NCG060182_2022 DMR_20211207

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 Off-ce.
Certificate of Coverage No. NCG06 0 1 $ 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 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? 0 Yes ❑ No
kl If so, which Tier (I, II, or III)? III
Part A: Analytical Monitoring Requirements for Outfalis 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
11/22/2021
46529
24-Hour Rainfall in inches
0.2
00556
Oil & Grease in mg/L (30)
< 5.0
C0530
TSS in mg/L (100 or 50*)
24.6
00400
pH in standard units (6.0-9.0)
6.9
31616
Fecal Coliform per 100 ml of
3fi0
freshwater (1000)
61211
Enterococci per 100 ml of saltwater
(500)
00340
Chemical Oxygen Demand in mg/L
32.0
(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), }sigh 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 DeAgated Authorized Individual
'i-1 —.)j
Date

FF""- -:-Oqql
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
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Pilgrim's Pride-Marshville
Date of Report:
Dec 06, 2021
5901 West Marshville Blvd.
Customer PO #:
Marshville NC 28103
Customer ID:
17040005
Attention: George Chang, PE
Report #•
2021-20706
Project ID: Marshville Storm Water
Lab lD Sample ID:
Collect DateITime Matrix
Sampled by
21-51865 Site: Outfall #1
11/22/2021 8:00 AM Water
George Chang
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1654 Rev. B <5.0 mg/L 12/01/2021
Residue Suspended (TSS) SM 2540 D-2015 24.6 mg/L 11/23/2021
pH SM 4500 H &2011 6.9 units 11/23/2021
Result estimated. Analyzed out of 15 minutes hold time.
COD SM 5220 0.2011 32.0 mg/L 11 /26/2021
Fecal Coliform SM 9222 D-2015 MF 1360 Colonies/100ml- 11/22/2021
Comment:
Reviewed by:
Report #:: 2021-20706 Page 1 of 1

:envirochem
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
infoCenvironmentalchemists.com
Pilgrim's QC - 2021-20706
Parameter
True Value
m 1L
Result
m91L
% True Value
Limits
%
COD
1000
966
97
90-110
Fecal
NIA
NIA
NA
NIA
TSS
91.5
100.0
109
82.4-118
pH
10.0
9.90
99
90-110
OIL & GREASE
40.0
36.3
91
78-1 14
MS/MSD
Parameter
True Value
m 1L
Recovery
nw L
% Recovery
%
Difference
Limits %
Recovery
Limits %
Difference
COD
50.0
48-51
96/102
6
80-120
520
Fecal
NA
NA
NA
N.A
NIA
NA
TSS
NA
NA
NiA
NFA
NIA
NA
pH
NIA
NSA
WA
NSA
N,'A
NIA
OIL & GREASE
40.0
36.6
92
NrA
78-114
518
DUPLICATE SAMPLES
Parameter
Results1L
g
% Difference
Limits %
COD
N/A
NIA
NIA
< 10
Fecal
63
63
0
< 30
TSS
19.3
21.0
8
< 10
pH
N/A
NIA
N/A
< 10
OIL & GREASE
1 <5.0
<5.0
10
<_ 18

7 Environmental Chemists, Inc.
envirochem6602 Windmill Way, Wilmington, NC 28405 • 910.392,0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 * 252.473.5702 Lab/Fax
711, 255-A Wilmington Highway, Jacksonville, NC 28540 * 910.347.5843 Lab/Fax
ANALYTICAL S CONSULTING CHEMISTS [e-mail]
BLANK
Parameter
Results
m91L
Limit
m91L
COD
<10
10
Fecal (Start Control)
0
0
TSS
<2.5
2.5
pH
NIA
N/A
OIL & GREASE
<5.0
5.0

6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Recei It Checklist
Client: rLG i�ll'S Dad. ZZ vZ 1 Report Number:
Receipt of sample:
ECHEM Pickup Client Delivery ❑
UPS ❑ FedEx ❑ Other Q
❑
NO
N/A
1. Were custody seals present on thecooler?❑
NO
N/A
2. If custody seals were present, were they intact/unbroken?
erature upon receipt , "C Corrected temperature upon receipture
WG11D
taken:
❑ Temperature Blank Against Bottles
mas Traceable S/N 192511657 I Gun Correction Factor'C: 0.0
❑ YES
❑
NO
3. If temperature of cooler exceeded VC, was Project Mgr./QA notified?
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑
NO
5. Were sample ID's listed on the COC?
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?
ti to
Q
NO
11. Was adequate sample volume available?'
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?
D YES
❑
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?
❑ 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: (Must be completed for any sample(s) incorrectly preserved or with heads ace)
by adding (circle one): H2SO4
Time of preservation:
Environmental Chemist, Inc., Wilmington, NC Lab #94
p
were received incorrectly preserved and were adjusted accordingly
HNO3 HCI 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:
atiles Sample
were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

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