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HomeMy WebLinkAbout#5420_0113_finalTC_2015_a 900CRDERK North Carolina Department of Environment and Natural Resources Pat McCrory Donald R, van der Vaart Governor Secretary January 23, 2015 5420 Mr. Josh Batchelor Butterball, LLC PO Box 589 Mt. Olive, NC 28365 Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Batchelor: Enclosed is a report for the inspection performed on January 13, 2015 by Mr. Todd Crawford. 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 (919) 733-3908. Attachment cc: Todd Crawford Sincerely, Dana Satterwhite, Environmental Program Supervisor Division of Water Resources 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: 919-733-39081 FAX: 919-733-6241 Internet: www.dwalab.orq An Equal Opportunity 1 Affirmative Action, Employer INSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5420 Laboratory Name: Butterball, LLC Inspection Type: Industrial Maintenance Inspector Name(s): Todd Crawford Inspection Date: January 13, 2015 Date Report Completed: January 14, 2015 Date Forwarded to Reviewer: January 14, 2015 Reviewed by: Tonia Springer Date Review Completed: January 16, 2015 Cover Letter to use: ❑ Insp. Initial ® Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP ❑ Corrected ❑ Insp. Reg. Delay Unit Supervisor/Chemist III: Dana Satterwhite Date Received: January 16, 2015 Date Forwarded to Linda: January 23, 2015 Date Mailed: January 23, 2015 LABORATORY NAME: WATER QUALITY PERMIT # : ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): On -Site Inspection Report Butterball, LLC W00000884 PO Box 589 Mt. Olive, NC 28365 5420 January 13, 2015 Industrial Maintenance Todd Crawford LOCAL PERSON(S) CONTACTED: INTRODUCTION: Josh Batchelor and Jefferson Foy 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. 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 2014 proficiency testing calendar year and the graded results were 100% acceptable. PT samples for the 2015 proficiency testing calendar year have not yet been analyzed. The laboratory is reminded that these results must be submitted to this office directly from the vendor by September 30, 2015. Contracted analyses are performed by Environmental Chemists, Inc. (Certification #94). Current quality assurance policies for Field Laboratories and approved procedures for the analysis of the facility's currently certified parameters were provided at the time of the inspection. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation Comment: The benchsheet for pH and Total Residual Chlorine (TRC) was lacking the following required information: . • Sample site including facility name and location, ID, etc. • Date and time of sample collection. Page 2 #5420 Butterball, LLC • Date and time of sample analysis to verify the 15 minute holding time is met. • Collector's/analyst's name or initials. • Meter calibration and meter calibration time(s). • True values of the standards used for calibration or standard curve verification. • True value of the TRC check standard and pH check standard buffer. • Value obtained for the TRC check standard (verification of ± 10% recovery). • Units of measure. • Instrument identification. The NC WW/GW LC Approved Procedure for the Analysis of pH and the NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine documents both state: 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 to verify the 15 minute holding time is met. • Sample site including facility name and location, ID, etc. • Collector's/analyst's name or initials. • Meter calibration and meter calibration time(s). • Instrument identification. The NC WW/GW LC Approved Procedure for the Analysis of pH document states: The following must be documented in indelible ink whenever sample analysis is performed: • True values of buffers used for calibration. • True value for the check standard buffer. • Value obtained for the check standard buffer (verification of ± 0.1 S.U.). • True value and value obtained for the post analysis calibration verification(s), where applicable. • Report all data values to the nearest 0.1 pH unit. 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: • True values of the standards used for calibration or standard curve verification. • True value of the check standard. • Value obtained for the check standard (verification of ± 10% recovery). • All data must be reported in mg/L or pg/L (i.e., as specified in the permit). Portions of these requirements are new policies that have been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a statement that an updated benchsheet, provided by the auditor, which includes all the required documentation listed above, would be put into use on January 15, 2015) was received by email on January 14, 2015. Demonstration of acceptable corrective action (i.e., a completed benchsheet for samples analyzed from 1/19/2015 through 1/21/2015) was received by email on January 22, 2015. No further response is necessary for this finding. Comment: The laboratory needed to increase the documentation of purchased materials and reagents. The Quality Assurance Policies for Field Laboratories document 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. 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 Page 3 #5420 Butterball, LLC 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. Demonstration of acceptable corrective action (i.e., a copy of the auditor supplied Lab Supply Receipt Log showing all required documentation for reagents currently in use) was received by email on January 16, 2015. No further response is necessary for this finding. A. 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-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. All data and log entries must be written in indelible ink. Pencil entries are not acceptable. Ref: Quality Assurance Policies for Field Laboratories. Comment: Obliterated and over -written entries, as well as the use of correction tape were observed. Total Residual Chlorine — SM 4500 Cl G-2000 Comment: The analysis of a calibration check standard was not being consistently performed. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine states: When a five - standard annual standard curve verification is used, the laboratory must check the calibration curve each analysis day. To do this, the laboratory must analyze a calibration blank to zero the instrument and analyze a check standard each day that samples are analyzed. The value obtained for the check standard must read within 10% of the true value of the check standard. If the obtained value is outside of the ±10% range, corrective action must be taken. Demonstration of acceptable corrective action (i.e., a completed benchsheet with documented analysis of a calibration verification standard for samples analyzed from 1/19/2015 through 1/21/2015) was received by email on January 22, 2015. 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 September, October and November, 2014. The following error was noted: The "less than" signs were consistently omitted from applicable concentration values in the daily cells of the DMR. When this occurred, the monthly averages were incorrectly calculated. The NC DWR NPDES Permitting Calculation of Data document states: Complications may arise in calculations when dealing with testing results showing values of less than a minimum detection level for the testing method. Current Division policy gives permittees the benefit of doubt all the way to the lowest levels when performing calculations using such 'less than" values. When calculating an arithmetic mean, you may consider a 'less than" value as equal to zero. For the calculation of a geometric mean, a 'less than" value may be considered to be equal to one. Remember, this procedure pertains only to the calculation of an average. You must report individual data values on the DMR exactly as reported to you by your laboratory. The NC DWR NPDES Permitting Instructions for Completing a DMR states: Values of results which are less than a detectable limit should be reported in the daily cells using the 'less than" symbol (<) and the detectable limit used during the testing (or the value with appropriate unit conversion). Please note there is never a case when an average would need to be recorded along with a "less than" symbol. Page 4 #5420 Butterball, LLC In order to avoid questions of legality, it is recommended that you contact the appropriate Regional Office for guidance as to whether amended Discharge Monitoring Reports will be required. A copy of this report will be made available to the Regional Office. V. CONCLUSIONS: Correcting the above -cited finding 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: Todd Crawford Date: January 14, 2015 Report reviewed by: Tonja Springer Date: January 16, 2015