NCG060182_Monitoring Report_20211215

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NOHI11 CAFULIN4
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Permit and Facility Information:
Please enter the permit number and other details for this upload.
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IMPORTANT. Until the eDMR system is implemented for DEMLR Stormwa ter 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://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2022
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.

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 November2021 SW DMR.pdf 142.35KB
Only PDFs are accepted.
Comments: For your review and approval!
* By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• 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');
o 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');
• 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
• I intend to electronically sign and submit this DMR upload form.
Full Name:* Yin-Pong George Chang, P. E.
Name of person submitting this form
Email Address:* [e-mail]
Phone Number: * 7046244317
Signature: *
Date: * 12/07/2021

NCDEQ Division of Energy, Mineral and Land Resources Q ��
Stormwater Discharge Monitoring Report (DMR) Form for NCG0600�
N J
Food and Kindred
Click here for instructions vs 1 Q oN� j
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) "K� d form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEML&egional 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 Laboratory Cent. No.: 94
Discharge during this period: N Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? Q 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
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
freshwater(1000)
,360
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
32.0
(120)
Part B: Vehicle & Equipment Maintenance Areas - Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Cade
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 Dejegated Authorized Individual
�.?- 7-,)
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 Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Pilgrim's Pride-Marshville
5901 West Marshville Blvd.
Marshville NC 28103
Attention: George Chang, PE
Lab ID Sample ID:
21-51865 Site: Outfall #1
Test
Date of Report: Dec 06. 2021
Customer PO #:
Customer ID: 17040005
Report #: 2021-20706
Project ID: Marshville Storm Water
Collect Daterrime Matrix Sampled by
11/22/2021 8:00 AM Water George Chang
Method Results Date
Oil & Grease (O&G) EPA 1664 Rev. B
Residue Suspended (TSS) SM 2540 D-2015
pH SM 4500 H B-2011
Result estimated. Analyzed out of 15 minutes hold time.
COD SM 5220 D-2011
Fecal Coliform SM 9222 D-2015 MF
Comment: '�t n I
Reviewed by: Uu do, 1)�1Ql�
<5.Omg/L 12/01/2021
24.6mg/L 11/23/2021
6.9units 11/23/2021
32.Omg/L 11/26/2021
1360 Colonies/100m l- 11 /22/2021
Report #:: 2021-20706 Page 1 of 1

Environmental Chemists, Inc.
envirochem
ANALYTICAL & CONSULTING CHEMISTS
LCS
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@environmen talchemists. com
Pilgrim's QC - 2021-20706
Parameter
True Value
mg/L
Result
mg/L
%True Value
Limits
%
COD
1000
966
97
90-110
Fecal
N/A
N/A
N/A
N/A
TSS
91.5
100.0
109
82.4-118
pH
10.0
9.90
99
90-110
OIL & GREASE
40.0
36.3
91
78-114
MS/MSD
Parameter
True Value
mg/L
Recovery
mg/L
%Recovery
%
Difference
Limits %
Recovery
Limits %
Difference
COD
50.0
48/51
96/102
6
80-120
520
Fecal
N/A
N/A
N/A
N/A
N/A
N/A
TSS
N/A
N/A
N/A
N/A
N/A
N/A
pH
N/A
N/A
N/A
N/A
N/A
N/A
OIL & GREASE
40.0
36.6
92
N/A
78-114
< IS
DUPLICATE SAMPLES
Parameter
Results/L
g
%Difference
Limits
COD
N/A
N/A
N/A
< 10
Fecal
63
63
0
<30
TSS
19.3
21.0
8
< 10
pH
N/A
N/A
N/A
< 10
OIL & GREASE
<5.0
<5.0
0
< 18

[env7iro7che]m
ANALYTICAL & CONSULTING CHEMISTS
BLANK
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 6owsertown Road, Manteo, NC 27954 • 252.4735702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Parameter
Results
mg/L
Limit
mg/L
COD
<10
10
Fecal (Start Control)
0
0
TSS
<2.5
2.5
pH
I N/A
N/A
OIL & GREASE
1 <5.0
5.0

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Analytical 8 Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: Pilgrim's Pride Corporation
PROJECT NAME: Marshville Storm Water (plant)
REPORT NO:
ADDRESS: 5901 West Marshville Blvd.
CONTACT NAME: George Chang
PO NO:
Marshville, NC28103
REPORT TO:
PHONE/FAX: [phone]
COPY TO:
email: [e-mail]
Sampled Bv: i k - 9i /-')OirML_i l IJ�A� SAMPI F TYPF• I = Innucnf F = Ff h..nt W e Wnll ST = Stream SO — Soil el — c'..w
Sample Identification
Collection
E°
y �-
a
c
o `o
Eo [�
m m
o
o a
—
e
`o m
c E
m
g
.. _. _..__...,
PRESERVATION
__ _... ,..�
ANALYSIS REQUESTED
Date
Time
Temp°C
w
o
u
o
m
"=
i
x
x
a
o
i
w
x
o
Outfall #1
C
//^
� t�
X
TSS, pH
G
G
/i
C
P
h
b•/
X
COD, Oil and Grease
G
G
r
U
P
X
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
P
G
G
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received -L;: Accepted: ✓ Rejected: Resample Requested:
Delivered By:__R(10� A 1 -47 • Received By: sl.1' Date: // ZL-L/ Time:
Comments: TURNAROUND: