HomeMy WebLinkAboutNCG060182_Monitoring Report_2021101210/6/2021
Submission Completed
Stormwater NPDES Permit Data Monitoring Report
(DMR) Upload
Permit and Facility Information:
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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 (NOT General Permit number with all 0's)
NCG060182
Must begin with NCS or NCG
Facility Name:* Pilgrim's Pride Corporation, Marshville Processing Plant
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:Hdeq.nc.gov/contact/regional-offices/mooresviIle
Monitoring Period Information:
Monitoring Period ` /hat is the YEAR of the sample date(s)?
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.
,)s://edocs.deq.nc.gov/Forms/Form/Submit 1/2
10/6/2021
Submission Completed
Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.
DMR Upload * Click the upload button or drag and drop files here to attach document.
Signed September 2021 SW DMR.pdf 172.48KB
Only PDFs are accepted.
Comments: For your review and approval!
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
a 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");
a 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, R E.
Name of person submitting this form
Email Address: * yin-pong.chang@pilgdms.com
Phone Number:* 7046244317
Signature: *
Date: * 10/06/2021
https://edocs.deq.nc.gov/Forms/Form/Submit 212
NCDEQ Division of Energy, Mineral and Land Resou
Stormwater Discharge Monitoring Report (DMR) Form fot(VCI
Food and Kindred
0
Click here for instructions Ps ply [O
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Mon J Re aft (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to t Weppropriate 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 I Laboratory Cert. No.: 94
Discharge during this period: Q Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? 0 Yes ❑ No
If so, which Tier (1, II, or 111)? 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
09/21/2021
46529
24-Hour Rainfall in inches
0.4
00556
Oil & Grease in mg/L (30)
< 5.0
C0530
TSS in mg/L (100 or 50•)
31.4
00400
pH in standard units (6.0-9.0)
7.1
31616
Fecal Coliform per 100 ml of
58 5pO
freshwater (1000)
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
36
(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." _
a-10
Signature of Permittee or Delegated Aut)forized Individual Date
Environmental Chemists, Inc.
envirochem 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 I-lighway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemistscom
Pilgrim's Pride-Marshville Date of Report: Oct 05, 2021
5901 West Marshville Blvd. Customer PO #:
Marshville NC 28103 Customer ID: 17040005
Attention: George Chang, PE Report #: 2021-16545
Project ID: Marshville Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-41533 Site: Outfall#1 9/21/2021
Test Method
Oil & Grease (O&G) EPA 1664 Rev. B
Residue Suspended (TSS) SM2540D-2015
pH SM 4500 H B-2011
Result estimated. Analyzed out of 15 minutes hold time.
COD
Fecal Coliform
SM 5220 D-2011
SM 9222 D-2015 MF
Comment: �o /
Reviewed by:
11:00 AM Water Yin-Pong Chang
Results Date Analyzer
<5.0 mg/L 09/28/2021
31.4 mg/L 09/22/2021
7.1 units 09/30/2021
36.0 mg/L 09/23/2021
580Colon ies/100mL 09/21/2021
:enviroche]m
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
in(o(a environmentalchemists.com
Pilgrim's QC - 2021-16545
Parameter
True Value
m /L
Result
mg,'L
%True Value
Limits
%
COD
1000
981
98
90-110
Fecal
N/A
N/A
N/A
NIA
TSS
500.0
505.0
101
82.4-118
pH
1 10.0
9.97
100
90-110
OIL & GREASE
1 40.0
34.7
87
78-114
MS/MSD
Parameter
True Value
mg/L
Recovery
mg
%Recovery
%
Difference
Limits %
Recovery
Limits %
Difference
COD
50.0
56'55
112/110
2
80-120
<20
Fecal
N/A
N/A
NA
N/A
N/A
NA
TSS
N/A
N/A
N/A
N/A
N/A
N A
pH
N/A
NIA
NIA
NIA
N/A
N/A
OIL & GREASE
40.0 1
33.0
83
N/A
78-1 14
< 18
DUPLICATE SAMPLES
Parameter
Results
mg;L
% Difference
Limits %
COD
N/A
N/A
N!A
< 10
Fecal
>600
>600
0
<30
TSS
127.0
124.0
2
< 10
pH
N/A
NIA
N/A
< 10
OIL & GREASE
<5.0
<5.0
0
< 10
gnvirochem
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
infoa environmentalchemists.com
Parameter
Results
mg L
Limit
m91
COD
<10
10
Fecal (Start Control)
0
0
TSS
- 2.5
2.5
pH
N A
N'A
OIL & GREASE
5.0
5.0
Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Wa,
Wilmington, NC 2840-1
910.392.022:
Sample ReceTcZ]
t Checklist
Clienti�►�t rn5F�-�,0(,, Date: kReport Number:- 02 tI —
%.
Receipt of sample: ECHEM Pickup
❑ YES ❑ NO N/A
❑ YES ❑ NO N/A
Original temperature upon receipt
14( Client Delivery [IJUPS ❑
1. Were custody seals present on the cooler?
2. If custody seals were present, were th
FedEx ❑ Other ❑
intact/unbroken?
T Corrected temperature upon recei
How temperature taken:
❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
❑
YES
❑
NO
3. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑
NO
S. 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 COO
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
!I. WdS aUCyUdtC.bd111P1'e VUIU111t! dvdlldiiie!
YES
❑
NO
12. Were samples received within proper holding time for requested tests?
YES
C]
NO
13. Were acid preserved samples received at a pH of <2?
❑
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 118.
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:
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
H2SO4 HNO3 HCI NaOH
me of preservation: If more than one preservative is needed, notate in comments below
ite: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
tify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Aatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
VC
Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
C(11 I Pf"Tlnti AAIn f`LJAIKI nC r-I ICTnrIV
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX 910-392-4424
info@environmentalchemists.com
Client: Pilgrim's Pride Corporation
PROJECT NAME: Marshville Storm Water (plant)
REPORT NO: ZOLI -
ADDRESS: 5901 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: YI,-P� (�' �, (4AW -) CAMPI F TVPP• 1 = Infh,onf P = GK ..unf W - CT _ C. 0^-C N c _
Sample Identification
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PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp°C
o
i
$
"_
0
9
o
Outfall #1
$Z
C
P
/1
j J11
X
TSS, pH
G
P
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X
Z
COD, Oil and Grease
73-7
rG
P
X
I
I 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
I P
G
I G
Transfer
Relinquished By:
Date/Time
Received By:
D te/Time
Temperature wnq!Z Kecelvea
Delivered By:
Comments:
By:
_/ Time: f6,L
LIND: