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HomeMy WebLinkAbout#5123_10_14_FINALRCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor November 20, 2014 5123 Mr. Joe Roberts Town of Snow Hill WWTP 201 N. Greene St. Snow Hill, NC 28580 John E, Skvarla, III Secretary Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Roberts: Enclosed is a report for the inspection performed on October 22, 2014 by Nick Jones. 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: Nick Jones Master File Sincerely, ca,67;�Z'4� Gary Francies, Technical Assistance/Compliance Specialist Division of Water Resources 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: 919-733-39081 PAX: 919.733-6241 Internet: www,dwglab,org An Equal Opportunity i Alfiimallve Adloh F nployor INSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: LaboratoryName: Inspection Type: Inspector Name(s): Inspection Date: Date Report Completed: Date Forwarded to Reviewer: Reviewed by: Date Review Completed: 5123 of Snow Hill VWVfP Field Maintenance Nick Jones October 22 2014 November 12 2014 November 12. 2014 Jason Smith November 17. 2014 Cover Letter to use: ❑ Insp. Initial ® Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP ❑ Corrected ❑ Insp. Reg. Delay Unit Supervisor/Chemist III: Date Received: Date Forwarded to Linda: Date Mailed: Gary Francies 11 /17/2014 11 /20/2014 �,� LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): On -Site Inspection Report Town of Snow Hill WWTP NC0020842 201 N. Greene St. Snow Hill, NC 28580 5123 October 22, 2014 Field Maintenance Nick Jones LOCAL PERSON(S) CONTACTED: Joe Roberts INTRODUCTION: 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 have been analyzed for all certified parameters for the 2014 proficiency testing calendar year and the graded results were 100% acceptable. Contracted analyses are performed by Environment 1, Inc. (Certification #10). 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. The requirements associated with Findings A and B have been implemented by our program since the last inspection. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation 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. 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 meets NC WW/GW LC requirements describing the lab's new protocol for error corrections) was received by email on 11/10/2014. No further response is necessary for this finding. Page 2 #5123 Town of Snow Hill WWTP Comment: The laboratory needed to increase the documentation of purchased materials and reagents, as well as documentation of standards and reagents prepared in the laboratory. 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 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. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., the traceability log provided during the inspection, that contains spaces for all the required items, has been implemented) was received by email on 11/10/2014. No further response is necessary for this finding. Comment: The facility name and instrument identification were not documented on the benchsheets for Dissolved Oxygen, Temperature, pH and Total Residual Chlorine. The NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen, NC WW/GW LC Approved Procedure for the Analysis of Temperature, NC WW/GW LC Approved Procedure for the Analysis of pH and NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine state: The following must be documented in indelible ink whenever sample analysis is performed: Instrument identification, Facility Name. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., the benchsheets provided by the inspector during the inspection, that contain spaces for these items, have been implemented) was received by email on 11/10/2014. No further response is necessary for this finding. Comment: The value obtained for the reagent blank was not documented on the benchsheets for Total Residual Chlorine. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine states: The following must be documented in indelible ink whenever sample analysis is performed: Value obtained for reagent blank. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., the benchsheets provided by the inspector during the inspection; that contains a space for value obtained for the reagent blank, have been implemented) was received by email on 11/10/2014. No further response is necessary for this finding. Proficiency Testing A. 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. Comment: Dating and initialing the instruction sheet for the preparation of the Total Residual Chlorine PT would satisfy the documentation requirement. B. Finding: The laboratory is not documenting Proficiency Testing (PT) sample analyses in the same manner as environmental samples. Page 3 #5123 Town of Snow Hill WWTP 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. Comment: 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. Total Residual Chlorine — Standard Methods, 4500 CI G-2000 C. Finding: The laboratory is not verifying the instrument's factory set curve every 12 months. Requirement: Analyze a water blank to zero the instrument and then analyze a series of five standards. The curve verification must check 5 concentrations (not counting the blank) that bracket the range of the samples to be analyzed. This type of curve verification must be performed at least every 12 months. The values obtained must not vary by more than 10% of the known value for standard concentrations greater than or equal to 50 µg/L and must not vary by more than 25% of the known value for standard concentrations less than 50 µg/L. The overall correlation coefficient of the curve must be >_0.995. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Comment: The last curve verification was performed on 3/5/2013. D. Finding: The annual calibration curve verification does not bracket the concentration of the annual Proficiency Testing (PT) samples. Requirement: For analytical procedures requiring analysis of a series of standards, the concentrations of those standards must bracket the concentration of the samples analyzed. One of the standards must have a concentration equal to the laboratory's lower reporting concentration for the parameter involved. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Comment: The current calibration curve concentrations are 20, 40, 60, 80 and 100 lag/L. The current concentration of the daily check standard is 60 lag/L. The last PT sample concentration true value was 142 lag/L which required a dilution to bring it into the calibration range. Expanding the verification curve to 400 lag/L will eliminate the need for sample dilution and lessen the chance of a dilution error. Recommendation: It is recommended that the laboratory verify the internal calibration using the concentrations: 20, 30, 50, 200 and 400 lag/L. This will verify the analytical range used to measure Proficiency Testing (PT) samples as well as environmental samples. pH — Standard Methods, 4500 H+ B-2000 E. Finding: The laboratory is not analyzing a check buffer after calibrating the pH meter. Requirement: In addition to the calibration buffers, the meter calibration must be verified with a third standard buffer solution. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Comment: The analyst thought they were calibrating with two buffers (4 and 10 S.U.) and checking the calibration with a third buffer (7 S.U.). The analyst did not realize that the meter required all three buffers for calibration. Page 4 #5123 Town of Snow Hill WWTP Recommendation: It is recommended that the meter be calibrated with all three buffers. Reanalyze the 7 S.U. buffer for the calibration check. F. Finding: The lab is reusing pH buffer portions. Requirement: Discard any used buffer portions. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing laboratory benchsheets and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Resources. Data were reviewed for June, July and August of 2014. The following error was noted: Date Parameter Location Value on Benchsheet Value on DMR 6/9/2014 pH Effluent 7.4 S.U. 7.1 S.U. In order to avoid questions of legality, it is recommended that you contact the appropriate Regional Office for guidance as to whether an amended Discharge Monitoring Report will be required. A copy of this report will be made available to the Regional Office. V. CONCLUSIONS: Correcting the above -cited findings and implementing the recommendations 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: Nick Jones Date: November 12, 2014 Report reviewed by: Jason Smith Date: November 17, 2014