NC0003417_Regional Inspectors' Checklist for Field Parameters_20200818

Regional Inspectors' Checklist for Field Parameters
[This checklist is to be completed during regional plant inspections for Field Laboratories, denoted by certification numbers in the 5000s.]
Facility Name: H rLjehe Comp(12omptex
Regional Plant Inspector: AU Umrt
NPDES #:
Re Tonal Ins ector Contact #: SZ - V -396
Field Lab Certification #:
Re ion:
Lab Contact:
Date: Q $ Z
I. Check the parameter(s) performed at this site for reporting purposes.
❑ Total Residual Chlorine (TRC) X Temperature (TEMP) ❑ Specific Conductivity (SC)
N pH ❑ Dissolved Oxygen (DO) ❑ Settleable Residue (SETT)
II. General Laboratory (note any exceptions in section XI)
Are instruments, meters, probes, photometric cells, etc. maintained in good condition?
Yes ElNo
Are standards, reagents and consumables used within manufacturer expiration dates?
RC gel standard is exempt.]
Yes ❑ No
Are the following items documented where a licable :
Item
TRC
pH
TEMP
DO
SC
SETT
Date of sample collection*
Y29
Time of sample collection*
Sample collector's initials or signature
Date of sample analysis*
Time of sample analysis*
Analyst initials or signature
Sample site i.e., facility name, location, ID, etc.
Instrument ID
N/A
Parameter
Data qualifiers, when required
*Date and time of sample collection and analysis may be the same for in situ or on -site measurements.
Ill. Total Residual Chlorine — reference method:
Total Residual Chlorine meter make and model:
Is a check standard analyzed each day of use? Circle one: gel or liquid standard
❑ Yes
❑ No
What is the assigned/observed value of the daily check standard?
Is a 5-point calibration verificationperformed? Note date of last verification:
❑ Yes
❑ No
Alternatively, does the lab construct a linear regression, using 5 standards, to calculate
results? Note date of last calibration curve constructed:
❑ Yes
❑ No
True values: ❑ pg/L ❑ mg/L
Obtained values: ❑ pg/L ❑ mg/L
What program are samples analyzed on?
Are results reported in proper units? Check one: ❑ /L ❑ m /L
❑ Yes
❑ No
Are results reported between the facility's permit, limit and the compliance limit of 50 Ng/L?
If value is less than the low standard, report as "<x'', where x=low standard conc.
❑ Yes,
❑ No
Are samples analyzed within 15 minutes of collection?
❑ Yes
❑ No
IV. pH — reference method:
pH. meter manufacturer and model: 4
c c ta
Is the pH meter calibrated with at least 2 buffers per mfg's instructions each day of use?
Note buffers used: Y 7 to
KYes
❑ No
Is the pH meter calibration checked with an additional buffer each day of use?
Note check buffer used: 16
Yes
ElNo
Does the check buffer read within ±0.1 S.U. of the known value?
9yes
❑ No
Are the following items documented:
Meter calibration?
M Yes
❑ No
Check buffer readin s ?
® Yes
❑ No
Are samples analyzed within 15 minutes of collection?
Yes
❑ No
Are sample results reported to 0.1 pH units on the eDMR?
Yes
❑ No

V. Temperature — reference method:
What instrument(s) is used to measure temperature? Check all that apply: ❑ pH meter
❑ DO meter ❑ Conductivity meter X Digital thermometer ❑ Glass thermometer
Is the instrument/thermometer calibration checked at least annually against a NIST
traceable thermometer?
Yes
❑ No
Is NIST traceability documentation maintained on site?
0 Yes
❑ No
Are samples measured in situ or on -site? [REQUIRED - there is no holding time for
temperature]
® Yes
❑ No
Are sample results reported in degrees C?
A Yes
❑ No
VI. Dissolved Oxygen - reference method:
DO meter make and model:
Is the air calibration of the DO meter performed each day of use?
❑ Yes
❑ No
Are the following items documented:
Meter calibration?
❑ Yes
❑ No
Are samples analyzed within 15 minutes of collection?
❑ Yes
❑ No
Are results reported in m /L?
❑ Yes
❑ No
VII. Conductivity — reference method:
Conductivity meter make and model:
Is the meter calibrated daily according to the manufacturer's instructions? Note standard
used this is generally a one -point calibration):
❑ Yes
❑ No
Is a daily check standard analyzed? Note value:
❑ Yes
❑ No
Are the following items documented:
Meter calibration?
❑ Yes
❑ No
Are samples analyzed within 28 days of collection?
❑ Yes
❑ No
Are results reported in mhos/cm some meters display equivalent S/cm units)?
❑ Yes
❑ No
Vill. Settleable Residue — reference method:
Does the laboratory have an Imhoff Cone in good condition?
❑ Yes
❑ No
Is the sample settled for 1 hour?
❑ Yes
❑ No
Is the sample aitated after 45 minutes?
❑ Yes
❑ No
Are the following items documented:
Volume of sample analyzed? Note volume analyzed:
❑
Yes
❑
No
Date and time of sample analysis(settling start time)?
❑
Yes
❑
No
Time of agitation after 45 minutes of settling?
❑
Yes
❑
No
Sample analysis completion(settling end time)?
❑
Yes
❑
No
Are samples analyzed within 48 hours of collection?
❑
Yes
❑
No
Are results reported in ml/L?
❑
Yes
❑
No
IX. Was a paper trail (comparing contract lab and on -site data to DMRs)
performed? If so, list months reviewed: u z T I Z C I
;, Yes
❑ No
X. Is follow-up by the Laboratory Certification program ecommended?
❑ Yes
XNo
XI. Additional comments:
- /Jy d 0'es na+ d; ccj�_o_rae Ov, a r
Please submit a copy of this completed form to the Laboratory Certification program at:
DWR Lab Certification, Water Sciences Section, 1623 Mail Service Center, Raleigh NC, 27699-1623
Electronic copies may be emailed to dana.satterwhitetcDncdenr.gov.
Revision 12/13/2016