NCG060182_2022 DMR_20220505

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 Mor0oring 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: Pilgnm's Pride Corporation. Marshville Processing Plant Laboratory Name: Environmental Chemists. Inc.
Facility County: Union Laboratory Cert. No.: 94
Discharge during this period: N Yes ❑ No (if no, skip to signature and dat )
Has your facility impt6mented mandatory Tier response actions for any be mark exceedances? M■ Y 3 ❑ No ;
If so, which Tier (I, II, or III)? 1
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall #1
Outfall
Outfall
OutfalI
Outfall
N/A
Receiving Stream Class
Salem Creek
N/A
Date Sample Collected MM/DD/YYYY
0411812022
46529
24-Hour Rainfall in inches
1.68
00556
Oil & Grease in mg/L (30)
< 5.6
C0530
TSS in mg/L (100 or 50*)
14
00400
pH in standard units (6.0-9.6)
8.1
31616
Fecal Coliform per 100 ml of
895
f res hwater (1000)
61211
Enterococci per 100 ml of saltwater
(500)
00340
Chemical Oxygen Demand in mg/L
17
(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 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 P ittee or Delegate�Authorized Individual
Pate

K & W Laboratories
1121 Hwy 24+27 W
Midland, North Carolina 28107
Tel [phone] Fax [phone]
Client: Pilgrims Pride Corp.
PO Box 668
Marshville, NC 28103
Results Report
Date: 03-Mav-22
Order ID: 22041809
Project:
60ect
.�
Stormwater #003
Date:
Location:
Stormwater Outfall #001
Collect Time:
SAMPLE #
PARAMETER
RESULT
UNITS
METHOD
22041809-01
COD
17
mg/L
SM5220D
22041809-01
Fecal Coliform
895
colony/100m1
SM9222D (MF)
22041809-01
Oil&Grease
<5.6
mg/L
EPA16648
22041809-01
pH
8.1
units
SM45001-1+13
22041809-01
TSS
14
mg1L
SM2640D
pH analysis initiated more than 15 minutes after sample collection.
Certified By G. rr„�yad
G. Kraska 1 Lab Director
4/ 18/2Ay12
8:10:00 AM
REPORTING
ANALYSIS
LIMIT
DATE
10
4/27/2022
1
4/18/2022
5.6
512I2022
0.1
4/18/2022
25
4/18/2022
NC Certification: 559 SC Certification: 99051

K & W Laboratories Tel: [phone]
1121 Hwy 24127 W Midland, NC 28107 Fax: [phone] Chain of Custody Record