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HomeMy WebLinkAbout#198 - 12 - 2011 - FINALl To be attached to all inspection reports in-house only. Laboratory Cert. #: 198 Laboratory Name: Blue Ridge Paper Products Inc. dba Evergreen Packaging Inspection Type: Municipal Maintenance Inspector Name(s): Inspection Date: Date Report Completed: Date Forwarded to Reviewer: Reviewed by: Date Review Completed: Jason Smith December 8 & 9, 2011 February 1, 2012 February 1, 2012 Todd Crawford February 1, 2012 Cover Letter to use: _ Insp. Initial Insp. Reg. _ Insp. No Finding e Insp. CP X Corrected Unit Supervisor: Date Received: Date Forwarded to Linda: Date Mailed: Gary Francies February 1, 2012 2/28/2012 � as � ink NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor 198 Mr. John Pryately Blue Ridge Paper Products Inc. dba Evergreen Packaging PO Box 4000 Canton, NC 28716 Charles Wakild, P. E. Director February 28, 2012 Dee Freeman Secretary SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Prately: Enclosed is a report for the inspection performed on December 8 and 9, 2012 by Jason Smith. Since the finding(s) cited during the inspection were all corrected prior to the completion of the enclosed report, a response is not required. The staff is commended for taking the initiative in correcting the findings in such a timely manner. 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 electronic mail, or if you have questions or need additional information please contact me at 828-296-4677. Sincerely, COY 1-'4� Gary Francies Certification Unit Supervisor Laboratory Section CC: Master File DENR DWO Laboratory Section NC 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: 919-733-39081FAX: 919-733-6241 Internet: www.dwglab.org One NofthCarolina Naturally , An Equal Opportunity\Affirmative Action Employer LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: I`11111 ZOI11� O CeP► Blue Ridge Paper Products Inc. dba Evergreen Packaging NC0000272 PO Box 4000 Canton, NC 28716 198 December 8 and 9, 2011 Industrial Maintenance Jason Smith John Pryately This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. The laboratory was well organized and has all the equipment necessary to perform the analyses. The benchsheets are very well designed to present all of the data in a well organized and easy to follow format. The staff does a good job of managing analyses performed on different shifts and at multiple sampling locations (i.e., seven stream sampling points in addition to the treatment plant sampling). The laboratory expressed an interest in obtaining certification for Biochemical Oxygen Demand by Luminescence Dissolved Oxygen (LDO). Since this is a different technology than the membrane electrode, an acceptable Proficiency T esting result performed with the LDO meter must be submitted prior to obtaining certification. Documentation Recommendation: It was recommended that the laboratory document the time of receipt of river samples. An email dated December 29, 2011 indicated that this recommendation has now been implemented. Comment: Temperature corrections were not posted on the meters and thermometers. North Carolina Wastewater/Groundwater Laboratory Certification Policy states in part: Also document any correction that applies (even if zero) on both the thermometer/meter and on a separate sheet to be filed. Notification of acceptable corrective action (i.e., the temperature corrections are now posted on all meters and thermometers) was received by email on December 29, 2011. No further response is necessary for this finding. Page 2 #198 Blue Ridge Paper Products Inc. dba Evergreen Packaging Comment: The system of traceability needed improvements. The reagent preparation procedures were not clearly documented and the date that items were put into use was not documented. North Carolina Wastewater/Groundwater laboratory Policy states: All chemicals, reagents, standards and consumables used by the laboratory must have the following information documented: Date received, Date Opened (in use), Vendor, Lot Number, and Expiration Date (where specified). A system (e.g., traceable identifiers) must be in place that links standard/reagent preparation information to analytical batches in which the solutions are used. Documentation of solution preparation must include the analyst's initials, date of preparation, the volume or weight of standard(s) used, the solvent and final volume of the solution. This information as well as the vendor and/or manufacturer, lot number, and expiration date must be retained for primary standards, chemicals, reagents, and materials used for a period of five years. Consumable materials such as pH buffers, lots of pre -made standards and/or media, solids and bacteria filters, etc. are included in this requirement. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., all of the required changes that were discussed during the inspection were made) was received by email on December 29, 2011. No further response is necessary for this finding. Quality Control Comment: The bottle top dispensers have not been calibrated. North Carolina Wastewater/Groundwater Laboratory Certification Policy states: Mechanical volumetric liquid -dispensing devices (e.g., fixed and adjustable auto-pipettors, bottle -top dispensers, etc.) must be calibrated at least twice per year, approximately six months apart. Each liquid -dispensing device must meet the manufacturer's statement of accuracy. For variable volume devices used at more than one setting, check the accuracy at the maximum, middle and minimum values. Testing at more than three volumes is optional. When a device capable of variable settings is dedicated to dispense a single specific volume, calibration is required at that setting only. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., the bottle top dispensers were calibrated on January 4, 2012 and will be calibrated at the required interval in the future) was received by email on December 29, 2011. No further response is necessary for this finding. Recommendation: It was recommended that the calibration times of the pH, Dissolved Oxygen (DO), and Conductivity meters be documented. An email dated December 29, 2011 indicated that this recommendation has now been implemented. Comment: The collection and analysis times were not clearly documented. Only "time" was recorded with no indication that sample analysis was performed immediately. The North Carolina Administrative Code, 15A NCAC 2H .0805 (a) (7) (M) states: A record of date collected, time collected, sample collector, and use of proper preservatives must be maintained. Each sample must clearly indicate the State of North Carolina collection site on all record transcriptions. The North Carolina Wastewater/Groundwater Laboratory Certification memorandum dated June 20, 2007 titled "Required Documentation for Sampling Preservation and Hold Time" states: The time elapsed between sampling and analysis must be documented to determine if hold times are met. Notification of acceptable corrective action (i.e., the benchsheet was updated to collection/analysis time) was received by letter on January 30, 2012. No further response is necessary for this finding. Conductivity — Standard Methods, 201h Edition, 2510 B Comment: Units of measure for conductivity were not documented properly. The North Carolina Administrative Code, 15A NCAC 2H .0805 (a) (7) (H) states: All laboratories must use printed laboratory bench worksheets that include a space to enter the signature or initials of the analyst, date of analyses, sample identification, volume of sample analyzed, value from the measurement system, factor and final Page 3 #198 Blue Ridge Paper Products Inc. dba Evergreen Packaging value to be reported and each item must be recorded each time samples are analyzed. The date and time BOD and coliform samples are removed from the incubator must be included on the laboratory worksheet. Demonstration of acceptable corrective action (i.e., submission of benchsheets with proper units of measure documented) was received by email on December 29, 2011. No further response is necessary for this finding. Comment: The Automatic Temperature Compensator (ATC) verification was not performed properly. The lowest temperature verified (8 °C) did not bracket the temperatures of the samples and the obtained values of the standard at each temperature were not documented. North Carolina Wastewater/ Groundwater Laboratory Certification Policy states: The internal ATC must be verified every 12 months and the process documented. The ATC must be verified by analyzing a standard at 25°C (the temperature that conductivity values are compensated to) and a temperature(s) that brackets the temperature ranges of the samples to be analyzed. As the temperature increases or decreases, the value of the conductivity standard must be within ± 10% of the true value of the standard. Demonstration of acceptable corrective action (i.e., verification down to 2 °C and recording the obtained values of the standard) was performed at the time of the inspection. No further response is necessary for this finding. Comment: The check standard analyzed was not always within ± 0.1 SU. A two point calibration is performed, followed by analyzing two check standards, the 7 SU buffer and one buffer outside of the calibration range (either 4 or 10 SU depending on the calibration). The check buffer outside of the calibration range was occasionally unacceptable, but the 7 SU buffer was the only one that was evaluated. Standard Methods, 20th Edition, 4500 H+ B. (2) and (4) (a) state: For routine work, use a pH meter accurate and reproducible to 0.1 pH units with a range of 0 to 14 and equipped with a temperature compensation adjustment. The meter must be calibrated with at least two buffers that bracket the range of the samples to be analyzed. After calibration, analyze a third buffer below pH 10, approximately three pH units different from the second. The reading should be within 0.1 units of true value. If the meter response shows a difference greater than 0.1 pH unit from expected value, look for trouble with the electrodes or potentiometer. Notification of acceptable corrective action (i.e., 6 and 8 SU buffers, which provide acceptable results due to being closer to the calibration points while still bracketing the sample results, were put into use on February 1, 2012 and all check standards will be evaluated for acceptance) was received by email on December 29, 2011 and by a letter received on January 30, 2012. No further response is necessary for this finding. C�:7:CTifl � [a_E►� �►�i C:�t iT.T.lFF�ft? Comment: The laboratory was not reporting all of the data for the effluent color samples. The North Carolina Administrative Code, 15A NCAC 02B .0506 (3) (J) states: "The results of all tests on the characteristics of the effluent, including but not limited to NPDES Permit Monitoring Requirements, shall be reported on monthly report forms." The samples were analyzed in duplicate and averaged during each of two shifts and the lowest obtained averaged value was reported. The laboratory did this believing that the differences in the results were due to turbidity interference caused by colloidal solids. The colloidal solids are sometimes visible in the first analyses and then disappear during refrigeration prior to the second analysis. At other times the colloidal solids are not visible until the sample is stored in the refrigerator prior to the second analysis. The method states that "even a slight turbidity causes the measured color to be noticeably higher than the true color." For most samples, the method required filtration with a 0.8 micron filter is sufficient to remove turbidity. After consulting with both EPA Region IV and National Council for Air and Stream Improvement (NCASI), it appears the colloidal solids may be an interference in obtaining the true color concentration. The laboratory is currently compiling data to demonstrate the effect of the colloidal solids and turbidity on the color concentration of the sample. A meeting will be scheduled in March 2012 to evaluate the data and discuss possible method modifications. Page 4 #198 Blue Ridge Paper Products Inc. dba Evergreen Packaging To ensure Clean Water Act compliance the laboratory may need to request approval for any proposed method modification from EPA Region IV. Until this issue is resolved, the laboratory will average all effluent color results for reporting on the Discharge Monitoring Report in order to comply with the above cited Rule. Comment: For stream samples, the Calibration Verification Standard (CVS) analyzed at the end of the sample group was not mid -range (100 color units for a curve that goes up to 500 color units). North Carolina Wastewater/Groundwater Laboratory Certification Policy based upon Standard Methods, 20th Edition, 1020 B. (10) (c), 3020 B. (2) (b), and 4020 B. (2) states: The calibration blank and CVS (mid- range) must be analyzed initially (i.e., prior to sample analysis), after every tenth sample and at the end of each sample group to check for carry over and calibration drift. If either fall outside established quality control acceptance criteria, corrective action must be taken (e.g., repeating sample determinations since the last acceptable calibration -verification, repeating the initial calibration, etc.). This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., the concentration of the CVS at the end of stream sample groups has been changed to 250 color units) was received by email on December 29, 2011. No further response is necessary for this finding. Comment: For effluent samples, a blank and CVS were not analyzed at the end of the sample group. North Carolina Wastewater/ Groundwater Laboratory Certification Policy based upon Standard Methods, 201h Edition, 1020 B. (10) (c), 3020 B. (2) (b), and 4020 B. (2) states: The calibration blank and CVS (mid- range) must be analyzed initially (i.e., prior to sample analysis), after every tenth sample and at the end of each sample group to check for carry over and calibration drift. If either fall outside established quality control acceptance criteria, corrective action must be taken (e.g., repeating sample determinations since the last acceptable calibration verification, repeating the initial calibration, etc.). This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a blank and CVS are now analyzed at the end of each effluent sample group) was received by email on December 29, 2011. No further response is necessary for this finding. Recommendation: The laboratory was using a blank acceptance criterion that was more restrictive than required by the method. It was recommended that the laboratory use the method defined criterion of a weight change of less than 4% of the filter's initial weight or 0.5 mg, whichever is less. An email dated December 29, 2011 indicated that this recommendation has now been implemented. Comment: Filters were not weighed to a constant weight after initial washing nor was a dry filter blank analyzed with each set of samples. North Carolina Wastewater/Groundwater Laboratory Certification Policy based upon Standard Methods, 20th Edition, 2540 D. (3) (a) states: If pre -prepared filters are not used, the method requires that filters must be weighed to a constant weight after washing. Repeat cycle of drying, cooling, desiccating, and weighing until a constant weight is obtained or until weight change is less than 4% of the previous weighing or 0.5 mg, whichever is less. In lieu of this process, it is acceptable to analyze a single daily dry filter blank to fulfill the method requirement of drying all filters to a constant weight prior to analysis. This is performed by washing all filters as required by the method, then drying and desiccating them. The process of repeatedly heating, cooling, desiccating, and weighing until a constant weight is documented is not required. Instead, a single dry blank filter (i.e., no additional rinsing during the analysis) is analyzed. The acceptance criterion for the blank is a weight change of less than 4% of the filter's initial weight or 0.5 mg, whichever is less. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a dry filter blank is analyzed with each sample group) was received by email on December 29, 2011. No further response is necessary for this finding. In Page 5 #198 Blue Ridge Paper Products Inc. dba Evergreen Packaging Ammonia Nitrogen — Standard Methods, 201h Edition, 4500 NH3 D Comment: The laboratory was not performing matrix spike analyses. North Carolina Wastewater/ Groundwater Laboratory Certification Policy states in part: Unless the referenced method states a greater frequency, spike 5% of samples on a monthly basis. Laboratories analyzing less than 20 samples per month must analyze at least one matrix spike each month samples are analyzed. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., an amendment to drop certification for Ammonia) was received on January 30, 2012. This change was made effective February 1, 2012 and the laboratory will be sending Ammonia samples to their contract lab for analysis. No further response is necessary for this finding. Recommendation: The laboratory was checking for drift by documenting the percent saturation of the probe in a partially filled bottle. During the inspection, it was recommended that the drift check be performed by analyzing the Dissolved Oxygen of a full bottle of dilution water. An email dated December 29, 2011 indicated that this recommendation has now been implemented. Comment: The laboratory elevated the reporting limit when samples did not meet the 2.0 mg/L Dissolved Oxygen depletion requirement. The Sample Calculations and Reporting document states: North Carolina Wastewater/Groundwater Laboratory Certification Policy prohibits raising the (PQL) reporting limit because the "use 2 rule" was not met. Instead the value obtained is reported and flagged. This policy is designed to prevent labs from artificially raising the PQL by setting "too low" dilutions and not demonstrating permit compliance. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., the results will be reported down to 2.0 mg/L and samples that do not deplete 2 mg/L of DO will be flagged) was received by email on December 29, 2011. No further response is necessary for this finding. The paper trail consisted of comparing laboratory benchsheets, field testing records, and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Q 6Aality. vats ° ere re°�ieV9°ed for all Salriiple locations for OViober, 2011 NV trans V1 1ptlon errors avers detected. The facility appears to be doing a good job of accurately transcribing data. All findings noted during the inspection were adequately addressed prior to the completion of this report. The inspector would like to thank the staff for its assistance during the inspection and data review process. No response is required. Report prepared by: Jason Smith Report reviewed by: Todd Crawford Date: February 1, 2012 Date: February 1, 2012