NCG060182_2023 DMR_20231023

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 Da-,Monitoring Report(DMRI Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DE MLR Regional Office.
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: 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 benchmark exceedances?❑Yes ❑■ No
If so,which Tier(I, II, or Ill)?
Part A:Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in N.d)
Parameter Parameter Outfall#1 Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class Salem Creek
N/A Date Sample Collected MM/DD/YYYY 10/12/2023
46529 24-Hour Rainfall in inches 0.49
00556 Oil&Grease in mg/L I <5.10
C0530 TSS in mg/L(100 L 501 15 4
00400 pH in standard units(6.0-9 7.1
31616 Fecal Coliform per 100 ml of 72O 0
freshwater(10u ,
61211 Enterococci per 100 ml of saltwater
(500)
00340 Chemical Oxygen Demand in mg/L <20
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(151
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'.0 mg./I.All other water classifications have a benchmark of 10C mgh.
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."
-� 3:-�.3
Signature of Permittee or Delegat Authorized Individual Date

Environmental Chemists, Inc.
envi rochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.4735702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS info®environmentalchemists.com
Pilgrim's Pride-Marshville Date of Report: Oct 23, 2023
5901 West Marshville Blvd. Customer PO#:
Marshville NC 28103 Customer ID: 17040005
Attention: George Chang, PE Report#: 2023-23935
Project ID: Marshville Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-58183 Site: Outfall#1 10/12/2023 8:10 AM Water Yin-Pong Chang
Test Method Results Date Analyzed
Oil &Grease(08�G) EPA 1654 Rev.B <5.10 mg/L 10/21/2023
Reporting limit a vated due to insufficient sample volume.
Residue Suspended (TSS) SM 2540 D-2015 15.4 mg/L 10/13/2023
pH SM 4500 H B-2011 7.1 units 10/16/2023
COD SM 5220 D-2011 <20.0 mg/L 10/16/2023
Fecal Coliform SM 9222 D-2015 MF 728 Colonies/100mL 10/12/2023
Comment:Reviewed by: ikkl O4k$1..
Report a 2023-233935 Page 1 o1 1

Environmental Chemists, Inc.
env i r o c h e m 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Pilgrim's QC - 2023-23935
LCS
Parameter True Value Result % True Value Limits
mg/L mg/L
COD 1000 967 97 90-110
Fecal N/A N/A N/A N/A
TSS 94.2 96.0 102 82.4-118
pH 10.0 10.0 100 90-110
OIL& GREASE 40.0 35.9 90 78-114
MS/MSD
Parameter True Value Recovery %Recovery % Limits% Limits%
mg/L mg/L Difference Recovery Difference
COD 50.0 , 45/43 100/96 4 80-120 <_20
Fecal N/A N/A N/A N/A N/A N/A
TSS N/A—— N/A N/A N/A N/A - N/A TT -
pH N/A N/A N/A N/A N/A N/A
OIL&GREASE 40.0 36.6 92 N/A 78-1 14 <18
DUPLICATE SAMPLES
Results
Parameter /L % Difference Limits %
mg
COD N/A NIA N/A < 10
Fecal >6000 >6000 0 <30
TSS 81.0 78.0 4 <_ 10
pH N A N/A N/A < 10
OIL&GREASE 54.4 60.9 11 < 18

Environmental Chemists, Inc.
env 1 z•o c h e m 6602 Windmill Way,Wilmington,NC 28405 . 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS info®environmentalchemists.com
BLANK
Parameter Results Limit
mg/L mg/L
COD l0 10
Fecal (Start Control) 0 0
TSS <2.5 2.5
pH N'A N A
OIL& GREASE <5.0 5.0
}`

Environmental Chemist, Inc., Wilmington, NC Lab#94 6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
1
client: 1 1 1tY SP{i 1 GI Date: 10\1 Z4 23 Report Number:_2023-7?A 35
Receipt of sample: ECHEM Pickup Client Delivery 0 UPS ❑ Fed Ex❑ Other CI
❑ YES 0 NO li N/A 1. Were custody seals present on the cooler?
.
❑ YES 0 NO O N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt 2 `C Corrected temperature upon receipt •C—
How temperature taken: 0 Temperature Blank ❑O Against Bottles
IR Gun ID:Thomas Traceable 5/N 210886869 IR Gun Correction Factor"C: 0.0 -
T i YES 0 NO 3. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
O YES ElNO 4. Were proper custody procedures(relinquished/received) followed? r
❑x YES ❑ NO 5. Were sample ID's listed on the COC?
g YES 0 NO 6. Were samples ID's listed on sample containers? -
il YES 0 NO 7. Were collection date and time listed on the COC?
I7 YES 0 NO 8. Were tests to be performed listed on the COC?
Cl YES �❑ NO 9. Did samples arrive in proper containers for each test?
© YE5 ❑ NO 10. Did samples arrive in good condition for each test?
I J YES 0 NO 11. Was adequate sample volume available?'
g YES 0 NO 12. Were samples received within proper holding time for requested tests?
YES 0 NO 13. Were acid preserved samples received at a pH of<2? *
❑ YES 0 NO 14, Were cyanide samples received at a pH>12?
❑ YES 0 NO 15. Were sulfide samples received at a pH >9?
❑ YES 0 NO 16. Were NH3/TKN/Phenol received at a chlorine residual of<0.5 m/L? **
❑ YES ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of<0.5 m/L?
❑ YES 0 NO 18. Were orthophosphate samples filtered in the field within 15 minutes?
* 7OC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s)incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding(circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note:Notify customer service Immediately for incorrectly preserved samples.Obtain a new sample or
notify the state lab if directed to analyzed by the customer.Who was notified,date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC.QA.002 Rev 1

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