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HomeMy WebLinkAbout#5167 05 - 2012 - FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5167 Laboratory Name: RPB Systems, Inc. Inspection Type: Field Commercial Maintenance Inspector Name(s): Jason Smith Inspection Date: May 25, 2012 Date Report Completed: June 4, 2012 Date Forwarded to Reviewer: June 4, 2012 Reviewed by: Jeff Adams Date Review Completed: June 4, 2012 Cover Letter to use: _ Insp. Initial X Insp. Reg. _ Insp. No Finding _ Insp. CP _ Corrected Unit Supervisor: Gary Francies Date Received: 6/7/2012 Date Forwarded to Linda: Date Mailed: a♦ North tea. ♦ Department of Environment and Natural Resources Beverly Eaves Perdue Governor 5167 Mr. Bob Barr RPB Systems, Inc. P.O. Box 1325 Asheville, NC 28802 Division of Water Quality Charles Wakild, P. E. Director June 7, 2012 Dee Freeman Secretary Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Barr: Enclosed is a report for the inspection performed on May 25, 2012 by Jason Smith. 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 828-296-4677. Sincerely, Gary Francies Certification Unit Supervisor Laboratory Section Enclosure cc: Jason Smith Master File QENR DWO Laboratory Section NC Wastewater/Groundwater Laboratory Certification Branch 1623 Mail Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445 Phone: 919-733-3908 \ FAX: 919-733-6241 Internet: www.dwglab.org An Equal Opportunity \ Affirmative Action Employer i LABORATORY NAME: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: INTRODUCTION: On -Site Inspection Report RPB Systems, Inc. P.O. Box 1325 Asheville, NC 28802 5167 May 25, 2012 Field Commercial Maintenance Jason Smith Bob Barr and Dinah Trammel This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. II. GENERAL COMMENTS: The laboratory has all the equipment necessary to perform the analyses and records are well organized and easy to retrieve. The requirements associated with Findings A, B, and C are new policies that have been implemented by our program since the last inspection. Ill. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation A. Finding: Error corrections are not dated when performed. 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. Proficiency Testing Comment: The laboratory has analyzed known concentration samples along with their PTs. The Proficiency Testing Requirements, February 20, 2012, Revision 1.2 states: In general, laboratories should not analyze non -blind quality control PTs with blind PTs as this is not the routine testing protocol for environmental samples. This requirement is a new policy that has been implemented by our program since the last inspection. The laboratory realized that this practice is not allowed when reviewing the Proficiency Testing Requirements document after doing it with this year's PT study, and stated during the inspection that it will no longer be done. No further response is necessary for this finding. Page 2 #5167 RPB Systems, Inc. Recommendation: Known concentration samples are recommended as part of the troubleshooting process following unacceptable PT sample results. B. Finding: Proficiency Testing (PT) samples have not been distributed among all analysts and equipment. Requirement: Laboratories shall also ensure that PT samples are equally distributed among personnel trained and qualified for the relevant tests, which represent the routine operation of the work group at the time the PT study is conducted. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. C. 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. Dissolved Oxygen — Standard Methods, 18t" Edition, 4500 O G D. Finding: Meter calibration is not consistently documented. Requirement: A record of instrument calibration where applicable, must be filed in an orderly manner so as to be readily available for inspection upon request. Ref: 15A NCAC 2H .0805 (g) (2). IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing field testing records and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Quality. Data were reviewed for Trillium Lakes and Village (NPDES permit #NC0059200), Cane Creek Elementary (NPDES Permit #NC0086436), and Deerborne Cottages (NPDES permit #WQ0033804) for February, 2012. No transcription errors were detected. The facility appears to be doing a good job of accurately transcribing data. V. CONCLUSIONS: Correcting the above -cited findings and implementing the recommendation 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: Jason Smith Date: June 4, 2012 Report reviewed by: Jeffrey R. Adams Date: June 4, 2012