HomeMy WebLinkAboutNCG060333_MONITORING INFO_20141211STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
0 HISTORICAL FILE
�i MONITORING REPORTS
DOC DATE
❑ Lb►y is i )
YYYYMMDD
R "CEIVED
atc I I 'l 14
STORMWATER DISCHARGE OUTFALL (SDO) �v
MONITORING REPORT
Permit Number. NC 0 r SAMPLES COLLECTED DURING CALENDER YEAR: 2014
Certillcate of Coverage Number. NCG 060000 (This manitodng report shall be received by the Division no Eater then 30 days from
the date the facility recisves the sampling results from the laboratoV
FACiLRY NAFAE Brrtterballj, LLC - Turkey Feed Mtl[_ ^, COUNTY . - Sam_nson_
PERSON COLLECTING SAMPMSj 12rryMorcer PHONE NO. (2101433.3300CERTIFIED LABORATORY(S) Enviroehem Lab f 94
Part A_ Specific Monitoring Requirements
----------
Does this taciNy perrmm Vehicle Maintenance Activilles using more than 5S gallons of new motor oil per month? _Yes X No
Ce yes. complete Part Bj
Put 6_ Vehicle Matntenarnt a Ac Arlty Menilnrina P-6 —fe
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Form SWU - 249-102107
Enterend into Excel by
Butterball, LLC Turkey Feed Mill
Page 1 of 2
v;y
STORM EVENT CHARACTERISTICS:
Date 6118I14
Total Event Precipttation (inches):.3
Event Duration (hours) .45
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours) .
Malt Original and one copy to:
Division of water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 776WI617
"I certtly, under penalty of taw, that this dacument and all attachments were prepared under my direction or supervision In accordance with a system designed
to assure that qualified personnel property 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 gatherarg Infarmation, the information submitted 1% to be best icluding the possibQty of fines and
Imprisonment for knowing vioiat€ons."
(Signature of nnittee) (Date)
Form SWU - 249-102107
Enterend into Excel by
Butterbalt, LLC Turkey Feed €Mill
Page 2 of 2
f RFCLZlVJj
if_'" DEC 111014
D 'V SAL �FIILES
EC' + !ON STCRMWATER 13MCilARGE OUTFALL (SDO)
MOWPOFUNG REPORT
PermltNumbttr. jj�/ 23 NC `(' `-' ✓ 3-3 SA6lPLES COLLECTED DURM CALENDERYEAFt 1014
Cer01cate a1 Caverage Nvmbsr. NCG 09=0 (This maaftodrg report shall be Rcs:vad by pre E'W kn no I
the data the fadifty reclaves the sampE ng resafts from the la
FACT ITY NAME BgltrrtraEl. LLC-Turkav Feed 31Ef! COUNTY Sato son
PERSON COLLECTING SAMPLE(S) Te Meresr PHONENO; . 5103 43343CM
CERTIFE£D LASORATORY(S) envirochem _ _ _ !ab 0 94
Part A.* SpedAc MontWting Regu(rernenss
womm-lem
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.-
��RE
Y-BENZ
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Does this rad9ty PaM m vehke MainUma AcUwffes using man rhos 55 gaEcas of new MOWctl permwth7 —Yes X No
{¢ yes, ra *w Pat S}
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Form SW U - 249-102107
Enterend into Excel by
ButterbaR, LLC Turkey Feed M'fi f
Page 1 of 2
i
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I
STORM EVENT CHARACTEMTiCS:
t
Date tt124J1a
Total Event PrecipitWon [rtoheiW 1.1"
Event Duration {hours) 3
(lf more than one stun eventwas sampled)
Data
Total Everii PreOpitation (inches):
Event Duration (hours)
bw OriglrEal and one copy to:
DMrJcn of Water.thratity
Mn: Central F3e5
1617 M6lSenrim Center
Raley North Carotin 27699.1617
"l certify, under penalty of law, that this document and all attachments were prepared under my direction orsuperriaion in accordance with a system.designed
to assure that gtWiited personnel propwiy gather and evahrate, the hftnnaWn submitted. eased an my ingutry of the person or persons who manage the
system, or thaw persons directly msponslbte for gathering iniermaRan, the information submitted Is, to be hest ictuding tha po=ibllty of ttnas and
imprisonment fgr.fuiawing violations.7
(Stgrawre ar a
r
) ' f
Form SWU-249-102107
Enterend into Excel by
Butterbati, LtC Turkey Feed Mill
Page 2ef2
77 Environmental Chemists, Inc.
M WuWmM Way * WilmWgton, NC 2M
(910) 392-0223 (L6) • (910) 392-4424 (Pax)
® 710 Bowsertmm Road • Manteo, NC 27954
ANALYTICAL & CONSULTING (252) 473-57M
CHEMISTS NODE DwQ allaMCATE #X US CRUMCATE #37729
Butterbali - Turkey Facility
Date of Report: Jun 18, 2014
5604 Turkey Highway
Customer PO 0.
Turkey NC 28393
Customer ID: 12050009
Attention: Terry Mercer
Report #: 2014-06779
Project ID: Stormwater
Lab 1D Sample ID:
Collect Date/Time Matrix Sampled by
14-16583 Site: Stormwater
6/10/2014 6:3D AM Water client
Test
Method Resuiis Date Analyzed
Oil & Grease (O&G)
EPA 1E64 s5 mg/L
06N 1 /2014
Residue Suspended (TSS)
SM20p 277mg/L
06/11/2014
pH
su 4soo H s 7.01 units
06/12/2014
COD
sm5220D 91 mg/L
08/17/2014
Comment:
Reviewed by:
!
Report X.: 2014A8779 Page 1 of 1
AnaWkN & CansulBrtg Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTIOM AND CHAIN OF CUSTODY
r
6602 Windmill Way Wifming[an, KC 78405
OFFICE: 910-392-0223 FAX 910-392447,4
Infb&nvironmeofalchemiMs.com
CLIENT: Butterball-Turkey Facility
PROJECT NAME: Storm Wafer
REPORT NO:
ADDRESS: 5604 Turkey Highway
CONTACT NAME: Teny Mercer
PO NO:
Turkey, NC 28393
REPORT TO:
PHONE/FAX:91o4q1-0yg
COPY TO:'
email: tmercerftbutterball.qom
Sampled Bv: SAMPLE TYPE: 1= Influent. E = Effluent. W = Well. ST = Stream. SO = Soil. SL = Sludue. dwr:
Sample Identification
Collection
a o I
E i9
L n
a °
v
° E
c
PRESERVATION
,
A NALYSES REQUESTED
Date
Time
Tem
z
=
Outfall 001
61 kjifq6;
3ah",
c
P
g3
x
X
TSS, Oil and Grease COD
G
G
PH:
Iv
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
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P
G
G
C
P
EHI
G
G
Transfer
Relinquished By:
Datef ime
Received By:
Daterlime
9.
2.
_
I emperarure wnen ece�iveya: 7 •1 _Acceptea: K ectea: Resample Keyuested:
Delivered By:. l _ _ I (�IC.^ Received By: Date: f0 { Time: X00
Comments: TURNAROUND:
w
7/2/14
Tier One Status for TSS Exceedance
Stormwater Management Facility Inspection: An inspection of the facility was conducted on July 1,
2014 by Lankford Ruffin (Corporate Environmental Manager) and Terry Mercer (Feed Mill Manager) to
Investigate and determine the cause for measuring a 277 mg/I TSS value, when the limit is 100 mg/I.
Identify and Evaluate Cause for exceedance: Based on observations during the facility inspection on
July 1", an area that needs repair for erosion, maybe the cause for the TSS reading. It is thought that
the sandy soil has washed into the stormwater flow path, and thus carried abnormal soil runoff from the
property.
Corrective Actions: A repair to the eroded area will be done to correct the abnormal soil runoff.
implementation of Corrective Actions: TBD
Environmental Chemists, Inc.
t 6602 Windmill Way • Wilmington NC 28405
(910) 392.0223 (Lab) - (910) 392-4424 (Fax)
710 Bowsertown Road • Manteo, NC 27954
ANALYTICAL $c CONSULTING (252) 47• 3-5702
CHEMISTS NCDBNR: AWQ CHUMCAT3494. DLS CERTIFICATE 037729
Rutterball - Turkey Facility
Onto of Report:
Dec 08, 2014
5604 Turkey Highway
Customer PO M
Turkey NC 28393
Customer ID:
12050009
Attention: Terry Mercer
Report#.
2014-14568
Project ID: Storrnwater
LOW Sample ID:
Collect Date/Tima Matrix
Sampled by
14-35724 Site: Stormwater
11/24/2014 9:00 AM Water
Terry Mercer
Test Method Results Data Analyzed
Oil & Grease (O&G) EPA 1684 t5 mg/L 1210212014
Residua Suspended (TSS) SM 2s47n 20.3 mg/L 11/25/2014
pH SM4500H8 7.14units 11/28/2014
COD sM 5M0 84 mg1L 12107/2014
Comment
Reviewed by: 0 _
I
Repod 0:: 2014.14558 Papa 1 OF t
ENVIRONMENTAL CHEMISTS, INC
An*CCM 8 L9 MCDENit: DWO CERTIFiCATION9 94 NCOHHS: DLS CERTIRCA7SOM N 37729
COLLECTION AND CHAIN OF CUSTODY
M2 vanftm Way Wilmington, NC 2ii465 '
OFFICE=: %D-392 0223 FAX 910-3924424
info@env[romnentalchemists.emn
CLIENT: Butterball-TUrlm Facility
PROJECT NAME: Storm Water
REPORT NO: If
DRESS: 5604 Turkey Highway
CONTACT NAME: Terry Mercer
PO NO;
Turkey, NC 2B393
FZEPORT TO: r
PHONEIFAX:
COPY TO: f
email: tmercer@butterball.com
SamiAed Bv: t •f' SAMPLE TYPE: I = Influent E a Effluent W = Well. ST = Stream. SO = Soil. SL = Sludce. rather_
Ban
a
o
TSS, Oil and Greamwe COD
will
logo
Temperature When
Delivered By:
Comments:
Accepted, ---
Received By:
o-0
STORMWATER DISCHARGE OUTFALL (SOO)
b� MONITORING REPORT
Permit Number. NC or
Certificate of Coverage Numbe G 09 0
FACILITY NAME Butterba!I. LL�tC - Turkev Feed ME11 _
PERSON COLLECTING SAMPLE(S) Terry Mercer
CERTIFIED LABORATORY(S) Envirochem ,_ Lab 94
Part A. Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDER YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility recleves the sampling results from the laboratory.)
COUNTY Sampson
REC E I B t91mA 3300 -
SEP 03 2014
CENTRAL FILES
Does this f cOy perfann Vehicle Maintenance Activ>3ies using more than 55 gallons or new motor oP per month? _Yes X No
(dyes, complete Pad B)
Part B_ Vehlela Malntananca Aethrlhr Mnntlnrinn Ran ammanta
Outfal!-
No
,tea m
Date,—
Saamgle^ f
Cpllected
110568'
OEiandr-
Grease
aa53oa-104-N
Tatal4� ``
W„
Strs`eoded
p
66 0111-52-
pH}
_°
Nsw,l4[oWr
OIi Usa a
g
# n dam. v*
ge
Form SWU - 249-102107
Enterend into Excel by
Butterball, LLC Turkey Feed Mill
Page 1 of 2
1
c
STORM EVENT CHARACTERISTICS:
Date 6118114
Total Event Precipitation (inches):.3
Event Duration (hours) .46
(if more than one storm event was sampled)
Date
Total Event Precipitation (Inches):
Event Duration (hours)
Mail Original and one copy to:
Division of Water Quality
Affn: Central Flies
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 property 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 Information, the Infarmat[on submitted is, to be best Icluding the possibiity of fines and
Imprisonment for knowing violations."
(Signature of rmittee)
?A//4/
(Date)
Form SWU - 249-102107
Enterend into Excel by
Butterball, LLC Turkey Feed Mill
Page 2 of 2
Environmental Chemists, Inc.
6602 Windmill Way • Wilmington, NC 28405
® (910) 392-0223 (Lab) a (910) 392-4424 (Fax)
710 Bowsertown Road @ Manteo, NC 27954
(252) 473-57002
ANALYTICAL & CONSULTING
CHEMISTS NCDENR: DWQ CSit'1MCATE tl9& DLS CERTIFICATE #37729
Butterball - Turkey Facility Date of Report: Jun 18, 2014
5604 Turkey Highway Customer PO #:
Turkey NC 28393 Customer ID: 12050009
Attention: Terry Mercer Report #: 2014-06779
Project ID: Stormwater
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
14-16583 Site: Stormwater 6/10/2014 6:30 AM Water Client
Test Method Results Date Analyzed
Oil & Grease (0&G) EPA 1W4 <5 mglL 06111/2014
Residue Suspended (TSS) SM 2540 D 277 mg1L 06111/2014
pH SM 4500 H s 7.01 units 0611212014
COD SM MOD 91 mglL' OW17/2014
Comment
Reviewed by: Zir 1
Repon M! 2014-os77a Page 1 of 1
Analydcal & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX 910-392-4424
Infooenvironmentalchernists.com ,
CLIENT: Butterball-Turkey Facility
PROJECT NAME: Storm Water
REPORT NO: 7?
ADDRESS., 5604 Turks Highway
CONTACT NAME: Terry Mercer
PO NO:
Turkey, NC 28393 '
REPORT TO:
PHONE/FAX- 910 - a y 0
COPY TO.-
email: tmerce butterball.ao
Sampled By: - SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, OWE -
Sample Identification
Collection
m
r
01LE p 0
;,
o a
..
o
g
PRESERVATION
ANAEY5IS REQUESTEDf
Date
Time
Temp"
z
X
o
�
Outfall 001
3d J#m
C
P
1&653
X
X
TSS, Oil and Grease, COD '-
G
G
H:
tV
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
.G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
DatelTime
Received By:
Date/Time
9.
2.
Temperature when eceived: `C• I Accepted: R -ected: Resample Requested:
Delivered By: ZoG Received By: Date: 4 -40 -f Time: 10n0
Comments: TURNAROUND:
y
7/2/14
Tier One Status for TSS Exceedance
Stormwater Management Facility Inspection: An inspection of the facility was conducted on July 1,
2014 by Lankford Ruffin (Corporate Environmental Manager) and Terry Mercer (Feed Mill Manager) to
investigate and determine the cause for measuring a 277 mg/I TSS value, when the limit is 100 mg/I.
Identify and Evaluate Cause for exceedance: Based on observations during the facility inspection on
July 1n, an area that needs repair for erosion, may be the cause for the TSS reading. it is thought that
the sandy soil has washed into the stormwater flow path, and thus carried abnormal soil runoff from the
property.
Corrective Actions: A repair to the eroded area will be done to correct the abnormal soil runoff.
Implementation of Corrective Actions: TBD
RECEIVED
JUN 2 S 2018
STORMWATER DISCHARM OUTFALL ($DO) CENTRAL FILES
hJCG
0603 3C moNrrORING REPORT DWR SECTION
PW, I Numbor-. NC w SAMPLES COLLECTED OLRM CALENDER YEARN
Certificate of Coreraga Nraeber: HCO amo iihlo monitmfng rvM" be remlved by the MvisW no tsterthm 30 days from
tM date the fmcitity recievas ttia ampling nteuus from the Eaborafwy.)
FACILITY NAME: RutteMd, LLC - TWM Feed fr M — _ COUNTY SEBRM
PERSON COLLECTING SAMPWS) Trm Momyr PHONE to. mol 4334M
CERTIFIED LABORATORY(g) EnvLab # 94
Pali A: Specific UorHbarinti R"Wmroonts
7
Dori Oft faddy peRorm Velrkte fAakftnsmos Actmfts rntng more drop 65 goons of now awtgr cB per month? _ Yas -_ ffo
Of yes. wrep:ets Part 9)
ran 0:
:ire
STORM EVENT CHARACTERISTICS:
Date s123118
Total Event Precipitation (inches f; .b'
Event Duration (hours) 1
(it more ftn one storm event was sampled)
Data
Total Event Precipitation (Inches);
Event Duration (hours)
(Nail Original and one copy to:
t3lvi w of Water Quafily
Altn: Central Flies
1617 Mau Service center
i?alsi North Canes 27699-1617
"i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision to accordance with a System designed
to assure that qualified personnel properly gather and evaluate the inforration sutunitted. Based on my inquiry of the person or persons who massage the
system, or ttwae persons directly rasponsible for gathering btfomsa6on, the information submitted Is, to be beat Icluding the possiblity of fines and
imprlsonment for knowing vh*Wons."
(signature CN, )
Form SWU-249-102107
ErtterwW into Exoel by
Butterbail, LLC Turkey Feed Mill
Page 2 of 2
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 ' 910.392.0223 Lab • 910.392.4424 Fax
® 710 Bowsertown Road, Mantes, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 ' 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info®cnvironmentalchdnists.com
Butterbatl - Turkey Facility
5604 Turkey Highway
Turkey NC 28393
Attention: Terry Mercer
Lab 1D Sample ID:
18-20970 $He: Outfall 001
Date of Report: Jun 10, 2018
Customer PO #:
Customer ID: 12050009
Report #: 2018-08356
Project ID: Stormwater
Collect Date/Time Matrix Sampled by
5/29/2018 12:35 PM Water Robert vial
Teat Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1654
<5 mg1L 05/3012018
Residue Suspended (TSS) SM25400 32.6 mglL 05/3012018
pH SM 4WO H 6 7.03 units 05/31t2018
COD SM 5220D 53 mg/L 06104t2018
Comment:
Reviewed by:
E-MAI LED JUN 112018
r,
Report *: 201848338 per 1 of 1
ENVIRONMENTAL CHEMISTS, INC
Analytical 8 Consulting Chemists KWENR: DWO CERTIFICATION # 94 NCOMiS: DLS CERnRcA110N # 3rm
COLLECTION AND CHAIN OF CUSTODY
6M Windmill Way Wilmington, NC 2W06
OFFICE: 910392-OM FAX 8103924424
InfoQenvimnmeran"emists.com
CLIENT: Butterball-Turkey Facility
PROJECT NAME: Storm Water
REPORTNO* "" b 55-1
ADDRESS: 6604 Turkey Highway
CONTACT NAME: Terry- Mercer
PO NO:
Turkey, NC 28393
REPORT TO:
PHONE/FAX:
COPY TO: --lemail:
tmer6w@butterball.com
Sampled By: o SAMPLE TYPE: I = Influent, E = Ef Uent, W = Well, ST = Stream, $O = Soli, SL = Sludge, Outer.
UMMM
1111
TSS. Oil and Grease, COD
mo��Uom
Iloilo
����■moo
��N�����
Temperature when Recelveck (yL Accepted.
Delivered BY: Received
RECEIVED
JAN 3 0 NO
CENTRAL FILES
3 3 owR sEcTloN
STORMIRATER DISCHARGE OUTFALL (SOO)
1 V MONMORMG REPORT
Permit Number. NO or SAMPLES COLLECTED OURING CALENOER YEAR: _2016
Certtneale ofCoyerage Number. NCG 080000 (This monflaring report shall he received by the dWislon no later than so days (rpm
the date the taelvty reelaves the sampling results tram The Laboratory.)
FACILITY NAI,tE , Butte bla1•I. LLC -Turkey Feed Mil _• •„ COUNTY Sameson
PERSON COLLECTING SAtdPLE(S) Terry Romer PHONE NO. f9101 i353100
CERTIFL£ti LABORATORYIS) Envtrochem Lab F 94
Part A: Speoilfe Monitoring Requirements
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Does Ihts faflfAyprdorm Vehicle Ma6denanfn Acliydies using more than 55 gallons of netrmoWr of per month? Yes 2 No
(7Yes• Complete Part 8)
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Farm SWU - 249-102107
Enterend into Excel by
1301(erball, LLC Turkey Feed Mill
Page 1 of 2
I
_ , 'ili.-
STORM EVENT CHARACTEFUSTICS:
Date 12MSII
Total Event Precipitation (Inches). ,5"
Event Duration (hours) 3
(11 more than one storm even[ was sampled)
Dale
Total Event Precipitation (inches):
Evens Duration (hours)
Mail Origlnat and one copy to:
Division of Water Oualily
Aft Central Res
1617 Mail Service Center
Ralalgh, karlh Carofina 27egg-1617
I certify, under penally of law, that this document and all attachments Vlore prepared underny direction orsupervlslon In accordance vrith a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my lnqulry of the person er persons who manage the
system, or those persons dtract[y responsible forgathering information, the Information submitted Is, to be best tcluding the possibility of fines and
Imprisonment for knowing vtolatlons."
1
;f (Signahue of pelur
e)
15r
(Date) r
Form SVVU - 249-102107
Enterend into Excel by
Butterball, LLC Turkey reed Mill
Page 2 of 2
RECEIVED
JUN 23 2016
STORMWATER DISCHARGE OUTFALL (SDO) CENTRAL FILES
MONITORING REPORT DWR SECTION
Permit Number. NC or SAMPLES COLLECTED DURING CALEN DER YEAR: 2016
Certificate of Coverage Number, (This monitoring report shall be received by the Division no later than 30 days from
the date the facility recieves the sampling results from the laboratory.)
FACILITY NAME 9utterball LLC -Turkey Feed Mill COUNTY Sampson _
PERSON COLLECTING SAMPLE(S) Terry Mercer PHONE NO. (9101 4333300 _
CERTIFIED LABORATORY(S) Envirochem Lab # 94
N c G- o(P0333
Part A: Specific Monitoring Requirements
-.:.�2 me,
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motcr ail per month?_ Yes X No
(f yes, complete Part B)
Part R, Vahiria Maintananre Activitv Manitnrinn Ra—iim—nm
Outfali ,;
Date..;' ="
p1e
eted
00-SaEg �� '�
Oil and
Grease =Su.sp
x r w
06590
TotaMtM
Soilds
00400�.. m.-.;.,= ..
v -`:.
OII Usages
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� m
Form SWU - 249-102107
Enterend into Excel by
Butterball, LLC Turkey Feed Mill
Pagel of 2
tr
STORM EVENT CHARACTERISTICS:
Date 6113116
Total Event Precipitation (inches): 1.0"
Event Duration (hours} 3
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours) -
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
•- - : - - - ==: --:..:: '_"i ce+tify,-undal pena3:r-of law,-iitiai this document anti air aiaa .;;nw i;� wc,a r.apaid:. dn4or-niy direction or superwswii in accarddnce with a syste�ei desiW6d - - to assure that qualified personnel property 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 information, the information submitted is, to be hest icluding the possiblity of fines and
imprisonment for knowing violations."
(Signature of Permitt )
(Date)
Form SWU - 249-102107
Enterend into Excel by
Butterball, LLC Turkey Feed Mill
Page 2 of 2
Environmental Chemists, Inc.
envirochem 6602 Windmilt Way, Wilmington, `1C 28405 • 910.392.0223 Lib • 910.392.4424 Fax
710 Bowsertown Road, Waitco, NC 27954 • 252.473.5702 Lab/Fax
255 -A Wilmington Highm.,ay, Jiwksonville, NC 28540 • 910,347.58,431.ab/Fax
ANALYTICAL & CONSULTING CHEMISTS
info a CRVh-0I ICn1aIC11Cn11StS.COp1
Butterball - Turkey Facility
Data of Report: Jun 13, 2016
5604 Turkey Highway
Customer PO #:
Turkey NC 28393
Customer ID: 12050009
Attention: Terry Mercer
Report #: 2016-07108
Project ID: Stormwater
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
16-16913 Site: Stormwater
5/30/2016 1:25 PM Water client
Test
Method
Results
Date Analyzed
Oil & Grease (O&G)
EPA 1664
<5 mg1L
06/07/2016
Residue Suspended (TSS)
SM 25400
23.7 mg1L
06/01/2016
pH
SM 4500 H a
6.77 units
06/09/2016
COD
SM 62200
32 mg/L
06/02/2016
Comment:
,
Reviewed by: &,k..
Reporttl:: 2016-07108 Page 1 of 1
602 Windmill
ENVIRONMENTAL CHEMISTS, INC OFFICE 910.39 0223FAX9103 2�24
Analytical & Consulting Chemists
NCDENR: DWO CERTIFICATION # 94 NCDHHS: BLS CERTIFICATION # 37729 lnfo@environrnentatchemistr..com
COLLECTION AND CHAIN OF CUSTODY
CLIENT: Butterball-Turitey Facility
PROJECT NAME: Storm Water
REPORT NO: A
ADDRESS: 5604 Turkey Highway
CONTACT NAME: Terry Mercer
PO NO:
Turkey, NC 28393
REPORT TO:
PHONEIFAX:
COPY TO:
email: tFnerceEebutterball.com
Sampled BY: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SI_ = Sludge, Other:
Sample Identification
Collection
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PRESERVATION
ANALYSIS REQUESTED
ate
Time
Tem
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OutFall 001
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TSS, Oil and Grease, COD .
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Transfer
Relinquished By:
Date/Time
Received By:
DatelTime
2.
o
Temperature when Received: Accepted: R lected: Resample RINAZROUND:
d:
Delivered By: - - - _ _!. _ Received By. Date: Time:
Comments: TU T,.T.—