NCG060182_2022 DMR_20221021

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR)Uoload 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-Pong George CHANG P E
Facility Name: Piigrim's Pride Corporation,Marshville Processing Plant Laboratory Name: K&W Laboratories
Facility County: Union Laboratory Cert.No.: 559
Discharge during this period:©Yes ❑ No (if no,skip to signature and date)
Has,your facility implemented�_Yandatory Tier response acions for any benchmark exgeedances?❑Yes ® No
If so,which Tier(I,II,or III)? ,� 'r '/I
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/OD/YYYY 09130/2022
46529 24-Hour Rainfall in inches 0.55
00556 Oil&Grease in mg/L(30) <5.6
C0530 TSS in mg/L(100 or 50•1 4.4
00400 pH in standard units 16.0—9.0) 7.5
31616 Fecal Coliform per 100 ml of 340
freshwater(2000)
61211 Enterococci per 100 ml of saltwater
(500)
00340 Chemical Oxygen Demand in mg/L 58
(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(iS)
NCOIL New Motor/Hydraulic Oil Usage in
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 Auth ized Individual Date

K & W Laboratories Results Report
1 121 I Iwy 24 27 w
Midland,North Carolina 28107
Tel[phone] Fax(704)888-I511
Client: Pilgrims Pride Corp. Date: 13-Oct-22
PO Box 668 Order ID: 22093012
Marshville,NC 28103
Project: Storinlvater #001 Cbilect Date: 9+30,�022 ;
Location: Outfall 4001 G`ollect Time: 8:00:06 AM
REPORTING ANALYSIS
SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE
22093012-01 COD 58 mg/L SM5220D 10 10/12/2022
22093012.01 Fecal Co iform 340 colony/100mi SM9222D(MF) 1 9/30/2022
22093012-01 Oil&Grease <5.6 mg1L EPM6648 5.6 10/12/2022
22093012.01 pH 75 units SM4500H+B 01 9/30/2022
22093012 01 TSS 44 mg/L SM2540D Z8 10/6.2022
pH analysis initiated more than 15 minutes after sample collection
NC Certification: 559 SC Certification: 99051
Certified By Knofk�z
G.Kraska/Lab Director

K & W Laboratories
1121 Hwy 24127 W Midland,NC Tel: [phone]
28107 r Fax:[phone] Chain of Custody Record t
ClientlCompany: Pilgrims Pride t Report To: n'�D n� p�r)�C Ff rvQ, P• Remarks:
Address: PO Box 668 J Outfall#001
Marshville.NC 28103 Copy To pH:
Temp.
1 Bill To
Contact: h�C1'l`�'L:)I+GY + (. N/�1�-J,�•�'
Phone: 704 047 Faz. PO p
q rypo a co t
.. / P pwste
Pro{mt Name. Slormwater raIm Typef SWS,amwetet G-Gi..
v
a
T 12 O
Sampled By: 61AVAew U
E x Preservatives I Analysis Requested
i U F
o E
2
Item Sample 101 Location ar.h El1
�°� o d o
Wo. Comp SW
z' P G 7/3
Dale Time z z__= ti a ° U O L) Lab LO #
1 Outfall#001 G sw 1 P r 3CIAD a.Z- �' x; 1 x X �� z
2 G sw 1 P + x' x
G sw 1 G 1 ixt 1 x
3 G sw 1 P // ;xI x
4
5
I
6
7
t
,
8
,
I I
9 I t l l l
Relinquished By l�.� Time `� v�eydd{,�}gBfyl{ D.te Tune 1`� r-
3 2C�L / !1V l�J 2 1 v amyMTempz—I_C
Relinquished By Da'e Time R iv y. 1) le. T, c
g 4 1/J On Ice Y/N