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HomeMy WebLinkAboutNCS000130_MONITORING INFO_20181205----STORNIWATER"DIVISION-CODING-SHEET PERMIT NO. �C� COD Iw DOC TYPE ❑FINAL PERMIT MONITORING INFO APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE lK, Z0116 l2 05 � YYYYMMDD Y F' Y Peralue Foods Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.corn Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 December 5, 2018 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECEIVED DEC 10 2018 DEQ-FA�f ETTEV4LLE REGONAL OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the November monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on November 8, 2018 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, eaj Paul B. Roberts cc: Fayetteville Regional Office Regional Environmental Manager Division of Water Resources brace .roberts Qperduexom 215 Green Street Fayetteville, NC 28301 Perdue Foods. A Heritage of lnnovation. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS C!��W 13 U rRO A FACILITY NAME t � n " LA- -- PERSON COLLECTING SAMPLE(S) 1 A r+-. 00/1 e. CERTIFIED LABORATORY(S) Lab # +' ,l Lab # 1 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: Cj o r (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the �laboratory.) COUNTY ; LYE MONCY PHONE NO. (91Q) 997—T&Y SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1 1: II I Ic Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓es no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfali - Date 50050- 60556 00530 00400. No ` Sample `:' Tot�I Fiow" - Totai Oil & Grease Non polar, . Total pH New'Mofi' _. or Collected - (if applicable) Rainfall (if appl.} O&GLYPH Suspended.. Oil Usage (Method 1664 Solids. ;5 SGT-HEM); if. spel. C. moldW r' MG. -. _ _ .inches _mFA unit - allroo 1 r N! , Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date `6 a Y! l K Attn: Central Files Total Event Precipitation (inches): �' (� 1617 Mail Service Center Event Duration (hours): (only if applicable— see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable— see permit_) "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, includjog the possibility of fines anAimprisonment for knowing violations." (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Perdue Foods Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 November 2, 2018 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RE CEIV NOV 0 l 2018 /0.117- "1-44 DEC-FAYETTEVILLE REGIONAL OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the October monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on October 9, 2018 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, PM4— a,r4l� Paul B. Roberts Regional Environmental Manager bE'_ucep.roberts a perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street Fayetteville, NC 28301 Perdue Foods. A Heritage of Innovation. 1 i i ..F� y ' - .� % _ 1 a f STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 0 1) 1 3 0 FACILITY NAME L&-P— PERSON COLLECTING SAMPLE(S) ,' a_�9_ CERTIFIED LABORATORV(S) Lab # O -Lab #__a_: Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: A0 I � (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. (COO) r7 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1 1Sample DateII Collected I Tota1 Flow if app-) _C 19 W', r r r ���`=14�MM�A Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements yes _no Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&GITPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m Ii unit gallmo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: r �� ! Division of Water Quality /r Date 1 n Attn: Central Files Total Event Precipitation (inches): E ` i 16I7 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-16I7 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit_) "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." //Az 1181- (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 s E ARM:, rL! .� Perdue Foods Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC, 27699-16.17 October 8, 2018 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECEIVED OCT 12 2018 DEQ.FAYETTEUlLLE REGIONAL OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the September monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part 11; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on September 5, 2018 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Vlai8. Paul B. Roberts Regional Environmental Manager brucep.roberts@perdue.com perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street Fayetteville, NC 28301 Perdue Foods, A Heritage of Innovation. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000 I G FACILITY NAMEWr_U V` 1'r� PERSON COLLECTING SAMPLE(S) a CERTIFIED LABORATORY(S) Lab # M►(�d`:� kQ. Lab# --a:::: Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR, (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY R ;, 0—kr^QPJ PHONE NO. SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. I r I Date, Sample 11 1 I ' l 1 MEW Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity MonitoringRe uirements Outfall Date:. I 50050-. _ 00556 .. 00530 00400. :. _ Total Flow_ Total '' Oil &Grease -pola Nonr Total , H p New Motor No.. p.. Sane'le Collected ,(if applicable) Rainfall . (if apPl•) O&GlTPH Suspended. Oil Usage' (Method 1664 Solids SGT-HEM), if; ti appi. mo/dd/ r ' MC _ niches ': in " my unit al/mo STDOWT Ds-/d r, 49-1-00 Form SW-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date �I %��/� Attn: Central Files Total Event Precipitation (inches): 0150 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable -- see permit_) "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) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 OMICROBAC`: Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K810052 Perdue Project Name: Stormwater Samples - Monthly Mr. Williams Moore Project / PO Number: 7226367RK (2018) 416 S. Long Drive Received: 09/05/2018 Rockingham, NC 28379 Reported: 09/21/2018 Case Narrative Report amended on September 21, 2018 for work order KBI0052 that was originally reported on September 20, 2018; Corrected value for fecal coiiform results Field pH (by client): 6.4 Analytical Testing Parameters Client Sample ID: Stormwater, grab Sample Matrix: Aqueous Collected By: Pate Lab Sample ID: K810052-01 Collection Date: 09/06/2018 10:00 Wet Chemistry Result RL Method: Calculation Total Nitrogen 4.32 0.0300 Method: EPA 1664 Rev. S Oil R Grease (SGT HEM) <5.00 5.00 Method: EPA 300.0, Rev. 2.1 (1993) Nitrate as N 2.44 0.0300 Nitrite as N 0.354 0.0500 Method: SM 2540 D-2011 Total Suspended Solids 6.00 4.17 Method: SM 4500 P F-2011 Phosphorus, Total 0.14 0.050 Method: SM 4500-Norg C-2011 Total Kjeldahl Nitrogen 1.62 1.00 Method: SM 6220 D-2011 COD, Total 25.8 10.0 Units Note Prepared Analyzed Analyst mglL 09/07118 0913 TAB mg1L 09/18/18 1200 TAB mglL 09105118 1108 09/05/18 1027 DSK mg1L 09/05118 1108 09/05/18 1627 DSK mg1L 09/00/18 1119 MT mg1L 09/10/18 1125 DSK mg/L 09/07/18 0013 TAB mg1L 09/10/18 0900 DC Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Analyst Filtration Method: SM 9222 D-2008 Colitorm, Fecal >28800 (est. per 100 mL 09/05/18 1601 JR value) Definitions RL: Reporting Limit Microbac Laboratories, Inc. 2692 Hope Mills Rd I Fayetteville, NC 283061910.864.1920 p I www.microbac.com Page 1 of 3 Fayetteville Division 2592 Hope Mills Road Fayetteville, NC 28306 (910) 864-19201 W4-8774 fax-K810052* CHAIN OF CUSTODY RECORD ..- ri .. ONLY S.. . Acetate a-. a '► .,.. Rd.�ngrilslm� by: wit d b .. uaa—j Tlnie _ 3 fi�t! Time �'.:tr. Y 4MaL `E 151 I '1 �qurseea eTkMe jr iu 7 is 1 te time 5 6 PH Fjew : 4,0- qY Temp Frield 4: Cif Guy /r_ L20 MUMS Turnaround time_: REGULAR RUSH t� Comments or Special Hazards: Own IS DATA FOR REG. COMPLIANCE PURPOSE? YES— NO AfHCl-i; . 1 REVIEWED Page 3 of 3 *% E Perdue Foods • !M Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com September 24, 2018 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, DtL:1vtU MUM SEP282018 �4� /L�r FAYET EVIL E REG 0 AI.OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the August monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on August 22, 2018 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com Perdue Foods. A Heritage of Innovation. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS Poo 130 FACILITY NAME?I!Z- C t '� C� �--�`� N� kiin, PERSON COLLECTING SAMPLE(S) r•1 $i CERTIFIED LABORATORY(S) Lab # t,0' fb Lab #� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: DCo f (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY jR �--� f * � d /'J � PHONE NO. (91) SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1 1. II I"I "JIM M1�96WMIAA Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements yes _no ;Uutfall �= Date 5t105o ; ' OOSS6 OD530 004013 No Sample Total Flow Total` Oil & Grease,. Non polar Total:- t pR New Motor' ' Collected :(if applicable).'. a Rainfall (If:appl) _. O&G/TPH Suspended c w 'O11 Usage `` { ;(Method 2664: Solids SGT HEM), �f t roo/ddt "r .- MG" inches m` m '` :. ; :4 unit -al/mo G. a. 7` Form SW-247, last revised 21212012 Page] of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: �y %n Division of Water Quality Date �S / d`/a Q Attn: Central Files Total Event Precipitation (inches): d 3 l� 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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) <�;e Ta!y (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Microbac Laboratories, Inc: - Fayetteville CERTIFICATE OF ANALYSIS K8HO349 Perdue Project Name: Stormwater Samples - Monthly Mr. Williams Moore Project / PO Number: 7226367RK (2018) 416 S. Long Drive Received: 08/22/2018 Rockingham, NC 28379 Reported: 09/06/2018 sse Narrative eld pH (by client): 6.4 nalytical Testing Parameters Client Sample ID: Stormwater, grab Sample Matrix: Aqueous Collected By: Moore Lab Sample ID: 1<81-10349-01 Collection Date: 0812212018. 9:30 et Chemistry lethod: Calculation rota) Nitrogen lethod: EPA 1664 Rev. B X & Grease (SGT-HEM) -shod: EPA 300.0, Rev. 2.1 (1993) Nitrate as N Nitrite as N lethod: SM 2540 D-2011 Total Suspended Solids +lethod: SM 4500 P F-2011 Phosphorus, Total Aethod: SM 5220 D-2011 COD, Total Aicroblological Parameters by Membrane titration Aethod: SM 9222 D-2006 Collform, Fecal Result RL Units Note Prepared Analyzed Analyst 1.76 0.0300 mg1L 081221181514 08/22/181810 DSK 45.00 5.00 mg/L :08129118 10D5 TAB 1.76 0.0300 mg1L 081221181514 081221181610 DSK a0.0500 0.0600 mg1L 06/221181514 081221181610 DSK 12.7 4.17 mg1L 06/23/18 0939 MT 0.13 0.050 mg/L 08/301181106 JR 23.8 10.0 mglL 08/28118 0000 0C Result RL Units Note Prepared Analyzed Analyst <1.0 1.0 per 100 mL Z10 08/22/18 1612 JR Meld Sampling/Testing Result _ RL __ Units __ Note Prepared Analyzed Analyst Aethod: Field Chlorine Residual (Free) 0.020 mg1L 08122/18 0930 CLT Analyses Subcontracted to: Microbac Laboratories, Inc. - Ohio Valley Result RL Units Note Prepared Anal razed Analyst Mlcrobac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 057 Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS KBH0349 Client Sample ID: Stormwater, grab $ample Matrix: Aqueous Collected By: Moore Lab Sample ID: K81-10349.01 Collection Date: 08/2212018 9:30 Result RL units Note Prepared Analyzed Analyst Method: EPA351.2 Nitrogen, Total KJetdehl 0.789 0.200 mg/L 08/31/18 1151 TB Definitions MDL: Minimum Detection Limit RL: Reporting Limit Z10: >18100 Project Requested Certification(s) Microbac Laboratories, Inc. • Fayetteville 11 North Carolina DENR NPDES Report Comments Samples were received In proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and Information on this, and other accompanying documents, represents only the sample(s) analyzed. This report Is Incomplete unless all pages indicated In the footnote are present and an authorized signature Is Included. Reviewed and Approved By,. Jeanne Overstreet Client Relationship Specialist, Environmental Reported: 09/0612018 12:54 Microbac Laboratories, Inc. 2592 Hope Wis. Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbee.com Page 2 of 3 `K8N0349* Microbac•Feye ttavllla SHORT HOLDS ACCEPTED MONDAY- THURSDAY UNTIL Y600 � I MICROBAC Faye Hopi Mills C263 NCHAIN umber �v' Fayetteville, NC 26306 Number N gA J�J�q l mtrucflone Lab Report Address Invoice Address Turnaround Time TO BE C0f.,._ Client Name: Pstdue Cllant Name; Perdue _ [] Routine (74 buainsas days) Temp. Upon Recelpt ( �, s� Thdim 10 Address: 416 S. Lang Drive _ _ Addrose; 416 S. Long Drive [] RUSH* (notify lab) Holding Time City, State, Zip: Ro kineham NC_ 20370 _ City. State, Zip: B !flpRdllSii RQ7Z�, _ _ " (needCd by) Samples Received on Ito? Yes No NIA COnlact; William Moore Contact: Willkam Moore Report Type Custody Saals Intact? Yes No NIA Telephone No.; 010,997.034 Telephone No.: 01O•927.1634 Results Only [ ] Level 1 [] Level Lev413 i ] Laval [ ] BDD Send Report via: [ ] Mall I ] Fax I ) a -mall Send Invoice via: Project: &tormwater Location: PO No.: Compliance MoAltoring7 I JYea [] No I IAgsnwfprogram SamplCd by (PRINT): ://,�r Samphr Slgnscural � .�+ sempivr Rpone Nos • MalrixTypes: SollrSoild IS). Siudga, 011, Wipa, D40ing Waier (OW), Groun -iiar (Qm. Surisce Water (SW), Waste WSW MAN). Other ispecity) Proservallve Types: I1) NN03, (21 H2SO4, (3) HCi. (4) NeOH, (5) Zinc Acetate, (a) Memanol. p) Sodium alsullota, (0) Sodium Thlosullats, (e) Hexanei (U) Yppraserved urrrlkis- aua. Vt.e r ���l��'ll�ll/1/111111 .... , . �i��■�i■■�■■a■�i�a■©id■iiiiiiii■■i■ �■■a■re�■a■■■e■■■■N■■■■■■■ ■■■■■■R■��■■�■■■■■■■W■■■■■■■■■■■■ ■■■■■■■■■■■r■■■■�■■■N■■M■■■■■■■■■■M■■■■r ■■�■■■■■■=■■■=■■■M■■■■■■M■■■■■■■ Possible Hazard IdentIflcatio [ ] Hazardous [ ] Non -Hazardous [ ] Radioactive Comments! n r1 Relln 7, Ishy By (ijip azure) X n lurtV illsihn u shad By (signature] "'LaITIrp z e I. Sam [] Dispose as appropriate []Return [] Archlva I '{.le0 rl ils /31A'st i 9 DatefTtms Received By (signature) 11:l 6 RtUtiftU IDEQIDVVR AUG It 2018 Perdue Foods r _ w���otc Perdue Foods LLC Environmental Services 416 south Long Drive August 16, 2018 Rockingham. NC 26379 www,perdue.com, Central Files Division of Water Resources AUG i I Zold 1617 Mail Service Center Raleigh, NC 27699-1617 DEQ.FAYE7EVILLE REGIONAL OFFICE Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the April monthly storm water. monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on July 26, 2018 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, �6�Xi 6� Paul B. Roberts Regional Environmental Manager brucep.roberts(amerdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street Fayetteville, NC 28301 Perdue Foods. A heritage of Innovation, STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 0C90 1 3 0 FACILITY NAME e-s` -2._ PERSON COLLECTING SAMPLES) t 2� CERTIFIED LABORATORY(S) Lab # S-'- f\Q A C. Lab # Part A. Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 21 ff (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) r rr COUNTY C-1A AN c3...r PHONE NO. o. SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. iitf ll ,�',4, ` Ha m:. Da .•'-n�,�,n } a''. rSam le.Tota14 ^�.. �`'���,'i..� [Collected wt�F�w ' f r=•ti^i-. S '.1 `�' .'r-.4 P�'L � a ��, .'T�: z ?Tbta1,�-= Flow: �f.a '�--rc�r ...�-_ Rainfa _53 `{,C:.��t f.AZA jfll h. dam. , _� .`�',y : °•.`M_ Fi �'.:; e . .��.7•�i s"� xnT sS'rw-"rV.y. '::r• �:.ef^'t_ --. - _ _tea er Po. t� 5 Z" - f ,x' �":r-":14"'k�-.,�..^ j•D=; x 3Y, &. M Y' �' r .' z. -r_ Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no (if yes, complete Part B) Part Bi Vehicle Maintenance Activity Monitoring Requirements Otltfall • Date� 50050 G, 011556,i, - 00530 �.. , 40400 h. FNo `'* Saple; ` Flow Totals f Oei &�Gre_ase :No polar ' Total`s pH Neiv Motor' ,Total Collected f{�f a livable " Rainfall LQ&G/[PH a `Sus ended Oil Usa e �'J1 4�. Method �yy ,� Ln", �! 1L -a SGT HEM),,�f 3io E..: ,x ;g �g F Form SWUT 247, list revised 21212012 Pagel of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date �7 o�t*o / / Attn: Central Files Total Event Precipitation (inches): �' ( 1617 Mail Service Center Event Duration (hours): -2, (only if applicable - see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable - see permit.) "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) Km//,S (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Perdue Mr, Williarns Moore 416 S. Long Drive Rockingham, NC 28379 Case Narrative Field pH (by client): 6.0 Analytical Testing Parameters OWMICROBAC(. Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8GO387 Project Name: Stormwater samples - Monthly Project / PO Number: 7226367RK (2018) Received: 07126/2018 Reported: 08/03/2018 Client Sample ID: Stormwater, drab I n Sample Matrix: Aqueous Collected By: Client Lab Sample 10: I(8h0387-01 Collection Data: 07/26/2018 10:00 Wet Chemistry. Result RL Units Note Prepared Analyzed Analyst Method: Calculation Total Nitrogen 2.64 0.0300 mg1L 07127/18 0920 07/27)18 1602 DSK Method: EPA 1064 Rev. B Oil & Grease (SGT-HEM) f <5,00 5.00 mg1L 08102116 0933 TAB Method: EPA 300.0, Rev. 2.1 (1993) j Nitrate as N 2.32 0.0300 mg/L 07/27/18 0920 07/27/18 1e02 DSK Nitrite as N 0.223 0.0500 mg1L 07/27/18 0920 07/27/18 1502 DSK Method: SM 2640 D-2011 ' Total Suspended Solids 7.00 4.17 mgli- 07/31/18 0921 MT Method: SM 4600 P F-2011 ; Phosphorus, Total 0.67 0.050 mg/L 08/02/18 1437 DSK Method: SM 5220 D-2011 COO, Total 71.5 10.0 mg/L 08/03118 0842 DC Microbiological Parameters by Membrane; Result RL Units Note Prepared Analyzed Analyst Filtration Method: SM 9222 D-2006 Coliform, Fecal 3000 1.0 per 100 mL 07/20/18 1812 DC Field SamplingJTesting Result RL Units Note Prepared Analyzed Analyst Method: Field Chlorine, Total 0.20 mglL 07/26/18 1000 CLT i Analyses Subcontracted to, ECI Wet Chemistry Result. .._ . RL Units Nate Prepared Analyzed Analyst iMicrobac Laboratories, Inc. 2692 Hope Mills Rd Fayetteville, NC 28306 1910,864.1920 p I www.microbac.com page 1 of 3 �MICROBAc`. Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OFANALYSIS K8G0387 Client Sample ID: Stormwater, grab , �- Sample Matrix: Aqueous Collected By: Client Lab Sample ID: K800387-01 Cotlectlon Date: 07/26/2018 10:00 Wet Chemistry F Result RL Units Note Prepared Analyzed Analyst Method: SM 4600-Norg C-2011 Total Kjeldahl Nitrogen 3 1 mglL 08/03/18 0000 MO Definitions RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPOES Report Comments Reviewed and Approved 8y: Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents Jeanne Overstreet only the sample(s} analyzed. This report is incomplete unless all pages indicated Client Relationship Specialist, Environmental in tire footnote are present and an authorized signature is included. jeanne.overstreet@microbac.com 06/03/2018 16:67 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 2 of 3 f �=i^�'�• 3,r i tl] 'lU-1-i.. Arm nbac-Fay2devSle 2592 E opas ldrIISRiL Ea tWje, PVC 2830 Lab Reportlddress Client Name: Peraue Address: 416 S. Long Drive City, Stara, .Tip: Rockingham NC 28379 _ Contact Wfiiam Moore Telephone No-: 910497-8634 Send Report via: [ ) Mail [ ) Fax [) e-mail Pruiect: Storm Water Win: `K8G03 _SHORT HOLDS ACCEPTED MONDAY- THURSDAY UA _ 1500 yy�q CHAIN OF CUSTODY RECOt Aiamber lrs�urti3ns an hark Turnaround Time TO BE COUPLETED EY WCF. Perdue [] Routine (7-9 business days) Te-p Upon Receipt (°C) k Therm ID 476 S, Lpng Drive [] RUSH' {notify tab) potding Time i gq!&ahan NC 23379 (needed try) Samples Received on ice? Yes No WA wriliam Moore Report Type Custody Seals Intact? Yes No NIA 910-997$634 Results Only [ j Level i j j Level 2 j ] Level3 [ j Level 4 [ j EDD Send Invoice via: [ ] tdiat7 [) Fax [] -mail' PO No_: Compliance Uanifo#nV_ [ ) Yes [ ] No [) Aziercy.'Progr-em sampled by (PRINT): $ample: Sigrtaaere: Sampler Phone No.- - Matrix Types_ Sludge. Gel, Wipe, Danking water (Dwj. Grou xhvater (GM, Surface water (SUM}. waste WaLer (ww), other (speci6j) "PMsov=ve Types: (1) HNO3, (2) H2SO4, (3) HCJ, (4) NaOH. (5) ZimAmUft (6) Methanol. (7) Sodium Bisul.'ate. (8) Sodium Thiosulfate, (S) Hexane. (U) Unpreserved RFOIJFSTEf] AMALYSIS Invoice Address Client Name: Address: Cdy, State, Zip: Contact Telephone No.; Lab iD Client Sample ID Date Collected Time Collettad No. of Containers Matrix C'� Comp x o cs B type ' Preservative r/a, _ Addii7onal Noies l idlanthly-Effluent `1.r* c� 1- ld=dr> 1 .comp U x f r r t ? %r(O �€}? 4!J t Grab 2 X 1 U Grab I U X ' 2 XI f(: 1 Grab 6 I X s I I I I 1 1 1 l Possible Hazard ldentitxcatio [] Hazardous [j Non -Fla ardous [] Radioactive By (signature) Sam [] Dispose as appropriate [) Return [) Archive D2tefDme 4sr9a Date/rme , e By (sig ) Daterrime ° Received By (signature) Date.Time __ A Paae 3 of 3 Perdue Foods 1M Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC-28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit no. NCS000130 Perdue Farms, Rockingham, NC To Whom It May Concern: June 5, 2018 RECEIVED JUN 1 S 2018 L FILES DVVR SECTION As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the May 2018 monthly storm water monitoring report for the Perdue Foods, LLC, facility located at Rockingham, North Carolina. This monitoring report meets the requirement under Part II; Section B; Analytical Monitoring Requirements for the facility's Storm Water Permit. For the month of May 2018, there was a qualifying rain event on the 181h of the month. Samples were taken and shipped to our contract lab. Perdue did not meet the benchmark for Fecal coliforms. Efforts are being made to improve our storm water discharge as stated in previous reports, Perdue is committed to protecting the Environment. If you should need any additional information, please contact me at 910-997-8593. Since ly, J� De ' G. Parker Environmental Manager Cc: Fayetteville Regional Office Division of Water Resources 225 Green Street, Suite 714 Fayetteville, NC 28301 Perdue Foods. A Heritage of Innovation. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS FACILITY NAME �C PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) -I/Z' Lab # Lab # Part A: Specific Monitoring Requirements � SAMPLES COLLECTED DURING CALENDAR YEAR: C:�()`1 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sa ling r ults from the boratory.) COUNTY PHONE NO. SIGNATURE OR PERMTI TEE OR DESIGNER j REQUIRED ON PAGE 2. i • I-Date.11 Collected I Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no (if yes, complete Part $) Part B: Vehicle Maintenance Activity Monitoring Requlrements Outfall". : - :: Date:.-:-:' .- Collected . _-. :SU05Q. _ . - 00556 : - 00530 00400 16(jil:F16w >: ' '(if applicable) 'Total ' _ Rainfall, -00--& Grease (if'appl.).. - Non -polar O&G/TPH (Method-1664 SGT-HEM), if appl. Total, Suspended . "_ Solids = pH `_ : " New Motor Oil Usage mo/dd/ r MG inches m /l 1'� mat] unit aUar . a / . a Foi to SWU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date S1� z�01 Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Atm_Central Files 1617 Mail Service Center ' Raleigh, North Carolina 27699-1617 "Lcertify, 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." of 1- /V/ r (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Permit Number NCS 6?26�) ! 0D STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR:C` (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sa ling r ults from the boratory.) COUNTY PHONE NO. SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. i DateII CollectedSainple I Total Flow, (iif app.)Rainfallr Total- IMN Aff, .r MMIMMEM f1'a�711i141�����r� �� �� �l� �� •� til��� IMMEMIN IMMEMIN IME IMMEMIN IMMMMIM IMMEMIN -■ Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no (if yes, complete Pait B) Part B: Vehicle Maintenance Activity Monitorin Requirements Outfall.. :. ': No.:.: _ -Date:'-. -: ' - _ - Sample -_ ' Collected : :50080" 00556.. - 00530 00400 Total`.Fluw (if applicable) Total _ ' :. Rainfall' Oil`8i Grease (if appl.).. Non -polar O&GITPH (Method'I664 SGT-HEM), if appl. Total Suspended- Solids = pH -: New Motor Oil Usage ' mo/dd/ r MG inches mg II i'" mg/1 unit al/m Form SWU-247, last revised 2YW012 Page 1 of 2 ...J�- O)MICROBAC'. Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8EO317 Perdue Project Name; Stormwater Samples - Monthly Mr. Williams Moore Project! PO Number: 7226367RK (2018) 416 S. Long Drive Received: 05/18/2018 Rockingham, NC 28379 Reported: 05/31/2018 Case Narrative Field pH (by client): 6.26 Analytical Testing Parameters Client Sample ID: Storrwker, grab Sample Matrix: Aqueous Collected By: Client Lab Sample 10: K8E0317-01 Collection Date: 0511812018 11:00 Wet Chemistry . . .. .......... — ... .. ... ........ Result .. .................. . .... . .. .... . ........... RL ................ Units Note Prepared Analyzed .. .. ..... .. .. .. ......... ..... .. .. . Analyst Method: Calculation Total Nitrogen 7.05 0.0300 mg/L 05/30/18 0954 TAB Method: EPA 1664 Rev. 8 Oil & Grease (SGT-HEM) <5.00 5.00 mg/L 05/30/18 1005 TAB Method. EPA 300.0, Rev. 2.1 (1993) Nitrate as N 1.69 0.0300 mg/L 0511618 1626 06121118 1633 DSK Nitrite as N 1.11 0.0500 mg/l, 05118118 1626 05121118 1833 DSK Method. SM 2540 D-2011 Total Suspended Solids 18.0 2.00 mg/L 05I21/18 0931 MT Method: SM 4500 P F-2011 Phosphorus, Total 0.41 0.050 mg/L 05129118 1223 DSK Method; SM 4500-Norg C-2011 Total Kleldahl Nitrogen 4.25 0 1.00 mglL-, 05130118 0954 TAB Method: SM 5220 0-2011 COD, Total 113 10.0 mg/L 05129118 0837 DC Microbiological Parameters by Membrane Result Filtration ................ .. ... ........ .. ..... . ....... Method: SM 9222 0-2006 Coliform, Fecal 42000 RL Units Note 1.0 per 100 mL B, J Prepared Analyzed Analyst 05118118 1640 JR Field Samplingrresting Result RL Units Note Prepare,d—.... - . ... ... Analyzed Analyst . .......... . .. .. .... .. .. ... -.1-.1.1— .... ... -.— . ...... ..... ..... . . .. . ............ . ... ..... . .... .... .... .... ..... ........... . ....... I-- ..... . ......... .. I .... . ........................ ........ Method: Field Chlorine, Total 0.20 mg/L 06118/18 1100 CLT Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864-1920 p I www.mlcrobac.com Page 1 of 3 *MICROBAC"' Microbac Laboratories, Inc. - Fayetteville K8E0317 Definitions B: Detected in the associated Method Blank J: The result is an estimated quantity. The associated numerical value is the approximate concentration of the analyte in the sample RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 Report Comments North Carolina DENR NPDES Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample fsj analyzed. This report is incomplete unless at/ pages indicated in the footnote are present and an authorized signature is included. Reviewed and Approved By: Jeanne Overstreet Project Manager jeanne.overstreet®microbac.com 05/31/2018 14:37 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 283061910.864.1920 p I www.microbac.com Page 2 of 3 y ' 0MICROBAC411 Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8E0317 Perdue Project Name: Stormwater Samples - Monthly Mr. Williams Moore Project / PO Number. 7226367RK (2018) 416 S. Long Drive Received: 05/18/2018 Rockingham, NC 28379 Reported: 05/31/2018 Case Narrative Field pH (by client): 6.26 Analvtiral Testing Parameters Client Sample ID: Stormwater, greb "s ; s' _ • +- z Sample Matrix: Aqueous Collected By: Client Lab Sample ID: K8E0317-01 Collection Date: 05/18/2018 11:00 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: Calculation Total Nitrogen 7.05 0.0300 mg/L 05/30/18 0954 TAB Method: EPA 1664 Rev. B Oil 8, Grease (SGT-HEM) <5.00 5.00 mg/L 05/30/16 1005 TAB Method: EPA 300.0, Rev. 2.1 (1993) Nitrate as N 1.69 0.0300 mg/L 05/18/18 1626 05/21/18 1633 DSK Nitrite as N 1.11 0.0500 mg/L 05/18118 1626 . 05/21/18 1633 DSK Method: SM 2540 D-2011 Total Suspended Solids 18.0 2.00 mg/L 05/21118 0931 MT Method: SM 4500 P F-2011 Phosphorus, Total 0.41 0.050 mg/L 05/29118 1223 DSK Method: SM 4500-Norg C-2011 Total Kjeldahl Nitrogen 4.25 1'00 ' mg/L 05130/18 0954 TAB Method. SM 5220 D-2011 COD, Total 113 10.0 mg/L 05/29/18 0837 DC Microbiological Parameters by Membrane Filtration Method: SM 9222 D-2006 Coliform, Fecal Result 42000 RL Units Note 1.0 per 100 mL B. J Prepared Analyzed Analyst 05118/18 1640 JR Field Sampling/Testing Result RL Units Note Prepared Analyzed Analyst Method: Field Chlorine, Total 0.20 mg1L 05/18/18 1100 CLT Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 j 910.864.1920 p I www.Microbac.com Page 1 of 3 EMI R B CA Fayetteville Division 2592 Hope Mills Road -- Fayetteville, NC 28306 (919) 864-19201884-8774 fax CHAIN OF CUSTODY RECORD ilBNNti@gN! PAGE i OF I --- Our;NT NAME& a C V ppp PROJECT I LOCATION i(Jj 1J 0 ® 0 TYPE OF ANALYSIS PRESERVATION! CODE ti S V s _ J i CODE. A = <M ONLY 6 = HNO3 (p}3c2) t cg-C c= H2SD4 (phQ)+<s*c D=NaOH+<6'C E = ZH Acetate + <rC F = Sodium Ttdo. CONTACT POISON. y DATE! MEMD OF SH PMEHTT-. t LAB ID SAMPLE 'TYPE sample start Date sample, Start Time Sample Stop Date Sample stop Time COMP GRAB LAa pH Tam FLOW PMSULFWE CHL7RIAP `4 Z� t # clo I ey: f ! 1 Eh" Mme bMalunant�a a R�f�j (6,16 br.Islwauffel!Daft 4%�,,�-� 4 Sf 16P S' m,e U.: 'ELM Recolod br. istpaWM! DEte RM11 51 1 1 6 pri Fiala : _(4, u 1 _ J� . 'temp Field 9:. "� F-"-- cva�• O. r Z I Rn mnFars Turnaround time: REGULAR RUSH REVIEWED Comments or Special Hazards: . IS DATA FOR REG. COMPLIANCE PURPOSE? YES NO.. AfHICK Page 3 of 3 N Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit no. NCS000130 Perdue Farms, Rockingham, NC To Whom It May Concern: May 9, 2018 MAY 2 wR s L 6�-roN As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the April 2018 monthly storm water monitoring report for the Perdue Foods, LLC, facility located at Rockingham, North Carolina. This monitoring report meets the requirement under Part II; Section B; Analytical Monitoring Requirements for the facility's Storm Water Permit. For the month of April 2018, there was a qualifying rain event on the 24th of the month. Samples were taken and shipped to our contract lab. Perdue did not meet the benchmark for Fecal coliforms. Efforts are being made to improve our storm water discharge as stated in previous reports, Perdue is committed to protecting the Environment. If you should need any additional information, please contact me at 910-997-8593. Since ely, Dennis G. Parker Environmental Manager Cc: Fayetteville Regional Office Division of Water Resources 225 Green Street, Suite 714 Fayetteville, NC 28301 Perdue Foods. A Heritage of Innovation. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT cA11TDT EQ d1nY T V9! rVTI nYTRTNf'_ OAT .T?NMAD V-VAA. (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the same 'ng results from the la ratory.) FACILITY NAME y2cc �4_ COUNTY PERSON COLLECTING SAMPLE(S) G� PHONE NO. 3 CERTIFIED LABORATORY(S) Lab # D Lab # SIGNATURE OF PERMITTEE OR DESIGNEE j REO D ON PAGE 2. Part A: Specific Monitoring Requirements Flowlif pp Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall. _ :'. .•: No. ':.. _- - . 'Dater-.'-- Sample : `. _-.: Collected : .. - 50050 . .: 00556. :. 00530 00400 T6 7low -__ applicable) Total - ' :: Rainfall :Oil'-& Grease (if appl.} - . Non -polar O&G/TPH (Method-1664 SGT-HEM), if Total Suspended - Solids pH ' _ .: New Motor Oil Usage_ in dd/ MG inches m /l /l unit al/mo. 1 r i :1 � +_-m Form SWU-247, Iasi revised 21212012 Page l of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: 41_ Z e Division of Water Quality Date / Attn: Central Files Total Event Precipitation (inches): 6 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation -(inches): Event Duration (hours): (only if applicable — see permit.) "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 pgssibilityfines and imprisonment for knowing violations." (Signature of Pe ittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 0MICROBAC' Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8D0497 Perdue Project Name: Stormwater Samples - Monthly Mr. Williams Moore Project 1 PO Number: 7226367RK (2018) 416 S. Long Drive Received: 04/24/2018 Rockingham, NC 28379 Reported: 05/08/2018 Case Narrative Field pH (by client): 7.5 Chlorine: 0.02 Analytical Testing Parameters Client Sample ID: 'Stormwater, grab - w Sample Matrix: Aqueous Collected By: Client Lab Sample ID: K8D0497-01 Collection Date: 04/24/2018 9:45 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: Calculation Total Nitrogen 4.33 0,0300 mg1L 05104118 0833 TAB Method: EPA 1664 Rev, B Oil 8 Grease (5GT-HEM) <5,00 5.00 mg/L 05102118 0966 TAB Method: EPA 300.0, Rev. 2.1 (1993) Nitrate as N 0.810 0.0300 mg1L 04/24/16 1007 04/24/18 1634 DSK Nitrite as N 0.183 0.0500 mg1L 04/24/18 1007 04124/18 1634 DSK Method: SM 2540 D-2011 Total Suspended Solids 28.3 8.33 mg/L 04/26/18 0856 MT Method: SM 4500 P F-2011 Phosphorus, Total 0.28 0.050 mg/L 04/27/18 1126 DSK Method: SM 4500-Norg C-2011 Total Kjeldahl Nitrogen 3.34 1.00 mg/L 0510411E 0633 TAB Method: SM 5220 0-2011 COD, Total 50.6 10.0 mg1L 04/27118 0915 DC Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Analyst Filtration Method: SM 9222 D-2008 Coliform, Fecat 6400 1.0 per 100 mL 04/24/18 1621 TAB Field SamplinglTesting Result RL Units Note Prepared Analyzed Analyst Method: Field Chlorine, Total 0.020 mg1L 04124118 0945 CLT Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 3 6)MICROBAC`A Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8D0497 Definitions RL: Reporting Limit Project Requested Certifications) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments Reviewed and Approved By: Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. 1'1�a_-zx_e_ The data and information on this, and other accompanying documents, represents Jeanne Overstreet only the sample(s) analyzed. This report is Incomplete unless all pages indicated project Manager in the footnote are present and an authorized signature Is included. leanne.ovam1rec1@m1crobac.com 05/08/2018 17:22 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 283.061910.864.1920 p I www.microbac.com Page 2 of 3 �DMICROBACO Fayetteville € Msion 2592 Hope Mills Road -- Fayettevifle, NC 28306 (9-10) 864-1920 CHAIN OF CUSTODY RECORD ron iflii 97' i0u� r 4 ne '' C = R2SO4. . own wWAww=.=`. ..� y i•. �Ida MP OMAN to inrtlals--0. T=armmd time: PJ-=Gu CAR I I RMrf 71-Ft.0svaaby:l�na Ro Data E— 3 ar J4 5 roast g -pn rtasC: • p4 Raid: ' --Water Laval 01 Tetnp frmid 1: Temp.Flald 2 Water Level w $2 03mmen s or Spedai Hazards: IS DATA FOR R1=.G.�C .MFCJANCF�I��p_P,OSE'� NO— YES WHICH; ��' Page 3 of 3 r, q: Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 April 9, 2018 Subject: March 2018 Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the March 2018 monthly storm water monitoring report for the Perdue Foods LLC facility located at 416 S. Long Drive, Rockingham, North Carolina 28379. For the month of March 2018, there was a qualifying rain event on the 12th where a storm water sample could be collected. This is required in statement 3 of the Tier two requirements, please find attached the monthly monitoring report. The March 12, 2018 sampling analysis reports a value of 14,000 colonies/100 milliliters for fecal coliforms, a suspended solid analysis of 373 mg/I and a value of 218 mg/1 for the COD analysis; all three are failures. This is the fifth failure in a series for fecal coliforms and the first for TSS and COD's, which, according to Tier ll, puts Perdue out of compliance. ' If you should need any further information, please contact me at 910-997-8593. Since 1y, '-f- Dennis G. Parker Environmental Manager RECEIVED APR 18 2018 CENTRAL FILES l-VVa SECTION Perdue Foods. A Heritage of Innovation. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS V�D� 34!�7 FACILITY NAME PERSON COLLECTING SAMPLE(S)L CERTIFIED LABORATORY(S) Lab Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: -?'nle (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the samresults from the l boratory.) COUNTY 7 PHONE NO. 4 SIGNATURE OF PERMITTEE OR DESIGNEE ~� RE U1RED ON PAGE 2 Date Sample„ Collected !I 1 Flowlifa".) "it 1AIM , Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no (if yes, complete Part B) Part 13: Vehicle Maintenance Activity Monitoring Requirements Outfall.: =,: No.- :- : - Date.-'--: _:.- Sample ". =.:' Collected - : - :. .50050::::: 00556 - _ 00530 00400 Tatal:Flow .-:: (if applicable) Total .? _ . = Rainfall Oil'& Grease (if appl.)- . Non -polar O&G/TPH (Method- 1664 SGT-HEM), if appl. Total- Suspended.-- Solids pH ' =: :. New Motar Oil Usage mol dl r MG inches m Il PIK I m /l unit al/mo Form SWU-247, last revised 21212012 Page 1 of 2 s i •i 1 I STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Date 2_ Z6 f Division of Water Quality Attn: Central Files Total Event Precipitation (inches): �f 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 ..t (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable -- see permit.) "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." (Si In of Permittee) (Date) Form SWU-247, Iasi revised 21212012 Page 2 of 2 Perdue Mr. Williams Moore 416 S. Long Drive Rockingham, NC 28379 Case Narrative Field pH (by client): 6.3 Res. Chlorine (by client): 0.0 Analvtical Testinc Parameters �DMICROBAC'! Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8C0338 Project Name: Stormwater Samples - Monthly Project ! PO Dumber: 7226367RK (2018) Received: 03/12/2018 Reported: 03/20/2018 Client Sample ID: Stormwater, drab Sample Matrix: Aqueous Collected By: Pate Lab Sample ID: 1<8C0338.01 Collection Date: 03/12/2018 10:30 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: Calculation Total Nitrogen 3,62 0.030D mg/L 03/19/18 0832 TAB Method: EPA 1664 Rev. B Oil & Grease (SGT-HEM) <5.00 5.00 mg/L 03116/18 0914 TAB Method: EPA 300.0, Rev. 2.1 (1993) Nitrate as N 0.808 0.0300 mg1L Al2 03/13/18 0944 03114118 0839 DSK Nitrite as N 0.689 0.0500 mg/L 03/13/18 0944 03114/18 0839 DSK Method: SM 2540 D-2011 Total Suspended Solids 373 14.3 mg1L 03/13/18 0904 NIT Method: SM 4500 H+B-2011 pH at 25 °C 6.4 1.0 pH Units H 03119/18 1529 DC Method: SM 4500 P F-2011 Phosphorus, Total - 0.84- - — r0.050, mglL 03119118 1144 DSK Method: SM 4500-CI G-2011 Chlorine Residual, Total 0.053 0.015 MA H 03114118 1100 DSK Method: SM 4500-Norg C-2011 Total Kjeldahl Nitrogen 2.12 1.00 mglL 03119118 0832 TAB Method: SM 5220 D-2011 COD, Total 218 10.0 mg1L 03113118 0900 DC Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Analyst Filtration Method: SM 9222 D-1997 Coliform, Fecal 14000 1.0 per 100 mL 03112118 1714 DC Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 1 Df 3 OMICROBAC* Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8C0338 Client Sample ID: Stormwater, grab Sample Matrix: Aqueous Collected By: Pate Lab Sample ID: K8C0338-01 Collection Date: 03/12/2018 10:30 Client Sample ID: Stormwater, grab Sample Matrix: Aqueous Collected By: Pate Lab Sample ID: K8C0338-02 • Collection Date- 03/12/2018 10:30 Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Analyst Filtration ......................... ._._.,.,.,.,,,_... __.,.,.._..._..-.._.,....t., _ _...--.................. .... -,.,.._........_...-_--....._.._, _._. _ ..... _ -, _ ..,._... „...,.___.., Method: SM 9222 D-1997 Coliform, Fecal 15000 1.0 per 100 mL 03112N8 1714 DC Definitions Al2: MS/MSD fail recovery, but the LCS passes criteria. H: Analyse was prepared and/or analyzed outside of the analytical method holding time RL. Reporting Limit Project Requested Certifications) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES e t- Report Comments Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample(s) analyzed. This report is Incomplete unless all pages indicated in the footnote are present and an authorized signature is included. Reviewed and Approved By: Bonnie K. Sanders Senior Project Manager bonnio,sanders@microbac.com 03/20/2018 12:41 Microbac Laboratories, tnc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 2 of 3 rD Fayettev�illle Division2592 Hoe Mills Road ^ Fayettevills, NC 28306 (910) B64-1920 *K8CO338' CHAIN OF CUSTODY RECORD } ...._ 1, RC= .. . . 2S..,, .. Acetate .. - ■===m . ■■■ram■ ��_�■���■�■�■�■��■■�■■�■�■■■ f! Iah Ra Data me Ft by ISlgnatOre) Date Una Raltaqulatleq Isy: Pale �Time 1j d� tab" w- (SI slur.) f PAte ' 4 . �// d i Orly Trrtis tie . {Sigtrauurj PaEe TUM F] - prr neim. . pn Hata: Tamp Field 1. Tamp Field 2: Water Level #1 Water Level #2 r) 0 Cl) aD rn a inivais-} Turnaround time: GU RUSH e i Comments or Spacial Hzzards: IS DATA FOR REG. CpMPUANCE PURPOSE? NO YES �j WHICH: b4- cam`._-• n, ' s�6' - Perdue Foods rM Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 April 9, 2018 www, perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 Subject: March 2018 Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the March 2018 monthly storm water monitoring report for the Perdue Foods LLC facility located at 416 S. Long Drive, Rockingham, North Carolina 28379. For the month of March 2018, there was a qualifying rain event on the 12th where a storm water sample could be collected. This is required in statement 3 of the Tier two requirements, please find attached the monthly monitoring report. The March 12, 2018 sampling analysis reports a value of 14,000 colonies/100 milliliters for fecal coliforms, a suspended solid analysis of 373 mg/I and a value of 218 mg/I for the COD analysis; all three are failures. This is the fifth failure in,a series for fecal coliforms and the first for TSS and COD's, which, according to Tier' Il, puts Perdue out of compliance. If you should need any further information, please contact me at 910-997-8593. Since ly, Dennis G. Parker Environmental Manager Perdue Foods. A Heritage of Innovation. Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Mr. Trent Allen Division of Water Resources. 215 Green Street, Suite 714 Fayetteville, NC 28301 Dear Mr. Allen, APR 06 ''t6J 1QR0S FAY'E:'���6i_�.F: WrEnNAI. ONCE March 29, 2018 On Tuesday, March 27, 2018, Perdue Foods, LLC, at Rockingham, NC, experienced a release of untreated waste water into our storm water drain on site. Associates attempted to place a water tight Kevlar seal over the storm drain to prevent this entry into the storm drain. I have prepared a chronological list as events as the occurred during the subsequent clean up. Here is the list: • At approximately 0630 hrs., two of three waste water transfer pumps that transfers the water that has been screen (screening removes the solids from the chicken process water) to the aeration tanks at the waste water treatment plant, were not operating properly. Pump #2 was found "tripped _out" and would not reset at 060_0 hrs., subsequently the motor _would "trip out" and reset continuously as the electrical Associate tried to trouble shoot the electrical problem. As this situation was on going; the tank that collects the waste water as a reservoir to feed the waste water pumps, started to run over its contents. The #3 waste water pump was found not to be pumping at all. During this time, the operator stated that the V-belts had "burned up" on the pump and he began replacing them. Perdue Foods. A Heritage of Innovation. • The water that was overflowing the reservoir tank began to over flow out of the area where the waste water pumps are located. This water began to flow out of the offal area before the operator could replace the belts. This time was 0700 hrs. • Soon the volume of water began leaving the pump area and migrating toward the lowest point on the yard, the storm drain. This flow was noted by an Associate and they immediately placed the seal mat on the storm water inlet drain. This untreated water started to flow over the top of the seal; the Associate then placed two bales of recycled cardboard to help give visibility as to the sears location. • At 0730 hrs., Dennis Parker checked the storm water outfall and found untreated -water in the drainage ditch that leads storm water away from the culvert. EHC, Purdue's contracted emergency response consultant, was immediately called to remove this water from the ditch. There was no indication of untreated waste water flowing into the receiving stream at that time, by visual confirmation. • The city of Rockingham's Waste Water Treatment was notified of a spill on the company property. This was at approximately 0750 hrs. • At 0900 hrs. EHC, the environmental response contractor, arrived on site and immediately started pump the drainage ditch that feeds to Falling Creek. The crew began picking up all materials, vacuuming material and water from the ditch and placing them in the proper receptacles. The wastewater pumps had been repaired and the untreated water that was around the storm water inlet began to recede; the seal was removed when the area around was free of standing water. The materials that were still around the drain grate were cleaned away from the grate and captured/disposed. • 1000 hrs., the cleaning of the ditch was well underway. NCDEQ arrived on site along with the City of Rockingham's waste water Manager to begin --------sampling-and gathering-data-of-the-event:-NCDEQ's Trent -Allen -asked -fore --- the vacuum to be placed at the end of the ditch that discharges to Falling Creek to ensure protection for the creek. This was immediately done as requested. • EHC was then called for an addition vacuum truck to help at the outfall and begin cleanup of this area again. EHC personnel cleaned the ditch from the outfall all the way down to where the other EHC crew was attending to the Falling Creek discharge point. Trent Allen pointed out there was a reddish hue to the water --at the culvert, this was caused by a dress haul trailer on -a . storm drain and the melting ice, which had blood from product ready to be shipped, was flowing down the drain. This trailer was removed,1,000 gallons of water was flushed down the drain and the outflow water was cleared up. • At 1300hrs., Dennis Parker, Bruce Roberts and Bill Moore met with the NCDEQ to discuss the day's events. A survey was made of the streams flow pattern to determine what impact had been left. No visual sighting was determined. • Clean up was continued until 2000 hrs. at which time the materials in the ditch had been removed and the days cleanup was ended. • On 3/27/2018, the EHC crew returned to "mop up" and remove..any.missed debris; DEQ personnel arrived on site. DEQ questioned Perdue personnel about the quality of the outfall water. Flushing was restarted and performed until the water flow at the interface was clear. This event was stopped at 1730 hrs. as the water was determined to be cleared. This recollection is a combination of my memory and written notes. Other people are available if you should need to talk with them on clarifications or facts about this event. Perdue Farms,. Rockingham is led by leadership that believes on the best for the environment and we continuously strive to do the best we can. This event was a combination of occurrences that just overwhelmed our process, Perdue will make this process better to ensure the chances of this occurring again will be greatly decreased in the future. Sincerely, Dennis G. Parker Environmental Manager 910-997-8593 .s Perdue Foods Perdue Foods LLC 416 South Long Drive Rockingham, NC 28379 perdue.comID it Dennis G. Parker Environmental Manager Office (910) 997-8593 Cell (910) 995-0996 Fax (410( 341-5206 den n is.parker@perdue.com Perdue Foods rr Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 March 5, 2018 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: RECEIVED MAR 15 2018 CENTRAL FILES DWR SECTION As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the December 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. For the month of February 2018, there was a qualifying rain event, 2/2/2018, where a storm water sample could be collected. This is required in statement 3 of the Tier two requirements, please find attached the monthly monitoring report. This February 2, 2018 sampling analysis reports a value of 2400 colonies/100 milliliters for the sample fecal coliforms. This is the fourth failure in a series which, according to Tier II, puts Perdue out of compliance. Perdue has been aware of the fecal coliform situation and has made every effort to correct the situations which have led to this point. Some of the proactive efforts to correct this situation have been: • Forming concrete pads around areas for the containment of chicken litter in the live receiving area. Don't believe I would say we had chicken litter going into the storm water. • Housekeeping around the live receiving area, this was accomplished with the purchase of a "Bobcat Sweeper" to remove the litter from the areas of concentration for disposal. • Dispensing bleach at possible high litter concentrations areas, allow the bleach to dry up, and removing the leftover residue. Perdue Foods. A Heritage of Innovation. • Teaching and instructing Associates on how to minimize materials reaching the storm water using both the SPPP and SPCC. If you need any additional information, please do not hesitate to contact me at: 910-997-8593. Si cerely, Dennis G. Parker Environmental Manager Cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 Permit Number NCSLJ STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: Q (This monitoring report shall be received by the Division no later than 39 days from the date the facility receives the sa ling 4lesult from the laborat .) FACILITY NAME COUNTY PERSON COLLECTING SAMPLES r� PHONE NO. —7771-3- CERTIFIED LABORATORY(S) tab# d ` bO( Lab # SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Sample Cc it 11 1 I I ri���`■�������A���' Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfalf.. ;. - Date'• -. ample ,> . _ -." Collected 50050 := 00556 00530 09409 .Total:Flow •- .. ` (if.Applicable) Total - ' _ Rainfall' =Oil`& Grease (if appl.). Non -polar O&G/TPH (Method 1664 SGT-HEm)' if Total Suspended Solids p4 _ : : New Motor Oil Usage mo/dd/ r - MG inches m /l m /l unit al/mo `57 Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: !C Division of Water Quality Date ! ' �� Attn: Central Files Total Event "Precipitation (inches): © 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) , Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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 lines and imprisonment for knowing violations." (Sig ure o ermittee) (Date) Form SWU-247, Iasi revised 21212012 Page 2 of 2 &�MICROBAC` Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K860067 Perdue Project Name: Stormwater Samples - Monthly Mr. Williams Moore Project 1 PO Number: NIA 416 S. Long Drive Received: 02/02/2018 Rockingham, NC 28379 Reported: 02/20/2018 Case Narrative Field pH (by client): 5.9 Field Total Chlorine(by client): 0.1 Technician note: Due to the high presence of chlorine in the sterile container designated for Fecal testing, 100 ml of sample was taken from the bottle marked TSS for the testing. . Analytical Testing Parameters Client Sample ID: Stormwater, grab Sample Matrix: Aqueous Collected By: Client Lab Sample ID: K880067-01 Collection Date: =0212018 11:30 Wet Chemistry Result RL Units Note Prepared Analyzed Lab Method: Calculation dal Nltrogen 2.43 0.0300 mg1L 02102/18 1421 02/02/18 1800 Method: EPA 1664 Rev. B Oil 8 Grease (SGT HEM) a5.00 5.00 mg1L 02112118 0915 FAY Method: EPA 300.0, Rev. 2.1 (1993) Nitrate as N 1.68 0,0300 mg/L 02102/16 1421 02102118 1800 FAY Nitrite as N 0.757 0.0500 mg1L 02/02/18 1421 0210211E 1800 FAY Method: SM 2540 0-2011 Total Suspended Solids 133 9.01 mg/L 02105118 1022 FAY Method: SM 4500 P F-2011 Phosphorus, Total • 0.72 _ 0.050 mg1L B 02113/18 1013 FAY Method: SM 5220 0-2011 COD, Total 87.4 10.0 mg1L 02/06/18 1141 FAY Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Lab Filtration Method: SM 9222 D-1997 Coliform, Fecal 2400 1.0 per 100 mL 02/02/18 1533 FAY Laboratory FAY: Microbac Laboratories, Inc. - Fayetteville Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 3 �}MICROBAC' `• Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8B0067 Definitions B: Detected in the associated Method Blank RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments Reviewed and Approved By: Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents Bonnie K. Sanders only the sample(s) analyzed. This report is incomplete unless all pages indicated Senior Project Manager In the footnote are present and an authorized signature is included. bonnie.sanders®mfcrobec.cam 02r201201810:52 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com page 2 of 3 Perdue Foods Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 February 8, 2018 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: RECEDVD FEB 19 201E CENTRAL, FILES CWR SECTION As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the December 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. For the month of January 2018, there was not a qualifying rain event where a storm water sample could be collected. This is required in statement 3 of the Tier two requirements, please find attached the monthly monitoring report indicating "No Flow" If you need any additional information, please do not hesitate to contact me at: 910-997-8593. Sincerely, Dennis G. Parker Environmental Manager Cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 Perdue Foods. A Heritage of Innovation. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS FACILITY NAME PERSON COLLECTING SAMPLES) CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sapipling resuCts from the l ratory.) COUNTY PHONE NO. �I " SIGNATURE OF PERMITTER OR DESIGNED REQUIRED ON PAGE 2. -.... {. Collected:P,P II Total _A i Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall_=_ _ . ._.: No. = : - -Date.'. --: $ample , . : _ ' Collected : :5Q050:.= .: 00556 00530 00400 :ToW::Flow -:. 'Total {if applicable) -' :• ' Rainfall :Oil,-& Grease Of appL) _ _ Non -polar O&GITPH (Method 1664 SGT-HEM), if appl. Total- Suspended - Solids pH ` - - : :. New Motor Oil Usage mo/dd/yr MG inch ra II m u al/mo .16 Form SWU-247, last revised 21212012 Page L of 2 STORM EVENT HARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date Attn: Central Files Total Event Precipitation (inches): 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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." (S' ature Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 � w Ada%"- - W Perdue Foods ` YM Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 January 7, 2018 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: RF:CEIVED 'AN 2 5 2018 CF-N I MAL F 0"'SECTIONS As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the December 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirement under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. A qualifying rain event occurred on 12/6/2017 at our Rockingham Facility. If you need any additional information, please do not hesitate to contact me at: 910-997-8593. Si cerely, Dennis G. Parker Environmental Manager Cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 Perdue Foods. A Heritage of Innovation. ^, STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS _�_ _� !y _D�G l SAMPLES COLLECTED DURING CALENDAR YEAR- (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from th laboratory.) FACILITY NAME `�� COUNTY PERSON COLLECTING SAMPLIE PHONE NO. CERTIFIED LABORATORY(S) ` !l,,// Lab # Lab #- LSIGNATURE OF PERMITTER OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements No Date -..: Sample .. :' :'.: Collected . :50050::> . 00556 00530 00400 ".T&AFlow !Total (if applicable) Rainfall Oil & Grease {if app1.):. 171P Non -polar O&GITPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH ,. - _ New Motor Oil Usage ' mold r MG inches m /l mg/1 unit all o i262 Form S WU-247, last revised 21212012 Page 1 of 2 J STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date [ tV ! C Attn: Central Files Total Event Precipitation (inches): 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date t Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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." sI a e of Permittee) l- IC-11�-- - (Date) Form SWU-247, last revised 21212012 Page 2 of 2 i OMICROBAC'r' Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS " K7LO236 Perdue Project Name: Stormwater Samples - Monthly Mr. Williams Moore Project / PO Number: NIA 416 S. Long Drive Received: 12/06/2017 Rockingham, NC 28379 Reported: 12/28/2017 Analytical Testing Parameters Client Sample ID: Stormwater, grab Sample Matrix: Aqueous Collected By: Pate Lab Sample ID: K7L0236-01 Collection Date; 12/06/2017 10:00 Wet Chemistry Result r RL - Units Note Prepared Analyzed Lab Method: Calculation Total Nitrogen 34.6 0.0300 mg1L 12/11/17 0922 Method: EPA 1664 Oil & Grease (SGT-HEM) 36.2 5.00 mg1L Y 12/14117 0952 FAY Method: EPA 300.0, Rev. 2.1 (1993) Nitrate as N 1.39 0.0300 mg1L 12/07/17 1703 12/10/17 0800 FAY Nitrite as N 0.276 0.0500 mg1L Y 12/07/17 1703 12110/17 0800 FAY thod: SM 2540 D-2011 Total Suspended Solids 351 27.0 mg1L 12107/17 1530 FAY Method: SM 4500 H}8-2011 pH at 25 °C 6.6 0.1 pH Units H 12/07/17 0823 FAY Method: SM 4500 P F-2011 Phosphorus, Total 5.2 0.050 mg/L Y 12/13/17 1021 FAY Method: SM 4500-Norg C-2011 Total Kjeldahl Nitrogen 32.9 1.00 mg/L - Y 12/11/17 0922 FAY Method: SM 5220 D-2011 - COD, Total 687 10.0 mg1L 12/07/17 1010 FAY Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Lab Filtration Method: SM 9222 D-1997, Coliform, Fecal >6000 per 100 mL 12/06/17 1624 FAY Field Samplinglresting Result RL Units Note Prepared Analyzed Lab Method: SM 4500-CI G-2011 Chlorine Residual, Total 0.040 0.015 mg1L 12/07/17 1035 FAY Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com �MICROBAC` Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K7L0236 Client Sample ID: Upstream Stormwater, grab Sample Matrix. Aqueous Collected By: Pate Lab Sample ID: K71-0236-02 Collection Date: 12/06/2017 10:00 Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Lab Filtration Method: SM 9222 D4997 Coliform, Fecal 360 1.0 per 100 mL 12/06/17 1624 FAY Laboratory FAY: Microbac Laboratories, Inc. - Fayetteville Definitions H: Analyte was prepared and/or analyzed outside of the analytical method holding time RL: Reporting Limit Y: This analyle is not on the the laboratory's current Scope ofAccredllalion. Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample(s) analyzed. This report is incomplete unless all pages indicated in the footnote are present and an authorized signature is included. Reviewed and Approved By: 1,e a- /L/t.e_ C/ Jeanne Overstreet Project Manager jeanne.overstreet®mlcrobac.com 12/28/201718:18 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 283061910.864.1920 p I www.microbac.com Perdue Foods TM Perdue Foods LLC Environmental Services 416 South Long Drive January 7, 2018 Rockingham, NC 28379 rY www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the December 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirement under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. A qualifying rain event occurred on 12/6/2017 at our Rockingham Facility. If you need any additional information, please do not hesitate to contact me at: 910-997-8593. Si cerely, PW Dennis G. Parker Environmental Manager Cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 Perdue Foods. A Heritage of Innovation. I STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS �_d 130 SAMPLES COLLECTED DURING CALENDAR YEAR: 26 , (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME y �'COUNTY PERSON COLLECTING SAMPLE(S)�HONE NO. (�, - " CERTIFIED LABORATORY(S) Lab # Lab # QEtt 01 S ��'� SIGNATURE OF PERMTTTEE OR DESIGNEE CENTRAL F!L REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements GWR SECTION 3 f IWOMM 111111111111i19'I:�.�x! • Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per mouth?_ yes _no (if yes, complete Part B) ` — Part B: Vehicle Maintenance Activity Monitoring Requirements Out#all Date 50050 00556 x 00530" 0[i400 No. Sampleµ Total F low Total Oil &Grease Non polar Total pH New Motor Collected (d apphcabie) Rau�iall (ifappl.) O&GITPH Suspended Oft Usage (Method 1664 SO&dS X S T HEM}, if _ n _ r._ �. m a 1. molddl' m ;unit- allmo ll r /-342 Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CIIARACTER.ISTICS: Mail Original and one copy to: Division of Water Quality Date / Attn: Central Files Total Event Precipitation (inches): t {, 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): ,} Event Duration (hours): (only if applicable — see permit.) "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervisionnn: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." (Signat of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 11091747 Parameters Result COD Total Suspended Solids TKN Nitrate/Nitrite, Nitrogen Nitrogen, total Phosphorus, total Fecal Coliform Oil & Grease - Non Polar pH Free Chlorine Sample. Stormwater Crab 325 mg/L 376 mg/L 4.20 mg/L 0.92 mg/L 5.12 mg/L 1.71 mg/L 1,081 col/100 ml <5 mg/L 6.85 S.U. <0,02 mg/L Analysis Date 11/10/17 11/13/17 11/14/17 11/10/17 11/14/17 11/17/17 11/9/17 11/13/17 11/9/17 11/9/17 Report Date: 11/21/2017 Date Sample Rcvd: 11/9/2017 15 mg/L 2.5 mg/L 0.20 mg/L 0.10 mg/L 0.20 mg/L 0.020 mg/L 9 col/100 ml 5 mg/L 1.0 -14.0 S.U. 0.02 mg/L 11/9/17 EPA 410.4 SM 2540D EPA 351.1 EPA 353.2 EPA 353.2 EPA 200.7 SM 9222D B7 EPA 1664E SM 4500 H B SM 4500 C1G B7 Many non-coliform colonies or interfering non-coliform growth present. In this competitive situation, the reported coliform value may under -represent actual coliform density. I hereby certify that I have reviewed and approve these data. 6� 42t�' Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (CDC) NPDES#: Client: uz_ i Phone: 'V_/l _Z�A �4 MERITECH INC, r Fax: Address: ENVIRONMENTAL LABORATORIES 4, Email: 642 Tamco Rd. Phone: 336-342-4749 Project: Reidsville NC 27320 Fax: 336-342-1522 P.O.#: Email: info@meritechlabs.com Attention: 777�� P Turn Around rime* * How would you like your repoft sent? RUSH work needs prior approval. www.meritech1abs.c6M Circle all that apply:(:Em: Cil(pd=.—d), Fax, Mail Std. �Qda s) 3 - 5 Days 24 - 48 Hrs Sampling Dates & Times Person Talking Sample (Sign/Prin .:-::.-La UseOny:' Sample Location and/or ID # Sta rt ZCV 7 End P itrralb_? # of Test(s) u i red i-y�s:-'� On- Ice. pKOK? : Date Time Date Time,- Cont. No.. Cl"OK? I T 6 Ilev 00 Temperature Upon Receipt Method of Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. Comments k' Compositor JJug # Shipment: UPS Fed Ex /,Are the results for regulatory purposes? Yes Report results in: mg/L m&ft Hand Delivery Ralin he / o7_ irne, Date: Time: 1�5 Other 4 d by.D�pTime: 31%0 Received by: Dabg.� -ri rn 0: 9:::� � I Relinquished by, Date: Time: V Received WM62TIT41 e:, L N7 T, Perdue Foods -- w Perdue Foods LLC Environmental Services 416 South Long Drive December 7, 2017 Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, N.C27699-1617. Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the November 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirement under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. A qualifying rain event occurred on November 9, 2017 at our Rockingham Facility. If you need any additional information, please do not hesitate to contact me at: 910-997-8593. Sin r� Dennis G. Parker Environmental Manager Cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 Perdue Foods. A Heritage of Innovation. ,or_ Perdue Foods Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 November 3, 2017 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: RECEN ED Sod 2 S Z417 GNR ZAL FILES SECS ON D. As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the October 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirement under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. A qualifying rain event occurred on October 13, 2017 at our Rockingham Facility. If you need any additional information, please do not hesitate to contact me at: 910-997-8593. Since ely, i Dennis G. Parker Environmental Manager Cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 Perdue Foods. A Heritage of Innovation. .4 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS E) 0 � SAMPLES COLLECTED DURING CALENDAR YEAR: C� 01 7 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling resul from the laboratory.) FACILITY NAME COUNTY PERSON COLLECTING SAMPLEIS)J&� PHONE NO. CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. I 1 I I I , 1 y ■ UMCO - ri ' ammmik110L 1111011011 1111111110 11111110101 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) rart S: vehicle Maintenance Activity Monitoring Requirements ID61fall N& Date _` mp ,Sale ; ' 50050. _ _:` _ ` ' '00556 -, ` - _ . 00530 - — 00400 '- Total Flow _ Total :Oil 8z Grease Non -polar " Total; pH-rr New M©tor. Collected {tf appitcable) Ralnfali (if appl } ` O&GITPH z Suspended Oil Usage _.., it {Me teoa I564_ so>ias a SGT HEM), M _ 4 - ap pL, in old MG . . _-: : 'inches. _:hia/l Form SWU-247, last revised 21212012 Pagel of 2 I STORM EVENT CHARACTERISTICS: Date~L C Total Event Precipitation (inches): Q Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) 4 Mail Original and one copy to: - Division of Water Quality Attn: Central Files 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 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." t igna re of Permittee) (Date) * ti Form SWU-247, last revised 21212012 Page 2 of 2 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Report Date: Date Sample Rcvd: 10/25/2017 10/13/2017 Meritech Work Order # 10131733 Sample: Stormwater Grab 10/13/17 Parameters Result Ana ysis Dates ft ng, Limit end Qualifier COD 17.0 mg/L 10/16/17 15 mg/L EPA 410.4 Total Suspended Solids 18 mg/L 10/17/17 2.5 mg/L SM 2540D TKN 1.66 mg/L 10/23/17 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 2.47 mg/L 10/18/17 0.10 mg/L .EPA 353.2 Nitrogen, total 4.13 mg/L 10/23/17 0.20 mg/L EPA 353.2 Phosphorus, total 0.249 mg/L 10/18/17 0.020 mg/L EPA 200.7 Fecal Coiiform 65,000 col/100 ml 10/13/17 9 col/100 ml SM 9222D B7 Oil & Grease - Non Polar <5 mg/L 10/17/17 5 mg/L EPA 1664B pH 6.63 S.U. 10/13/17 1.0 -14.0 S.U. SM 4500 H B Free Chlorine 0.02 mg/L 10/13/17 0.02 mg/L SM 4500 C1G B7 Many non-coliform colonies or interfering non-coliform growth present In this competitive situation, the reported coliform value may under -represent actual coliform density. I hereby certify thatl have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)3424748 fax.(336)342-1522 Chain of Custody Record (COC) r NPDES#: Client:ct�►.w� Phone:-�0 ---,� Address: #[A 3L5L ,_ P-^ Fax: __Y[a 17// JZQ 0 lu L + Email: Z$ 3 Project: P.O.#: Attention: Lk 9 A 1. A—, + TumAround: ime* *RUSH work needs prior approval. How would you like your report sent? Circle all that apply: Email[preferredi, Fax, Mail Std l0da j -S�s z �•—' i MERITECH INC. +i 1 ENVIRONMENTAL LABORATORIES 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 33&342-1522 Email: info@meritechiabs.com www.meritechiabs.com Sample Location and/or ID # Sampling Dates & Times Person Taking 5a ie 1gn/Pr[ntj: �. l.a:Use,onlK` Start End comp? Grab? # of Cont. Test(s) Required :Qn'ICe7: :- '%=Nq ' CI.OK? Date Time Date Time lo-ice 92 ?o empArAture.Upon ReceiA� ='J Method of Shipment: *** Dechlorination (c0.5 ppmj of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. * ** Comments: . �3-�t�. 0 it CornppsitQr.;:;:.'. jug UPS Fed Ex Are these r ul for regulatory purposes? Yes [�Imo 1:3 Report results in: mg/L mg/kg � ug/l Hand Delivery Relin ulshed . D e: �� Received �� �"�~ Time: Other Raiinquis b . Date: Time: - Received by Date: Tlme: Relinquished bf date. Time: Rec by r' ' ^ Time: • rj r Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com October 9, 2017 Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NC5000130 Perdue Farms, Rockingham Facility To Whom It May Concern: 1 WR cflor 0 As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the September 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirement under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. A qualifying rain event occurred on September 7, 2017 at our Rockingham Facility. If you need any additional information, please do not hesitate to contact me at: 910-997-8593. Since ely, Dennis G. Parker Environmental Manager Perdue Foods. A Heritage of Innovation. r. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS FACILITY NAME PERSON COLLECTING SAMPLE(S) W '"' i r" --v " --,— CERTIFIED LABORATORY(S) r Lab # Lab #� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: `' i —7 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling resul from the laboratory.) 2 COUNTY PHONE NO. C ) 7 SIGNATURE OF PERNIITTEE OR DESIGNEE REQUIRED ON PAGE 2. —�1 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Keoutrements 00tfall .' 1Vo - y Date _. Sample.'= Si}050 _ = :_. '00556 "00530 - 00400 _ Total'Flow Total Oil &_Gi ease ` Noo-polar Tatar, PH ; " New Motor Collected ' if a Olicable Rainfall '. - d a I O&G/TPH Svs ended We ` "Oil Usage `(MethbdJ664: Solids _ SGT 111E if - - - :aPPL - = mo/ddlvr .MG = inches iO .` _ . •.I1'l - mpJl unrt A r` . saUmo:. Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date ,y�q r� Total Event Precipitation (inches): �iJ Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 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 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." (Signatu a of P mittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 - Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 09071735 Sample: Stormwater Grab Report Date: 9/19/2017 Date Sample Rcvd: 9/7/2017 9/7/17 Parameters Rnad a ReRordng Limit M t o COD <15 mg/L 9/8/17 15 mg/L EPA410.4 Total Suspended Solids 14 mg/L 9/11/17 2.5 mg/L SM 2540D TKN 0.79 mg/L 9/12/17 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 1.15 mg/L 9/8/17 0.10 mg/L EPA 353.2 Nitrogen, total 1.94 mg/L 9/12/17 0.20 mg/L EPA 353.2 Phosphorus, total 2.54 mg/L 9/13/17 0.020 mg/L EPA 200.7 Fecal Coliform <9 col/100 ml 9/7/17 9 col/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 9/14/17 5 mg/L EPA 1664E - -)H 6.63 S.U. 9/7/17 1.0 -14.0 S.U. SM 4500 H B 4500 C1G Free Chlorine <0.02 mg/L 9/7/17 0.02 mg/L SM I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 ` .,hain of Custody Record (COC) Client: Address: Attention: Perdue Farms S_ r �,��G _1.4s — '� j NPDES#:- Phone: Fax: l Email: Project: Po l#: MERI'TECH INC. Environmental Laboratories A Division of Water Technology and Control, Ync. 642 Tamco Rd Phone 1-336-342-4745 Reidsville, NC Fax: 1-336-342-1622 27320 Email: wtclab bellsouth.net Web Site: www.MeritectL-labs.com Turn Around Time" Std (10 days) o 3 - 5 Day 24 - 4$ Hr Sample LocationllD # Sampling Dates & Times Person Taking Sample (Signature): Lab Use Only START END Comp? Grab? #of Conts. Tests Required- on lee? PH OK? C12OK7 Date Time Date me Stormwater "~ Q TSS _ ?fzail'COQ,Ntot w/1-12SO4) Not (w/HNO3) + ' Oil & Grease Non -Polar (wlHCI) r 7 �C Fecal Coliform Method of Shipment: Comments: fC7� r- G, �� C I Z O-� / ❑ UPS Fed Ex ❑ Hand Delivery ❑Other _ Will these results be us or regulatory purposes? Yes No *RUSH work must be approved prior to submitting samples. Relinquished b . C7 Daf��/� Time: f , Received b . Di �+ Time: t Rellnquis Date-, y ` r ? y � T^ Received by: Date: Time: Relinquished Y. Date: Time: Received at la !, Date: Time: r M Perdue Foods LLC Environmental Services 416 South Long Drive Rockingham, NC 28379 www.perdue.com October 9, 2017 ' Central'Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern: As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the September 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirement under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. A qualifying rain event occurred on September 7, 2017 at our Rockingham Facility. " 'If you need any additional information, please do not hesitate to contact me at: 910-997-8593. Since ely, Dennis G. Parker Environmental Manager Perdue Foods. A Heritage of Innovation. i .�w Environmental91 Services :7---i.: a_ Perdue Farms Inc. Rockingham Processing Punt 416 South Long Street September 5 2017 Rock4harn, NC 28379 Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NC5000130 Perdue Farms, Rockingham Facility To Whom It May Concern: As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the August 2017 monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. R This monitoring report meets the requirement under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. A qualifying rain event occurred on August 9, 2017 at our Rockingham Facility. If you need any additional information, please do not hesitate to contact me at 910-997- 8593. Sinc rely, nis G. Parker Environmental Manager I SEP 1 1 2017 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 0u Q �3 V FACILITY NAME PERSON COLLECTING SAMPLE(S) tllfczpy t 'CERTIFIED LABORATORY(S) Lab # ►'. Lab #�r .j { Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 'e) /7 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the plin results from the laboratory.) 9401, COUNTY 7 �- Y ` PHONE NO. ( — SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. ® � MjWffl + Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes no (if yes, complete Part B) t Part R- WhieFe Maintenance Activity Mnnitnrina Regnirements Outfall �' r Date f& 50050Vt., ' " _ ; 00556 ; , 00530 -'-_ . 00400 ,. Total7low Total" Oil &.Grease Non -polar Total pH New No: g ;� Sample =Eollected - (if applicable) Rainfall (if appl.) b&G/TPH Suspended bilUsage (Method`1664 Solids SGT-HEM), if � :MG� : _ ,inclies m m a upat ; s � r aWoo G Form SWU-247, last revised 21212012 Page 1 of 2 i � I ;STORM EVENT CHARACTERISTICS: 3 Date .1 " Total Event Precipitation (inches): V P4 I Event Duration (hours): (only if applicable — see permit.) j(if more than one storm event was sampled) Date Total Event Precipitation (inches): ' Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division ofWater _Quality Attn: Centraf Files 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 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." U (Date) • w _ is .. Form SWU-247, last revised 21212012 Page 2 of 2 Merxtech, Inc. Environmental Laboratory . '.: Laboratory Certification No.165 tow Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 00091762 Sample: Stormwater Grab Parameters COD Total Suspended Solids TKN Nitrate/Nitrite, Nitrogen Nitrogen, total Phosphorus, total Fecal Coliform Oil & Grease - Non Polar pH Free Chlorine Report Date: 8/18/2017 Date Sample Rcvd: 8/9/2017 8/9/17 Result Analysis Date Reporting Limit Method <15 mg/L 8/10/17 15 mg/L EPA 410.4 5 mg/L 8/14/17 2.5 mg/L SM 2540D 0.38 mg/L 8/15/17 0.20 mg/L EPA 351.1 0.91 mg/L 8/10/17 0.10 mg/L EPA 353.2 1.29 mg/L 8/15/17 0.20 mg/L EPA 353.2 0.052 mg/L 8/15/17 0.020 mg/L EPA 200.7 <9 col/100 ml 8/9/17 9 col/100 ml SM 9222D <5 mg/L 8/14/17 5 mg/L EPA 1664B 6.33 S.U. 8/9/17 1.0 -14.0 S.U. SM 4500 H B 0.2 mg/L 8/9/17 0.01 mg/L SM 4500 C1G I hereby certify that I have reviewed and approve these data. (� Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (CQC) Client: Address: Attention: Perdue Farms NPl]ES#: Phone: Fax: Email: P.C/rll/�r9+�-• . 940161 Project: Po #: MERITECH INC. Environmental Laboratories A Division of Water Technology and Control, Inc. 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: w#clat, (&bellsouth.net Web Site: www.meritech-labs.com Turn Around Time* Std (10 days) y 3 - s Day I 24 - 48 Hr Sample LocationllD # Sampling Dates & Times Person Taking Sample (Signature): Lab Use Only START END COMP? Grab? ' #ot ;Conte. Tests Required On lee? pH OK? C12 0K? Date Time Date Time Stormwater f TSS #tl. COD,Ntot (wIHZSO4) Ptot (w/HNO3) fir Oil & Grease Non -Polar (w1HCI) Fecal Coliform 1 J Method of Shipment: ' Comments: - 4 LIPS ❑ Fed Ex ❑ Hand Delivery ❑ether Will these results be used for regulatory purposes? Yes No *RUSH work must be approved prior to submitting samples. Rellnqulshed ate: Time: ` j�'- a'a2, R ive y: bat Ti -� .�:� �`�`% Relin is b : `�� y : e .� o� � Received by: Date: Time: Relinquished by: Date: Time: Receive !a Time: r'--,; r Environmental- Services Pardue Farms Inc. Rockingham Processing Plant 416 South Long Street Rockingham, NC 28379 August 10, 2017 Central Files Division of Water Resources 1617 Mail Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 I I� Perdue Farms, Rockingham Facility AUG 1 2017 s To Whom it May Concern: As specified under the Tier Two Storm Water permit requirements, monthly storm - water monitoring is required for the Perdue Foods LLC facility located at Rockingham, North Carolina. , For the month of July 20417,Lhere-was-not-a-qualifying-rain-event whiere.a.stoim. t r omplJd;be.co'-�Ilected,during Che production work-weeK7.As required in statement 3 of the Tier Two requirement, please find an attached monthly monitoring report indicating "No Flow". If you need any additional information, please do not hesitate to contact me at 910-997- 8593. Sin erely, Dennis G. Parker Environmental Manager STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 01 0 O ! _30 FACILITY NAME 1—'�r-- U 11__� PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 1 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives thesaZmplillu lts from the I oratory.) COUNTY 1 PHONE NO. $ 5 SIGNATURE OF PIERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1 i 1. . mple C611e&W fl I Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? kyes no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements ;Outfall. No. rVs- ` Dates:_, r4�-tom' .`56- sample 50050= _ 005 00530 00400 Total Flow. Total Oil &Grease Non -polar Total pH New Motor Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil -Usage (Method 11664 Solids SGT-HEM),-if ; = 1+e`-,"At.', + '• :-Y.. .._ ;sue appl. Es` mo/dil/'i,� <}.kMG kt; - , in' MgAm y�r,;:unit=�r>� -aUmo•. Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: -� Division of Water Quality Date y ,A/� / Attn: Central Files Total Event Precipitation (inches): y _ 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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." 8_114(aos7_ (Signature of Permit ee) � (Date) i -4 Form SWU-247, last revised 21212012 Page 2 of 2 f . Environmental Services Perdue Farms Inc. A1.orC,,� rW#,,.,,,k.,,„- Rockingham processing Plant 416 South Long Street July 17 2017 Roek , NC 28379 Central Files Division of Water Resources 1617 Mail Service Center RECEIVE® Raleigh, NC 27699-1617 1� JUL 2 4 2017 Subject: Storm Water Monthly Monitoring Report CENTRAL FILES Permit No. NCD00130 DWR SECTION Farms, Rockingham Facility Dear NC Representative, As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the June 2017 Storm Water Monitoring Report for Perdue Farms Rockingham facility. The monitoring report meets the requirements under Part li; Section B: Analytical monitoring Requirements for the Rockingham facility's Storm Water Permit. The storm water sample was collected on June 21, 2017 during a qualifying rain event. A copy of the lab analysis has been included. If you should need any additional information, please contact me at the Rockingham facility at 910-997-8593 or my cell at 910-995-0996. Since ely yours, Dennis G. Parker Environmental Manager Dennis.parker@perdue.com CC: Fayetteville Regional Office 215 Green Street, Suite 714 Fayetteville, NC 28301 s Meritech, Inc. Environmental. Laboratory Laboratory Certification No.165 r Contact: William Moore Report Date: 6/30/2017 Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Date Sample Rcvd: 6/21/2017 Meritech Work Order # 06211766 Sample: Stormwater Grab 6/21/17 Parameters Result Analysis Date Repgrfing LIMit Method COD 165 mg/L 6/22/17 15 mg/L EPA 410.4 Total Suspended Solids 320 mg/L 6/27/17 2.5 mg/L . SM 2540D TKN . 4.62 mg/L 6/27/17 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.85 mg/L 6/22/17 0.10 mg/L EPA 353.2 Nitrogen, total 5.47 mg/L 6/28/17 0.20 mg/L EPA 353.2 Phosphorus, total 1.36 mg/L 6/27/17 0.020 mg/L EPA 200.7 Fecal Coliform 100,000 c01/100 ml 6/21/17 10 col/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 6/27/17 5 mg/la EPA 1664B pH 6.7 S.U. 6/21/1.7 1.0 -14.0 S.U. SM 4500 H B Free Chlorine 0.02 mg/L 6/21/17 0.01 mg/L SM 4500 C1G I hereby certify that I hove reviewed and approve these data. 411 Laboratory Repres ntative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 s�mr� Chain of Custody Record (COC) NPDES#: Client: f Phone:A/� ��� � �' •� '1` M E RITECH INC. 1 Ad s: 6 Fax: ENVIRONMENTAL LABORATORIES Email: t°«` s j= 642Tamco Rd. Phone-..336-342-4748 Project: f Reidsville NC 27320 Fax: -336-342-1522 lP.0A Email: info@meritechlabs.com Attention: W/k:o ' 4t�V T� Turn Around Time* How would youlikeyour report sent? "RUSH work needs prior approval. www.meritechlabs.com Circle all that a Std coda s} - pa z4-as�irs apply: Emaillpreferredl, Fax, Mail Sampling Dates & Times Person Taking Sa 1 (Si Prin l t • �J/�{ Lab Use Only Sample Location and/or ID # Start End Comp? R of Test(s) Req u i red On Ice? Yes pH OK? Date Time Date Time Grab? Cont. / No Cl OK? r 0 'S/(Dr� Foy X ��Ox -Ozl�4c,� Tt �r . _ Temperature Upon Receipt: Method of " " Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and T A samples must be done in the field prior to preservation. Comments: Compositor # Jug # Shipment: UP5 Fed Ex Are these results for regulatory purposes? Yes QlNo Report results in: mg/L mg/kg E) ug/L LJ Hand Delivery Relinquished by: Date: Time: ' r�� f% C� Received y:" Time: Ej Other Relinq " at , Time: Q� Received -by. Date. Time: Reiinquis ed by: te: 7me: Received by b: ' Q Time: STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS / SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall be received by the Division no later than 30 days from C the date the facility receives the sampling results from the aboratory.) FACILITY NAME COUNTY [ PERSON COLLECTING SAMPLE(S) PHONE NO.177 CERTIFIED LABORATORY(S) M Nl Lab # Lab # Part A: Specific Monitoring Requirements SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date 50050. No Sample :Total Total _ - F Collected . Flow Rainfall42- mo/d ;7' ' :MG inches r i_ t - Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements Outfall '-"__ -' Dates .­ 50050 . ....: . '. - - 00556 - _ 00530 00400 : . - _, • _ . . TotaLFlow . Total ; ` 'Oil &Grease Non -polar Total pH New Motor No Y-_ Sample w ` - Collected (if applicable) Rainfall (if appl.) O&GITPH Suspended Oil 'Usage (Method 1664 Solids - _ EM), if SGT H - - - - - appl. :MG---- inches : m mg1l unit al/mo <Kor 77 Form SWU-247, last revised 21212012 Page 1 of 2 . '* STORM EVENT CHARACTERISTICS: ` Date Total Event --/Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 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 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." X"v GM44v---- 71 r7%[7 (Signature of Permittee) (Dater Form SWU-247, last revised 21212012 Page 2 of 2 1 Environmental Services nm Perdue Farms Inc. _W A l..we..fef.�fYw.n,. lYIfN Rockingham Processing Plant 416 South Long Street Rockingham, NC 28379 June 9, 2017 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject:'Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern; As specified under the Tier Two Storm Water permit requirements, please find attached two copies of May 2017 storm water monitoring report for Perdue Foods LLC facility located at Rockingham, North Carolina. This Monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the Rockingham facility's Storm Water Permit. The storm water sample was collected on May 5, 2017 during a qualifying rain event. If you should need any additional information, please contact me at the Rockingham facility at 910-997-8593, or my cell at 910-995-0996. Since ely yours, Dennis G. Parker Environmental Manager ; SUN 2417 Dennis.parkerCcDperdue.com 1 f Cc: Fayetteville Regional Office - 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS64,06 13 y FACILITY NAME PERSON COLLECTING SAMPLE(S) CERTIFIED.LABORATORY(S) /04!�Ff Lab # j Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: ""ao/! (This monitoring report shall be received by the Division no later than 30 days from the date the facility rece' s the sampling results from the laboratory.) COUNTY PHONE NO. MREO ATURE OF PERMITTEE OR DESIGNEE UIRED ON PAGE 2. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes no (if yes, complete Part B) cart is: venicie Maintenance ACnvtty MomtorinsT meumrements u _; Date-:;, . :50050 __ .W:- _ . _:. : ;:- =. 400530 .y .00400 r_ No.-- :- .Sample ` y Total Flow Total , ' Oil & Grease Nvq-polar w Total pH= New Motor p : Collected (if applici�ble) Rainfall .: " (tf appL) : O&GITPH Suspended, - Qi1 Usage . r v S (Method 1664 `- Solids - 'SGT HE _ _. '. Y mo/dd! MG :- 4nclies '• m :. _-W 'm - . '__unit- '. al/mo Form SWU-247, last revised 21212012 Pagel of 2 STORM EVENT CI3ARACrT�ERiST1CS:, . Date Total Event Precipitation (inches): — Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to; y Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 of fines and imprisonment for knowing violations." (a'1.1j�� (Signature of Permittee) (Date) E k Form SWU-247, last revised 21212012 Page 2 of ' Merxtech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order* 05051749 Sample: Stormwater Grab Parameters COD Result 43 mg/L Total Suspended Solids 32 mg/L TKN 0.94 mg/L Nitrate/Nitrite, Nitrogen 2.17 mg/L Nitrogen, total 3.11 mg/L Phosphorus, total 0.103 mg/L Fecal Coliform 10,545 col/100 ml Oil & Grease - Non Polar <5 mg/L PH 6.7 S.U. Free Chlorine 0.02 mg/L Report Date: 5/18/2017 Date Sample Rcvd: 5/5/2017 5/5/17 Analysis Date Report.' g Llmlt Method 5/8/17 15 mg/L EPA 410.4 5/8/17 2.5 mg/L SM 2540D 5/16/17 0.20 mg/L EPA 351.1 5/9/17 0.10 mg/L EPA 393.2 5/16/17. 0.20 mg/L EPA 353.2 5/11/17 0.020 mg/L EPA 200.7 5/5/17 10 cal/100 ml SM 9222D 5/8/17 5 mg/L EPA 1664E 5/5/17 1.0 -14.0 S.U. SM 4500 H B 5/5/17 0.01 mg/L SM 4500 ClG 1 hereby certify that I have reviewed and approve these data. (_ P'�tr� Laboratory Representative 642 Tamco Road, Reidsville,'North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 s� Chain of Custody Record (COC) NPDES#: Client: ��.�•� ��� Phone: � Address: ! �. �r': Fax: !� 7 Q_ a ��un �.• Email• tJ z VI-3 Project: P.O.#: Attention: (.t�r`�/i-�—� TLmAroundTime* 'RUSH work needs prior approval. How would you like your report sent? arcle all that apply: Email (preferred), Fax, Mail Std 120days) 5 Days z MERITECH INC. 1 ` ENVIRONMENTAL LABORATORIES r 642 Tamco Rd. Phone: 336-342-4749 it Reidsville NC 27320 Fax: 336-342-1522 Email: infio@meritethlal)S.com www.meritechlabs.com Sample Location and/or ID # Sampling Dates & Times Person Taking Print): 7 , Lab Use only•�i Start End Camp? Grab? # of cant U Test(s) Required on [ce? Yes , No pH OK? Cl OK? Date Time Date Time j o /Ur !� e l ,�—� c u l y Lq Y� bCJ of c,__.,T7 20 cv L �t' ..L.. 0 2 - 1 (� r Temperature Upon Receipt: + OPT Method of Shipment: '# Dechiorination (cOS ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. ••• Comments: Compositor # lug # C) UPS Fed Ex Are the results for regulatory purposes? Yes 2f. No ❑ Report results in: mg/L mg/kg ❑ ug/L Hand Delivery Rei nqui hed � Date: — 1 71m Qi ZI R eiv 1 te• �° 6"� D :7 Tfine: Other Rel ut d by 6" yQ Time: ; i / Received V. Date: Time: Relinquished by: Date: Time: Received at .I� Time: 1 cam%) APPI AJ. *00 M 4M10-tr1~ma- Environmental Services Perdue Farms Inc. Rockingham Processing Plant 416 South I-ong Street Rockinahun, NC 28379 Central Files CEN-�RPL FIL�N Division of Water Resources S�C'C10 1617 Mail Service Center pWR Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the April monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for -the facility's Storm Water Permit. The storm water sample was collected on April 6, 2017 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (910) 995-0996. Sinc eiy yours, Dennis Parker Environmental Manager dennis.parker@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS C)-() <f) 1 30 FACILITY­NAM;�I� �r,(&rr, PERSON COLLECTING SAMPLE(S). W.f I I AV, CERTIFIED LABORATORY(S) Lab 9 Q ris !.� Lab ft Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING'CALENDAR YEAR: a(319 (This monitoring report shall be received by the Division no later. than 30 days from the date the facility receives the sampling results from th laboratory.) COUNTY�R PHONE NO. SIGNATURE OF PERMnTEE OR DESIGNEE REQUIRED ON PAGE 2. NEWATAMA I M Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes ___pa (if yes, complete Part B) Part B: Vehicle Maintenance Activity Mouitoring Requirements Total Oil. r iiaslil Non -46 Or ;Total pH New Motor 11 applicable)` 4f abb O&G'ffP. H 'id udL �0&1 U Mize, • ti PL.". ��R;Idd/y MG, unit' -9# 1110 00 1 egLORTI I rJ 1A 6)-t--ao Form SWU-247, last revised 21212012 Page. 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: /Q I�7 Division -of Water Quality Date ( c�yy Attn` Central Files Total Event Precipitation (inches): 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one stonn event was sampled) Date Total. Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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 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 passibility of fines and imprisonment'for knowing violations." s12 (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Pace 2 of 2 Chain of Custody Record or(COC) Client: Perdue Farms Address: �1p ' - �,,�Wir ,gin Attention: 440WCo �. NPDESk Phone. ra=-- Email: 4,) fit Jam.- fLlan:uL - Pro)ech POD: MEPJ 1 ECH INC. Environ.mpntal Laboratories A Division of Water Technala" and Contm7, Inc. 642 Tamco Rd Phone 1-335-342-4748 Reidsville, NC Fax: 1-US-342-1522 27320 Email: wtela bellsouth.not Web Site: mvtr.meritech-iabs.com Turn Around Time* Std (10 days) 3 - 5 Day 24 - 48 Hr Sample le p LocatiorrllD # Sam lint Dates & Times � g Person Taking Sample_(5igrsature): Lab Use Only sraRr `. C°ab? Grab? *nt Conts Tests Req red- ke? c zox? Date Time Dade Time Storfnwater - j d. &6 TS9, 8 t c (or COf�'Ntot (w1H2SO4) Ptot (w1HNO3) 11 •' 011 Oil & Grease Non -Polar (w/HC1) Fecal Coii#orm " 4—& fd' fi 1 ��U Method of Shipment Coium ents. UPS Fed Ex ❑ Hand Delivery [Other Will these moults be used for regulatory purposes? Yes *RUSH work mus-t.be approved prior to submiffing samples. riefi�nquFl)aheftt by note: Tim: 4-41/1 "{^ � -17 / Y � el" e: Time: ' ` ✓ % lidinqui by: Date: -+ Time c .' � . �f L % L3'�- RecN7 Date: Time: R gMcruished hy: Date: Time: ReCe Date: Time: A01174- 3 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Report Date. 4/13/2017 Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Date Sample Rcvd: 4/6/2017 Meritech Wort Dreier # 04061751. Sample: Stormwater Grab 4/6/17 Parameters COD Resu 57 mg/L Ana["IsDai RCI)orting LiMit 15 mg/L Method EPA 41.0.4 4/7/17 Total Suspended Solids 1.2 mg/L 4/10/17 2.5 mg/L SM 2540D TKN Z.59 mg/L 4/12/17 0.20 mg/L EPA 3514 Nitrate/Nitrite, Nitrogen LOB mg/L 4/7/17 0.10 mg/L EPA 353.2 Nitrogen, total 3.67 mg/L 4/12/17 0.20 rng/L CPA 353.2 Phosphorus, total 0.497 mg/L 4/11/17 0.020 mg/L CPA 200.7 Decal Coliform 144 col/100 ml 4/6/17 10 col/100 ml SM 9222D Oil & Grease - Non Polar <5 rng/L 4/10/17 5 mg/L EPA 1664E PH 6.90 S.U. 4/6/17 1.0 -14.0 S.U. SM 4500 H B Free Chlorine 0.02 mg/L 4/6/17 0.01 mg/L SM 4500 CIG I hereby certify that I have reviewed and approve these data. Laboratory Repres utative 642 Taxneo Road, Reidsville, North Carolixia 27320 tel.(336)342-4748 fax.(336)3421522 �j STO%KWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number.NCS 00 0 13 0 FACILITY NAMEt - N�l PERSON COLLECTING SAMPLE(S)j CERTIFIED LABORATORY(S) Lab 9 +'r Lab Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: I (This monitoring report shall be received by the Division no latei'than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY C_fN r'-'0.09 PHONE NO..(-1 M SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1 ff In 61TATIRP ROMP Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitorine Requirements 00400 Sample Iota! Flaw T Collected�-_(if .ap0L)j TOIRV tj I'Siiii;Velid6d Oil S --'SGT-HEM)nf' �z `7 "MG- :mclil es, Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVERT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date VWM Attn: Central Files Total Event Precipitation (inches): D. 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit) "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) (Date) Form SWU-247, last revised 2/2/26V Page 2 of 2 Im Merifech, Inc. Environmental Laboratory Laboratory Certification No.1655 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Report Date: 3/17/2017 Date Sample Rcvd: 3/10/2017 Meritech Work Order # 03101751 Sample. Stormwater Grab 3/10/17 COD 349 mg/L 3/13/17 15 mg/L XPA 410.4 Total Suspended Solids 58 mg/L 3/15/17 2.5 mg/L SM 2540D TKN 7.84 mg/L 3/14/17 0,20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.86 mg/L 3/15/17 0.10 mg/L EPA 353.2 Nitrogen, total 8.70 mg/L 3/15/17 0.20 mg/L EPA 353.2 Phosphorus, total 0.909 mg/L 3/15/17 0.020 mg/L EPA 200.7 Fecal Coliform <10 col/100 ml 3/10/17 10 col/100 ml SM 9222D Oil & Grease - Non Polar <S mg/L 3/14/17 S mg/L CPA 1664E PH 6.4 S.U. 3/10/17 1.0 -14.0 S.U. SM 4500 H B Free Chlorine 0.01 rng/L 3/10/17 0.01 mg/L SM 4500 CIG 1 hereby certify that I have reviewed and approve these data. � Laboratory Repireseritative 642 Tameo Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 N Chain of Custody Record (COC) NPDES#: MERITECH INC. Client: Perdue Farms Environmental Laboratories _ A Division of Water Tccl=logv =4 Control, Inc. Address: n 642 Tamco Rd Phone 4=336-342.4748 Reidsville, NC Fax: 1-336-342-1622 27320 Email: wtclabCmbellsouth.net Attention: Z Web Site: www.medtech-labs.com Sample — Sampling Dates & Times Person Taking Sample (Signature): START LocatioMD # ° camp a Of Tests Req Dow � Date Taus cw m Stormwater y i �j jJ .e' C r TSS 4 � = 3f o/17 74 -. CQgNtot (w/H2SO4) lc 3 0 14 111� T Ptot(wiHNOS) K f +°!+? 1 U�.,.- Oil & Grease Non -Polar Fecal conform PO Turn Around Time* in r -7:= Std (10 days) 3 - 5 Day 24 - 48 Hr Lab Use Only fired- on PH ax7 ice? C12 CK4 1 Via` vIHC:i1 4- Lk , 1401n Method of Shipment (3 UPS Fed Ex ❑ Hann Delivery pother 1lVifl these nesuifs be used for regal: Yes � No by; "'' V" J " *RUSH work must be approved priorto submiffing samples. Time: Date: TIMW. Dale: 3 rare: Received bq Dam: Tina: L) r9 v7 •-7: /&-- Dafe: Time, Rccoived L Fab h Dot l 10 � { - 7on": � 15 Environmental Services Perdue Farms Inc. Itcacl�:i1l.0laIII III-occssillg 111,1nC 416 Sotltll I-ol g Stl-ec:t Itockinj4haj n, NC 28379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility f MAR 13 2017 To Whom It May Concern, As specified under. the Tier Two Storm Water permit requirements, please find attached two copies of the February monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on February 9, 2017 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757):710-4436. S' cerely yo/�urs, �.� a , Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STOR11IWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS Don 1 3 0 _ FACILITY NAM E?-e-f r! Lk,�-' 10� o3 t, M 1 A f, PERSON COLLECTING SAMPLE(S) i.cJ ; t 1.` O 1`p-1 CERTIFIED LABORATORY(S) Lab # Q !' PSC Lab #—F&-S--- Part A: Specific Monitoring -Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 20 17 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY` �'` � 0 J" PHONE NO. (14)U) - V6 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. r w. tP. TA, 0W�ra WR j "i_ i I Does this facility perform Vehicle Maintenance Activities using more than 55 galions of new motor oil per month? �es _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 56050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&GfFPH (Method 1664 SGT-HEM), if appl. .Total Suspended Solids pH New Motor Oil Usage moldd/ r MG inches mW1 mo unit gallmo MIA •` 2- Form SWU-247, lass revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Dateo,V05/o Total Event Precipitation (inches): (91 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit:) Mail Original and one copy to: Division of Water Quality Attn_ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Pace 2 of 2 Merxtech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Report Date: 2/17/2017 Rockingham, NC 28379 Date Sample Rcvd: 2/9/2017 Meritech Work Order # 02091753 Sample: Stormwater Grab 2/9/17 Utpameters Result Analysis Date RgUorting Limit Method COD 126 mg/L 2/14/17 15 mg/L EPA 410.4 Total Suspended Solids 12 mg/L 2/13/17 2.5 mg/L SM 2540D TKN 9.75 mg/L 2/14/17 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.84 mg/L 2/10/17 0.10 mg/L EPA 353.2 Nitrogen, total 10.6 mg/L . 2/14/17 0.20 mg/L EPA 353.2 Phosphorus, total 0.286 mg/L 2/14/17 0.020 mg/L EPA 200.7 Fecal Coiiform <9 col/100 ml 2/9/17 9 col/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 2/10/17 5 mg/L EPA 1664B pH 6.24 S.U. 2/9/17 1.0 -14.0 S.U. SM 4500 H B Free Chlorine <0.01 mg/L 2/9/17 0,01 mg/L SM 4500 C1G I hereby certify that 1 have reviewed and approve these data. I W . NC2 Laboratory Representative 642 Tameo Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (COC) Client: Perdue Farms Address: Q Attention: NPDES #: Phone: Fax: Email: Project: Po#: MERITECH INC. Environmental Laboratories '.. I A_w_..j A Division or Water Technology and Control, Inc. 642 Tamco Rd Phone 1-336.342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtelabi@bellsouth.net Web Site: www.meritech-labs.com Turn Around Time* Std (10 days) 3 - 5 Day I 24 - 48 Hr Sample Location/lD # -Sampling Dates & Times - - person Taking Sample (Signature): Lab Use Only START END camp? Grab? of corks. Tests Required- On lee? pH OK? c12 OK? Date Time Date Time Stormwater C / TSS COD,Ntot (w/H2SO4) .r (wMN03) 1� Oil & Grease Non -Polar (w/HCQ �^ Fecal Coliform Method of Shipment: Comments: El UPS ❑ Fed Ex ❑ Hand Delivery QOther Will these results be used for regulatory purposes? Yes No * RUSH work must be approved prior to submitting samples. Relinqu P.7 , e: - Time: 2 �} /'7 /ff ' R 1-dig- Date: Time: [rr.'s/ a_.9 1- � r=•-9cJ Relinqui Date: 9 Tune; Received by: Date: Time: Relinquished by: gate: Time: ReGei at lab by: Date" Time: Wto +1•-nr •Y1.•.MNq--meI—W' ...... E- n--v,- u"* r o- n, - m -e- - n-- - a-- —e- r-, - - v- o c e s Pordufi Farms Inc. Itncl<lllgllalll NZ11A 4-16 `SoLifll l..g(lg SLR!CC Rocl<iil diain, XK. 293 1) Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring,Report Permit No. NCS000130 Perdue Farms, Rockingham Facility �II i To Whom It May Concern, DEB - 8 2017 As specified under the Tier Two Storm Water permit requirements, monthly storm water monitoring is required for the Perdue Foods LLC facility located at Rockingham, North Carolina. ' For the month of January, there was not a qualifying rain event where a storm water sample could be collected during the production workweek. As required in statement 3 of the Tier Two requirements, please find attached the monthly monitoring report indicating "No Flow". If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, � MA -a a, �- Paul B. Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS co k 3 Q_ _ FACILITY NAME,?4P r'.Q(_ke M PERSON COLLECTING SAMPLE(S) A.? rA _ CERTIFIED LABORATORY(S) Lab # N Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR; a O 17 (This monitoring report shall he received by the Division no later than 30 days from the date the facility receives thesamplingresults from the laboratory.) COUNTY M N bG �- PHONE NO. — (a 3 E NATURE OF PERMITTEE OR DESIGNEE QUIRED ON PAGE ?.-1 Outfall No. Date. r e otal. Flow (if app.) r r r Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Vyes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitorina Requirements Outfall No. W Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&GITPH (Method 1664 SGT-HEM), if appl. Total. Suspended Solids pH New Motor Oil Usage mo/ddl MG inches mzq m unit al/mo O s7 w Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date WA Total Event Precipitation (inches): NO 10� Event Duration (hours): (only inapplicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable —see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-I617 "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." P"J, a. PAv oa/v6la�j-Ai (Signature of Permittee) ft (Date) Fonn SWU-247, last revised2/2/2012 Page 2 of 2 Environmental Services -17 Pardue Farms Inc. +1•�Y���-+v!•s/.Ih O...rr r--rr•,. 1�()ck ligli1 t1i1 llIY ccssiiig 11.16 Scwt1) 1_01)g SLI—W- Jtockil>tdiaiii, NC" lh 379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 jA ' Perdue Farms, Rockingham Facility To Whom It May Concern, As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the December monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part 1I; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on December 6, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, R;t-J 6+ PLr&� Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS-QQ 0 FACILITY NAME PERSON COLLECTING SANIPLE(S) CERTIFIED LABORATORY(S) Lab # Lab #—T Part A. Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall he received by the Division no later than 30 days From the state the facility rePvI 'es the sampling, results from the laboratory.) COUNTY (�—lx .M ir%1'JsQ PHONE NO. ) SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. ! Date11 1 •Collected I 1 1 r inches WI Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (If appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches ma m unit gal/mo 1 ft 1 Form S W U-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date 1?L /6 Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable —see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 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 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) 01 0311 7 (Date) Form SWU-247, Iasi revised 21212012 Page 2 of 2 Merxtech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 12061684 Sample; Stormwater Grab Pjjrametgrs $get Analysis Dgte Report Date: 12/19/2016 Date Sample Rcvd: 12/6/2016 12/6/16 COD 73 mg/L 12/9/16 15 mg/L EPA 410.4 Total Suspended Solids 12 mg/L 12/9/16 2.5 mg/L SM 2540D TKN 1.52 mg/L 12/15/16 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.99 mg/L 12/8/16 0.10 mg/L EPA 353.2 Nitrogen, total 2.51 mg/L 12/16/16 0.20 mg/L EPA 353.2 Phosphorus, total 0.439 mg/L 12/8/16 0.020 mg/L EPA 200.7 Fecal Coliform <9 col/100 ml 12/1/69 9 col/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 12/8/16 5 mg/L EPA 1664E pH 6.15 S.U. 12/6/16 1.0 -14.0 S.U. SM 4500 H B Free Chlorine 0.02 mg/L 12/6/16 0.01 mg/L SM 4500 C1G 1 hereby certify that 1 have reviewed and approve these data. �Ucl Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 main Ot Custody Record (CSC) NPDES #: MERITECH INC. Client: Perdue Farms phone: 1710- ` Environmental Laboratories Fax: A® _ o `.�.. A Division of Water Technology and Control, Inc. Address: Project:_.- 642 Tamco Rd Phone 1-336-342-4748 PO #: Reidsville, NC Fax: 1-336-342-1522 Turn Around Time* 27320 Email: wtr-lab@bellsoyth.net Attention: 1/14-,. eti ffa-o -cam Std (10 days) 3 - 5 Day 24 - 48 Hr Web Site: www.meritech-labs.com © o Sample Sampling Dates & Times Person Taking Sample (Signature): Lab Use Only Location/lD # START END COMA? #Or Tests R ired- On p" OK? Date Time Date rime Crab? conts- ice? C12 OK? Stormwater / Z-r3 jO:Ge.�-- T TSS ez !f COD,Ntot (wIH2SO4) Ptot (w/HNO3) 046-- 1 Oil & Grease Non -Polar (w/HCQ %Q'G i% i Fecal Coliform t t-ZAk to of Shipment: UPS ❑ Fed Ex Ej Hand Delivery []Other meats: these resutts be used for regulatory pure Yes No quish Eby: Date: uish 0 by., *RUSH work must be approved prior to submitting samples. 'rime. D Time: Tune: Rece-ned by: Date: Time: Time: Rec i d of I� by: Date. Time: �'+ �fapu�. y� 4, Environmental services Perdue Farms Inc, Rocl<MgI1�1111 1}1.UcLS!�11)g 1'1,1111 4 16 !'yO II L(Alg SLI'C t- ltrrcl.sllE;flaltl, UC;; 29379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECEIVED DEC 3 0 2016 DEQ-FAYETTEVILLE KEGIONAL OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the November monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North -Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on November 30, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc:, Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000 130 FACILITY NAME t` I, PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab #� Part A. Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall he received by the Division no later than 30 days from the date the facility receives �the sampling results from the laboratory.) COUNTY PHONE NO. (c-TIQ) 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PACE 2. ::1 I 1 11 1 4 1 eNam y M.1� 1 1 ® ZA!-. Ir"WAM 91 10r�Aa1 r�"Mra I R y .�t�� WI-Mr••ad01M rW�� Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? V yes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50650 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit al/mo- d /b WIT '16 Form SW U-247, Iasi revisad21212012 Page I of 2 "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) /a /as //6 (Date) SWU-249-102I07 Page 2 of 2 Chain of Custody Record (COC) Client: Perdue Farms Address: fl-K Attention: " + /1�,..a 1 t n7, NPDES #_ Phone: 10 a5� ?_ Pax: Email' PO#1: MERITECH INC. Environmental Laboratories „r A Division of Water Technology and Control, Inc. 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtclab,@bellsouth.net Web Site: www.meritech-labs.com Turn Around Time S!d (70 days) 3 - 5 Day 24 - 48 Hr � Sample LocationllD # Sampling Dates & Times r Person Taking Sample (Signature): € Lab Use Only START EN co Grab_ not Cortts. Tests Requ - lee? pH OK? c 2OK? Date Tune Date Time Stormwater II 30 (0-'hna. TSS �. ti O c,v 1 COD,Ntot (w/H2SO4) ^ t r 05 its : o Not (w/HNO3) (! 3 U IU. GG ,ate 1 Oil & Grease Non -Polar (w/HCl) r" Fecal Collform G.� Method of Shipment: Comments: UPS Fed Ex ❑ Hand Delivery ❑Other - Will these results be used for regulatory purposes? Yes No RUSH work must be approved prior to submitting samples. Refinquished 1 Date: Time: ! I Re Wed Date. Tane: �, Roll by_ Date: [[' Time: ! G - 1 ` % -6 �7 -5 J Received by Date: Tune: Relinquished by Date: Time: Received at lab by: Date: Time: Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client; Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 11301660 Sample: StormwaterGrab parameters Result Ana ysis Date Report Date: 12/19/2016 Date Sample Rcvd: 11/30/2016 11/30/16 Reporting Lim] Method COD <15 mg/L 12/1/16 15 mg/L EPA 410.4 Total Suspended Solids 4 mg/L 12/2/16 2.5 mg/L SM 2540D TKN 0.65 mg/L 12/1.5/16 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.63 mg/L 12/2/16 0.10 mg/L EPA 353.2 Nitrogen, total 1.28 mg/L 12/16/16 0.20 mg/L EPA 353.2 Phosphorus, total 0.256 mg/L 12/2/16 0.020 mg/L EPA 200.7 Fecal Coliform <9 col/100 ml 11/30/16 9 col/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 12/1/16 5 mg/L EPA 1664E pH 5.9 S.U. 11/30/16 1.0 -14.0 S.U. SM 4500 H B Free Chlorine 0.01 mg/L 11/30/16 0.01 mg/L SM 4500 C1G 1 hereby certify that C have reviewed and approve these data. k-42�2 Laboratory Representative 642 Tamco Load, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 EneriironmentaN Seevuc@*r� ve DEQI WR Pardue Parma Inc.. flClCl�lll(�11,1111 I'I'i)i.c 5ti}11l� Niwl 416 �()Ulll I.;112 Kocl:ilu> liul», v(., 1h37`� NMI 1[) 2016 FAYETTEVILLE REr3ION4 OFFICE Central Files Division of Water Resources -- ---- 1617 Mail Service Center 1 Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report NOV 1 0 2016 Permit No. NCS000130 L _ Perdue Farms, Rockingham Facility l r < To Whom It May Concern, As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the October monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Caf olina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on October 7, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Paul Bruce Roberts Regional Environmental Manager brucc.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 A STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS FACILITY NAME ?e- f cC (A e— 1 ate"` �j,, PERSON COLLECTING SAMPLE(S) _ , 11 i 4 n' Vpc)^ 2 CERTIFIED LABORATORY(S) Lab # i` ► e Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: �(0 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling result from the laboratory.) COUNTY M 7D PHONE NO. SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. rTotalr rFlow (if app.) r e i w ■�� � � ��O.00 1 MW Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00555 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G1TPH (Method 1564 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage motdd/ r MG inches mgj m unit galtmo GDETIT 897 I •'70 I 7_ 11 Form SWU-247, lust revised 21212012 Page I of 2 "f 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) / I /V//O- (Date) SWU-249-102107 Parye 2 of 2 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Report Date. 10/18/2016 Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Date Sample Rcvd: 10/7/2016 Meritech Work Order # 10071678 Sample: Stormwater Grab 10/7/16 Parameters moult AnalWsDate ReVZd iu& L1mit Method COD 47 mg/L 10/10/16 15 mg/L EPA 410.4 Total Suspended Solids 100 mg/L 10/12/16 2.5 mg/L SM 2540D TKN 1.75 mg/L 10/17/16 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.17 mg/L 10/13/16 0.10 mg/L EPA 353.2 Nitrogen, total 1.92 mg/L 10/17/16 0.20 mg/L EPA 353.2 Phosphorus, total 0.387 mg/L 10/13/16 0.020 mg/L EPA 200.7 Fecal Coliform 31,818 cal/100 ml 10/7/16 9 col/100 ml SM 9222D Oil & Grease - Non. Polar <5 mg/L 10/13/16 5 mg/L EPA 1664B pH 7.22 S.U. 10/7/16 1.0 -14.0 S.U. - SM 4500 H B Free Chlorine 0.01 mg/L 10/7/16 0.01 mg/L SM 4500 C1G I hereby certify that t have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)3424748 fax.(336)342-1522 Chain of Custody Record (CCC) Client: Perdue Farms Add ress: pp // `� 2 37� Attention: `��t s .,. caws NPDES#: Phone: Fax: 0— 1-- 'zoom Email:(A) rij 4%.e— INOvTl C-1 Project: Po #: MERI'TECH INC. Environmental Laboratories A Division of Water Technology and Control, Inc, 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1622 27320 Email: wtelaWbellsouth.net Web Site: www.meritech4abs.com Turn Around Time* st0 days) 3 - 5 Day 24 - 48 Hr Sample LOcationllD # Sampling Dates & Times Person Taking Sample (Signature): "[�C/ Lab Use Only START END Comp? Grab? , on ;Cants. Tests Required- rccee? c 2OK? Date Time Dais Time Stormwater - 7 10!twA r C' TSS 7 lr 10- 7 I0: t C015',Ntoi w[H2SO4) r '• 1 a - 7 1000h �- r Ptot (w1HNO3) AL� l f /0 Oil & Grease Non -Polar (w1HCI) 0 ra �,F,� e� ` l Fecal Coliform i Method of Shipment: Comments: El UPS Fed Ex ❑ Hand Delivery ❑Other Nit these results be used for regulatory pu ses? Yes No � RUSH work must be approved prior to submitting samples. Reiinqu Date: - Time: — 7 i +- Rec we Date: Tune: O�iu 8 A' /z A,? Rep iStl Date: / i me• e✓Y�.✓ ` / 3 log. s>-- lRelinquished Received by: Date: Time: by: 67 Date: me: I JRa=, Date: Time: CA— Envi''ronmental Services Perdue Farm` Inc. Ro,,;kin�Ji,tin lli-occssfl)g N:ii)(. 4.1 () I_.4)ilg `°sLrCcL Rocl:iil�; lain, NIC 4`9371) Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham'Facility To Whom It May Concern, RECIEWED DEQ/DWR OCT 062016 WQROS FAYETTEVILLE REGIONAL OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the September monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, NortYCarolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on September 20, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, B . Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS one") 13 d_ _ FACILITY NAME ?Qr` c.k'e—, PERSON COLLECTING SAMPLE(S) /� CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 94 t (This monitoring report shall he received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. (Q) SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Dateli Sample Collected I Total Flow (if app,) i - W1, , K'A AN" v ! V AMW"06 WIM 9, J ♦I IWAqA-wjm ! l t 1 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if -appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit Umo S Do i o0 'AA rZ.t Form SWU-247, lost revised 21212012 Page I of 2 "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) (Date) SWU-249- 1 02107 Pase 2 of 7 Chain of Custody Record (COC) Client: Address: Attention: Perdue Farms �/0 % � fir �(� , i NPDES#: Phone: 10-� 7-31� 3 Fax; Q'3gr - 5Z-6 Email: Project: Po #: MERITECH INC. Environmental Laboratories Al Division of Water Technology and control, Inc. 642 Tamco Rd Phone 1-336-42-4748 Reidsville, NC Fax: 1-336-3424522 27320 Email: wtelab(&bellsouth.net Web Site: www.meritech-labr..com Turn Around Tune* Std (lo days) 3 - 3 Day 24 - 48 Hr Sample Location/lD # Sampling Dates & Times Person Taking Sample (Signature): Lab Use Only START END Comp? Grab? #of conts. Tests R ' d- On Ice? PHoK? C12 OK? Date rime Date lime Stormwater a'z.v /o !40- #4 C' Ga ss-.._ 61 CO6,Ntot (wfH2SO4) �• �2 1 Q ` GG•i<- C> Not (w/HNO3) -r Oil & Grease Non -Polar (w/HCQ -~ Fecal Coliform +-4h -7. t Method of Shipment: Comments: ❑ UPS Fed Ex Hand Delivery ❑Other Will these results be used or regulatory purposes? Yes Na RUSH work must be approved prior to submitting samples. Re[i Date: Time: /� Lo /I, t R ate: Time: f 7fJ rune: Received by. Date: Time: Relinquished by: Date: rune: ived a D te: Time: Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Report Date: 9/29/2016 Date Sample Rcvd: 9/20/2016 Meritech Work Order # 09201675 Sample: Stormwater Grab 9/20/16 Parameters COD Result 27 mg/L Analysis Date 9/21/16 Reporting Limlt 15 mg/L Method EPA 410.4 Total Suspended Solids <2.5 mg/L 9/23/16 2.5 mg/L SM 2540D TKN 2.53 mg/L 9/27/16 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.64 mg/L 9/21/16 0.10 mg/L EPA 353.2 Nitrogen, total 3.17 mg/L 9/28/16 0.20 mg/L EPA 353.2 Phosphorus, total 0.340 mg/L 9/22/16 0.020 mg/L EPA 2003 Fecal Coliform <9 col/100 ml 9/20/16 9 col/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 9/22/16 5 mg/L EPA 1664E pH 7.1 S.U. 9/20/16 1.0 -14.0 S.U. SM 4500 H S Free Total Chlorine 0.02 mg/L 9/20/16 0.010 mg/L SM 4500 C1G I hereby certify that 1 have reviewed and approve these data. 6. &� Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Envirohmenfial Services Perdue Farms Inc. �In«,�. �:..,,,R•.rrw9..,nri•^•n.�� Rocklllgjlalll III-occ-s-s g 111al1t. 416 Sotllll l..()1ig Sti-cel Rockitigllacli, NC:; 28379 Se Central Files - Division of Water Resources C S E P 13 2016 1617 Mail Service Center_ Raleigh, NC 27699-1617 I Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the August monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on August 2, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Pa,A.�-_Q 8, Ra&,;b� Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 .,�:;iG..:;crd-.rail STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS d 00 130 FACILITY NAME?e-i- kte— PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # W — Lab #� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR:�;Loy> (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Gh +J C9 PHONE NO. (_) 3 E NATURE OF PERMITTEE OR DESIGNEE QUIRED ON PAGE 2. 'Date11 Sample Collected Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m (, mg2 unit al/mo- �a i ek) Form SWU-247, lust revised 21212012 Page I of 2 "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 forgathering 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_" Q/1 (Signature of Permittee) S WU-249-1021 a7 Pape 2 of 2 Chain of Custody Record (COC) Client: Perdue Farms Address: ;�j T� ti Jc ,L� ..;(_?C Attention: r?,UE=L� NPDES#: Phone: 9&A 57_ Fax: ef'` Email: t✓��f��^-� �*��"�t=��-�- Project: _ PO #: MERITECH INC. Environmental Laboratories ~ A, Division of Water Technology and Coatrol, Inc. . 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 - 27320 Email: wtelab@bellsouth.net Web Site: www.meritech-labs.com Turn Around Time* Std (10 days) 3 - 5 Day 24 - 48 fir Sample LocationllD # Sampling Dates & Times Person Taking Sample (Signature): � �6'�:':+� Lab Use Only START END comp? Grab? #ot cents. Tests Required- on Ice? pH OK? C12OK? pate Time Data Time Stormwater f �_z /C-c: "Li TSS - 1-2- p is L COD,Ntot (w/H2SO4) r,C3 Ptot(w1HNO3) Oil & Grease Non -Polar (w1HCQ i� f rG.'UV Fecal Coliform c�Z _z{1V-W C'V�fUlY`R- e Method of Shipment: Comments: UPS Fed Ex EJ Band Delivery []Other Will these results be ujo for regulatory purposes? Yes No "RUSH work must be approved prior to submitting _samples. Refnquish Date: Time: ^Z -/ 1; R" : _ Rate., Time: - Z 11,37 Retie Date: 'rime: / Recei ed by: Date; Time. RelirlquisheC by: Date: Time: Re eu 3 tab -- �a e: Time: , � � s Meri,tech, Inc. Environmental Laboratory Laboratory Certification No,165 Contact, William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 08021677 Sample: Stormwater Grab Report Date: 8/10/2016 Date Sample Rcvd: 8/2/2016 Parameters Result Analysis Date, Reporting Lim 8/2/16 COD 35 mg/L 8/3/16 15 mg/L EPA 410.4 Total Suspended Solids 8 mg/L 8/5/16 2.5 mg/L SM 2540D TKN 2.15 mg/L 8/4/16 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.68 mg/L 8/3/16 0.10 mg/L EPA 353.2 Nitrogen, total 2.83 ing/L 8/4/16 0.20 mg/L EPA 353.2 Phosphorus, total 0.366 mg/L 8/5/16 0.020 mg/L EPA 200.7 Fecal Coliform 8,182 col/100 nil 8/2/16 9 col/100 ml SM 9222D B7 Oil & Grease - Non Polar <5 mg/L 8/5/16 5 mg/L EPA 1664A PH 6.15 S.U. 8/2/16 1.0 - 14.0 S.U. SM 4500 H B B7 Many non-coliform colonies or interfering non-coliform growth present. In this competitive situation, the reported coliform value may under -represent actual coliform density. I hereby cet-tify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Hexion — STORM WATER SAMPLING REPORT Certificate of Coverage No.: NCS000156 Columbus County, North Carolina Personnel Collecting Samples: P. BusovneM. Maddo:r/S.IS.Mon rey Certified Laboratories: Fnvironmcritat C[etnists lab ID: 94 Environmental Testing Solutions, Inc. _ Lib E' r 37 `.• ANALYTICAL RESULTS 00S30 00310 003i0 00610 W623 00630 00665 77e35 50060 71380 01042 01092 01051 00556 oo400 TGA3B Outfit! Date molddlyr TSS mgA HOD mgjl COD m NH3 mgA TKN mgA NO3+NO2 mgA Total Phosphann mgA Methanol mgA TRC mgA Hexamine mRA Formaldehyde MWI Total Capper mgA Total Zinc mgA Total Lead mgjl Non -Polar O&G mgA pH s.n. Acute Toxicity LC50 003-Dry Projects July NA 004 HCfiO Iuy NA 00&Durk goad July 0o9-Maiet. Shop July —A—iNA STORM EVENT CHARACTERISTICS Total Event Precipitation (ins.):= Permit Sampling Period:= Note. No qualifying rain event CERTIFICATION STATFAWNT By this signatum I certify this report is accurate and complete to the best of my knowledge. gnature orPermitta or Designee Date 710AJA L-9 64-11-A)Er Print Name and Title R E C E IyV E DR EG E I E `� Submit 1(origiaal) Form AT-1 (no DMR) to: V NC DENR/DWQ1Envirnmtenral Sciences Section I �+ q (� ;1AUG 162 t Mail Service Center A U G 2 9 2016 A U R" "`` Raleigh, NC 27699-1621 , CENTRAL ['ICES -w , Y";�` : ; j Submit 1 copy DMR {original) and Form AT-1 to: t]WR SECTIONDp ,s t..� , Division of Water Quality Water Quality Section Attu: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Company Information Submit I copy DMA (copy) and Form AT-1 to: He:aon Stolmwata Permitting Unit 333 Neils Eddy Road Division of Water Quality Riegelwood, NC 28456 1617 Mail Service Center (910) 655-2263 Raleigh, NC 27699-1617 EXT 2757 erA-,r.r ...�•.�, r.p•�rrr,..fn� Central Files Env�ronentaa Services Perdue farms Inc.. 1lo,,161P;J1,ml 111.1im 4 16 SOLItll I_Q11g StFQ t• kocl:iilghanl, ;IC.: 28379 Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECEIVED AUG 1 1 20% /0 e DEQ FMYETTEUIyl RGIOI�AL OFFICE As specified under the Tier Two Storm Water permit requirements, monthly storm water monitoring is required for the Perdue Foods LLC facility located at Rockingham, North Carolina. ' For the month of July, there was not a qualifying rain event where a storm water sample could be collected. As required in statement 3 of the Tier Two requirements, please find attached the monthly monitoring report indicating "No Flow". There was a qualifying storm event for the first week of August and a storm water sample was collected. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, P0-,-J B , (4" Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000 [ 3 Q FACILITY NAME ��f'�C�Q C� ► ,k) !3N� PERSON COLLECTING SAMPLE(S) • CERTIFIED LABORATORY(S) N21A Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: r � 1(0 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY C� 11� C� t-� C9 PHONE NO. 1 c} SIGNATURE OF PERMITTEE OR DESIGNEE a REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall mo/dd/ r MG inches 401A 1- oQ Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring, Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m VA unit galtmo oADA A) v F Form SWU-247, last revised 21212012 Page 1 of 2 12 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: •• j� Division of Water Quality Date ry /A � 1� Attn: Central Files Total Event Precipitation (inches): / 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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) ter- - o� (Date) Form SWU-247, last revised 21212012 Page 2 of 2 ~Environmental Services Perdue harms Inc. kockiiiglr.iiii f'rocc:.ssflig [11.inc 416 South Loiig Svecv Rock iiigliam, NC 28379 July 6, 2016 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, JUL 8 As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the June monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on June 16, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com , :P cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 2016 c+ STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS ® 0 1 J 0 FACILITY NAME ?-�f CQC V �r M PERSON COLLECTING SAMPLES)-` CERTIFIED LABORATORY(S) Lab # Lab # � T Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 1110 1(6 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY �. OJl,fvig7 PHONE NO. 10) — & �! SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. No. Sample Collected Total Flow (ifapp.)_Rainfall Tota I Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 1 yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date, Sample Collected 50050 00556 00530 00400 Totai Flow. (if applicable) Total Rainfall Oil &Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mold r -MG inches m A- m unit gallmo Form SWU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date d� �,� 7711 Attn: Central Files Total Event Precipitation (inches): ° `f( 0 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-16I7 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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) 716/��j: (Date) Form S WU-247, last revised 21212012 Page 2 of 2 M Contact: William Moore Client: Perdue Farnfs 416 S. Long Drive Rockingham, NC 28379 Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 Report Date; 6/28/2016 Date Sample Rcvd: 6/16/2016 Meritech Work Order # 06161-635 Sample: Stormwater Grab 6/16/16 Parameters es ] Sepotling Li1nit M,ethQd COD 14 mg/L 6/20/16 15 mg/L EPA 410.4 Total Suspended Solids <2.5 mg/L 6/21/16 2.5 mg/L SM 2540D TKN 1.09 nig/L 6/24/16 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.96 mg/L 6/17/16 0.10 mg/L EPA 353.2 Nitrogen, total 2.05 mg/L 6/24/16 0.20 mg/L CPA 353.2 Phosphorus, total 0.342 mg/L 6/19/16 0.020 mg/L CPA 200.7 Fecal Coliform 1,171 col/100 nil 6/16/16 9 col/100 nil SM 9222D Oil & Grease - Non Polar <5 mg/L 6/17/16 5 mg/L EPA 1664A pH 6a S.U. 6/16/16 1.0 - 14.0 S.U. SM 4500 H B I hereby certify that I have reviewed and approve these data, Lui"eef LaboratoryRepr•ese native 642 Tarnco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax,(336)342-1522 Chain of Custody Record (COC) Client: Perdue Farms Address: tJ � ', V Attention: / j l,'.�-Y /�' a� - NPDES#: Phone: we -5j -k6� c� Fax:f° Email: /,✓. � �� �" � � �GL�42 �i� y.-�L Project: PDT: ATCo MERT 1 ECH INC. Environmental. Laboratories A Division of Water Technology aad control, Inc. 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtcla bellsouth.net Web Site: wrww meritech-labs.com Turn Around Time* Std (10 days) 3.5 Day 24 - 48 Hr Sample LocationilD # Sampling Dates $ Times t�G� Person Taking Sample (Signature): �'���-4 �. Lab Use Only START END comp? Grab? Of Cants. Tests Required- an Ice? pH OK? C12OK? Date Time Date Time Stormwater /n &o [ TSS (; . COD,Ntot (WIH2SO4) w Ptot (wlHNO3) . �- �' t iw E ' �'`� Oil & Grease Non -Polar (WHCI) Fecal Coliform • • - 1 la (u : Ulf � , Method of Shipment: Comments: ❑ UPS © Fed Ex Hand Delivery -Other Will these results be used for regulatory purposes? Yes No *RUSH work must be approved prior to submitUng samples. Relinquished by: Dace: Time•/ Received Date: Time. Ref+rrquished /�Le: ` me- Received by: 'rDate= - ~ Time: Reiinquisy:� Date- Time: R ived laboy-. Dale_e: --nv'ronmental Services -!14 "= Perdue Farm -A Inc. >�,._•,., ,.�.r.,.,...,.�,. ,,,,, flr�c;ki��ti�liti��i I'}•nc;i;s�inf; I'I�ii�� 'H 6 Sowlt I_��i� SIrCLC kockimili:uii, 29379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm'Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECEIVED JUN 0 7 2016 FAYETTEVILLE RROONAL OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the May monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part 1I; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on May 3, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, pax-,s � - po-" Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS Q©O 13 C3 FACILITY NAME R0 911ke� PERSON COLLECTING SAMPLE(S) W; '- CERTIFIED LABORATORY(S) Lab # - mil` l 'I!`e Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 9LO 10 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY � k M Q� /` 3 PHONE NO. SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1 1§am DateII 1 I 1 1• �� r ✓i / Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 1 yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. '. Date Sathple Collected _' . 50050 00556 00530 00400. Total'Flow (if applicable) Total Rainfall Oil`& Grease (if appl.) Non -polar O&G/TPH (Method 1664, SGT-HEM), if appl.. _ Total Suspended Solids pH New Motor Oil Usage In d/ r MG inches MRA m unit gallmo q OV03/1 d --A-) I A Ourp -60-1s- 019 Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: / Division of Water Quality Date Attn: Central Files Total Event Precipitation (inches):. j _ 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-I617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable -- see permit.) "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) ,S7 13 / //� (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client: Perdue farms 41.6 S. Long Drive Rockingham, NC 28379 Report Date: 5/11/2016 Date Sample Rcvd: 5/3/2016 Meritecli Work Order # 05031695 Sample: Storn,water Grab 5/3/16 Egritmeters kwull Analysis -Date Reporting Limit Method COD 180 mg/L 5/4/16 15 mg/L EPA 410.4 Total Suspended Solids 216 nig/L 5/4/16 2.5 nig/L SM 2540D TKN M9 mg/L 5/5/16 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 0.37 mg/L 5/5/16 0.10 mg/L EPA 353.2 Nitrogen, total 11.3 mg/L 5/6/16 0.20 mg/L EPA 353.2 P110sP1101-us, total 2,23 mg/L 5/5/16 0.020 mg/L EPA 200.7 Fecal Coliform 240,000 col/100 nil 5/3/16 9 col/100 m] SM 9222D Oil & Grease - Non Polar <5 mg/L 5/6/16 5 mg/L EPA 1664A Free'rotal Chlorine 0.2 mg/L 5/3/16 0.1 mg/L SM 4500 C1G I hereby certify that I have reviewed and approve these data.- . j2 It . Laboratoty Representative 042 Tanico Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (COC) Client: Perdue Farms Address: �zc f�,' �e Attention: NPDES T: Phone: Fax: Project POD: MERITECH INC. Environmental Laboratories ~ _ A Division of Water Technology and Control, Inc. 642 Tarnco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtclabc'bWIsouth.net Web Site: www.meritech-labs.corn Tum Around Time* Std (10 days) © 3 - 5 Day 24 - 48 Hr j Sample LocationllD # Sampling Dates & Times Person Taking Sample (Signature): Lab Use Only sraR� Cn,n camp? Grab? tsar conts. Tests Required- On Ice? pH OK? C12 OK? Date Time Date Time Stormwater 5 3 C ( TSS 3� �� COD,Ntot (w1H2SO4) i ' ' 3 - Ptot (w/HNO3) f 145E 34 C) oil & Grease Non -Polar (w/HCl) u ' 3 : -iQ C, Fecal Coliform I Method of Shipment: Comments: EJ uPs Fed Ex 0 Hand Delivery Mother Will these results be used for regulatory purposes? Yes No RUSH work must be approved prior to submitting samples_ Relinquish Date: Time: Z%� EReeceNed!!:,���,-Date Time: Fei niC: T'•me: �' -� 3 ' Received by Date: Time: Reilnquished by: Date: Time: Rece labLby ,, Date: f T �F�h -�.-> .�s.. I t � '+ � i � :� Y r � T (—'h..n•e4..'r;- 1)—fy 1-11113 Central Files Environmental services Perdue Farms Inc. 111-accssillg Nam: 416 Sowll I-011.g Sti-ce ko(; iiig aiii, N.C.; 28379 Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECF'\!"- MAY 4 5 "'' 19 IO: 40 DEQ-FAYETK �h-c KEOU „�L.0'=r10E As specified under the Tier Two Storm Water permit requirements, monthly storm water monitoring is required for the Perdue Foods LLC facility located at Rockingham, North Carolina. For the month of April, there was not a qualifying rain event where a storm water sample could be collected. As,required in statement 3 of the Tier Two requirements, please find attached the monthly monitoring report indicating "No Flow". There was a qualifying storm event for the first week of May and a storm water sample was collected. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, PC."i 6 . fU� Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 600 1 30 r FACILITYNAME PERSON COLLECTING SAMPLE(S) CERTIFIED I..ABORATORV(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: C�I (This monitoring report shall he received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY f%)< PHONE NO. IU )qa- ft G3Y E NATURE OF PERMITTEE OR DESIGNEE 2UIRU1RF_D ON PACE 2. i Sample Collected r r. � r Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity MonitorinjZ Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches MWI ma unit al/mo liJ l i�}KW F10 Form SWU-747, last revised 2121?01? Page I of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date Attn: Central Files Total Event Precipitation (inches): ti 0 1617 Mail Service Center Event Duration (hours): (only if applicable —see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sanipled) Date Total Event Precipitation (inches): Event Duration (hours): (only ifapplicable — see permit.) "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 bather 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 fine-- and imprisonment for knowing violations." (Signature of Permittee) _<73-// 3 (Date) Form SWU-247, lust revised 21212012 Page 2 of 2 .1 r•*w. C.-A. CAI F. Q-'&i-AItf - May 9, 2016 Environmental Services Perdue Farms Inc. kookffl ,pain llroces mig f lint 416 South LOI)g Street. Rockingham, NC: 283379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, As specified under the Tier Two Storm Water permit requirements, monthly storm water monitoring is required for the Perdue Foods .LLC facility located at Rockingham, North Carolina. For the month of April, there -was not a qualifying rain event where a storm water sample could be collected. There was a qualifying storm event for the first week of May and a storm water sample was collected. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, P,,,-O Z , P-,&A.;6- Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 r MAY 1 1 2016 S Environmental Services �91111 - ,-- M.;P-15 Pardue Parma Inc. KOGk111gI1,1111 I'mccSsing 111alit 416 Sowli Long 5ii-eet Kockillpjlam, NC 28379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, nccEIVED DEQ/DWIR APR 0 4 2o16 FAYErrEVIL ERE O IO VAL OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the March monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on March 2, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, pa-A's 2 . Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 0 O 0 {3 O FACILITY NAME �� r' CQ �_k E. �Ock_" -�g k A M PERSON COLLECTING SAMPLE(S) Wi i ilr M O ©_` CERTIFIED LABORATORY(S) Lab # -9— C—F, Lab #� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: O 1 (P (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY ► �� PHONE NO. ( ro ) 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall.Date!i mp e I Total- � • •._ � t. � r `[�� � � "� mil-� � Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Zyes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements •Outfall -_ •' No. Date . "" Sample, Collected 50050'- ' Q0556. 00530 00.400 ' Total'Flow (if.applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method I664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage ' Mold!/jr. MG:. > inches m = L. m unit gallmo S � O L Cl Form SWU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: / Division of Water Quality Date �1-0f6 r [� Attn: Central Files Total Event Precipitation (inches): + [ W 1617 Mail Service Center Event Duration (hours): (only if applicable - see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event,Duration (hours): (only if applicable -- see permit.) "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." 4ry..9 G-, (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Chain of Custody Record (COC) Client: Perdue Farms Address: Dig- Gt,c.( ,� ��, Z Attention: �` �� per NPDEs M Phone: Fax: Email_ rt f Project: PO#: MERITECH INC. Environmental Laboratories -, A Division of Water Technology and Control, Inc. 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtclab(aJ)bellsoufh.net Turn Around Time* Std (10 days) 1 3 - Day 24- 48 Hr Sample Locationll❑ # Sampling Dates & Times person Taking Sample (Signature): Lab Use Only START END Comp? Grab? Aof Conts. Tests Regill - on ice? pH OK? C12 OK? Date Time D Time Stormwater 3 rf d• 3 G i TSS { 1 v COD,Ntot (wfH2SO4) J c • 3�� ('Q •° Not (wIHNO3) -� C' - 3 d 1 Oil &: Grease Non -Polar (wIHCI} `r�� [O_'�G C? f Fecal Coliform Method of Shipment: Comments: El UPS Fed Ex Hand Delivery ❑Other Will these results be used for regulatory purposes? Yes No A. *RUSH work must be approved prior to submitting samples. Relinquish D to fill .3 /4 1 ! Rece by: pate- Time: I Reli d b Date, LTsme: Receiv by: Date: Time: RelinquLf(rwdby: Date: Time: Re at la f D'te: Te Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact; William Moore Client: Perdue Farnis 416 S. Long Drive Rockingham, NC 28379 Meritech Worlc Order # 03021,662 Sample: Stormwater Grab Restit A0,11yNis Pate Report Date: 3/11/2016 Date Sample Rcvd: 3/2/2016 3/2/16 RQporting U nift Method COD 46 mg/L 3/8/16 15 mg/ll EPA 410.4 Total Suspended Solids 3 mg/L 3/7/16 2,5 mg/L SM 2540D TKN 0.69 mg/L 3/9/16 0.20 rng/L EPA 351.1 Nitrate/Nitrite, Nitrogen 1.44 mg/L 3/4/16 0.10 mg/L EPA 353.2 Nitrogen, total 2.13 mg/L 3/9/16 0.20 mg/L EPA 353.2 Phosphorus, total 0.054 mg/L 3/9/16 0.020 mg/L EPA 200.7 Fecal Coliform <9 col/100 till 3/2/16 9 col/100 till SM 9222D Oil & Grease - Non Polar <5 mg/L 3/7/16 5 mg/L EPA 1664A PH 6.10 S.U. 3/2/16 1.0 - 14.0 S.U. SM 4500 H 13 Free Total Chlorine 0.2 mg/L 3/2/16 0.1 mg/L SM 4500 CIG 7 ! hereby certify that ! have reviewed and approve these data. Laboratory Representative 6421'anico Road, Reidsville, North Carolbia 27320 tel.(336)342-4745 fax.(336)342-1522 ;: • «-� February 29, 2016 Environmental; Servrices I Perdue Farms Inc. Roc:l:ingh:uli 111alit: 416 SOUth L011 Sa'ect Rock Itivhain, NC 28379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECEIVED MAR 2 - 2016 DEO•FAYETTEVILLE REGIONAL OFFICE As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on February 4, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, 6 , pz&;65� Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 00 Q 13 O FACILITY NAME /7eC` U OC`.,LfJ 0N.- PERSON COLLECTING SAMPLE(S) t I CERTIFIED LABORATORY(S) Lab # Lab #�� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 01 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY 1t (1k 0 PJ 4Q PHONE NO. (S! O) - in SIGNATURE -OF -PERMIT -TEE OR -DESIGNEE - REQUIRED ON PAGE 2. 1 1 1 s 1 - �� 1 '. , , �► ���► / s r 1 • . ■rfil=' �1�.#�ii�0 &M>LM]■■,0 � • WWQ A .M - Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements yes _no MAR 2 - 2016 DEQ-FAYET'TEVILLE REGIONAL OFFICE 0utfa[l: No. .... _,.... Date Sample Collected, _ MOM. _' 00556 60530 . 00400 Totaff.16w, .(if.applWable) .._. _ Total Rainfall 'Oil &•Grease, (ifappl.) Non -polar O&G/TPH • (Method 1664 SGT-HEM), if appl., 'Total- Suspended Solids. pH New Motor Oil Usage nio/dclJ ` r MG `. inches rn L m " .unit aUmo WA O 12 _d)aAk Form SWU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date ,/OMAO Total Event Precipitation (inches): ©• ` Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 ro "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." le:?, (Sig ature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Lhaln of Lustody Record (COG) MERIT'ECH INC. EnvironmentaY Laboratories _ A Division ofWater Technology and Control, Inc: 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtclab@bellsouth.net Web Site: ►nrww.meritech-labs.com -"Sample -Sampling"Dates & Times -_ START END Location/ID # Date Time Data Time Storm wat Z/ `� /0'. I i as �/-! JQ ilia Method of Shipment: ❑ UPS ❑ Fed Ex ❑ Hand Delivery ❑buffer ents: Client: Perdue Farms Address: Attention: !c1'• fi'4.&— Person Taking Sample (Signature): (� Comp? # of ITests Req Grab? Conts. C1 TSS C t COD,Ntot (w/H2SO4) �i Plot (W/HNO3) Oil & Grease Non -Polar / Fecal Coliform f I a NPDES #: Phone:rC Fax: y%O Email: !+-Q�Q�„�ccr. 4W Project: 37Po M . Turn Around Time* Std (10 days) 3 - 5 bay I 24 - 48 Hr - - -�— Lab Use Only T red- on pH OK? !ce? C12 OK? A� 0, Z_ Will these results be used for regulatory purposes? Yes No RUSH work must be approved prior to submitting samples. Relinquished by: fit/ Dale: �/ 16 Time: �3U Rece ed Date: if ;, R inqu hed b : �/ Date: 1 4 ` Time: a- S Received by: Date: Time: Relinquished by: Date: Time: Re y- Date:me: Merxtech, Inc. Environmental. Laboratory Laboratory Certification No.165 " Contact: William Moore Report Date: 2/16/2016 Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Date Sample Rcvd: 2/4/2016 Meritech Work Order # 02041635 Sample: Stormwater Grab 2/4/16 COD 83 mg/L 2/9/16 15 mg/L EPA 410.4 Total Suspended Solids 82 mg/L 2/5/16 2.5 mg/L SM 2540D TKN 2.09 mg/L 2/8/16 0.20 mg/L EPA 3S1.1 Nitrate/Nitrite, Nitrogen 0.25 mg/L 2/4/16 0.10 mg/L EPA 353.2 Nitrogen, total 2.34 mg/L 2/10/16 0.20 mg/L EPA 353.2 Phosphorus, total 0.201 mg/L 2/12/16 0.020 mg/L EPA 200.7 Fecal Coliform 4,234 col/100 ml 2/4/16 10 coT/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 2/8/16 5 mg/L EPA 1664A pH 6.10 S.U. 2/4/16 1.0 -14.0 S.U. SM 4500 H B Free Total Chlorine 0.2 mg/L 2/4/16 0.1 mg/L 3 SM 4500 C1G ! hereby certify that 1 have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina'27320 tel.(336)342-4748 €ax.(336)342-1522 .11u-y. anwn.ml i.OMh iw.. I1N' G Environmental Services Perdue Farms Inc. Rockingham Processing I'iant 416 South Long; Stmet Rockin&wn,.NC 28379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, F E B 1 6 2016 As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part 11; Section B: Analytical Monitoring Requirements for°the facility's Storm Water Permit. The storm water sample was collected on January 29, 2016 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SOO) MONITORING REPORT Permit Number NCS 000 13 (0 r FACILITY NAME PERSON COLLECTING SAMPLE(S) w �, CERTIFIED LABORATORY(S) Lab # .Q , Lab #J&� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: o (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from th boratory.) t COUNTY J �� /h PHONE NO. (�1 [�1 �'t Sty SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Pnrt R: Vehicle Maintenance Activitv Mnnitnrinv Requirements DateOl 56u 005 .00530 004{0 Y a - r No. °Sant le �, TotalFFlaw Tatalt '' , `Oiw &Greases _ Nan lar � pa.. Total z P 14 ' New Motor , Collected .- (if applicable) _� RAbifall Oi p -- i &GfTPH� Suspended _ ' }� ' 'Oil Usage y iA; c1 �•'. 4 i'i)� 3 'L,.. %"PA Y -J%. }.itt' f h �'- i„Lj �- T - I664=� SohdS s T - r �YN' -SGT -5 +<. 1 ._ -•f'� .-SJr .-. Ar s .a l t h# i, `MG inches_ m - L Form SWU-247, last revised 21212012 Page l of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date �`�j/� 010 Attn: Central Files Total Event Precipitation (inches): �� 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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." pa-j G - L&4,t�- //6 (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 �xiso=3 Chain of Custody Record (COC) � �� NPDES#: Client:_ - �r _ Phorre:,�'11�- �%8&3 Address: �`JIf S^i,, P.'ryG Fax: 45;050-314-5-z44, �.C��t-4+•.,�,.. XJ Ernaii:4�>'4^ L g Project: P.O.#: Attention: Z ,� Turn Around Time* - How would you like your report sent? *RUSH work needs prior approval. Circle all that apply: Email (preferred), ax, Mail 5td 10 da } 3 - 5 Da s 24 - as Km if =' nil ERITECH INC. >_. ENVIRONMENTAL LABORATORIES Y .--- 642 Tamcci Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com www.meritech-labs.com Sample Location and/or ID # Sampling Dales &Times Person Taking Sample {Sign/Print}: � Lab Use only Start End Comp? Grab? # of Cont. Test(s)Required On Ice? Ye$ . No pH OK? C[ OK? Date Time Date Time ' �.orc f � C 1 (PoD. JVPZ 6% /'ZS 1C l 4 Az. ?�e4fs Ze., ✓' Q � i` JtrG eT � D, Z Temperature Upon Receipt: -% V - Method of Shipment: '*` Dechlorination (a0.5 ppm) of ,ammonia, cyanide, Phenol and TKN samples must be done in the field prior to preservation. "* Comments: ��-t�-, vac'-�. Compositor # ❑s' UPS Jug # Q Fed EX Are these results for re .ul tory purposes? Yes No Report results in: mg/1- mg/kg ug/L 0 Hand Delivery Ti,* Relinquished by: ate: me: Re keiv ' Date; ime:, ! .>r✓4.— i'.. �. � : � �._ � : ,i, � Other• Reli is by: Date: Time: r, Received by: Date: Time: Relinquished by /0 Date: Time: Received by Lai 1� i �;, *� 4 H , „5�. � ... � � �a Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 e 7• Contact: William Moore Report Date: 2/9/2016 Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Date Sample Rcvd: 1/29/2016 Merltech Work Order # 01291635 Sample: Stormwater Grab 1/29/16 parauleters Result Analysis Date &1 orting Limit Method COD 16 rng/L 2/1/16 15 mg/L EPA 410.4 Total Suspended Solids <2.5 nig/L 2/2/16 2.5 mg/L SM 2540D Nitrate/Nltrite, Nitrogen 0,85 nag/L 2/4/16 0,10 nig/L EPA 353.2 Phosphorus, total 0.065 rng/L 2/8/16 0.020 mg/L EPA 200.7 Fecal Coliform <1 col/100 ml 1/29/16 10 col/100 mI SM 9222D Oil & Grease - Non Polar <5 rng/L 2/1/16 5 mg/L EPA 1664A pH 5.9 S.U. 1/29/16 1.0 -14,0 S.U. SM 4500 li B Free Total Chlorine 0.2 nig/L 1/29/16 0.1 mg/L SM 4500 CIG I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 ,,.max, a.,..N.'rti 4...n �,..,.,,,.• Environmental Services Perdue Farms Inc. 1Zockini ham Processing Nant 416 South Long Street P,ockinaluani,.NC 28379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements forthe facility's Storm Water Permit. The storm water sample was collected on December 15, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, po"J & Q cr&1 Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 JAN 7 2N I � S STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS (0 G O 1 1 0 FACILITY NAME QCX_ r ''U h /Y\ PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: �5— (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY 1 ("'k PHONE NO. ( cl t{)) SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. ! Date , .Collected II I rr r r • r r P40 b� .Mmi� �NWWM 'S FAA M Fulu � YMEr Wr Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements yes _no Outfall No_. Date - Sample Collected . 50050 00556 00530,00400 Total Flow, (if applicable) Total Rainfall Oil & Grease '(if a.ppl.) Non -polar O&G/TPH (Method 1664 SGT-HEM),' if appl. Total Suspended Solids pH 'New Motor Oil Usage _ ; mo/dd/ r : - MG inches m L. m unit gallmo Z 4 D, 5'Jr Form S WU-247, last revised 21212012 Page I of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS <00Q 1 3c) FACILITY NAME S u o Ci : h {" r' PERSON COLLECTING SAMPLE(S) jML)C3 � Q_. CERTIFIED LABORATORY(S) Lab # {' t p e k Lab #—T�— Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: Of'S (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTYl Can /Y1 r N PHONE NO. SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date - Sample, Collected Flow (if a ,, �. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfal_l No. - Date Sample Collected 50050. 00556 00530 00400 Total•Flow (if applicable) Total Rainfall Oil & Grease (ifappl.) Non -polar O&GITPH,- (Method 1664. SGT-HEM), if a 1. Total . Suspended-. Solids pH New Motor Oil Usage moMdl yr MG inches m m&2 unit al/mo Form SWU-247, last revised 21212012 Pagel of 2 STORM EVENT CHARACT_ ERISTICS: Mail Original and one copy to: / Division of Water Quality Dates /t s! a015— Attn: Central Files Total Event Precipitation (inches): 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Chain of Custody Record (COC) , NPDES##: c�C / Client: Ae�Y �[rI1Ti/J Phone: qft-7 f7— Address: w& .. �� Fax: sty t0 — 3q1--.577640 p Ak, Email:(,;; a 4 ��e•—�•�G Z '3 -22 Project: P.O.#: Attention: •l r� r Yam( r1l3yr-i�i How would you like your report sent? "RUSH work needs preorapproval. Circle all that apply: Email (preferred), Fax, Mail Std 10days) 3 5 Qa�s 2 ��$ �QQ a������ INC.� ENVIRONMENTAL LABORATORIES ` 542 Tamco-Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 _______��—._-....-___ -_� _.-__. .„ r •l t � ,.�_ --Erndll. 1i 11 �J ILEchl'abs.com— �. www.meritech-labs.com Sample Location and/or ID #� Sampling Dates &Times t) Person Taki pie (Sign/Print): ,,. Lab Use Only Start End Comp? Grab? #o Cont. -�e�t�s� Required Qn Ice? Yes ; No pH OK? Cl OK? e me Tim Date Time C..' :cam. a..S 4'�•t.r 12 - i p ^' f L.JWe 1 J'Z4S ct71 : Temperature Upon Receipt: :; r=. Method Of Shipment: `*' oechlorination (�0.5 ppm) of Ammonia, cyanide, Phenol and TKN samples must be done in the field prior to preservation."* Comments: JJUg Compositor # # E' UPS Fed Ex Are these &ults for regulatory purposes? Yes No Q Repgrt results in: mg/L mg/kg Q ug/L Hand Delivery Re novished r Date: Time: _ jZ eceive Date: Time: r Other Rnlin tir 0 j 'are -lime: -> .-.,,_eceived ! . ; I'• _} % : /...j t. ; • S by: Date: Time: Relinquished by: Date: 7me: Receive ' ., ao. 4 ! 1 Y �`51 Date: Time: Merxtech, Inc. Environmental Laboratory Laboratory Certification No,165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 121515104 COD Total Suspended Solids TKN Nitrate/Nitrite, Nitrogen Nitrogen, total Phosphorus, total Fecal Coliform Oil & Grease - Non Polar Free Total Chlorine Sample: Stormwater Grab 20 mg/L <2.5 mg/L 0.92 mg/L 1.12 nig/L 2.04 mg/L 0.168 mg/L <10 col/100 nil <5 mg/L 0.2 mg/L 1.2/18/15 12/17/15 12/23/15 12/24/15 12/24/15 12/17/15 12/15/15 12/21/15 12/15/'15 I hereby certify that I have reviewed and approve these data. Rep'lort Date., 12/29/201S Date Sample Rcvd: 12/15/2015 l Reporting Llinit i 15 mg/ll 2.5 rng/i!. 0.20 mg/l= 0.10 mg/)s 0.20 mg/L 0.020 rng/� 10 col/100 ml 5 mg/L 0.1 mg/L 12/15/15 Method EPA 410.4 SM 2540D EPA 351A EPA 353.2 EPA 353.2 EPA 2003 SM 9222D EPA 1664A SM 4500 C1G Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Environmental Services Perdue Farms Inc. ftock.inghain Processing Nant 416 South Long Street Rockinj�)ham,_NC 28379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for''the facility's Storm Water Permit. The storm water sample was collected on December 15, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, PO,AJ 6. Q C--� Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS O co t �ZFACILITY NAME e r ,Q ., �r�C` +' /Y\ PERSON COLLECTING SAMPLE(S) s on coo 1` CERTIFIED LABORATORY(S) Lab # JM 2 r i_. Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: —0—LS-- (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY '<"k &-'� 6 r) CQ PHONE NO. ( 9 ►O) SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. O 1. - :'mp' le Collected II 1 W film Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Ou#fall No.. ` Date Sample. Collected 50050 00556 00530 00400 Total•Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if Total Suspended Solids PH.. New Motor Oil Usage mo/dd/ r °: -MG inches4 m L m unit aUmo . .. I / •D L < •I 5 + I Form SWU-247, last revised 21212012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS (00Q 13o r_R . FACILITY NAME le-t`<Q► & Q o Ckr. 4rr PERSON COLLECTING SAMPLE(S) (,iji /r R M6(3 CERTIFIED LABORATORY(S) Lab # Lab #_ Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: Of S (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY t Can nrs 0 A.)cQ PHONE NO. C j_o) . C� SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall DateII Sample F 1 I F F I `rid-MAILBE ®� nF FF � •` Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Part B. Vehicle Maintenance Activity Monitoring Requirements .Outfall No. Date . Sample M Collected 50050 Ofl556 - 00530 00400 Total'Flow (if applicabie) Total Rainfall Oil& Grease (if appl.) Non -polar O&G/TPH (Method 1"4 SGT-HEM); if appl. Total : • Suspended Solids - pH New Motor Oil Usage mo/dd/ r MG" inches m m unit sumo Form SWU-247, last revised 21212012 Page 1 of 2 :V ti: c ;S ;.a STORM EVENT CHARACTERISTICS: Mail Original and one copy to: / Division of Water Quality Da t e LA A Attn: Central Files Total Event Precipitation (inches): 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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 of fines and imprisonment for knowing violations." (�Lj � . (Signature of Permittee) �a 3o s (Date) Form SWU-247, last revised 21212012 Page 2 of 2 3-20-M23 Chain of Custody Record (COC) NPDES#: Client: Pho ne: (?It,-9 5 7 - 56 3�-/ Address: 4117 Fax: 'r2'f&—q1,0— 3ql-5704a Coe—,. 161o6;,a -'Q" Z 3 2 Project: P.O .#: Attention:— AIJJIU'i. How would you like your report sent? *Rusts work needs prictrapproval. Circle all that apply: Email [preferred), Fax, Mail Std ({Oda ys) 3.5 Days 24-4914rs I [� =11, MERITECH INCO Y ENVIRONMENTAL LABORATORIES 642 TamcoRd. Phone: 336-342-4748 Reidsville NC 27320 Fax. 336-342-1522 Ernia-111: www.meritech-labs.com Sample Location and/or ID # Sampling Dates & Times Person T�a k"iS pfe (Sign/Print): Lab Use Only Start End Camp? Grab? 4 d- Cont. Test(s) Req uIred On On Ice? T No pH OK? ClOK? Date Time Date Time 4 I e0a ZD! z. -P tA fl- L"Z 4S -C 40- oz- Temperature Upon Receipt: Method of Shipment- Dechlorination (<0.5 ppm) of Amrnonia, Cyanide, Phenol a;d—TKN samples must be done in the field prior to preservation. - e- " k° Comments: --IJU9# Compositor# UPS Fed Ex Are these L �ry ults for regulatopurposes? . Yes 19No Report results in: mg/L mg/kg Q UI Q: Q-Hand Delivery D Time- or ZZ Itder ec'!!-I - I& Date: T-r Q Other Riau me: -411e�s- I's' ecellire d by- Date: rune: Re[inquLshed by_ Date: Time: Receive 4-Date; Time: �4y �o - �-. L. r' I u:. Contact: Williarn Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Merxtech, Inc. Environmental Laboratory Laboratory Certification No.165 Rep iort Date: 12/29/2015 Date Sample Rcvd: 12/15/2015 Meritech Work Order 0 121515104 Sample: Stormwater Grab I 12/15/15 Parameters Result Analysis Date RQp o� rting L1111i I Methgd COD 20 mg/L 1.2/18/15 15 rng/1� EPA 410.4 Total Suspended Solids <2.5 mg/L 12/17/15 2.5 mg/1, SM 2540D TKN 0.92 mg/L 12/23/15 0.20 jmg/ II, EPA 351.1 Nitrate/ ffi-ite, Nitrogen 1.1.2 mg/L 12/24/15 0.10 mg/� EPA 353.2 Nitrogen, total 2.04 rng/L 12/24/15 0.20 mg/� EPA 353.2 Phosphorus, total 0.168 mg/L 12/17/15 0,020 mg/L EPA 200.7 Fecal Coliform <10 col/100 nil 12/15/15 10 col/'.L00 ml SM 9222D Oil & Grease - Non Polar <5 nrg/L 12/21/15 5 rng/L EPA 1664A Free Total Chlorine 0.2 mg/L 12/15/15 0.1 mg/L SM 4500 CIG I I hereby cel•tify that 1 have reviewed and approve these data. CC..- Laboiwtoi y Representative 1 I" 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax,(336)342-1522 .. "zi Environmental Services Pardue Farms Inc. Rockingham Processing Plant 416 South long Street Rockingham, NC 28379 November 16, 2015 %0 Ls�# Ll N Ito 9LINOV 19 2015 Central Files Division of Water Resources FAYETTEVILLE REGIONAL OFFICE 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Quarterly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, Please find attached two copies of the fourth quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on October 28, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Po,-,-� 6 , "L;�-- Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS_ Q 0 o 130 FACILITY NAME EP t3-IJk"P_ PERSON COLLECTING SAMPLE(S) , 1\.{L CERTIFIED LABORATORY(S) Lab # i�421": 2 Lab# (� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: ao f 5 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY (�_;a CC R VV-1 © fJ D PHONE NO. ('I 10) S SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. O.utfall 1 DateII 1 Collectid I 1 , • + I Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ►! yes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall • No. , Date Sariiple Cot(ected " . 50050" . 00556 00530 00400 'Total Flow (if applicable) Total Rainfall , Oil & Grease. (iiappl:) Yll Non -polar O&GITPH ethod 1664:" SGT-HEM), if ; alipC Total' Suspended Solids pH New Motor ., 1 Usage moldd/ r ' MG inches m L m unit aUm0 0 fS/1 (O Form SWU-247, last revised 21212012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 00 <9 1 30 3 FACILITY NAME 6 Qkt PERSON COLLECTING SAMPLE(S) LO [i + Urn e- CERTIFIED LABORATORY(S) Lab # t Q Lab# WS_ Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR:C� 1 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. }P7 -�SGr3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1 Date_II i I Toial, pp Toti OWN=a EWA, El FM ��f�;:�M' W. IGM NNOMM Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Date _ 50050 . ^ ` 06556 00530 00466' No. _ Sample' , Total.Fiow Total Oil & Grease~_ Non polar. Total . ' ' pH - New Motb_' Collected (if applicable)• Rainfall_ = (if appl.)- _`- O&GITPH -..: Suspended, .: Oil Usage n (Method ,1664 Solids ' SGT-HEM), if: :e - m6/dd/ r. ': MG inches m l r m Unit al/mo> Form SWU-247, last revised 21212012 Paget of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: s Division of Water Quality Date ,�$�a ©� Attn: Central Files Total Event Precipitation (inches): 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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) 111161 /5-- (Date Form SWU-247, last revised 21212012 Page-2 of 2 Meritech, Inc. Environmental Laboratory Laboratory Certificatlon No,165 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order #k 102815109 Sample: Stormwater Grab Report Date: 11/11/2015 Date Sample Rcvd: 10/28/2015 10/28/15 COD 296 mg/L 11/5/15 15 mg/L EPA 410.4 Total Suspended Solids 51 mg/L 10/30/15 2.5 mg/L SM 2540D TKN 2.22 mg/L 11/5/15 0.20 mg/L EPA 351.1 Nitrate, nitrogen 0.72 mg/L 10/29/15 0.1.0 Ing& EPA 353.2 Nitrite, nitrogen <0.10 mg/L 10/29/15 0.10 mg/L EPA 353.2 Phosphorus, total 0.355 mg/L 11/6/15 0.020 mg/L EPA 200.7 Fecal coliform 10,000 col/100 ml 10/28/15 1 col/100 ml SM 9222D Oil & Grease (HEM) 7 mg/L 11/3/15 5 mg/L EPA 1664A 1 hereby certify that 1 have reviewed and approve these data. 4t " 2 2r Laboratory Representative 642 Tainco Road, Reidsville, North Carolina 27320 tel,(336)342-4748 fax,(336)342-1522 Chain of Custody Record (COC) INPDES#: Client: g - phone: Address: Fax: y//o -- 3 t% � � � Z s'r 4:p Email: G%IYl;e -� Project: P.O.#: Attention: ,4— tea` TumAroundT9me* How would you like your report sent? *PUSH work needs prior approval. Circle all that apply: Ernaii(preferred), Fax, Mail Std 10daysj 3-5 Da 24-4814rs ERIT'ECHINC. ". ENVIRONMENTAL LABORATORIES ~ ' 642 TarncoRd. Phone: 336-342-4748 Reidsville NC 27326 Fax: 336-342-1522 Email: info@meritech-labs.com A /� VV vw.meri ``� ech dabs.com Sample Location and/or ID .Sampling Dates & Times Person TAing Sam i n 6 l: _ . Lab Use Only Start EndComp? Grant Grab #of C UT QC}} Test(s) Required o e? Yes Mo H OK? Cl ©K? Date Time Date Time �e Celt --' i Zfr �= 3cC7 Ii Zia --- f�/� s•3a f z_.a L � . S� to 2lc �• � G � .. ;3A Aar Temperature Upon R t: f Method of Shipment: "' Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. '"* Comments: Compositor. Jug # UPS Fed Ex Are th esults for regulatory purposes? Yes/ ' No Q Report results jp: mg/L 1�h mg/kg � ugA Q Hand Delivery Retinqu Time: Rece: Da e: lime: Other Relinquished Date: Time; R yy D �me: Re in Date: Time: , . ff �} ! 5 'f J Eve ' b: „ Tfine: � i= =T ' ,^r' Environmental services Perdue Farms Inc. Rockingham Processing Plant 416 South Long Street Rockinaharn, NC 28379 September 1, 2015 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Quarterly Monitoring Report Permit No, NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, 3WED 4 2015 DIVISION OF WASTE MANAGEMENT FAYETTEVILLE REGIONAL OFFICE Please find attached two copies of the third quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. 1 This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on August 7, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, pmt4k 6, UQ,& Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com SEP - 4 2015 cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 00n 1 3 a FACILITY NAME Ck�.k 4M PERSON COLLECTING SAMPLE(S) 1 1 (, f\v— CERTIFIED LABORATORY(S) Lab # Q" i t'2CL, TALC.. Lab # (� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (!) t (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY © /JD PHONE NO. (g f43) SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. i DateCollected Sample II ! Total Flow (if app.) F i ore so Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? V yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date -Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended' Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit allmo a d•0 L 1 4cCIS Form SWU-247, last revised 21212012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 00 d 1,3 FACILITY NAME �� -CQ". e �"`` i^ } �" PERSON COLLECTING SAMPLE(S) � [ ( f h- �- CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: :915- (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY (�-1 G L M ON PHONE NO. ('7f a r-t 9 r) -- Sao 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall1. No. Collec i II I iF ', - , r ► .tT owm Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? je'yes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 .00556 00530 60400 Total Flow , (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Tota! Suspended Solids pH New -Motor Oil Usage mo/dd/ r MG inches m /l Mg/I unit al/mo Form SWU-247, last revised 21212012 Pagel of 2 STORM EVENT CHARACTERISTICS- Mail Original and one copy to: Q �� / O1 Division of Water Quality Date `�, Attn: Central Files Total Event Precipitation (inches): 02J 1617 Mail Service Center Event Duration (hours): 1. O (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 A, "a Environment I PeMuf§ PaMA< the. 1 rickinpoi 1 rnCL,:zsii1g plant Ma�iYi1 i;r,n `StPe July 16, Central Files Division of Water Resources 1617 Mail Service Center REUENPI JUL c 0 2015 Raleigh, NC 27699-1617 _ __ _ _ - •- - �' Subject: Storm Water Quarterly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility JUL 21 2015 i l To Whom It May Concern, Please find attached two copies of the second quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina, This monitoring report meets the requirements under Part 11; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on June 5, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, N's 8 . Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SOO) MONITORING REPORT Permit Number NCS 000130 FACILITY NAME ?Ot4U C rR 0V<< !J l x&-, PERSON COLLECTING SAMPLE(S) LQi 11 i (J f CERTIFIED LABORATORY(S) Lab # .Q(', QC_`WC_ Lab it Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: j2Q (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. (q►0) fo SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Flow (if a m Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? �s _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. ' Date Sample Collected 50050 00556 �- :: 00530 06400 Total Flow (if applicable) Total Rainfall Oil && Crease (if appl.) Non -polar O&GITPH •_(Meth6d 1664 SGT-HEM), if a i. Total Suspended Solids _ pH - New Motor' Oil Usage mo/dd/ _r_ MG L inches ni /l m unit al/mo C7I 1ST G COI 1 Svmn Form SWU-247, last revised 21212012 Page 1 of 2 �. ., es ,. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS CJ d 6 1 3 0 FACILITY NAME ?�," �Q R ) C-�`rt PERSON COLLECTING SAMPLE(S) i.13.'Q I'AtV,r;�E CERTIFIED LABORATORY(S) Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: a % ('Phis monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. ifi I t3) �ici SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. r _ple collected rrr rr f �, i Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? V/yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Y No. Date Sample Collected 50650 00556 . 00530 ,, 00400 Total Flow (if applicable) Total Rainfall Oil & Grease_ (if appl.) Non -polar O&GITPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New.Mot6r Oil Usage . moldd/ r MG inches m i m unit allmo Form SW-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality DateQ(o Attn: Central Files Total Event Precipitation (inches): �� 1617 Mail Service Center Event Duration (hours): l•� 0 - (only if applicable - see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable - see permit.) "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." PaA-,kQ Q. Qd"e� 7/16/fir (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Meritech, Inc. rr . Environmental Laboratory Laboratory Certification No.165 Contact: William Moore Client; Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 06051565 Qara=ers BOD, 5 day COD Total Suspended Solids Chloride Nitrate, Nitrogen Nitrite, Nitrogen Phosphorus, total Fecal Coliform Oil & Grease - Non Polar Oil & Grease - Polar pH Rgsult Sample: Stormwater Grab 10.8 mg/[. 15 mg/L 3 mg/L 13.3 mg/L 1.24 mg/L <0.10 mg/L 0.272 mg/L 727 col/100 ml <5 mg/L <5 mg/L 6.1 S.U. Revised Date: 711712015 Report Date: 6/15/2015 Date Sample Rcvd. 61512015 nalysis Date Rgportina Limit 6/5/15 2.0 mg/L 6/9/15 15 mg/L 6/8/15 2.5 mg/L 6/10/15 0.10 mg/L 6/11/15 0.10 mg/L 6/11/15 0.10 mg/L 6/9/15 0.020 mg/L 6/5/15 1 col/100 ml 6/11/15 5 mg/L 6/11/15 5 mg/L 6/5/15 1.0 -14.0 S.U. 6/5/15 Method Qualifie SM 5210B G3 EPA 410.4 SM 2540D SM 4500 Cl C EPA 353.2 EPA 353.2 EPA 200.7 SM 9222D EPA1664A EPA 1664A SM 4500 H B G3 No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual orat least 1.0 mg/L. I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1.522 chain fit (-11Qrnr1%1 Krs['rIr11 I .■ At -I Client: Perdue Farms Address: M _ v //// , Attention: At �'�"� ` �� � Phone: ;'Id _5`Z: Fax: . ,�„!- 5'7ci 6 /} Small: �/�Y�� �/�G[itt.rl:. �G'C Project: Po #: MERI'TECH INC. Environmental Laboratories ..;,f A Division of Water Technology and Control, Inc. 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtcl_a_bCftellsouth.net Web Site: www.meritech-labs.com Turn Around Time* Std (10 days) 3 -5 Day 24 -48 Hr i E:= Sample LocationllD # Sampling Dates & Times Person Taking Sample (Signature): f.� Lab Use Only START END comp? � Grab?" #ot Conts. Tests Regt�i ed an 4 Ice? pH°"? C120K? Date Time Date Time Stormwater tp -5 9 aAr,— G 2 I'll J BOD l TI'SS,CC [15 G 1 CO'D,NO2,NO3 ( H2SO4) L ` 4` 7 f_' 3O G 1 Metals - p t(w 1 HNO3 ) c _ G 1 Oil & Grease (w i'HCI) G 1 Fecal Coliform t� Method of Shipment: Comments: ❑ UPS ❑ Fed Ex ❑ Hand Delivery 1, ❑Other Will These results be used for regulatory purposes? Yes No RUSH work must be approved prior to submitting samples. Rellnqulshed Date: Tlme�, `:rif j f (� Receiv isy: Dale: Time: ) �•�(� �; �i Relinquls Date; 1 Ti e- Received by: Dale: Time: a Relinquished 1) Date: Time: Received at tab by: / pate: Time: -i L1.�t )�F>a �:, � q, -Envird men al Services: Perdud'Farmwinc. Rockingham- Processing 416 South Long Street Rockin ;,NC 28379 February 4, 2015 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 - -�� - ---^ t Subject: Storm. Water Quarterly Monitoring Report k Permit No. NCS000130 F E B 9 2015 Perdue Farms, Rockingham Facility To Whom It May Concern, Please find attached two copies of the first quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on January 14, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, � a. � 6� Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 Contact; William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 01141547 107M, • =W BOD, 5 day COD Total Suspended Solids Chloride Nitrate, Nitrogen Nitrite, Nitrogen Phosphorus, total Fecal Coliform Oil & Grease - Non Polar Oil & Grease - Polar pH Meritech., Inc. Environmental Laboratory Laboratory Certification No.165 Sample: Stormwater Grab 4.0 mg/L 36 mg/L 52 mg/L 19.6 txmg/L 0.89 mg/L t 0.10 mg/L 0.253 mg/L 3,300 col/100 ml < 5 mg/L ¢ 5 mg/L 6.84 S.U. Report Date: 1/22/2015 Date Sample Rcvd: 1/14/2015 1/15/15 2.0 mg/L 1/16/15 15 mg/L 1/15/15 2.5 mg/L 1/15/15 0.10 ing/L 1/15/15 0.10 mg/L 1/15/15 0.10 tng/L 1/19/15 0.020 mg/L 1/14/15 1 col/100 ml 1/19/15 5 mg/L 1/19/15 5 mg�L 1/14/15 1.0 -14.0 S.U. 1/14/15 SM 5210B G3 EPA 410.4 SM 2540D SM 4500 Cl C EPA 353.2 EPA 353.2 EPA 200.7 SM 92220 EPA 1664A EPA1664A SM 4500 H B G3 No sample dilution met the requirement of a DO depletion of at least 2,0 mg/L and/or a DO residual of at least 1.0 mg/L. f� f� I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (CDC} Client: Perdue Farms Address: 1(Z J. J; 19377 Attention: NPDES #- Phone_ Fax: (-7/l- Email:&/.., Project: _ Po#: MERITECH INC. EnvlronmenW Laboratories A Division of Water Technology and Control, Inc. _ :: ::::. 642 Tamco Rd Phone '1-336-342-4748- Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtclabpbeilsouth.net Web Site: www.meritech4abs.com Turn Around Time"` Std (10 days) 3 - 5 Day 24 - 48 Hr Sample Location/lD # - Sampling Dates & Times peen Taking sample (Signature): Lab Use Only START-FDate- a : Grab? is Of Conts. Tests Required on ice? pH OK? G12 OK? Date Time Time Stormwater ' G 2 BOD ! TSS,CI G 7 COb,NW,No.3 (H2SO4)I. q;O o G 1 Metals - Ptot (w / HNO3 1- � � g _� C G 1 Oil & Grease (w l HCI)nor G 1 Fecal Co[_i#orm G �] H Method of Shipment: Comments:, UPS Fed Ex [] Hand Delivery ❑Other f Will these results be used for regulatory purposes? Yes No *RUSH work must be approved prior to submitting samples. elinqulshed e. Time: V� Rece pate: Time: Relhtg ' Date: f T' e: % �{� ! S ( 4q6 Received by we: Tinte: Relinquished by pate: Time: .— b tie: (� Ti —Par: �11 �1f'�C'--. I i December 8, 2014 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Quarterly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, Please find attached two copies of the fourth quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. . } ► The storm water sample was collected on November 24, 2014 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, PaAj Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Recourses 215 Green Street, Suite 714 Fayetteville, NC 28301 DEC 1 1 2014 _" .;ire •J 1 d IaWlP CamrtINfl11N11. Qualkq flare H)a- Contact: William Moore Client. Perdue Farms 416 S. Long Drive 'Rockingham, NC 28379 Meritech Work Order # 11241417 Parameters BOD, 5 day COD Total Suspended Solids Chloride Nitrate, Nitrogen Nitrite, Nitrogen Phosphorus, total Fecal Coliform Oil & Grease - Non Polar Oil & Grease - Polar pH Total Residual Chlorine Free Residual Chlorine Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Sample: Stormwater Grab 67.6 mg/L 68 mg/L 44 mg/L 22.6 mg/L 1.62 mg/L < 0.10 mg/L 0.756 mg/L 400 col/100 ml ,< 5 mg/L < 5 mg/L 6.8 S.U. < 0.1 mg/L < 0.1 mg/L Q1 Holding time exceeded prior to receipt by the lab. 11/26/14 11/28/1.4 11/26/14 11/28/14 11/26/14 11/26/14 12/1/14 11/24/14 12/1/14 12/1/14 11/24/14 11/24/14 11/24/14 Report Date: 12/4/2014 Date Sample Rcvd: 11/24/2014 2.0 mg/L 15 mg/L 2.5 mg/L 0.10 mg/L 0.10 mg/L 0.10 tng/L 0.020 mg/L 1 col/100 ml 5 mg/L 5 mg/L 1.0 -14.0 S.U. 0.1 mg/L 0.1 mg/L 11/24/14 Method Qualifier SM 5210B EPA 410.4 SM 2540D SM 4500 CI C EPA 353.2 EPA 353.2 EPA 200.7 SM 9222D EPA1664A EPA1664A SM4500HB SM 4500 C1G Q1 SM 4500 C1G Q1 I hereby certify that I have reviewed and approve these data. Laboratory Repr esentative 642 Tanico Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Crain of Custody Record (CQC) Client: Perdue Fauns (G42 „ Address: ] ftz Attention: ' NPnaRs Phone: Fax: MERITECH INC. Euvironmental Laboratories A Division of Water Tecbnologg and Control, rne- Tamco Rd Phone 1-335-342-4748 Reidsville, NC Fax: 1-33"2-'1522 Email: wtelaabb a_7-bellsouth.nef Web Site: www.meritech4abs.com Tum Around Time*27320 ays) 3 - 5 Day 24 -48 Hr !� Sample Location/lD# Sampling Dates & Times Person Taldng Sample (Signature): Lab Use Only START ran cow. Grab? #of Coats Tests Re - d q On ice? . l �'� C12 OK? Date •r^mie Date Time Stormwater 11' z 3U G 2 aqq ! T , ) G 1 / C ,�N05 (H2So•4) I- Z G 1 Metals - Pot 1 HNO3 } G 1 Oil & Grea 4 w I HCl) a r 4 o�J` l "Z .' G 1 Fecal liform ,/ 1 Method of Shipment: Comments: ❑ UPS ❑ Fed Ex Hand peG�re ❑other. Will these results be used for regulatory purposes? Yes Na *RUSH work must be approved prior to submd&ng samples, R ed by Date; Time: . / Re edb _ Date: rime: 02fil- AV R96 ish by: Date: Time l/'a�yv,/ a", Received by: % Date: T1me: Date: Reiisquished by lime: at Received lab pate: ;J Time: STORKIWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO, NCG120000 /yC. P� -S 0O0 /70 SAMPLES COLLECTED DU#ING CALENDAR YEAR: 20/V CERTIFICATE OF COVERAGE NO. NCG12_ J (This monitoring report is due #t the Division no later than 30 days From the date // the facility receives the samplin results from the laboratory.) FACILITY NAME , dk d v d 2 L COUNTY _1Qi C �� 0, 17 _ PERSON COLLECTING SAMPLES e=n /W,*, /s PHONE NO. (9/0 J_ CERTIFIED LABORATORY Lab # 1-j�,'f�� _Lab # PLEASE SIGI ON THE REVERSE 4 Part A: Specific Monitoring Requirements Qutfall. Date :'00340 3161b .:. ;� :00 0 No : Sample Collected, :' Chen-461 O�iygen D�nrtand, Fecal'Coliform, Total tispended Soiids� ma/dd/ r.' : ; in # er 100'nil n t Benchmark : _ : i20 100Q colonies ... _ - -100: 1 0 o ( 07 /o / If von renort a samnlyd vn1w- in exrPcc of the. henrhmark vahw- vnn mHCr imnlrnlrnt Tier i nr TkP.r ? regnnnSPS. See G.Pneral Permit text Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?.4yes —no (if yes, complete Part B) rart is: ventcte lvlamtenance Activitv Monitorine Kenuirements ;.:Outfall , No Date Sample Collected, eno/dd/ ::. 00556�-:'` . : 00530 00400 : :. " Oil and Giease, Total Suspended Solids, : gH, . , `. Standard units:.. New Motor Oil Usage, Av6ra e.annual gallmo :Benclisaark- ` ::::. . _ .': 30 . =:100 _.. : 6.0`--;9.0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 21 See General Permit text. STORM EVENT CHARACTERISTICS: Date first event sampled) ' Total vent Precipitation (inches): YT Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): -espouses. Mail Original and one copy to: Attn: DWQ Central Files NCDEN, R/ DWQ 1617 Mail Service Center Raleigh; NC 27699-1617 RECEIVED AUG 15 2014 - CENTRAL FILES DWQ180G SWU-248-102107 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT "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 subrnittidg false information, including the possibility of fines and imprisonment for knowing violations." �n k /a <71 (Signature of Permittee) (Date) - M S W U-248-102107 Page 2 of STORMWATER DISCHARGE OUTFALL (SDO) MONITORI Per`it Nurr-�ber NCS Q Q t 3 Q FACILITY NAME e P cQ (­k �ZockICI M PERSON COLLECTING SAMPLE(S) r CERTIFIED LABORATORY(S) Lab # Part A: Specific Monitoring Requirements NG REPORT ;OF" SAMPLES COLLECTED DURING CALENDAR YEAR: aS- (This monitoring report shall be received by the Division no later than 30 dam the date the facility receives the sampling results from the laboratory.) Of COUNTY + 'L.k Lai PHONE NO. (9lp) �p - � _. _. - .. _ .�n_ .�«:..�..,.w..___. _.�. ...._ . _. _ ..: ...- ..... _ ..: LIB.• SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. $33r:1F - O ',.�Zmu .e SEE .��� Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Reauirements eatl�-a Form SWU-247, last revised 21212012 Page I of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Perwit Number NCS <00(o 13a SAMPLES COLLECTED DURING CALENDAR YEAR: 5 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME l`�uQ CSC h A,,-Y` COUNTY eRt ClNjy\QAJcQ PERSON COLLECTING SAMPLE(S) i PHONE NO. (C�Q�r2G 3 CERTIFIED LABORATORY(S) Lab # T�o_ el, Lab # { Part A: Specific Monitoring Requirements SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. {E 1 Date11 Sample Collected Flow (if app.) iAPIMA IF7./FW70 WtTL= �d 0 . ©WW Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&GITPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r I MG linches I mo mgn unit aUmo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date of A 5/go/S­ Attn: Central Files Total Event Precipitation (inches): C9. 0O*L 1617 Mail Service Center Event Duration (hours): (only if applicable —see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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." Prj­j �. /a 3o 5 (Signature of Permittee) (Date) Form S WU-247, last revised 21212012 Page 2 of 2 . Environmental Services Perdue Farms Inc. .9Iwt.Ilyf Irnwrnrl.gwNryrerllN Rockingham Processing Plant i 416 South ]long Street Rockin n,:NC 28379 i Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Monthly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECEIVED ,JAN 0 4 2016 CENTRAL FILES DWR SECTION As specified under the Tier Two Storm Water permit requirements, please find attached two copies of the monthly storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements foirthe facility's Storm Water Permit. The storm water sample was collected on December 15, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Per" paxi 16. Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 It �xiso�3 Chain of Custody Record (COC) , NPDES#: Client: `Tc171_ Phone: q1L-7— -- Address: �If�. �,' �,.� Fax: 1� �t0 _ 35�t— ��GCa �� � ; Email: � An..�, V14e44;^a CPO, Z5-335 Project: P.O.#: _ Tu�rnAround Ttrne' Attention:_ (,c�f 1��� J%�d Q� _ How would you like your report sent? `RUSH work needs prior approval. Circle all that a I Email(preferred), Fax, Mail Sid 1Dda sj 3-5 Da s 24-a8Hrs apply: � MERITECH INC. 1 ENVIRONMENTAL LABORATORIES J 642TamcoAd. Phone: 336-342-4748 Reidsville NC 27320 Fax- 336-342-1522 Email: info meritech-labs. @ tY� www.meritech-labs.com I Sample Location and/or ID # Sampling Dates & Times_ Person Taki ple (Sign/Print): Lab Use Only Start End Comp? ? Grab? #o Cont. Test(s) Required On On Ice? Yes ; No pH OK? Cl OK? Time Date Time yLo'-- 12, a: �,� f 1 � �: � �,.. L., �"-•�• r z-�; •o : � ►�.� G .� off" ��� G1% ��z S'�� `" '- 2 - (T p . p:J C 1' v� t'_3 N Temperature Upon Receipt ' , ('; . Method of Shipment: "' aechlorination (e0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. "' Comments: Compositor # JJug # Q' UPS Fed Ex Are these Asults for regulatory purposes? Yes No Q! Report results in: mg/r_ El' mg/kg Q ug/l = Hand Delivery Felin xis Date: Time: F —Received ..� /Z-.Sy.S • Date: Time: f I�- Other R iir by % ate mime: -> eceived by: Date: Time: Relingxished by: Date: . ime: Receivzci ;yJiaa Date: Time: Cl- Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact; William Moore Client; Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order 4 121515104 Sample: Stormwater Grab Report Date: 12/29/2015 Date Sample Rcvd: 12/15/2015 12/15/15 Reporting Limit Method COD 20 mg/L 12/18/15 15 mg/L EPA 410.4 Total Suspended Solids <2.5 mg/L 12/17/15 2.5 mg/L SM 2540D TKN 0.92 mg/L 12/23/15 0.20 mg/L EPA 351.1 Nitrate/Nitrite, Nitrogen 1.12 mg/L 12/24/15 0.10 mg/L EPA 353.2 Nitrogen, total 2.04 mg/L 12/24/15 0.20 mg/L EPA 353.2 Phosphorus, total 0.168 mg/L 12/17/15 0.020 mg/L EPA 200.7 Fecal Coliform <10 col/100 m1 12/15/15 10 col/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 12/21/15 5 mg/L EPA 1664A Free Total Chlorine 0.2 mg/L 12/15/15 0.1 mg/L SM 4500 CIG I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS -Q Q 0 3a FACILITY NAME Pe_('C_QLA-9_ D `I`• CAA PERSON COLLECTING SAMPLE(S) 400 Mpev"O' CERTIFIED LABORATORY(S) Lab # MQLab #� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: C' 1- -(This monitoring report shall be received by the Division no later than 30 day the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. ( 1 i O 1 3 L" SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1 IS.a 1. • Ole 1 1 11 I 1 • Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ! yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Date . 50050 a._ - 00556 - .; x .00530 = : 00400 . - No. _, Sample Total;Elow ;Total Oil &.Grea'se _ ; on -polar Total". pH �Cpliicted {if applicable) ..Rainfall, {if appl.} O&G/TPH Suspended -New,Motor Oil' Usage" ". (Method 1664 Solids. 'SGT=HEM); if a I: moidd/ r . MG'_ niches'. _ gin' /I - L m - unit al/mo - 0 CS 1 , Form SWU-247, last revised 21212012 Page l of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000 130 FACILITY NAME LQ� 'e.,C_IL;iIJ PERSON COLLECTING SAMPLE(S) e- CERTIFIED LABORATORY(S) Lab # �n Q Lab #� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR:C� 1 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) r COUNTY PHONE NO. (41n) F? Z SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes —no (if yes, complete Part B) ' 'JayAq R=irements Ok "`+h nu 1 1 '.�`*�s..,• 1 1 1 �r` '„�, e 1 1 Ell Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date t a8'Ia ©Attn: Central Files Total Event Precipitation (inches): 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 1111611 (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Merxtech, Inc,, Environmental Laboratory Laboratory Certification No.165 0 Contact: William Moore Client: Perdue Farms 416 S. Long Drive Rockingham, NC 28379 Meritech Work Order # 102815109 COD Total Suspended Solids TKN Nitrate, Nitrogen Nitrite, Nitrogen Phosphorus, total Fecal Coliform Oil & Grease (HEM) Sample: Stormwater Grab 296 mg/L 51 mg/L 2.22 mg/L 0.72 mg/L <0.10 mg/L 0.355 mg/L 10,000 col/100 nil 7 mg/L 11/5/15 10/30/15 11/5/15 10/29/15 10/29/15 11/6/15 10/28/15 11/3/15 Report Date: 11/11/2015 Date Sample Rcvd; 10/28/2015 15 mg/L 2.5 mg/L 0.20 mg/L 0.10 mg/L 0.10 mg/L 0.020 mg/L 1 col/100 mi 5 mg/L 10/28/15 EPA 410.4 SM 2540D EPA 351.1 EPA 353.2 EPA 353.2 EPA 200.7 SM 9222D EPA 1664A 1 hereby certi/y that I have reviewed attd approve these data. 4, . zip, 10-9 Labor atoty Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel,(336)342-4748 fm(336)342-1522 320-23 Chain of Custody Record (COC) NPDES#: Client:a1Phone: Address: Fax: -y//o Email: Project: P.O.#: Attention: ' j-4— Od Turn AroundTime* How would you like your report sent? *RUSH work needs prior approval. Circle all that apply: Email (preferred), Fax, !Mail Sid 10days) 3-5 Da 24-4SHrs �I! � ������ 1 INC. ENVIRONMENTAL LABORATORIES 642 TamcoRd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com www.meritech-labs.com Sample Location and/or ID # .Sampling Dates & Tmes Person Taking Sam i n ri ): car Lab Use Only . Start � End Camp? Grab? #of Cont. Testis} Required ° e? Yes No pH OK? Cl OK? Tim me Date i me y' s lcfzcr , g-e t t AA .1 A T-sa - A 10 aa 4 s-y leh'r �'1 •w Temperature Upon - R L �✓` L Method of Shipment: "` Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. "* Comments: Compositor # Jug # [] UPS Fed Ex Are th esults for regulatory purposes? Yes leg No _ Report results jp: mg/L mg/kg �= ug/L -. hand Delivery Re inqu Time: )rj Receive Da e: Time: i Q' Other Relinquished te: Time: R y: D uk 14me: Rehn Date: rime- 1 14 .1 15 �� rve b: 0 e: 7krne: ' i A rr . i Environmental Services MONO Perdue Farms Inc. ,........,d,�,,�.,u.. Rockingham Processing Plant 416 South Long Street Rockingham, NC 28379 November 16, 2015 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Quarterly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, dep ons Please find attached two copies of the fourth quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on October 28, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Pam. 6 . N," Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 t+ , Permit Number NCSOon l 3 0 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME 1.1 OCILt /}M PERSON COLLECTING SAMPLE(S) I j\@, CERTIFIED LABORATORY(S) Lab # all i .2C _TA , Lab #---y Part A: Specific Monitoring Requirements 4t SAMPLES COLLECTED DURING CALENDAR YEAR: go t (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. (q1()) SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. 1. 1,te __ -S-1111171 Sample Collected Total1 FlowRainfall . J IN�� -�.�r+ ■P.A. �� -W �► •. ��� �r� -� - tee+ : �. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? V yes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements O_utfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m /l unit _ allmo a �- (O.O / l ` � e Form S WU-247, last revised 21212012 Page I of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000 13 C) r FACILITY NAME e- PERSON COLLECTING SAMPLE(S) �A t cw (Q- CERTIFIED LABORATORY(S) Lab # ej� j �!L , ZA/r_ Lab #_1_3_ Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: ao 15- (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTYI PHONE NO. cjq Q —SCE 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall 1. i Collected II 1 Rainfall - . r r Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Yy"es —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/ddl r MG inches m mgjI unit gaumo Form SWU-247, last revised 21212012 Pagel of 2 f ` -;' STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Q D I©� / OC Division of Water Quality Date / �, Attn: Central Files Total Event Precipitation (inches): 0- 02J 1617 Mail Service Center Event Duration (hours): — LQ (only if applicable —see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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 of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Environmental Services Perdue Farms Inc. Af-*n.w+rtw. 0.01,$6-1,.. Rockingham Processing Plant 416 South Long Street Rockingham, NC 28379 September 1, 2015 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Quarterly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, RECENSD SEP 0 S.Z015 CENTL FILES DW RSECTION Please find attached two copies of the third quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part 11; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on August 7, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT P107mi Number NCS FACILITY NAME u ' 0 k 4AIN PERSON COLLECTING SAMPLE(S) i jft)Q(\e. CERTIFIED LABORATORY(S) Lab # Q�i Lab# f' Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: act (This monitoring report shall be received by the Division no later than 30 djm'air n the date the facility receives the sampling results from the laboratory.) Cl. COUNTY t C. k PHONE NO. CJ Q) - `0j Lil SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. :1 1 iSample DateIE I - Total, � � ►tea• S • Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? V yes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil &Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage ino/dd/ r _ MG inches m m unit al/mo a d C� 1 4c 1 1 - I Form SWU-247, last revised 21212012 Pagel of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Pwrmit Number NCS Q 4 0 13 FACILITY NAME�CDC, PERSON COLLECTING SAMPLE(S) ; [ 1 t R tic) P- � CERTIFIED LABORATORY(S) Lab # Lab # 1 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY _` k G �X /V"*- 0ND PHONE NO. ( j/) 99 Q -- Sty 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall DateII I Sample Collected pp i Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? klyes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfail_ No. Date Sample Collected' 50050 00556 00530 60400 Total Flow _ (if applicable) Total Rainfall Oil & Grease (if appt.) Non=polar O&G/TPH (Method .1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor. -Oil Usage mbMd/ r MG inches m A - mg unit allmo Form SWU-247, last revised 21212012 Page 1 of 2 t STORM EVENT CHARACTERISTICS: Mail Original and one copy to: ,r Division of Water Quality Date d �/ /�, �� Attn: Central Files Total Event Precipitation (inches): 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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) <: -- 1") C 7 /,:!: � > / 42 0 (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Environmental Services 5 ` Perdue Farms Inc. Rockingham Processing Plant 416 South Long Street Rockingham, NC 28379 September 1, 2015 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Quarterly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, Please find attached two copies of the third quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. 5 This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on August 7, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 /'1 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000 t 30 FACILITY NAME?eC"A CC R Q&l lJ kk&x PERSON COLLECTING SAMPLE(S) ills e J 1 i C9 f CERTIFIED LABORATORY(S) Lab # Q ' ;4eC-`WC- Lab #(o Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: ao1 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results fromthelaboratory.) COUNTY c C� MONC� PHONE NO. ( 0) & SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. bhm Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _�fes _no (if yes, complete Part B) Form SWU-247, last revised 21212012 x Page l of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 001 V FACILITY NAME PERSON COLLECTING SAMPLE(S) WA tl� A VU r e- CERTIF'IED LABORATORY(S) Lab # Lab #�� Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2 Q (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. (S ! ()) fig► — EI�E NATURE OF PERMITTEE OR DESIGNEE QUIRED ON PAGE 2. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? L/yes _no (if yes, complete Part B) Part B: Vehicle Maintenance irements Form S WU-247, last revised 21212012 Pagel of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date OS Attn: Central Files Total Event P ecipitation (inches): 1617 Mail Service Center Event Duration (hours): 2 tr (only if applicable —see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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) 7//& (Date) Form SWU-247, last revised 21212012 Page 2 of 2 n r ►t Contact: William Moore Client: Perdue Farms 416 S, Long Drive Rockingham, NC 28379 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Meritech Work Order # 06051565 Sample: Stormwater Grab F Revised Date: 7/17/2015 Report Date: 6/15/2015 Date Sample Rcvd. 61512015 6/5/15 Method QUalifie BOD, 5 day 10.8 mg/L 6/5/15 2.0 mg/L SM 5210B G3 COD 15 mg/L 6/9/15 15 mg/L EPA 410.4 Total Suspended Solids 3 mg/L 6/8/15 2.5 mg/L SM 2540D Chloride 13.3 mg/L 6/10/15 0.10 mg/L SM 4500 Cl C Nitrate, Nitrogen 1.24 mg/L 6/11/15 0.10 mg/L EPA 353.2 Nitrite, Nitrogen <0.10 mg/L 6/11/15 0.10 mg/L EPA 353.2 Phosphorus, total 0.272 mg/L 6/9/15 0.020 mg/L EPA 200.7 Fecal Coliform 727 col/100 ml 6/5/15 1 col/100 ml SM 9222D Oil & Grease - Non Polar <5 mg/L 6/1.1/15 5 mg/L EPA 1664A Oil & Grease - Polar <5 mg/L 6/11/15 5 mg/L EPA 1664A pH 6.1 S.U. 6/5/15 1.0 -14.0 S.U. SM 4500 H B G3 No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L. l hereby certify that I have reviewed and approve these data. IV2 RZ Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (COC) Client: Perdue Farms Address: _ a Attention: pt NPDES #: Phone: Fax- Email'. 44),z/l t,x Project: Po M MERITECH INC. Environmental Laboratories ' A Division of Water Technology and Control, Inc. :.:... .:....: 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1522 27320 Email: wtelabCabellsouth.net Web Site: www.meritach-labs.com Turn Around Time* Std (10 days) t� 3 - 5 Day o 24 - 48 Hr Sample LocationllD # Sampling Dates & Times Person Taking Sam le (Signature): (� Lab Use only START END Comp? Grab?" # o1 Conts. Tests Requi d On �� ice? pH OK? C12M Date Time Date Time Stormwater to "� �.' G 2 BOD 1 TSS,Cf G5 G 1 COD,Ni]2,NO3 H2SO4o • ` 4 ` �'j: 3� G 1 Metals - Ptot w 1 HNO3 G 1 Oil & Grease w I kl utAr �a ` U -S G 1 Fecal Coliform Method of Shipment: comments: ❑ UPS ❑ Fed Ex ❑ Hand Delivery '❑Other Will these results be used for regulatory purposes? Yes No *RUSH work must be approved prior to submitting samples. Relinquished Date: Time: f Recely by: Date: J Time: Refinquls Date: r�TI a [(l�'-�� ( �7�% Received by: Dale: Time: n Relinquished by: Date: Time: Received at lab by: bate: Time: ,- 1Y a r..wr n+.....,.r aW+.rr I�...i•e.. July 16, 2015 Environmental S6ry ices Perdue Fatms'ine. Rockingham Pi-ocessing Plant 416 South 1.ong Street Rocicinaban.19C 28379 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Storm Water Quarterly Monitoring Report Permit No. NCS000130 Perdue Farms, Rockingham Facility To Whom It May Concern, Recmveo . JUL 2 0 2015 CENTRAL FILES- D1NR SECTION Please find attached two copies of the second quarter storm water monitoring report for the Perdue Foods LLC facility located at Rockingham, North Carolina. This monitoring report meets the requirements under Part II; Section B: Analytical Monitoring Requirements for the facility's Storm Water Permit. The storm water sample was collected on June 5, 2015 during a qualifying rain event. If you need any additional information, please do not hesitate to contact me on my cell phone at (757) 710-4436. Sincerely yours, Pals 8. "�e� Paul Bruce Roberts Regional Environmental Manager bruce.p.roberts@perdue.com cc: Fayetteville Regional Office Division of Water Resources 215 Green Street, Suite 714 Fayetteville, NC 28301 I Environmental Management Perdue Foods LLC 416 South Long Drive Rockingham, North Carolina 28379 4-�� Date of Issue: 5-12-2014 Rockingham Facility Environmental Manager Regarding Permit # Lee P. Butler NCS000130 Office - 910-997-8634 Fax - 910-997-8591 R 4 E Stormwater Permitting Unit Attn: Brian Lowther MAY 15 2014 1617 Mail Service Center Raleigh, N.C. 27699-1617 CENTRAL FILES DWQIBOG Dear Sirs, In the process of collecting the information for submittal of the 2014 second quarter stormwater sampling, we discovered we had missed sending in the first quarter of 2014 report. All sampling and procedures for the first quarter were properly followed except for mailing the report. We truly apologize for the oversight on our part and have included it with this mailing. Should you have any concerns or questions about these changes, please feel free to contact me at 910-997-8634. Sincerely Yours, t� ee P. Butler Rockingham Complex Environmental Manager - -• STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG120000 CERTIFICATE OF COVERAGE NO. NCGG11211r�CSD�_D �9p____ FACILITY NAME _ / -k G rDD4r r LL PERSON: COLLECTING SAMPLES CERTIFIED LABORATORY 7 pzer 4ey l „_.. Lab #wjlyS Lab # Part A: Specific Monitoring Requirements I SAMPLES COLLECTED DUESING CALENDAR YEAR: Oi (This monitoring report is due t the Division no later than 30 days from the date the facility receives the samplin results fripm the laboratory.) COUNTY PHONE NO. I PLEASE SIGN ON THE REVERSE 4 1`'` Ota fail ' Date Y Sample;COpected, �z,[na�dd/ r 31? _ �� �r /�fJ34(1� g �[{, `a� t tl Yl u"' h-�Vil �t:�'�i.`- Nil `t i �� y ��y�5 i'�'Hc7i�i�`�����i�`x�1�SFr#��I.�'RZ �; i- p 1 3A�_M1 �' p� pF. �3 iiiCi��� Clttettitc�} Ozy$e; . nce�tded4-4 i _{.a .= �` .m :.�i� ���!,7�#(.i er,-14A:m1��� .A't Vtds—IT r Note: If you report a sampled value in excess of the benchmark value, you must implement Tier I or Tier 2 responses. See General Permit text. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _� Tno (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements :��-� Q�ttfall �� � fl t ,� F Date � s = Sa gle Collected, I$� �;'rr_�4055¢ frFz I�:� �.�'(�OQS34 -�� 1�-� ?�a;= » 0(1900�•��€ �>'wt�-� ,;�.� � �� f „U Otl }td ��r.T k2 " t'ttl1 s� ,�t � y lr �StI� ?;uSarditsK"Av ri'N`rM to sop, a a aUnu aiin € *.,.'^ "'e-`^^ L'�7 �� �'••-rat�,� v, � �,_ ,W ._ -..i i'S4G-� s 'S� '�� a : r� rr u ! /3 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVEN C ARACTERISTICS: Date / (first event sampled) Mail Original and one copy to: Total vent Precipitation (inches): 113 3 Attn. D�V-Q Central Files NCDE>jiR/ DWQ 1617 Mail Service Center Date (list each additional event sampled this reporting period, and rainfall amount) Raleigh; NC 27699-1617 Total Event Precipitation (inches): S W U-248-102107 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT "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 an 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 submittingg false information, including the possibility of fines and imprisonment for knowing violations." LQI& CIW4� (Signature of Permittee) (Date) SWU-248-102107 Page 2 of 2