NCG060182_2021 DMR_20210823

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.
i
Certificate of Coverage No. NCG06 0 1 8 2
Facility Name: Pilgrims Pride Corporation, Marshville Processing Plant
Facility County: Union
Person Collecting Samples: Yin -Fong George CHANG, P. E.
Laboratory Name: Environmental Chemists, Inc.
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, 11, or Ill)? Ill
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
08/03/2021
46529
24-Hour Rainfall in inches
0.2
00556
Oil & Grease in mg/L (30)
< 5.0
C0530
TSS in mg/L 1100 or 50*)
43.3
00400
pH in standard units (6.0-9.0)
6.4
31616
Fecal Coliform per 100 ml of
10
freshwater (1000)
Enterococci per 100 ml of saltwater
61211
500)
00340
Chemical Oxygen Demand in mg/L
58
(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 (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 Delegated Ardor€zed Individual
Date

,:n:v7irochem
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(a envi ronmentalchemists.com
Pilgrim's Pride-Marshville
Date of Report:
Aug 16, 2021
5901 West Marshville Blvd.
Customer PO #:
Marshville NC 28103
Customer ID:
17040005
Attention: George Chang, PE
Report M
2021-13062
Project ID: Marshville Storm Water
Lab ID Sample ID:
Collect Date/Time Matrix
Sampled by
21-32676 Site: Outfall #1
8/3/2021 9:05 AM Water
Yin-Pong Chang
Test Method Results Date Analyzed
Oil & Grease (0&G) EPA 1664 Rev. B <5.0 mg/L 08111 /2021
Residue Suspended (TSS) SM 2540 D-2015 43.3 mg/L 08/03/2021
pH SM 4500 H B-2011 6.4 units 08/05/2021
COD SM 6220 0.2011 58 mg/L 08/06/2021
Fecal Collform SM e222 D-2016 MF <10 Colonies/100mL 08/03/2021
Comment: Revised to add pH result
Reviewed by:
ReportA. 2021.13062 Page 1 of 1

:enviroche mrj
ANALYTICAL & CONSULTING CHEMISTS
LCS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 * 910.392.0223 Lab * 910,392.4424 Fax
710 Howsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/ Fax
255-A Wilmington Highway, Jacksonville, NC 28540 * 910.347.5843 Lab/Fax
[e-mail]
Pilgrims QC - 2021-13062
Parameter
True Value
mg-1
Result
m91L
% True Value
Limits
%
COD
1000
999
100
90-1 10
Fecal
N A
N `A
N. A
N ,A
TSS
95.3
92.0
96
82.4-1 18
OIL & GREASE
40.0
31.5
79
78-1 14
MS/MSD
Parameter
True Value
m IL
Recovery
m -L
% Recovery
%
Difference
Limits %
Recovery
Limits %
Difference
COD
50.0
5251
104102
2
80-120
520
Fecal
NSA
NA
N.:A
NSA
NA
N.-'A
TSS
N?A
NA
NA
N?A
NA
NA
OIL & GREASE
40.0
40.1
100
NIA
78-114
18
DUPLICATE SAMPLES
Parameter
Results
mg.: L
% Difference
Limits %
COD
N A
N:A
N-A
< 10
Fecal
35
30
15
< 30
TSS
44.0
45.0
2
:5 10
OIL & GREASE
N`A
N.-A
NIA
N A

-0,7
Environmental Chemists, Inc.
nvirochem6602 Windmill Way, Wilmington, NC 28405 ' 910 392.0223 Lab * 910.392.4424 Fax
710 Howsertown 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 it environmentaichemists.com
BLANK
Parameter
Results
mg..'L
Limit
mg. L
COD
<10
10
Fecal (Start Control)
0
0
TSS
<2.5
2.5
OIL & GREASE
t:5.0
5

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
I
Client,-Q,7-5
Date. 8A-15RIL Report Number: -- �
Receipt of sample:
ECHEM Picku pV1 Client Delivery ❑
UPS ❑ FedEx ❑ Other ❑
❑ YES ❑ NO
N/A I. Were custody seals present on the cooler?
❑ YES ❑ NO
X N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor *C., 0.0
❑ YES 10 NO
1 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES 10 NO
1 4. Were proper custody procedures (relinquished/received) followed?
YES 10 NO
1 5. Were sample ID's listed on the COU
Ep YES ❑ NO
1 6. Were samples ID's listed on sample containers?
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
11. Was adequate sample volume availableT
YES 10 NO
112. Were samples received within proper holding time for requested tests?
YES ❑ NO
13. Were acid preserved samples received at a pH of <2?
YE5 ❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES ❑ NO
15. Were sulfide samples received at a pH >97
116.
❑ YES 10 NO
Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L7'*
❑ YES ❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES 10 NO
118. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/volati,es are pH checked at time of ana'ysis and recorded on the benchsheet.
*" Bacteria samp es are checked for Chorine at time of analys-s and recorded on the benchsheet.
Sample Preservation:
Sample(s)
by adding (circle one):
(Must be completed for any sample(s) incorrectly preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
H2SOI HNO3 HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note. Not fy custome, servi:e immed ate;y for Fncorre_tly preserved samples Obta;n a new sample or
notify the state -ab if d rected to ana'yted by the customer. Who was ^ot.'fied, date and time.
Volatiles Samples) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

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