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HomeMy WebLinkAbout#5221_11_2014_FINALNorth'AGA NCD Carolina Department oEnvironment __._ oeand Natural Resources Pat McCrory Governor November 24, 2014 5221 Mr. Rusty Campbell Lee S. Dukes Water Treatment Plant 7980 Babe Stillwell Farm Road Huntersville, NC 28078 John E. Skvarla, III Secretary Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Campbell: Enclosed is a report for the inspection performed on November 13, 2014 by Gary Francies and Beth Swanson. 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. Attachment cc: Beth Swanson Master File Sincerely, Gary Francies, Technical Assistance/Compliance Specialist Division of Water Resources Water Sciences Section NC Wastowater/Groundwater Laboratory Certification Branch 1623 Mail Service Center, Raleigh, North Carolina 27699.1623 Location; 4405 Reedy Creek Road, Raleigh, North Carolina 27607 Rhone, 919-733-39081 FAX; 919-733-6241 Internet; Mw A lab.or� An Equal Opportunity 1 Affirmative Action Employer INSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: Laboratory Name: Inspection Type: Inspector Name(s): Inspection Date: Date Report Completed: Date Forwarded to Reviewer: Reviewed by: Date Review Completed: Cover Letter to use: Unit Supervisor/Chemist III: Date Received: Date Forwarded to Linda: Date Mailed: 5221 Lee S. Dukes Water Treatment Plant Field Maintenance Beth Swanson and Gary Francies November 13 2014 November 21, 2014 November 21, 2014 Nick Jones November 24, 2014 ❑ Insp. Initial ® Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP ❑ Corrected ❑ Insp. Reg. Delay Gary Francies November 24 2014 CC: Wes Bella MRO: wes.bell(a)-ncdenr.gov 11 /24/2014 On -Site Inspection Report LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: INTRODUCTION: Lee S. Dukes Water Treatment Plant NCO084387 7980 Babe Stillwell Farm Road Huntersville, NC 28078 5221 November 13, 2014 Field Maintenance Beth Swanson and Gary Francies Dave Banick and Gabe Sasser 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. Additional analyses are performed by the Charlotte Mecklenburg Utilities Environmental Laboratory Services (Certification # 192). 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. 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. The requirements associated with Findings A, E, F, G and I have been implemented by our program since the last inspection. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation A. Finding: The laboratory benchsheet was lacking pertinent data: Instrument identification. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: Instrument Identification. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine, NC WW/GW LC Approved Procedure for the Analysis of pH, NC WW/GW LC Approved Procedure for the Analysis of Temperature. B. Finding: The laboratory benchsheet was lacking pertinent data: units of measure. Page 2 #5221 Lee S. Dukes WTP 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 bench sheets must provide a space for the signature or initials of the analyst, and proper units of measure for all analyses. Ref: 15A NCAC 02H .0805 (g) (1). Recommendation: Some units of measure were present in the calibration logs and benchsheets, but not all. It is recommended that a standardized statement be placed at the beginning of the calibration log book and at the bottom of the benchsheets. It would state that all pH values are in S.U, all Total Residual Chlorine values are in ug/L, and all Temperature values are in °C, unless otherwise noted. C. Finding: Data is not written in indelible ink and 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-OutO, 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: The calibration logs and the traceability log were written in pencil. Comment: There was evidence of pencil erasure in several places and write-overs on the benchsheet. D. Finding: The laboratory needs to increase the documentation of its purchased materials. Requirement: All chemicals, reagents, standards and consumables used by the laboratory must have the followinq information documented: Date Received, Date Opened (in use), Vendor, Lot Number, and Expiration Date. 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. Comment: A reagent and consumables log was posted in the laboratory but it was lacking the information for pH buffers and the currently used GeIO standard set. Proficiency Testing E. Finding: The laboratory is not documenting PT sample analyses in the same manner as environmental samples. Requirement: All PT sample analyses must be recorded in the daily analysis records as for any environmental sample. This serves as the permanent laboratory record. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. F. Finding: The laboratory is not analyzing PT samples in the same manner as environmental samples. Requirement: All PT samples are to be analyzed and the results reported in a manner consistent with the routine analysis and reporting requirements of compliance samples and any Page 3 #5221 Lee S. Dukes WTP other samples analyzed according to the requirements of 15A NCAC 2H .0800. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. Comment: The laboratory's common practice is to analyze a known standard along with the PT sample. Since this is not performed with all environmental samples, it is considered additional quality control. However, known samples are recommended when analyzing remedial PT samples as part of the troubleshooting and corrective action process. G. 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. Comment: Dating and initialing the instruction sheet for the preparation of the Total Residual Chlorine PT would satisfy the documentation requirement. The pH sample requires no preparation. Total Residual Chlorine — Standard Methods, 4500 CI G-2000 Comment: The lid to the Gel® standard set (where the lot number and expiration date are printed) had been lost. During the inspection, a unique identifier was assigned to the set: LSD001. Recommendation: The annual verification of the calibration curve for Total Residual Chlorine (TRC) is emailed from the analyst as an attachment and kept in a folder with the benchsheets. It is recommended that the analyst initial and date the printed curve verification in the event that the email is separated from the attachment. Recommendation: A flow-thru cell is used for TRC analysis and the cell and associated tubing is cleaned quarterly. This is a good practice and it is recommended that a maintenance log be filled out to keep as a record of this and any other maintenance performed on the meter and accessories. H. Finding: The laboratory is not analyzing a reagent blank with the annual TRC curve verification. Requirement: Reagent Blank: A reagent blank (sometimes also referred to as a method blank) is only required when laboratory water is used to make quality control and/or calibration standards. If you are using a sealed standard (e.g., gel) for your daily check standard, a reagent blank would only be analyzed when preparing the annual 5-point calibration curve or 5 annual calibration curve verification standards. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Comment: A reagent blank is made from the same laboratory water source used to make calibration standards with the addition of DPD. The concentration of the reagent blank must not exceed 50% of the reporting limit (i.e., the lowest calibration or calibration verification standard concentration which is currently 10 ug/L), unless otherwise specified by the reference method, or corrective action must be taken. pH — Standard Methods, 4500 H+ B-2000 Finding: Values were reported that exceed the method specified accuracy of 0.1 units. Page 4 #5221 Lee S. Dukes V TP 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). 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 March, July and September, 2014. 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 recommendations will help this lab to produce quality data and meet certification requirements. The inspectors would like to thank the staff for its assistance during the inspection and data review process. Please respond to all findings. Report prepared by: Beth Swanson Date: November 21, 2014 Report reviewed by: Nick Jones Date: November 24, 2014