NCG060182_Monitoring Report_20220523

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Permit and Facility Information: , t NR-DEMUR
and Quality Section
Please enter the permit number and other details for this upload. reiville RQgional office
........................... _ ......
IMPORTANT Until your stormwater permit is registered in the eDMR system, an original signe not 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**

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NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
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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 Office.
Certificate of Coverage No. NCG06 0 1 8 2 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 ben mark exceedances? N Yes, ❑ No
If so, which Tier (I, 11, or III)? 1 '
Part A: Analytical Monitoring Requirements for Outfalls 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
04/18/2022
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 (6.0-9.0)
8.1
31616
Fecal Coliform per 100 ml of
895
freshwater (1000)
61211
Enterococci per 100 ml of saltwater
(500)
00,340
Chemical Oxygen Demand in mg/L
1 7
(120)
Part Es: venue & 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)
NCOIL
New Motor/Hydraulic Oil Usage in
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."
Signature of Permittee or Delegated'Authorized Individual
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Date

K & W Laboratories
1 12 l 1-lwy 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:
,r
Stormwater #001
CQAect Date:
4/18/?A2
Location:
Stormwater Outfal1 #001
Collect Time:
8:10:00 AM
REPORTING ANALYSIS
SAMPLE #
PARAMETER
RESULT
UNITS
METHOD
LIMIT DATE
22041809-01
COD
17
mg/L
SM5220D
10 4/27/2022
22041809-01
Fecal Coliform
895
colony/100ml
SM9222D (MF)
1 4/18/2022
22041809-01
Oil&Grease
<5.6
mg/L
EPA1664B
5.6 5/2/2022
22041809-01
pH
8.1
units
SM4500H+B
0.1 4/18/2022
22041809-01
TSS
14
mg/L
SM2540D
2.5 4/18/2022
pH analysis initiated more than 15 minutes after sample collection.
Certified By
INC Certification: 559 SC Certification: 99051
�,. � ,
G. Kraska / Lab Director

K J VV Laboratories
121 Hwy 24/27 W Midland, NC 28107
yy 11
client/Bbmpany: Pilgrims Pride
Address: PO Box 668
Marshville, NC 28103
Contact: ____Stan-Hitdre- — �n'jp� eoyl.e CH
Phone: 704-624A400 Fax. [phone]
Tel: [phone]
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