NCG060182_2020 DMR_20201102

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO60000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0 1 8 2 Person Collecting Samples: Yin -Fong George CHANG, P. E.
Facility Name: Pilgrim's Pride Corporation, Marshville Processing Plant Laboratory Name: Environmental Chemists, Inc.
Facility County: Union Laboratory Cert. No.: 94
Discharge during this period: ❑■ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑■ Yes ❑ No
If so, which Tier (I, 11, or III)? III
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall #1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Salem Creek
N/A
Date Sample Collected MM/DD/YYYY
10/12/2020
46529
24-Hour Rainfall in inches
2.00
00556
Oil & Grease in mg/L (30)
< 5.0
C0530
TSS in mg/L (100 or 50*)
28.0
00400
pH in standard units (6.0-9.0)
7.3
31616
Fecal Coliform per 100 ml of
910
freshwater (1000)
7
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
��
(120)
Part B-. Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L(15)
New Motor/Hydraulic Oil Usage in
NCOIL
gal/month
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"1 certify by my signature below, 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 or DeKgated Authorized Individual Date

Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.4735702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 ■ 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Pilgrim's Pride-Marshville Date of Report: Oct 30, 2020
5901 West Marshville Blvd. Customer PO #:
Marshville INC 28103 Customer ID: 17040005
Attention: George Chang, PE Report #: 2020-17417
Project ID: Marshville Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-44529 Site: outfall #1 10/12/2020 9,30 AM Water Client
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5.0 mg/L 10127/2020
Residue Suspended (TSS) SM 2540 D 28.0 mg/L 10/12/2020
pH SM4500H6 7.3units 10113/2020
COD SM 5220D 47 mg/L 10/13/2020
Fecal Coliform SM 9222D MF 1910 Colonies/100mL 10/1212020
Comment:
Reviewed by:
Report #:: 2020-17417 Page 1 of 1

Lenvirochem
ANALYTICAL & CONSULTING CHEMISTS
LCS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsectown Road, Manteo, NC 27954 0 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jaeksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail];
Pilgrim's QC - 2020-17417
Parameter
True Value
n lL
Result
rnglL
% Dwe Value
Limits
YO
COD
1000
989
99
90-110
Fecal
N/A
N/A
NIA
N/A
TSS
92.5
91.0
98
82.4-1 18
PH
7.00
7.01
100
90-1 10
OIL & GREASE
40.0
35.3
88
78-1 f4
MSIMSD
Parameter
True Value
n1glL
Recovery
niglL
% Recovery
%
Difference
Limits %
Recover),
Limits %
Difference
COD
50.0
47/49
94/98
4
80-120
520
Fecal
N/A
N/A
NIA
N/A
N/A
N/A
TSS
NIA
N/A
N/A
N/A
N/A
NIA
PH
N/A
N/A
N/A
N/A
N/A
WA
OIL & GREASE
40.0
37.5
94
N/A
78-1 14
< 18
DUPLICATE SAMPLES
Parameter
Results
mglL
% Difference
Limits %
COD
N/A
N/A
N/A
< 10
Fecal
115
125
8
< 30
TSS
75.0
76.0
1
< 10
PH
NIA
N/A
N/A
< 10
OIL & GREASE
N/A
NIA
N/A
N/A

envirochem
ANALYTICAL a CONSU3 TING CHEMISTS
BLANK
Environmental Chemists, Inc.
6502 Windmill Way, Wilmington, NC 28405 s 910.392,0223 Lab • 910.392.4424 Fax
710 Sowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infonr". em,i. onmeatalchemists.com
Parameter
Results
Results
Limil
mg/L
COD
4l4
!0
Fecal (Start Control)
0
0
TSS
<2.3
2.5
PH
N/A
N/A
OIL & GREASE
<2.5
2,5

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
91 V.772. Ut L J
Sample Receipt Checklist
Client:PILA�LAm Date: %) Report Number; d 1 T 1
of sample:
Delivered UPS ❑ Fed Ex ❑ Other ❑
O�T:
N/A 1. Were custody seals present on the cooler?
N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt
How temperature taken:
_
❑ Temperature Blank Against Bottles
PR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
❑ YES
❑ NO
3. If temperature of cooler exceeded 6°C, was Project Mgr_/QA notified?
YES
10 r`JO
4_ Were proper custody procedures (relinquished/received) followed?
YES
❑ NO
S. Were sample iD's listed on the COC?
YES
❑ No
6. Were samples ID's fisted on sample containers?
YES
❑ NO
7. Were collection date and time listed on the COC?
YES
❑ NO
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
YES
❑ NO
10. Did samples arrive in goad condition for each test?
I' YES
❑ N0
11. Was adequate sample volume available?'
Sd YE`,
❑ NO
12. Were samples received within proper holding time for requested tests?
YES
a NO
13. Were acid preserved sarnpies received at a pH of <2? #
YES
❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES
[D NO
15. 'Were sulfide samples received at a pH >9?
❑ YES
❑
❑ No
16. Were NH3/TKN/Phenol received at a chlorine residual of <D.5 m/L? "
YES
❑
❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
YES
10 P40
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are
pH checked at trine of analyst; and recorded on the benensheef.
* * Bacteria samples are checked for Ch€orine at time of analysis and recorded on the benchsheet,
Sample Preservation: (Must be completed for any samples) incorrectly preserved or with headspace)
Sample(s) _ were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H:SO, HNO: HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
cote: 1412114 customer sevice immediate y for ncorrertly p; eserved sama:es. Obtain a new sample or
:otifY the State lab if directed to analyzed by the customer, Who was notif,ed, rate and time.
10fatifes Sample(s) were received with headspace
COMMENTS:
DOC. QA.002
°C

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