NCG060184_2023 DMR_20230808

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 ReportjDMR)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 0184 Person Collecting Samples:Jeremy Spencer
Facility Name: Pilgrim's Pride Corp.,Wingate Feed Mill/Truck Shop Laboratory Name: K&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 this sample period for any benchmark exceedances? /❑Yes ❑ No
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 ✓❑Yes ❑ No
Date Uploaded:August 1, 2023
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall#001A Outfall#002A Outfall Outfall Outfall
Code
N/A Receiving Stream Class Rays Fork Creek Rays Fork Creek
N/A Date Sample Collected MM/DD/YYYY 6/19/2023 6/19/2023
46529 24-Hour Rainfall in inches 0.93 0.93
C0530 TSS in mg/L(100 or 50*) 3.1 4.1
00400 pH in standard units(6.0 9.0) 6.8 7.0
00556 Oil&Grease in mg/L(30) <5.0 <5.0
31616 Fecal Coliform per 100 ml of 10 6100
freshwater(if required)(1000)
61211 Enterococci per 00 ml of saltwater
(if required)(5
00340 Chemical Oxyge ,Demand in mg/L 40 89
(120)
Additional param et rs for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCOIL Estimated New 11 Motor/Hydraulic Oil
Usage in gal/month 67 67
00552 Non-Polar Oil&Grease in mg/L(15) <5.0 <5.0
•Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark T55 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."
�--� a-r-i
Signature of Permittee or Delegated Au orized Individual Date
Email Address [e-mail] Phone Number [phone]

16 K& W Laboratories Results Report�asms 8 l i 2 l Hwy 24/27 W
Midland,North Carolina 28107
Tel[phone] Fax[phone]
Client: Pilgrims Pride Corp. Date: 25-Jul-23
205 Edgewood Drive Ober ID: 23061919
Wingate,NC 28174
Project: Wingate Feed Mill Stormwater Collect Date: 6/19/2023 •
Location: Outfall#001A Collect Time: 12:35:00 PM
REPORTING ANALYSIS
SAMPLE IS PARAMETER _ RESULT UNITS METHOD UMIT DATE
23061919-01 COD 40 mg/L SM5220D 10 7/13/2023
23061919-01 Fecal Colitorm 10 colony/100m1 SM9222D(MF) 1 6/19/2023
23061919-01 Oil&Grease <5 mg/L EPA16648 5 7/13/2023
23061919-01 pH 6.8 units SM4500H+B 0.1 6/19/2023
23061919-01 SGT-HEM,TPH <5 mg/L EPA1664B 5 7/13/2023
23061919-01 TSS 3.1 mg/L SM2540D 3.1 6/21/2023
pH analysis initiated more than 15 minutes after sample collection.
Certified B NC Certification:559 SC Certification: 99051
y G.bras/,o.
G.Kraska I Lab Director

K & W Laboratories Results Report
8 1121 Hwy 24/27 W
Midland,North Carolina 28107
Tel[phone] Fax[phone] I
Client: Pilgrims Pride Corp. Date: 25-Jul-23
205 Edgewood Drive Order ID: 23061920
Wingate,NC 28174
Project: Wingate Feed Mill Stormwater Collect Date: 6/19/2023
Location: Outfall#002A Collect Time: 12:50:00 PM
REPORTING ANALYSIS
SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE
23061920-01 COD 89 - mg/L SM5220D 10 7/13/2023
23061920-01 Fecal Conform 6100 colony/100m1 SM9222D(MF) 1 8/19/2023
23061920-01 O1&Grease <5 mg/L EPA1664B 5 7/13/2023
23081920-01 PH 7.0 units SM4500H+B 0.1 6/19/2023
23061920-01 SGT-HEM,TPH <5 mg/L EPA1664B 5 7/13/2023
23061920-01 TSS 4.1 mg/L SM2540D 3.1 6/21/2023
pH analysis initiated more than 15 minutes after sample collection.
NC Certification: 559 SC Certification: 99051
Certified By G. u•,+.04
G.Kraska/Lab Director

K & W Laboratories Tel:[phone]
1121 Hwy 24/27 W Midland, NC 28107 Fax:[phone] Chain of Custody Record
CeenUCompany: Pilgrims Pride Report To: Remarks: _
address: 205 Edgewood Dr. 'Email Y'n-PQrly CharIQ( Piiorirr S corn --
Wingate,NC 28174 Copy To: JereO]y_S ——
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contact Jeremy Spencer _ Is Residual Chlorine ND? &N
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2 G sw 1 P I j x i!l X
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8 _G es 1 P I _ HILL . - X—
9 _G ear 1 G —Ix , _—^X
10 - " —G w 1P x1— X
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Date Tune Received By Data: Tine
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Relinquished By: Date: Time: Received By: Date. Time:
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