NCG060182_Monitoring Report_20220414

Permit and Facility Information:
Please enter the permit number and other details for this upload.
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6.
IMPORTAIrI j.• Until your stormw" ter permit is registered in the eDMR system; an original signed (rot digitally
signed) hardcopy of the DMR must be mailed to the address in your permit, in addition to this electronic
upload.
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/mooresville
Monitoring Period Information:
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year: * 2022
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload completed and signed DMR forms.
**DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**

DMR Upload* Click the upload button or drag and drop files here to attach document.
Signed 1st Quarter 2022 SW DMR.pdf 102.49KB
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 o this form;
o I agree fat submission of this f�ischarge Monitoring '40 port (DMR) Upload fore is a "transaction" su��ct to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• 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 -Fong George Chang, P. E.
Name of person submitting this form
Favall Addross: * [e-mail]
Phono h` uvinher: * 17046244317
Signa'i'; re: 9'r
Date: * 03/28/2022

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) U,p1
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR
atkform within
Certificate of Coverage No. NCG06I 0 I 118 12 I 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 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 (I, II, or III)? I
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
03/09/2022
46529
24-Hour Rainfall in inches
0.15
00556
Oil & Grease in mg/L (30)
< 5.0
C0530
TSS in mg/L (100 or 50*)
42.6
00400
pH in standard units (6.0-9.0)
5.9
31616
Fecal Coliform per 100 ml of
910
freshwater (1000)
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
<20
(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 Authorized Individual
Date

FFO""-- ---Oqqql Environmental Chemists, Inc.
enviro6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
'ISM) 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info(q,environmentalchemists.com
Pilgrim's Pride-Marshville
5901 West Marshville Blvd.
Marshville NC 28103
Attention: George Chang, PE
f
i Lab ID
22-10541
Date of Report: Mar 22, 2022
Customer PO #:
Customer ID: 17040005
Report #: 2022-04397
Project ID: Marsh villelStorm Water
/,
Sample ID: tF Collect Date/Tl(ne Matrix
Site: Outfall #1 3/9/2022 10:30 AM Water
Sampled by
Yin-Pong Chang
Test Method Results Date Analyzed
Oil & Grease (0&G) EPA 1664 Rev. B <5.0 mg/L 03/16/2022
Residue Suspended (TSS) SM 2540 D-2015 42,6 mg/L 03/11/2022
pH SM 4500 H B-2011 7.0 units 03/14/2022
Result estimated. Analyzed out of 15 minutes hold time.
COD SM 5220 D-2011 <20 mg/L 03/11 /2022
Fecal Coliform SM 9222 D-2015 MF 910 Colonies/100mL 03/09/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-10546 Site: Outfall #1 3/9/2022 12:00 PM Water JCB/Envirochem
Test
Method
Temperature SM 2550 B-2010
pH SM 4500 H B-2011
Comment: f
Reviewed by: I
Results Date Analyzed
16.0 C 03/09/2022
5.9 units 03/09/2022
Report # 2022-04397 Page 1 of 1

F-777nvirochem
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
info(a!environmentalchemists.com
Pilgrim's QC - 2022-04397
Parameter
True Value
mg1L
Result
mg/L
% True Value
Limits
COD
1000
935
94
90-110
Fecal
N/A
N/A
N /A
N/A
TSS
92.1
96.0
104
82.4-1 18
pH
10.0
9.9
99
90-1 10
OIL & GREASE
40.0
32.6
82
78-114
MS/MSD
Parameter
D-ue Value
mg1L
Recovery
mg%L
%Recovery
%
Difference
Limits %
Recovery
Limits %
Difference
COD
50.0
49/48
98/96
2
80-120
< 20
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
34.4
86
N/A
78-1 14
< 18
DUPLICATE SAMPLES
Parameter
Results
mg1L
% Difference
Limits %
COD
N/A
N/A
N/A
< 10
Fecal
> 120
120
0
< 30
TSS
104.0
100.0
4
< 10
pH
N/A
N/A
N/A
< 10
OIL & GREASE
<5.0
<5.0
0
< 18

Environmental Chemists, Inc.
tSM
ANALYTICAL & CONSULTING CHEMISTS
BLANK
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
[e-mail]
Parameter
Results
mg'L
Limit
mg/L
COD
< 10
10
Fecal (Start Control)
0
0
TSS
<-2.5
7,5
pH
N/A
N/A
OIL & GREASE
4-5.0
5.0

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: P I L 69-A W'S )g� p Date: Report Number: oa V
��9 a
Receipt of sample:
ECHEM Pickup Client Delivery 11 UPS ❑ FeclEx ❑ Other ❑
❑ YES ❑ NO
N/A
11. Were custody seals present on the cooler?
❑ YES I0 NO
N/A
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt s- °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 ❑ NO
3. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
YES ❑ NO
4. Were proper custody procedures (relinquished/received) followed?
f� YES 10 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?
rt�,
I u
ivu
1 9. Did samples arrive in proper containers for each test?
R YES
❑
NO
110. Did samples arrive in good condition for each test?
PC YES
I0
NO
Ill. Was adequate sample volume available?'
YES
❑
NO
112. Were samples received within proper holding time for requested tests?
YES
I ❑
NO
113. Were acid preserved samples received at a pH of <2?
❑ YES
10
NO
114. Were cyanide samples received at a pH >12?
❑ YES
10
NO
115. Were sulfide samples received at a pH >9?
❑ YES
❑
NO
116. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑ YES
❑
11:1
NO
117. 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: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: 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:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

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