HomeMy WebLinkAboutNCG060182_2021 DMR_20211006NCDEQ 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
I Discharge during this period: 0 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, II, or III)? III
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall #1
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Salem Creek
N/A
Date Sample Collected MM/DD/YYYY
09/21/2021
46529
24-Hour Rainfall in inches
0.4
00556
Oil & Grease in mg/L (30)
05.0
C0530
TSS in mg/L (100 or 50*)
31.4
00400
pH in standard units (6.0 — 9.01
7.1
31616
Fecal Coliform per 100 ml of
Q0
O
freshwater (1000)
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
36
(120)
Part B: Vehicle & Equipment Maintenance Areas -- Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (131
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):
"I 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 Delegated Aut rued Individual Date
Inv7i] ells
ANALrnCAL S CONSULTING CHEMISTS
Environmental Chemists, Inc,
6602 Windmill Way, Wilmington, NC 28405 * 910.392.0223 Lab * 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 - 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax
info@environmentalchemists.coFn
Pilgrim's Pride-Marshville Date of Report: Oct 05, 2021
5901 West Marshville Blvd. Customer PO #:
Marshville NC 28103 Customer ID: 17040005
Attention: George Chang, PE Report #: 2021-16545
Project ID: Marshville Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
2141533 Site: Outfall #1
9/21/2021 11:00 AM Water Yin -Fong Chang
Test Method Results Date Analyzed
Oil & Grease (0&G)
SPA IW4 Rev. B
Residue Suspended (TSS) SM 2540 D-2015
pH SM 4500 H S-2011
Result estimated. Analyzed out of 15 minutes hold time.
COD
SM 5220 D-2011
<5.0 mg/L
09/28/2021
31.4 mg/L
09/22/2021
7.1 units
09/30/2021
36.0 mg/L 09/23/2021
Fecal Coliform SM e222 0-2015 MF 580 Colonies/100ml- 09/21/2021
Comment:
Reviewed by:
envirochem
ANALYTICAL & CONSULTING CHEMISTS
LCS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 + 910.392,0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info;a environmen talchemists.com
Pilgrim's QC - 2021-16545
Parameter
True Value
Result
% True Value
Limits
mg, :1
mg-L
%
COD
1000
981
98
90-1 10
Fecal
NIA
NSA
N-A
NSA
TSS
500.0
505.0
101
82.4-1 18
pH
10.0
9.97
100
90-1 10
OIL & GREASE
40.0
34.7
87
78-114
MS/MSD
Parameter
True Value
Recovery
% Recovery
%
Limits %
Limits %
mg, L
mg. L
Difference
Recovery
Difference
COD
50.0
56-:55
111,110
2
80-120
< 20
Fecal
NSA
NA
NSA
N.-'A
NIA
N A
TSS
NIA
N-A
NIA
NA
N'A
N A
pH
N'A
N±A
N'A
NA
NIA
N A
OIL & GREASE
40.0
33.0
83
N.-'A
78-114
< 18
DUPLICATE SAMPLES
Parameter
Results
o Difference
rence
0
Limits /
mg-L
COD
N.--A
N A
NIA
< 10
Fecal
:•600
600
0
5 30
TSS
127.0
124.0
2
< 10
pH
N---A
NA
N A
< 10
OIL & GREASE
<5.0
1:5.0
0
< 10
[enviirochem]
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 q 910.392.0223 Lab • 910.392.4424 Fax
710 $owsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info!gcnvironmentalchemists.com
BLANK
Parameter
Results
Limit
M9 L
mgfl
COD
<10
10
Fecal (Start Control)
0
0
TSS
<2.5
2.5
pH
N-A
N'A
F701L & GREASE
4 s.o
5.0
Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Recei t Checklist
I
Client; l— ��,�� MS FP (, Date: cZ1 Report Number:
{ .
Receipt of sample: ECHEM Pickup
❑ YES 10 NO Ig N/A 1.
❑ YES JE3 NO I IX N/A 12.
6602 Windmill Wa.
Wilmington, NC 2840°
910.392A22:
Client Delivery ❑ JUPS ❑ FedEx ❑
Were custody seals present on the cooler?
If custody
seals were pre
Original temperature upon receipt_ °C
How temperature taken: El Temperature Blank
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Co
17-1
Other
were they intact/unbroken?
Corrected temperature u
Against Bottles
rrection Factor'C: 0.0
YES
❑
NO
3. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑
NO
5. Were sample ID's listed on the COC?
YES
❑
NO
6. Were samples ID's listed on sample containers?
YES
❑
NO
7. Were collection date and time listed on the COC?
YES
❑
NO
S. Were tests to be performed listed on the COV
YES
❑
NO
9. Did samples arrive in proper containers for each test?
IX YES
❑
NO
10. Did samples arrive in good condition for each test?
YES
❑
NO
i1. WdS aUryUdtC bdlllpie VUIUIIIe jVdlidUlee
YES
❑
NO
12. Were samples received within proper holding time for requested tests?
YES
❑
NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑
NO
14. Were cyanide samples received at a pH >12?
❑ YES
❑
NO
117.
15. Were sulfide samples received at a pH >9?
❑ YES
❑
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?
❑ YES
❑
NO
Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
❑
NO
118.
Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analys.s and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2504 HNO3 HCl NaOH
e of preservation:
If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
atiles Sample(s)
were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
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