HomeMy WebLinkAboutNCG060182_2021 DMR_20210315NCDEQ Division of Energy, Mineral and Land Resources
5tormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the 5tormwater NPOES Permit Data Monitory 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 0 1 $ 2 Person Collecting Samples: Yin-Pong George CHANG. P. E.
Facility Name: Pilgrim's Pride Corporation, Marshy -lie Processing Plant Laboratory Name: Environmental Chemists, Inc.
Facility County: union Laboratory Cert. No.: 94
Discharge during this period: ❑■ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? a Yes ❑ No
If so, which Tier (I, II, 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
03/01/2021
46529
24-Hour Rainfall in inches
0.2
00556
Oil & Grease in mg/L (30)
7.0
C0530
TSS in mg/L 1100 or 50*)
133
00400
pH in standard units (6.0 — 9.0)
6.7
31616
Fecal Coliform per 100 ml of
1140
freshwater(1000)
61211
Enterococci per 100 ml of saltwater
(500)
00340
Chemical Oxygen Demand in mg/L
117
(120)
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (1S)
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): 771
"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 Delegated Authayrzed Individual
3-Zj�—.2L_
Date
[envirochem
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Goad, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info@environmentalchemists.com
Pilgrim's Pride-Marshville
Date of Report:
Mar 11, 2021
5901 West Marshville Blvd.
Customer PO #:
Marshville NC 28103
Customer ID:
17040005
Attention: George Chang, PE
Report M
2021-03390
Project ID: Marshville
Storm Water
Lab ID Sample ID:
Collect DatefTime Matrix
Sampled by
21-08240 Site: Outfall #1
3/1/2021 9.30 AM Water
Yin-Pong Chang
Test Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1664
Residue Suspended (TSS) SM 2540 0
pH SM 4500 H B
Estimated, outside of 15 minute holding time,
7.0 mg/L 03/02/2021
133 mg/L 03/01/2021
6.7 units 03/10/2021
COD SM 5220D 117 mg/L 03/04/2021
Fecal Coliform SM9222DMF 1140Colonies/100ml- 03/01/2021
Comment:
Reviewed by: eluA
Report 9: 2021-03390 Page 1 of 1
:enviroche m-,]
ANALYTICAL & CONSULTING CHEMISTS
LCS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 + 910.392.0223 Lab . 910.392.4424 Fax
710 Eowsertown Road, Manteo, NC 27954 + 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 + 910.347.5843 Lab/Fax
info@environmentalchemists.com
Pilgrim's QC - 2021-03390
Parameter
True Value
M91L
Result
M91L
% True Value
Limits
%
COD
1000
998
100
90-1 l0
Fecal
N!A
N)A
NIA
NA
TSS
92.5
87.0
94
82.4-118
pH
10.0
10.0
100
90-1 10
OIL & GREASE
40.0
35.3
88
78-1 14
MS/MSD
Parameter
True Value
m IL
Recovery
mg -IL
% Recovery
%
Di Terence
Limits %
Recovery
Limits %
Difference
COD
50.0
48148
96196
0
80-120
<20
Fecal
NIA
MA
NA
MA
N/A
NIA
TSS
NIA
N/A
NIA
NIA
NIA
MA
pH
NA
N/A
N?A
NA
MA
NSA
OIL & GREASE
40.0
32.1
80
N.A
78-1 14
< 18
DUPLICATE SAMPLES
Parameter
Results
Resuesu
% Difference
Limits %
COD
NIA
N/A
NIA
< 10
Fecal
1100
1300
17
<30
TSS
162.0
164.0
1
< 10
pH N/A
N/A
NIA
< 10
OIL & GREASE N/A
NIA NIA
NIA
[enviroche],m
ANALYTICAL & CONSULTING CHEMISTS
BLANK
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 ■ 910.392,0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 s 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info@environmentalchemists.com
Parameter
Results
m91L
Limit
mg/L
COD
<10
10
Fecal (Start Control)
TSS
0
<2.5
0
2.5
pH
NIA
N/A
OIL & GREASE
<2.5
2.5
Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: l-G Dater a Report Number:02�D,�3 O
Receipt of sample: ECHEM Pickup nt Delivery ❑ UPS ❑ FedEx ❑ Other ❑
❑ YES ❑ NO N/A 1. Were�custody seals present on the cooler?
❑ YES ❑ NO N/A I, 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt 44 C Corrected temperature upon receipt
Mow temperature taken: ❑ Temperature Blank FL Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 iR Gun Correction Factor °C: 0.0
❑ YES ❑ NO 3. if temperature of cooler exceeded VC, was Project Mgr./QA notified?
YES ❑ NO 4. Were proper custody procedures (relinquished/received) followed?
IV YES ❑ NO 5. Were sample iD's listed on the COC?
14 YES ❑ NO 6. Were samples ID's listed on sample containers?
14 YES ❑ NO 7. Were collection date and time listed on the COU
YES ❑ NO 8. Were tests to be performed listed on the COC?
YES ❑ NO 9. Did samples arrive in proper containers for each test?
YES ❑ NO 10, Did samples arrive in good condition for each test?
YES ❑ NO 111. Was adequate sample volume available?'
YES JEJ NO 12. Were samples received within proper holding time for requested tests?
YES ❑ NO 13. Were acid preserved samples received at a pH of <2?
YES I ❑ NO 114. Were cyanide samples received at a pH >12?
❑ YES 10 NO 115. Were sulfide samples received at a pH >9?
❑ YES ❑ NO 116. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? *'
❑ YES ❑ NO 117. 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 HCi NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Vote: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
)otify the state lab if directed to analyzed by the customer. Who was notified, date and time:
/olatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
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