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HomeMy WebLinkAbout#5320_0506finalTS_2015_L NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Donald R. van der Vaart Governor Secretary June 8, 2015 5320 'Chris Graham and Rolland Waters Pilkington North America, Inc. 13121 South Rocky Ford Road Laurinburg, NC 28353 Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Graham and Mr. Waters: Enclosed is a report for the inspection performed on May 6, 2015 by Tonja Springer. 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 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 us at (919) 733-3908. Sincerely, Dana Satterwhite, Environmental Program Supervisor Division of Water Resources '.Attachment cc: Tonja Springer 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: 919-733-3908 t FAX: 919-733-6241 Internet: www.dwgiab.orq An Equal Opportunity 1 A`firmahe Action Employer INSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5320 Laboratory Name: Pilkinqton North America, Inc. Inspection Type: Field Maintenance Inspector Name(s): Tonia Springer Inspection Date: May 6, 2015 Date Report Completed: May 29, 2015 Date Forwarded to Reviewer: May 29, 2015 Reviewed by: Jason Smith Date Review Completed: June 2 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: June 2, 2015 Date Forwarded to Linda: June 8, 2015 Date Mailed: June 8, 2015 On -Site Inspection Report LABORATORY NAME: ADDRESS: NPDES PERMIT # CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: I. INTRODUCTION: Pilkington North America, Inc. 13121 South Rocky Ford Rd. Laurinburg, NC 28353 NCO049514 5320 May 6, 2015 Field Maintenance Tonja Springer Chris Graham and Rolland Waters 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. Proficiency Testing (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 Science Corporation dba: ESC Lab Sciences. (Certification #375), Element One, Inc. (Certification #604), and Leith Creek WWTP Lab (Certification #133) performs Total Residual Chlorine analyses at no charge. Current quality assurance policies for Field Laboratories, an example benchsheet 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 was lacking the following required information: • Sample site including facility name and location, ID, etc. • Instrument identification. • Meter calibration time • True value for the check standard buffer • Value obtained for the check standard buffer Page 2 #5320 Pilkington North America, Inc. • Collection time and date Analyst's initials Time of analysis (need to be clearly documented) 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: • Sample site including facility name and location, ID, etc. • ♦Instrument identification. • ♦Meter calibration and meter calibration time(s) • True values for the check standard buffer • Value obtained for the check standard buffer (verification of ± 0.1 S.U.) • Date and time of sample collection • Collector's/analyst's name and initials • Date and time of sample analysis to verify the 15 minute holding time is met. Alternatively, one may be documented for collection and analysis with the notation that samples are measured in situ or immediately at the sample site. The requirements noted with (♦) are new policies that have been implemented by our program since the last inspection. Demonstration of acceptable corrective action (i.e., an updated completed benchsheet which includes all the required information with an implementation date of May 15, 2015) was received by email on 5/28/2015. No further response is necessary for this finding. Comment: The laboratory needs to increase the documentation of purchased 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. Consumable materials such as pH buffers and lots of pre -made standards are included in this requirement. This is a new policy that has been implemented by our program since the last inspection. Demonstration of acceptable corrective action (i.e., an updated completed benchsheet which includes traceability information with an implementation date of May 15, 2015) was received by email on 5/28/2015. No further response is necessary for this finding. Comment: Error corrections were not performed properly. The Quality Assurance Policies for Field Laboratories document states: 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. Notification of acceptable correction action (i.e., a statement that, From May 9, 2015 and forward, we shall make error corrections with just one line drawn thru the erroneous data. The individual making the correction shall annotate the error with their initials and date.) was received by email on 05/28/2015. No further response is necessary for this finding. PH — Standard Methods, 4500 H+ B-2000 Comment: The laboratory was not including units of measure for pH on laboratory benchsheets. The North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: 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. Demonstration of acceptable corrective action (i.e., an updated completed benchsheet which includes units of measure with Page 3 #5320 Pilkington North America, Inc. an implementation date of May 15, 2015) was received by email on 5/28/2015. No further response is necessary for this finding. Comment: The Automatic Temperature Compensator (ATC) verification of the pH meter is no longer required. A. Finding: Sample results are reported to two decimal places. 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). Temperature — Standard Methods, 2550 B-2000 Comment: Temperature was being documented directly on the Discharge Monitoring Report (DMR) and the Chain of Custody and not on a benchsheet; therefore pertinent information (i.e., the signature or initials of the analyst and proper units of measure) was not being documented. The North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: 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. Demonstration of acceptable corrective action (i.e., an updated completed benchsheet including Temperature with all the pertinent information, with an implementation date of May 15, 2015) was received by email on 5/28/2015. 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 permit #NC0049514 for January, February, and March, 2015. No transcription errors were detected. The facility appears to be doing a good job of accurately transcribing data. 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 the finding and include an implementation date for the corrective action. Report prepared by: Tonja Springer Date: May 29, 2015 Report reviewed by: Jason Smith Date: June 2, 2015