NCG060182_MONITORING INFO_20190206

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV Lc-,, D"'
DOC TYPE
O HISTORICAL FILE
C�- MONITORING REPORTS
DOC DATE
❑ a L9 1 � oc) D '"
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted January 24, 2420
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. tt 329
RECFINED
FEB 0 6 2019
Gr . ; :i.�L (--ILES
_ NNvR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2020
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑!♦ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout
❑Zero -flow [-]Watersupply
QOther
❑PNA
❑SA
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' 1.5 or n No dischome this period'
Outfall No.
Date Sample"
Collected, ma/dd/:yr
TSS,
mg%L
pFt;
Standardkunits.
coD, =
mg/L,
OiI aniJ,Grease,
mg/L
Fecal.Coliform,
.,Colonies,perloo ml ,
Enteroi:occi,.
.; Colonies per 100 ml e
Benchmark
-
100 or 501
Within,6.Q79,0
120
30
10001
_ 5001
Parameter Code"
-
CO530.
00400
00340
00556 -
31616•
'61211
#001
January 13, 2020
41
6.9
31
ND (< 5.0)
13,533
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5Monthly 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 A no
(if yes, 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.
• OutfalhNo .
Date3ampleiCollected , {mo/dd/yr)
- z � � -
Inches . 24-hour rainfall,amount,>
kNew.Motor Oil or
- - - -
Hydraulic Oil Usage.
--cNon-Polar.O&G/Total'
Petroleum;Hydrocarbons - - - •
Total. Solids
Sos -
-Benchmarks,
-
-
-
15 mg/L
100' mg/L or 50 mg/0
PdrameterCode
-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
Date
—) 7--21�16
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:VA13O34
Date Completed:01/23/2020
01 /23/2020 11:07 AM
Approved and released by:
Lab Director - Greenville: Lucas Odom
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.
105 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] awwv.shealylab.com
1 1 n1'9

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: VA13434
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] www.shealylab.com
Page 2 or9

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Pilgrim's Pride
Lot Number: VA13034
Sample Number Sample ID Matrix Date Sampled Date Received
001 Outfall No.1 Aqueous 01/13/2020 1100 01/13/2020
(1 sample)
Shealy Environmental Services, Inc
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-970C Fax [phone] www.shealylab-com
Page 3 49

SHEALY ENVIRONMENTAL SERVICES, INC.
Detection Summary
Pilgrim's Pride
Lot Number: VA13034
Sample Sample 1D
Matrix
Parameter Method
Result Q
Units
Page
001 Outfall No-1
Aqueous
COD SM 5220D-
31
mglL
5
001 Outfall No.1
Aqueous
TSS SM 2540D-
41
mglL
5
001 Outfall No-1
Aqueous
Fecal Coliform-MF SM 9222D-
13533
cal1100mL
5
(3 detections)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-970C Fax [phone] www.shealylab.com
Page 4 of 9

Client:Pilgrim's Pride
Laboratory ID:VA13034-001
Description: Outfall No.1
Matrix: Aqueous
Date Sampled:0111312020 1100
Date Received:0111312020
Inorganic non-metals
_
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
_
1 (pH - Field) SM 4500-H B-201 1
1
1 (COD) SM 5220D-2011
1 01/16/2020 2221 HET
42069
1 (TSS) SM 2540D-2011
1 01/14/2020 2111 MOM
41828
1 (Fecal Colifo) SM 9222D-2006
1 01/14/2020 1801 MDD
01/13/2020 1719
1 (HEM (oil and) 1664B
1 01I2212020 0000 SMA
42637
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
pH - Field
SM 4500-H B-2
6.7
su
1
COD
SM 5220D-
31
20
mg1L
1
TSS
SM 2540D-
41
6.3
mg/L
1
Fecal Coliform-MF
SM 9222D-
13533
1 co11100i
1
HEM (oil and grease)
1664E
NO
5.0
1
1
L0o = Limit of Quanlitation B = Detected In the method blark E = Quantitation of compound exceeded the calibration range
NO = Not detected at or above the L00 N = Recovery is out of criteria P = The RP❑ between two GC columns exceeds 40%
H = Out of holding time uV = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
I'agc 5 ol'9

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 6 of 9

SHEALY ENVIRONMENTAL SERVICES INC.
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'2'r myla uM�m rs M' fret: r Irr;ilµ S:ua,r�'ti'.a•. Sa:afls aekt�k� line Gw a`'v-� :ra,0�'!e, �.s �: h.r. rirtc
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Shealy Environmental Services, Inc.
106 Vantage Paint Drive West Columbia, SC 29172 [phone] Fax [phone] www,shealylab.com
Page 7 of 9

SHEALY ENVIRONMENTAL SERVICES INC.
Sbc* Emvlroa"nul ScM=. Ipr. PUUO I oft
Douu r a N wmer! Mr--00.8C. H Lt Cur a pat: Evlao I it
Sample Receipt Cbeckctist (SRC)
Clrrni: PilgrunsPride Cooler inwmtedbvrcllte:AMG ! 0PIN2020 1.1)t9 VA13034
Means of rc:oript SGS1 OClient IIFS FcrlEx C)thcr: _
Yea Nol
vas Nv
I. 'ere ar9t2dy seals pre3eni on the cooler?
NA 2. If gusto scats +vcrc presen %vets tba intact and unbroken?
Il Strip IC): 19-2351-Chlnrine Strip 1D: NA Testcd by: 13NIG _
Original temperature upon reoeipt i Derived (Ckwmeted) temperature upon receipt TaSulid Snap•t:up ID: NA
3.5 13.5 nC NA ;NA oC _NA !NA we NA INA °C;
Method: 0Ttmperalure Bank C]Aitist Bottles IR Gun ID: 6 1R Gun Correction Factor: 0 "C
Metbod ofcoolont: ® Wet Ice ❑ 1u3 Ncks ❑ Ice ❑ None
Ll �YesElNo
® NA
3' if temperature of arty' cooler exceeded was was Project Manager Notricd?
NO was Notified by: phnne ,' email I face-to-face (circle one).
* Yes
❑ No
®NA
4. Is the commercial wurier's packing slip attached to this fnrrtt7
1'es
0 Nr►
15.
Wcre proper custudti proc xltres (rcIinquibhed're,crived) followed?
® Yes
No
6_ Wern sample TI7s li3wd on the COS?
® Yes
❑ o
^, Wert sample 105 listed on all sample containers:'
Yes
El No
S. Wtss collection date tierce listed on the Cix::7
gi .%,
❑ l�u
9. Was collection state & time listed on all sample wuuainers'1
Yes
❑ No
10, laid all conluinxr label information (11), date, time) agrcc with the COC?
0 Yes
❑ No
11. Were tests to be ,:rfdtmed iistol on the COC?
m Yes
❑ No
12. aid all samples an-ive in the proper containers for each lest andior io good condition
(imbrnkcn, lids on, cte.)?
Yes
❑ Ne.
13. Was adcquute sa3nle valum; available!
Yes
El No
14, Were all vunples MCC tYGd Within 'A d1e hoWing time or ntI hours, whiaever comes rirst?
Yes
No
15. Werc any yrunpks eomaimm missing exccs; (circk ornc) samples Not Iistcd Lin CC►U1
❑ Y
❑ No
® NA
16. For VOA and EISK-175 samples, .vcrc bubbles peesent6mm in dionieter)
in unv of tlic VOA vials?
Vec
No
LJ NAJ
17. Nett A DKO(metals,'`nutnvnt svtu les received at a pH or- 2;
❑ Ycs
❑ Na
V NA
18. Were all cyanide samptas received of a pH r 12 ind sulhtiu Burn les received at a pH : 97
❑ Yes
❑ Tto
®NA
19. were Al applO Ic afT icyan'Ideip cnvl!62S < .5mg+L samples tree of residua
chlurine?
❑ Yes
❑ No
®.NA
20. Were client rcmarkkrcquc,'yts (i.e. requested dilutions, M&IN9SD desigrrlstions, etc...l
correctly transcr1W tFnm the COC into the comment suction in LIAMS?
❑ Yrr;
No
121. Was the quote number listed cvi Ihr container label! if Xcs. 2Uote # NA
Sample Prtservafion (Must bt, c(ijupletod for anv samples) incorrectly pres-:rvW or with bcadspace)
t inple(S) NA were received incorrectly prescrvrd and were, adjusted acc:urdingly
in bmi►ple reraiving with NA mL of circle ant: 142SQ4, HN01, NCI, NaOH using SR # NA
trot of preser%atinn N.A If more than Derr preservative is needed, please note in the cornrticnt9 below,
Sample(-) NA wLtt� received will, bubbles }6 mm in dirimcter.
Samples(s) NA were received with TRC > 0.5 niwi, (If 419 is nu) autd were
adjtlstexl accordingly in sample receiving trlth sodium thimulfate (NCLS203) with Shcaly ID: NA
'R btlrccde labels applied by: BMG Datr4 0MV2020
C:ornmertts:
Shealy EnvironmenSal Services, Inc.
105 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 9 ul 9

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106 Vantage Paint DrMa
West Columbia, South Carolina 29172
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