#5374 - 04 - 2012 - FINAL

Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
May 22, 2012
5374
Mr. Henry Odom
Magnolia Place
1 Arel Loop
Hendersonville, NC 28792
Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC)
Maintenance Inspection
Dear Mr. Odum:
Enclosed is a report for the inspection performed on April 19, 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,
ca:7
Gary Francies
Certification Unit Supervisor
Laboratory Section
Enclosure
cc: Jason Smith
Master files
DENR DWQ 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: [phone] \ FAX: [phone]
Internet: www.dwglab.org
An Equal Opportunity 1 Affirmative Action Employer
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INSPECTION REPORT ROUTING SHEET
To be attached to all inspection reports in-house only.
Laboratory Cert. #:
5374
Laboratory Name:
Magnolia Place
Inspection Type:
Field Maintenance
Inspector Name(s):
Jason Smith
Inspection Date:
April 19, 2012
Date Report Completed:
May 17, 2012
Date Forwarded to Reviewer: May 18, 2012
Reviewed by:
Jeff Adams
Date Review Completed:
May 18, 2012
Cover Letter to use: _
Insp. Initial X Insp. Reg. _ Insp. No Finding _ Insp. CP _Corrected
Unit Supervisor:
Gary Francies
Date Received:
5/18/2012
Date Forwarded to Linda:
5/22/2012
Date Mailed:

LABORATORY NAME:
NPDES PERMIT #:
ADDRESS:
CERTIFICATE #:
DATE OF INSPECTION:
TYPE OF INSPECTION:
AUDITOR(S):
LOCAL PERSON(S) CONTACTED:
INTRODUCTION:
On -Site Inspection Report
Magnolia Place
NCO071862
1 Arel Loop
Hendersonville, NC 28792
5374
April 19, 2012
Field Maintenance
Jason Smith
Henry Odom
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 requirements associated with Findings B, C, D, and E are new policies that have been implemented
by our program since the last inspection.
r - • - • �� •
Documentation
Comment: The laboratory was not aware of the requirement to qualify quality control failures on the
Discharge Monitoring Report (DMR). No instances were observed.This is a new policy that has been
implemented since the last inspection. Quality control failures are mostly associated with 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.
A. Finding: The time of collection and analysis is not documented.
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 benchsheets must provide a space for the signature or initials of the analyst, and
proper units of measure for all analyses. Ref: 15A NCAC 2H .0805 (g) (1).

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#5374 Magnolia Place
Comment: For analyses performed in situ (in stream or on site), a general statement reflecting
this may be added to the benchsheet and/or the column header may be modified to
"collection/analysis time".
B. Finding: Error corrections are not dated.
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.
C. Finding: Proficiency Testing (PT) samples are not documented in the same manner as
environmental samples.
Requirement: 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. Ref: Quality
Assurance Policies for Field Laboratories.
D. Finding: The preparation of 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.
E. Finding: The laboratory needs to increase the documentation of purchased materials and
reagents.
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. 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 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.
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 Magnolia Place (NPDES permit #NC0071862) for May, June, and July, 2011. No
transcription errors were detected. The facility appears to be doing a good job of accurately
transcribing data.

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#5374 Magnolia Place
V. CONCLUSIONS:
Correcting the above -cited findings 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: May 17, 2012
Report reviewed by: Jeffrey R. Adams Date: May 18, 2012