NCG060007_2023 DMR_20230113

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 C>OQ') Person Collecting Samples: j „,� k \A-,
Facility Name: -Dcxcac` V-ocazi Laboratory Name: MOr'.4e � )
Facility County: � bC�L; Laboratory Cert. No.: 1 to 5
Discharge during this period: Yes ❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes �o
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Les ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class l 3
N/A Date Sample Collected MM/DD/YYYY I ley/2 3 I /i.j/23
46529 24-Hour Rainfall in inches r I L I LI
C0530 TSS in mg/L(100 or 50*) S Z, oZ y
00400 pH in standard units(6.0-9.0 FW,
6.8-8.5SW) 0
31616 Fecal Coliform per 100 ml of
freshwater(if required)(1000) 1 3 y
61211 Enterococci per 100 ml of saltwater
(if required)(c
00340 Chemical Oxygen Demand in mg/L
90
�1Lu)
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month
00552 Non-Polar Oil&Grease in mg/L I i
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of .All other water classifications have a benchmark of
(Freshwater) (Saltwater)
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."
0 - I I- ZCI2.3
Signature of Permittee or Delegated Authorizialndivi ual Date
—}- f1A . W \:GNIS@v, C\AX6v(k 3-b- 361 (o(),) 7
Email Address Phone Number

Meritech, Inc.
Environmental Laboratory
:',1;* Laboratory Certification No.165
1111°
Contact: Tina Williams Report Date: 1/10/2023
Client: Doroda Foods
P.O.Box 1436
Reidsville,NC 27320 Date Sample Rcvd: 1/4/2023
Meritech Work Order# 01042314 Sample: Stormwater 3 Grab 1/4/23
Parameters Result Analysis Date Reporting Limit Method
COD 15 mg/L 1/9/23 15 mg/L EPA 410.4
Total Suspended Solids 24 mg/L 1/5/23 2.5 mg/L SM 2540 D
Fecal Coliform 340 CFU/100 ml 1/4/23 1 CFU/100 ml SM 9222 D
pH 7.0 S.U. 1/4/23 1.0-14.0 S.U. SM 4500-HB
Temperature 14.8 °C 1/4/23 - SM 2550 B
I hereby certify that I have reviewed and approve these data. fYl-Lf1,CkO_ bgj(Y_Qck.
Laboratory Representative
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]

f
C El -1v, KE.
cu
re o a m c = _
CD o r rn N Q cn r
p i.
CD ;-1- CIo I
*F'DfD., & a 0 * rD -P f
c af....4. „: Yn * Q m O
-7. _.
c p 3cc, <m ,,, mg r.,
c, <
n
......, ., g
In
rr
m ° r-{ °� DJ a O O
r "C
r , =' 1j q D- O o P11 � fD
o v 9} ( 2 n0
n
o
C
3 - O 6 w W ` n
O C �O O ? O7 N..) N O
?LT ..Er
m 75
fD W p el
f" m
v.'' f7 R -I fD
v IA, CD 3 NI
3 3 3 r•. CD CD
w , v D �• n
G Z • by p fl fD r.
-- o H ro
m m 3 0
'`� T rr Z Cr v m ri p L
5 rD
0 ova d O 7 37 N D
SFt-,- = 0 fn - Q '�J
rr m .-.
0 0
0 m Q
A n rnD V1 u' 70 n fD C .�' T1
` c M .�. N Q $ Ct.. Q) _CO ..0 O
<� e c J O 1 C = n frr.
ro _ 3 Lfl _ N
i_.,.
- 0
CD
L
,
_ °
a)os -Vi �.
��V)
o
„ s
,-ii
w
r•. 0.) fc
cs x a
V = . ID '. m -, --0 Z
NJ P. o �,� - - n CII
* l V* `v N W
Q — .
a rn
-o o, w
6.� a 1 m C, g I-.
vJ _ oc d d
cm , n —w co 0. -, 3 h,
p 3 V
MI 3 v p N a. 3:. n
p n ZfD
G? c n.
0.1
-n
tJ 0 . t
0 * c
w O
'- .0 _ in
O
or ro 2
n -

01111‘ Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
11W
Contact: Tina Williams Report Date: 1/10/2023
Client: Doroda Foods
P.O.Box 1436
Reidsville,NC 27320 Date Sample Rcvd: 1/4/2023
Meritech Work Order# 01042313 Sample: Stormwater 1 Grab 1/4/23
Parameters Result Analysis Date Reporting Limit Method
COD 90 mg/L 1/9/23 15 mg/L EPA 410.4
Total Suspended Solids 52 mg/L 1/5/23 2.5 mg/L SM 2540 D
Fecal Coliform 9 CFU/100 ml 1/4/23 1 CFU/100 ml SM 9222 D
pH 7.1 S.U. 1/4/23 1.0-14.0 S.U. SM 4500-HB
Temperature 16.6 °C 1/4/23 - SM 2550 B
I hereby certify that I have reviewed and approve these data. 041TrYanciai_Har\ccot.
Laboratory Representative
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]

1__1 �I - . c f., cn
2 n
PrO100
r0 co
n o m cn O Q Lon r c
Z. x rt O 0 O
^ •
O F
M
rDsu
a. r. a 3 O CD 0.
o �t (D m m rD •' * 0 3 - _,-. z E -h
°ra
0
n ro o rt n) n O
r r a-
/ - r DJ w
H 0 , rD DJ
DJ O O rn (
w 'Y 3 E m O
c� � , o pr
in 0
cn T =•i V O, x a r i •
7 r., Oq 0 0 rD i O
a
J '< D nl W W 0 ` ten..
n 3 r+ s m
3 CD m -:-I iimmi
w w 2
O __0"�0 O -1, Q NM d N N O
n, 9 a� t. ,n ti N M F-' A
.. , fD_. N cn m
.r W -< n n G � fD
to rD -0C• ` 3 N
G1 m D D t)
C z DC = n !?
L v w 3 0 - la. s.
.�- a' - a- 0 n -� ((DD —
t
V t rD d rl O 0 N
0 CM
= m a 0 IL
rD 0
0 H 3 a * 0 Y'- 0_
z 0 c -n h a °; 0 -I < nj
CD
. m w r,, n
(. m 'Cs a) - N Q nl O
rrO o � 3 x
g
a) rD
JfD fD " g . _ ,< v
. \� C m-O �_ m c,
(--r =
V) T. CD
rD CD `� Q
C p /t O
ri.._,..
O U /�+ T v,
r" L �� (V X
f 5 A..t
m O o x O 0
CD
i
O �11`I k rr — ID Vi
*
+ rD
*
n
:- C w
�`, WJ
Ol
,, d • r' 3 O
d
LA) t
i
rr1ll
I
o O
vt.i 0 "
r CD a
.c x.
rr
N o
ro J
n