NCG060182_MONITORING INFO_20191107

ME
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑yI / 7
YYYYM M D D

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted November 5, 2019
CERTIFICATE OF COVERAGE NO. NCG06 0 1 8 2
FACILITY NAME Pilgrim's Pride Corporation, Marshville Processing Plant
COUNTY Union
PERSON COLLECTING SAMPLES Yin -Pang George Chang, P. E.
LABORATORY Shealy Environmental Services, Inc. Lab Cert. # 329
RECEIVED
NOV 01 Z019
pWTAL FILES
R SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or X Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
❑N Other
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall' 0.30 or ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
10001
Soot
Parameter Code
--
C0530
00400
00340
00556
31616
61211
#001
October 16, 2019
71
6.3
60
9.8
> 60,000
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sMonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑■ no
(if ves, complete Part B)
Permit Date:11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
-
46529
NCOIL
00552
CO530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 2 of 2

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Pilgrim's Pride
5901 .West Marshville Blvd.
Marshville, NC 28103
Attention: Yin Pong Chang
Project Name: Stormwater
Lot Number:UJ16070
Date Completed:11/01/2019
11 /01 /2019 11:32 AM
Approved and released by:
Lab Director - Greenville: Lucas Odom
P G(
OAAW
r�1 .ccneo,reo
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] wwwshealylab.com
Page I of 12

SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Pilgrim's Pride
Lot Number: UJ16070
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any
exceptions to the NELAC standards, the QAMP, SOPS or policies are qualified on the results page or
discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Fecal Coliform
No collection time is listed on the COC. The sample is qualified as being performed out of hold for Fecal
analysis.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w .shealylab.com
Page 2 of 12

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Pilgrim's Pride
Lot Number: UJ16070
Sample Number
Sample ID
Matrix
Date Sampled
Date Received
001
TSS
Aqueous
10/16/2019
10/16/2019
002
COD
Aqueous
10/16/2019
10/16/2019
003
Oil & Grease
Aqueous
10/16/2019
10/16/2019
004 Fecal Coliform Aqueous 10/16/2019 10/16/2019
005 PH Aqueous 10/16/2019
(5 samples)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 3 of 12

SHEALY ENVIRONMENTAL SERVICES, INC.
Detection Summary
Pilgrim's Pride
Lot Number: UJ16070
Sample Sample ID
Matrix
Parameter Method
Result Q
Units
Page
001
TSS
Aqueous
TSS SM 2540D-
71
mg/L
5
002
COD
Aqueous
COD SM 5220D-
60
mg/L
6
003
Oil & Grease
Aqueous
HEM (oil and grease) 1664B
9.8
mg/L
7
004
Fecal Coliform
Aqueous
Fecal Coliform-MF SM 9222D-
>60000 H
col/100ml-
8
(4 detections)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] v vv.shealylab.com
Page 4 of 12

Client: Pilgrim's Pride
Description: TSS
Date Sampled:10116/2019
Date Received: 10/16/2019
Laboratory ID: UJ16070-001
Matrix: Aqueous
Inorganic non-metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch -
1 (pH) SM 4500-H B-2011 1 10/28/2019 1803 HET 33660
1 (TSS) SM 2540D-2011 1 10/21/2019 0001 MOM 32760
CAS Analytical
Parameter Number Method Result Q LOQ Units Run
pH @ 8.5 ° C SM 4500-H B-2 6.3 su 1
TSS SM 254OD- 71 13 mg/L 1
L00 = Unit of puantitation B = Detected in the method blank E = Duantitation of compound exceeded the calibration range
ND = Not detected at or above the LOO N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40%
H = Out of holding time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 5 of 12

Client: Pilgrim's Pride
Description: COD
Date Sampled:10/16/2019
Date Received: 10/1612019
Laboratory ID: UJ16070-002
Matrix: Aqueous
Inorganic non-metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch -
1 (COD) SM 5220D-2011 1 10/23/2019 2235 HET 33044
CAS Analytical
Parameter Number Method Result Q LOQ Units Run
COD SM 5220D- 60 20 mg/L 1
I = Limit of Duantitation B = Detected in the method blank E = Duantitation of compound exceeded the calibration range
NO = Not detected at or above the LOO N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40%
H = Out of holding time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] v+ww.shealylab.com
Page 6 of 12

Client: Pilgrim's Pride
Description: Oil & Grease
Date Sampled:10116/2019
Date Received: 10/16/2019
Laboratory ID: UJ16070-003
Matrix: Aqueous
Inorganic non-metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (HEM (oil and) 1664B 1 10/31/2019 0935 SMA 34042
CAS Analytical
Parameter Number Method Result Q LOQ Units Run
HEM (oil and grease) 1664E 9.8 5.0 mg/L 1
L00 = Limit of Ouaratation B = Detected in the method blank E = Ouantitalion of compound exceeded the calibration range
ND = Not detected at or above the LOO N = Recovery is out of criteria P = The RPD between two 3C columns exceeds 40%
H = Out of holding time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 7 of 12

Client: Pilgrim's Pride
Description: Fecal Coliform
Date Sampled:1011612019
Date Received: 10/1612019
Laboratory ID: UJ16070-004
Matrix: Aqueous
Inorganic non-metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Fecal Colifo) SM 9222D-2006 1 10/17/2019 1759 AMR 10/16/2019 1815
CAS Analytical
Parameter Number Method Result O LOO Units Run
Fecal Coliform-MF SM 9222D- >60000 H 1 col1100mL 1
LOG = Limit of Quantitated B = Detected in the method blank E = Guantitation of compound exceeded the calibration range
NO = Not detected at or above the LOG N = Recovery is out of cheria P = The RPD between two GC columns exceeds 40%
H = Out of holding time W = Reported an wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 8 of 12

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 9 of 12

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SHEALY ENVIRONMENTAL SERVICES, INC.
01JEALY Chain of Custod Record 106 Vamp POlnl Dr1Ye -West Columbia, SC 29, 72
Telephone NO. 803-791.9700 Fax W. 603-791.911i
vww.shoalylRb.wm
Number 099891
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SHEALY ENVIRONMENTAL SERVICES, INC.
Syeab Gnvinmmrnial FRIrrA ler.
D ,uiin l numbx E-i.P001
Ra•ieion Numhn;p
Bottle Order
r,, I
krplxta Nx
Analysis
rr
�E
O
12
31
cc
'1'SS
4;:,
" _
I
1
None
1,12 Uallon
Plastic
COD
A
'1.'I
1
I
J12SO4
250mL
Plastic
Oil and Otensu
A
1 ::
2
1 2
1 ICI
504 ail,
Clear
' Fecal Colifowl
A, '
. ':"1:..
1
I
Na2SO4
100mT,
Plastic Stcrile
Quote: ,.. .;i...'.:" ... Delirery:'t:;::`i.``d':
Number ofCOCnecded:., 1 Type nfCOCneeded:,!..,i:;:<:;
Form Completed By: t•fLk Date Ordered: 1(1r8M0I9
Dille Needed: ;. 10.1812019: Nmnlxar of Coolers Needed: ("
Project Number or Name: Stomiwater
Coutncl Name: George C H Phnne:
Client Natc: Pdgriut's Pr &'-:�r Dofa�1Q�
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w .shealylab.com
Page I I or 12

SHEALY ENVIRONMENTAL SERVICES, INC.
-0caly U00.1mmhl $hriv,inc Pa to
nri
lui,:narl Ylrt:ibef_,.,tOeliG1A
Sample Receipt Checklist (SRC)
Clicnt: Pilgrims Pride Cooler lns ctcd •idaw, Lfal + ID;IG;I? _
b) Lot N: UJ 1GU70
eipt: A1ca»s of recSESI ❑cnt t1 CliPN ❑ FedL•x V 17.
Yet:1
0 Nol
11. Were custody seals present on the ooulce?
,Cj�ycsl
Lj Not
NA.
If custody waft were resent, were they intact and nnboukrn7
pfl Strip ID: 19-1760 Chlorine Strip 117: 19-1867 tested by: BNI
Original Ic npereture upon receipt! Derived (Corrected) mmperalure upon receipt 0/.Solid Snup-hop ID. NA
4.0 ; 4.0 -C NA !NA -C NA i NA cC NA I NA -C
Method: ❑Tcinpelatum Munk El Against Bottles IR Gun ID: 5 1R Gun Correction Fact= 0 'C
Method of coolant. ® Wet Ice ❑ Ice pacts ❑ My Ice ❑ None
❑ Yes
❑ No
® NA
J. If tempeiawit: of any confer exceeded 6.0°C, was Frojeer Manager Notirroxl?
PM was Nolifird by: phone: email; face-to-fucc (circle tale).
❑ Yes
❑ No
QJ NA
4. Is Ute commercial courier's pecking slip attached to this form';
❑ Yea
®No
S. Were Pruper custody procedure fret(i quished'receivetl) fallo.vcd?
❑ Ycs
No
6. 1Vcrc sample llls listed un the COC?
❑ Yes
0No
?. 14ere Sam lr IDs listed on all Sam le co
l aincrslOC.?
Yes
® No
8. Wus collection date & time listed the Cnl
Yes
No
9. Was collection d,de & time listed on all =mple containers?
® Yes
❑ No
10. I:)id all container label information (ID, date, time) agree with die COO?
❑ Yes
No
11. Were tetra to bo performed listed on the COC4
m Yea
❑ No
12. Did rill samples arrive in the proper comahw" for each test and(or in gw.d condition
(unbroken, lido on, etc:)?
10 Yes
❑ No
13. 14as adequate sample volwur avxtilabte?
1'es
i`lo
14Were all samples eeceived wlthin 5; the holding rime w 48 hours ivhichevea• conics first•!
Yea
No
15. Were any samples Wutainel•s missin ;excess (circle one).sarn Ics Not listed tin COC?
❑ Yes
❑ No
® NA
16. For VOA and RSK-I ;5 samples, were bubble* present >, pea-siPx:' (!i;'or 6mm in diameter)
man of dle VOA vials?
® Yes
No
NA
I7. 1Yen: nil DRO;meralsinutr ieol Samples recelvcd at a I l of <.'?
❑ Yes
❑ No
FZINA
18. W'ere all c un ids; sam 1es received at a pH > 12 and sulfide samples received at a p[i % 9?
❑ Yes
❑No
®itiq
19. �Yeru a applicable ;+TIC1J;cyanlde%pheno + 251;a 0.5mg+L) samples fee of reidual
chlorule7
❑ Ycs
❑ No
® NA
20• Were client remarkshequests (i.e. requested dilutions, MSiM.SV designations, etc...l
-ITYL5j
correctly transcribed trom the COC into the continent section in JAMS?
VjNol21.
I the note nun11~_r listed no the container tube I'; If es, ante N NA -
Sample Pa%ervatioa (Must be miliflutcd for any smnplo(s) incorrectly preserved or with hcadspace,)
Sample(s) N.4 _were received incorrectly preserved and (acre adjusted accoidingly
in sample receiving with NA ML o`circle arc: I12SO4, I-IN03, HCI, ;NaOfI using SR 4 NA
_
Time of preservation NA If more than one preservative is rrrcded, please note in the rnmmerils Ixlow.
Sample(s) NA _,vote received with bubbles >6 rani in diameter.
Sun pits(s) NA were received with 1RC > 0.5 mg/L (If 419 is no I and was
djusied acc rdingly it sample receiving wig, sodium thiosulfate (Na, S,O;) with Shealy ID: NA
SR barcode labels applied bv; SMG Date: INI&I9
Comments:
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w .shealylab.com
Page 12 of 12