NCG060182_2022 DMR_20221212

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)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. NCGO6 0 1 8 2 Person Collecting Samples: Yin-Pang George CHANG,P.E
Facility Name: Pilgrim's Pride Corporation,Marshville Processing Plant Laboratory Name: K&W Laboratories
Facility County: Union Laboratory Cert. No.: 559
Discharge during this period: ii Yes ❑ No (if no,skip to signature and date)
Has your facility►implemented mandatory,Yier response actions for aril))benchmark exceedances? ]Yes I No
If so,which Tier(I,II,or Ill)? ,) ,• ,
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 11/10/2022
46529 24-Hour Rainfall in inches 0.66
00556 Oil&Grease in mg/L(30) <5.7
C0530 TSS in mg/L(100 or 501 31
00400 pH in standard units(6.0—9.0) 7.1
31616 Fecal Coliform per 100 ml of 200
freshwater(1000)
61211 Enterococci per 100 ml of saltwater
(500)
00340 Chemical Oxygen Demand in mg/L 90
(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)
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."
/111 -- 1.t-/.l-)O
Signature of Permittee or Deleg ed Authorized Individual Date

li; - K & W Laboratories Results Report
1121 Hwy 2427 W
---- A
Midland,North Carolina 28107
Tel[phone] Fax[phone]
Client: Pilgrims Pride Corp. Date: 08-Dec 22
PO Box 668 Order ID: 22111029
Marshville,NC 28103
1
J Project: arshville Stormwater r) Collect Date: /10I2022 i�
Location: Outfall#001 Collect Time: 2:00:00 PM
REPORTING ANALYSIS
SAMPLE 0 PARAMETER RESULT UNITS METHOD LIMIT DATE
22111029.01 COD 90 mg/L SM5220D 10 12n2022
22111029-01 Fecal Coblorm 200 colony1100m1 SM9222D(MF) 1 11/10/2022
22111029-01 Ol&Grease <5.7 mg/L EPA16648 5.7 11/21/2022
22111029-01 pH 71 units S1r145001++8 0.1 11/10/2022
22111029-01 TSS 31 mg/L SM2540D 5 11/15/2022
NC Certification: 559 SC Certification: 99051
Certified By
G Kra a/Lab Director

K & W Laboratories
1121 Hwy 24127 W Midland,NC Tel: [phone]
, 28107 , Fax: [phone] , Chain of Custody Record ,
I r f +-A.'
Cf enuCompanr. Pilgrims Pride Repon To: Y r+-r^`'�`� Hof/I'i. R
Address: PO Box 668 Outfall#001
Marshvile,NC 28103 Copy To: pH: I. I 1
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Contact: 624-43/7
Phone. [phone]i Fax: PO/
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