HomeMy WebLinkAboutNCG060182_2021 DMR_20210721NCDEQ 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 p 1 8 2 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? ■❑ Yes ❑ 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
07/08/2021
46529
24-Hour Rainfall in inches
0,15
00556
Oil & Grease in mg/L (10)
< 5.0
C0530
TSS in mg/L (100 or 50*)
62.8
00400
pH in standard units (6.0-9,0)
7.4
31616
Fecal Coliform per 100 ml of
�2,42�
freshwater(1000)
Enterococci per 100 mi of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
32
(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 (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 jD 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 Auyill'orized Individual
Date
:envirocehem
ANALYTICAL & CONSULTING CHEMISTS
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(4>environmentalchemists.com
Pilgrim's Pride-Marshville Date of Report: Jul 20, 2021
5901 West Marshville Blvd, Customer PO M
Marshville NC 28103 Customer ID: 17040005
Attention: George Chang, PE Report #: 2021-11290
Project ID: Marshville Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-28085 Site: Outfall #1 7/8/2021 9:00 AM Water Yin-Pong Chang
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 Rev. B <5.0 mg1L 07/15/2021
Fecal Coliform Idexx colilert-1a >2420 MPNI100mi 07/08/2021
Residue Suspended (TSS) SM 2540 D-2011 62.8 mg/L 07/09/2021
pH SM 4500 H B-2011 7.4 units 07/12/2021
Result estimated. Analyzed out of 15 minutes hold time.
COD SM 5220 D 2011 32 mg/L 07/12/2021
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-28086 Site: Outfall #1 7/8/2021 12:00 PM Water JCB/Envirochem
Test Method Results Date Analyzed
Temperature
pH
SM 2560 5-2010
SM 4500 H B-2011
Comment: nn
Reviewed by: _Kannk�.J
24.2 C
7.3 units
07/08/2021
07/08/2021
Report#:: 2021-11290 Page 1 of 1
:envirochem
ANALYTICAL- 8, CONSULTING CHEMISTS
LCS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab a 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
inro@environmentalchemists.com
Pilgrim's QC - 2021-11290
Parameter
True value
mglL
Result
mg L
% True Value
Limits
%
COD
1000
973
97
90-1 10
Fecal
N A
NIA
N/A
NIA
TSS
92.5
93.0
100
82.4-118
PH
10.0
9.97
100
90- l 10
OIL & GREASE
40.0
32.0
80
78-1 14
MS/MSD
Parameter
True Value
m fL
Recovery
m 1L
% Recovery
%
Di erence
Limits %
Recover
Limits %
Difference
COD
Fecal
50.0
N A
47 '51
NA
94102
N/A
8
N---A
80-120
N `A
< 20
NA
TSS
N; A
NA
N/A
M!A
N FA
NA
pH
NA
N?A
N/A
MA
MA
N.-'A
OIL & GREASE
40.0
31.7
79
NeA
78-I 14
518
DUPLICATE SAMPLES
Results
Parameter
% Difference
Limits %
mg1L
COD
NfA
NIA
NA
< 10
Fecal
<2
<2
0
< 30
TSS
100.0
96.0
4
5 10
pH
N---A
NIA
NSA
< 10
OIL & GREASE
N---A
N?A
NfA
N/A
Lenvirochem
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
TSS
<2.5
2.5
pH
N -'A
N?A
O[L & GREASE
<5.0
5.0
Environmental Chemist, Inc., Wilmington, NC lab #94
Client.&9`S F fto
MiAksvviuC
Receipt of sample: ECHEM Pickup
❑ YES ❑ NO N/A 11
❑ YE5 ❑ NO N/A 2
Sample Receipt Checklist
Date: al Report Number
6602 Windmill Way
Wilmington, NC 28405
910,392.0223
Client Delivery ❑ UPS ❑ FeclEx ❑ Other ❑
Were custody seals present on the cooler?
if custody seals were present, were they intact/unbrok 7
en.
Original temperature upon receipt 4'C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank PrAgainst 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
I0
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
10
NO
5. Were sample iD's listed on the COC?
Ep YES
❑
NO
6. Were samples ID's listed on sample containers?
YES
❑
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
10. Did samples arrive in good condition for each test?
YES
❑
NO
11. Was adequate sample volume availableT
YES
❑
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
l]
NO
14. 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?
01 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
Preservation:
Sample(s)
by adding (circle one)
Time of preservation:
(Must be completed for any sample(s) incorrectly preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
H2SO4 HNO3 HC1 NaOH
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 Samples) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
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