NCG060182_2023 DMR_20230124

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) Uo'oad form within 1
i -..)0-days or iecevir g sarilp mg izsu1i . iv1ai the or+ginai,siwre61;ofd-Lupy of tht—Divii,to the appropriate DEMLR Regional Office.
i —
Certificate of Coverage No. NCGO6 0 1 8 2 Person Collecting Samples: Yin-Pong George CHANG,P E
Facility Name: Pilgrim's Pride Corporation Marshville Processing Plant Laboratory Name: K 8 W Laboratories
Facility County: Union Laboratory Cert. No.: 559
-
Discharge during this period:❑■ Yes ❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions fo' a'-y benchmark exceedances?❑Yes Q No
If so,which Tier(I, II,or III)?
Part A:Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter -7� ) I I I
Para„it.;e, +� Vutidil tti Outi.sii Outfaii
Code _
N/A Receiving Stream Class Salem Creek
N/A Date Sample Collected MM/DD/YYYY ' 01/04/2023 t
46529 24-Hour Rainfall in inches 0.56
00556 Oil&Grease in mg/L(30) <6.2
C0530 TSS in mg/L 1100 or 501 8.3
00400 pH in standard units(6.0—9.0) 7.8 ___t_—
31616 i Fecal Coliform per 100 ml of 660
freshwater(1000)
61211 Enterococci per 100 ml of saltwater
(500)
I (1zo) , I f
, I I I
— Part B:Vehicle&Equipment Maintenance Areas—Benchmarks in(Red)
Parameter
Code Parameter Outfali Outfall Outfall Outfall Outfall
N/A Receiving Stream Class
N/A Date Sample Collected MM/ODIYYYY
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/t.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 dccoraance wan a system aesignea to assure tnat quaiiiieu personnel proper iy gatner ana evaluate the information
submitted. Bases a i lily mgt,iry-of tcie person or pe-sons 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 violati ns."
Signature of Permittee or Delegated Auth zed Individual Date `r
Date

- /e• K & W Laboratories Results Report
i; 1 121 Hwy 24/27 W
Midland, North Carolina 28107
L:? Tel[phone] Fax[phone]
Client: Pilgrims Pride Corp. Date: 19-Jan-23
PO Box 668 Order ID: 23010411
Marshville,NC 28103
Project: Marshville Stormwater Collect Date: 1/4/2023
Location: Outfall #001 Collect Time: 8:00:00 AM
REPORTING ANALYSIS
SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT _ DATE
23010411-01 COD 11 mglL SM5220D 10 1/18/2023
23010411-01 Fecal Coliform 660 colony/10oml SM9222D(MF) 1 1/4/2023
23010411-01 Oil&Grease <62 mglL EPA1664B 6.2 1/13/2023
23010411-01 pH 7 8 units SM4500H+B 0.1 1/4/2023
23010411-01 TSS 8 3 mglL SM2540D 2.5 1/10/2023
NC Certification:559 SC Certification: 99051
Certified By � ,e..o,ka
G Kraska/Lab Director

K & W Laboratories Tel: [phone]
1121 Hwy 24127 W Midland,NC Fax: [phone] Chain of Custody Record
Client/Company Pilgrims Pride Report To jr)— crKx6i gL CHAAla,7 Re„arks
Address. PO Box 668 a J
Marshville NC 28103 Copy To.
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Contact:
Phone: [phone] Fax: PO a
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Project Name: Stormwater {/ N Strmw.4r GT Orr 0.P vir GG G4sa
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No. Comp SW ,' P G ' Hate Time i z t' LL 8 u Lab Log#
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2 G ew 1 P x X
3 G sw 1 G x X
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6
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Relinquished By t�/IYLv,�Q�(, Date Tip Received By Date: 'Time:
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Relinquished�� •Oate Time Received By Dale Time:
co,4_--. _ a,/ny/=2 326 On Ice: 6 I N