.T.,REGi01�'A'L' OFFICFiA3YETTEVIILEaR,GIUNAG OFFICF+E OURESVILLE`°REG^ONA)a�QFICE 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RAC'°EIGH3REGIOIVA[. �FFIC WASHINGTUN REGINAI. C?EFIC WILMi1�TGTUN R)�.G1UiVAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINST,QN, -SALI M REGION ,L,4FFICE CENTRE1i,�OFF1, CE 1617 Mail Service Center ,,lo tesnre, 585 Waughtown Street Winston-Salem, NC 27107 Raleigh, NC 27699-1617 ;and enhance (336) 771-5000 (919) 807-6300 North Cariiliria's water. SWU-264-Generic-13Dec2012 - /IceAnaVical* WWWpaaebUcom { December 30, 2017 Mr. Randy Cavallier ECS Carolinas, LLP 4811 Koger Blvd. Greensboro, NC 27407 RE: Project: TYSON STORMWATER Pace Project No.: 92367964 Dear Mr. Cavallier: Pace Analytical Services, LLC 9a00 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-8092 Enclosed are the analytical results for sample(s) received by the laboratory on December 21, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, 7./; �e Taylor Ezell taylor.ezell@pacelabs.com (704)875-9092 Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 12 aceAnalytical" wwwPacalabs.com i CERTIFICATIONS Project: TYSON STORMWATER Pace Project No.: 92367964 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28D78 (704)875-9092 Charlotte Certification 1Ds 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 LouisianalNELAP Certification # LA170028 FloridalNELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 VrginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 VrginiaNELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 12 acmnalytical wr�vpaoataDscom . SAMPLE ANALYTE COUNT Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 HuntersWle, NC 28078 (704)875-9092 Project: Pace Project No.: TYSON STORMWATER 92367964 Analysts Lab ID Sample ID Method Analysts Reported Laboratory 92367964001 OUTFALL #1 EPA 1664E JMS 1 PASI-C SM 2540D SLB 1 PASI-A SM 5220D NAL 1 PASI-A 92367964002 OUTFALL #2 EPA 1664B JMS 1 PASI-C SM 2540D SLB 1 PASI-A SM 5220D NAL 1 PASI-A 92367964003 OUTFALL #3 EPA 1664B JMS 1 PASI-C SM 2540D SLB 1 PASI-A SM 5220D NAL 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 12 aceAnalytical —paceiahs.corn t ANALYTICAL RESULTS Project: TYSON STORMWATER Pace Project No.: 92367964 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 1704y875-9092 Sample: OUTFALL #1 Lab ID: 92367964001 Collected: 12/20/17 07:40 Received: 12121I17 13:25 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg/L 5.0 1 12l26117 04:47 2540D Total Suspended Solids Analytical Method: SM 25401) Total Suspended Solids 81.0 mg1L 12.5 1 12/27/17 08:51 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 81.0 mg/L 25.0 1 12/26/17 21:01 Sample: OUTFALL #2 Lab ID: 92367964002 Collected: 12120/17 07:35 Received: 12/21/17 13:25 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg/L 5.0 1 12/26117 04:48 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 6.8 mg/L 5.0 1 12/27/17 08:51 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 67.0 mg/L. 25.0 1 12126/17 21:01 Sample: OUTFALL #3 Lab ID: 92367964003 Collected: 12/20/17 07:30 Received: 12/21/17 13:25 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons ND mg/L 5.0 1 12/26/17 04:48 2540D Total Suspended Solids Anatytical Method: SM 2540D Total Suspended Solids 12.4 mg/L 3.1 1 12/27/17 08:52 5220D COD Analytical Method: SM 52200 Chemical Oxygen Demand 50.0 mg/L 25.0 1 12/26/17 21:01 Date: 1213012017 05:55 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 4 of 12 1�;a'ceAnalytical- wwwPacewmcm QUALITY CONTROL DATA Project: TYSON STORMWATER Pace Project No.: 92367964 QC Batch: 392245 Analysis Method: EPA 1664E QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92367964001, 92367964002, 92367964003 METHOD BLANK: 2176170 Matrix: Water Associated Lab Samples: 92367964001, 92367964002, 92367964003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg1L ND 5.0 12126/17 04:28 LABORATORY CONTROL SAMPLE: 2176171 Spike LCS LCS Parameter Units Conc. Result % Rec Total Petroleum Hydrocarbons mg1L 20 19.7 98 MATRIX SPIKE SAMPLE: 2176172 35364308001 Spike MS Parameter Units Result. Conc. Result Total Petroleum Hydrocarbons mg/L ND 20 19.7 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28076 (704)875r9092 % Rec Limits Qualifiers 64-132 MS % Rec % Rec Limits Qualifiers 98 64-132 Results presented on this page are In the units Indicated by the "Untts" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall nut be reproduced, exoept in full, Date: 12/30/2017 05:55 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 12 1�1;aC6Analytical wwwpecelahs.com QUALITY CONTROL DATA Project: TYSON STORMWATER Pace Project No.: 92367964 Pace Analytical Services, LLG 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Balch: 392427 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92367964001, 92367964002, 92367964003 METHOD BLANK: 2176880 Matrix: Water Associated Lab Samples: 92367964001, 92367964002, 92367964003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 12/27/17 08:50 LABORATORY CONTROL SAMPLE: 2176881 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 250 100 90-110 SAMPLE DUPLICATE: 2176882 92367956001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 28A 29.0 2 SAMPLE DUPLICATE: 2176883 92367981005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 16.4 17.6 7 D6 Results presented on this page are in the units Indicated by the "Units" column except where an altemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2017 05:55 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 12 aceAnalytical twwpacelatFt=" i I QUALITY CONTROL DATA Project: TYSON STORMWATER Pace Project No.: 92367964 Pace Analytical Services, LLC 9800 Kinsey Ave. Suite 100 HuntersWle, NC 28078 (704)875-9092 QC Batch: 392363 Analysis Method: SM 52201) QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92 367964001,92367964002, 92367964003 METHOD BLANK: 2176629 Matrix: Water Associated Lab Samples: 92357964001, 92367964002, 92367964003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 12/26/17 21:01 LABORATORY CONTROL SAMPLE: 2176630 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 762 102 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2176631 2176632 MS MSD 92367860001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L ND 100 100 123 140 102 119 90-110 13 M1,R1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2176633 2176634 MS MSD 92368018004 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 28.0 100 100 142 144 114 116 90-110 1 M1 Results presented on this page are In the units indicated by the -units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/3012017 05:55 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 12 acmnalytical www.pacalabs.mm QUALIFIERS Project: TYSON STORMWATER Pace Project No.: 92367964 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chioroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260, N-Nitrosodiphenylamirre decomposes and cannot be separated from Diphenyiamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TN - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, Date: 12/30/2017 05:55 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 12 55c e A na ly fica I www.paceWmwm QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100. Huntersville, NC 28078 (704)875-9092 Project: TYSON STORMWATER Pace Project No.: 92367954 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92367964001 OUTFALL #1 EPA1664B 92367964002 OUTFALL #2 EPA 1664B 92367964003 OUTFALL #3 EPA1664B 92367964001 OUTFALL #1 SM 2540D 92367964002 OUTFALL #2 SM 2540D 92367964003 OUTFALL #3 SM 2540D 92367964001 OUTFALL #1 SM 5220D 92367964002 OUTFALL #2 SM 5220D 92367964003 OUTFALL #3 SM 5220D Date: 12130Y2017 05:55 AM 392245 392245 392245 392427 392427 392427 392363 392363 392363 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 12 Document Name: Document Revised: July 25, 2017 �eh�{• Sam IBConditfoni) on Recei t(StUR ': Page I of 2 Document No.: Issuing Authority: rJ; F-CAR-CS-M-Rev.03 Pace Quality Office Courier; ❑ Commercial custody Seal Pre Packing Material: Thermometer- ❑ 1R Ga --carcec4ion Factor .as1��4-)4 • 1 USDA Regulated S Did samples oWina si ng-samplean—__:......_. .. _:._...._..:........:...._.._....__._._ ..... Lviile ❑ Eden[] GreenwoodEl HuntenAle ❑ Raleigh Mecharksville❑ ulent Hartle: ' Projectit: WO#- 92367964 QFe d'Ec ❑UPS ❑115PS-.•._...._.,.. �[]Glent , ... � �'�� �I� :. ce ❑Other: 92357964 t? ❑Yes Mip Seals Intact? []Yes WNo Date/lnklalsPerson EnmininsContents- QiP / 2 ❑Bubble Wrap Q§Bubble Bags ❑None ❑ Other Biological Tissue Flaxen? { /} Net. Blue None Dye$- ❑No �N/A D: ) -- Lr Type of tee: [[ ©❑ —Awle. mp.Corrected ('C): !-rx_ �. __—_—•—_--Temp sifould heshovefreezkngto fi'C _� []Samples out of temp criterla. Samples on ice, cooling process has begun (4 N/A, water sample) in a quarantine zone within the United States: CA, NY, or SC (check maps)? Old samples originate from a foreign source pnternatlou4, including Hawall and Puerto Rico)? ❑Yes . ANo Chain or CustodV Present? Wes Na LINIA 1. Samples Arrive within Hold Time? ©Yes No 0 N A 2. Short bold Tim Oyel o N/A .3. Rush Turn ArOL rod Time Requested? Yes EIN. ❑tiA 4. Sufficient vole e? OCQN. Q N/A 5. Correct Contain -Pace Contah rs Used? iers Used? Yes ©Na ❑NIA 13No 0NIA 6. Containers lnta 7 U Y Na a/ 7. Dissolved analyi is. Samples Field SItered7 rlYes QNat /A S. Sample Labels MatchCOC? Includes oat sme/lo/Anal sls MatrW es []NO ❑NIA 9. Headspace fn Y A Vials (:5-6mm)? Yes [:]No NA 1 10. Trip Blank Prcs Trip Blank CustO t? dySeals Present? ❑Yes C)Yes ❑Ho ONO N/A NIA 11. Person Discrepancy: Date/nme: FWd Data Requked? Project Manager SCURF Review: Data: V!k7 Project Menagn ir 5RF Review: Date: Note: Whenever th4 re Is a dfscrepancy affecting North Carolina compilance samples, a copy of this form will be seat to the North Carolina DEHNR Certification Office (i.e. out of hold, incorre preservative, out of temp, tncorrectcontalners) Page 10 of 12 A v u A C p VI m � 3 7 � o O M � �. ro CL s fll a o O 06 M 0. n m m O M N NI :-I Oi I'll °°I N a w N w ItCmN 6P4U-125 n L Plastic Unpreserved (N/A) BP30.250 n LPlastic Unpreserved (N/A) BP2WSO0 L Plastic Unpreserved (NIA) BPIWI N Plastic Unpreserved (N/Aj KMS:12S mL Plastic H2$04 (pH < 2) (a.) OP3N-ZSG L plastic HND3 (pH <2) 3P32-250 m P)astic2.N Acetate & NaOH (s9) SP3C_ S0 Plastic NaOH (pH a 121 (Cl.) WGIFU•titiide=mouthed Glass Jar Unpreserved AG1U-1 liter AmberUnpreserved (N/A) (Cl-) AG1H-L lkK Amber HCI (pH < 2) AGM-250 4 Amber Unpreserwed (N/A) (CI-) AGYS-1 llter�AmberH2504 (pH <2)- AGIS450 mL Amber H2SO4 (PH < 2) AGIMOG34250 mLAmber NHdq (N/A)(CI-) I DWH-0 m VOA HCI (N/A) VG9T-40 m VOA Na2Qo3 (N/A) VG91140 m VOA Unp (N/A) DOP-40 VOA H3PO4 (N/A) VOAK (6vlrrb per ldt)-5035 kit (N/A) V/GK (3 vials per ktt)-VPK Ws kit (N/A) SPST-125 r4 StefOe Plastic(M/A — Lab) 5P2T 2SO mt Stedle Plastic (N/A —lab) BPIA-250 mL Plastic (Nti2)2504 (9.3.9.7) Cubltalner HSGU-20 mt� SCIntl4arlon vials (N/A1 GN - Q %u x N '0 zz O r Cr w r0 O. Cr ro gL t? `� n s m N 0 3 21 n a w N N g. m` U' c) u` O xf' c a fq a+ N L S Gb. C7' W Q A a, N c W. rr . ' 0) g; P4 rV Section A Ram irad Client W rmulon: SAMPLE ID One Chaseter par box. % BemWs ids must Ae unique 1 section 9 YFiW71 COCE ow • u C W.. on SWUA iL START as a z r•M wP W A4 AR ovw rs or n.•. F1ATf tl N CHAIN -OF -CUSTODY / Analytical Request Document N The Chein-of-Custody is a LEGAL DOCUMENT. All relevard fields must be completed accurately. rn m Isection c IMM0. 6nrolCft tMonnndon: page - 1 z _ u £ EAID is > L 1 MA ter. <.: �. Yf'. I[ a'.{.. 4'140:S-VIVRL�f� .l'.. -' :'C I.IM4 ay .. .J, rr .4 •p: .4Jr �" at,P# 7,96 Te!V �56. g vuf4all�k — 7.1a5 Tehc SS.Q - / � P t��� ��r� a� 2, /3Tr ki "r` /I1 WNRWKI� rMMY rtarm or SAA[PLEM f} SIGNATURE of MAMPLER: r T��- DATE Slpaed: 1Z II J U w Is 0 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2017 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or b Certificate of Coverage (COC) No. NCG❑0 ZEEEEEEa J V This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: County: _I FF Phone Number: ison Foods Mexican Original Inc. Total no. of SDOs monitored 3 Outfall No. I— CENTRAL FILES taw, SECTION Is this outfall currently in Tier 2 (monitored monthly Yes ❑ No ]� Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No X If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No X Parameter, (units rj InclleSz, e,r c I Benchmark :N/A. COD TSS O&G p H Tem 'D,ate'Sample, Collected, MOM I !, 0.1 SW U-264-Generic-13Dec2012 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2017 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG❑0 ©®®❑0 ❑0 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: _Tyson Foods Mexican Original Inc. County: Phone Number: ( 919 1 774-7925 Total no. of SDOs monitored 3 Outfall No. 2 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No X If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No X Parameter, (units),.,, Totat ` inches; Benchmark N/A COD TSS O&G off Temp 1 SWU-264-Generic-13Dec2012 L-1 Individual NPDES Permit No. N Certificate of Coverage (COC) No. N STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2017 or This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Tyson Foods Mexican Original Inc. County: _ LEE Phone Number: ( Ala 774-7925 Total no. of SDOs monitored 3 Outfall No. 3_ Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ]g{ Parameter, units ,Total Ito ' _ Rainfall, inches, Benchmark N/A COD TSS O&G nH Temp Alerted , 9 0.1 SW U-264-Generic-13Dec2012 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Sign2 Date For questions, contact your local Regional Office: DWQ Regional Office Contact Information: ASHEVILLErREGIOIVA'I:�Ot♦FIC _ AYETTEYILL REGIONAL�O 'I ICla 11IOORESYII,T E.RE IONAL Witt 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 °L'EIGW , GIGNAI: OFFIC WASHINGT,0N R:EGIUNAL OV,V C WILMNQ_TON REGIUIVAL OFFIC 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 7914200 (252) 946-6481 (910) 796-7215 WIIVSTCIN SATEM RF:GiONA°L QFFIC CENTRAi: OFCICIS 1617 Mail Service Center '„ "7b priesenre,profeCf 585 Waughtown Street Winston-Salem, NC 27107 Raleigh, NC 27699-1617 anderrharrce , (336) 771-5000 (919) 807-6300 '"r+loriir,'C°amJ�na's.rvater:' SW U-264-Generic-13 Dec2012 avMnalytical. www.pacv1nb&ccm July 12, 2017 Mr. John Stewart ECS Carolinas, LLP 4811 Koger Blvd Greensboro, NC 27407 RE: Project: Tyson Stormwater Pace Project No.: 92346381 Dear Mr. Stewart: Pace Analytical Services, LLC - 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 Enclosed are the analytical results for sample(s) received by the laboratory on July 03, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Taylor Ezell taylor.ezell@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ashley Barham, ECS Carolinas, LLP Randy Cavallier, ECS Ken Vilagos, ECS REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, (704)875-9092 . Page 1 of 15 aceAnalWical' wnvw.pengiab&=n t Pace Analytical Services, LLC - 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: Tyson Stormwaler Pace Project No.: 92346381 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification #: 37706 FloridalNELAP Certification #: E87627 North Carolina Field Services Certification #: 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 VirginiaNELAP Certification #: 460221 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 FloridalNELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 VirginiafVELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 15 aceAnalytical WWW..Aeoafabsrnm SAMPLE ANALYTE COUNT Project: Tyson Stormwater Pace Project No.: 92346381 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville• NC 28076 (704)875-9092'_ Anatytes Lab ID Sample ID Method Analysts Reported Laboratory 92346381001 OUTFALL #1 EPA 1664E JMS 1 PASI-C SM 25400 CJH1 1 PASI-A SM 5220D NAL 1 PASI-A 92346381002 OUTFALL #2 EPA 1664B JMS 1 PASI-C SM 2540D CJH1 1 PASI-A SM 5220D NAL 1 PASI-A 92346381003 OUTFALL #3 EPA 1664B JMS 1 PASI-C SM 2540D CJH1 1 PASI-A SM 5220D NAL 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 15 aceAnalyiaal WWW..peteJab1cm SUMMARY OF DETECTION Project: Tyson Stormwater Pace Project No.: 92346381 Lab'Sample ID Client Sample ID Method Parameters Result 92346381001 OUTFALL #1 SM 2540D Total Suspended Solids 122 SM 5220D Chemical Oxygen Demand 106 92346381002 OUTFALL #2 SM 2540D Total Suspended Solids 9.3 SM 5220D Chemical Oxygen Demand 246 92346381003 OUTFALL 93 SM 2540D Total Suspended Solids 48.6 Pate Analytical Services, LLC - 9800 Kincey Ave. Suite 100 Huntersville, NC 2807E (704)875r9092 Units Report Limit Analyzed Qualifiers mg1L 16.7 07/06/17 00:43 D6 mg1L 25.0 0711011719:05 mglL 5.6 07/06/17 00:44 mglL 25.0 07/1011719:05 mglL 5.0 07/06/17 00:45 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent at Pace Analytical Services, LLC. Page 4 of 15 ICeAnalyti{cal w+nr+.pacera &C= ANALYTICAL RESULTS Project: Tyson Stormwater Pace Project No.: 92346381 Pace Analytical Services, LLC' 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875r9092 _ Sample: OUTFALL #1 Lab ID: 92346381001 Collected: 06/30/17 12:45 Received: 07103117 12:50 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg1L 5.0 1 07/11/17 06:14 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 122 mg1L 16.7 1 07/06/17 00:43 06 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 106 mg1L 25.0 1 07/10/17 19:05 Date: 07/12/2017 0&65 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 5of15 Pace Analytical Services, LLC - aceftl l� 9800 Kincey Ave. Suite 100 VG r.O Huntersville. NC 28078 www. .mm (704)875-9092 - ANALYTICAL RESULTS Project: Tyson Stomtwater Pane Project No.: 92346381 Sample: OUTFALL #2 Parameters Lab ID: 92346381002 Collected: 06/30/17 12:37 Results Units Report Limit OF Received: 07/03/17 12:50 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 07/11/17 06:14 254013 Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 9.3 mg/L 5.6 1 07/06/17 00:44 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 248 mglL 25.0 1 07/10/17 19:05 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07112/2017 08:55 AM without the written consent of Pace Analytical Services, I.I.C. Page 6 of 15 Pace Analytical Services, LLC - 58meeafyti a " 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 /1f ww+'PffcWeb&c0M (704)875-9092 ANALYTICAL RESULTS Project: Tyson Stormwater Pace Project No.: 92346381 Sample: OUTFALL #3 Lab ID: 92346381003 Collected: 06/30/17 12:31 Received: 07/03/17 12:50 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual ITEM, Oil and Grease Analytical Method: EPA 1564B Oil and Grease ND mg/L 5.0 1 07/11/17 06:15 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 48.6 mg& 5.0 1 07/06/17 00:45 5220D COD Analytical Method: SM 52200 Chemical Oxygen Demand ND mg/L 25.0 1 07/10/17 19:05 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/12/2017 08:55 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 15 _.- r..___..__Y.A /l5aceAnalytical wwwpecetebsaxn QUALITY CONTROL DATA Project: Tyson Stonnwater Pace Project No.: 92346381 QC Batch: 368419 Analysis Method: EPA 1664B QC Batch Method: EPA 16648 Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92346381001, 92346381002, 92346381003 METHOD BLANK: 2041691 Matrix: Water Associated Lab Samples: 92346381001, 92346381002, 92346381003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 07/11/17 06:13 Pace Analytical Services, LLC - 9800 Kincey Ave. Suite 100 Huntersville, NC 2807E (704)875-9092 LABORATORY CONTROL SAMPLE: 2041692 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mglL 40 37.9 95 78-114 MATRIX SPIKE SAMPLE: 2041693 92346381003 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mglL ND 40 40.1 96 78-114 Results presented on this page are in the units Indicated by the'Units^ column except where an alternate unit Is presented to the right of the resutL Date: 0711212017 08:55 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 8 of 15 leftlytical" wWW'Pacefabacam QUALITY CONTROL DATA Project: Tyson Slormwater Pace Project No.: 92346381 Pace Analytical Services, LLC 9800 Kinoey Ave. Suite 100 Huntersviile, NC 28078 (704)875-9092 OC Batch: 367853 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92346381001, 92346381002, 92346381003 METHOD BLANK: 2038656 Matrix: water Associated Lab Samples: 92346381001, 92346381002, 92346381003 Blank Repotting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 07/06/17 00A2 LABORATORY CONTROL SAMPLE: 2038656 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 240 96 90-110 SAMPLE DUPLICATE: 2038657 92346381001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 122 135 10 D6 SAMPLE DUPLICATE: 2038658 92346501001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 11.6 11.8 2 Results presented on this page are In the units Indicated by the'Units' column except where an attemate unit Is presented to the right or the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07112I2017 08:55 AM without the written consent of Pace Analytical Services, LLC. Page 9 of 15 axAnalytical wa+vpecefabsarn f QUALITY CONTROL DATA Project: Tyson Stormwater Pace Project No.: 92346381 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: 368378 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92346381001, 92346381002, 92346381003 METHOD BLANK: 2041497 Matrix: Water Associated Lab Samples: 92346381001, 92346381002, 92346381003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 07/10/17 19:05 LABORATORY CONTROL SAMPLE: 2041498 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 745 99 90-1i0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2041499 2041500 MS MSD 92346239003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 104 750 750 910 930 107 110 90-110 2 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2041501 2041502 MS MSD 92346676001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone, Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 2320 750 750 3200 3200 119 117 90-110 0 Mi Results presented on this page are In the units Indlated by the'Units" column except where an atternate unit is presented to the right of the resurl. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 07/12/2017 08:55 AM without the written consent of Pace Analytical Services, LLC. Page 10 of 15 aceAnalyfical " WWrvpecebbs.tam QUALIFIERS Project: Tyson Stormwater Pare Project No.: 92346381 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, LLC,. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method $270. The result for each analyle is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PAST-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS 06 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/12/2017 08:55 AM without the written consent of Pace Analytical Services, LLC. Page i i of 15 aceAnalytica!` wwwpecawcom QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Tyson Stormwater Pace Project No.: 92346381 Pace Analytical Services, LLC 9000 Kincey Ave. Suite 100- Huntersville, NC 28078 (704)875-9092 . Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92346381001 OUTFALL #1 EPA 1664B 368419 92346381002 OUTFALL #2 EPA 1664E 368419 92346381003 OUTFALL #3 EPA 1664E 368419 92346381001 OUTFALL #1 SM 2540D 367853 92346381002 OUTFALL #2 SM 2540D 367853 92346381003 OUTFALL #3 SM 2540D 367853 92346381001 OUTFALL #1 SM 5220D 368378 92346381002 OUTFALL #2 SM 5220D 368378 92346381003 OUTFALL #3 SM 5220D 368378 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/12/2017 08:55 AM without the written consent of pace Analytical Services, LLC. Page 12 of 15 Document Name: ESI Tech Spec Document Revised: Sept. 21, 2016 �-aceAm"cal' Sam le Condition on Racal t SCUR Page 1 or 2 Upon No.; Issuing Authority: F-CAR-QA-003-Rev02 Pace Quality office Laboratory receiving samples: Asheville❑ Eden[:] Greenwood ❑ Huntersville ❑ Ralelgho Mechanicsville❑ Client Name: 1 Wa =: W 92- - 6381 54mple Condition Upon Project ffs Courier: Fd Ex PS uSPS Chent 81 ❑:Cammerdal ❑c ❑other: 9234- - Custody Seat Present? Dyes [jlo--- Seats intact? ❑Yes gNn _�y+ Date/InMals Penn Examining contents: PackTng Material: ❑Bubble Wrap IC1�ub61e Bags ❑None ❑other: Thermometer: `'` ® iR Gun io: _ IS-349Z _ Type at tce: et 081ue [)None❑5amytes vn ice, cooling process has begun Correction Factor. soi,.nr Cooler Temp Corrected VQ: f rA Biological Tissue frozen []Yes []NO ,®1V/A Temp should be abovV ?�zI g to 6*C USDA Regulated Sail N/A, watersamptel Did samp�l iginatel uarantine zone w6ln the United States: CA, NY, or SC (check maps)? [aid samples originate from a foreign source tint,tonally, ❑Yes [No Inducting Hawaii and Puerto Rico)? j]Yes KNo Gamments/Dlscrepsn Chain of Custody Present? 1. Samples Arrived within Hold Time? 2. Short Hotel Time Analysis (c72 hr.)? 13 3. Rush Turn Around Time Requested? 4. Sufficient Volume? ❑ 5. Correct Containers Used? -Pace.Cuntalners Used? El L Ll 5. Containers intact? Sam es Field Filtered? 8. Note if sediment is V@ble in the•dissolved container Sample Labels Match COC7 -includes Date/Vtne/ID/Analysis ET D 9. Headspace in VOA Vials (y5-6mm)? Yes No ITAI f 10. Trip 81ank Present? Trip 61ank Custody Seals present? Yes ❑ Yes No ❑ Na A 11.. CU1W NO1tFKATION/RESOWTION Person Contacted: I Comments/Sample Discrepancy: Oate/iime: Field Data Required? UYes UNe Project Manager SCURF `7 Review: _ Date- /`�� Project Manager SRF 7r3 Review: Date: Note: whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (Le. Out of field, Incorrect preservative, out of temp, Incorrect containersl age 13 of 15 �i s a A 4 i e Ra a o o a X. p a n .-. A 3 a !0 o: N a r � S' fd ut .� IM m � a3 Y K S in LI i N r c e sn .r rn V, p w N r ItemN _ Y 8P411-125 mL Plastic Unpreserved (N/A) (CI.) BP3U-250 mL Plastic Unpreserved (N/A) BPZU-500 mL Plastic Unpreserved jN/A) .�4 8P1U-1 liter Plastic Unpreserved (N/A) s � MS-250 mL Plastic H2504 {AH.,c 2) (Cl.) eP3P1 Z50 ml plastic H NO3 (pH c g) SPU.M mi. Plastic 2N Acetate & N30H (>9} BP30250 mL Plastic NaOH (pH > 121 (CI-) WGRJ-Wide-mouthed Glass jar Unpreserved AGIU-1 liter Amber Unpreserved (N/A) (Cl;) zzzAG1H-1 liter Amber Ha (p H < 21 AG3U-250 mL Amber Unpreserved (N/A) (a-) AG1S 1liter Amber H2SO4 {pH <2) AG35-250 mL Amber H2SO4 (pH a 21 A03A(UG3*250 ml Arnber N H4Ci {N/A)(q j 0G9H40 mL VOA HCI (N/A) VG9f-40 ml VOA Na2$203 (N/A) VQW40 mL VOA Unp (N/A) OG9P440 mt VOA H3PO4 (N/A) VOAst (6 vfds per kit)-5035 kit (IV/A) V/GK (3 vials per WAtPH/Gas fat (N/A) SPST-125 MS. SteNte Plastic (N/A— lab) SP2T-2w mL 5terlie Plastic (NIA— late) 8P3A-250 mLPlastte(NH2)2504 (9.3.9.7) Cublta(ner VSGIJ-20mLSclntillatianvials {NIA) GN O 3e 1.d ? O y 3 7 7c "". CL 0 0 o rr '13 a O ry 0! in 0 O O [n n X 3 � m A m 0. eq O g � g o rs N O R Analytlral.� z CHAIN -OF -CUSTODY ! Analytical Request Document . 7M C aie►d4usaod9 is e LEGAL. DOCUMENT. AS ffW. 1f fields must be CoWWad, WMCM*. ..... ... ... m NOEs ::...' mairk Coda Product p SAMPLE ID on ',WP i ti / 01K.W.0 ■RUMM 1=MEMO■■■■■■■ 13 ►�■■■■■■■■■■1, : �r'L ■■����■■■■■■■■■■ ■■■■�■■■■■■■■1.NE IN SEE IME ® ■■■■■■■■■■■■■■■■■ ■■■■■�■■■■■■■■■■■■■■ram ■■■■■■■■�■■■■■■■■■r■ ■�/■■■■■■■■■/■■■■■� e ■■■■■■��■■■■■■■■■ ■■■■■�■■■■■■■■■■■■■■ e ■■■■�■■■■■■■■r■r■ ■■■■■■�■�■�■■■■100101 IN011101 ONE ® ■■■■■■■■■■■■■■.■■■■■ ■■■■■■■■■■■■■■■■■■■■ W,FW��'.� ©1, aMR.,, F ' 1 �®©■ice 'ti90r4M Mee.: by Npnlq We /oNh you u. era.pwn ftiaY NET 9fl dq' wyrnr�bew eud mwo'Wg b eq dwryu d 1l% priml 1Q iery iinaiap nol yeld.tlti 7Il any.. F-AIvW.177. tv e3e CL FOR UI. ,I aceAnalytical xnrwpacefa6s.com t I January 04, 2017 Mr. John Stewart ECS Carolinas, LLP 4811 Koger Blvd Greensboro, NC 27407 RE: Project: Tyson Stormwater Pace Project No.: 92324947 N � G o (,00a�( RECEIVED JAN 2 4 2017 CENTRAL FILES DWR SECTION Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Stewart: Enclosed are the analytical results for sample(s) received by the laboratory on December 30, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Taylor Ezell taylor.ezell@pacelabs.com Project Manager Enclosures cc: Ashley Barham, ECS Carolinas, LLP Randy Cavallier, ECS Ken Vlagas, ECS REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 15 aceAnalytical wwwperefabaaom Project: Tyson Stormwater Pace Project No.: 92324947 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Charlotte Certification iDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #; 84 Virginia/VELAP Certification #: 460221 North Carolina Wastewater Certification M 40 South Carolina Certification M 99030001 Virginia[VELAP Certification M 460222 REPORT OF LABORATORY ANALYSIS This report shall not 4e reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 15 aceAnalytical mvw.psaslsbscom SAMPLE ANALYTE COUNT Project: Tyson Stormwater Pace Project No.: 92324947 Pace Analytical Services, LLC 9601)KinceyAve, Suite 100 Huntersville, NC 28078 (704)875-9092 Anaiytes Lab ID Sample ID Method Analysts Reported Laboratory 92324947001 Outfall #1-01 EPA 1664B JMS 1 PASI-C SM 2540D ALC 1 PASI-A SM 5220D EWS 1 PASI-A 92324947002 Outfall #2-02 EPA 1664B JMS 1 PASI-C SM 2540D ALC 1 PASI-A SM 52200 EVVS 1 PASI-A 92324947003 Outfall #3-03 EPA1664B JMS 1 PASI-C SM 2540D ALC 1 PASI-A SM 5220D EWS 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 15 aceAnalytical' www.peostabs.cam Project: Tyson Stormwater Pace Project No.: 92324947 Lab Sample ID Method 92324947003 SM 2540D SM 5220D SUMMARY OF DETECTION Client Sample ID Parameters Result Outfall #3-03 Total Suspended Solids 81.3 Chemical Oxygen Demand 30.0 Units mg/L mg/L REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Pace Analytical Services, LLC 9800 Kintey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Report Limit Analyzed Qualifiers 8A 01/03/1716:42 25.0 01/04/17 1100 Page 4 of 15 aceAnalytical WWW.patelab& WM ANALYTICAL RESULTS Project: Tyson Stormwater Pace Project No.: 92324947 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28076 (704)875-9092 Sample: Oulfall #1-01 Lab ID: 92324947001 Collected: 12/29/16 05:08 Received: 12/30/16 09:50 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Quaff HI=M, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 01/03/17 06:30 25400 Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg1L . 2.5 1 01/03/17 16:42 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand ND mg1L 25.0 1 01/04/17 13:00 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 01/04/2017 05:46 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 15 aceMalxical e www.pacefabs.com ANALYTICAL RESULTS Project: Tyson Stormwater Pace Project No.: 92324947 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 20078 (704)875-9092 Sample: Outfall #2.02 Lab ID: 92324947002 Collected: 12/29/16 05:13 Received: 12/30/16 09:50 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 01/03/17 06:30 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg1L 2.5 1 01/03/17 15:42 52200 COD Analytical Method: SM 5220D Chemical Oxygen Demand ND mg1L 25.0 1 01/04/17 13:00 Date: 01/04/2017 05A6 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Page 6 of 15 Pace Analytical Services, LLC s 9800 Kincey Ave. Suite 100 lanemalWical Huntersville, NC 28078 "wwPacem" (704)875-9092 ANALYTICAL RESULTS Project: Tyson Stormwater Pace Project No.: 92324947 Sample: Outtall #3-03 Lab ID: 92324947003 Collected: 12/29/16 05:16 Received: 12/30/16 09:50 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[ HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 5.0 1 01/03/17 06:30 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 81.3 mglL 8.1 1 01/03/17 16:42 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 30.0 mg1L 25.0 1 01/04/17 13:00 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /04/2017 05:46 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 15 5an eAnalxical wwwpacelabs coin r i QUALITY CONTROL DATA Project: Tyson Stormwater Pace Project No.: 92324947 QC Batch: 343125 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92324947001, 92324947002, 92324947003 METHOD BLANK: 1903242 Matrix: water Associated Lab Samples: 92324947001, 92324947002, 92324947003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 5.0 01/03/17 06:30 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1903243 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Oil and Grease mglL 40 37.7 94 78-114 MATRIX SPIKE SAMPLE: 1903244 92324947002 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 38.9 96 78-114 Results presented on this page are In the units indicated by the "Units' column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/04/2017 05:46 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 15 acemalXiml. www.pacdabs com QUALITY CONTROL DATA Project: Tyson Stormwater Pace Project No.: 92324947 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: 343116 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92324947001, 92324947002, 92324947003 METHOD BLANK: 1903218 Matrix: Water Associated Lab Samples: 92324947001, 92324947002, 92324947003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 01/03/17 16:42 LABORATORY CONTROL SAMPLE: 1903219 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 240 96 90-110 SAMPLE DUPLICATE: 1903220 92324931012 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L ND ND SAMPLE DUPLICATE: 1903221 92324947003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 81.3 81.3 0 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/04/2017 05:46 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 15 acMnalytical' wwepacsiabs.wn QUALITY CONTROL DATA Project: Tyson Stormwater Pace Project No.: 92324947 QC Batch: 343189 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92324947001, 92324947002, 92324947003 METHOD BLANK: 1903532 Matrix: Water Associated Lab Samples: 92324947001, 92324947002, 92324947003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 01/04/17 13:00 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28076 (704)875-9092 LABORATORY CONTROL SAMPLE: 1903533 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg1L 750 793 106 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1903534 1903535 MS MSD 92324942001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mglL 2900 750 750 3400 3440 68 72 90-110 1 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1903536 1903537 MS MSD 92324966006 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 1630 750 750 4470 4470 379 379 90-110 0 M1 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 01/04/2017 05:46 PM without the written consent of Pace Analytical Services, LLC. Page 10 o115 ' e aceAnalytical wwwpaoslabs.wm QUALIFIERS Project: Tyson Stormwater Pace Project No.: 92324947 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW$46 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nilrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /04/2017 05A6 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 15 aceAnalytical wwwpvC&WMCom QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Tyson Stormwater Pace Project No.: 92324947 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method Analytical QC Batch Analytical Method Batch 92324947001 Outfall #1-01 EPA 1664B 343125 92324947002 Outfall 02-02 EPA 1664E 343125 92324947003 Outfall #3-03 EPA 1664B 343125 92324947001 Outfall #1-01 SM 2540D 343116 92324947002 Outfall #2-02 SM 2540D 343116 92324947003 Outfall #3-03 SM 2540D 343116 92324947001 Outfall #1-01 SM 5220D 343189 92324947002 Outfall #2-02 SM 5220D 343189 92324947003 Outfall #3-03 SM 5220D 343189 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/04/2017 05:46 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 15 ,.1� "p Laboratory receiving sa ples: Asheville [i/ Eden[ Document Name: Condition Upon Recei Document Nu.: F-CAR-CS-033-Rov.01 Greenwood ❑ Huntersville UOCUment Kevisuw aUpl. L1, Luau —�— Page 1 of 2 Issuing Authority: Pace Quality office Raleigh❑ Mechanicsville❑ Client Nan_ Project WO# :92324947 Courier: t Fed f x ❑UPS ❑LISPS (]Client ❑Conuner[fal ❑Pace ❑Other: ���Ll Ct�y���' t 92324947 Custody Seal Present? Oyes EN1 Seals Intact? ❑Yes ❑No p Date/lnitials Person Examining Contents: U Packing Material: ❑Bubble wrap ialbble Bags ❑None []other: 1 jr' f �C Thermometa_r / l+� IR Gun ID: _ , Type of Ice: avet ❑Blue ❑None ❑Samples on ice, cooling process has begun Correction Factor: cooler Temp Corrected ('C): I. is Biological Tissue Frozen? []Yes ❑No ❑N/A Temp should be above fry zing to G'C _ USDA Regulated Soil ( /A, watrr samplcl Did samp:ea rlrinaw in a quarantine Fly cs l Plo zone within the United States: CA, NY, or SC (check maps)?. Did samples ademate from a foreign source Outern onally, in,Brdinv n--All and PrrP,16 lucn%? rlYes ITI.N. �_ _ Comments/Discrepancy: _ Chain of Custody Present? _- i Y s ©yo ©N A 1. Samples Arrived within Hold Time? Yes - Short Hold Time Analysis (02 hr.)? ©Yes —❑ VIN [jN/A RW - _ -Rush Turn Around Time Requested? _ _. ❑y , % r) . ❑rJ/A S. Sufficient VntU1110 v s E) ©NJA Correct ContArters Used? - 1_ Y ON ❑NJA 6, -Pace Containers Used? Z' ❑No ❑N/A Contalners Intact? Yes ❑No ❑N/A 7. �- —� Samples Field Filtered? - a IA S. .Note if sediment is visiltle In the dissolved container _©Yes _a] Sample Labels Match COC? )v Yes ❑No ❑N/A 9. I _ .htcludes Dale/mime/ID/Analysis Matrix: WIf r _ -�- ^ -� —� N Headspace in VOA Vials l>5 Gmne)? ❑Yes ❑Na A Trip Blank Present?— ❑yes ❑No I. _10_ 11. Trip RlenkCustady Seals Present?____.__ E]Ycs-❑Na 2A N/A _ CLIENT NOTIFICATION/RESOLUTION Person Contacted: Continents/Sample Discrepancy: Date/Time: Project Manager SCURF Review. Date: Project Manager SRF Review: Date: Field Data Required? ❑Yes ❑No Note: Whenever there is a discrepancy aftectinp North Carolina compliance samples. a copy of this form will be sent to the North Carolina DEIINR Certification office li.e. Out of hold, Incorrect preservative, out of temp, Incorrect containers) Page 13 of 15 r r. a► a .w m � d y -1 V ry A _ N O 4 p m l7 us3 a) .r C w N ral .• CL Z 0 0 w �.3 9 xc x u CF zz o � m c n v m 5 N 1 d C C t 'Q � � o I ` tb u s= - U `al O ci ci u L O ra L � ` a � CL 7 r t a -0 E O •_.I. ;I i C i rs s= ra p v >` � a ci a Q ++ ,, O ? L m ar CL � E N9 (yjN) Sle!Auo!lell!1upSlwOZ-nE>SA (C'6-FO VOSZ(ZHN) D!Iseld l W 09<-V£df3 (gel -• V/N) 31lscld apialS I- OSt-1ZdS 4 4 (qcl — V/N) 3!1scld alP31S lW SZ[-1SdS l 1 1 (V/N1 V: se9/14dA•4!)i jad sle!A E) x9/A f I _ l NMI I!4 SZOS-(3!sl lad S)C!A 9) XVOA ' t (V/h)!rOdEH VOAlW M-d69O I I L { l:'ltvS dµn VOnlw Crn6�n � � I I sV/Ali EOZSZCN VOAl w 07-169A :V/N) I]H VOA I- OV-H69a I I I f (-I])(V/Nl lat'HN �agW71'-o O5Z-JVE90)VEOV i I ii f if j i i SS I (Z> Hd) GOSZH OSZ-SE9V _ I / kk I I (t- t4d) 7OSZH jacSWV Fa3N i-Si97 I / I � (-D(v/N) PO-Jsajdun ,agwy l W osz-nEOL' > Hd) I:)H-agu,V.Z-MT9V -�_ k I I ZVI(Z I fifial!l 1 Sl (i)) (V%N) PaAJra,dun jagwV Ja:!l 1-nl:!)v I I I I { paru'asaMun sc(ssclgpa4lnaW7jp!n1-ni9M I I I i (-D) (ZT- < Hd) HOCN o!ISeld lw OSZ-OEde7H (o<) HOCiY 8 >`i 3!tsc3d l W O5Z ZEdB I I 1,4 {t a Hdl £ONH o!Iseid lW OSZ-NEd9 � � i I i d) VOSZH >!lse}d lOSZ-SUS (1:)) (Z> HW Ed f I Il S (tllwl FaNasa�duO xlscld lu+0O5-nZde i I fVlu) PaA�:�;a,duO allscid lW OSZ-nEde i {-{Ol (V/rs) PO-z)saiduO a!iscld l%" SZT-nude I I ( € � i i +• i I � I � I 1a T N °1 u as 3 I p a r I II Q N ro b � 5 us -a s A W E 7 � i u, U 4 CP L Cl. p!v ob r O J Q3 � > R � r � I c 0 a I n. I !!! s ` o r E N l I I � 1 I 1ii in 0 Ln 0 In "G CHAIN -OF -CUSTODY f Analytical Request Document R.r�y!r�f The Chain -of -Custody is a LEGAL DOCUMENT. All relevard fields must be Completed accurately. Section A Secflors a Section C Required Client Information: Required Project lnfonnation: hlvoice Information: Pa O Conpony. £CS Greensboro Report Ta J" Slewort A!10ft : Address: 4811.%ogor Blvd Copy To Cornpeny Nave. Greensboro, NC 27407 Ad&ess' R ulal " EITIZA " t"anl6Derafinaed corn Purehaso Order it Pxa Ducts: Phone 1338)858.7150 JFa. PIOIect Nano- Tyson SIDnrRvater Para Projacf Mxsager. t 1or,C2e41 aCCI77. Caen. Stare! Caution Requested Ou i Ogre. Proiect M P3Ce Profile X. 059$ NC ReguesLed AA I "s Flhered (YM)- ' R. CODO � v � COLLECTED � Preservatives } a.t�ny,wirl ow $ Wx .vT W.V.. w.i. ww 3 _ PeAa1 P SAMPLE ID ry _ U START ENp S O w m H } s �P One Chataeter yet boo. VIP a m to z a9 r. 1 o~v. of C,> a n Sample Ids must t>C unique -- TS w TDITETWE w p v N N g re H s mn DATE TIME w z V x 0 z' z 3 54 0 Q u H r 0 1�:]-d` � �t4^9 o 6 0 A 5: ixpT i 2 c ro : t3 3 C4" i t H + 3 &T (, /?-)x 15; Ib i9 ' v 003 d 5 G 7 _8 10 11 12 ADOITIONALCOMMEMS REUNQUISNED DY I AFRLJAnON DATE naE ACCEPTED BY I AFFILIATION DATE SURE SAMPLE WNDRIONS ,C C- 7/// F�dl 'It % 7, D a, C ' r: , .-- o -, /d IX,% 12= 7 2// r 7 C— 0 a ( 0 71 17 a • 4-u SAMPLER NAME AND SIGNATURE r. Cd o v � PRINT Name of SAMPLER: + 2v C@E j o = "yam'' E q �,gr SIGNATURE e1 SAMPLER: .;f DATE Signed; •/!E<,1(i ial�! 1G STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) I SPPP Annual Update DATA REVIEW FORM Calendar Year 2016 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG 0❑®Q❑o ®© This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Tyson Mexican Original Inc. County: LEE Phone Number: ( 919 ) 774-7925 Total no. of SDOs monitored 3 Outfall No. 1 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No RECEIVED JAN 24 2017 CENTRAL FILES DWR SECTION Total Rainfall, inches Parameter, (units) 0.46 Benchmark 6 - 9 NIA 30 100 120 Date Sample Collected; mmlddlyy H Teem MOA-G WTj,5-SWQ_0-Q 12129/16 7.06 8.9 ND-6.0 ND-2.5 ND-26.0 SWU-264 - Generic Annuai DMR Last revised 5/17/2013 T Additional Outfall Attachment Outfall No. 2 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No SWU-264 - Generic Annual DMR Last revised aVl7/2013 Additional Outfall Attachment Outfall No. 3 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Total Rainfall, inches Parameter, (units) 0.46 Benchmark 6-9 N/A 30 100 120 Date Sample Collected, ,mmlddlyy H MTLem p MO-QQ MTIS-SMQ-0-D 12/29116 7.09 8.9 ND -- 5.0 81.3 30 SWU-264 - Generic Annual DMR Last revised 5/17/2013 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature Date �l�n/may For questions, contact your local Regional Office: DWQ Regional Office Contact Information: ASHEVILi;E REGIONAL OFFICE I FAYETTEVILt Et*EGIONACOFFICE MOORESVILLE*EGIQNAL,OFFICE 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH&REGIUNALOFFICE WASHINGT MR1;GTONAL`0FFICE. WILM1r GTON RECIONAL,UFF_I@E 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 I Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 LWNSTON SALEM REGIONAL OFFICE CENTRAL OFFICE 1617 Mail Service Center i , . � , 'Ta preserve protect 585 Wau htown Street g Winston-Salem, NC 27107 Raleigh, NC 27699-1617 and enhance (336) 771-5000 (919) 807-6300 North Carolina's tivater :" SWU-264 - Generic Annual DMR Last revised 5/17/2013 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2016 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG060024 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: _Tyson Mexican Original Inc. County: LEE Phone Number: 9( 19 ) 774-7925 Total no. of SDOs monitored 3 Outfall No. 1 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Total Rainfall, Inches Parameter, units 1.22 Benchmark N/A 6 - 9 120 mg IL 100 mg/L 30 mg/L Date Sample Collected, mmlddlyy pH Temp °C COD I===== 06128/16 1.22 6.9 21.0 29 6.3 5.12 SW U-264-Generic-13Dec2012 Additional Outfall Attachment Outfall No. 2 Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency Received approval from DWQ to reduce monitoring frequency Other Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Yes ❑ No El Yes ❑ No Total Rainfall, Inches Parameter, (units) Benchmark N/A 1 6-9 1 120 mg1L 100 mg1L 30 mg1L Date Sample Collected, mmlddlyy MMM COD TSS 08�G 06128116 1.22 7.0 20.5 10 3.0 5.43 SWU-264-Generic-1313ec2012 Additional Outfall Attachment Outfall No. 3 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Total Rainfall, Inches Parameter, (units) Benchmark N/A 1 6-9 120 mg/L 100 mg/L 30 mg/L Date Sample Collected, mmlddlyy 1.22 ===M 7.0 21.3 16 38 &G E 7.42 06/28/16 SWU-264-Generic-130ec2012 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature tp.G1�. Date Z114/ 1 4 For questions, contact your local Regional Office: DWQ Re Tonal Office Contact Information: ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE 225 Green Street 610 East Center Avenue/Suite 301 2090 US Highway 70 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILM_I_NGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 ,WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE 1617 Mail Service Center Raleigh, NC 27699-1617 585 Waughtown Street Winston-Salem, NC 27107 "To preserve, protect and enhance (336) 771-5000 (919) 807-6300 _�No& Carotine's water..." SWU-264-Generic-13Dec2012 Ot 1NAI` Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/C/E/A/J O/ DI Z/ lil or Certificate of Coverage No.: NIGGI l�l I I I_I Facility Name: ly A n -- .. - County:.-- _.ke'/� _ Phone No. Inspector: 4y ,h Date of Inspection: 6 - Z 8- M Bythissignature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) L Outfall Description 1 Outfall No. _ Stru ture (pipe, ditch, e .) C/i I t Receiving Stream: S Cc�� De the industrial activi!ies that occur within the outfall drainage area: 4r ` or,"o one VaCdl 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: d e.ar 1 3. Odor Describe any distinct odors that the di char a may have (i.e., smells strongly of oil, weak chlorine odor, etc.) O o C S S 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 2 3 4 5 6 7 8 9 10 Page 1 swu-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amz°Int of suspended solids in the r _°� -_ -raie► discharge where 1 is no solids and 10 is extremely muddy: LJ 2- 3 4 .5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Ye^ No S. Oil Sheen Is there an W snc, n thr. s?oSE ew-<i.er di��;xuuFe? Yes i+fo 9. Deposition at Outfail Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfail Is there erosion at or immediately below the outfall? Yes 11. Other Obvious Indicators of Stormwater Pollution List and describelU6 r16UinL&6, i v►di C a-1oC 5 6`T Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 0 SWU-242-020705 WA 9 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIGICr/ d / 6 / OIA1 '� f or Certificate of Coverage No.: NIC1Gl I 1 I I I 1 Facility Name: -TSo V\ _ County:.. Phone No. Inspector. Date of Inspection: e - 2 By this signature, I certify that /this report is accurate and complete to the best of my knowledge: (Signature of Petmittee or Designee) 1. Outfall Description Outfall No. �- Structure (pipe, ditch, etc.) --p I Q _ Receiving Stream: CVS Cf [ey' - - - Describe the industrial activities that occur within the outfall drainage area:_ A1,6 Yl 2. Color Describe the color of the discharge u ing dark) as descriptors: C 3. Odor Describe any distinct odors etc.) n < 4. Clarity (red, brown, blue, etc.) and tint (light, medium, barge may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 2 3 4 5 6 7 81 9 10 Page I 5wU-242-024705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where l is no solids and 10 is the surface covered with floating solids: 0 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amc�,int of suspended solids in uh_' r, -n-:=:'1awr discharge_ where 1 is no solids and 10 is extremely muddy: 2, 3 4 .5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes c S. Oil Sheen Is there ar oil ,ice �n thf, sl --cw '4w2i;er db�chwe? Yes :10 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution C f List and describe 1 /� D 061 r0 u S 1Ylolc��a� S O�T��O II�TOr'L• Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 N Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Pen -nit No.: NI9Cr/Q1-L1-0l Q/ Z4J-1 or Certificate of Coverage No.: N/CJG/ I 1 1 I I I Facility Name: County:---- L- -e- Phone No. Inspector: `vN Date of Inspection: 6 , By this signature, I certify that th is report is acc to and complete to the best of my knowledge: (Si gnature of Permittee or Designee) 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.) � c� Receiving Stream: _ GAs4eTS _ C� C--e- - Describe the industrial a ' ' ies that occur within the outfall drainage area:_ S ��. OL11 Co ri in 'In wt acea rl�v .0 2. Color Describe the color of the dark) as descriptors: 3. Odor Describe any distinct odors that etc.) e, 4. Clarity using bask co�ors (red, brown, blue, etc.) and tint (light, medium, may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SwU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in uh_ rr _,- titer discharge where 1 is no solids and 10 is extremely muddy: 2. 3 4 .5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Ye: Ilk 8. OR Sheen Is there ar in thf stofmvt aer Yes Ao 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes I Nq 11. Other Obvious Indicators of Stormwater Pollution List and describe D O ( Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 0 S WU-242-02D705 ENCO Laboratories Accurate. Timely. Responsive. innovative. 102-A Woodwinds Industrial Court Cary NC, 27511 Phone: 919."7.3090 FAX: 919.467.3515 Monday, July 11, 2016 Atlantic Environmental Associates (AT025) Attn: Candice Moore 2483 Reliance Ave. Apex, NC 27539 RE: Laboratory Results for Project Number: [none], Project Name/Desc: Tyson Stormwater ENCO Workorder(s): CZ00549 Dear Candice Moore, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Wednesday, June 29, 2016. Unless otherwise noted in an attached project narrative, all samples were received in acceptable condition and processed in accordance with the referenced methods/procedures. Results for these procedures apply only to the samples as submitted. The analytical results contained in this report are in compliance with NELAC standards, except as noted in the project narrative. This report shall not be reproduced except in full, without the written approval of the Laboratory. This report contains only those analyses performed by Environmental Conservation Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from outside organizations will be reported under separate cover. If you have any questions or require further information, please do not hesitate to contact me. Sincerely, Stephanie Franz Project Manager Enclosure(s) FINAL This report relates Only to the sample as received by the laboratory, and may onh be reproduced in fun. I Page 1 of 9 www.encolabs.com SAMPLE SUMMARY/LABORATORY CHRONICLE ClleM ID: Tyson Outfall I Lain iD: CGZ00549-0I Sampled: 06/28/16 07:30 Received: 06/29/16 12.25 Parameter Hold Date/Time(s) PreD Date/TrmeL Analysis DateFnme(s) EPA 1664E 07/26/16 07/07/16 10:38 07/07/16 14:57 SM 254OD-1997 07/05/16 06/30/16 10:14 06/30/16 10:14 SM 522OD-1997 07/26/16 06/30/16 11:31 06/30/16 15:25 client ID: Tyson Oatrall 2 Lab ID: QD0549-02 Sampled: 06/29/16 07:00 Received: 05/29/16 12 25 Parameter EPA 1664B Hold Date/Time(s) 07/27/16 Prep DateLTime(s) 07/07/16 Anahrsis DatelTime(s1 10:38 07/07/16 14:57 SM 2540D-1997 07/06/16 W30/16 10:14 06/30/16 10:14 SM 522OD-1997 07/27/16 06/30/16 11:31 06/30/16 15:25 client ID: Tyson Outfall 3 Lab ID: CZ00549-03 Sampled: 06/28/16 07:15 Received: 06/29/16 12:25 FBIAHold EPA 16646 Date/llme(sl 07/26/16 &CD Date/jijWtW 07/07/16 Analysis Date/Tlme(s) 10:38 07/07/16 14:57 SM 2540d-1997 07/05/16 06/30/16 10:14 06/30/16 10:14 SM 5220D-1997 07/26/16 06/30/16 11:31 06/30/16 15:25 FINAL This report relates only to the sample as received by the laboratoTy, and may only be reproduced in full. I Page 2 Of J www.encolabs.com SAMPLE DETECTION SUMMARY client im Tyson Outfall 1 Lab ID: CZ00549-01 ADaitte ReSulL4 E6M lA lU uniu M Motes Chemical Oxygen Demand 29 10 10 mg/L SM 522OD-1997 Oil & Grease (HEM-SGT) Non -Polar Material 5.12 2.70 5.00 mg/L EPA 16648 Total Suspended Solids 6.3 3.8 3.8 mg/L SM 254OD•1997 dlera ID: Tyson Outfal! 2 Lab ID: CZ00549-02 Ai1ahft BMll1i an lA ML Units Method IN Chemimi Oxygen Demand 10 10 10 mg/L SM 5220D-1997 Oil & Grease (HEM-SGT) Non -Polar Material 5.43 2.70 5.00 mg/L EPA 1664B Total Suspended Solids 3.0 IS 2.5 mg/L SM 2544D-1997 client ID: Tyson Outfall 3 Lab ID: CZ00549-03 Analyte Results f1m Ma ML mom Method Notes Chemical Oxygen Demand 16 10 10 mg/L SM 5220D-1997 Oil & Grease (HEM-SGT) Non -Polar Material 7.42 2.70 5.00 mg/L EPA 1664B Total Suspended Solids 38 7.1 7.1 mg/L SM 254OD-1997 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. I Page 3 Of 9 ANALYTICAL RESULTS Description: Tyson Outfall 1 Lab Sample ID: CZ00549-01 Matrix: Water Sampled:06/28/16 07:30 Project: Tyson Stormwater Sampled BY -Kevin Lee Classical Chemistry Parameters ^ -EACOary®reftfan "CAC 591] www.encolabs.com Received: Ofi/29/16 12:25 Work Order: CZ00549 Analyte fCAS Numbed Results lag Units FF KDLL PQl sash Method Analried ay H= Chemical Oxygen Demand ^ 29 mg/L 1 10 10 6F30009 SM 5220D-1997 06/30/16 15:25 Joc Total Suspended Solids^ 6.3 mg/L 1.54 3.8 3.8 6F30003 SM 254OD-1997 06/30/16 10:14 MMR Classical Chemistry Parameters ^ - e+Co>a nHlk c&VAd anayte [AC 4421 Analyte fCAS Number] Results Hat units PE HA EQL Batch lieiilad Ana Oil & Grease (HEM-SGT) flan -Polar 5.12 mg/L 1 2.70 5.00 6GO6013 EPA 1664B 07/07/16 14:57 SMA Material^ Description. Tyson Outfall 2 Lab Sample ID: CZOOS49-02 Received: 06/29/16 12:25 Matrix: Water Sampled: 06/29/16 07:00 Work Order: CZ00549 Project: Tyson Stormwater Sampled By: Kevin Lee Classical Chemistry Parameters Analyse_ rree Mumberl Results fin Units PIE bpL PRL Batch Method Anahrad gx Notes Chemical Oxygen Demand^ 10 mg/L 1 10 10 6F30009 SM 522OD-1997 06/30/16 15:25 Joc Total Suspended Solids^ 3.0 mg/L 1 2.5 2.5 6F30003 SM 254OD-1997 06/30/16 10:14 MMR Classical Chemistry Parameters ^ - 6VX AQkF0ni ilk ce V4ed anabde (AC 4421 Analyte ICAS Numbed Results JlAq units RE MU EQL Batch Method And fix NoteS Oil & Grease (HEM-SGT) Non -Polar S.43 mg/L 1 2.70 5.00 6GO6013 EPA 1664B 07/07/16 14:57 SMA Material^ Description: Tyson Outfall 3 Lab Sample ID: CZ00549-03 Received: 06/29/16 12:25 Matrix: Water Sampled:06/20/16 07:15 Work Order: CZDD549 Project: Tyson Stormwater Sampled By: Kevin Lee Classical Chemistry Parameters ^ - Hco Lary cerbfied 8-4- [hC 591] Analyse ICAS Mumberl Results gag Units PIE MIX EQL gates NORM Apahaed @y !Votes Chemical Oxygen Demand^ 16 mg/L 1 10 10 6F30009 SM 5220D-1997 06/30/16 15:25 10C Total Suspended Solids^ 38 mg/L 2.86 7.1 7.1 61`30003 SM 25QD-1997 06/30/16 10:14 MMR Classical Chemistry Parameters ^ - 6W0Je0i,50nW a centred arralytr (W 4421 Anatyte3CASAumberl gl:sul fwq mom 2E HU 1'M Bate Method Anaball gy Notes Oil & Grease (HEM-SGT) Non -Polar 7.42 mg/L 1 2.70 5.00 6G06013 EPA 1664E 07/07/16 14:57 SKA Material^ FINAL This report relates only to the sample as mcetued by the laboratory, and may -1y be reproduced in ful. I Page 4 Of J www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch 6F30003 - NO PREP Blank(GF30003-BLKI) Prepared &Analyzed: 06/30/201610:14 Spike source %REC RPD 9Rande Result Ilan PPOL Units Level g %REC Limits RPD ; Notes Total Suspended Solids 2.5 U 2.5 mg/L LCS (6F30003-BSI) Prepared & Analyzed: 06/30/2016 10:14 Spike Source %REC RPD 9nahrse Result flea POL Units Level gesul %REC Limits RPD deg NVotes Total Suspended Solids 92 2.5 mg/L 100 92 80-120 Duplicate (6F30003-DUP1) Prepared & Analyzed: 06/30/2016 10:14 Source: CZ05901-01 Spike Source %REC RPD Ana Result lM P L Units Level Result %REC Limits RPD Limit Notes TotalSuspended Solids 2900 500 mg/L 3400 14 20 Duplicate (6F30003-0UP2) Prepared & Analyzed: 06/30/2016 10:14 Source: CZ07184-01 Spike Source 01aREC RPD Ana hde Rffidk Hag P41. units Level Result %REC Limits RPD Limit Notes Total Suspended Solids 220 120 mg/L 230 7 20 BaWl 6F30009 - Same Blank (6F30009-BLK3) Prepared: 06/30/2016 11:31 Analyzed: 06/30/2016 15:25 Spike Source %REC RPD An0tirte Result Hag Pal units Level gestitt 0/aREC Limits RPD Limit Notes Chemical Oxygen Demand 10 U 10 mg/L LCS (6F30009-BS1) Prepared: 06/30/2016 11:31 Analyzed: 06/30/2016 15:25 Spike Source %REC RPD Anil Rand t Hag Pal U11M Level ResulF %REC Llmltf RPD MM t Notes Chemical Oxygen Demand 510 10 mg/L 500 101 90-110 Matrix Spike (6F30009-MSI) Prepared: 06/30/2016 11:31 Analyzed: O6/30/2016 15:75 Source: CZ00549-01 Spike Source 0/aREC RPD Ana hda: Rssllt Hag Pal Units Level Result %REC Limits RPD Limit Notes Chemical Oxygen Demand 570 10 mg/L 526 29 103 90-110 Matrix Spike Dup (6F30009-MSDI) Prepared: 06/30/2016 11:31 Analyzed: 06/30/2016 15:25 Source: CZ00549-01 Spike Source %REC RPD Ana hda RMdt pug F% units Level Result %REC Limits RPD Limit (+lofts Chemical Oxygen Demand 550 10 mg/L 526 29 99 90-110 3 10 Classical Chemistry Parameters - Quality Control Batch 6606013 - EPA 16644 Blank (6G06013-BLK1) Prepared: 07/07/2016 10:38 Analyzed: 07/07/2016 14:57 Spike Source %REC RPD Ana lfde Result Hag PM Units Level Result %REC Limits RPD Limit Notes Oil & Grease (HEM-SGT) Non -Polar Material 0.703 U 1.30 mg/L FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in lug. Page rJ Of 9 www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control 6afdb 6606013 - EPA 1654A - Confined LCS (6606013-BSI) Prepared: 07/07/2016 10:38 Analyzed: 07/07/2016 14:57 Spike Source %REC RPD Ana RMdt flag PQL knits Level Result %REC Limits RPD Limit Notes Oil &Grease (HEM-SGT) Non -Polar Material 67.4 5.00 mg/L 75.8 89 64-132 LCS Dup (GG06013-BSDL) Prepared: 07/07/2016 10:38 Analyzed: 07/07/2016 14:57 Spike Source a/aREC RPD AnaResult Flag PQL Vniu Level Rat 9/aREC Limits RPD Limit Notes Oil & Grease (HEM-SGT) Non -Polar Material 69.5 5.00 mg/L 76.3 91 64-132 3 34 Matrix Spike (6G06013-MSI) Prepared: 07/07/2016 10:38 Analyzed: 07/07/2016 14:57 Source: BZ0239"I Spike Source 9/oREC RPD Ana lr6e 3esul Flag MI. UAn U Level Result %RIE[ Lifnits RPD Limit Notes Oil & Grease (HEM-SGi) Non -Polar Material 20.4 1.36 mg/L 21.8 0.735 U 94 64-132 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. I Page 6 Qf J (e�C i�' J M1W J �= &W-W www.encolabr.com FLAGS/NOTES AND DEFINITIONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. I The reported value is between the laboratory method detection limit (MDQ and the laboratory method reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable. U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation data and moisture content, where applicable. E The concentration indicated for this analyte is an estimated value above the calibration range of the instrument. This value is considered an estimate. MRL Method Reporting Umit. The MRL is roughly equivalent to the practical quantitation limit (PQQ and is based on the low point of the calibration curve, when applicable, sample preparation factor, dilution factor, and, in the case of soil samples, moisture content. N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater confidence) to make a "tentative identification". Greater than 25% concentration difference was observed between the primary and secondary GC column. The lower concentration is reported. FIrua This report relates only to the sample as received by the laboratory, and may onty be reproduced in UL I Page 7 of 9 ENVIRONMENTAL CONSERVATION LABORATORIES CHAIN -OF -CUSTODY RECORD www.encolabs.cot rn WA Crtrtintt Pw Dr. 4914 f rrt Ww Paslr C4art, Sena 11 I 102-A %M2odmttdu Inaus-mal Cl. O OrtatrJo, r-t. 3182a JP*SM4111 r, r-I. 32216•GWt]. Cm, Nr W5 t 1 (4071 M-5314 Fax (4071 O50 6945 f904129&30)7 . Fina 190)2Y6.6210 409) 467-W90 Fax (9191467.3515 00 1 PdsB OF D _ i� Cltmrl N v- Prated Mundim unwd Andyoas Requested Turnaround (0 A riiit Fndslar n1:+it7E111'k;Iac,.t!•:• AE02 ! r i Times Address PJojecl UturlwDuac NnRn : Rish wgaew, wa,'oci to acwrdunao by :ho tncilay 2.1-83 Retian+;e Ave. 'T' .S w Storn,watoir Gt1F'S rZp Po.tBd1npInfo Apex. NC 27539 Ll C1 _ Standard 1a1 Fax Rapwiteg canted C�ZVi C. (0 19) 387- 1269 Candice Mcoie � � terra. _ Ei pedlted $airy>tnrl l Nil ;Wflki t, (Ptlnp ©iOFtg Garsleek �( - ' � DUES ii_/_ �' � BatrdervoSrtjraw re SiloLwowntrurY7wo rC 0 (Jl Lab bgFr Praeervatlon ISee CedozS (Combloo as rimassluyt Coseaton tAatru Taal R n! Item 1 88n-pl0ID (Feld Iden6fiCeU0nl­ Collection Dote 'iirrn Come 1 ora0 460- o4im cm— winos Sample Comments Pik: 1f 4� Ou 0 `11`3w NO 4 a I r+� it I jI It, - -�„ 1. ;�,;. i +, •,;i'; r S`7IIt `Ir. ,1 I I Ih I Js;• 1.•I a; tr:.j, l; ri. t. I!:',d4'i, 11 u i,+ 'lII I Y{ � tj `ll, I f.sr i,,• � e trx1.:. a.r I II 1 �`,: { ! li t, E�E��i "j,• !IMF „t HLI - ,r;l:ti!�lal I` �' j#�ir• a� ,. ', r , �, �1-ti' 'r.'_ •. nlr•- .�:� r �+ri 1,,. t s:�.. h > .I. Total 0 of Cantalhers Sarrlalrt M PmptxFly �� -��-� P,+"yrdtwq dy ,L�� DWON a l4 Z7,C' Comm1lrn SQecrtd Reporting Fiorptlrumoltfs f /y 20 r C, � c OF 3 _ 7. p 7'e o" Ro4ngiunod By natrtlrttna qac kmt BY Ooltxliana 1iehr4uahed By 0.1WIln" Aowvt:d Hr P UslcTnn Caotm I's 616mps nn finroipl � C0 111xuI Fixni<u X—AccaOlableUnacce • bte mat"., ., 1ifW11ruL1111f ItQr 60.sw oW-urllwng Welor SE•So¢moln 5w-z40Tacnwalm WW-Wastua ter A•Ah 4 01hw 4delud In oommantul Witcamillpq 1-16e H-HCI N-HNQ0, 8•H2t104 NO-Na1H O-Other (dstill In rnmmanrl Nol6; AU rluttphn md"41rW to GNCO-L RYS are a acwrmnM:o with the fettta and cossednh! WIP1 &I did ruveile of this WM. unitkcs $11 tus wrdhb+ aglevie&AS axial r Sample Preseevation Weificatioin ENCO Carry Work Order. CZ00549 Project- Tyson Storfnwater. Client: Atlantic.Enviror+rrterita! Associates (AT025) Project it 1,none}. Logged In: 29-Jun-16 16:53 Largr" By: Andrew S'Coons CZ0054"1 4 a'"R{a'a=� �Ad,,,�.:.at Me Adtusted'= __adrc a 250mLAW2SO4 CIO W, Y rj NA C 250fnLA+H2SO4 <2 Y f� kA ' Y 1 IN 250mLP+ii2SO4 <2 Y N I �A Y r�' ; NA — t � s - �F� 4f4ite at ane. _� Reagent rdedlCiisri enta kmwement r tn:Gaifttt�i' AdjuP46d , B 250MLA+H2SO4 <2 'Y 1 . . 1' MIA NIA C 250rnLA+H2SO4 <2 Y NLi -�t- .Y ; � `i N', .�A D 250m.LP+H2SO4 <2 N 1 .N . - N 1 CZ00549-0 t:ettl '�-'(� •�- ...� �: a ,. f. y n u •-� � L' LfaLG � �iTl� ypH 14d1U5iE l .r• Yh `t - Y ' Reagent I�5edlCgmment* B 2SOmLA;H28O4 <2 Y- 1 N+ NA- Y i NA C Z50MLA+H2.SO4 <2 Y 1 1 NA Y'- 1-NA q 250mLP+H2SO4 <2 Y 1 N i NA 1" hl: NA keaeoiit Name !D . Ree " nt.Na:re AD Rea snt Name to Page 9 of 9 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCGO60000 Date submitted _06/30/2015 CERTIFICATE OF COVERAGE NO. NC6060024_ _ _ FACILITY NAME _Tyson Foods, Inc. Mexican Original Sanford COUNTY LEE PERSON COLLECTING SAMPLES Kevin Lee — Atlantic Environmental _ LABORATORY ENCO Labs Lab Cert. # 591 Part A: Stormwater Benchmarks and Monitoring Results RECEIVED . JUL Q 8 2015 SAMPLE COLLECTION YEAR _2015 NTRAL FILES FACILITY ACTIVITIES INCLUDE (check all that apply]: DWR SECTION ❑ use/process meats ® use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES ®NO PLEASE REMEMBER TO SIGN ON THE REVERSE —) Total event rainfall 10.96 or ❑ No discharge this periocP Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform', Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 Soo 01 06-02-15 80 7.0 <10 2.84 N/A N/A 02 06-02-15 2.6 7.0 <10 <2.60 N/A N/A 03 06-02-15 59 7.0 <10 <2.60 N/A N/A I Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. "See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or SW 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 'For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page I of 2 "FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an orlainal and one copy of this DMR, including all "No Discharge" resorts, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Dischareze" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of (Date) Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4 .Am SWU-249 Last Revised: October 18, 2012 Page 2 of 2 ENCO Laboratories Aecarate. Timely. Responsive. Irmcmrative. 102-A Woodwinds Industrial court Cary NC, 27511 Phone: 919.467.3090 FAX: 919.467.3515 Tuesday, June 16, 2015 Atlantic Environmental Associates (AT025) Attn: Candice Moore 2483 Reliance Ave. Apex, NC 27539 RE: Laboratory Results for Project Number: [none]. Project Name/Desc: Tyson Stormwater ENCO Workorder(s): C500495 Dear Candice Moore, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Tuesday, June 2, 2015. Unless otherwise noted in an attached project narrative, all samples were received in acceptable condition and processed in accordance with the referenced methods/procedures. Results for these procedures apply only to the samples as submitted. The analytical results contained in this report are in compliance with NELAC standards, except as noted in the project narrative. This report shall not be reproduced except in full, without the written approval of the Laboratory. This report contains only those analyses performed by Environmental Conservation Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from outside organizations will be reported under separate cover. If you have any questions or require further information, please do not hesitate to contact me. Sincerely, Stephanie Franz Project Manager Endosure(s) FWAt TM repot dates onlypro ft sonde as mmtvW W the tabwoxy, and mar Dolt be reproduced in AA P"s 1 of s www.encolab5.com SAMPLE SUMMARY/LABORATORY CHRONICLE Client ID: Tyson Orrtrall 1 Lab ID: C500495-01 Sampled: 06/02/15 09,40 Received: 06/02/15 12.10 Parameter EPA 1664B d O6/30/15 �� DatelTime[s] OW09/15 Analysis Daternmefsl 15:00 06/10/15 15:05 SM 254OD-1997 06/09/15 06/05/15 08:59 06/05/15 08:59 SM 5220E-1997 06/30/15 06/04/15 10:44 06/04/15 15:50 Client ID: Ty&on Oullall 2 Lab ID: C500495-02 Sampled: 06/02/1S 09:S0 Received: 06/02/15 12.10 EPA 16648 06/30/15 06/09/15 15:00 06/10/15 15:05 SM 2WD-1997 06/09/15 06/05/15 08:59 06/05/15 08:59 SM 522OD•1997 06/30/15 06/04/15 10:44 06/04/15 15:50 aie t ID: TVs. 0uttall 3 Lab ID: C500495-03 Sampled: 06/02/15 10:00 Received- 05/02/15 12:30 Parameter EPA 1664E Wd Daternme[s] 06/30/15 Prep Daternmelsl 06/09/15 AnahWs Daternmelsl 15:00 06/10/15 15:05 SM 2540i-1997 06/09/15 06/05/15 08:59 06/05/15 08:59 SM 52200-1997 06j30115 06/04/15 10:44 06/04/15 15:50 RTIAL TtdS report S only to the so. as Tacelved by the IaborstnY, and may 0y be reproduced In fuIL Page 2 of 9 CAr- www.encolabs.com SAMPLE DETECTION SUMMARY Client ID: Tyson OutW 1 Lab ID: C50O495-01 Alm Oil & Grease (HEM-SGf) Non-Palar Naberiai Total Suspended Solids , 2.84 80 Elm 3 MIX 2.60 17 E2L 5.00 17 Sllilts mgfL mg/L Mtn M41a EPA 1664E SM 254OD-1997 alert ID: Tyson Outten 2 Lab ID: CS00495-02 Alm Total Suspended Solids Results 2.6 an mm 2.5 EQL 2.5 mam m9tL Method N9L� SM 2540D-1997 Giant ID: Tyson Outten 3 Lab ID: C50O495-03 AllahQe Total Suspended Solids f 59 flag Mon 12 ML 12 f clu nwjL MxIbw Notes SM 254OD-1997 FMAL This mpart relates only to dw sample as r wdwJ d by the libmatary. aard may only be reproduced In fA Page 3 el 9 CS N11C'k' 00) www.eneWabs.com ANALYTICAL RESULTS Description: Tyson Outfall 1 Lab Sample ID: CSOD495-01 Received: 06/02/15 12:10 Matrix: Water Sampled :06102/15 09:40 Work Order. C500495 Project Tyson Stonnwater Sampled By:Kevin Lee Classical Chemistry Parameters ^ - EAtO CAry 0ffW1e y-*te JW 5911 Anahrte FCAS Humberl ReVA Ella Haim 2E MQL PUL Batch tiethod AmabMW ft N Chemical oxygen Demand^ < 10 mg/L 1 10 10 SFD4011 SM 522OD-1997 06/04/15 15:50 JOC Total Suspended Solids^ 8o mg/L 6.67 17 17 5FOSOO2 SM 254OD-1997 06/05/15 08:59 MMR Classical Chemistry Parameters ^-f7VMJa 8VnMaearc1Waoae4e/W 4421 BOlte FTAS Numberl R flag Units pf MQL full. Batch Method Anal ax N Oil & Grease (HEN-SGT) Non -Polar 2.84 J mglL 1 2.60 5.00 5F09012 EPA 1664E 06/10/15 15:05 S14A Material ^ Description: Tyson Outfall 2 Lab Sample I0: C500495-02 Received: 06/02/15 12:10 Matrix: Water Sampled:06/02/15 09:50 Work Order. C500495 Project Tyson Stocmwater Sampled By: Kevin Lee Classical Chemistry Parameters ^ - &W0 Cvy cacnla -*ee (W 3911 13esuft fin liam pE Ma EQL BJ= Betio Atzahmild all Non Chemical Oxygen Demand^ < 10 mg/L 1 10 10 SF04011 SM 522OD-1997 06/04/15 15:50 IOC Total Suspended Solids^ 2.6 mg/L 1 2.5 2.5 SFOSW2 SM 2540D-1997 06/05/15 08:59 MMR Classical Chemistry Parameters ^-fAK27�radmlM3l aN�adanaryrr j7rC �z1 Anabft rCAS Numbers $estrits flag Unu RE PAL Mi AzUb Method Anal zed ax mates Otl & Grease (HEM-SGT) Non -Polar < 2.60 mg/L 1 2.60 5.00 SF09012 EPA 1664E 06/10/15 15:05 SMA Material^ Description: Tyson Outfall 3 Lab Sample I0: C500495-03 Received: 06/02/15 12:10 Matrix: Water Sampled:06102/15 10:00 Work Order. C500495 Project: Tyson 5tormwater Sampled By: Kevin Lee Chemistry Parameters wy-f lRi9 &wV w(MC 5911 Analyte [CAS Numberl Results fft Units of Hu EQ1 Batch HethQd Analyzed IN N Chemical Oxygen Demand^ < 10 mg/L 1 10 10 5FO4011 SM 522OD-1997 06/04/15 15:50 JOC Total Suspended Solids^ 59 mg/L 5 12 12 SF05002 SM 2540D-1997 06/05/15 08:59 MMR Classical Chemistry Parameters ^ - HKO AX*ZM g mmlerrarrW HA' 4121 SesultiF Jhg limits GE mu ML Batch Method Anatymed 21 ! Oil & Grease (HEM-SGT) Non -Polar < 2.60 mg/L 1 2.60 5.00 5FO9012 i:PA 1664E 06/10/15 15:05 SMA material, MAL TPo8 report relates 0Ny W the sample as revived by the Wxatorv, and may mH be reproftzd in too. Page 4 of 9 1� 461 www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quatlty Control Batch SAM011- Same Blank (SF04011-sLK1) Prepared: 06/04/2015 10:44 Analyzed: 06/04/2015 15:50 Spike source %REC RPD Anando Rand t gas LPL UMRI Level Emit: %REC Limits RPD Limit Now Chemical Oxygen Demand 10 U 10 mg/L LCS (SF04011-651) Prepared: 06/04/2015 10:44 Analyzed: 06/04/2015 15:50 Spike Source %REC RPD NOME Resul Elm MI. LUM Level RUMM %REC Lomita RPD Limit Notes Chemical Oxygen Demand 480 10 m9/L 500 97 90-110 Matrix Spike (5F04011-MSI) Prepared: 06/04/2015 10:44 Analyzed: 06/04/2015 15:50 Source:C406593-01 Spike Source %REC RPD Ana hrrs Result Elan POL UnI a Level lid %REC Limits RPO Limit Notes Chemical Oxygen Demand 580 10 mg/L 526 63 98 90-110 t4aWx Spike Dup (5F04011-MLSDL) Prepared: 06/04/2015 10:44 Analyzed: 06/04/2015 15:50 Sottrt+e: C406393-01 Anandn Chemical Oxygen Demand Batch 61OSM2 - NO PREP 590 10 Spike Source %REC RPD Lhft Lead %REC Limits RPD limit Rates mg/L 526 63 100 90-110 1 10 Blank (SF05002-BLKI) Prepared & Analyzed: 06/05/2015 08:59 Spike Source %REC RPD Ana hd& Ltesult Boo POL LnIb Level Resu %REC Limits RPD Limit Notes Total Suspended Solids 2.5 U 2.5 mg/L LCS (SFGS002-BS1) Prepared & Anayzed: 06/05/2015 08:59 Spike Source %REC RPD Anah3e Result Liao LPL Ltdb Level Result %REC Ldmitg RPD Limit dote_ Total Suspended Solids 95 25 mg/L 100 95 80-120 DuPBrats (SF050D2-DUPi) Prepared & Analyzed: 06/OS/2015 08:59 Source: C415481-01 Spike Source %REC RPD Ana Resell Haa M Units Level Rest %REC Limits RPD LLmlt Notes Total Suspended Solids 5.4 5.0 mg/L 5.4 0 20 Duplicate (SFo5002-DLfP2) Prepared & Analyzed: 06/05/2015 08:59 Source:C500490-02 Spike Source %REC RPD limbic Resu Liao POL Unns Level Result %REC Lilail5 RPD Limit Notes Total Suspended Solids 57 5.0 mWL 35 49 20 QM-12 Classical Chemishy Parameters - Quality Control Batch SA79d11- Same Blank (SF09012-BLK1) Prepared: 06/09/2015 15:00 Analyzed: 06/10/2015 15:05 Spike source %REC RPD AnahtC lieSdt Liar PQL Lbft Level Resy %REC Limits RPD ilmlt Notes 01 & Grease (HEM-SGT) NarrPolar Material 2.60 U 5.00 mg/L FINAL Ths report, onh to the sample as received by the laboratory, and may anh be reproduced in tug. Page 5 of 9 www.enmlabs.aom QUALITY CONTROL DATA Classical Ch mislry Parameters - Quality Control Batch SFOVO12 - game - Continued LCS (SRM12-BSI) Prepared: 06/09/2015 15:00 Analyzed: 06/10/2015 15:05 Spike Source %REC RPD Anah3e Rssllt Elan PQL Lh t& Lard Res %REC Umfrt RPD Limit notes Oil & Grease (HEM-5G O Non Polar Material 17.1 5.00 mg/L 21.5 79 64-132 LCS Dup (5F09012-Ml) Prepared: 06/09/2015 15:00 Analyzed: 06/10/2015 15:05 Spike Source %REC RPD Buahme Result Elm M Halts Lend Result %REC Limits RPD Limit gpja Oil & Grease (HEM-5GT) Non -Polar Material 17.1 5.00 MgfL 21.5 79 64-132 0 34 Matrix Spike (SF09012-MSi) Prepared: 06/09/2015 15:00 Analyzed: D6/10/2015 15:05 Source: 5502322-02 Spike Source %REC RPD 9nehde Result Elan PIQL 110iffi Lend genft %REC Limits RPD Limit Notes Oil& Grease (HEM-SGT) Non --Polar Material 30.3 5.00 mg/L 23.0 341 NR 64-132 QM-07 FINAL This report relates only to the sample as recz f M My bbwW19Y, and ney MOY he rewduted In IIA Page 6 of 9 W Ov- 0- VA www.enodabs.com FLAGS/NOTES AND DEFiNMONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. ] The reported value is between the laboratory method detection limit (MDQ and the laboratory method reporting limit (MRQ, adjusted for actual sample preparation data and moisture content, where applicable. U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation data and moisture content, where applicable. E The concentration indicated for this analyte is an estimated value above the calibration range of the instrument. This value is considered an estimate. MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQL) and is based on the low point of the calibration curve, when applicable, sample preparation factor, dilution factor, and, in the case of soil samples, moisture content_ N The analysis indicates the presence of an analyte for which there is presumptive evidence (SS% or greater confidence) to make a "tentative identification". P Greater than 25% concentration difference was observed between the primary and secondary GC column. The lower concentration is reported. QM-07 The spike recovery was outside acceptance limits for the MS and/or MSD. The batch was accepted based on acceptable LCS recovery. QM-12 Precision between duplicate samples was outside acceptance limits. FUM This report rela[es a* W the sample as received W tlx iboretWy, end may only be reproduced in NO. Page 7 of 9 -�le1V1V'1:MOVnMIVnica tiinMllY-t, r-VU►7IUUT Mt%'Unu www.encoiaDs.com CO10775 Central Port Dr. 4810 ExeciAt" Park Court. Suite 111 102•A Woodwinds InduSinal CL te Nik"(407) Orlando, FL 32624 Jacksonville, FL 32216.6069 Cary, NC 27511 826.5314 Fax (407) 850-6945 (904) 296-3007 Fax (904j 296-5210 (919) 467-3090 Fax (910) 467-3515 Page of m .-. Client Name Prolecl Number Requested Analyses Requested Turnaroul m Times Atlantic Environmental A Ii tas AT025 none Note: Rush requests sublet Address Prefect NamelDesc 2483 Reliance Ave. Tyson Starmwater acceptance by the facility • CIIyIST/Z li PO a / Billing Into Apex, NC 27539 to N (Q Standard Tel Fax Reporting Contact 919) 3$7-1289 Candice Moore ty m L Expedited L c DES Samplar(s) Name, Aftdlation (Print) Bllang Contact I� Candice Moore Q 0 N JCV -I 3ampter(s) 5ignatur 51te Loca9on 1 Time Zone Lab WOrkorder :-.r ca o �5QQ495 Preservation (See Codes).(Combine as ne9essary) Collecton Matrix Total p of ' Item a Sample ID (Field Identification) Collection Date Time Comp! Grab (see codes) Containers Sample Comments Z• 1 Tyson Outfall "��- q�56 WA 4 X X X r/ IArA A - V V Total # of Cnntainam Sample i01 Prepared By 11atelTlma Relinquished /�+�-- Relinquished By Datemme, Datemme Recefved B 10 R Wed7 r Dalamme 4 295 ZIA CornmentalSpecial Reporting Requirements DataMme p9 - 7, 0 Relinquished By Datamme eiv Re By DateRime I 7 1 � MY `� r o Cooler M's 3 Tempe on Receipt Condition pon Rocelpl Acceptable Unacceptable Matrix: GW-Groundwetar SO -Soil AWDrinking Water SE•Sediment'SW_Surlace Water WW_Wastewater A•Air O-Other (detail In comments) PraaarvOon: Hce WHO N•NNr73 5•1-125U4 NO-NaUYI U-Mer (dares In comments) Note: All samples submitted to ENCO Labs are In accordanoe with the terms and conditions listed on the reverse of this form, union prior written agreements exist zy . Sample Preservation Verification ENCO Cary Work Order: C500495 Project: .Tyson Stormwater Client: Atlantic Environmental Associates (AT025) Project #: [none} Logged in: 02-Jen-16 12:45 _ Logged By: John C King C500495-09 ;Conn Type, .: ::: .: pH' Checked I pHAdtusted i]ateTme' ;8eag6HM edlComments . • ,� , .. I Requirement In Control Adjusted A 1LA+H2SO4 <2 Y I N I I� Y/ N I d B 1 LA+H2SO4 <2 Y I N/ Y/ N I to D 250mLP+H2SO4 <2 ft 1 N / NA Y I-tJ I NA C500495-02 Cora T>.� kra hPres ;(per.) Ret}uirement phl Bcked /,'Dater - -1n Control ril me pFi Adtusted �.., Adjusted Reagent Used/Comments A 1 LA+H2SO4 <2 Y I N I t& Y I N I t# B 1 LA+H2504 11 <2 Y I N I 6 Y I N I D 254mLP+H2SO4 �, <2 a / N / NA Y / t)! NA ' C500495-03 I rCorit tType s (pFf)r pF#Ct3eciced I HAd usted4 EE I�2t81rr11eE p;Er °" �k.� �Rsa ent;tJsedlComment5 4 ` ' g Re uirement . , to Control - ':;Adjusted • ... ; :.< A 1 LA+H2SO4 d <2 YIN/NJ Y 1 N l 8 1LA+H2SO4 <2 Y I N 16k Y I N/ le) D 25OmLP+H2SO4 <2 la I N I NA Y! / NA CZA 4 Rea ent Name ID Reagent Name ID Rea ent Name ID 2 4 6 �. Papa 9 of 9 Page 1 c brig I'n4 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted _12/19/2014 RECEIVED CERTIFICATE OF COVERAGE NO. NCG060024_ _ SAMPLE COLLECTION YEAR _2014 _ DEC 2 3 2014 FACILITY NAME _Tyson Foods, Inc. Mexican Original Sanford FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY LEE ❑ use/process meats ® use animal fats/b rW&C FILES PERSON COLLECTING SAMPLES _Kevin Lee — Atlantic Environmental DISCHARGING TO SALTWATERSi' [:]YES ®NO NCR SECTION LABORATORY_ENCO Labs Lab Cert. # ,- _591 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE —) Totoi event rainfoll 10.52 or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or 50' Within 6.0 — 9.0 120 30 1000 500 01 11-23-14 5.6 6.8 16 <2.60 N/A N/A 02 11-23-14 30 6.8 54 <2.60 N/A N/A 03 11-23-14 19 6.8 50 2.63 N/A N/A 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 'For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here. "See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ifyes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one copy of this DMR includin afl "No Discharge" reports, within 30 days of receipt of the lab results or at end o monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." r re of Permittee z -- (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdesswi#tab-4 S WU-249 Last Revised: October 18, 2012 Page 2 of 2 + ENCO Accurate. Timely. Responsive. innovative. 102-A woodwinds Industrial Court Cary NC, 27511 Phone: 919.467.3090 FAX: 919.467.3515 Thursday, December 4, 2014 Atlantic Environmental Associates (AT025) Attn: Candice Moore 2483 Reliance Ave. Apex, NC 27539 RE: Laboratory Results for Project Number: [none], Project Name/Desc: Tyson Stormwater ENCO Workorder(s): C414848 Dear Candice Moore, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Monday, November 24, 2014. Unless otherwise noted in an attached project narrative, all samples were received in acceptable condition and processed in accordance with the referenced methods/procedures. Results for these procedures apply only to the samples as submitted. The analytical results contained in this report are in compliance with NELAC standards, except as noted in the project narrative. This report shall not be reproduced except in full, without the written approval of the Laboratory. This report contains only those analyses performed by Environmental Conservation Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from outside organizations will be reported under separate cover. If you have any questions or require further information, please do not hesitate to contact me. Sincerely, Link Thrower Project Manager Enclosure(s) FINAL This report relates only to the sample as reoefved try the laboratory, and may only be reproduced in fuo. Page 7 of a www.encolabs.com SAMPLE SUMMARY/LABORATORY CHRONICLE talent ID: Tyson Outfall 1 Lab ID: C4148"-01 Sampled. 12/23/14 10:00 Received. 11/24/14 14:45 Paramete[ Hold Date/Time(s) Prep Date/Timefs] Analysis Date/Time(s) EPA 1664B 12/21/14 11/25/14 13:29 11/26/14 16:13 SM 2540D-1997 11/30/14 11/25/14 09:05 11/25/14 09:05 SM 522OD-1997 12/21/14 12/02/14 11:13 12/02/14 16:19 Client ID: Tyson Outfall 2 Lab ID: C414848-02 sampled: 11/23/14 10.20 Received: 11/24/14 14:45 Paramete[ EPA 1664B Hold Date/Time(sl 12/21/14 Prep Date/Time(s) 11/25/14 Analysis DaWTIme(s) 13:29 11/26/14 16:13 SM 25MD-1997 11/30/14 11/25/14 09:05 11/25/14 09:05 SM 5220D-1997 12/21/14 12/02/14 11:13 12/02/14 16:19 Client lD. Tyson Ouftll 3 Lab ID: C414848-03 Sampled: 11/23/14 10:40 Received: 11/24/14 14:45 parameter EPA 1664E Hold Dateliimefsl 12/21/14 Prep Date/Time(sl 11/25/14 Analysts DateCOme(s) 13:29 11/26/14 16:13 SM 2540D-1997 11/30/14 11/25/14 09:05 11/25/14 09:05 SM 522OD-1997 12/21/14 12/02/14 11:13 12/02/14 16:19 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 2 of 8 yryvw.enoolahc rn n SAMPLE DETECTION SUMMARY dlent ID: Tyson WWI 1 Lab ID: C414848-01 Ana hds Results 0" HU E" units Method Notes Chemical Oxygen Demand 16 10 10 mg/L SM 5220D-1997 Total Suspended Solids 5.6 1.0 1.0 mg/L SM 254OD-1997 Client ID: Tyson Oul all 2 Lab ID: C414848-02 Anal BesW Hag Hu ERL umb Method N Chemical Oxygen Demand 54 10 10 mg/L SM 5220D-1997 Total Suspended Solids 34 1.0 1.0 mg/L SM 254OD-1997 Ana hc#s Kcwl Haa ma PAL MWU Hethod M2� Chemical Oxygen Demand 50 10 10 mg/L SM 5220o-1997 Oil & Grease (HEM-SGT) Non -Polar Material 2.63 1 2.60 5.00 mg/L EPA 16648 Total Suspended Solids 19 1.4 1.0 mg/L SM 2S40D-1997 FINAL This report relates only to the sample as received by the latbrawry, and may only be reproduced in fit. Page 3 of 9 www.enrn'ahs.com ANALYTICAL RESULTS Description. Tyson Outfall 1 Lab Sample ID:C414848-01 Received: 11/24/14 14:45 Matrix: Water Sampled:11/23/14 10:00 Work Order: C414M Project: Tyson Stormwater Sampled By: Kevin Lee Classical Chemistry Parameters ^ - ENCO Cary nwfffred an W (A'C 591) Analyte f-CAS- Numberl Results ELM Units 12E MDL M Batch Method Ana ed Ay IN Chemical Oxygen Demand^ 16 mg/L 1 10 10 4LO2009 SM 5220D-1997 M02/14 16:19 JDC Total Suspended Solids' 5.6 mg/L 1 1.0 1.o 41(25001 SM 254OD-1997 11MI14 09:05 MMR Classical Chemistry Parameters ^ - ENCO Jaakanvilk ae&W ana/ to [ C 4421 Analvte IfCAS Numbed Results flag Units RE MOL ERL Batch Method Analyzed gy No Oil & Grease (HEM-SGT) Non -Polar < 2.60 mg/L 1 2.60 5.00 4K2S008 EPA 1664E 11/26/14 16:13 MJF Material ^ Description: Tyson OutFall 2 Lab Sample ID:C414848-02 Received: 11/24/14 14:45 Matrix: Water Sampled:11/23/14 10:20 Work Order: C414848 Project: Tyson Stormwater Sampled By: Kevin Lee Classical Chemistry Parameters ^ - EAK17 Cary ct�dW analyte INe 5911 Anahrte FCAS Numbed Resul E11112 Units pE Hu ILL patch Meth2d An llvzed Ry Notes Chemical oxygen Demand^ 54 mg(L 1 10 10 4LO2009 SM 5220D-1997 12/02(14 16:19 JOC Total Suspended Solids^ 30 mg/L 1 1.0 1.0 41(25001 SM 254OD-1997 11/25/14 D9:45 MMR Classical Chemistry Parameters ^ - EAC0Jadamvd1e cmtified analyse (NC 4421 Analyte FCAS Numberl Results BAS Units pp MU R" Batch mod Analyzed By No Oil & Grease (HEM-SGT) Non -Polar < 2.60 mg/L 1 2.60 5.00 4K25008 EPA 16648 11/26/14 16:13 Mir Material^ Description: Tyson OutFall 3 Lab Sample ID:C414MS-03 Received: 11/24/14 14:45 Matrix: Water Sampled:11/23/14 10:40 Work Order: C414848 Project: Tyson Stormwater Sampled By: Kevin Lee Classical Chemistry Parameters ^ - EAW Cary rLYYiflnd an W (ems 591) Anahrte iCAS Numberl ResulyS flg units 2E MDL jM gags Method Apt gy Ivotes Chemical oxygen Demand^ so mg/L 1 10 10 4LO2009 SM 5220D-1997 12/02/14 16:19 JOC Total Suspended Solids^ 19 mg/L 1 1.0 1.0 4K25001 SM 254OD-1997 11/25/14 09:05 MMR Classical Chemistry Parameters ^ - EAW JaaFs Wfle cerbf analyze INC 4421 Results flag ynit£ QE MU E" RAIGh Method AnahFzed By Notes oil & Grease (HEM-SGT) Non -Polar 2.63 3 mg/L 1 2.60 5.00 4K25008 EPA 1664B 11/26/14 16:13 MJF Material^ FINAL This report relates only to the sample eS reo6ved by the laboratory, and may ony be reproduced In full. Page 4 018 www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch 4K25001 - NO PREP Blank (4K25O01-BLKl) Prepared & Analyzed: 11/25/2014 09:05 Spike Source %REC RPD Ana hde Rssul Flag ML units Level Result %REC Limits RPD Limit Notes Total Suspended Solids 1.0 U 1.0 mg/L LCS (411(25OO1-113SI) Prepared & Analyzed: 11/25/2014 09:05 Spike Source %REC RPD Anae Resull Flag P91 Units Level Result %REC Limits RPD Limit bates Total Suspended Solids 99 1.0 mg/L 100 99 80-120 Duplicate (4K2S001-DUP1) Prepared & Analyzed: 11/25/2014 09:05 Source: C411134-01 Spike Source %REC RPD Ana Re.4nit Hen eQL units Level Result %REC Limits RPD Limit Notes Total Suspended Solids 11 1.0 mg/L 12 7 10 Duplicate (41(25O01-DUP2) Prepared & Analyzed: 11/25/2014 09:05 Source: C41344O-01 Spike Source %REC RPD Analvt Result Flag fvL Units Level Result %REC U-115 RPD Limit NRUM Total Suspended Solids 1.0 U 1.0 mg/L 1.0 U 10 Batch 4LO2009 - Same Blank (4LO2009-BLK1) Prepared: 12/02/2014 11:13 Analyzed: 12/02/2014 16:19 Spike Source %REC RPD Ana hde+ Result Han PQL Units Level Bit %REC Lim RPD Limit NOW Chemical Oxygen Demand 10 U 10 mg/L LCS (4L02009-BSI) Prepared: 12/02/2014 11:13 Analyzed: 12/02/2014 16:19 Spike Source %REC RPD Ana l]ds Result Hag PQL Units Level ggru %REC Limits RPD Limit Notes Chemical Oxygen Demand 510 10 mg/L 500 101 90-110 Matrix Spike (4L02DO9-MS1) Prepared: 12/02/2014 11:13 Analyzed: 12/02/2014 16;19 Source: C314967-01 Spike Source %REC RPD Anal Resin Flag P91 Units Level Result %REC Urn RPD urnit Notes Chemical Oxygen Demand 540 10 mg/L 500 46 98 90-110 Matrix Spike Dup (4LO20O9-MSD1) Prepared: 12/02/2014 11:13 Analyzed: 12/02/2014 16:19 Source: C314967-01 Spike Source %REC RPD Ana llde Result Flag EQLL Udb Level Result °/nREC Limits RPD Limit Notes Chemical Oxygen Demand 540 10 mg/L 500 46 98 90-110 0.4 10 Classical Chemistry Parameters - Quality Control Batch 4K2500B -EPA 1664A Blank (4K2S008-BLK1) Prepared; 11125/2014 10;07 Analyzed; 11/2612014 16:13 Spike Source %REC RPD ADA Result Big P91 units Level Result %REC Urn RPD LLrnli Notes Oil & Grease (HEM-SGT) Nor,,Polar Material 2.60 U 5.00 rng/L FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 5 of 8 7i i i www.encolabs.wm QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch 4K25O08 - EPA 1664A - Cantlnuted LCS (411(25008-BST) Prepared: 11/25/2014 10:07 Analyzed: 11/26/2014 16:13 9Da hit limit Ela Oil & Crease (HEM-SGT) Non -Polar Material 21.2 EnL 5.00 l nib mg/L Spike Source %REC Level Result %REC Limits RIND 20S 102 64-132 RPD Unfit Notes LCS Dup (4K25008-13SOI) Prepared: 11/25/2014 10:07 Analyzed: 11/26/2014 16:13 Ana gffiIl! El44 Oil & Grease (HEM-SGT) Non -Polar Material 20.9 EQL 5.00 Onits mg/L Spike Source %REC Level Resin %REC Lim RPD 20.6 101 64-132 1 RPD Umil Notes 34 RNAL This report relates o* to ttte sample as received by the laboratory, and may only be reproduced in full. Page 6 vi 8 www.enculabs.com FLAGS/NOTES AND DEFINITIONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. 7 The reported value is between the laboratory method detection limit (MDL) and the laboratory method reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable. U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation data and moisture content, where applicable. E The concentration indicated for this analyte is an estimated value above the calibration range of the instrument. This value is considered an estimate. MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQL) and is based on the low point of the calibration curve, when applicable, sample preparation factor, dilution factor, and, in the case of soil samples, moisture content. N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater confidence) to make a "tentative identification". P Greater than 25% concentration difference was observed between the primary and secondary GC column. The lower concentration is reported. FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced m full. Page 7 of 6 (./ ri _`_ , { } 14NVIRIO Mo Rl NTAL CONSERVAT OAS loIN ve LABORATORIES CHAIN -OF -CUSTODY SR�ECORD www.enrolabs.corr+ 5's, ....,a ; - �R 's ,.,,., - �.w ... • -f ; `� 262n 221tibnando. l' 3•6069 Cary, NC 27511 •.....� .,�.-`-.......�..>�........-. ..,,--.._.. +;, (4071826-5314 Fax (407't 65M945 (0041 M-3907 Fax (904) 296-52110 (9013157-3090 F:Nr M19)A67.3` 15Page oi Ghent Norno m1 Project Numnrr - Requested Analyses Requested Turnaround _ 11 I ._..._._..---.._._ ._.--� ._.... _ Ai1F : ttic f 17 1f=t3i! 11L rE1F t Arsgc itos A I (i2!.-i w n 1 Times ' Nvtu : Ru,R rvqucsts nubjur:I t+r Addmss Prn"scl Nanml)emm . 24-B3 RE'tlorlc:8_Ave. Tyson Slormwater acceplanceZ)vUwfacifliy CiPyIST'7ip PO x r Blilinq Info ') 7 A )eK Nta 27.529 ' = {�f Standard Tel Fax Nv(,urt;i �- W onlocl Candive Moos-e��, C� "�' ` frl u-, _Expedited Due _- t_6t?W6rk6rdWfr - Sarnpior(sj: Name; Alt!fittfun (Print; _ .................. �____._.....,._ FiamplEr(s)natura Bifiiug Contact Cudic:e Moore .._.........- - _.. S.leLocation!"tirnaZone C4 1 48'48 Prascrvation (Sae Crrdncti l(;rsnl>ine as nHrss_aaryi Collet;sur Maim Tota! R cl llem In (Fled Id< nlil rntionj t:uIIa 0illy pale Trt.g Corrp i Grab (9erf toiFtS) Gonlafner3 ,.._.,_ j Sample Comments —Tyscrl 0.utft3ll_i J= ' I s � Q— —kAtA— 4— -� x— _ _ �.. t_ :scfn [fit tf Alt 3 — I-- �•.'I -I�Ko _ WA — 4 — X X _..- .-.- .. __. _ r - _ .. .... _—... _ _....... -.._-_--- ........... µ .....- - „ ........ _---._. I f 1 �. <•-Total #rof ecwtwners am a Kit Preparod 9y pale T;mr: Rellrqumhed By Dalerrme .+, fTeCaired By j : ' "� L)al JTIf1:H rI/ Gornriienl5!SP lal ReocAng Roquirgaieil?5 ' iiclinqu''st:sd By 17:1ty.1'I'iire, - AeCceivCu 13y' pale; lime � t Reiingtrst.vd By Patr'Tirrie 5'ouit BYDaterTBna ...,.,w. e ` :�a.- 1 G er O.s 6 jen 5 on ner:oipt - - C• Cnndiiiuri 1) to Arice'lv! '. [ ;.t� l• Acceptable unacCeptaljld 'datrlx;GW-Groundwater 50-SoiIDW-OrinkirtgWntnr SE-SeUimanF StiJ-50rteu;oYfalor Y!WWa6lgy=.nlor A•Air PreservallDn;hit:g H-H(.I N-NN(,i7 S-H?SC)-t IJD-IJ'aQH D-Vlhgr(rlrlaitin[aialnlr>n4;) NDte •. A€I rcamp'es submitted to ENCO Laps am in LCCO(danC3'.Vith lira Ien11S aWl Condifipas Ii.d•)d uri the rErveMp of :his fornt, urfle2n -0;r Wrillen yirac[nent93vi,t SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted _9/8/2014 CERTIFICATE OF COVERAGE NO. NCGO60024_ _ _ SAMPLE COLLECTION YEAR _2014 FACILITY NAME —Tyson Foods, Inc. Mexican Original Sanford FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY LEE ❑ use/process meats ® use animal fats/byproducts PERSON COLLECTING SAMPLES _Kevin Lee — Atlantic Environmental _ DISCHARGING TO SALTWATERS? []YES ®NO LABORATORY_ENCO Labs Lab Cert. # _591 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 0.59 or ❑ No discharge this period Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or50 Within 6.0-9.0 120 30 1000 500 01 6-11-14 41 7.2 160 <1.60 N/A N/A 02 6-11.-14 8.4 7.3 140 1.87 N/A N/A 03 6-11-14 46 7.2 120 1.71 N/A N/A Only applies to facilities that use/process meats. The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or so 6.0 — 9.0 - Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) RECEIVED SEP 9 9 2014 CENTRAL FILES DWR SECTION SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION 8, • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one My of this DMR including all "No Dischor e" reports, within 30 days o receipt o the lab results or at end o monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of Perm _7~ 0 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/_su/npdessw#tab-4 S WU-249 Last Revised: October 18, 2012 Page 2 of 2 E"NCO Laboraton*es Accurate, Responsive. 7 7 .. 102-A woodwinds Industrial Court Cary NC, 27511 Phone: 919.467.3090 FAX: 919.467.3515 <<r 5 q Wednesday, June 25, 2014 Atlantic Environmental Associates (AT025) Attn: Candice Moore 2483 Reliance Ave. Apex, NC 27534 RE: Laboratory Results for Project Number: [none], Project Name/Desc: Tyson Stormwater ENCO Workorder(s): C401701 Dear Candice Moore, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Thursday, June 12, 2014. Unless otherwise noted in an attached project narrative, all samples were received in acceptable condition and processed in accordance with the referenced methods/procedures. Results for these procedures apply only to the samples as submitted. The analytical results contained in this report are in compliance with NELAC standards, except as noted in the project narrative. This report shall not be reproduced except in full, without the written approval of the Laboratory. This report contains only those analyses performed by Environmental Conservation Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from outside organizations will be reported under separate cover. If you have any questions or require further information, please do not hesitate to contact me. Sincerely, e Link Thrower Project Manager Enclosure(s) FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 1 of 8 Cc ��Ge) www.encolabs.com SAMPLE SUMMARY/ LABORATORY CHRONICLE Client ID: TysonOutfalll Lab ID: C401701-01 Sampled: 06/11/14 17:40 Received: 06/12/14 15.50 Parameter Hold Date Times Prep D Times Analvsls Date/Timg(sl EPA 16648 07/09/14 06/19/14 13:29 06/23/14 10:20 SM 254OD-1997 06/18/14 06/16/14 08:38 06/16/14 08:38 SM 522OD-1997 07/09/14 06/24/14 11:28 06/24/14 14:22 Client ID: Tyson Outfall 2 Lab ID: C401701-02 Sampled: 06/11/14 17.50 Received: 06/12/14 15.50 Parameter Hold Date/Time(s) Primp Date/Time(s) Analysis Date/Time(s) EPA 16645 07/09/14 06/19/14 1129 06/23/14 10:20 SM 2WD-1997 06/18/14 06/16/14 08:38 06/16/14 08:38 SM 5220D-1997 07/09/14 06/24/14 11:28 06/24/14 14:22 Client ID: Tyson OutfWl 3 Lab ID: C401701-03 Sampled: 06/11/14 18:00 Received: 06/12/14 15.50 Parameter Hold Date/Time(pl Pled Date/Time(s) Analysis Date/Time(s) EPA 1664E 07/09/14 06/19/14 13:29 06/23/14 10:20 SM 254OD-1997 06/18/14 06/16/14 08:38 06/16/14 08:38 SM 522OD-1997 07/09114 06/13/14 12:59 06/13/14 16:00 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 2 of 8 , �INCC-a www.encolabs.com SAMPLE DETECTION SUMMARY Client ID: Tyson Outfall 1 tab ID: C401701-01 An,11 a Results fin K" EM linit4 HdhQd Notes Chemical Oxygen Demand 160 10 10 mg/L SM 522OD-1997 Total Suspended Solids 41 1.0 1.0 mg/L SM 2540D-1997 Client ID: Tyson Ouffall 2 Lab ID: C401701-02 Anande Rousts MR MDL POL Units Method Notes Chemical Oxygen Demand 140 10 10 mg/L SM. 522OD-1997 Olt & Grease (HEM-SGT) Neon -Polar Material 1.87 3 1.60 5.00 mg/L EPA 1664E Total Suspended Solids 8.4 1.0 1.0 mg/L SM 254OD-1997 Client ID: Tyson Outfall 3 Lab ID: C401701-03 Anal 1de BS.;iul ELM MU PQL untli Method Notes Chemical Oxygen Demand 120 10 10 mg/L SM 5220D-1997 Oil & Grease (HEM-SGT) Non -Polar Material 1.71 1 1.60 5.00 ' mg/L EPA 1664E Total Suspended Solids 46 1.0 1.0 mg/L SM 254OD-1997 r FINAL This report relates only to the sample as received try the laboratory, and may only be reproduced in full. Page 3 of 8 (F� �Go www.encolabs.eom ANALYTICAL RESULTS :1 Description: Tyson Outfall 1 Lab Sample ID;C401701-01 Received: 06/12/14 15:50 Matrix: Water Sampled:06/11/14 17:40 Work Order: C401701 Project: Tyson Stormwater Sampled By: Kevin Lee (Classical Chemistry Parameters ^ - ENCO Cary mr fflW .7-W [NC 591] Anahrte FCAS NumWrl Results EIM Units RE MDL f!QL Batch ]Method Analyzed By Notes Chemical Oxygen Demand 160 mg/L 1 10 10 4F24016 SM 5220D-1997 06/24/14 14:22 JOC [ECL-0035]^ Total Suspended Solids [ECL-0169]^ 41 mg/L 1 1.0 1.0 41`16002 SM 2WD-1997 06/16/14 08:38 MMR Classical Chemistry Parameters ^ - EIvCO Jacks Wlk CMt&-d analyse (NC 442] Analyte rCAS Numberl Results E g Un:i1k PE EM pQL Ailitah Method Ana ay NOW Oil & Grease (HEM-SGT) Nan -Polar Material c 1.60 mg/L 1 1.60 5.00 4FJ9009 EPA 16648 06/23/14 10:20 WF Description: Tyson Outfali 2 Lab Sample ID:C401701-02 Received: 06/12/14 15:50 Matrix, Water Sampled:06/11/14 17:50 Work Order: C401701 Project, Tyson Stormwater sampled By: Kevin Lee (Classical Chemistry Parameters ^ - ENCO Cary mtfiied analyse [NC 591] Analyte FCAS Numberl Results Flag Units pE MU 1Q1 Batch Method Analyzed Notes Chemical Oxygen Demand 140 mg/L 1 10 10 4F24016 SM 522OD-1997 06/24/14 14:22 JOC [ECL-0035]^ Total Suspended Solids [ECL-0169]^ 8.4 mg/L 1 1.0 1.0 4F16002 5M 254OD-1997 06/16/14 08:38 MMR Classical Chemistry Parameters ^ - Elvin laiJksmwlk Certfed analyse (NC 4421 Analyte fCAS Numbgr] Results E1i39 Units PF MDL POLL Batrill Method Analyzed By Notes Oil & Grease (HEM-SGT) Non -Polar 1.87 _M nAl^ I mg/L 1 1.60 5.00 4F19009 EPA 1664E 06/23/14 10:20 MIF Description: Tyson Outfall 3 Lab sample ID:C401701-03 Received: 06/12/14 15:50 Matrix: Water sampled.06/11/14 18:00 Work Order: C401701 Project: Tyson Stormwater Sampled By: Kevin Lee IClassical Chemistry Parameters ' ^ - ENCO Cary certified analyre [NC 591J Analyte rCAS Number] Results Elm Units pF MDL EQL RAtch Method Analyzed ft NoUM Chemical Oxygen Demand 120 mg/L 1 10 10 4F13015 SM 5220D-1997 06/13/14 16:00 JOC [ECL-0035]^ Total Suspended Solids [ECL-0169]^ 46 mg/L 1 1.0 1.0 4F16002 SM 2WD-1997 06/16/14 08:38 MMR Classical Chemistry Parameters ^ - ENCO Jacksonville certified analyse (NC 442J Analyte rCAS Numberl Results Flag Units DE MDL ML Bitch Method Analyzed ft Notes Oil & Grease (HEM-SGT) Non -Polar 1.71 J mg/L 1 1.60 5.00 4F19009 EPA 1664E 06/23/14 10:20 MJF Material [ECL-0104]^ FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 4 of 8 www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch 4FI3015 - Same Blank (013015-51.1(i) Prepared: 06/13/2014 12:59 Analyzed: 06/13/2014 16:00 Spike Source %REC RPD Anal vte Result Eia9 EQL Units Level Result %REC Limits RPD Limit Notes Chemical Oxygen Demand 10 U 10 mg/L LCS (41F13015-BSI) Prepared: 06/13/2014 12:59 Analyzed: 06/13/2014 16:00 Spike Source %REC RPD Anal Result Flag E41 U nfts Level Result %REC Limits RPD UMj Notes Chemical Oxygen Demand 490 10 mg/L 500 97 90-110 Matrix Spike (4F13015-MSI) Prepared: 06/13/2014 12:59 Analyzed: 06/13/2014 16:00 Source: C406608-02 Spike Source %REC RPD Anal Resulk Ela9 MI. Units Level gay %REC Limits RPD Llmlt Notes Chemical Oxygen Demand 550 10 mg/L 500 50 100 90-110 Matrix Spike Dup (4F13015-MSD3) Prepared: 06/13/2014 12:59 Analyzed: 06/13/2014 16:00 Source: C406608-02 Spike Source %REC RPD Anal lde Result flag EQL Units Level gesull %REC Limits RPD Limit Notes Chemical Oxygen Demand 560 10 mg/L 500 50 102 90-110 2 10 Batch 4F16002 - NO PREP Blank (4F16002-BLKi) Prepared & Analyzed: 06/16/21314 08:38 Spike Source %REC RPD Anal Result Flag ML U111ts Level Result %REC whits RPD Limit Notes Total Suspended Solids 1.0 U 1.0 mg/L LCS (41`16002-BS1) Prepared & Analyzed: 06/16/2014 08:38 Spike Source %REC RPD Anal Result Elag EQL Units Level ggsul %REC Llmlt4 RPD Limit Notes Total Suspended Solids 94 1.0 mg/L 100 94 80-120 Duplicate (41`36002-DUPI) Prepared & Analyzed: 06/16/2014 08:38 Source: C401701-01 Spike Source %REC RPD Anal Result Flag PQL Units Level Result %REC Limits RPD 1.1mit Notes Total Suspended Solids 45 1.0 mg/L 41 8 10 Duplicate (41F16002-DUP2) Prepared & Analyzed: 06/16/2014 08:38 Source: C401701-02 Spike Source %REC RPD Anal Result Flag P91 YAMS Level Result %REC Limlits RPD UM11; Notes Total Suspended Solids 8.8 1.0 mg/L 8.4 5 10 Batch 4F24016 - NO PREP Blank (4F24016-BLKi) Prepared: 06/24/2014 11:28 Analyzed: 06/24/2014 14:22 Spike Source %REC RPD Anal vte ! esult Flag EQL Units Level Result %REC Limits RPD Umlt Notes Chemical Oxygen Demand 10 U 10 mg/L FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 5 of 8 Cf=Go www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch 4F24016 - NO PREP - Continued LCS (4F24016-BS1) Prepared: 06/24/2014 11:28 Analyzed: 06/24/2014 14:22 Spike Source %REC RPD 9DalResult Eft 2Q6 units Level Resul %REC Limits RPD Limit Notes Chemical Oxygen Demand 490 10 mg/L 500 99 9D-110 Matrix Spike (4F24016-MS3) Prepared: 06/24/2014 11:28 Analyzed: 06/24/2014 14:22 Source: C403887-01 Spike Source %REC RPD Anal ute Sul Sag PQL IlniM Level Result o/nREC Limits RPD Limit Notes Chemical Oxygen Demand 500 10 mg/L 500 19 97 90-110 Matrix Spike Dup (4F24016-MSDI) Prepared: 06/24/2014 11:28 Analyzed: 06/24/2014 14:22 Source: C403887-01 Spike Source %REC RPD Anal vte Rmlt i7ai9 P L Llnits Level Result %REC Limits RPD Limit Us2tes Chemical Oxygen Demand 520 10 mg/L. 500 19 f00 90.110 3 10 Classical Chemistry Parameters - Quality Control Batch 4F29009 - EPA 1564A Blank (4F19009-BLKI) Prepared: 06/19/2014 13:29 Analyzed: 06/23/2014 10:20 Spike Source %REC RPD Anal vte Result a" E!!2L UAft Level Result %REC Limits RPD limit Notes Oil & Grease (HEM-SGT) Non -Polar Material 1.60 U 5.00 mg/L LCS (4F19009-BSI) Prepared: 06/19/2014 13:29 Analyzed- 06/23/2014 10:20 Spike Source %REC RPD Anal Result Ela9 EQL U11ite Level gqsulZ %REC Llmits RPD Limit Notes Oil & Grease (HEM-SGT) Non -Polar Material 16.8 5.00 mg/L 20.8 81 64-132 LCS Dup (4F19009-BSD1) Prepared: 06/19/2014 13:29 Analyzed: 06/23/2014 10:20 Spike Source %REC RPD Anal Result Flag PQL units Level Result %REC Limits RPD -mi Notes Oil & Grease (HEM-SGT) Non -Polar Material 16.3 5.00 mg/L 20.6 79 64-132 3 34 Matrix Spike (4F19009-MS1) Prepared: 06/19/2014 13:29 Analyzed: 06/23/2014 10:20 Source: B402814-01 Spike Source %REC RPD Anolytli Result Ela9 PQL Units Level Result %REC wMits RPD Limit Notes Oil & Grease (HEM-SGT) Non -Polar Material 17.6 5.00 mg/L 21.4 1.60 U 82 64-132 FINAL This report relates only to the sample as recdved by the laboratory, and may only be reproduced in full. Page 6 of 8 �Go www.encolabs.00m FLAGS/NOTES AND DEFINITIONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. J The reported value is between the laboratory method detection limit (MDL) and the laboratory method reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable. U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation data and moisture content, where applicable. E The concentration indicated for this analyte is an estimated value above the calibration range of the instrument. This value is considered an estimate. MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQL) and is based on the low point of the calibration curve, when applicable, sample preparation factor, dilution factor, and, in the case of soil samples, moisture content. N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater confidence) to make a "tentative identification". FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 7 of 8 Sample Chain of Custody` Fora Acct#z AT02� Gent A$antk ErtvitrameMatAssgciates ,(A co'n1 is Candice Moore Ship To: 24$3 Reliance Ave. Apex, NC 27539 Report To 2483 Reliance Ave. .Apex, NC 27539 401701-01 J01- Tyson Outfatl 1 :401701-f;2 - #3 ^ - +y { f TY50n C}udatl 2. -- - '401701-036-11 �' 4 r 00 Tyson Outfafl 3 Chaff `; 1 - 1 ._-- -7. Z_------ Ttvv - Prelo #t: C401701 Prtlj�ct ftference: Tyson Stgrnwrater RfiegWred TAT: t0 EREO Contact: LInk tt ")%'rei i02-A WaadvAnds,[ndusWial Cdurt Cary. WG'27514 ..:i Apex; Nt 27539 I Analyses' COD SM52201D'. O&G iso41�SGT TSS SM2540D Containers: 2- 1LAA-H2SO4,,.1=,1LF6., 1=:25brn'LP+HIs64 . 1'- $ter ;Analyses- Cat? SM0220a . t&G,16 46 SGT . TSS SM25400 C malmm 2 - 11A+H2SO4 , I- 1LP , 1 - 250rnLP4tH2SO4.1 - Ster Analyses; COD Sft5220'D",-, CT&'G 1tx"6 SGT TSS`SM25400 Caniainen, 2 - ILA+H2$04., 1 - 1LP , 1 a. 25OmLP+R2SO4., 1 - Stir Z ` 7. Te7r C `' 3ampiad By: Temp: Ro t►r 17sfe/7f r AceepfaW Unameptable RoCC►' �a f+IlirnoR C: 't' iA Cam. ssvw k : =ay 07'.4-, �:%:sat pcmeni'a&'vei in ivyaldo 01 _-e V-PA OWAMO it !r s sti av artenft the mg!w.as can ti fz, r ! is M 1101 row owwsumts otivio ssot f:-�+"."�oaserywmKss�3f.saaca+kror+cxx.s�+�w��ws�sssr;�7,saeefRrrtswSErNx.,m�.x�,�.., ;.ors�a�aa.,�es:-ra>�at►�a+�+�;t r* ems P f. or s to sas «ems= d rrs Sec tam L ftw waawq;;=ra g at eew roes:. noroae.zxat:=e,e-r--{ me=ct-4nuariar toOm'wutrauamwcc wv?j;s,=Vdt=Cerit:-aemu,-e.ars_ t*aiUretn sire A tee; an" k lsss ao+�xRsia to �eaats t the raa�nt a Cf Lh6 QGxt?t►ia{1b�11�R C [ it Sr'0 t#C: Pissaa Carrot rem re cis tom it,* tom. w 006 07V Won V* tiwrW41 m a sr- z ,tb go Tisis boo. 6wli� caiarL-ed� sr sNy. The nar'nW soft bdi*w am PRECAilrMARY STATEMENTS M19LYI AD DCWtw M1ir2Acsts OW10 t7t OM n%WWS tawo rQ.t *u: ate; Fir .9aa.mnsd c'w�EX a�.i"y+tawa CwAims 6 Atbmgm ft t tfot .1+ 'oer+a Acd • StWMCl ACV, Mod.04n xa lye eaelCaG.. p wntActp mmu, MAn sftoe9 orm 'prrred�ly+r..'1,..ker. K903 s "ic ^64 - MONGA,C bt S1*OHG 4X10a,T.r;at A�ivq% z0vand "o cnt,ta7 x a*Aki 6 rkiaa; nuih a"dad amn tr9w4pWY wut+wetec_ ► 3PO4 Phas�ncric A o4 -STRONG ACRfi Av d'%k!n'iind,4a ea�ttsd. R mtxnea b estsCn, flush M1tl::a.a acoosSr�neemlory+wie, v ssY- 1inOA ` Whu C AC{d_ � STRii� G ACtO Avarc bicli, se+4.9yo. c+ siae !i coma A 1b maw", , leA mras urxneaa�ty r�u}t irmsx; A:a dod : Ascorbe Aria-'AlicW cry Wd;o!, M�_tr o6tc C (i ntaC:, bilitl I►fleitad rtro as rrinobimelll w11h v40r. EnAK' ] i�'AcotmtE-'Rvafd rkln ond.ora caxttart: Y, t�C i1 msD9t flak', ii`19CtaiY o+oA! Imrr+etl.�a:6N wrtn �4,�±: N0�80d: So�.'Um Ft,iassry'a:a � AvoidnN,'attiC�"re c:,.r,cAci.. tf Of?'1L?t� is mania>-1,ustt bftoctoB liragq imrs»till�CtK a11h waleF.. ' NnOH t 6odiLM t*MOde. - STROkr, CA..I1 tV Avoid ss n a cj o a�tstap., tt Cam= 4 mwo, r4o aiYedea en+ar iR.�;a oy �nlh waw, Page 8 of 8 MOON- Aidthttrbl • Avoid IkW wtd eyz is tw'4 11 man®: f,ststi ei!9Ci pt6Rt irtyP� 4'tily wwt rrAt#: