NCG060182_Stormwater Discharge Monitoring Report_20201008

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060'000P O& ,
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Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload f n 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: Laboratory Name: Environmental Chemists, Inc.
Facility County: Laboratory Cert. No.: 94
Discharge during this period: ❑f Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? Q 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
Parameter
Outfall #1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Salem Creek
N/A
Date Sample Collected MM/DD/YYYY
09/17/2020
46529
24-Hour Rainfall in inches
1.80
00556
Oil & Grease in mg/L (30)
< 5.0
C0530
TSS in mg/L (100 or 50*)
57.3
00400
pH in standard units (6.0-9.0)
7.0
31616
Fecal Coliform per 100 ml of
5,100
freshwater (1000)
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
67
(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 (15)
New Motor/Hydraulic Oil Usage in
NCOIL
gal/month
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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 Delegate uthorized Individual Date

Environmental Chemists, Inc.
envirochem 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
r 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Pilgrim's Pride-Marshville
5901 West Marshville Blvd.
Marshville NC 28103
Attention: George Chang, PE
Lab ID Sample ID:
20-40571 Site: Outfall #1
Test
Oil & Grease (O&G)
Residue Suspended (TSS)
pH
COD
Fecal Coliform
Method
EPA 1664
SM 2540 D
SM 4500 H 6
SM 5220D
SM 9222D MF
Comment: p
Reviewed by: kakLdo,
Date of Report:
Oct 05, 2020
Customer PO #:
Customer ID:
17040005
Report #:
2020-15911
Project ID: Marshville Storm Water
Collect DatelTime Matrix
Sampled by
9/17/2020 7:40 AM Water
Yin-Pong Chang
Results
<5.0 mg/L
57.3 mg/L
7.0 units
Date Analyzec
09/30/2020
09/18/2020
09/21/2020
67 mg/L 09/24/2020
5100Colonies/100mL 09/17/2020
Report #:: 2020-15911 Page 1 of 1

[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
[e-mail]
Pilgrim's QC - 2020-15911
Parameter
True Value
mg/L
Result
►ng/L
% True Value
Limits
%
COD
1000
990
99
90-110
Fecal
N/A
N/A
N/A
N/A
TSS
92.5
94.0
102
82.4-118
pH
7.00
7.00
100
90-110
OIL & GREASE
40.0
34.7
87
78-114
MSIMSD
Parameter
True Value
m /L
Recovery
mg1L
% Recovery
%
Dif erence
Limits %
Recovery
Limits %
Difference
COD
50.0
48/49
96/98
2
80-120
< 20
Fecal
N/A
N/A
N/A
N/A
N/A
N/A
TSS
N/A
N/A
N/A
N/A
N/A
N/A
pH
N/A
N/A
N/A
N/A
N/A
N/A
OIL & GREASE
40.0
28.3
71 *
N/A
78-1 14
<_ 18
• Batch acceted.
DUPLICATE SAMPLES
Parameter
Results
Resu
esu
% Difference
Limits %
COD
NIA
N/A
N/A
<_ 10
Fecal
5
<5
N/A
<_ 30
TSS
22.0
21.5
2
<_ 10
pH
N/A
N/A
N/A
_< 10
OIL & GREASE
N/A
N/A
N/A
N/A

[envirochi]em:j
ANALYTICAL & CONSULTING CHEMISTS
BLANK
� nvirogamental 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
[e-mail]
Parameter-
Results
mg/L
Limit
mg/L
COD
<10
10
Fecal (Start Control)
0
0
TSS
<2.5
2.5
pH
N/A
N/A
OIL & GREASE
<2.5
2.5

Environmental Chemist, inc., Wilmington, NC Lab #94
6602 Windmill Wa
Wilmington, NC 2840
910.332.022.
Sample Receipt Checklist
Client: rA � P94 DE Date: Report Number: v —
i 14
n"CIPL ur sample:
❑ YES ❑ NO
❑ YES 113 NO
Delivered
N/A
N/A
Original tern erat , ` :
UPS ❑ FeclEx ❑ Other ❑
1. Were custody seals present on the cooler?
2. If cu --
seals were present, were t
intact/unbroken?
p ure upon receipt C Co rected temperature upon receipt
How temperature taken:
❑ Temperature Blank Against Bottles
IR Gun iD: Thomas Traceable S/N 192511657 IR Gun Correction Factor QC: 0.0
❑ YES
10
NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
10
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
10
NO
5. Were sample ID's listed on the COC?
YES
10
NO
6. Were samples ID's listed on sample containers?
YES
❑
NO
7. Were collection date and time listed on the COC?
YE5
I ❑
NO
8. Were tests to be performed listed on the COC?
YES
❑
NO
9. Did samples arrive in proper containers for
YES
❑
NO
each test?
10. Did samples arrive in good condition for each test?
YES
❑
rap J11.
Was adequate sample volume available?'
YES
❑
NO
112. Were samples received with'
rn proper holding time for requested tests?
YES 10 NO 113. Were acid preserved samples received at a pH of <2?
WES ❑ NO 14. Were cyanide samples received at a pH >12?
❑ NO 15. Were sulfide samples received at a pH >9?
❑ NO 16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?
❑ NO 17. 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 analysis and recorded on the benchsheet.
* * Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
(Sample Preservation:
Sample(s)
by adding circle one):
Time of preservation:
(Must be completed for any sample(s) incorrectly preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
H2504 HNO3 HCI NaOH
If more than one preservative is needed, notate in comments hPlnw
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:
Volatiles Sample(s) --- _- were received with headspace
COMMENTS:
DOC. QA.002

ENVIRONMENTAL CHEMISTS, INC OFF E:90i1392-0223FAX910-9z44z45
Analytical 8 Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: OLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: Pilgrim's Pride Corporation
PROJECT NAME: Marshville Storm Water (plant)
REPORT NO: IJ- 13"9/ /
ADDRESS: 5901 West Marshville Blvd.
CONTACT NAME: George Chang
PO NO:
Marshville, NC28103
REPORT TO:
PHONE/FAX: [phone]
COPY TO:
email: [e-mail]
Sampled By: err; CHjf}W6—E-,E--SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream. SO = Soil. SL = Sludge. Other:
Sample Identification
Collection
F
-"
E
N
d
n o
o 0
v
=m
= o
o a
v
o m
:EE
m W
m
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
$
o
w
o
Outfall #1
/
D
C
P
tt�ii
N
X
TSS,pH
G
C
P
X
a
COD,Oil and Grease
G
G `
%
/ gtzv.
C
P
X
Fecal COliform
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Date/Time
Received By:
4terrime
Q
z.
Temperature
Delivered By
Time: ISV4