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Home My WebLink AboutNCG060182_MONITORING REPORT_20210208Submissipn Completed Page 1 of 2 0�.I_ �� Stormwater NPDES Permit Data Monitoring NORMCPOLINA Report (DMR) Upload Fnr4mmenel QueNy LQ 0,90071 Permit and Facility Information: 4aan� ter hre p - an i trier —tsu for mis upload. 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:* Pilgrim's Pride Corporation County: * 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/contacUregional- offices/mooresville Monitoring Period Information: Monitoring Period What is the YEAR of the sample date(s)7 Year:* 2021 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. nc.govIForms/Form/showformsubmissionla9O84963-9e66-4Oc4-9652-4d... 1 /28/2021 Submission Completed Page 2 of 2 DMR Upload* Click the upload button or drag and drop files here to attach document. Signed January 2021 SW DMR.pdf 200.76KB Only PDFs are accepted. Comments: For your review and approval! * R By checking the box and signing box below, I certify that: • I 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"); o 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 o 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:* yin-pong.chang@pilgrims.com Phone Number:* (704) 624-4317 Signature: * Date: * 01 /28/2021 https:Hedocs.deq.nc.gov/Forms/Form/showformsubmissionla9O84963-9e66-4Oc4-9652-4d... 1 /28/2021 NCDEQ 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. Person Collecting Samples: Yin-Pong 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: ❑■ Yes ❑ No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions for any benchmark exceedances? X Yes ❑ No A' If so, which Tier (l, II, or III)? III - Part A: Analytical Monitoring Requirements for Outfalis with Industrial Activities- Benchmarks in (Red) q; Parameter Code Parameter Outfall #1 Outfall Outfall Outfall Outfall N/A Receiving Stream Class Salem Creek N/A Date Sample Collected MM/DD/YYYY 01/08/2021 46529 24-Hour Rainfall in inches 0.4 00556 Oil & Grease in mg/L (30) < 5.0 C0530 TSSin mg/L (100 or50*) 10.6 00400 pH in standard units (6.0 - 9.0) 7.6 31616 Fecal Coliform per 100 ml of 580 freshwater (1000) 61211 Enterococci per 100 ml of saltwater (500) 00340 Chemical Oxygen Demand in mg/L 53 (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 % .,)- Date [envirochiem) ANALYTICAL & CONSULTING CHEMISTS Pilgrim's Pride-Marshville 5901 West Marshville Blvd. Marshville NC 28103 Attention: George Chang, PE � nwIlronmental Chemists, Inc. 6602 Windmill Wav, Wilmington, NC 28405 * 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, \C 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Ffighvway, Jacksonville, NC 28540 * 910.347.5843 Lab/Fax intoCc eilvironnientalchemists.com Date of Report: Jan 25, 2021 Customer PO #: Customer ID: 17040005 Report #: 2021-00445 Project ID: Marshville Storm Water Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-01065 Site: Outfall #1 1 /8/2021 8:30 AM Water Yin-Pong Chang Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5.0 mg/L 01/21/2021 Residue Suspended (TSS) SM 2540 D 10.6 mg/L 01 /11 /2021 pH SM 4500 H B 7.6 units 01/15/2021 COD SM 5220D 53 mg/L 01/11/2021 Fecal Coliform SM 9222D MF 580 Colonies/100mL 01 /08/2021 Comment: , �, , Reviewed by: Report #:: 2021-00445 Page 1 of 1 Enviir®n ental Chemists, Inc. envirochem j 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax O 710 Bowsertown Road, Manteo, NC 27954 • 232.473.5702 Lab/Fax 55 a Wilmington Highwati, Jacksonville, NIC 28540 0 910.3.17.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS infoL;emJironrnentalcheiizists.com Pilgrim's QC - 2021-00445 LCS Parameter True Value m /L Result mg/L % True Value Limits YO COD 1000 992 99 90-1 10 Fecal NIA N/A N/A N/A TSS 92.5 85.0 92 82.4-118 pH 7.00 7.00 100 90-110 OIL & GREASE 40.0 32.4 81 78-1 14 MS/NISI) Parameter True Value mg/L Recovet-v mg/L % Recovery % Dlf erence Limits % Recovery Limits Diffe -once 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 NIA 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 85.0 N/A 78-114 < 18 DUPLICATE SAMPLES Parameter Results Re1L g % Difference Limits % COD N/A N/A N/A < 10 Fecal 1900 1700 11 < 30 TSS 112.0 110.0 2 < 10 pH N/A N/A N/A < 10 OIL & GREASE N/A N/A N/A N/A icinvironmental Chemists, Inc. envirochem ANALYTICAL & CONSULTING CHEMISTS BLANK 6602 Windmill Wa}; Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowrsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info a eem ironmentalchemists.com Parameter Results mg/L Limit mg/I, COD <10 10 Fecal (Start Control) 0 0 TSS <2.5 15 pH N/A N/A OIL & GREASE <2.5 IS Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910.392.0223 Sample Receipt Checklist ' Client: Pi L�174M# I 5 K4 VE Date: l I g a Report Number: OZ I — 004 l' �)� Receipt of sample: ECHEM Pickup X Client Delivery ❑ JUPS ❑ FedEx ❑ Other ❑ ❑ YES 10 NO IIA N/A 11. Were custody seals present on the cooler? ❑ YES ❑ NO a N/A 12. If custody seals were present, were they intact/unbroken? Orieinal temperaturp imnn rprpint 1 2 ^r r-.___._r._�____...__ How temperature taken: ❑ Temperature Blank Against Bottles IR Gun ID: Thomas Traceable S/N L 192511657 IR Gun Cnrrprtinn rmrtnr ^r• n n ❑ YES ❑ NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified? LK YES I0 NO 1 4. Were proper custody procedures (relinquished/received) followed? IV 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 10 NO 7. Were collection date and time listed on the COC? YES 10 NO B. Were tests to be performed listed on the COC? YES ID NO 9. Did samples arrive in proper containers for each test? LV YES ❑ NO 110. Did samples arrive in good condition for each test? YES ❑ NO 111. Was adequate sample volume available?' YESREONO 12. Were samples received within proper holding time for requested tests? YES 13. Were acid preserved samples received at a pH of <2? ❑ YES 14. Were cyanide samples received at a pH >32? ❑ YES 15. Were sulfide samples received at a pH >9? ❑ YES 118. 16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?❑ YES 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L? ❑ YES 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 HCl 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 anew 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 NC ENVIRONMENTAL CHEMISTS, INC OFFICE: 9101392-02 31IFAX 910-3 2-44245 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com I-ni I ALIM 1. Client: Pil rim's Pride Corporation PROJECT NAME: Marshville Storm Water (plant) REPORT NO: OU Z �� ADDRESS: s901 West Marshville Blvd. CONTACT NAME: George Chang PO NO: Marshville, NC28103 REPORT TO: PHONE/FAX: 704.624.4317 COPY TO: email: yin-pong.chang@pilgrims.com Sampled Bv: Y:n- eAne C�.Vno (' 6/AA14 ?) F- IZAR,.01 o rvoc. ! - I..i ..-.-. _ 1..— - _ ... -- - .. -- _. Sample Identification Collection E a " -- -.... a; E 0 __ ... _.. a e° a ......._..., t E " m 5 z �..,.... ., .. - .. �.., - - oa�.�, PRESERVATION av - avn, au = aluuge, vrner ANALYSIS REQUESTED Date Time Temp i N "_ ii _ a z o w 0 Outfall#1 �Zo :3o c P I 0� l X TSS,pH G G r7 r' C P X D,Oil and Grease G G t� v % C P X Fecal Coliform G 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 Re Vived By: DatqfTime 2. D..,.,.:.....I. Delivered By: Comments: '_j��«U• musdmple mequesrea: i By: lJ Date/—f—Z/ Time: �,cc ♦( TURNAROUND: