NCG060182_MONITORING INFO_20200110

MAD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
nrC G
DOC TYPE
❑ HISTORICAL FILE
L MONITORING REPORTS
DOC DATE
❑ D
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted January3,2020 RECEIVED
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
Part A: Stormwater Benchmarks and Monitorine Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
JAN 10 2020
CENTRAL FILES
DWR SECTION
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
Tntn1 PuPnt rnirfn112 3.20 nr r__l At, rl;orh..r..., N.;, - ;-A3
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 In
Enterococci,
Colonies per 100 ml
.. Benchmark
100 or 5W
- Within 6.0 — 9.0
120
- 30
10001
- Soo'
'Parameter Code
-
C0530
00400
00340
00556
31616
61211
#001
December 13 2019
39
7.1
22
ND I< 5.0)
12,000
vniY applies to iaaihies that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
1 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.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark excee lance 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 0 no
(if y. S, 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.
tfall .Ou.
• 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
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 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, INC 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
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:UL13070
Date Completed:12/27/2019
12/30/2019 8:37 AM
Approved and released by:
Lab Director - Greenville: Lucas Odom
a
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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] vw.wshealylab.com
Page 1 of

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: UL13070
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] w shealylab.com
Page 2 of 8

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Pilgrim's Pride
Lot Number: UL13070
Sample Number Sample ID Matrix Date Sampled Date Received
001 Outfall No.1 Aqueous 12/13/2019 1015 12/13/2019
(1 sample)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] vmov.shealylab.com
Page 3 of 8

SHEALY ENVIRONMENTAL SERVICES, INC.
Detection Summary
Pilgrim's Pride
Lot Number: UL13070
Sample Sample ID
Matrix
Parameter
Method
Result Q
Units
Page
001 Outfall No.1
Aqueous
COD
SM 5220D-
22
mg/L
5
001 Outfall No.1
Aqueous
TSS
SM 2540D-
39
mg/L
5
001 Outfall No.1
Aqueous
Fecal Coliform-MF
SM 9222D-
12000
col/100ml-
5
(3 detections)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 4 of 8

Client: Pilgrim's Pride
Description: Outfall No.1
Date Sampled:12/1312019 1015
Date Received: 12/1312019
Laboratory ID: UL13070-001
Matrix: Aqueous
Inorganic
non-metals
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst Prep Date
Batch
1
(pH - Field) SM 4500-H B-2011
1
1
(COD) SM 52200-2011
1
12/18/2019 2328 HET
39448
1
(TSS) SM 2540D-2011
1
12/17/2019 2220 MOM
39332
1
(Fecal Colifo) SM 9222D-2006
1
12/14/2019 1626 MDD 12/13/2019 1738
1
(HEM (oil and) 1664E
1
12/24/2019 0000 CRD
39973
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
pH - Field
SM 4500-H B-2
7.1
su
1
COD
SM 5220D-
22
20
mg/L
1
TSS
SM 2540D-
39
6.8
mg/L
1
Fecal Coliforril
SM 9222D-
12000
1
col/100ml-
1
HEM (oil and grease)
1664E
NO
5.0
mg/L
1
LOG = Limit of puantitation 8 = Detected in the method blank E = Ouanutation of compound exceeded the calibration range
ND = Not detected at or above the LOG 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
mWed
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w .shealylab.com
Page 6 of 8

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Chain of Custody Record
Shealy Environmental Services, Inc-
106 Vantage Point Drive
Meat Collunbia, South Carolina 29172
Telephone No. (8G3) 791-D71X1 Fax Nc. (BD.4) 791-9T 11
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SHEALY ENVIRONMENTAL SERVICES, INC.
shed", vi Fnn,nmemal smicm Ire.
D.;'., Numher.xl b lW-14
Client: PILGRIMS PRIDE
NV 1nrI
EnL ti:a Dam: SaWI r
Sample Receipt Checklist (SRC)
Cw,lerTn, 'ed hyldate: rat:- j 121Y19 W,.i: UL13070
deans of rn;eipt: ®SFSI ❑ Client ❑ C:PS ❑ kedEx Other:
Yes
0 Nol
11. Were wstody scaly present on the cnoler'
Yes
Nn
NA
2. if eustxl scan wcm pFmmt. were they intact and tmbruke n?
H Strip ID: 19-2351 Chlorine Strip ID: NA Tested by: BMG
-ginal temperature upon receipt! Dcdved (Corrected) tempcmblrn upon receipt °osolid Snup-Cup ID: NA .
3.2 13.2 °C NA ;NA °C NA rN.A aC NA IN.A °C ...
Method: ®Tempoaturn Alank ❑Against Bottles IR Gun ID: b I lien Correction Faeroe. 0 °C
4euhod of coolant is Wcr Ice ❑ ke Packs ❑ D Ice ❑ Name
❑ Ycs
❑ No
® NA
3. If temperature of my center exceeded 6.0°C, was Project Manager- Notified?
PM wits Notified by: phone i email i lace-to-faee (circle one).
❑ Yes
❑ Nn
® NA
4. Is the commercial courier's paeddag slip ouiched to this form?
0 Ycs
[IN,
S. Wury Proper custody pmcedums(relinquishedkecri:txl}folluvecd?Did
® Yes
11 No
6. Were sample TUs listrd on the COC?
is Yes
❑ No
7. \gore smnplc ID, listed on all sae le containers?
® Yee
❑ No
R. \Vas co(Icttiou date &tune listed tm the (!C1C?
Yes
❑ No
9. Was collection date & tune listed on all sample containers?
❑ Yes
is Nal
10. Did all container label information (ID, date, time) agree with the COC?
is Yes
❑ No
11. Weie tests to be performcd listed on the COC?
® Yes
No
12, Did all samples arrive in the proper conminers fbr each test mWor in good wndition
(uttbiokeu, lids un, etc.)'!
Yes
❑ No
13. Was adequate sauiple volume available?
Yes
❑ No
14. Were all samples received within 15 the holding time or 4R hours, w'hichaver comes first?
1'es
® No
15. Wcre any samples containers missinglexcess (circle one) surnples Not listed on C(K:7
❑ Yen
❑ No
® NA
16. Coe VOA and RSK-175 samples, wee bubbles present>"pca-size" (%"or 6mm in diameter)
in an • orthe VGA via13?
®Yes,
El No
WA
17. Were all DRO.hetal5'nutriout samples received ud u pH of < 2?
❑ Yes
El Nol
® NA
18, 14cm all cyanide samples received ut a pH> ?2 and sulfide sam la rucrived at a PH> 91
❑ Yes
❑ No
1Z NA
19. 1Yerc a I upplicabI! NH.!TKNi cyanideiphenol!625 (� mg LJ smnp?es tree of rutiidual
Chlorine?
❑ Yt--
❑ No
®�Aeurrectly
20. Wcre clieut remaiks4equcsIbs (i.e. requested dilutions, MSl SD designaliuns, etc...
transcribed from the COC inlp the comment section in LIMS?
Yea
No
2l. Wm the quote number listed an the container label? If vus. Qtunc v NA
Sample 1'resernattou (N1wl be complerod for any samples) inrnrrcctly przserved ur with hcrtdspaar.)
Sanple(s) NA wera received uwurrecdy prescrvcd and were adjusted accordingly
in sample receiving with NA mL of circle onc: H_'SO4, iTNO3, 11(1, NaOH using SR 7 NA
Time of preservation NA ... If more than one presemstisr, is needed, please rote in the wmmcnb below.
Sample(s) NA _ were received w L bubbles >6 mm in diameter.
Samples(s) NA were received with TRC i 0.5 rngJ. (►f.419 is no) and were
adjusted accordingly in sample receivirg with sodium thiosulfate (Na,S,Oe) with Shealy Ilk NA
SK barcode, labels applied by: BN'1G Datc: L.'13i l9
Comments: COLLECTION TIMES ON C:ONY,AINERS SAY 930.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 8 of 8