Loading...
HomeMy WebLinkAbout#171_06_2012_FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 171 Laboratory Name: Domtar Paper Company, LLC. Inspection Type: Industrial Maintenance Inspector Name(s): Nick Jones, Gary Francies Inspection Date: 6/12/2012 Date Report Completed: 7/13/2012 Date Forwarded to Reviewer: 7/13/2012 Reviewed by: Jason Smith Date Review Completed: 7/19/12 Cover Letter to use: _ Insp. Initial X Insp. Reg. _ Insp. No Finding _ Unit Supervisor: Date Received: Date Forwarded to Linda: Date Mailed: Gary Francies 7/23/2012 8/2/2012 %�L, I c�_ Insp. CP _ Corrected s aE 41 North# Department of ! and Natural Resources Beverly Eaves Perdue Governor 171 Mr. Alan Barnes Domtar Paper Company, LLC. P.O. Box 747 Plymouth, NC 27962 Division of Water Quality Charles Wakild, P. E. Director August 2, 2012 Dee Freeman Secretary Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Barnes: Enclosed is a report for the inspection performed on June 16, 2012 by Nick Jones and myself. I apologize for the delay in getting this report to you. Where finding(s) are cited in this report, a response is required. Within thirty days of receipt, please supply this office with a written item for item description of how these finding(s) were corrected. If the finding(s) cited in the enclosed report are not corrected, enforcement actions may be recommended. For certification maintenance, your laboratory must continue to carry out the requirements set forth in 15A NCAC 2H .0800. Copies of the checklists completed during the inspection may be requested from this office. Thank you for your cooperation during the inspection. If you wish to obtain an electronic copy of this report by email or if you have questions or need additional information, please contact us at 828-296-4677. Sincerely, G ci� Gary Francies Certification Unit Supervisor Laboratory Section Enclosure cc: Washington Regional Office Nick Jones Master File DENR DWO Laboratory Section NO Wastewater/Groundwater Laboratory Certification Branch 1623 Mail Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445 Phone: 919-733-3908 \ FAX: 919-733-6241 Internet: www.dwglab.org NorthCar®Iin.a ;Vatumllff An Equal Opportunity \ Affirmative Action Employer LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: INTRODUCTION: On -Site Inspection Report Domtar Paper Company, LLC. NC0000680 P.O. Box 747 Plymouth, NC 27962 171 June 16, 2012 Industrial Maintenance Nick Jones and Gary Francies Alan Barnes This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. IL GENERAL COMMENTS: The lab was clean and well organized. All the equipment necessary to perform the certified analyses was present and appeared well maintained. The system for traceability of standard and reagent preparation is effective, thorough and easy to follow. Laboratory personnel communicate well with sample collectors and coordinate sample analyses effectively to manage workload and holding times. Proficiency Testing (PT) samples have been analyzed for all certified parameters for the 2012 PT calendar year and the graded results were acceptable except for Chemical Oxygen Demand (COD). The primary objective of the inspection was to respond to a request by the facility for technical assistance regarding COD analysis. The time remaining after the technical assistance was used to perform an abbreviated inspection. The abbreviated inspection consisted of reviewing the checklists completed by the facility for all certified parameters. Since the inspection, the facility has chosen to drop certification for COD and contract out that analysis. An updated certification attachment reflecting this change, effective June 5, 2012, was issued on June 16, 2012. The laboratory is reminded that any time changes are made to laboratory operations; the laboratory must update the Quality Assurance (QA)/Standard Operating Procedures (SOP) document(s). Any changes made in response to the Findings, Recommendations or Comments listed in this report must be incorporated to insure the method is being performed as stated, references to methods are accurate, and the QA and/or SOP document(s) is in agreement with approved practice and regulatory requirements. In some instances, the laboratory may need to create a SOP to document how new functions or policy will be implemented. On May 18, 2012, EPA promulgated changes to the list of Clean Water Act (CWA) methods at 40 CFR Part 136.3. This action, referred to as the Methods Update Rule (MUR) approves new methods, or Page 2 #171 Domtar Paper Company, LLC. changes to existing methods, that affects over 100 EPA methods, Standard Methods, ASTM methods, and other test procedures in Part 136 of Title 40 of the Code of Federal Regulations (CFR). The rule also contains a number of clarifications relating to approved methods, sample preservation and holding times, and method modifications. The final rule may be found at: http://water.epa.gov/scitech/methods/cwa/update index.cfm. The North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) program will be asking certified laboratories to move toward implementation of the new rule with changes fully implemented by the end of 2012. Each laboratory will need to review the MUR and evaluate its effect on current laboratory practices. These changes must be made in the laboratory's Standard Operating Procedures and in Quality Manuals, as well as any other place where the method is cited, e.g., reports, benchsheets, logs, etc. During this transition period, inspection reports will refer to the methods employed at the laboratory at the time of the inspection, but will reference the requirements in the most recently approved version of the method. Any difficulties encountered with meeting the requirements of these references by the date due may be addressed in the written corrective action response. Contracted analyses are performed by Environment 1, Inc. (Certification #10). The requirements associated with Findings A, B, C, F and G are new policies that have been implemented by our program since the last inspection or required due to the May 18, 2012 EPA Method Update Rule. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation A. Finding: The laboratory does not have a documented plan for PT procedures. Requirement: Each laboratory shall develop and maintain a document outlining the analytical quality control practices used for the parameters included in their certification. Supporting records shall be maintained as evidence that these practices are being effectively carried out. Ref: 15A NCAC 21-1.0805 (a) (7). Requirement: Laboratories must have a documented plan (this is usually detailed in the laboratory's Quality Assurance Manual) of how they intend to cover the applicable program requirements for proficiency testing per their scope of accreditation. This plan shall cover any commercially available proficiency testing and any inter -laboratory organized studies, as applicable. The laboratory must also be able to explain when proficiency testing is not possible for certain parameters and provide a description of what the laboratory is doing in lieu of proficiency testing. This shall be detailed in the plan. The plan must also address the laboratory's process for submission of proficiency testing results and related corrective action responses. Laboratory Standard Operating Procedures (SOPs) must address how low level samples will be analyzed, including concentration of the sample or adjustment of the normality of a titrant. These instructions shall be followed when the concentration of a PT sample falls below the range of their routine analytical method.. Instructions shall also be included in the laboratory's SOP for how high level samples will be analyzed, including preparation of multiple dilutions of the sample. These instructions will be followed when the concentration of a PT falls above the range of their routine analytical method. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. B. Finding: The laboratory is not documenting PT sample analyses in the same manner as environmental samples. Page 3 #171 Domtar Paper Company, LLC. Requirement: All PT sample analyses must be recorded in the daily analysis records as for any environmental sample. This serves as the permanent laboratory record. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. C. Finding: The preparation of PT samples is not documented. Requirement: PT samples received as ampules must be diluted according to the PT provider's instructions. The preparation of PT samples must be documented in a traceable log or other traceable format. The diluted PT sample becomes a routine environmental sample and is added to a routine sample batch for analysis. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. General Laboratory D. Finding: The analytical balance weights have not been verified against ASTM standard weights. Requirement: ASTM Class 1 and 2 weights must be verified at least every 5 years. ASTM Class 1 weights (20 g to 25 kg) and ASTM Class 2 weights (10 g to 1 mg) are equivalent to the NBS Class S weights specified in 15A NCAC 2H .0805 (a) (7) (K). Ref: North Carolina Wastewater/Groundwater Laboratory Certification Policy. See attachment for additional guidance. Residue, Suspended (TSS) — Standard Methods 2540D Comment: The facility performs a quarterly drying study to determine the minimum drying time needed. North Carolina allows for an annual drying study. E. Finding: No maximum filtration time has been observed or set for Total Suspended Solids (TSS). Requirement: If complete filtration takes more than 10 min, increase filter diameter or decrease sample volume. Ref: Standard Methods, 2540 D-1997 (3) (b). Biochemical Oxygen Demand (BOD) — Standard Methods 5210 B Recommendation: Analyzing a seeded blank is recommended to demonstrate proper analyst techniques and homogeneity of seeding material. The seeded blank should be within 0.2 mg/L of the calculated seed correction. However, it is not to be used to determine the seed correction value. F. Finding: The pH of BOD samples were not being adjusted according to the requirements of the approved method promulgated in the May 18, 2012 EPA Method Update Rule. Requirement: All samples — Check pH; if it is not between 6.0 and 8.0, adjust sample temperature to 20 + 3°C, then adjust pH to 7.0 to 7.2 using a solution of sulfuric acid (H2SO4) or sodium hydroxide (NaOH) of such strength that the quantity of reagent does not dilute the sample by more than 0.5%. Exceptions may be justified with natural waters when the BOD is to be measured at in -situ pH values. The pH of dilution water should not be affected by the lowest sample dilution. Always seed samples that have been pH adjusted. Ref: Standard Methods, 5210 B-2001. (4) (b) (1). G. Finding: Extra nutrient, mineral, and buffer solutions are not added to the Biochemical Oxygen Demand (BOD) bottles containing more than 67% (i.e., > 201 mL) sample. Page 4 #171 Domtar Paper Company, LLC. Requirement: When a bottle contains more than 67% of the sample after dilution, nutrients may be limited in the diluted sample and, subsequently, reduce biological activity. In such samples, add the nutrient, mineral, and buffer solutions (3a through e) directly to individual BOD bottles at a rate of 1 mL/L (0.33 mL/300-mL bottle) or use commercially -prepared solutions designed to dose the appropriate bottle size. Ref: Standard Methods, 5210 B-2001, (5) (c) (2). Comment: Dilution water prepared as normal with nutrient, mineral, and buffer solutions would still be used in the BOD bottles. For the bottles containing more than 67% sample, extra nutrient, mineral, and buffer solutions would be added in addition to the dilution water. Recommendation: Rather than pipetting 0.33 mL of each reagent into the BOD bottle, it is recommended that commercially prepared nutrient buffer pillows for 300 mL bottles be used. Chemical Oxygen Demand (COD) — Standard Methods 5220 C Comment: The facility was using mid -range (0-1500 ppm, Cat# 25651) Hach COD Mercury -free digestion vials. The low -range (0-150 ppm, Cat# 21258-25) Hach COD digestion vials, being an order of magnitude lower in concentration, would allow the facility to analyze samples more accurately within the range for which they are concerned. The facility was in possession of the low -range vials. It is believed that the unacceptable result obtained for the analysis of the PT sample was due to the decreased sensitivity caused by the use of the higher concentration potassium dichromate digestion vials. Also, according to the Code of Federal Regulations, Title 40, Part 136; Federal Register Vol. 72, No. 47, March 12, 2012, mercury -free COD vials are not approved for NPDES compliance monitoring by the EPA because of the possibility of chloride interference. The facility had not yet implemented the new matrix spiking policy for COD samples. No response is necessary for this finding. IV. PAPER TRAIL INVESTIGATION: No paper trail was performed. V. CONCLUSIONS: Correcting the above -cited findings and implementing the recommendation will help this lab to produce quality data and meet certification requirements. The inspector would like to thank the staff for its assistance during the inspection and data review process. Please respond to all findings. Report prepared by: Nick Jones Date: July 13, 2012 Report reviewed by: Jason Smith Date: July 19, 2012 Weight Verification (NC WW/GW LC Policy 05/23/2008) ASTM Class 1 and 2 weights must be verified at least every 5 years. ASTM Class 1 weights (20 g to 25 kg) and ASTM Class 2 weights (10 g to 1 mg) are equivalent to the NBS Class S weights specified in 15A NCAC 2H .0805 (a) (7) (K). Verification may be accomplished by: 1. Sending laboratory weights back to the manufacturer for recertification - reference weights shall be calibrated by a body that can provide traceability to ASTM specifications, or 2. Checking laboratory weights against certified reference weights (i.e., weights that have been recertified as above) and found to be within ASTM Class 1 or Class 2 tolerances (see table below) - often the balance service technician may provide this service. Note: Although some manufacturers will assign a one-year calibration due date, 5 years is considered an acceptable calibration interval due to the limited use of the reference weight set. Documentation of weight verifications or recertification must be maintained for 5 years. If the condition of a weight(s) is in question at any time due to damage (e.g., corrosion, nicks, scratching, etc.), the laboratory must have that weight(s) re -verified as described above. Maximum tolerances (Ref. ASTM E 617-97, 2003) Denomination Maximum tolerance for ASTM Class 1 and 2 weights, (± mg) 500 g 1.2 300 g 0.75 200 g 0.50 100 g 0.25 50 g 0.12 30 g 0.074 20 g 0.074 log 0.074 5 g 0.054 3 g 0.054 2 g 0.054 1 g 0.054 500 mg 0.025 300 mg 0.025 200 mg 0.025 100 mg 0.025 50 mg 0.014 30 mg 0.014 20 mg 0.014 10 mg 0.014 5 mg 0.014 3 mg 0.014 2 mg 0.014 1 mg 0.014