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HomeMy WebLinkAbout#5191 - 06 -2010 - FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. M 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: Date Received: Date Forwarded to Alberta: Date Mailed: 5191 Carolina Water Services. Inc. of NC Field Commercial Maintenance Jason Smith May 24, 25, 26, and June 3, 2010 July 7, 2010 July 7, 2010 Tonja Springer July 9, 2010 Insp. Initial X Insp. Reg. Insp. No Finding ® Insp. CP Gary Francies 7112/2010 7/12/2010 -� NR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director July 13, 2010 5191 Mr. Darrell Young Carolina Water Services, Inc. of NC P.O. Box 337 Banner Elk, NC 28604 SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Hear Mr. Young: Dee Freeman Secretary Enclosed is a report for the inspection performed on May 24, 25, 26, and June 3, 2010 by Mr. 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 cant' 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 me at 828-296-4677. Sincerely, C� Gary Franctes Unit Supervisor Laboratory Section CC: Jason Smith Central 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: 919-733-3908 t FAX: 919-733-6241 Internet: www.dwgiab.org AnEqual OpportunilytAifirrrativeActionEmployer Customer Service:1-877-623-6748 www,ncwatergtiality.org Nane rlhCarofina Naturally ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: LOCAL PERSON(S) CONTACTED: INTRODUCTION: Carolina Water Services, Inc. of NC P.O. Box 337 Banner Elk, NC 28604 5191 May 24, 25, 26, and June 3, 2010 Field Commercial Maintenance Jason Smith Darrell Young, Rex Woody, Robby Woody, Beverly Grinstead, David Medling, and Pete McNeely This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. IF d #kl.:;L1R01alIT ld,IA to The laboratory consists of three operators working out of the Banner Elk office as well as three other operators that work at the facility that they operate elsewhere in the region. All operators were provided copies of applicable technical assistance documents at the time of the inspection.The operators have all the equipment necessary to perform the analyses. Unless otherwise noted, findings pertain to all facilities operated by the laboratory. Findings A, B, C, and G are new policies that have been implemented by our program since the last inspection. III. FINDINGS REQUIREMENTS COMMENTS AND RECOMMENDATIONS: General Laboratory Recommendation: Further standardization of benchsheets between ail operators is recommended. This would allow management to better ensure that all documentation requirements are met by all operators. The majority of the findings relating to documentation in this report do not apply to all operators. Recommendation: The analyst for Sapphire Valley stated that the Dissolved Oxygen meter and pH meter seem to take a long time to stabilize. The meters appeared to be older than the meters used by the other operators. It is recommended that new meters be obtained to replace the old meters for this facility. A. Finding: The auto-pipettors have not been calibrated annually. Requirement: Mechanical volumetric liquid -dispensing devices (e.g., fixed and adjustable auto- pipettors, bottle -top dispensers, etc.) must be calibrated at least every twelve months. Each liquid -dispensing device must meet the manufacturer's statement of accuracy. For variable volume devices used at more than one setting, check the accuracy at the maximum, middle and minimum values. Testing at more than three volumes is optional. When a device capable of Page 2 #E5191 Carolina Water Services, Inc. of NC variable settings is dedicated to dispense a single specific volume, calibration is required at that setting only. Ref: Quality Assurance Policies for Field Laboratories. Comment: The auto-pipettors are used for Total Residual Chlorine (TRC) analysis to pipette 1.0 mL of the DPD and buffer reagents into the sample. Recommendation: Use of the Hach liquid reagents is not required. It is recommended that the powdered DPD reagent be used in order to eliminate the need for auto-pipettors. The laboratory would no longer be required to calibrate the auto-pipettors if they are no longer used. B. 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. Comment: This documentation may either be added to the applicable benchsheets or a separate log sheet. C. Finding: Data that does not meet all quality control requirements is not qualified on the Discharge Monitoring Report (DMR). Requirement: 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. Ref: Quality Assurance Policies for Field Laboratories. Comment: Where applicable, a notation must be made on the Discharge Monitoring Report (DMR) form, in the comment section, when any required sample quality control does not meet specified criteria and another sample cannot be obtained. This requirement applies to samples analyzed by this laboratory as well as any samples analyzed by a contract laboratory. Dissolved Oxygen — Standard Methods, 20"' Edition, 4500 O G D. Finding: The time of meter calibration is not documented at Sugar Mountain, Elk River, Wolf Laurel, and Hound Ears. Requirement: The time(s) of calibration must be documented whenever sample analysis is performed. Ref: Technical Assistance for Field Analysis of Dissolved Oxygen. Page 3 #5191 Carolina Water Services, Inc. of NC E. Finding: The time of sample collection is not documented at Sugar Mountain, Elk River, Wolf Laurel, Hound Ears, and Sapphire Valley. Requirement: Data pertinent to each analysis must be maintained for five years. Certified Data must consist of date collected, time collected, samples site, sample collector, and sample analysis time. The field bench sheets must provide a space for the signature of the analyst, and proper units of measure for all analyses. Ref: 15A NCAC 2H .0805 (g) (1). Comment: For samples analyzed in situ, a statement indicating that collection and analysis times are the same may be added to the benchsheet, or the column header may be changed to "Time Collected/Analyzed." Total Residual Chlorine — Standard Methods, 201h Edition, 4500 Cl G Comment: The get standards used to verify the calibration curve daily were not assigned true values at Bent Creek, Transylvania Utilities, and Sapphire Valley. The Technical Assistance for Field Analysis of Total Residual Chlorine states: Purchased "Get -type" or sealed liquid ampoule standards may be used for daily calibration verification only. These standards must be verified initially and every 12 months thereafter, with the standard curve. The assigned values will be used for the next twelve months, or until a new curve verification is performed. The gel standard verification must be performed for each instrument on which they are to be used. If multiple instruments and/or standard sets are used, each must have assigned values specific for the instrument and standard set. Technical assistance was provided to each analyst to assign true values to the gel standards during the inspections. No further response is necessary for this finding. F. Finding: The time of analysis of the gel standard is not documented at Sugar Mountain, Elk River, Wolf Laurel, and Hound Ears. Requirement: The time the calibration check was performed must be documented whenever sample analysis is performed. Ref: Technical Assistance for Field Analysis of Total Residual Chlorine. 2H — Standard Methods, lath Edition, 4500 H+ B C. Finding: The pH samples and calibration buffers do not have proper units of measurement (S.U.) associated with the pH values at Sugar Mountain, Elk River, Wolf Laurel, Hound Ears, Transylvania Utilities, and Sapphire Valley. 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). H. Finding: A check standard is not analyzed following calibration at Sapphire Valley. Requirement: For routine work, use a pH meter accurate and reproducible to 0.1 pH unit with a range of 0 to 14, equipped with a temperature compensation device. Follow all manufacturers' recommendations for the calibration of the meter each analysis day. In all cases, the meter must be calibrated with at least two buffers. Calibrating with the pH 4 and pH 10 buffers meets standard methods requirements and brackets the pH range for most monitoring (with the exception of sludge) scenarios. The calibration; however, must bracket the range of the samples being analyzed. In addition to the calibration standards the meter must be verified with a third Page 4 #5191 Carolina Water Services, Inc. of NC calibration standard fe.g., PH 7 buffer). In order to meet the above -specified criteria, the standard must read within a range of pH 6.9 to 7.1 to be acceptable. Ref: Technical Assistance for Field Analysis of pH. I. Finding: The temperature sensing device on the pH meter is not checked against and a NIST certified or NIST traceable thermometer every 12 months at Transylvania Utilities. Requirement: All thermometers and temperature measuring devices must be checked every 12 months against a NIST certified or NIST traceable thermometer and the process documented. To check a thermometer or the temperature sensor of a meter, read the temperature of the thermometer/meter against a NIST certified or NIST traceable thermometer and record the two temperatures. The thermometer/meter readings must be less than or equal to 1 °C from the NIST certified or NIST traceable thermometer reading. The documentation must include the serial number of the NEST certified thermometer or NIST traceable thermometer that was used in the comparison. Also document any correction that applies on both the thermometerlmeter and on a separate sheet to be filed. Other certified laboratories may provide assistance in meeting this requirement. Ref: Technical Assistance for Field Analysis of pH. Comment: The operator had a NIST certified thermometer dated 12-17-04. North Carolina Wastewater/Groundwater Laboratory Certification Policy requires NIST certified thermometers to be calibrated every five years, so this thermometer may not be used to check other meters or thermometers unless it is recertified. The traceable thermometer used to analyze temperature, however, may be used to check the pH meter. NIST traceable thermometers must be recalibrated or replaced in accordance with the manufacturer's recalibration date. If no recalibration date is given, the NIST traceable thermometer must be recalibrated or replaced annually. Temperature -- Standard Methods, 20f" Edition, 2550 B Recommendation: It is recommended that Temperature analyses be performed with the Dissolved Oxygen or pH meter. This would allow the company to purchase fewer traceable thermometers because the temperature sensing devices for all meters could be checked with a shared traceable or certified thermometer. This would also reduce the risk of breaking a glass thermometer in the field. J. Finding: The collection and analysis times are not clearly documented. Requirement: Data pertinent to each analysis must be maintained for five years. Certified Data must consist of date collected, time collected, samples site, sample collector, and sample analysis time. The field bench sheets must provide a space for the signature of the analyst, and proper units of measure for all analyses. Ref: 15A NCAC 2H .0805 (g) (1). Comment: Since Temperature is analyzed in situ, a statement indicating that collection and analysis times are the same may be added to the benchsheet, or the column header may be changed to "Time Collected/Analyzed." K. Finding: Proper units of measure (°C) are not documented at Sugar Mountain, Elk River, Wolf Laurel, Hound Ears, and Sapphire Valley. 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). L. Finding: Temperature is not analyzed within EPA holding time at Transylvania Utilities. Page 5 #5191 Carolina Water Services, Inc. of NC Requirement: Immediate analysis is required. Ref: Code of Federal Regulations, Title 40, Part 136; Federal Register Vol. 72, No. 47, March 12, 2007; Table II. pH — Standard Methods, 20t" Edition, 4500 H{' B Dissolved OMen — Standard Methods, 201" Edition, 4500 O G M. Finding: The temperature correction is not posted on the meters at Sapphire Valley. Requirement: Document any correction that applies on both the thermometer/ meter and on a separate sheet to be filed. Ref: Technical Assistance for Field Analysis of pH and Technical Assistance for Field Analysis of Dissolved Oxygen. IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing laboratory bench sheets and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Quality. Data were reviewed for the following facilities for the listed months: Elk River (NPDES Permit #NC0058378) for December, 2009; Wolf Laurel (NPDES Permit # NC0076431) for April 2010; Hound Ears (NPDES Permit #NC0032123) for February, 2010; Bent Creek (NPDES Permit #NC0036684) for April, 2010; Transylvania Utilities, Inc. #1 (NPDES Permit #NC0024295) for April, 2010; and Sapphire Valley (NPDES Permit #NC0022985) for April, 2010. The following error was noted: Date Parameter Location Value on Benchsheet Value on DMR 04-29-10 Total Nitrogen Sapphire Valley Effluent 5.66 mg/L 1.78 mg/L* *The value on the DMR was the value of the Total Kjeldahl Nitrogen (TKN). The Nitrate + Nitrite result of 3.88 mg/L was not added to the TKN value in order to obtain Total Nitrogen. The facility does not have a limit on Total Nitrogen 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 forwarded to the Regional Office. 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: Jason Smith Date: July 7, 2010 Report reviewed by: Tonja Springer Date: July 9, 2010