Loading...
HomeMy WebLinkAboutNCG060369_MONITORING INFO_20190501STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. IV C& V�pD 3(o q DOC TYPE ❑HISTORICAL FILE l� MONITORING REPORTS DOC DATE ❑ Qolq O Sd WYYMMDD STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 CERTIFICATE OF COVERAGE NO. NCG06 0 3 6 9 FACILITY NAME Sanderson Farms Inc. St. Pauls Processing COUNTY Robeson PERSON COLLECTING SAMPLES Randy Clark LABORATORY Environmental Chemists, Inc. Lab Cert. # 37729 Date submitted 051112019 SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑■ Jan -June ❑ July -Dec or ❑ Monthly` month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑Zero -flow ❑Water Supply ❑Other ❑PNA [:]SA RECEIkn ACTIVITIES INCLUDE (check all that apply): use/process meats ❑ use animal fats/byproducts MAY 0 9 2019 CENTIWEMEMBER TO SIGN ON THE REVERSE 4 DWR Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z or ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oii.and Grease, mg/L Fecal Coliform, Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark - 100 or 504 Within 6-0- 9.0 120 30 10001 5001 Parameter Code ' - COS30 OD400 00340 00556 31616 61211 A 04/02/19 122 6.28 69 2900 B 04102/19 13.7 6.11 21 c5 1900 1 Only applies to facilities that use/process meats. 2The 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 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? 0 yes ❑ no (if ves, complete Part B) Permit Date: 11/1/2018-05/31/2021 5WU-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches2. New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/Lor 50 MgJV Parameter Code - 46529 NCOIL C0552 C0530 Footnotes from Part A also apply to Part B *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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES []NO[] REGIONAL OFFICE CONTACT NAME: Mail an original copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results Lor at end of monitorina period in the case of "No Discharae" 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee Permit Date:11/1/2018-05/31/2021 yhs--) D to SWIJ-249, Last Revised 11/5/2018 Page 2 of 2 Sanderson Farms, Inc. GENERAL OFFICES Post Office Box 988 • Laurel, Mississippi 39441-0988 mqw'�V Telephone (601) 649-4030 • Facsimile (601) 426-1461 Certified Letter Return Receipt: 7017 1070 0000.5187 3351 November 27, 2018 Division of Water Quality DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Sanderson Farms, Inc. St. Pauls Processing Semi -Annual Storm Water Report COC NCG060369 r-,F_wFD UEC 12 201a DWR C ON Please find attached the Semi -Annual Storm Water Discharge Monitoring Report for July 2018- December 2018 for Outfalls A and B. Should you have any questions, please contact me at (601) 426-1572. Sincerely, Stephanie Shoemaker Manager of Regulatory and Permitting Environmental Chemists, Inc. 6602 Windmill Wav, Wilmington, NC 28405 . 910.392.0223 Late . 910.392.4424 Pax 710 Bowsertown Road, Manteo, NC` 27954 . 252.471.5702 L, Fax 255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS into cienvironmentalcheniists.coin Sanderson Farms - St.Pauls 2076 NC Highway 20 West St. Pauls NC 28384 Attention: Randy Clark Date of Report: Nov 26, 2018 Customer PO M. Customer ID: 16110036 Report #: 2018-18967 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 18-48054 Site: outfall A 11/15/2018 8:05 AM Water Randy Clark Test Method Results Date Analyzed Oil & Grease (0&G) EPA 1664 <5 mg/L 11/16/2018 Residue Suspended (TSS) SM 2540 D 35.6 mg/L 11/16/2016 COD SM 5220D <20 mg/L 11/19/2018 Fecal Coliform SM9222DMF 364 Colon ies/100mL 11/15/2018 Comment: Reviewed by: Report #:: 2018-18967 Pane 1 of t min ton ENVIRONMENTAL CHEMISTS, INC OFFICE: 910-392-02231FAXg918392-424 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 Info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Sanderson Farms-St.Pauls PROJECT NAME: Storm Water REPORT NO: [3J 6 7 ADDRESS: CONTACT NAME: Randy Clark PO NO: REPORT TO: PHONEIFAX: COPY TO: email: Sampled By: K.t,),y_ COtoe— SAMPLE TYPE: I = Inf#uentt, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Collection `� a `o _ C l7 'S ii v° ` m c J " Q IL m 1 S z PRESERVATION ANALYSIS REQUESTED Date Time Temp _ i x o x o _ a o m o DLcJ- Fi411 4 Storm Water - ,. I� r ,ems` C P 05 X TSS & G 1 C P X Oil and Grease, COD G� G H: �� 3 C P X Fecal Coliform / 0 I 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 Limits: TSS 100 mg1L, Oil and Grease 30 mg/L, Fecal 1000 colonles1100 ml, COD 120 mg[L. Transfer Relinquished By: Date/Time Received By: Datemme 2. Temperature when Delivered By: Comments: Resample Requested: Z� O _Q Date: ! t - 15 Time: 7 3 TURNAROUND: L)P, rochem ANALYTICAL 8 CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lib • 910.392,4424 Fax 710 Bowsertown Road, y4anteo, NC 27954 • 252 473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fat inlof kenvircntmentalchcmists.coin Sanderson Farms - St.Pauls Date of Report: Nov 26, 2018 2076 NC Highway 20 West Customer PO #: St. Pauls NC 28384 Customer ID: 16110036 Attention; Randy Clark Report #: 2018-18966 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 18-48053 Site: outfall B 11/15/2018 8:40 AM Water Randy Clark Test Method Results Date Analyzed Oil & Grease (0&G) EPA 1664 <5 mg1L 11/16/2018 Residue Suspended (TSS) W 2540 D 8.8 mg/L 11/16/2018 COD SM 522oD <20 mg/L 11 /19/2018 Fecal Coliform sM 9222D MF 880 Colonies/100mL 11/15/2018 Comment: r Reviewed by: Report #-: 2018-18966 Page 1 of 1 ENVIRONMENTAL CHEMISTS, INC OFFICE, 910-32-022311FAX 910392-44824$ Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS. DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Sanderson Farms-St.Pauls PROJECT NAME: Storm Water REPORT NO: Igg4+ ADDRESS: CONTACT NAME: Randy Clark PO NO: REPORT TO: PHONEIFAX: COPY TO: email - Sampled By: _ -f[ LC SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Sol], SL = Sludge, Other: Sample Identification Collection �~ s b a ao " m c�7 "U c ¢ 9u! m Z PRESERVATION ANALYSIS REQUESTEO°o" Time Temp a� Z oDate occf Fief g Storm Water f &Y a C P X TSS G C P X Oil and Grease, COD (G) G H: % C P X Fecal Coliform ) G C P G G C P G G C P G G C P G G C P G G C P G I G Limits: TSS 100 mgll., Oil and Grease 30 mgfl_ Fecal 1000 coloniesH00 ml, COD 120 m L. Transfer Relinquished By: DateTme Received By, Datelrme 1. z Temperature when Received: Accepted: 11-11 Delivered By: Received Requested: Time: �5 Comments: i TURNAROUND: *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 Q IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one coov of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for 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." (Signature of Permittee) IL (D e) Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wq/ws/su/ni)dessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted _November 29, 2018 CERTIFICATE OF COVERAGE NO. NCG060369 SAMPLE COLLECTION YEAR July -December 2018 FACILITY NAME Sanderson Farms (Processing Division) St. Pauls FACILITY ACTIVITIES INCLUDE (check all that apply): Processing ® use/process meats ❑ use animal fats/byproducts COUNTY Robeson DISCHARGING TO SALTWATERS? ❑YES ®NO PERSON COLLECTING SAMPLES Randy Clark LABORATORY —Environmental Chemists, Inc. Lab Cert. # 37729 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rdinfW or X 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 Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 500 A 11/15/18 35.6 7.68 <20 <5 364 B 11/15/18 8.8 8.22 <20 <5 880 1 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. 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 50 6.0 — 9.0 - 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. (ifyes, complete Part B) SWU-249 Last Revised: October 18, 2012 Pagel of 2 Sanderson Farms, Inc. GENERAL OFFICES Post. Office Box 988 - Laurel, Mississippi 39441-0988 Telephone (601) 649-4030 • Facsimile (601) 426-1461 Certified Letter Return Receipt: 7017 1070 0000 5189 3632 May 10, 2018 Division of Water Quality DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Sanderson Farms, Inc. St. Pauls Processing Semi -Annual Storm Water Report COC NCG060369 p�1R V Please find attached the Semi -Annual Storm Water Discharge Monitoring Report for January 2018-June 2018 for Outfalls A and B. Should you have any questions, please contact me at (601) 426-1S72. Sincerely, 00MA;P VAMWjl--P� Stephanie Shoemaker Manager of Regulatory and Permitting SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted _May 10, 2018 CERTIFICATE OF COVERAGE NO. NCG06_0369 SAMPLE COLLECTION YEAR _Jan -June 2018 FACILITY NAME _Sanderson Farms St. Pauls Processing Plant FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY _Robeson X❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES- _Randy Clark DISCHARGING TO SALTWATERS? ❑YES QNO LABORATORYEnviron mental Chemists, Inc.Lab Cert. fi_37729 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z 1.2" 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 or, 50 Within 6.0 — 9.0 120 30 1000 Soo 04/24/2018 54.2 7.12 <20 <5 1180 1 23.4 7.27 <20 <5 460 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. °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? F{] yes ❑ no if es complete Part Bj 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/Lmg/L TSS, pH, Standard units New Motor Oil. Usage, Annuai'average gal/mo Benchmark - 30 IW'or SO 6.o - 9.0 - 1 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. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-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 II SECTION B. a 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 copy of this DMR, including ail "No Discharge" reports, within 30 days,of receipt of the lab results for at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUSTSIGN THIS CERTIFIC4TION 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." IL L )8 ( ate Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/nodessw$ttab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 Environmental Chemists, Inc. 0 1 6602 Windmill Way, Wilmington, NC 2R405 • 910.392,0223 Lab • 910.392.4424 Fax snip 710 Lbrnvsertnwn Road, Manteo, NC 27954 • 252,473.5702 Lab/Fax 255-A Wilmington Highway, iacksunville, NC 28540 • 93.0.347.5843 1_ab/Fax ANALYTICAL & CONSULTING CHEMISTS info 1envirnnrnentalchesnists-eom Sanderson Farms - St.Pauls Date of Report: May 08, 2018 2076 NC Highway 20 West Customer PO #: St. Pauls NC 28384 Customer ID: 16110036 Attention: Report #: 2018-06356 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 18-15827 Site: outfall 8 4/24/2018 9:45 AM Water Randy Clark Test Method Oil & Grease (O&G) EPA 1664 Residue Suspended (TSS) SM2540D COD SM 52200 Fecal CoVorm SM 9222D MF Lab ID Sample ID: 18-15828 Site: outfall A Test Method Oil & Grease (O&G) EPA 1664 Residue Suspended (TSS) SM2540D COD SM 52200 Fecal Coliforrn SM 9222D MF Comment: Reviewed by: M15 _V, 01+L Results Date Analyzed c5 mg1L 04/30/2018 23.4 mq/L 04/25/2018 <20 rng/L 04/27/2018 1460 Colonies/100mL 04/24/2018 Collect DatelTime Matrix Sampled by 4/24/2018 9:45 AM Water Randy Clark Results Date Analyzed <5 mq/L 04/30/2018 54.2 mg/L 04/25/2018 <20 mg/L 04127/2018 1180 Colonies/1 OOmL 04/24/2018 Report #. 2018-06356 Page 1 of t 6602 Windmill ton, 28405 ENVIRONMENTAL CHEMISTS, INC OFFICE: 1 a2 =FAxngio- 2-4424 Analytical & Consulfing Chemists NCOENR: DWQ CERTIFICATION # 94 NCDHHS: OILS CERTIFICATION # 37729 infoeenvironmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Sanderson Fags-St.Pauis PROJECT NAME: Storm Water REPORT NO: r- 6 6,55 (p ADDRESS: CONTACT NAME: Randy Clark PO NO: REPORT TO: PHONE/FAX: COPY TO: email: Sampled By: AWA SAMPLE TYPE: I = Influent, E = Effluent, W = Well, Si = Stream, SO = Sall, SL = Sludge, Other: Sample Identification Collection 8 E W a cCZ s- a t U W c IM 1 z PRESERVATION ANALYSIS REQUESTED Date Time Temp z z c i o = o z c o Storm Water {� D9 C P X ITSS G G tip t C P I I X I 1 Oil and Grease, COD G G pH: �.03 C P X Fecal Coliform / G I 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 Limits: TSS 100 mgIL, Oil and Grease 30 rnglL, Fecal 1000 coloniesl100 ml, COD 120 ntg1L. Transfer Relinquished By: DaterTime Recei ed By: DataMme 1. jq-Z�l 12111 2. Temperature when u Delivered By: _ Received By:-C `� Date: `f= 0-41b Comments:_ _ _ TURNAROUND: ill mIngton ENVIRONMENTAL CHEMISTS, INC �� :9 0-M2-0223 a IFAX910-392-442240S Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 Info9environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Sanderson Farms-St.Pauls PROJECT NAME: Storm Water REPORT NO: tog- ! 0 ADDRESS: CONTACT NAME: Randy Clark PO NO: REPORT TO: PHONEIFAX: COPY TO: email: Sampled By: i - SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other Sample Identification Collection 8 a I" p Eon c .9 5 a L t 4 " g Z PRESERVATION ANALYSIS REQUESTED Date Time Temp z = # g x o Z Storm Water -�' I$ C P ooz X TSS G G Duf FRIi f3r C P X Oil and Grease, COD G G H: //Z- C P X Fecal Coliform 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 Limits: TSS 100 , Oil and Grease 30 mglL, Fecal 1000 colonies/100 ml, COD 120 mg1L. Transfer Relinquished By: Datelrime R ived y: DataMwe 2. L Sandersoll Sanderson Farms, Inc. GENERAL OFFICES Pbst Office Box 988 • Laurel, Mississippi 39441-0988 Telephone (601) 649-4030 • Facsimile (601) 426-1461 Certified Letter Return Receipt:_ 7016 1370 0002 1036 5879 December 28, 2017 Division of Water Quality DWQCentraI Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Sanderson Farms, Inc. St. Pauls Processing J4N I Semi -Annual rm Water Report AFORD COCNCG060369 Np drT�QN Please find attached the Semi -Annual Storm Water Discharge Monitoring /�Report for July 2017- December 2017 for Outfalls A and B. Should you have any questions, please contact me at (601) 426-1572. Sincerely, Rx� Stephanie Shoemaker Manager of Regulatory and Permitting SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 12/28/2017 CERTIFICATE OF COVERAGE NO. NCG06_0369 SAMPLE COLLECTION YEAR _July -Dec 2017 FACILITY NAME _Sanderson Farms St. Pauls Processing Plant FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY _Robeson © use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Randy Clark DISCHARGING TO SALTWATERS? []YES 2NO LABORATORYEnvi ronmen Lai Chemists, Inc.Lab Cert. #_37729 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rain fall 2 0.7" or n No discharae this neriod3 Outfall No. Sample'Collected, and/dd/yi• ' .''` TSS; mg/L - pH� Standardlunits; COD, . �";. ing/L.. .; Oil and Grease, mg/L " Fetal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark 106 or 50 'Within 6:0'= 4.0 : `° ._ '120 30 1000 500 12/8/2017 30 7.52 64 <5 280 12/8/2017 7.7 8.32 <20 <5 163 1 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. °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 S5 gallons of new motor oil per month? E] yes ❑ no (if yes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 5S gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease,..., - : mg/L < 15S; - rog/L - pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 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 noifischarge 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. SWU-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 II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, 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 Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "1 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 Qf fines and imprisonment for knowing violations." a (Da ) Additional copies of this form may be downloaded at: htt ortal.ncdenr,or web w ws su n dessw#tab-4 SWU-249 Last Revised: October 18. 2012 Page 2 of 2 E`t- ANALYTICAL Environmental Chemists, Inc. 6602 Windmill Way, Wilminghai, NC 28403 • 910.392.0223 Lab • 910.3924424 Fax 710 Bowsertown [toad, Manteo, NC 27954 • 2,92.473.5702 Leib/lax 255-A Wilmington f'iighway, Jacksonville, NC 28540 • 910.347.5843 Lnb/Fax in fn!a,environmen t.ilciterllists.conl Sanderson Farms - St.Pauls Date of Report: Dec 21, 2017 2076 NC Highway 20 West Customer PO #: St. Pauls NC 28384 Customer ID: 16110036 Attention: Randy Clark Report 0: 2017-19179 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 17-46505 Site: sample pt A 12/8/2017 8.25 AM Water Randy Clark Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12118/2017 Residue Suspended (TSS) SM 2540 D 30.0 mg/L 12/11/2017 COD SM 5220D 64 mq/L 12/11/2017 Fecal Coliform SM 9222D MF 280 Colonies/100mL 12/08/2017 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 17-46506 Site: sample pt B 12/8/2017 8:45 AM Water Randy Clark Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12/18/2017 Residue Suspended (TSS) SM 2540 D 7.7 mg/L 12/11/2017 COD SM5220D <20mg/L 12/11/2017 Fecal Coliform SM 9222D MF 163 Colonies/100mL 12/08/2017 Comment: Reviewed by: Report C 201749179 P..., , � , f I1 ENVIRONMENTAL CHEMISTS, INC a�,E910-3 2-0223imingtonFAX910392-4422445 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info0environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Sanderson Farms-St.Pauls PROJECT NAME: Storm Water REPORT NO; ADDRESS: CONTACT NAME: Randy Clark PO NO: REPORT TO: PHONE/FAX: COPY TO: email: Sampled By: Ag n L. Lr N, IdL SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sam le IdentiflCation P Collection m a s $ o m U° ;n ^ = o tia m o m Ug a m gz PRESERVATION ANALYSIS REQUESTED Date Time Temp �+ $ _ = i a r o Storm Water C U v1 X TSS /�-5-17 G C X Oil and Grease, COD 0 (5 pH: C C�--) X Fecal Colrform 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 Limits: TSS 100 mg/L, Oil and Grease 30 m91L, Fecal 1000 colonies/100 ml, COD 120 mg1L. Transfer Relinquished By: DOWTIme Received By: atelTime I 2. Temperature when Received: Accepted: " I ReR"" ted: Resample Req ested: Delivered By: Received Sy:� IAI Date: �Z -- Time: k I Comments: TURNAROUND: mington, NC 28405 ENVIRONMENTAL CHEMISTS, I N C OFFICE: 9 0-3928�31FAX 910-392-4424 Analytical 8 Consulting Chemists NCDENR: DWQ CERTIFICATION #i 94 NCDHHS: OLS CERTIFICATION ## 37729 info®environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Sanderson Farms-St.Pauls PROJECT NAME: Storm Water REPORT NO: 1 --- V7 ADDRESS: CONTACT NAME: Randy Clark PO NO: REPORT TO: PHONEIFAX: COPY TO: email: Sampled By: ' SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification ,A, f Collection 8 F m � e p o �° t _ c �i . o " a m C y `o om " 0 La M °° = PRESERVATION ANALYSIS REQUESTED Date Time Temp LU Z 8 _ g _ o o Storm Water C C� `b1 X TSS - 8-17 084,T G ( C X Oil and Grease, COD [G7 H: , 9 01.14 X Fecal Coliform rG) 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 Limits. TSS 100 mg/L, Oil and Grease 30 mg/L, Fecal 1000 colonies/100 ml, COD 120 mg/L. Transfer Relinquished By. Dat&Mme veal By Date/Fime 1. , -4 2. Temperature when Received: M Delivered By: Received Comments: Time: 1 � 1 I Sanderson Farms, Inc. _ GENERAL OFFICES _-N, FarmsPost Office Box 988 - Laurel, Mississippi 39441-0988 Telephone (601) 649-4030 - Facsimile (601) 426-1461 Certified Letter Return Receipt: 7016 1370 0002 1036 3066 May 15, 2017 Division of Water Quality DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Sanderson Farms, Inc. St. Pauls Processing Semi -Annual Storm Water Report COC NCG060369 Please find attached the Semi -Annual Storm Water Discharge Monitoring Report for January 2017-June 2017 for Outfall B. Should you have any questions, please contact me at (601) 426-1572. Sincerely, *04w_ jhmw"el Stephanie Shoemaker Manager of Regulatory and Permitting SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 5/15/2017 CERTIFICATE OF COVERAGE NO. NCG06_0369 SAMPLE COLLECTION YEAR _Jan -Jun 2017 FACILITY NAME Sanderson Farms St. Pauls Processing Plant FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY _Robeson _ O use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES _Randy Clark DISCHARGING TO SALTWATERS? ❑YES [j]NO LABORATORYEnvi ron mental Chemists, Inc.Lab Cert. t1_37729 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE -> Total event roinfoll Z 3.5" [A No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pl•l,; Standard unit COD, -mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 160 or 50 ,- Within 6.0-9.0_ 120 30 1000 Soo B 4/24/2017 97.5 6.82 39 <5 >60 000 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 outfalis. 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? R] 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 50 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 a_,_y 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) 5WU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: 0 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 original and one copy of this DMR including ull "No Discharge" reports, within 30 days of receipt of the lab results for at end of 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." (Signature of Permittee r (D te) �7 Additional copies of this form may be downloaded at: http://portal.ncdenr.orit/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 Environmental Chemists, Inc. fi6(J2 �A)i11d1]1111 Way, LVilmjllgton, NC 28405 . 9 [0.392,0223 Lab . 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax 255-A Wimington Highway, Jacksonville, NC 28540 . 910.347.5843 i,ab/Fox ANALYTICAL & CONSULTING CHEMISTS inforii';cnvironnlenialchemists.com Sanderson Farms - St.Pauls Date of Report: May 09, 2017 2076 NC Highway 20 West Customer PO M. St. Pauls NC 28384 Customer ID: 16110036 Attention: Randy Clark Report #: 2017-05647 Project ID: Stormwater Lab ID Sample ID: Collect DatelTime Matrix Sampled by 17-13387 Site: SW Discharge Point B 4/24/2017 11:00 AM Water Randy Clark Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 05/0412017 Residue Suspended (TSS) SM 2540 D 97.5 mg1L 04/25/2017 COD SM 5220D 39 mglt_ 05/01/2017 Fecal Coliform SM 92220 MF >60000 Colonies/100mL 04/24/2017 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 17-13388 Site: SW Discharge Point A 4/24/2017 11:20 AM Water Randy Clark Test Method Results Date Analyzed Oii & Grease (O&G) EPA 1664 <5 mg/L 05/04/2017 Residue Suspended (TSS) SM 2540 D 107 mg/L 04125/2017 COD SM 5220D 52 mg/L 05/0112017 Fecal Coliform SM 92220 MF 39000 Colonies/100mL 04/24/2017 Comment: Reviewed by: Ly 0 Reportn:: 2017-05647 ca^. I M ENVIRONMENTAL CHEMISTS, INC OFFICE:910Windmill 2a�31FAX910 28405 Analytical 8 Consulting Chemists NCDENR: DWO CERTIFICATION 0 94 NCDHHS: DLS CERTIFICATION # 37729 into@environmentalchemists.corn COLLECTION AND CHAIN OF CUSTODY Client: Sanderson Farms-St.Pauls PROJECT NAME: Storm Water REPORT NO: ' ADDRESS: CONTACT NAME: Randy Clark PO NO: REPORT TO: PHONE/FAX: COPY TO: email: Sampled BV: 1 r.,Ae U SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification p Collection a m m s o a o 2 ° IF p c a _ o c o d+ n o W m m �Z PRESERVATION ANALYSIS REQUESTED Date Time Temp iu z Q i xo i a o Storm Water C q I X TSS rG G etpz F'oiov B C X Oil and Grease, COD G) H:� C } X Fecal Coiiiorm L AGO C P G G C P G G C P G G } fE'V7.' j).. j,qt e Frjj-� 14 C C 33 %Ss ! C� G �%s7L-5 C �Nrn� I C O x 45 jzL — C ZO (GI i W3 4 J C �P r, i�7G) G Limits: TSS 100 m91L, Oil and Grease 30 m , Fecal 1000 colonievA00 ml, COD 120 mg/L. Transfer Relinquished By: DateTme Received By- DateMme 1. 2. Temperature when Delivered By: Received By: Comments - Requested: Time:/3S TURNAROUND: IV c, SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 4/14/2017 CERTIFICATE OF COVERAGE NO. NCG06_0369 SAMPLE COLLECTION YEAR _Jan -Jun 2017 FACILITY NAME _Sanderson Farms St. Pauls Processing Plant FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY _Robeson ® use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Randy Clark DISCHARGING TO SALTWATERS? []YES [j]NO LABORATORYEnvironmental Chemists, Inc.Lab Cert. #_37729 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1.1,, ® 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 Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or. SC Within 6.0— 9.0 120 30 low 5o0 A -Hwy 20 3/31/2017 1840 6.S4 269 <5 91 ='- m em ' Only applies to facilities that use/process meats. DWR SECTION 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. 4See 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? R] 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, rrig/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 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. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if Yes, complete Part 6) SWU-249 last Revised: October 18, 2012 Page I of 2 J 4 *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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of 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 ofrl:ines lar+ad imprisonment for knowing violations." 13 (oath) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wp/w5/su/npdessw#tab-4 SWU-249 Last Revised: October 18. 2012 Page 2 of 2 4. Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NIC 28405 • 9711.392.0223 i_nh • 910.392.4-124 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington F{ikhivav, Jacksonville, NC 28540 • 910.3.47.5843 1-ab/Fax ANALYTICAL & CONSULTING CHEMISTS infnri�envirunnlentalchemisls.coin Sanderson Farms - St.Pauls Date of Report: Apr 11, 2017 2076 NC Highway 20 West Customer PO M. St. Pauls NC 28384 Customer 1D: 16110036 Attention: Randy Clark Report #: 2017-04531 Project ID: Stormwater Lab ID Sample ID: Sanderson St. Pauls SW Collect Date/Time Matrix Sampled by 17-10693 Site: HWY 20 Discharge Side 3/31/2017 8:18 AM Water Randy Clark Test Method Results Date Analyzed 00 & Grease (0&G) EPA 1664 <5 mg/L 04/04/2017 Residue Suspended (TSS) SM 2540 D 1840 mg/L 04/03/2017 COD SM 5220D 269 mg/L 04/03/2017 Fecal Coliform SM 9222D MF 91 Colonies/100ml- 03/31/2017 Comment: Reviewed 0 Report #:: 2017.04531 Page 1 of 1 ENVIRONMENTAL CHEMISTS, INC Analytical & Consutting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 3TM COLLECTION AND CHAIN OF CUSTODY 8G02 Windmill Way Wilmington, NC 28405 OFFICE: 910,392-= FAX 910.392-4424 Info Oenvironmentatchemistacom Client: Sanderson farms-St.Pauis PROJECT NAME: Storm Water REPORT NO: / ADDRESS: CONTACT NAME: Randy Clark PO NO: REPORT TO: PHONEIFAX: COPY TO: email: Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Ident�lifon Collection 8 E a = o V m ^ o 2 a as'MW PRESERVATION ANALYSIS REQUESTEDz Time Temp Q =Dato x z oE cz q �ica�t NiY1�� CCt'3�vr'�G-�l-1 Storm Water f ( C P 3 3 X TSS G C P X Oil and Grease, COD �i G pH:Y ��.$G C I CO X Fecal CoG#omI D$'I' 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 Limits: TSS 100 mg/L, Oil and Grease 30 mgA_, Fecal 1000 colonies/100 ml, COD 120 mg/L. Transfer Relinquished By: Daterrime f Regaived By: Date/Time 1 /- 7 (.L �u aP--- Z Temperature when R ived: -3 Accepted: i/ Delivered By: Received By: Comments: V/ -7 Time:'-? TURNAROUND: