NCG060182_MONITORING INFO_20191209

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
n/�GbLPO�D�
DOC TYPE
❑ HISTORICAL FILE
f MONITORING REPORTS
DOC DATE
a b I ��
❑ 1
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted November 29, 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-Pong George Chang, P. E.
LABORATORY Shealy Environmental Services, Inc. Lab Cert. # 329
RECEt \/ G®
DEC 0 8 W9
`,rh fRFL FILES
ovJR SECTIOr t
n... A. c�..........a.,. nen.r.rn rkE and Mnni+—ino aoudtc
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑■ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []Water Supply [:]SA
*Other__
FACILITY ACTIVITIES INCLUDE (check all that apply:
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 0.30 or n No discharge this period'
YOutfall No.
Date Sample
Collected, mo/dd/yr
TSS
mg/L
-,pH,
Standard units '
COD,
mg/L
Oil and Grease,
_ mg/L
- FecaColiform,
l
Colonies per,100 ml
Enterococci,
Colonies per100 ml
Benehmark
100 or 504
Within 6:0 — 910'
- 120' `'
30
10001
5001
'Parameter Code
-
- C0530 `
00400
00340
-' 00556
31616
61211
#001
November 12, 2019
16
6.8
21
ND (< 5.0)
22,000
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly 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 yes, complete Part B)
-Permit Date:11/1/2018-05/31/2021- - - ---- - _ -- -- ----" - -- --- "- — - - -- '-'SWU-249,LastRevised11/5/2018
�- -- - - - _ - - - - 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 a
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons,
- ..
TotafSuspended Solids
,Benchmarks _
-
-
- =
- 15 mg/L
100 mg/L or 50 mg/0
Parameter Code
- .
46529
• - NCOIL
00552
C0530
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 0 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
I/-12-/!
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
I
Pilgrim's Pride
5901 West Marshville Blvd.
Marshville, NC 28103
Attention: Yin Pong Chang
Project Name: Stormwater
Lot Number:UK12059
Date Completed:11/25/2019
c ��-
11/29/2019 10:31 AM
Approved and released by:
Lab Director - Greenville: Lucas Odom
Pry,Eo
O
TNI
PCCPE �Ii EWO
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirely, without the written approval of Shealy Environmental Services, Inc
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page I of8

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: UK12059
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.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] v .shealylab.com
Page 2 of 8

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Pilgrim's Pride
Lot Number: UK12059
Sample Number Sample ID Matrix Date Sampled Date Received
001 Stormwater Sample Aqueous 11/12/2019 1050 11/12/2019
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] wwwshealylab.com
Page 3 of 8

SHEALY ENVIRONMENTAL SERVICES, INC.
I
Detection Summary
Pilgrim's Pride
I'Sample
Lot Number: UK12059
Sample ID
Matrix Parameter Method Result 0
Units
Page
001 Stormwater Sample
Aqueous COD SM 522013- 21
mg/L
5
001 Stormwater Sample
Aqueous TSS SM 2540D- 16
mg/L
5
001 Stormwater Sample
Aqueous Fecal Coliform-MF SM 9222D- 22000
col/100mL
5
(3 detections)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w .shealylab.cwm
Page 4 of 8

Client: Pilgrim's Pride
Laboratory ID: UK12059-001
Description: Stormwater Sample
Matrix: Aqueous
Date Sampled:11112/2019 1050
Date Received: 11/1212019
Inorganic
non-metals
Run Prep Method Analytical Method
Dilution
Analysis Date Analyst
Prep Date Batch
1 (pH - Field)'SM 4500-H B-2011
1
2'(COD) SM 5220D-2011
1
11/20/2019 2138 HET
36441
1 (TSS) SM 254OD-2011
1
11/17/2019 1825 MOM
36002
1 (Fecal Colifo) SM 9222D-2006
1
11/13/2019 1730 MDD
1111212019 1754
1;1 (HEM (oil and) 1664E
1
11/22/2019 1140 SMA
36715
CAS Analytical
Parameter
Number Method
Result 0
LOO
Units
Run
pH - Field
SM 4500-H B-2
6.8
su
1
COD
SM 5220D-
21
20
mg/L
2
TSS
SM 2540D-
16
3.1
mg/L
1
Fecal Coliform-MF
SM 922213-
22000
1
col/100ml-
1
HEM (oil and grease)
1664B
ND
5.0
mg/L
1
LOD = Limit of Duantitation B = Detected in the method blank E = Ouantitation of compound exceeded the calibration range
ND = Not detected at or above the L00 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 8

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] v ww.shealylab.com
Page 6 ol'8

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SHEALY ENVIRONMENTAL SERVICES, INC.
SIMLY Chain of Custod Record tale Vantage Point Drive • west Columbia, 28172 Number 100 266
Y Telephone No. $9379t-97D0 Fax No. 803-7-791-9711
vrww.shealylab.cam
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ur?)m ouyrarrnngernents are mods Raasira aT cce !Cana! :'a Irn .°r;i RxP.bl'2•ray._ . •� ,
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SHEALY ENVIRONMENTAL SERVICES, INC.
I
i
3reahJ F�'•Innm,uJal k ,icec [nv. Ca4x I of 1
D,x -M Nmatan,N kra:lrC-li alkxlive ]h;v: T,^.'7al
I Sample Receipt Checklist {SRC') I
Client. PILORIPoISPRTDE Cnolcr rncnctcd h,'A'ta WAG ! 1012.19 T..1* IIK12050
Meetly of n:ccipt: O SRSI ❑ Client UPS ❑ FedEx 0 Olhcr:
Ycs
No
I. Wcne custody =,ds presenl on the cooler?
Ye
ostody SeaLs were InSont, w'crc (Ire ` intact and unbroken? i
FHS�trip ID: 19-2194 Chlorine Strip M: NA Tesud by: W01d Cetupenature upon mcclptiDeriv`ed (Corrected) temperature upon Leccipt 0%SulidSnp-(\tll): NA
3.6 oC NA IN.A -C NA ' NA °C NA !NA `C : OTcmtpclnturc Wank ❑Against notties IR Gun ID: _ 5 IR Gun CnTTCCtlaoi !•'actor: 0 "C
Method of coolant: O w'Cr Ice ❑ Icc Packs ❑ Drv' ice ❑ Nwe i —
❑ Ycs
❑ No
® NA
3. If trntpemtwe of any cooler cxccedcd 6.0T. was Project Manager Non fieai?
PTvf was Notified by: phone i email ! feet-to-facc (circle one).
CJ Yea
❑ Na
O NA
4. Is the rommatl ercial courier's packing slip achcd to this ftmn?
Yes
ONO
S. Wcre proper cwtodvproccdums(mliltgttished'ceCe1L'Cd)followed?,
® Yes
No
6. P: ero sample IDs listed or, the CAC?
O Yes
❑ No
?. Were sample Ill listed on all sarnp)c containers?
® Yes
❑ No
ti. Was COIICstiQU datC & LrmC IL,kx1 on dieCOCr?
❑ Yes
® NO,
9. Was collation date & time listed on ull samplc oDatainerx! !
® YestN'o
No10.
Did all container label information (TD, date, time) agree with 1hc,C:OC:?
O Yes11.
Were tests to be perfortned listed on the.. (:0(:'?
O YesNo12.
Did all sa nples arrive in the proper containers for etch awl and'or in gt.al condition
(unbroken, lids on, eta)?
Yes13,
Wu,, udcquulc samplc volume available?
Yes
ONO
14. Were all samples received within'ii the holding time tw 49 hours, w'hioltevrt comes lirst?
Y'es
W1 Ne
15. Wure any samplc6 containers missin 'oaccs9 (circle uoo) sam Ics Nnt, listed on (Clef?
❑ Yes
❑ Nn
®NA
10. For VOA and RSK-175 samples, were bubbles present : "pea -size" (11'or 6mm in diammer)
in any of the VOA vials? '
O Yes
No
NA
I?. Wcrc all DK0haelals'nutricnr.amplo5 roceieed at a pH of < 2?
❑ Yes
El No
O i`lA.
13. w'Orc all cyanide solo les rweived at a pH =• 12 and sulfidr, samples received at a 1H = 9?
❑ Yes
❑ No
O NA
19. Were all app tea a NHi, 'N cyanidc'ph-noU625 (< 0.5m8.Z) sr inplcs cC Ol ra+i al
dilorine'1 i
❑ Yes
El No
®NA
ill. Were client remurkh4tot ucsts (i.e. requested dilutions, 2v1S,'NISD desiamulions, etc...
correctly trunscribcd from the COC into the comment section in LIN15?
❑ Yes
Nul
121, Was the t oorc number listed an the container label? If yes, Ounto N NA
Sample Preservation (Ivfust be wrnpleled for any sample(s) incorrectly preserved of widt heal space.)
Sample(s) NA "en; received inwne%tly presered ind'weta adjustdl uccordirrgly
in sample receiving with N:1 utLof circdr one: H2SO4, 1iNO3, HCI, Na011 using SR :+ NA
rime of preservation NA If IlaUne LhUR ODC prC5C[V8tiVC is nailed, please note in the co' lnllerlLs below.
Swnplc(s) N.4 wcn, recetved with huhhles >4 mtn in diameter.
Samplcs(s) NA were mccived with TRC> 0.5 tng'L (If 919 is no) and were
adjusted accordingly in samplc receiving with sndium thiosldfnto (Na_S;O)) with Shcaly ID: NAI
SRbalcodclalclsappliedbv, ISII Date: 11112!19
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 8 of 8