NCG060182_2021 DMR_20210301

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 Monitorin Report (DMR) Upload 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 D 1 $ 2 Person Collecting Samples: Yin -Fong George CHANG P E.
Facility Name: Pilgrim's Pride Corporation. Marshville Processing Plait Laboratory Name: Environmental Chemists Inc.
Facility County: Union Laboratory Cert. No.. 94
Discharge during this period: U Yes U No (if no, skip to signature and date) I
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑■ Yes ❑ No
If so, which Tier (I, 11, or Ill)? III
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall #1
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Salem Creek
N/A
Date Sample Collected MM/DD/YYYY
02105..2021
46529
24-Hour Rainfall in inches
05
00556
Oil & Grease in mg/L (30)
< 5.0
C0530
TSS in mg/L (100 or 50*)
410
00400
pH in standard units (6.0-9.0)
6.7
31616
Fecal Coliform per 100 ml of
53
freshwater (1000)
61211
Enterococci per 100 ml of saltwater
(500)
00340
Chemical Oxygen Demand in mg/L
57
(220)
Part 8: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter.
Outfall
Outfall
Outfa11
Outfall
Outfall
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 (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): 71
"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."
ature of Permittee or Delegated
orized Individual
Date

F"107- 77 Environmental Chemists, Inc.
envirochem 6602 Windm=l: Way, Wilmtngton, NC 28405 • 910.392.0223 Lab • 910.392.442E Fax
710 Bowsertown Road, Mariteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info t?environmentalchemists.conl
Pilgrim's pride-Marshville Date of Report: Feb 17, 2021
5901 West Marshville Blvd. Customer PO #:
Marshville NC 28103 Customer ID: 17040005
Attention George Chang. PF. Report #: 2021-02026
Project ID: Marshville Storm Water
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
21-05008 Site: Outtall #1 2/5/2021 8.15 AM Water Yin-Pong Chang
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1684 <5.0 mg1L 02/15/2021
Fecal Coliform idexx Co "ert-18 53 MPN1100m1 02/05/2021
Residue Suspended (TSS) SM 2540 D 4 1. 0 mg/L 02/05/2021
pH SM 4500 H B 6.7 units 02/16/2021
COD SM 5220D 57 mg/L 02/08/2021
Comment:
Reviewed by:
Report #: 2021-02026 Page 1 or 1

[envirochem
m
ANALYTICAL & CONSULTING CHEMISTS
LCS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Sowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info Ca
Pilgrim's QC - 2021-02026
Parameter
Ti'ue Value
m L
Result
nig/L
% True Value
Limits
COD
1000
986
99
90-110
Fecal
N/A
NIA
N/A
N/A
TSS
92.5
85.0
92
82.4.118
pH
10.0
9.98
100
90-1 10
OIL & GREASE
40.0
392
98
78-114
MS/NiSD
Parameter
True Value
nigAL
Recovoy
rn /L
Yoo Recovety
%
Di e -ence
Limits %
Recovery
Limits
Difference
COD
50.0
47/46
94/92
2
80-120
<20
Fecal
NIA
NIA
N/A
NIA
NIA
NIA
TSS
N/A
N/A
N/A
N/A
N/A
N/A
pH
N/A
N/A
NIA
N/A
NIA
/A
OIL & GREASE
40.0
29.2*
73*
NIA
78-114
< 18
' Batch accepted because of other passing QC's
DUPLICATE SAMPLES
Parameter
Results
Resuesu
% Difference
Limits %
COD
N/A
N/A
N/A
< 10
Fecal
<2
<2
0
< 30
TSS
PH
23.5
N/A
22.5
N/A
4
N/A
< 10
< 10
OIL & GREASE
N/A
NIA
NIA
NSA

Environmental Chemists, Inc.
enviroche ,
ANALYTICAL & CONSULTING CHEMISTS
BLANK
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab . 910,392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 a 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Parameter-
Results
mg/L
Limit
mgL
COD
<10
10
Fecal (Start Control)
0
0
TSS
<2.5
2.5
pH
N/A
NIA
OIL & GREASE
<2.5
2.5

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client: l -1-R4 M15 PP-4 Oatea 7 Q- Report Number:OZ t d
Receipt of sample: ECHEM Pickup DQ Client delivery ❑ UPS ❑ FeclEx ❑ Other ❑
❑ YES ❑ NO N/A 1. Were custody seals present on the cooler?
❑ YES I ❑ NO N/A 12. If custody seals were present, were they intact/unbroken
Original temperature upon receipt --A-3 `°C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank NJ Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Cnrrertinn Fartnr °r . n n
❑
YES
❑
NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑
NO
5. Were sample ID's listed on the COC?
YES
❑
NO
6. Were samples ID's listed on sample containers?
YES
YES
❑
❑
NO
NO
7. Were collection date and time listed on the COC?
8. Were tests to be performed listed on the COC?
YES
10
NO
1 9. Did samples arrive in proper containers for each test?
YES
10
NO
110. Did samples arrive in good condition for each test?
YES
❑
NO
11. Was adequate sample volume availableT
YES
❑
NO 112.
Were samples received within proper holding time for requested tests?
lyYES
10
NO 113.
Were acid preserved samples received at a pH of <2?
❑
YES
10
NO 114.
Were cyanide samples received at a pH >12?
i0
YES
I0
NO 11S.
Were sulfide samples received at a pH >9?
❑
YES
❑
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑
YES
❑
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: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HC1 NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
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 Rev 1

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