NCG060182_2024 DMR_20241203

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 01 1 8 21 Person Collecting Samples: Yin-Pong George CHANG P E
Facility Name: Pilgrim's Pride Corporation,Marshville Processing Plant Laboratory Name: K&W Laboratones
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 for any 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 Parameter Outfall#1 Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class Salem Creek
N/A Date Sample Collected MM/DD/YYYY 11/14/2024
46529 24-Hour Rainfall in inches 0.73
00556 Oil&Grease in mg/L(30) <5.0
C0530 TSS in mg/L(100 or 50s) 3.7
00400 pH in standard units(6.0-9.0) 7.2
31616 Fecal Coliform per 100 ml of <1
freshwater(1000)
61211 Enterococci per 100 ml of saltwater
(500)
00340 Chemical Oxygen Demand in mg/L 32
(120)
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(15)
NCOIL New Motor/Hydraulic Oil Usage in
gal/month
" Outfalis to Outstanding Resource Waters(ORW), High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 'TIF;'L.All other water classifications have a benchmark of In0
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."
1.� :212
Signature of Permittee or Delegated Authoriz d Individual Date

ii. = K& W Laboratories Results Report
rioir
1121 Hwy 24/27 W
Midland,North Carolina 28107
Tel[phone] Fax[phone]
Client: Pilgrims Pride Corp. Date: 02-Dec-24
PO Box 668 Order ID: 24111412
Marshville,NC 28103
Project: Stormwater#001 Collect Date: 11/14/2024
Location: Outfall #001 Collect Time: 11:00:00 AM
REPORTING ANALYSIS
SAMPLE# PARAMETER RESULT UNITS METHOD UMIT DATE
24111412-01 COD 32 mg/L SM5220D 10 11/26/2024
24111412-01 Fecal Coliform <1 colony/100m1 SM92220(MF) 1 11/14/2024
24111412-01 Oil&Grease <5 0 mg/L EPA1664B 5.0 11/26/2024
24111412-01 TSS 3.7 mg/L SM2540D 2 6 11/14/2024
�;
NC Certification: 559 SC Certification: 99051
Certified By G.#•,4 sMC
G.Kraska/Lab Director

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