HomeMy WebLinkAboutNCG060182_2021 DMR_20210524NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO60000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring 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 8 2 Person Collecting Samples: Yin -Fong George CHANG P E.
Facility Name: Pilgrim's Pride Corporation, Marshville Processing Plant Laboratory Name: Environmental Chemists, Inc.
Facility County: Union I 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? ■❑ Yes ❑ No
If so, which Tier (1, Il, 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
05/03/2021
46529
24-Hour Rainfall in inches
03
00556
Oil & Grease in mg/L (301
< 5 0
C0530
TSS in mg/L (100 or 50*)
90.0
00400
pH in standard units (6.0 — 9.0)
6.7
31616
Fecal Coliform per 100 ml of
000
freshwater (1000)
61211
Enterococci per 100 ml of saltwater
(500)
F00340
Chemical Oxygen Demand in mg/L
22y,v
(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 {1S1
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):
"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 Deleg ed Authorized Individual Date
F"'"' —'7441 Environmental Chemists, Inc.
envirochem 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
M 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com
Pilgrim's Pride-Marshville Date of Report: May 12, 2021
5901 West Marshville Blvd. Customer PO #:
Marshville NC 28103 Customer ID: 17040005
Attention: Report #: 2021-06998
Project ID: Marshville Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-17353 Site: Outfall #1 5/3/2021 10:30 AM Water Yin -Fong Chang
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1864
Residue Suspended (TSS) SM 2540 D
pH SM 4500 H B
Estimated, outside of 15 minute hold time.
COD
Fecal Coliform
SM 5220D
SM 9222D MF
Comment: 1
Reviewed by:
<5.0 mg/L 05/03/2021
90.0 mg/L 05/04/2021
6.7 units 05/05/2021
226mg/L 05/11/2021
21000 Colon ies/100mL 05/03/2021
Report N - 2021.06998 Page 1 of 1
F00017
je�nvirochem
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
info@environmentalchemists.com
Pilgrim's QC - 2021-06998
Parameter
True Value
m lL
Result
mgrL
% True Value
Limits
%
COD
1000
970
97
90-110
Fecal
N±A
NA
N/A
N/A
TSS
92.5
93.0
100
82.4-118
pH
10.0
9.95
100
90-1 10
OIL & GREASE
40.0
39.2
98
1 78-1 14
MS/MSD
Parameter
True Value
m lL
Recovery
m IL
% Recovery
%
Difference
Limits %
Recovery
Limits %
Difference
COD
50.0
52153
1041106
2
80-120
:5 20
Fecal
NA
NIA
NIA
NIA
MA
NiA
TSS
N/A
NSA
MA
NIA
N/A
N/A
pH
NA
N)A
NfA
NIA
NSA
N/A
OIL & GREASE
40.0
35.0
88
NIA
78-114
518
DUPLICATE SAMPLES
Results
ts
Parameter
% Difference
Limits %
COD
NA
NA
NIA
< 10
Fecal
18000
16000
12
< 30
TSS
350.0
360.0
3
< 10
pH
N/A
NIA
NIA
< 10
OIL & GREASE
NIA
NIA
NIA
NIA
envirochem
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 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info@environmentalchemists.com
Parameter
Results
mg1L
Limit
mg/L
COD
<10
10
Fecal (Start Control)
0
0
TSS
<2.5
2.5
pH
MA
N/A
OIL & GREASE
f2.5
2.5
Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
—� + Sample Receipt Checklist
Client: 1 I I I''i S�r I'd Cam,
Date: 5 3 Zl Report Number:
u
Receipt of sample:
ECHEM PickupPi Client Delivery ❑
UPS ❑ FedEx ❑ Other ❑
❑ YES
10
NO
N/A 1.EWero custody seals present on the cooler?
❑ YES
❑
NO
N/A 2. ustody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank Against Bottles
IR.Gun ID: Thomas Traceable S/N 192511657 1R Gun Correction Factor °C: 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?
Xr YES
❑
NO
5. Were sample ID's listed on the COC?
YES
❑
NO
1 6. Were samples ID's listed on sample containers?
YE
VS
❑
NO
7. Were collection date and time listed on the COC?
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
110. Did samples arrive in good condition for each test?
YES
❑
NO
Ill. Was adequate sample volume availableT -
YES
❑
NO
112. Were samples received within proper holding time for requested tests?
YES
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?
❑ YES
❑
NO
15. 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
18. 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
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 headsvace
COMMENTS:
DOC. QA.002 Rev 1
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