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#5268_2018_0308_TH_FINAL
IIin•9ux 1[�L� 7 �Zi] ii:Zl1111k[e161m l To be attached to all inspection reports in-house only. Laboratory Cert. #: 5268 Laboratory Name: Town of Hookerton Inspection Type: Field Municipal Maintenance Inspector Name(s): Tom Halvosa and Todd Crawford Inspection Date: March 8, 2018 Date Forwarded for Initial Review: March 22, 2018 Initial Review by: Tonja Springer Date Initial Review Completed: March 27, 2018 Cover Letter to use: ❑ Insp. Initial ❑Insp. No Finding ❑Corrected ® Insp. Reg ❑Insp. CP ❑Insp. Reg. Delay Unit Supervisor/Chemist III: Todd Crawford Date Received: March 27, 2018 Date Forwarded to Admin.: March 29, 2018 Date Mailed: April 2, 2018 Special Mailing Instructions: Water Resources [-:T4V1R0NM,LNTA.L QUALITY April 2, 2018 5268 Mr. Tyler Shirley Town of Hookerton P.O. Box 296 Hookerton, NC 28538 ROY COOPER MICHEAL S. REGAN LINDA CULPEPPER Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Shirley: Enclosed is a report for the inspection performed on March 8, 2018 by Tom Halvosa. 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. Please describe the steps taken to prevent recurrence and include an implementation date for each corrective action. 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 21-1.0800. A copy of the laboratory's Certified Parameter List at the time of the audit is attached. This list will reflect any changes made during the audit. 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 me at (828) 296-4677. Sincerely, Todd Crawford Technical Assistance & Compliance Specialist NC WW/GW Laboratory Certification Branch Attachment cc: Dana Satterwhite, Tom Halvosa Water Sciences 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 Phone; 919-733-3906 i FAX: 919-733-6241 Internet.http:ildeq.nc.goviabouUdivisions/water•resources/water-resources•datalwater-sciences-home•oageflaboratoryicertification-branch LABORATORY NAME: Town of Hookerton NPDES PERMIT #: NC0025712 ADDRESS: 303 E. Main Street Hookerton, NC 28538 CERTIFICATE #: 5268 DATE OF INSPECTION: March 8, 2018 TYPE OF INSPECTION: Field Municipal Maintenance AUDITOR(S): Tom Halvosa and Todd Crawford LOCAL PERSON(S) CONTACTED: Tyler Shirley INTRODUCTION: This laboratory was inspected by representatives of the North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) program to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. II. GENERAL COMMENTS: The facility has all the equipment necessary to perform the analyses. Staff were forthcoming and seemed eager to adopt necessary changes. All required Proficiency Testing (PT) Samples for the 2018 PT Calendar Year have not yet been analyzed. The laboratory is reminded that results must be received by this office directly from the vendor by September 30, 2018. Contracted analyses are performed by Environmental Chemists Inc. (Certification # 94). Quality Assurance Policies for Field Laboratories and Approved Procedure documents for the analysis of the facility's currently certified Field Parameters were provided at the time of the inspection. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation A. Finding: Error corrections are not properly performed. Page 2 #5268 Town of Hookerton Requirement: All documentation errors must be corrected by drawing a single line through the error so that the original entry remains legible. Entries shall not be obliterated by erasures or markings. Wite-Out®, correction tape or similar products designed to obliterate documentation are not to be used. Write the correction adjacent to the error. The correction must be initialed by the responsible individual and the date of change documented. Ref: Quality Assurance Polices for Field Laboratories. D. Finding: The analyst is not always signing or initialing laboratory benchsheets. This is considered pertinent data. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: Collector's/analyst's name or initials. NC WW/GW LC Approved Procedure for the Analysis of pH. Requirement: Data pertinent to each analysis must be maintained for five years. Certified data must consist of date collected, time collected, samples site, sample collector, and sample analysis time. The field bench sheets must provide a space for the signature of the analyst, and proper units of measure for all analyses. Ref: 15A NCAC 2H .0805 (g) (1). C. Finding: Data qualifiers from the contract laboratory reports are not being transferred to the electronic Discharge Monitoring Report (eDMR). Requirement: When quality control (QC) failures occur, the laboratory must attempt to determine the source of the problem and must apply corrective action. Part of the corrective action is notification to the end user. If data qualifiers are used to qualify samples not meeting QC requirements, the data may not be useable for the intended purposes. It is the responsibility of the laboratory to provide the client or end -user of the data with sufficient information to determine the usability of the qualified data. Where applicable, a notation must be made on the Discharge Monitoring Report (DMR) form, in the comment section, when any required sample quality control does not meet specified criteria and another sample cannot be obtained. Ref: Quality Assurance Policies for Field Laboratories. Comment: The BOD qualifier (i.e., "GGA failed") was not transferred to the eDMR from the client report for October 12, 2017. Holding Time D. Finding: The holding time for pH analysis is sometimes exceeded. Requirement: Analyze within 15 minutes. Ref: Code of Federal Regulations, Title 40, Part 136; Federal Register Vol. 82, No. 165, August 28, 2017; Table 11. Comment: The holding time was exceeded for pH on March 6, 2017. There were numerous occasions where the holding times for both pH and Total Residual Chlorine (TRC) were at the 15-minute limit. Recommendation: It is recommended that the laboratory calibrate the pH meter before collecting the sample and to start documenting TRC analysis as the time the DPD reagent is added to the sample. Page 3 #5268 Town of Hookerton Proficiency Testing E. Finding: The laboratory is not documenting PT Sample analyses in the same manner as routine Compliance Samples. Requirement: All PT Sample analyses must be recorded in the daily analysis records as for any Compliance Sample. This serves as the permanent laboratory record. Ref: Proficiency Testing Requirements, May 31, 2017, Revision 2.0. Comment: The analysis of PT samples is designed to evaluate the entire process used to routinely report environmental analytical results; therefore, PT samples must be analyzed and the process documented in the same manner as Compliance Samples. F. Finding: The laboratory is not documenting the preparation of PT Samples. Requirement: PT Samples received as ampules are diluted according to the Accredited PT Sample Provider's instructions. It is important to remember to document the preparation of PT Samples in a traceable log or other traceable format. The diluted PT Sample then becomes a routine Compliance Sample and is added to a routine sample batch for analysis. No documentation is needed for whole volume PT Samples which require no preparation (e.g., pH), but it is recommended that the instructions be maintained. Ref: Proficiency Testing Requirements, May 31, 2017, Revision 2.0. Comment: Dating and initialing the instruction sheet for each prepared PT Sample would satisfy the documentation requirement. Total Residual Chlorine — Standard Methods, 4500 Cl G-2011 (Aqueous) G. Finding: The laboratory is not verifying the instrument's factory -set calibration curve every 12 months. Requirement: Zero the instrument with chlorine -free water and then analyze a reagent blank (i.e., reagent water plus buffer and DPD) and a series of five standards. The curve verification must bracket the range of the samples to be analyzed. This type of curve verification must be performed at least every 12 months. The values obtained must not vary by more than 10% of the known value for standard concentrations greater than or equal to 50 pg/L and must not vary by more than 25% of the known value for standard concentrations less than 50 pg/L. The reagent blank concentration must not exceed half the concentration of the lowest standard. The overall correlation coefficient of the curve must be >_0.995. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Comment: The factory -set calibration curve was last verified on October 31, 2016. H. Finding: Values less than the established reporting limit are being reported on the eDMR. Requirement: The concentrations of the calibration standards must bracket the concentrations of the samples analyzed. One of the standards must have a concentration equal to or below the lower reporting concentration for Total Residual Chlorine. The lower reporting limit must be less than or equal to the permit limit. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Page 4 #5268 Town of Hookerton Comment: The reporting limit established by the Annual Factory -set Standard Curve Verification on October 31, 2016 was 10 pg/L. Dissolved Oxygen — Standard Methods, 4500 O G-2011 (Aqueous) I. Finding: The laboratory is not performing a post -analysis calibration verification when analyses are performed at multiple sample sites. Requirement: When performing analyses at multiple sample sites, a post -analysis calibration verification must be performed at the end of the run, regardless of meter type. It is recommended that a mid -day calibration verification be performed when samples are analyzed over an extended period of time. The calculated Dissolved Oxygen (DO) value must verify the meter reading within ±0.5 mg/L. If the meter verification does not read within ±0.5 mg/L of the theoretical DO, corrective action must be taken. Alternatively, if the meter is calibrated at each sample site prior to analysis, a post -analysis calibration verification is not required. Ref: NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen. Recommendation: It is recommended that the laboratory perform a new calibration at each sampling site. pH — Standard Methods, 4500 H+ B-2011 (Aqueous) J. Finding: Values were reported that exceed the method specified accuracy of 0.1 units. Requirement: By careful use of a laboratory pH meter with good electrodes, a precision of ±0.02 unit and an accuracy of ±0.05 unit can be achieved. However, ± 0.1 pH unit represents the limit of accuracy under normal conditions, especially for measurement of water and poorly buffered solutions. For this reason, report pH values to the nearest 0.1 PH unit. Ref: Standard Methods, 4500 H+ B-2011. (6). Temperature — Standard Methods, SM 2550 B-2010 (Aqueous) K. Finding: The temperature sensor on the DO meter used to obtain reported temperature values has not been checked against a National Institute of Standards and Technology (NIST) traceable thermometer every 12 months. Requirement: All compliance temperature-measurinq devices without a valid NIST certificate must be checked initially and every 12 months against an NIST traceable temperature -measuring device and the process documented. Documentation must include the serial number of the device being checked. The serial number, stated accuracy and expiration date of the NIST traceable temperature -measuring device used in the comparison must also be documented. Verification data must be kept on file and be available for inspection for 5 years. (NOTE: Vendors or other Certified laboratories may provide assistance in meeting this requirement., When a vendor or other Certified laboratory provides this assistance, they must provide a copy of their NIST Certificate or the serial number, accuracy and calibration expiration date.) Ref: NC WW/GW LC Approved Procedure for the Analysis of Temperature. Comment: The annual NIST Traceable Thermometer/Meter Sensor (probe) Check was last performed on August 22, 2016. Page 5 #5268 Town of Hookerton IV. L. Finding: The thermometer calibration verification documentation did not include the stated accuracy or the expiration date of the NIST traceable temperature -measuring device that was used in the comparison. This is considered pertinent data. Requirement: Data pertinent to each analysis must be maintained for five years. Ref: 15A NCAC 2H .0805 (g) (1). Requirement: All compliance temperature -measuring devices without a valid NIST certificate must be checked initially and every 12 months against an NIST traceable temperature -measuring device and the process documented. Documentation must include the serial number of the device being checked. The serial number, stated accuracy and expiration date of the NISI traceable temperature -measuring device used in the comparison must also be documented. Verification data must be kept on file and be available for inspection for 5 years. (NOTE: Vendors or other Certified laboratories may provide assistance in meeting this requirement. When a vendor or other Certified laboratory provides this assistance, they must provide a copy of their NIST Certificate or the serial number, accuracy and calibration expiration date.) Ref: NC WW/GW LC Approved Procedure for the Analysis of Temperature. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing original records (e.g., laboratory benchsheets, logbooks, etc.) and contract lab reports to eDMRs submitted to the North Carolina Division of Water Resources. Data were reviewed for Town of Hookerton (NPDES permit #NC0025712) for January, June and October 2017. The following errors were noted: Value on Benchsheet Date Parameter Location Value on eDMR *Contract Lab Data 1/20/2017 Temperature Outfall 16.1 °C 15.6 °C 1/20/2017 DO Outfall 8.10 mg/L 7.50 mg/L 10/12/2017 NH3 Effluent *1.4 mg/L 0.04 mg/L To avoid questions of legality, it is recommended that you contact the appropriate Regional Office for guidance as to whether an amended eDMR(s) will be required. A copy of this report will be made available to the Regional Office. V. CONCLUSIONS: Correcting the above -cited Findings and implementing the Recommendations will help this laboratory 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 and include supporting documentation and implementation dates for each corrective action. Report prepared by: Tom Halvosa Report reviewed by: Tonja Springer Date: March 15, 2017 Date: March 26, 2018 E � � � E 2 a. $ t 3 \ \ ) \ § \ § ] 2 \ § / q { \ zz $ k = - o \ a ¢ z / } - £ 2 o - ± \ \ » k 7 P g$ _ R g 2 / ® ( ) cy <LU / ) / / \ \ ± © e 2 co � E \ g 6 j o T § I e CO § w J ®/ j 8 G) to ) § 2 j / o > > ± / m j \ } 2 \ § £ \ ui