NCG060182_MONITORING REPORT_20201215

Submission Completed
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NORiN CAROLiNA
FnHemmenml QuolYy
Stormwater NPDES Permit Data Monitoring
Report (DMR) Upload
Permit and Facility Information:
Please enter the permit number and other details for this upload.
0
07N
OP
IMPORTANT. Until the eDMR system is implemented for DEMLR Stormwater Program
permits, an original signed hardcopy of the DMR MUST be mailed to the address in your
permit, in addition to this electronic upload.
Fields marked with a red asterisk * are required.
Permit Number* Enter COC or Individual Permit Number
NCG060182
Must begin with NCS or NCG
Facility Name:* Pllgrim's Pride Corporation
rntintv:* Union
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-
offices/mooresville
Monitoring Period Information:
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2020
Multiple DMRs from sampling periods within the same year can be uploaded together, but please
upload different years with a new submittal form.
https:Hedocs.deq.ne.govIFormsIForm/showformsubmissionl8700a4Oa-4cO2-4973-8c 1 f-6c... I 1 /30/2020

Submission Completed
Page 2 of 2
DMR Upload*
Comments:
Click the upload button or drag and drop files here to attach document.
November 2020 SW DMR NCG06-DMR-Form-... 206.86KB
Only PDFs are accepted.
For your review and approval.
* i:r1 By checking the box and signing box below, I certify that:
have given true, accurate, and complete information on this form;
o I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject
to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature on this upload form has the same legal effect and can be
enforced in the same way as a written signature; AND
• I intend to electronically sign and submit this DMR upload form.
Full Name:* Yin-Pong George CHANG, P. E.
Name of person submitting this form
Email Address:* [e-mail]
Phone Number: * [phone]
Signature: *
Date: * 11 /30/2020
https:Hedocs.deq.nc.govIFormsIForm/showformsubmissionl8700a4Oa-4cO2-4973-8c 1 f-6c... 11 /30/2020

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 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 -Pang George CHANG, P. E.
Facility Name: Pilgrim's Pride Corporation, Marshville Processing Plant Laboratory Name: Environmental Chemists. Inc.
Facility County: Union Laboratory Cert. No.: 94
Discharge during this period: 0 Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? U Yes U 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
11/11/2020
•,
46529
24-Hour Rainfall in inches
1.2
00556
Oil & Grease in mg/L (30)
< 5.0
C0530
TSS in mg/L (100 or 50*)
22.8cPs'a
00400
pH in standard units (6.0-9.0)
7.3
31616
Fecal Coliform per 100 ml of
10,000
04'
freshwater(1000)
Enterococci per 100 ml of saltwater
�-
61211
(501711
00340
Chemical Oxygen Demand in mg/L
34
(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 Delegated Authorized Individual
1/ ,?e — _0
Date

Environmental Chemists, Inc.
envirochem
ANALYTICAL & CONSULTING CHEMISTS
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 Pride-Marshville Date of Report: Nov 25, 2020
5901 West Marshville Blvd, Customer PO #:
Marshville NC 28103 Customer ID: 17040005
Attention: Report #: 2020-19286
Project ID: Marshville Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-49111 Site: Outfall#1 11/11/2020 8:30 AM Water George Chang
Test Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1654
Residue Suspended (TSS)
SM 2540 D
pH
SM 4500 H B
COD
SM 5220D
Fecal Coliform
SM 92220 MF
Comment:
Reviewed by: AJ
<5.Omg/L
11/16/2020
22.8mg/L
11/12/2020
7.3 units
11/12/2020
34 mg/L
11/19/2020
10000Colonies/100mL
11/11/2020
Report #:: 2020-19286 Page 1 of 1

7envirochem
ANALYTICAL & CONSULTING CHEMISTS
LCS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab e 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 - 2020-19286
Parameter
True Value
mg/L
Result
nig/L
% True Value
Limits
YO
COD
1000
997
100
90-110
Fecal
N/A
N/A
N/A
N/A
TSS
92.5
97.0
105
82.4-118
pH
zoo
7.00
100
90-110
OIL & GREASE
40.0
36.3
91
78-114
MS/MSD
True Value
Pat'..•::=t8"
nt lL
Recovery
�
ut XiL'
X Recovery
i
%
bt//ercitce
Limits °/) I 1.1771i75
i i
Rec'overy vijjetence
COD
50.0
54/52
108/104
4
80-120
< 20
Fecal
N/A
N/A
N/A
N/A
N/A
NIA
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
36.0
90
N/A
78-114
< 18
DUPLICATE SAMPLES
Parameter
Resultsmg/L
%Difference
Limits °fo
COD
N/A
N/A
N/A
< 10
Fecal
105
90
15
<30
TSS
22.8
22.8
0
< 10
pH
N/A
N/A
N/A
< 10
OIL & GREASE
N/A
N/A
N/A
N/A

Environmental Chemists, Inc.
envirochem
ANALYTICAL & CONSULTING CHEMISTS
BLANK
6602 Windmill Way, Wilmington, NC 29405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 2.52.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Parameter
Results
mg/L
Limit
nig/l.
COD
<10
10
Fecal (Start Control)
0
0
TSS
<2.5
Is
pH
N/A
N/A
OIL & GREASE
<2.5
2.5

Environmental Chemist, Inc., Wilmington, NC Lab t#94 6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: P1I-4,1AA15 ?Rapt Date: i� l,l 0 Report Number: 20— 1 97-86
Receipt of sample: ECHEM Pickup Client Delivery ❑
JUPS ❑ FedEx ❑ Other ❑
❑ YES
10 NO
N/A
11. Were custody seals present on the cooler?
❑ YES
❑ NO
I IV N/A
12, If custody seals were present, were they intact/unbroken?
Original temperature upon receipt 'C Corrected temperature upon receipt C
How temperature taken: ❑ Temperature Blank IV Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR 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?
I IX YES
10 NO
5. Were sample ID's listed on the COC?
EX YES
❑ NO
6. Were samples ID's listed on sample containers?
Ig YES
10 NO
7. Were collection date and time listed on the COC?
14 YES
10 NO
8. Were tests to be performed listed on the COC?
rK YES
10 NO
9. Did samples arrive in proper containers for each test?
�( YES 10
NO
10. Did samples arrive in good condition for each test?
YES ID
NO
11. Was adequate sample volume available?'
YES 10
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 10
NO 114.
Were cyanide samples received at a pH >12?
❑ YES ILI NO 115.
L-i Yca 1u NU — 116.
Were sulfide samples received at a nH >a?
Were NHb/ i ru4yPhenol received at a chlorine residual of <0.5 m/L? **
I0
NO 117.
Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
IYES
❑ 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 headspace
COMMENTS:
DOC. QA.002 Rev 1

6602 Windmill Way
ENVIRONMENTAL Cl- EMISTS, INC OFFI ENC :9 0-392-02 311FAXg910-392-44245
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: Z -S CERTIFICATION # 37729 [e-mail]
Pride
COLLECTION AND CHAIN )z
NAME: Marshville:,torm Water
IADDRESS: 5901 West Marshville Blvd. ICONTACT NAME: George C I
Marshville, NC28103
REPORT TO:
[di] WA to]
REPORT NO: �bb .LU — L
PO NO:
PHONE/FAX: [phone]
email: vin-Dona.chana(cDDilarims.com
Sampled Bv: ; n - Fc,"a. Pareo Chi A. Pt• SAMPLE TYPE: I = Inflo, nt, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludqe. Other:
Sample Identification
ollection
F
s
E o I
o
a
—
o f
m
g Z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
r
o
m
r
o
z
0
¢
0
s
C
Outfall #1
X
TSS,pH
G
G
/7
C
P
X
x
COD,OiI and Grease
G
f�
C
X
Fecal Coliform
G
G
P
CP
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
DatelTim^
Received By:
Date/Time
2.
Temperature when Received: d _Accepted: Reject is Resample Requested:
Delivered By: C ' Received By: vy�D _ Date: 1i9 Time:
Comments: TURNAROUND: