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HomeMy WebLinkAbout#5512_09_2012_FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5512 Laboratory Name: Berrvhill Elementary School Inspection Type: Field Maintenance Inspector Name(s): Chet Whiting Inspection Date: September 12, 2012 Date Report Completed: October 9, 2012 Date Forwarded to Reviewer: October 9 2012 Reviewed by: Nick Jones Date Review Completed: 10/12/12 Cover Letter to use: _ Insp. Initial _ Insp. Reg. _ Insp. No Finding _ Insp. CID X Corrected Unit Supervisor: Gary Francies Date Received: 10/12/2012 Date Forwarded to Linda: 10/15/2012 r Date Mailed: WNWA Y NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman Governor Director Secretary October 16, 2012 5512 Mr. Richard Rizzo Berryhill Elementary School 3301 Stafford Drive Charlotte, NC 28208 SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Rizzo: Enclosed is a report for the inspection performed on September 12, 2012 by Chet Whiting. 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 828-296-4677. Sincerely, Gary Francies Certification Unit Supervisor Laboratory Section CC: Chet Whiting Master File DENR 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 One Internet: www.dwglab.org NorthCar®lina An Equal Opportunity \ Affirmative Action Employer aturjjally LABORATORY NAME: NPDES PERMIT # F-ITITITZT*13 CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: I. INTRODUCTION: On -Site Inspection Report Berryhill Elementary School NCO028711 3301 Stafford Drive Charlotte, NC 28208 5512 September 12, 2012 Field Maintenance Chet Whiting mil-3 :1 �F17.7 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 laboratory is neat and well organized and has all the equipment necessary to perform the analyses. Copies of the following documents were given to laboratory personnel during the inspection: Quality Assurance Policies for Field Laboratories, Approved Procedure for Field Analysis of pH, Approved Procedure for Field Analysis of Dissolved Oxygen and Approved Procedure for Field Analysis of Temperature, Approved Procedure for Field Analysis of Total Residual Chlorine. Contracted analyses are performed by K & W Labs (certificate #559) and PAR Labs (certificate #20). III. FINDINGS REQUIREMENTS COMMENTS AND RECOMMENDATIONS: Comment: No instances were observed, however the laboratory was not aware that any data that does not meet all quality control requirements is required to be qualified on the Discharge Monitoring Report, including contract laboratory data. The Quality Assurance Policies for Field Laboratories document states: When quality control (QC) failures occur, the laboratory must attempt to determine the source of the problem and must apply corrective action. Part of the corrective action is notification to the end user. If data qualifiers are used to qualify samples not meeting QC requirements, the data may not be useable for the intended purposes. It is the responsibility of the laboratory to provide the client or end -user of the data with sufficient information to determine the usability of the qualified data. Where applicable, a notation must be made on the DMR form, in the comment section or on a separate sheet attached to the DMR form, when any required sample quality control does not meet specified criteria and another sample cannot be obtained. Page 2 #5512 Berryhill Elementary School Comment: The laboratory needed to implement documentation of 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, 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. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a statement that traceability will be documented in the sample log book) was received by email on October 4, 2012. No further response is necessary for this finding. Comment: The laboratory was not documenting the preparation of Proficiency Testing samples. The Proficiency Testing Requirements, February 20, 2012, Revision 1.2 document states: 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. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a statement that PT sample preparation will be documented) was received by email on October 4, 2012. No further response is necessary for this finding. Comment: The laboratory was not documenting Proficiency Testing (PT) samples in the same manner as environmental samples (i.e., on a benchsheet). Proficiency Testing Requirements, February 20, 2012, Revision 1.2. states: 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. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a statement that PT samples will be documented in the same manner as environmental samples) was received by email on October 4, 2012. No further response is necessary for this finding. 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 Berryhill Elementary School (NPDES Permit N00028711) for April, May and June, 2012. 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: Chet Whiting Date: October 9, 2012 Report reviewed by: Nick Jones Date: October 12,2012