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HomeMy WebLinkAboutNC0020117_Lab Inspection_20011025Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Gregory J. Thorpe, Ph.D. Acting Director Division of Water Quality October 25, 2001 114 Mr. J. Enique Coello Clinton -Norman H. Larkins WWTP Lab. P.O. Box 199 Mill Branch Road Clinton, NC 28328 SUBJECT: Laboratory Certification Maintenance Inspection Dear Mr. Coello: OCT 2 9 2001 Enclosed is a report for the inspection performed on October 11, 2001 by Mr. Frederick L. Bone. Where deficiencies are cited in this report, a response is required as well as for all lettered comments and/or recommendations cited. Within thirty days of receipt, please supply this office with a written item for item description of how these deficiencies, comments and/or recommendations were corrected. If the deficiencies cited in the enclosed report are not corrected, enforcement actions will be recommended. For certification maintenance, your laboratory must continue to carry out the requirements set forth in 15A NCAC for 2H .0800. Copies of the checklists completed during the inspection may be requested from this office. Thank you for your cooperation during the inspection. Please contact us at 919-733-3908, if you have questions or need additional information. Sincerely, 9. w James W. Meyer Laboratory Section Enclosure cc: Frederick L. Bone Fayetteville Regional Office ♦FPS+ NCDENR Laboratory Section N. C. Division of Water Quality 1623 Mail Service Center Raleigh, NC 27699-1623 (919) 733-3908 FAX: 919-733-6241 Internet: www.esb.enr.state.nc.us/lab On -Site Inspection Report, LABORATORY NAME: ADDRESS: CERTIFICATE NO: DATE OF INSPECTION: TYPE OF INSPECTION: EVALUATOR: LOCAL PERSON(S) CONTACTED: I. INTRODUCTION: Clinton —Norman H. Larkins VVV TP Lab. P.O. Box 199 Mill Branch Road Clinton, NC 28328 114 October 11, 2001 Maintenance Frederick L. Bone Ricky Coello 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 laboratory is spacious and well equipped. All facilities and equipment are well maintained. Records are well kept and most data looked good. Some further quality control procedures need to be implemented. III. DEFICIENCIES, RECOMMENDATIONS, REQUIREMENTS, AND COMMENTS: General: 1. DEFICIENCY: The laboratory is not performing sufficient quality control for it's duplicate sample analysis. The laboratory must calculate either the relative percent difference, or the absolute difference for each duplicate pair analyzed. This value is then used to establish control charts or other appropriate acceptance criteria. This type of data is necessary to demonstrate that the data is within acceptable control limits. The %RPD must be listed on the inorganic benchsheets so that the analyst will be able to immediately confirm whether or not the data falls within acceptable limits. REQUIREMENT: Any time quality control results indicate an analytical problem, the problem must be resolved, and any samples involved must be rerun if the holding time has not expired. Ref: 15A NCAC 2H .0805 (a) (7) (f). 2. DEFICIENCY: The laboratory is not verifying the automatic temperature compensation of the pH and Conductivity meter on an annual basis. Page 2 REQUIREMENT: All thermometers must meet National Institute of Standards and Technology (NIST) specifications for accuracy or be checked against a NIST traceable thermometer and proper corrections made. Ref: 15A NCAC 2H .0805 (a) (7) (o). 3. DEFICIENCY: Some of the daily Togs and benchsheets used by the laboratory do not contain all of the necessary labeling information. No units of measure are associated with some of the data values listed in the logbooks and on laboratory benchsheets. Incorrect units of measure were listed on some of the logs for temperature. REQUIREMENT: The laboratory must review all benchsheets and logbooks to ensure that every entry is marked with the appropriate units of measure. Every number recorded on a benchsheet or logbook must have an appropriate unit assigned to it. All laboratories must use printed laboratory bench worksheets that include a space to enter the signature or initials of the analyst, date of analyses, sample identification, volume of sample analyzed, value from the measurement system, factor, and final value to be reported, and each item must be recorded each time samples are analyzed. Ref: 15A NCAC 2H .0800 (a) (7) (h). A. COMMENT: The laboratory does not clearly label duplicate samples on the general worksheets. RECOMMENDATION: For duplicate samples, the sample name should be followed by the term "Dup". or "Duplicate" to indicate sample duplication. This will clearly delineate duplicate samples from regular samples. B. COMMENT: The laboratory does not list the acceptance ranges of quality control samples on the laboratory benchsheets. RECOMMENDATION: It is strongly recommended that the laboratory list the acceptance ranges for each quality control sample on the benchsheet. This will enable the analyst to be able to compare the analytical result to the acceptable range in a timely fashion. If the sample is out of the acceptable range, it can then be reanalyzed immediately and within all holding times. C. COMMENT: The laboratory does not analyze a second source QC standard for all required parameters. REQUIREMENT: Analyze one known standard in addition to calibration standards each day that samples are analyzed to document accuracy. This laboratory control standard must be from a second source. For held curves for colorimetric methods, it must be analyzed after the calibration verification standard is analyzed. It is recommended that this laboratory control standard, like the calibration verification standard, have a mid -range concentration and not vary by more than ± 10%. If it does the analysis is out of control. The analysis must be terminated and the problem corrected. Ref: 15A NCAC 2H .0805 (a) (7) (B), (F), and Standard Methods, 18th Edition - Method 1020 6.3. Page 3 D. COMMENT: The Laboratory is measuring and recording the temperature and pressure of the autoclave daily. The thermometer used to monitor this temperature is not checked against an autoclave maximum holding thermometer weekly. REQUIREMENT: Check the operating temperature weekly with a minimum/maximum holding thermometer. Ref: Standard Methods, 18th Edition - Method 9020 B. 2. i. E. COMMENT: The laboratory adjusts oven temperatures to achieve 103 -105°C for TSS and TS analysis. On days that adjustments are made to the oven, the laboratory does not record that the proper temperature of 103 -105°C is achieved. REQUIREMENT: Dry evaporated sample for at least 1 hour in an oven at 103-105°C, cool in desiccator to balance temperature, and weigh. Ref: Standard Methods 18th Edition 2540 D Total Suspended Solids at 103 -105° C section (3) c p2-56. F. COMMENT: The thermometer in the drying oven is currently reading the internal air temperature and not the sample matrix temperature. RECOMMENDATION: The thermometer in the drying oven should be placed in a beaker of sand or other solid matrix. This ensures that the proper matrix temperature is measured as well as providing a more stable temperature environment for the thermometer readings. G. COMMENT: The laboratory does not qualify data that does not meet established quality control criteria. RECOMMENDATION: The laboratory must qualify all data that does not meet the quality control criteria established by either laboratory controls or by criteria given in each individual method. For example if the GGA is not within the control limits for a given day, the data should be reported and the results qualified with a note that indicates the laboratory recognizes that the GGA is out of range, but that in the technicians professional opinion that the data is valid. Any variation in data quality should be explained by qualifying the data. Total Suspended Solids: 4. DEFICIENCY: The laboratory is not filtering enough sample to get between 1 and 200 mg of residue on each filter. REQUIREMENT: When analyzing suspended residue, sufficient sample must be filtered to yield at least 1.0 mg of residue. Ref: EPA-600/4-79-020 Methods Manual, March 1979 - Method 160.2. The size of a total suspended solid sample must be between 1 and 200 mg. Limit the sample size to that yielding no more than 200 mg of residue. Ref: Standard Methods, 18th Edition - Method 2540 D. Total Suspended Solids Dried at 103-105°C section (3) c p. 2-56. 5. DEFICIENCY: The laboratory does not properly rinse all filters prior to analysis. Page 4 REQUIREMENT: Apply vacuum and wash disks with three successive 20-ml portions of reagent —grade water. Continue suction to remove all traces of water and discard washings. Ref: Standard Methods 18th Edition 2540D. (3) (A) p. 2-56. 6. DEFICIENCY: The laboratory is not rinsing filtered samples with three successive rinses of 10 ml of reagent grade water. REQUIREMENT: Wash with three successive 10—ml volumes of reagent grade water, allowing complete drainage between washings, and continue suction for about 3 min. after filtration is complete. Ref: Standard Methods 18th Edition 2540 C Total Suspended Solids Dried at 103- 105°C-section (3) c p. 2-56. H. COMMENT: The laboratory does not record the time and date that the samples were placed into the oven and time and date that the samples were removed from the oven on the laboratory benchsheet for the annual dry weight verification study. REQUIREMENT: The laboratory must record the time and date that the samples were placed into the oven and time and date that the samples were removed from the oven on the benchsheet for the annual drying time verification study. Repeat cycle of drying, cooling, desiccation, and weighing until a constant weight is obtained, or until weight change is less than 4% of previous weight or 0.5 mg, whichever is less. Ref: Standard Methods 18th Edition 2540 D Total Suspended Solids at 103 -105° C section (3) c p2-56. I. COMMENT: The laboratory is not analyzing a sufficient sample volume for water blanks for the Total Suspended Solids analysis. The laboratory must filter a volume of DI water (equal to the maximum sample volume used) as a method blank each analysis day. REQUIREMENT: The laboratory must analyze blanks at a volume equal to the maximum sample volume used as a methodblank each analysis day. Blanks must be analyzed in order to determine bias in each sample batch. Ref: Standard Methods 18th Edition - Method 1020B pg. 1-5. J. COMMENT: The laboratory does not fully calculate and record each blank sample analyzed. REQUIREMENT: The laboratory must treat each blank analyzed exactly as all other samples. The blanks must be recorded and fully calculated on each analysis day. Total Solids: Note: The laboratory is not currently certified for this parameter. Samples are anayzed for industrial pretreatment by this method in order to determine the % solids. If the laboratory desires certification for this parameter the following items must be corrected in order to meet method criteria. Page 5 7. DEFICIENCY: The laboratory is not analyzing water blanks for this analysis. The laboratory must filter a volume of DI water (equal to the maximum sample volume used) as a method blank each analysis day. REQUIREMENT: Blanks must be analyzed in order to determine bias in each sample batch. Ref: Standard Methods, 18 Edition - Method 2020 pg. 2-1.f. 8. DEFICIENCY: The laboratory is not using a sample that yields between 10 and 200 mg of dried residue. COMMENT: The laboratory does not record the amount of dried residue that remains after drying on the laboratory benchsheet. This information must be recorded in order to demonstrate that all method requirements are achieved. REQUIREMENT: Choose sample volume to yield between 10 and 200mg dried residue. Ref: Standard Methods 18th Edition 2540 C. Total Dissolved Solids Dried at 180° C section (3) c p. 2-55. 9. DEFICIENCY: The laboratory does not record the volume of sample analyzed on the laboratory benchsheets. REQUIREMENT: All laboratories must use printed laboratory bench worksheets that include a space to enter the signature or initials of the analyst, date of analyses, sample identification, volume of sample analyzed, value from the measurement system, factor, and final value to be reported, and each item must be recorded each time samples are analyzed. Ref: 15A NCAC 2H .0800 (a) (7) (h). 10. DEFICIENCY: The laboratory does not record the time and date that the samples were placed into the oven and time and date that the samples were removed from the oven on the bench sheet. REQUIREMENT: The laboratory must record the time and date that the samples were placed into the oven and time and date that the samples were removed from the oven on the bench sheet. The method requires that the samples be dried for at least one hour. The laboratory must document that this minimum drying time is performed. Ref: Standard Methods 18th Edition 2540 B. Total Solids Dried at 103 -105° C section (3) b p2-54. 11. DEFICIENCY: The laboratory is not analyzing any duplicate samples. REQUIREMENT: Excluding oil and grease, 5% of all samples must be analyzed in duplicate. 15A NCAC 2H .0805 (a) (7) (C). K. COMMENT: If the laboratory desires to become certified for this parameter, all of the following requirements must be completed. Page 6 REQUIREMENT: 1. The laboratory must provide a written request for certification. 2. Acceptable Performance Evaluation samples must be provided. 3. Correct any comments and deficiencies cited in this audit report. 4. Payment of the additional parameter invoice must be received. AMMONIA: 12. DEFICIENCY: The laboratory is not analyzing and recording a standard at the mid -range of the calibration curve daily for the ammonia analysis. COMMENT: As was discussed at the time of the audit the mid -range is to be defined as one half the concentration of the high standard. Note: The mid -range check standard must be prepared from the same stock standards as the analytical curve. A second source laboratory control. standard (LCS) must be analyzed in addition to the mid -range check standard daily. A second source LCS sample does not constitute daily mid -range verification. REQUIREMENT: Verify the standard curve daily by analyzing one or more standards within the linear range, as specified in the individual method. The curve must be updated as set forth in the standard procedures, each time the slope changes by more than 10 percent at midrange. Ref: Standard Methods 18th Edition 1020 B. Quality Control section 5 p. 1-5, and Ref: 15A NCAC 2H .0805 (a) (7) (i). L. COMMENT: The curve used for ammonia analysis covers too wide of an analytical range. (0.1-100 mg/L) RECOMMENDATION: In order to increase the accuracy and stability of the analytical measurement, it is recommended that the laboratory analyze two separate ammonia curves. The first curve from 0.1 - 1.0 mg/L and the second curve 1.0 — 20 mg/L. Sample concentrations above 20 mg/L should be diluted to fall within the range of the curve. M. COMMENT: The laboratory is not documenting the pH preservation of ammonia samples. Note: The laboratory does not routinely preserve samples. Samples are normally analyzed immediately after collection. REQUIREMENT: The laboratory must document that all residual chlorine has been removed and that the pH of all samples has been properly adjusted. A record of date collected, time collected, sample collector and use of proper preservatives must be maintained. Ref: 15A NCAC 2H .0805 (a) (7) (M). N. COMMENT: The laboratory records a check mark rather than the actual concentration for all ammonia standards daily. Page 7 RECOMMENDATION: It is strongly recommended that the laboratory record the actual concentration of the calibration standards daily. This will provide the laboratory with more useful information than a check mark. pH and Residual Chlorine: O. COMMENT: The laboratory benchsheets cite Standard Methods 17' Edition. REQUIREMENT: The laboratory is following Standard Methods 18th Edition. The laboratory must correct its benchsheets to reflect the method currently used by the laboratory for sample analysis. RESIDUAL CHLORINE: 13. DEFICIENCY: The permitted limit at this facility for residual chlorine is 17µg/I. The annual curve for the pocket colorimeter demonstrated a lack of sensitivity below 50 µg/L. The laboratory also has a DR 3000 spectrophotometer. The annual curve for this instrument demonstrated adequate sensitivity at 25µg/L. The laboratory recently upgraded to a DR 4000 spectrophotometer. No analytical curve has been analyzed for the DR4000, but samples are analyzed on this instrument. The DR 4000 shouldbe able to meet the permitted limit, but this can not be demonstrated without the required analytical curve. REQUIREMENT: The laboratory must use instrumentation capable of obtaining reliable data at or below the facility permitted limits. The laboratory .must immediately analyze a curve for the DR 4000 if samples are to be reported using this instrumentation. For analytical procedures requiring analysis of a series of standards, the concentrations of these 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. For colorimetric analyses, a series of five standards for a curve prepared annually or three standards for curves established each day or standards as set forth in the analytical procedure must be analyzed to establish a standard curve. The curve must be updated as set forth in the standard procedures, each time the slope changes by more than 10 percent at mid -range, each time a new stock standard is prepared or at least every twelve months. Each analyst performing the analytical procedure must produce a standard curve. Ref: 15A NCAC 2H .0800 (a) (7) (I). 14. DEFICIENCY: The laboratory is not analyzing a blank daily. REQUIREMENT: Analyze reagent blanks whenever new reagents are used and as often as required in specific methods. Analyze a minimum of 5% of the sample Toad as reagent blanks; this monitors purity of reagents and the overall procedural blank. Analyze a reagent blank after any sample with a concentration greater than that of the highest standard or that might result in carryover from one sample to the next. Ref: Standard Methods 18th Edition 1020B Quality Control (4) p 1-5. Page 8 P. COMMENT: The laboratory is not calculating a correlation coefficient for the standard curve for the residual chlorine analysis. The laboratory does not demonstrate statistically that the analytical curve is linear. REQUIREMENT: The laboratory must calculate a correlation coefficient for each analytical curve in order to demonstrate linearity. Analytical. Quality Control Program. Each laboratory shall develop and maintain a document outlining the analytical quality control practices used for the parameters included in their certification. Supporting records shall be maintained as evidence that these practices are being effectively carried out. The quality control document shall be available for inspection by the State Laboratory. Ref: 15A NCAC 2H .0805 (a) (7). CONDUCTIVITY: 15. DEFICIENCY: Not all samples reported by the laboratory are properly bracketed with calibration standards. COMMENT: The lab may choose to make a higher standard using the chart in Standard Methods, 18 Edition- Method 2510 Table 2510:1. pg. 2-43 to bracket the higher sample values. REQUIREMENT: For analytical procedures requiring a series of standards, the concentrations of these standards must bracket the concentration of the samples analyzed, and one of the standards must have a concentration equal to the laboratory's lower reporting limit. Ref: 15A NCAC 2H .8005 (a) 97) (1). Q. COMMENT: Variations in the daily cell constant indicate that the conductivity probe is in need of maintenance. RECOMMENDATION: Based on the daily conductivity information, it is recommended that the laboratory perform maintenance on the conductivity probe. Fluoride: 16. DEFICIENCY: The laboratory is not analyzing any duplicate samples for this parameter. REQUIREMENT: Excluding oil and grease, 5% of all samples must be analyzed in duplicate. Ref: 15A NCAC 2H .0805 (a) (7) (C). 17. DEFICIENCY: The laboratory is not analyzing water blanks for this analysis. The laboratory must filter a volume of DI water (equal to the maximum sample volume used) as a method blank each analysis day. REQUIREMENT: Blanks must be analyzed in order to determine bias in each sample batch. Ref: Standard Methods, 18 Edition - Method 2020 pg. 2-1.f. Page 9 R. COMMENT: The linearity of curves used for fluoride analysis does not meet accepted criteria. The correlation of the laboratory fluoride curves is 0.993. This does not meet a minimum of 0.995 correlation. REQUIREMENT: The regressing calculation will generate a correlation coefficient (r) that is a measure of the goodness of fit of the regression line to the data. A value of 1.00 indicates a perfect fit. In order to be used for quantitative purposes, the correlation coefficient must be greater than or equal to 0.995. 17. DEFICIENCY: The laboratory is performing a 10X dilution on all samples analyzed. The laboratory does not record that any dilution has been performed on the laboratory general worksheet. REQUIREMENT: All laboratories. must use printed laboratory bench worksheets that include a space to enter the signature or initials of the analyst, date of analyses, sample identification, volume of sample analyzed, value from the measurement system, factor, and final value to be reported, and each item must be recorded each time samples are analyzed. Ref: 15A NCAC 2H .0800 (a) (7) (h). S. COMMENT: The laboratory is performing a five -point annual calibration curve for fluoride. In addition to the five -point curve, the laboratory is performing a three-point calibration curve daily. REQUIREMENT: The laboratory must perform EITHER a daily three-point calibration or a five point annual calibration for this method. BOD: 18. DEFICIENCY: The laboratory does not determine the amount of sodium sulfite necessary to neutralize the residual chlorine as described in the approved method. Note: Excess sodium sulfite will cause an increase in the reduction potential of each sample. For this reason, the method requires that only the exact amount sodium sulfite that is necessary be used to neutralize each sample. REQUIREMENT: The laboratory must perform the titrametric test for the removal of residual chlorine, and the amount of sodium sulfite necessary to neutralize that chlorine as described in Standard Methods, 18th Edition p. 5-4. 19. DEFICIENCY: The laboratory does not use the sodium sulfite solution in order to neutralize residual chlorine. The laboratory is currently using sodium thiosulfate for this purpose. REQUIREMENT: Prepare sodium sulfite solution as described in the method. This solution is not stable; prepare daily. Ref: Standard Methods, 18 Edition - Method 5210 B (3) (f) pg. 5-3. Page 10 Fecal Coliform: T. COMMENT: The blanks used for fecal coliform analysis are not clearly labeled. They are listed as I or II. REQUIREMENT: The laboratory must clearly label each blank. All laboratories must use printed laboratory bench worksheets that include a space to enter the signature or initials of the analyst, date of analyses, sample identification, volume of sample analyzed, value from the measurement system, factor, and final value to be reported, and each item must be recorded each time samples are analyzed. Ref: 15A NCAC 2H .0800 (a) (7) (h). U. COMMENT: The laboratory lists non -reportable samples on the same benchsheet as the reportable data. Some of the process control data does not meet the requirements of the cited methodology. RECOMMENDATION: The laboratory must either clearly label all non -certified work on the laboratory benchsheet or have separate benchsheets for process control (non -certified) and reportable (certified) data. This will allow the laboratory to demonstrate that all data used for reporting purposes has met all method requirements. V. COMMENT: The laboratory includes values from dilutions that do not meet the 20-60 colonies per plate method criteria in reporting the final value to be reported. The laboratory analyzes a 100ml-sample volume. Data should be reported from the 100m1 sample unless it is outside the desired counting range or other dilutions yield results in the accepted range. All results that meet the method acceptance criteria must be averaged to obtain a final value to be reported. Note: The only time that a laboratory may report data as <l colony/100m1 is if a whole volume 100 ml sample is analyzed. All other data must either meet the 20 — 60 colony count rule or be qualified and reported as an estimated value. REQUIREMENT: Compute the density from the sample quantities that produced MF counts within the desired range of 20 to 60 fecal coliform colonies. Ref: Standard Methods, 18th Edition 9222D. (3) pg. 9-61. W. COMMENT: The samples analyzed for fecal coliform have too much variability between the sample results and the dilutions analyzed. Example: Dilution: Filter Count: Filter Count 100m1 8/7/01 282 7/24/01 50 100m1 8 184 25m1 3 17 1ml 0 1 Page 11 REQUIREMENT: Samples must be well mixed prior to each dilution being poured. This will ensure agreement between each duplicate and dilution analyzed. IV. PAPER TRAIL INVESTIGATION: This consisted of comparing data reported on DMR's submitted to this Division for the months of January, July, and August 2001 with the values obtained on laboratory bench worksheets. The review of this data indicated no problems in proper data reporting. V. CONCLUSIONS: Correcting the above deficiencies and comments and implementing the recommendations should help this lab to produce quality data and meet certification requirements. Please respond to all Deficiencies and lettered Comments and/or Recommendations cited in this report. Report prepared by: Frederick L. Bone Date: October 19, 2001