#5309_2016_0816_NJ_FINAL

INSPECTION REPORT ROUTING SHEET
To be attached to all inspection reports in-house only.
Laboratory Cert. #:
Laboratory Name:
Inspection Type:
Inspector Name(s):
Inspection Date:
Date Report Completed:
Date Forwarded to Reviewer:
Date Review Completed:
Cover Letter to use:
Unit Supervisor/Chemist III:
Date Received:
Date Forwarded to Admin.:
Special Mailing Instructions:
5309
Maury Sanitary Land District
Field Municipal Maintenance
Nick Jones
August 16, 2016
August 26, 2016
August 29, 2016
August 30, 2016
❑Insp. Initial ❑Insp. No Finding
MCorrected ❑Insp. Reg
Ins . CP ❑Insp. Reg. Delay
Todd Crawford
August 30, 2016
September 7. 2016
September 12, 2016

Water Resources
ENVMONMENTAL QUALITY
September 8, 2016
5309
Mr. James Kuipers
Maury Sanitary Land District
PO Box 98
Maury, NC 28554
PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
iir�o'rir
SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC)
Maintenance Inspection
Dear Mr. Kuipers:
Enclosed is a report for the inspection performed on August 16, 2016 by Nick Jones. 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 (919) 733-
3908 ext. 251.
Sincerely,
D e 1�w
Todd Crawford
Technical Assistance & Compliance Specialist
NC WW/GW Laboratory Certification Branch
Attachment
cc: Dana Satterwhite, Nick Jones, Master File #5309

LABORATORY NAME: Maury Sanitary Land District
NPDES PERMIT #: NC0061492
ADDRESS: 3406 NC 903 N
Maury, NC 28554
CERTIFICATE #: 5309
DATE OF INSPECTION: August 16, 2016
TYPE OF INSPECTION: Field Municipal Maintenance
LOCAL PERSON(S) CONTACTED:
I. INTRODUCTION:
James Kuipers
This laboratory was inspected by a representative 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. Benchsheets are well designed, easy
to follow and concise. Records are well organized and easy to retrieve. Staff was forthcoming and
proactive to adopt necessary changes.
All required Proficiency Testing (PT) samples have been analyzed for the 2016 PT calendar year and the
graded results were 100% acceptable.
Contracted analyses are performed by Environment 1, Inc. (Certification # 10).
Current Quality Assurance Policies for Field Laboratories and Approved Procedure documents for the
analysis of the facility's currently certified methods were provided at the time of the inspection.
III. FINDINGS REQUIREMENTS COMMENTS AND RECOMMENDATIONS:
Quality Control
Comment: The laboratory needed to increase the documentation of purchased materials and reagents.
The NC WW/GW LC Quality Assurance Policies for Field Laboratories document states: All chemicals,
reagents, standards and consumables used by the laboratory must have the followina information
documented: Date Received, Date Opened (in use), Vendor, Lot Number, and Expiration Date. 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 chemicals, reagents, standards and consumables used for a period of five years.

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#5309 Maury Sanitary Land District
Consumable materials such as pH buffers and lots of pre -made standards are included in this requirement.
Acceptable corrective action (i.e., documenting purchased materials and reagents on the traceability log
provided by the inspector) was performed by the laboratory and approved by the auditor during the
inspection. No further response is necessary for this Finding.
Proficiency Testing
Comment: The laboratory was not documenting Proficiency Testing samples in the same manner as
environmental samples. The Proficiency Testing Requirements, February 20, 2012, Revision 1.2.
document states: All PT sample analyses must be recorded in the daily analysis records as for any
environmental sample. This serves as the permanent laboratory record. Acceptable corrective action (i.e. a
written statement that from now on the laboratory will document Proficiency Testing samples in the same
manner as compliance samples) was signed and dated by the laboratory and approved by the auditor
during the inspection. No further response is necessary for this Finding.
Comment: The benchsheets for Total Residual Chlorine did not document pertinent data: meter
calibration time. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine
document states: The following must be documented in indelible ink whenever sample analysis is
performed: Meter Calibration Time. Acceptable corrective action (i.e., benchsheets were updated to
include meter calibration time) was performed by the laboratory and approved by the auditor during the
inspection. No further response is necessary for this Finding.
IV. PAPER TRAIL INVESTIGATION:
The paper trail consisted of comparing original records (e.g., laboratory benchsheets, logbooks, etc.)
and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina
Division of Water Resources. Data were reviewed for Maury Sanitary Land District (NPDES permit #
NC0061492) for April, May and June 2016. No transcription errors were detected. The facility appears
to be doing a good job of accurately transcribing data.
V. CONCLUSIONS:
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: Nick Jones Date: August 26, 2016
Report reviewed by: Beth Swanson Date: August 29, 2016