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HomeMy WebLinkAbout#5406_2016_0726_BS_FINALW a ter Resour-c es ENVIRONMENTAL QUALITY August 17, 2016 5406 Mr. Bergie Speaks Wilkes County Board of Education 613 Cherry Street N. Wilkesboro, NC 28659- PAT MCCRORY DONALD R. VAN DER VAART S. JAY ZIMMERMAN Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Speaks: Enclosed is a report for the inspection performed on July 26, 2016 by Beth Swanson and Gary Francies. 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 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 me at (828) 296-4677. Sincerely, Gary Francies, Technical Assistance/Compliance Specialist Division of Water Resources Attachment cc: Beth Swanson master file 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: Reviewed by: Date Review Completed: Cover Letter to use: Unit Supervisor/Chemist III: Date Received: Date Forwarded to Admin: Date Mailed: Special Mailing Instructions: 5406 Wilkes County Board of Education Field Maintenance Beth Swanson, Gary Francies Julv 26.2016 August 4, 2016 Auaust 4. 2016 Tonga Springer Auaust 12. 2016 ❑ Insp. Initial ® Insp.• Reg. ❑ Insp. No Finding ❑ Insp. CP ❑ Corrected ❑ Insp. Reg. Delay Gary Francies August 15, 2016 August 16, 2016 August 17, 2016 On -Site Inspection Report LABORATORY NAME: Wilkes County Board of Education NPDES PERMIT #: NC0046426, NC0038709, NC0075515, NCO046418 and NCO076066 ADDRESS: 211 School Bus Drive North Wilkesboro, NC 28656 CERTIFICATE #: 5406 DATE OF INSPECTION: July 26, 2016 TYPE OF INSPECTION: Field Maintenance AUDITOR(S): Beth Swanson and Gary Francies LOCAL PERSON(S) CONTACTED: Thomas Spicer I. INTRODUCTION: 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. IL GENERAL COMMENTS: The laboratory analyst was forthcoming and eager to address any issues that will help the facility meet Certification requirements. Records are well organized and easy to retrieve. All required Proficiency Testing (PT) samples have been analyzed for the 2016 PT calendar year and the graded results were 100% acceptable. Requirements that reference 15A NCAC 2H .0805 (g) (1), stating "Data pertinent to each analysis, must be maintained for five years. Certified Data must consist of date collected, time collected, sample site, sample collector, and sample analysis time. The field benchsheets must provide a space for the signature or initials of the analyst and proper units of measure for all analyses", are intended to be a requirement to document meter calibration. Although the requirement list is not all inclusive, it is intended to address the need to document all pertinent information for historical reconstruction of data. It is not intended to imply that existing records are not adequately maintained unless the Finding speaks directly to that. Contracted analyses are performed by Water Tech Labs, Inc. (Certification # 50). 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: Page 2 #5406 Wilkes County Board of Education Documentation A. Finding: The laboratory needs to increase the documentation of purchased materials. Requirement: 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. 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. Consumable materials such as pH buffers and lots of pre -made standards are included in this requirement. Ref: Quality Assurance Policies for Field Laboratories. Comment: Utilization of the laboratory supply receipt log supplied by the auditor on July 28, 2016 via email would fulfill this documentation requirement. D. Finding: The laboratory benchsheet was lacking pertinent data: analyst's initials. Requirement: Data pertinent to each analysis must be maintained for five years. Certified Data must consist of date collected, time collected, sample site, sample collector, and sample analysis time. The field bench sheets must provide a space for the signature or initials of the analyst, and proper units of measure for all analyses. Ref: 15A NCAC 02H .0805 (g) (1). Comment: Utilization of the benchsheets supplied by the auditor on July 28, 2016 via email would fulfill this documentation requirement. C. Finding: Error corrections are not performed properly. 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-OutO, 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. All data and log entries must be written in indelible ink. Pencil entries are not acceptable. Ref: Quality Assurance Policies for Field Laboratories. Comment: Wite-Out@ was occasionally used and corrections were not initialed and dated by the person performing the correction. Proficiency Testing D. Finding: The preparation of Proficiency Testing (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. Comment: Dating and initialing the instruction sheet for the preparation of the Total Residual Chlorine PT would satisfy the documentation requirement. Page 3 #5406 Wilkes County Board of Education E. Finding: The laboratory is not documenting Proficiency Testing (PT) sample analyses in the same manner as environmental samples. 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. 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 environmental samples. Utilization of the notes column to record analysis time, sample identification and result, on the calibration logs supplied by the auditor on July 28, 2016 via email would fulfill these documentation requirements. pH — Standard Methods, 4500 H+B-2000 (Aqueous) F. Finding: The pH meter is not consistently calibrated each day before use. Requirement: Instruments are to be calibrated according to the manufacturer's calibration procedure prior to analysis of samples each day compliance monitoring is performed. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Comment: The analyst self -reported that the pH meter is not always calibrated before use. Due to staffing issues and inclement weather, the analyst will sometimes analyze samples without first going to the laboratory where the pH buffers and calibration log are kept, to calibrate the instrument. Recommended: It is recommended that extra buffers and a calibration log be kept in all work vehicles so that a trip to the laboratory is not necessary to complete calibration. Please note that aliquots of pH buffer must be properly labeled to provide traceability. G. Finding: The pH meter is not recalibrated if the check standard does not read.within ±0.1 S.U. Requirement: The check standard buffer must read within ±0.1 S.U. to be acceptable. If the meter verification does not read within ±0.1 S.U., the meter must be recalibrated before any samples are analyzed. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Comment: The analyst would monitor the check standard value but stated that when it was about 7.15 S.U., he would discard the buffer portion that was being reused and pour a fresh aliquot for the next day. The meter was not recalibrated or a fresh aliquot of buffer checked when the reading was more than ±0.1 S.U. from the known value. Recommendation: It is recommended that portions of the buffer solutions not be used for more than one calibration. Discard any used buffer portions. H. Finding: Values were reported that exceed the method specified accuracy of 0.1 units. Page 4 #5406 Wilkes County Board of Education 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-2000. (6). pH — Standard Methods, 4500 H'B-2000 (Aqueous) Chlorine, Total Residual — Standard Methods, 4500 Cl G-2000 (Aqueous) I. Finding: A post analysis check standard is not analyzed at the end of the sample route. Requirement: When performing analyses away from the certified laboratory's primary location, a post analysis calibration verification using the check standard buffer must be analyzed at the end of the run. It is recommended that a mid -day check standard buffer be analyzed when samples are analyzed over an extended period of time. The post analysis check standard buffer(s) must read within ±0.1 S.0 or corrective actions must be taken. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Requirement: When performing analyses away from the certified laboratory's primary location, a post analysis calibration verification must be analyzed at the end of the run. It is recommended that a mid -day calibration verification be performed when samples are analyzed over an extended period of time. The value obtained for the post analysis calibration verification check standard must read within 10% of the true value of the post analysis calibration verification check standard. If the obtained value is outside of the ±10% range, corrective action must be taken. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Chlorine, Total Residual — Standard Methods, 4500 Cl G-2000 (Aqueous) J. Finding: The laboratory is not using the currently assigned value for the Gel® check standard. Requirement: Immediately following curve verification: 1. Zero the instrument with the gel blank. 2. Read and record gel standard values. 3. Assign the obtained values as the true value. The assigned values will be used for the next twelve months, or until a new curve verification is performed. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Comment: The laboratory's benchsheet was made several years ago and there is not an electronic version that can be edited. The benchsheet had a preprinted value for the check standard that was not changed from year to year. The laboratory was using the value 220 pg/L and the currently assigned value is 194 tag/L. An updated and editable electronic benchsheet was prepared and emailed to the laboratory on July 28, 2016 where the current check standard value can be entered along with the ±10% recovery acceptance criterion. K. Finding: Values less than the established reporting limit are being reported on the Discharge Monitoring Report (DMR). Page 5 #5406 Wilkes County Board of Education 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. Comment: The lowest concentration standard analyzed during the July 19, 2016 curve verification was 20 pg/L. Samples with concentrations less than 20 pg/L must be reported as < 20 pg/L on the DMR. Temperature — Standard Methods, 2550 B-2000 (Aqueous) Comment: As the auditor stated on the day of the inspection, due to the new Approved Procedure for the Analysis of Temperature, corrections are no longer applied to Temperature data used for compliance reporting. L. Finding: Documentation was not available to verify that the NIST thermometer used for Temperature sensor verification is accurate within ± 0.5 °C. Requirement: NIST traceable temperature measuring devices used for this verification must have a stated accuracy of at least ± 0.5 °C. Document the verification data and keep on file. Ref: NC WW/GW LC Approved Procedure for the Analysis of Temperature. Comment: The temperature sensor verification for the DO and pH meters is performed by a contract lab. The verification is documented but the only NIST information provided by the contract lab is the thermometer ID. Dissolved Oxygen — Standard Methods 4500 O G-2001 (Aqueous) M. Finding: The DO meter calibration is not documented. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: Meter calibration and meter calibration time(s). Ref: NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen. Comment: Utilization of the benchsheets supplied by the auditor on July 28, 2016 via email would fulfill this documentation requirement. N. Finding: The laboratory benchsheet was lacking pertinent data: sample collection time, analysis time. Requirement: Data pertinent to each analysis must be maintained for five years. Certified Data must consist of date collected, time collected, sample site, sample collector, and sample analysis time. The field bench sheets must provide a space for the signature or initials of the analyst, and proper units of measure for all analyses. Ref: 15A NCAC 02H .0805 (g) (1). Comment: The benchsheet currently in use does not have any spaces to enter information about DO analysis, so there was no direct linkage to a sample collection or analysis time. Utilization of the benchsheets supplied by the auditor on July 28, 2016 via email would fulfill these documentation requirements. Page 6 #5406 Wilkes County Board of Education O. Finding: The DO meter identification is not documented. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: Instrument identification. Ref: NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen. Comment: Utilization of the benchsheets supplied by the auditor on July 28, 2016 via email would fulfill this documentation requirement. pH — Standard Methods, 4500 H+B-2000 (Aqueous) Chlorine, Total Residual — Standard Methods, 4500 Cl G-2000 (Aqueous) Temperature — Standard Methods, 2550 B-2000 (Aqueous) P. Finding: Sample analysis time is not clearly documented. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: Date and time of sample collection; Date and time of sample analysis - Alternatively, since EPA requires samples to be analyzed immediately, one time may be documented for collection and analysis with the notation that samples are measured in situ or immediately at the sampling site (i.e., immediately following collection at a location as near to the collection point as possible). When this `one time' option is used, state that the documented time is both collection and analysis time. Ref: NC WW/GW LC Approved Procedure for the Analysis of Temperature. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: Date and time of sample analysis to verify the 15 minute holding time is met. Alternatively, one time may be documented for collection and analysis with the notation that samples are measured in situ or immediately at the sample site. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH and NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine, Comment: Utilization of the benchsheets supplied by the auditor on July 28, 2016 via email would fulfill these documentation requirements. 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 Mountain View (NPDES # NC0046418) for January and March 2016, Trap Hill and Boomer Ferguson (NPDES #s NC0046426 and NC0075515) for March 2016. The following errors were noted: Page 7 #5406 Wilkes County Board of Education Value on Benchsheet Date Parameter Location Value on DMR *Contract Lab Data Total Residual Mountain Reported on wrong date; 1/13/2016 Chlorine View g pg/L 1/11/2016 Effluent 3/17/2016 Total Residual Boomer 20 pg/L 13 pg/L (Temperature Chlorine Effluent result) 3/24/2016 TKN Trap Hill Effluent *3.64 mg/L 5.90 mg/L JP result) 3/24/2016 NO3 + NO2 Trap Hill Effluent *28.0 mg/L 31.64 mg/L (TN result) Mountain 3/24/2016 pH View 6.90 S.U. 6.75 S.U. Effluent In order to avoid questions of legality, it is recommended that you contact the appropriate Regional Office for guidance as to whether an amended DMR 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 Recommendation will help this laboratory to produce quality data and meet Certification requirements. The inspector would like to thank the staff for their 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: Beth Swanson Date: August 4, 2016 Report reviewed by: Tonja Springer Date: August 12, 2016