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Home My WebLink AboutNCG060182_Monitoring Report_202108268/23/2021 Submission Completed . suv"?^��y�'yyl >.�'J-..�. '.. Stormwater NPDES NOPIH CAFOLINA (DMR) Upload O,Hiem,enfalQmluy Permit and Facility Information: Permit Data Monitoring Report IMPORTANT. Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic upload. Fields marked with a red asterisk are required. Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's) NCG060182 Must begin with NCS or NCG Facility Name:* Pilgrim's Pride Corporation, Marshville Processing Plant County:* Union After uploading here, the original signed hardcopy must be mailed to: DEQ Mooresville Regional Office Attn: DEMLR Stormwater Program 610 East Center Avenue Suite 301 Mooresville, NC 28115 Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville Monitoring Period Information: Monitoring Period What is the YEAR of the sample date(s)? Year:* 2021 Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different years with a new submittal form. https:lfedocs.deq.nc.gov/Forms/Form/Submit 1/2 8/23/2021 Submission Completed Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically requested by DEQ staff. Only upload the completed and signed DMR forms. DMR Upload * Click the upload button or drag and drop files here to attach document. Signed August 2021 SW DMR.pdf 229.47KB Only PDFs are accepted. Comments: For your review and approval. * d By checking the box and signing box below, I certify that: o I have given true, accurate, and complete information on this form; o I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same way as a written signature; AND • I intend to electronically sign and submit this DMR upload form. Full Name:* Yin-Pong George Chang Name of person submitting this form Email Address: * yin-pong.chang@pilgrims.com Phone Number: * 7046244317 Signature: * Date: * 08/23/2021 https://edocs.deq.nc.gov/Forms/Fomi/Submit 2/2 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 DEMUR Regional Office. Certificate of Coverage No. 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: H Yes ❑ No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions for any benchmark exceedances? N Yes ❑ No If so, which Tier (I, II, or III)? III 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 08/03/2021 46529 24-Hour Rainfall in inches 0.2 00556 Oil & Grease in mg/L (30) < 5.0 F C0530 TSS in mg/L (100 or 50') 43.3s' 00400 pH in standard units (6.0-9.0) 6.4 EN �a"�yg�°` 31616 Fecal Coliform per 100 ml of O S�ye e freshwater(1000) Enterococci per 100 ml of saltwater 61211 (500) 00340 Chemical Oxygen Demand in mg/L 5p (120) JO 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/DO/YYYY 00552 Non -Polar Oil & Grease in mg/L (15) New Motor/Hydraulic Oil Usage in NCOIL gal/month Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), 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." Signature of Permittee or Delegated Apthorized Individual Y-.z 3 -2 I Date envirochem ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 29405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 253-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info(a environmentalchemists.com Pilgrim's Pride-Marshville Date of Report: Aug 16. 2021 5901 West Marshville Blvd. Customer PO #: Marshville NC 28103 Customer ID: 17040005 Attention: George Chang, PE Report #: 2021-13062 Project ID: Marshville Storm Water Lab ID Sample ID: Collect DatelTime Matrix Sampled by 21-32676 Site: Outfall #1 8/3/2021 9:05 AM Water Yin-Pong Chang Test Method Oil & Grease (O&G) EPA 104 Rev. B Residue Suspended (TSS) SM 2540 D-2016 pH SM 4500 H 8-2011 COD SM 5220 D-2011 Fecal Coliform SM 9222 D-2015 MF Comment: Revised to add pH result. Reviewed by: t=-Z� � 0 C, Results Date Analyzed <S.Omg/L 08/11/2021 43.3 mg/L 08/03/2021 6.4 units 08/05/2021 58 mg/L 08/06/2021 <10 Colonies/100mL 08/03/2021 Report # 2021-13062 -- --y -- - Page 1 of 1 Eenvftrochem ANALYTICAL 8 CONSULTING CHEMISTS LCS Environmental Chemists, Inc. 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 info(a ,environmentalchemists.com Pilgrim's QC - 2021-13062 Parameter True Value M911L Result m9L %True Value Limits % COD 1000 999 100 90-110 Fecal NA N/A N.'A NIA TSS 95.3 92.0 96 82.4-118 OIL & GREASE 40.0 31.5 79 78-114 MS/MSD Parameter True Value mg1L Recovery mg.L %Recovery % Difference Limits % Recovery Limits % Difference COD 50.0 52 51 104,102 2 80-120 <20 Fecal N/A NA N'A N/A NA N/A TSS N/A N.!A NA NA NA N/A OIL & GREASE 40.0 40.1 100 NA 78-114 < 18 DUPLICATE SAMPLES Parameter ResultsL g %Difference Limits COD N/A N/A N/A < 10 Fecal 35 30 15 530 TSS 44.0 45.0 2 < 10 OIL & GREASE N/A N/A N/A N/A E rochem ANALYTICAL & CONSULTING CHEMISTS BLANK Environmental Chemists, Inc. 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 infora environmentalchemists.com Parameter Results mg,L Limit mg, L COD < 10 10 Fecal (Start Control) 0 0 TSS <z.s 2.5 OIL & GREASE <5.0 5 Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910.392.0223 Sample Receipt Checklist Aientrlk-QM5 FILIjIE ^ Date: $L-3/�I_ Report Number: �J — I• (�a, t r NV Clu.., 17 Receipt of sample: ECHEM Pickup Client Delivery ❑ 1UPS ❑ FedEx ❑ Other ❑ ❑ YES 10 NO IX N/A 11. Were custody seals present on the cooler? ❑ YES 10 NO N/A 2. If custody seals were present, were they intact/unbroken? Original temperature upon receipt 0. X C Corrected temperature upon receipt °C How temperature taken: ❑ Temperature Blank W Against Bottles IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor'C: 0.0 J.P YES 10 NO 3. If temperature of cooler exceeded 6*C, was Project Mgr./QA notified? YES 10 NO 4. Were proper custody procedures (relinquished/received) followed? 14 YES 10 NO S. Were sample ID's listed on the COC? 11 YES 10 NO 6. Were samples ID's listed on sample containers? YES JEJ NO 7. Were collection date and time listed on the COC? YES ❑ NO 8. Were tests to be performed listed on the COC? YES ❑ I[] NO 9. Did samples arrive in proper containers for each test? YES ❑ NO 10. Did samples arrive in good condition for each test? YES YES ❑ NO NO 11. 112. Was adequate sample volume available?' Were samples received within proper holding time for requested tests? YES ❑ NO 113. Were acid preserved samples received at a pH of <2? YES ❑ NO 114. Were cyanide samples received at a pH >12? ❑ YES ❑ NO 15. Were sulfide samples received at a pH >97 ❑ YES ❑ NO 116. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 ni ❑ YES ❑ NO 117. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L? ❑ YES 10 NO 118. Were orthophosphate samples filtered in the field within 15 minutes? * TOC/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) Samples) were received incorrectly preserved and were adjusted accordingly by adding (circle one): HzSO, HNO3 HCI NaOH Time of preservation: If more than one preservative is needed, notate in comments below Note: No: fy custome• 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: were COMMENTS: DOC. QA.002 Rev 1 Analytical 8 Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: OILS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910-392-0223 FAX 910-392-4424 info@environmentatchemists.com Client: Pilgrim's Pride Corporation PROJECT NAME: Marshville wate kym REPORT NO: a ADDRESS: 5901 West Marshville Blvd. CONTACT NAME: George Chang PO NO: Marshville, NC28103 REPORT TO: PHON EIFAX: 704.624.4317 COPY TO: email: yin-pong.chang@pilgrims.com Sampled By: L �, /�, SAMPLE TYPE: I = Influent, E = Effluent, W = Well. ST = Stream. SO = Soil. SL = Sludge. Other: Sample Identification Coll lion r °i E a m q n `o r m :° oo u a a E m 00 PRESERVATION ANALYSIS REQUESTED Date Time Temp w i i a W o Mr uaz/ r Scr t^ ,cam 3/u� q+cc C P X X TSS, Gl Ouf ill 1 xx `&D eLl G G P G G X Oil and Grease (1/month) G pH(field): P X spolb i G G C P G G C P G G C P G G C P G G Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. Temperature when^ Received: Jt g— Accepted: Delivered By: V VV 1 ) h Received By: ('nmmnnfm TURNAROUND: