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HomeMy WebLinkAbout#329_2020_0113_MC_FINALLaboratory Cert. #: 329 Laboratory Name: Pace South Carolina — Analytical Laboratory Inspection Type: Commercial Maintenance Inspector Name(s): Michael Cumbus, Beth Swanson, Todd Crawford, Dana Satterwhite, Tonja Springer, Tom Halvosa, Jason Smith, Anna Ostendorff Inspection Date: January 13, 2020 — January 16, 2020 Date Forwarded for Initial February 10, 2020 Review: Initial Review by: Anna Ostendorff Date Initial Review February 27, 2020 Completed: ❑ Insp. Initial ® Insp. Reg Cover Letter to use: ❑Insp. No Finding ❑Insp. CP ❑Corrected ❑Insp. Reg. Delay Unit Supervisor/Chemist III: Beth Swanson Date Received: February 27, 2020 Date Forwarded to Admin.: 3/19/2020 Date Mailed: Special Mailing Instructions: Michael to send a copy to Bill Gintert w/ Charlotte Water ROY COOPER Governor MICHAEL. S. REGAN Secretary S. DANIEL SMITH Director NORTH CAROLINA Environmental Quality March 20, 2020 329 Ms. Stephanie Atkins Pace South Carolina - Analytical Laboratory 106 Vantage Point Dr. West Columbia, SC 29172- Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Ms. Atkins: Enclosed is a report for the inspection performed on January 13-16, 2020 by Michael Cumbus, Beth Swanson, Todd Crawford, Dana Satterwhite, Tonja Springer, Tom Halvosa, Jason Smith, Anna Ostendorff. I apologize for the delay in getting this report to you. 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. Please describe the steps taken to prevent recurrence and include an implementation date for each corrective action. 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. A copy of the laboratory's Certified Parameter List at the time of the audit is attached. This list will reflect any changes made during the audit. 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 (919) 733-3908 Ext. 259. Sincerely, rr Beth Swanson Technical Assistance & Compliance Specialist Division of Water Resources Attachment cc: Michael Cumbus, Dana Satterwhite - North Carolina Department of Environmental Quality I Division of Water Resources 4405 Reedy Creek Road ( 1623 Mail Service Center j Raleigh, North Carolina 27699-1623 NORTHCAR UNA DWd t fEmlroame Ulwa; 919,733.3908 CERTIFICATE : Pace South Carolina — Analytical Laboratory 106 Vantage Point Drive West Columbia, SC 29172 329 January 13, 2020 — January 16, 2020 Commercial Maintenance Michael Cumbus, Beth Swanson, Todd Crawford, Dana Satterwhite, Anna Ostendorff, Tom Halvosa, Tonja Springer and Jason Smith Stephanie Atkins, Kristina Bouknight, Tracy Fowler, Dan Wright and Brad Belding This laboratory was inspected by representatives of ,the North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) program to verify its compliance with the requirements of 15A NCAC 02H .0800 for the analysis of environmental samples. II. GENERAL COMMENTS: The laboratory was neat and well -maintained. Staff were very forthcoming, knowledgeable, engaged and seemed eager to adopt any necessary changes. The laboratory retains records electronically and was easily able to produce any required data or information needed. Laboratory Standard Operating Procedures (SOPs) do a good job of describing method modifications. The laboratory has a robust manual integration SOP and training program. The laboratory's system of standard and reagent traceability is thorough and effective. - - All required- Proficiency Testing (PT) Samples for the 2020 PT Calendar Year have not yet been - analyzed. The laboratory is reminded that results must be received by this office directly from the vendor by September 30, 2020. The laboratory submitted their Quality Assurance (QA) documents and/or SOPs in advance of the inspection. These documents were reviewed and editorial and substantive revision requirements and recommendations were made by this program outside of this formal report process. Although subsequent revisions were not requested to be submitted, they must be completed by March 1, 2021. The laboratory is reminded that any time changes are made to laboratory procedures, the laboratory must update the QA document(s) and/or SOPs and inform relevant staff. Any changes made in response to the pre -audit review or to Findings, Recommendations or Comments listed in this report must be incorporated to insure the method is being performed as stated, references to methods are accurate, and the QA and/or SOP documents) is in agreement with each approved practice, test, analysis, measurement, monitoring procedure or Page 2 #329 Pace South Carolina regulatory requirement being used in the laboratory. In some instances, the laboratory may need to create an SOP to document how new functions or policies will be implemented. The laboratory is also reminded that SOPs are intended to describe procedures exactly as they are to be performed. Use of the word "should" is not appropriate when describing requirements (e.g., Quality Control (QC) frequency, acceptance criteria, etc.). Evaluate all SOPs for the proper use of the word "should". Laboratory Fortified Matrix (LFM) and Laboratory Fortified Matrix Duplicate (LFMD) are also known as Matrix Spike (MS) and Matrix Spike Duplicate (MSD) and may be used interchangeably in this report. Documentation Comment: Prior to our rules being updated, Flash Point and Ignitability methods were listed under the same parameter heading. They are now listed under separated parameter headings. The laboratory currently holds certification for Flash Point by SW-846 1010 A (Pensky-Martens) (Aqueous). The laboratory is not certified for Ignitability. The laboratory needs to update the benchsheet to say Flash Point instead of Ignitability. A. Finding: Chemical containers are not consistently dated when received and opened. Requirement: Chemical containers shall be dated when received and when opened. Reagent containers shall be dated, identified, and initialed when prepared. Chemicals and reagents exceeding the expiration date shall not be used. The laboratory shall have a documented system of traceability for the purchase,, preparation, and use of all chemicals, reagents, standards, and consumables. Ref: 15A NCAC 02H .0805 (a) (7) (K). Comment: During the walk-through of the laboratory, it was discovered that a bottle of sodium sulfite (laboratory ID# 18-1850B) was lacking the date opened on the bottle. B. Finding: Temperature measuring device documentation does not always include the correct serial number. Requirement: To check a temperature -measuring device, read the temperature of the temperature -measuring device against a_ Reference Temperature -Measuring Device and record the two temperatures, the serial number (or other unique identifier) of each device, the date the calibration was verified and the signature/initials of the analyst. Ref: NC WW/GW LC Policy. Comment: For waterbath M10, the serial number on the back of the temperature - measuring device is 17076882 and the verification sticker says 122403854. The thermometer verification log shows waterbaths M10 and M8 as having temperature - measuring devices with identical serial numbers. C. Finding: The laboratory benchsheet does not clearly state when sample reduction is performed for samples prepared by SW-846 Method 1311 and SW-846 Method 1312. This is considered pertinent data. Requirement: Weigh out a small subsample of the solid phase of the waste, reduce the solid (if necessary) to a particle size of approximately 1 mm in diameter or less, and transfer 5.0 g of the solid phase of the waste to a 500 mL beaker or Erlenmeyer flask. Ref: Page 3 #329 Pace South Carolina EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 1311. Rev. 0, July 1992, Section 7.1.4.1. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: sample preparation, where applicable. Each item shall be recorded each time that samples are analyzed. Ref: 15A NCAC 02H .0805 (a) (7) (F) (x). Requirement: All analytical records, including original observations and information necessary to facilitate historical reconstruction of the calculated results, shall be maintained for five years. All analytical data and records pertinent to each certified analysis shall be available for inspection upon request. Ref: 15A NCAC 02H .0805 (a) (7) (E). Requirement: Prepare the solid portion of the waste for extraction by crushing, cutting, or grinding the waste to a surface area or particle size as described in Section 7.1.3. When the surface area or particle size has been appropriately altered, quantitatively transfer the solid material into an extractor bottle. Include the filter used to separate the initial liquid from the solid phase. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 1311. Rev, 0, July 1992, Section 7.2.10. Comment: Only one checkbox for each sample, indicating yes/no, is listed on the benchsheet. This does not clearly demonstrate if the size reduction is performed during fluid determination, extraction, or both. D. Finding: Units of measure are not consistently documented. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: the proper units of measure. Each item shall be recorded each time samples are analyzed. Ref: 15 NCAC 02H .0805 (a) (7) (F) (viii). Comment: This Finding applies to the units of measure for pH on the Analytical Batch sheet for Oil & Grease. EPA Method 1664, Rev. B (Aqueous). Comment: This Finding applies to the "PQL" column on the Analytical Batch sheet for the following analyses: ® Nitrogen, Ammonia - EPA Method 350.1, Rev. 2.0, 1993 (Aqueous) • Phosphorus, Total - EPA Method _365.1,_Rev. 2.0, 1993 (Aqueous) ® Fluoride - SW-846 9056 A (Aqueous & Non -Aqueous) ® Chloride - SW-846 9056 A (Aqueous & Non -Aqueous) ® Sulfate - SW-846 9056 A (Aqueous & Non -Aqueous) ® Nitrogen, Total Kjeldahl - EPA Method 351.2, Rev. 2.0, 1993 (Aqueous) ® Organic Carbon, Total - SM 5310 C-2011 (Heated Persulfate) (Aqueous) ® Organic Carbon, Total - SW-846 9060 A (Heated Persulfate) (Aqueous) ® Inorganic Phenols - EPA Method 420.4, Rev. 1.0, 1993 (Aqueous) ® Inorganic Phenols - SW-846 9065 (Aqueous) ® Cyanide - EPA Method 335.4, Rev. 1.0, 1993 (Total) (Aqueous) ® Cyanide - SW-846 9012 B (Total) (Aqueous & Non -Aqueous) ® Cyanide - SM 4500 CN- E-2011 (Total) (Aqueous) ® Cyanide - Lachat 10-204-00-1-X, Rev. 2.2, 2005 (SM 4500 CN E-2011 Automated) (Total) (Aqueous) Page 4 #329 Pace South Carolina Comment: This Finding applies to the "PQL" and "TV" columns on the Analytical Batch sheets for the following analyses: ® Residue, Total — SM 2540 B-2011 (Aqueous) ® Residue, Suspended — SM 2540 D-2011 (Aqueous) ® Residue, Dissolved 180 C — SM 2540 C-2011 (Aqueous) Comment: This Finding applies to the "Instrument Reading" and "PQL" columns on the "Turbidity Analytical Batch" benchsheet. Comment: The laboratory benchsheet for Paint Filter Liquids includes a column for sample amount. This column lists "Sample Volume (ml-) or Sample Weight (g)" but there is no indication which units of measure are being used in the analytical batch. E. Finding: The laboratory is not documenting the adjusted sample pH for Total Hardness. Requirement: Add 1 to 2 mL buffer solution. Usually 1 mL will be sufficient to give a pH of 10.0 to 10.1. Ref: Standard Methods, 2340 C-2011. (3) (b). Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: sample preparation, where applicable. Each item shall be recorded each time that samples are analyzed. Ref: 15A NCAC 02H .0805 (a) (7) (F) (x). Comment: The analyst is checking that the pH is adequately adjusted with pH strips but does not document this. F. Finding: The laboratory is not documenting the true value of QC standards on the Ammonia Nitrogen and Anions Analytical Batch sheets. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: all quality control assessments. Each item shall be recorded each time samples are analyzed. Ref: 15 NCAC 02H .0805 (a) (7) (F) (xv). G. Finding: The EPH laboratory benchsheets do not adequately differentiate between the aliphatic and aromatic fractions. Requirement: All laboratories shall use printable laboratory_ benchsheets._ Certified_ Data shall be traceable to the associated sample analyses and shall consist of: sample identification. Ref: 15A NCAC 02H .0805 (a) (7) (F) (ix). Comment: Sample Preparation Batch sheets for batch numbers #96848/96849 and #96888/96889 had separate batch numbers for each fraction, but there was nothing to distinguish the fractions from each other. H. Finding: The laboratory benchsheet for Inorganic Phenols does not fully reference the approved methods. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: the method or Standard Operating Procedure. Each item shall be recorded each time samples are analyzed. Ref: 15 NCAC 02H .0805 (a) (7) (F) (i). Page 5 #329 Pace South Carolina Comment: The reference year is not included on the benchsheet. Only "420.4" is included for the EPA method. I. Finding: The laboratory is not documenting the adjustment of the Inorganic Phenols sample pH to 4 S.U. prior to distillation. This is considered pertinent data. Requirement: Measure 500 mL sample into a beaker. Adjust the pH to approximately 4 with 1+9 NaOH (Section 7.9) or 1+9 H2SO4 (Section 7.10), and transfer to the distillation apparatus. Ref: EPA Method 420.4, Rev. 1.0 (1993), Section 11.1.1. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: sample preparation, where applicable. Ref: 15 NCAC 02H .0805 (a) (7) (F) (x). Comment: The laboratory is adjusting and checking the pH of the sample as required prior to distillation but does not document this. Quality Control Comment: During the verification of the temperature -sensing devices performed on January 2, 2020, the device with serial number 170768875, used in fecal waterbath M10, was found to have a correction factor of-0.3°C. North Carolina Administrative Code, 15A NCAC 02H .0805 (a) (7) (N) states: All temperature -measuring devices shall have accuracy that meets or exceeds one-half the tolerance required for its intended use. NC WW/GW LC Policy states: Incubators with an incubation temperature tolerance of ± 0.2 °C (e.g., fecal coliform incubators) must have temperature measuring devices with a stated accuracy of ± 0.1 'C. If the temperature -measuring device reading differs from the Reference Temperature -Measuring Device reading by more than 0.1 °C during subsequent verifications, the temperature -measuring device must be recalibrated or replaced. A Notice of Finding for Immediate Response was issued and a response time of three weeks was negotiated with the laboratory. Acceptable corrective action [i.e., the laboratory located a thermometer (serial number 192621163) with a stated accuracy of ± 0.1°C and a correction factor of 0.0°C, and put it into use on January 13, 2020] was witnessed by the auditor during the inspection. J. Finding: The laboratory is not analyzing or back -calculating a standard at the same concentration as the lowest reporting concentration each day samples are analyzed. Requirement: For analytical procedures requiring analysis of a series of standards, the concentrations of these standards shall bracket the range of the sample concentrations measured. One of the standards shall have a concentration equal to or less than the laboratory's lowest reporting concentration for the parameter involved. All data sets shall reference the corresponding calibration. Laboratories shall analyze or back -calculate a standard at the same concentration as the lowest reporting concentration each day samples are analyzed. Ref: 15A NCAC 02H .0805 (a) (7) (H). Comment: This Finding was noted for the following parameter methods: • Purgeable, Organics — SW-846 8260 D (Aqueous & Non -Aqueous) • Purgeable, Organics — EPA Method 624.1 (Aqueous) • Purgeable, Organics — SM 6200 B-2011 (Aqueous & Non -Aqueous) • TPH Gasoline Range, Organics — SW-846 8015C (Aqueous & Non -Aqueous) • Non -Halogenated Volatile, Organics — SW-846 8015 C (Aqueous & Non -Aqueous) • Chlorinated Acid Herbicides — SW-846 8151 A (Aqueous & Non -Aqueous) Page 6 #329 Pace South Carolina ® Volatile Petroleum Hydrocarbons — MADEP, February 2018, Rev. 2.1 (Aqueous & Non -Aqueous) ® COD — SM 5220 D-2011 (Aqueous) (High Range Curve Only) ® Nitrogen, Nitrite — EPA 300.0, Rev. 2.1 (Aqueous & Non -Aqueous) ® Nitrogen, Nitrite — SW-846 9056A (Aqueous & Non -Aqueous) ® Nitrogen, Nitrite — EPA 353.2, Rev. 2.0 (Aqueous) ® Nitrogen, Nitrate — EPA 300.0, Rev. 2.1, 1993 (Aqueous & Non -Aqueous) ® Nitrogen, Nitrate — SW-846 9056A (Aqueous & Non -Aqueous) ® Nitrogen, Nitrate — (NO3+NO2 EPA 353.2, Rev. 2.0, 1993) — (NO2 EPA 353.2, Rev. 2.0, 1993) (Aqueous) ® Nitrogen, NO3 + NO2 — EPA 353.2, Rev. 2.0, 1993 (Aqueous) ® TPH Diesel Range, Organics — SW-846 8015C (Aqueous & Non -Aqueous) ® Base Neutral/Acid, Organics — EPA Method 625.1 (Aqueous) ® Base Neutral/Acid, Organics — SW-846 8270 E (Aqueous & Non -Aqueous) ® Pesticides, Organochlorine — EPA Method 608.3 (Aqueous) ® Pesticides, Organochlorine — SW-846 8081 B (Aqueous & Non -Aqueous) ® Polychlorinated Biphenyls — EPA Method 608.3 (Aqueous) ® Polychlorinated Biphenyls — SW-846 8082 A (Aqueous & Non -Aqueous) ® Extractable Petroleum Hydrocarbons — MADEP, May 2004, Rev. 1.1 (Aqueous & Non -Aqueous) K. Finding: Initial accuracies for temperature -measuring devices used in incubators with tolerance of ± 0.2°C do not have a stated accuracy of ± 0.1 °C from the manufacturer. Requirement: Incubators with an incubation temperature tolerance of ± 0.2°C (e.g., fecal coliform incubators) must have temperature -measuring devices with a stated accuracy of ± 0.1 °C. Ref: NC WW/GW LC Policy. Comment: The temperature -measuring devices in use at the time of the inspection had all been verified by the laboratory since being put into use and were found to be within the required accuracy limits. This Finding will apply to all temperature -measuring devices put into use after the inspection. L. Finding: The laboratory is not rotating the range of spike concentrations, where applicable. Requirement: To prepare an LFM, add a known concentration of analytes (ideally from a secondsource)_ to a_ randomly selected routine sample without increasing its volume by more than 5%. Ideally, the new concentration should be at or below the midpoint of the calibration curve, and for maximum accuracy, the spike should approximately double the sample's original concentration. If necessary, dilute the spiked sample to bring the measurement within the calibration curve. Also, rotate the range of spike concentrations to verify performance at various levels. Ref: Standard Methods, 4020 B-2011. (2) (g). Requirement: To prepare an LFM, add a known concentration of analytes (ideally from a second source) to a randomly selected routine sample without increasing its volume by more than 5%. Ideally, the new concentration should be at or below the midpoint of the calibration curve, and for maximum accuracy, the spike should approximately double the sample's original concentration. If necessary, dilute the spiked sample to bring the measurement within the calibration curve. Also, rotate the range of spike concentrations to verify performance at various levels. Ref: Standard Methods, 5020 B-2011. (2) (g). Comment: The spike concentration was not found to be varied for the following parameter methods: Page 7 #329 Pace South Carolina ® Sulfide — SM 4500 S2- F-2011 (Aqueous) ® Cyanide — SM 4500 CN- E-2011 (Aqueous) ® COD — SM 5220 D-2011 (Aqueous) ® MBAS — SM 5540 C-2011 (Aqueous) ® TOC — SM 5310 C-2011 (Heated Persulfate) (Aqueous) M. Finding: The laboratory is not adjusting the sample concentration in the percent recovery calculation when the spike volume is >1% of the total sample volume. Requirement: The volume of spike solution used in MS preparation must in all cases be <_ 5% of the total MS volume. It is preferable that the spike solution constitutes < 1 % of the total MS volume so that the MS can be considered a whole volume sample with no adjustment (i.e., volume correction) by calculation necessary. If the spike solution volume constitutes >1% of the total sample volume, the sample concentration must be adjusted by calculation. Ref: NC WW/GW LC Policy. Comment: For analysis of Total Phosphorus by EPA Method 365.1, Rev. 2.0, the laboratory is diluting 1 mL of spiking solution to a final volume of 25 mL with sample, yielding a volume of spike solution of 4%. Comment: The laboratory is using 2% Metals spike solution per total volume to prepare the LFM/LFMD by preparation methods SW-846 1311, 1312 and 3050, for analysis by SW- 846 Method 6020B (Aqueous). Comment: For analysis of TKN by EPA Method 351.2, Rev. 2.0, the laboratory is spiking 1 mL of spike solution into 25 mL of sample. This volume of spike solution constitutes 4% of the total sample volume. Comment: For analysis of Nitrite Nitrogen, Nitrate Nitrogen and NO3 + NO2 Nitrogen, the volume of spike solution used constitutes 2% of the total sample volume. N. Finding: The matrix spike solution volume constitutes > 5% of the total sample volume. Requirement: The volume of spike solution used in MS preparation must in all cases be <_ 5% of the total MS volume. It is preferable that the spike solution constitutes <_ 1 % of the total MS volume so that the MS can be considered a whole volume sample with no adjustment (i.e., volume correction) by calculation necessary. If the spike solution volume constitutes >1% of the total sample volume, the sample concentration must be adjusted by calculation. Ref: NC WW/GW LC Policy. Comment: The laboratory prepares the Ammonia Nitrogen MS/MSD by spiking 5 mL of the Initial Calibration Verification (ICV)/Laboratory Control Sample (LCS) Intermediate Standard into a final volume of 50 mL of sample. This constitutes 10% of the total MS volume. O. Finding: The laboratory is not calculating the MS percent recovery properly. Requirement: If the sample concentration is below the reporting limit, use zero for amount of target in the unspiked sample. Ref: NC WW/GW LC Policy. Comment: The LIMS is subtracting actual calculated concentrations for the unspiked sample from the spiked sample when the unspiked sample concentration is below the reporting limit. Page 8 #329 Pace South Carolina Comment: The following parameter methods were found to have MS percent recovery improperly calculated: ® Nitrogen, Ammonia — EPA Method 350.1, Rev. 2.0, 1993 (Aqueous) ® Sulfide - Standard Methods, 4500 S2- F-2011 (Aqueous) ® Anions (Cl-, F-, Br, S042- , NO2 , NO3) — EPA 300.0, Rev. 2.1, 1993 (Aqueous & Non -Aqueous) ® Anions (Cl-, F-, Br, S042-, NO2 , NO3) — SW-846 9056 A (Aqueous & Non -Aqueous) ® Nitrogen, Nitrite — EPA 353.2, Rev. 2.0, 1993 (Aqueous) ® Nitrogen, Nitrate — (NO3+NO2 EPA 353.2, Rev. 2.0, 1993) — (NO2 EPA 353.2, Rev. 2.0, 1993) (Aqueous) ® Nitrogen, NO3 + NO2 — EPA 353.2, Rev. 2.0, 1993 (Aqueous) ® Organic Carbon, Total — Standard Methods, 5310 C-2011 (Aqueous) ® Organic Carbon, Total — SW-846 9060 A (Aqueous) ® Inorganic Phenols — EPA Method 420.4, Rev. 1.0, 1993 (Aqueous) ® Inorganic Phenols — SW-846 9065 (Aqueous) ® Cyanide - EPA Method 335.4, Rev. 1.0, 1993 (Total) (Aqueous) ® Cyanide - SW-846 9012 B (Total) (Aqueous & Non -Aqueous) ® Cyanide — Standard Methods, 4500 CN E-2011 (Total) (Aqueous) ® Cyanide - Lachat 10-204-00-1-X, Rev. 2.2, 2005 (Standard Methods, 4500 CN E- 2011 Automated) (Total) (Aqueous) P. Finding: Method blanks (MB) and Laboratory Fortified Blanks (LFB) are not being prepared with the associated preservative. Requirement: A reagent blank (method blank) consists of reagent water (see Section 1080) and all reagents (including preservatives) that normally are in contact with a sample during the entire analytical procedure. Ref: Standard Methods, 1020 B-2011 (5). Requirement: A laboratory -fortified blank (laboratory control standard (LCS)) is a reagent water sample (with associated preservatives) to which a known concentration of the analyte(s) of interest has been added. Ref: Standard Methods, 1020 B-2011 (6). Requirement: Laboratory Reagent Blank (LRB) - An aliquot of reagent water or other blank matrices that are treated exactly as a sample including exposure to all glassware, equipment, solvents, reagents, and internal standards that are used with other samples. The LRB is used to determine if method analytes or other interferences are present in the laboratory environment, reagents, or apparatus (Sections 7.6.2 and 9.3.1). Ref: EPA Method 200.8, Rev. 5.4, 1994, Section 3.10 Requirement: Laboratory Fortified Blank (LFB) - An aliquot of LRB to which known quantities of the method analytes are added in the laboratory. The LFB is analyzed exactly like a sample, and its purpose is to determine whether the methodology is in control and whether the laboratory is capable of making accurate and precise measurements (Sections 7.9 and 9.3.2). Ref: EPA Method 200.8, Rev. 5.4, 1994, Section 3.8 Requirement: Laboratory Fortified Blank (LFB) -- An aliquot of reagent water or other blank matrices to which known quantities of the method analytes are added in the laboratory. The LFB is analyzed exactly like a sample, and its purpose is to determine whether the methodology is in control, and whether the laboratory is capable of making accurate and precise measurements. Ref: EPA Method 365.1, Rev. 2.0 (1993), Section 3.4. Page 9 #329 Pace South Carolina Requirement: Laboratory Reagent Blank (LRB) -- An aliquot of reagent water or other blank matrices that are treated exactly as a sample including exposure to all glassware, equipment, solvents, reagents, internal standards, and surrogates that are used with other samples. The LRB is used to determine if method analytes or other interferences are present in the laboratory environment, the reagents, or the apparatus. Ref: EPA Method 365.1, Rev. 2.0 (1993), Section 3.6. Requirement: Method blank — Prepare by a processing either a volume of reagent water equal to that used for actual aqueous samples, or, otherwise, a clean, empty container, equivalent to that used for actual solid samples through all of the preparatory and instrument determination steps used for making ICP-MS determinations in samples. These steps may include, but are not limited to, pre -filtering, digestion, dilution, filtering, and analysis (refer to Sec. 9.5). Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 6020B, Rev. 2, July 2014, Section 7.22.2. Requirement: The LCS consists of an aliquot of a clean (control) matrix similar to the sample matrix and of the same weight or volume. The LCS should be spiked at the same levels and using the same spiking materials as the corresponding MS/MSD (see above Sec. 9.7.2). Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 6020B, Rev. 2, July 2014, Section 9.7.3. Requirement: The LCS sample is prepared and analyzed in the same analytical batch and in exactly the same manner as the other routine samples. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Chapter One, Rev. 2, July 2014, Section 1.5. Comment: The following analyses were found to have MB and LFB lacking the associated preservative: • COD — SM 5220 D-2011 (Aqueous) • Hardness Total — SM 2340 C-2011 (Aqueous) • Metals — EPA Method 200.8, Rev. 5.4, 1994 (Aqueous) • Metals — SW-846 6020B (Aqueous & Non -Aqueous) • Phosphorus, Total — EPA Method 365.1, Rev. 2.0, 1993 (Aqueous) Comment: For Hardness samples, 40 CFR Part 136.6 states that samples may be preserved- with either HNO3 or H2SO4. However, theChainof Custody (COC) observed - documented preservation of a Hardness sample with H2SO4 (sample ID# UC13072-001). The analyst stated that samples are typically preserved with HNO3. Care must be taken to ensure the correct preservative is added to the MB and LFB, or analyze 2 MB, each prepared with one preservative, if both acids are used routinely in samples. Q. Finding: An acceptance criterion has not been established for the precision of duplicates. Requirement: Unless specified by the method or this Rule, each laboratory shall establish performance acceptance criteria for all quality control analyses. Each laboratory shall calculate and document the precision and accuracy of all quality control analyses with each sample set. When the method of choice specifies performance acceptance criteria for precision and accuracy, and the laboratory chooses to develop laboratory -specific limits, the laboratory -specific limits shall not be less stringent than the criteria stated in the approved method. Ref: 15A NCAC 02H .0805 (a) (7) (A). Page 10 #329 Pace South Carolina Comment: This finding applies to the following parameter methods: ® 1,2-Dibromoethane (EDB) — EPA Method 504.1 (Aqueous) ® 1,2-Dibromoethane (EDB) — SW-846 8011 (Aqueous) ® Mercury — EPA Method 245.1, Rev. 3.0, 1994 (Aqueous) ® Mercury — SW-846 Method 7470 A (Aqueous) ® Mercury — SW-846 Method 7471 B (Non -Aqueous) R. Finding: The Instrument Performance Check (IPC) standard is not at a mid -range concentration, where required by the method. Requirement: For all determinations the laboratory must analyze the IPC (a mid -range check standard) and a calibration blank immediately following daily calibration, after every tenth sample (or more frequently, if required), and at the end of the sample run. Analysis of the IPC solution and calibration blank immediately following calibration must verify that the instrument is within ±10% of calibration. Ref: EPA 420.4, Revision 1.0 (1993), Section 9.3.4. Requirement: For all determinations, the laboratory must analyze the IPC (a mid -range check standard) and a calibration blank immediately following daily calibration, after every tenth sample (or more frequently, if required) and at the end of the sample run. Ref: EPA Method 350.1, Rev. 2.0 (1993), Section 9.3.4. Requirement: For all determinations, the laboratory must analyze the IPC (a mid -range check standard) and a calibration blank immediately following daily calibration, after every tenth sample (or more frequently, if required) and at the end of the sample run. Ref: EPA Method 180.1, Rev. 2.0 (1993), Section 9.3.2. Comment: Due to EPA Method 180.1 requirements, no standard or sample reading > 40 NTU is deemed valid. The laboratory is using calibration standards of 0.02, 10.0 and 1000 NTU. Based on those concentrations, the valid calibration range is 0.02 — 10 NTU. The laboratory has two options to meet the concentration requirement for the IPC solution; Replace the 1000 NTU calibration standard with a 20.0 NTU calibration standard. This would make the current IPC (ICV) concentration mid -range; or replace the 1000 NTU calibration with a 40.0 NTU calibration standard and prepare a second -source IPC (ICV) solution at a concentration of 20.0 NTU to satisfy the requirement. Alternatively, the laboratory may switch to Standard Methods 2130 B-2011, which does not require diluting samples/standards with a turbidity greater than 40 NTU or the analysis of a mid -range standard Comment: For Ammonia Nitrogen by EPA Method 350.1, Rev. 2.0, 1993, the laboratory analyzes a 1.0000 mg/L IPC Solution, which it calls the ICV and CCV. The range of the calibration is 0.0000 - 5.0000 mg/L. A 2.5000 mg/L IPC Solution would be required. Comment: For Inorganic Phenols by EPA Method 420.4, Rev. 1.0, 1993, the laboratory is analyzing an ICV with a concentration of 0.08 mg/L. The range of the calibration is 0.005 — 0.10 mg/L. A 0.05 mg/L IPC solution would be required. S. Finding: The laboratory is not evaluating the recoveries of the back -calculated standards. Requirement: Each laboratory shall develop documentation outlining the analytical quality control practices used for the Parameter Methods included in its Certification, including Standard Operating Procedures for each certified Parameter Method. Quality assurance, quality control, and Standard Operating Procedure documentation shall indicate the Page 11 #329 Pace South Carolina effective date of the document and be reviewed every two years and updated if changes in procedures are made. Each laboratory shall have a formal process to track and document review dates and any revisions made in all quality assurance, quality control, and Standard Operating Procedure documents. Supporting Records shall be maintained as evidence that these practices are implemented. The quality assurance, quality control, and Standard Operating Procedure documents shall be available for inspection by the State Laboratory. Ref: 15A NCAC 02H .0805 (a) (7). Requirement: The back -calculated and true concentrations should agree within ± 10%, unless different criteria are specified in an individual method. At the lower limit of the operational range, acceptance criteria are usually wider. Such criteria must be defined in the laboratory's QA plan. Ref: Standard Methods, 4020 B-2011. (2) (a). Comment: The back calculation is being done by the software but no acceptance criteria have been established. Comment: This Finding applies to the following parameter methods: ® Cyanide - SM 4500 CN- E-2011 (Total) (Aqueous) ® Cyanide - Lachat 10-204-00-1-X, Rev. 2.2, 2005 (SM 4500 CN E-2011 Automated) (Total) (Aqueous) ® Cyanide - SW-846 9012 B (Total) (Aqueous) ® Cyanide - EPA Method 335.4, Rev. 1.0, 1993 (Total) (Aqueous) Reporting T. Finding: Data that does not meet all QC requirements is not always qualified on the client report. Requirement: Reported data associated with quality control failures, improper sample collection, holding time exceedances, or improper preservation shall be qualified as such. Ref: 15A NCAC 02H .0805 (e) (5). Comment: The laboratory qualifier "S", which is used to denote matrix spike recovery failures, transfers to the client report only for Department of Defense (DOD) samples. It does not transfer for any other programs. One SW-846 Method 7199 data pack that was examined contained a sample with matrix spike recoveries of 71% and 73%, and the client report was lacking the "S" qualifier. Comment: The following samples from NC clients, found in TKN analytical batch #16489, were bracketed by blanks that were not less than half the reporting limit: UE07063-002; UE07090-001; UE08089-003 and UE09055-002. Comment: For the analysis of Hexavalent Chromium, samples that did not meet the conditions of Code of Federal Regulations, Title 40, Part 136.3; Federal Register Vol. 82, No. 165, August 28, 2017; Table II, Footnote 2 and Footnote 20, were not qualified when analyzed outside of the stated holding time of 24 hours. U. Finding: It is unclear from the client report and Field Analysis benchsheet that Field Parameter analyses for NC clients are performed by the laboratory's Field Commercial facility in Charlotte, NC (Certificate #5639) Requirement: If a certified laboratory refers or subcontracts analysis of samples to another laboratory certified for the Parameter, the referring laboratory shall supply the Page 12 #329 Pace South Carolina date and time that samples were collected to insure holding times are met. All record transcriptions of subcontracted samples shall state that the collection site is in North Carolina. Laboratories may subcontract sample fractions, extracts, leachates, and other sample preparation products provided that adherence to 15A NCAC 02H .0800 is documented. The initial client requesting the analyses shall receive the original or a copy of the report made by the laboratory that performs the analyses. Each reported result shall be traceable to the laboratory that performed the analysis on the final report. Ref: 15A NCAC 02H .0805 (e) (2). Comment: This was noted for sample ID# UK060107-003 (date of analysis: 11/6/2019). Alkalini — Standard Methods, 2320 B-2011 (Aqueous) Comment: Per the 22nd Edition errata, a method blank is not required to be analyzed. The laboratory is currently analyzing one blank for every 10 samples. Comment: Samples < 1000 mg/L are analyzed with an automated instrument. Samples >1000 mg/L are analyzed manually. Comment: Alkalinity is a method -defined parameter, and therefore must be followed as written. Recommendation: It is recommended that the laboratory not analyze a method blank. Analysis of high-level samples causes all blanks to have a value > 1/2 the limit of quantitation (LOQ). V. Finding: The laboratory is not titrating samples to a single endpoint. Requirement: Potentiometric titration to preselected pH: Determine the appropriate end- point pH according to 2320B.1b. Prepare sample and titration assembly (Section 2310B.4c). Titrate to the end -point pH without recording intermediate pH values and without undue delay. As the end point is approached make smaller additions of acid and be sure that pH equilibrium is reached before adding more titrant. Ref: Standard Methods, 232013-2011, (4) (c). Comment: The current end point range of 4.5 ± 0.3 S.U. allows for multiple endpoints. Recommendation: It is recommended that the laboratory tighten the acceptance range for the final pH to 4.46-4.55 S.U. to ensure a consistent single end point. W. Finding: The laboratory is not verifying the pH meter calibration for automated sample analysis. Requirement: Titrate at room temperature with a properly calibrated pH meter or electrically operated titrator, or use color indicators. Ref: Standard Methods, 2320 B-2011. (1) (d). Requirement: Immerse in a third buffer below pH 10, approximately 3 pH units different from the second; the reading should be within 0.1 unit for the pH of the third buffer. Ref: Standard Methods, 4500 H+B-2011. (4) (a). X. Finding: The laboratory is not performing the required boiling and cooling steps in the titrant standardization process. Page 13 #329 Pace South Carolina Requirement: Prepare acid solution of approximately 0.1N and determine exact normality as follows. Standardize against 40.00 mL 0.05N Na2CO3 solution, with about 60 mL water, in a beaker by titrating potentiometrically to pH of about 5. Lift out electrodes, rinse into the same beaker, and boil gently for 3 to 5 minutes under a watch glass cover. Cool to room temperature, rinse cover glass into beaker and finish titrating to the pH inflection point. Ref: Standard Methods, 2320 B-2011. (3) (b). Comment: The laboratory is currently standardizing by titrating directly to the 4.5 S.U. endpoint, rather than titrating to 5 S.U., boiling, cooling and then completing the titration. Y. Finding: The laboratory is not properly reporting the results of analysis. Requirement: Report pH of end point used as follows: "The alkalinity to pH ® = ® mg CaCO3/U and indicate clearly if this pH corresponds to an inflection point of the titration curve. Ref: Standard Methods, 2320 B-2011. (5) (a). Comment: The laboratory is currently reporting only the results, and not including the pH to which the samples are titrated and whether the pH endpoint corresponds to the inflection point. Z. Finding: The laboratory is not using the appropriate normality of acid for analyzing samples with >1000 mg/L alkalinity. Requirement: See Section 2310B.1 a for selection of size sample to be titrated and normality of titrant, substituting 0.02N or 0.1 N sulfuric (H2SO4) or hydrochloric (HCI) acid for the standard alkali of that method. Ref: Standard Methods, 2320 B-2011. (1) (e). Comment: The laboratory is using 0.2N H2SO4 to titrate high-level samples. Alkalinity is a method -defined parameter, and therefore must be followed as written. AA. Finding: The laboratory is not properly standardizing the sulfuric acid titrant. Requirement: Standardize against 40.00 mL 0.05N Na2CO3 solution, with about 60 mL water, in a beaker by titrating potentiometrically to pH of about 5. Ref: Standard Methods, 2320 B-2011. (3) (b). Requirement: Standardize by potentiometric_ titration of 15.00_ mL 0.05N Na2CO3, according to the procedure of ¶ b above; 1 mL = 1.00 mg CaCO3. Ref: Standard Methods, 2320 B-2011. (3) (c). Comment: The laboratory is standardizing the acid solutions against 0.02N Na2CO3. Bacteria — Coliform Fecal — Standard Methods, 9221 C E-2006 (MPN) (Biosolids) Bacteria — Coliform Fecal — Standard Methods, 9221 C E-2006 (MF) (Biosolids) BB. Finding: Samples are not being incubated within 8 hours of collection. Requirement: Sample analysis should begin as soon as possible after receipt; sample incubation must be started no later than 8 hours from time of collection. Ref: Code of Federal Regulations, Title 40, Part 136; Federal Register Vol. 82, No. 165, August 28, 2017; Table ll, Footnote 22. Comment: The 24-hour holding time only applies to EPA Methods 1680 and 1681. Page 14 #k329 Pace South Carolina CC. Finding: The laboratory is not always determining the appropriate three dilution series correctly. Requirement: The guidance provided in "Control of Pathogens and Vector Attraction in Sewage Sludge" (EPA/625/R-92/013), more commonly known as the White House document, is to be followed for setting up the series of sample dilutions. If the laboratory is unfamiliar with the samples, it is recommended that a series of five dilutions, instead of four, be set. Once the dilutions have been set, follow the procedure in Standard Methods 9221E-2006 for incubation and interpretation of gas production. Follow the procedure in Standard Methods 9221 C-2006 for narrowing the series of dilutions down to three. Ref: NC WW/GW LC Policy Comment: The laboratory has a spreadsheet detailing how the dilutions are narrowed down to the appropriate three. The instructions are correct except for when the positive tube combination in the determined appropriate dilutions does not appear in MPN Table 9221:IV. In that situation, Standard Methods 9221C-2006 says to use the highest dilution with at least one positive tube and the two dilutions immediately lower as the three selected dilutions. The laboratory spreadsheet in this situation says to "select the lowest dilution that does not have all positive results, then select the highest dilution with at least one positive dilution. Use all dilutions between them to perform calculation and report as estimated." However, following those instructions, it would be possible to pick two dilutions that are next to each other. In that case there is no dilution between them to select as the third dilution. See the Technical Assistance Document at the end of the report for more information. Bacteria — Coliform Fecal — Standard Methods, 9222 D-2006 (MF) (Aqueous) Comment: The documented time samples are placed into the incubator is not clearly associated with a date on the benchsheet. DD. Finding: The time sample filtration begins is not recorded on the benchsheet to show that no more than 30 minutes has passed before filters are placed into the incubator. This is considered pertinent data. Requirement: All analytical records, including original observations and information necessary to facilitate historical reconstruction of the calculated results, shall be maintained for five years. All analytical data and records pertinent to each certified analysis shall be available for inspection upon request. Ref; 15 NCAC 02H .0805 (a)_(7) (E),__ Comment: Place all prepared cultures in the water bath within 30 min after filtration. Ref: Standard Methods, 9222 D-2006. (2) (d). EE. Finding: Single analyst plate count comparisons are not being performed. Requirement: For routine performance evaluation, repeat counts on one or more positive samples at least monthly, record results, and compare the counts with those of other analysts testing the same samples. Replicate counts for the same analyst should agree within 5% (within analyst repeatability of counting) and those between analysts should agree within 10% (between analysts reproducibility of counting). If they do not agree, initiate investigation and any necessary corrective action. Ref: Standard Methods, 9020 B- 2005. (9) (a). Comment: Multi -analyst plate count comparisons are being performed and documented. Page 15 #329 Pace South Carolina BOD — Standard Methods, 5210 B-2011 (Hach 10360-2011, Rev. 1.2) (LDO) (Aqueous) CBOD — Standard Methods, 5210 B-2011 (Hach 10360-2011, Rev. 1.2) (LDO) (Aqueous) Comment: An instance was observed on a client report where a sample was flagged for a Seed Correction Factor (SCF) > 1.0 ppm. This is not required for NC samples. FF. Finding: Documentation does not demonstrate that the initial Dissolved Oxygen (DO) is measured within 30 minutes of sample preparation. This is considered pertinent data. Requirement: All analytical records, including original observations and information necessary to facilitate historical reconstruction of the calculated results, shall be maintained for five years. All analytical data and records pertinent to each certified analysis shall be available for inspection upon request. Ref: 15A NCAC 02H .0805 (a) (7) (E). Requirement: After preparing dilution, measure initial DO within 30 minutes. Ref: Standard Methods, 5210 B-2011. (5) (g). Chromium, Hexavalent - SW-846 Method 7199 (Aqueous & Non -Aqueous) Chromium, Hexavalent - EPA Method 218.6, Rev. 3.3, 1994 (Aqueous) GG. Finding: The back calculations of the low-level standards are not being evaluated for precision and accuracy. Requirement: Unless specified by the method or this Rule, each laboratory shall establish performance acceptance criteria for all quality control analyses. Ref: 15A NCAC 02H .0805 (a) (7) (A). Requirement: For analytical procedures requiring analysis of a series of standards, the concentrations of these standards shall bracket the range of the sample concentrations measured. One of the standards shall have a concentration equal to or less than the laboratory's lowest reporting concentration for the parameter involved. All data sets shall reference the corresponding calibration. Laboratories shall analyze or back -calculate a standard at the same concentration as the lowest reporting concentration each day samples are analyzed. Ref: 15A NCAC 02H .0805 (a) (7) (H). Comment: The laboratory software automatically calculates the difference from the known value of the standard. Chromium, Hexavalent — SW-846 Method 7196 A (Aqueous) Chromium, Hexavalent — SW-846 Method 7199 (Aqueous & Non -Aqueous) HH. Finding: The laboratory is not stirring the samples during digestion. Requirement: Heating Device - capable of maintaining the digestion solution at 90-95 °C with continuous auto stirring capability or equivalent. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 3060 A. Rev. 1, December 1996, Section 4.6. Requirement: An automated continuous stirring device (e.g. magnetic stirrer, motorized stirring rod, etc.), one for each digestion being performed. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 3060 A. Rev. 1, December 1996, Section 4.11. Page 16 #329 Pace South Carolina Requirement: Stir the samples continuously (unheated) for at least five minutes using an appropriate stirring device. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 3060 A. Rev. 1, December 1996, Section 7.4 Requirement: Heat the samples to 90-95 °C, then maintain the samples at 90-95 °C for at least 60 minutes with continuous stirring. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 3060 A. Rev. 1, December 1996, Section 7.5 Requirement: Place an appropriate stirring device into the sample digest beaker, place the vessel on a stirrer, and, with constant stirring, slowly add 5.0 M nitric acid solution to the beaker dropwise. Adjust the pH of the solution to 7.5 ± 0.5 if the sample is to be analyzed using Method 7196 (adjust the pH accordingly if an alternate analytical method is to be used; i.e. 9.0 ± 0.5 if Method 7199 is to be used) and monitor the pH with a pH meter. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 3060 A. Rev. 1, December 1996, Section 7.7. Chromium, Hexavalent — Standard Methods, 3500 Cr R-2011 (Aqueous) Chromium, Hexavalent — SW-846 Method 7196 A (Aqueous) Chromium, Hexavalent — EPA Method 218.6, Rev. 3.3, 1994 (Aqueous) II. Finding: The laboratory is not filtering samples prior to analysis. Requirement: Filter sample through a 0.45 pm filter. Ref: Standard Methods, 3500 Cr 13- 2011. (4) (b). Requirement: For dissolved metals, filter grab samples within 15 minutes of collection and before adding preservatives. For a composite sample collected with an automated sampler (e.g. using a 24-hour composite sampler; see 40 CFR 122.21 (g) (7) (i) or 40 CFR part 403, appendix E), filter the sample within 15 minutes after completion of collection and before adding preservatives. Ref: Code of Federal Regulations, Title 40, Part 136 ; Federal Register Vol. 82, No. 165, August 28, 2017; Table II, Footnote 7. Requirement: Method 7196 is used to determine the concentration of dissolved hexavalent chromium [Cr(VI)] in EP/TCLP characteristic extracts and ground waters. This method may also be applicable to certain domestic and industrial wastes, provided that no interfering substances are present (see Paragraph 3,1 below). Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 7196 A. Rev. 1, July 1992, Section 1.1. Requirement: Dissolved Metals: The concentration of metals determined in an aqueous sample after the sample is filtered through a 0.45 pm filter (see Method 3005). Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Chapter 3, Rev. 6, December 2018, Section 3.1 Comment: Although method 7196 A does not specifically state to filter the sample in the sample collection or preparation sections, the fact that it is a measure of dissolved hexavalent chromium requires filtration by definition of Dissolved Metals. Comment: Clean Water Act samples must be clearly documented to have been filtered within 15 minutes of sample collection. When samples are filtered prior to preservation, then the results must be reported as Dissolved Hexavalent Chromium. Page 17 #329 Pace South Carolina Chromium, Hexavalent — Standard Methods, 3500 Cr B-2011 (Aqueous) Chromium, Hexavalent — SW-846 Method 7199 (Aqueous) Chromium, Hexavalent — EPA Method 218.6, Rev. 3.3, 1994 (Aqueous) JJ. Finding: The laboratory is not routinely allowing the sample to reach ambient temperature prior to analysis. Requirement: Bring samples to room temperature before analysis. Ref: Standard Methods, 3500 Cr B-2011. (4) (b). Requirement: Bring to ambient temperature prior to analysis. Ref: EPA Method 218.6, Rev. 3.3 (1994), Section 8.3. Requirement: Sample preparation. Allow pl-l-adjusted samples to equilibrate to ambient temperature prior to analysis. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 7199. Rev. 0, December 1996, Section 7.1. Recommendation: It is recommended that the laboratory fill a sink with warm water to raise the temperature of the sample if there are time constraints on sample analysis. Chromium, Hexavalent — SW-846 Method 7196 A (Aqueous) KK. Finding: The laboratory is not analyzing a matrix spike duplicate or sample duplicate for every 10 samples. Requirement: Run one matrix spike replicate or one replicate sample for every ten samples. A duplicate sample is a sample brought through the whole sample preparation and analytical process. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 7196 A. Rev. 1, July 1992, Section 8.5. Comment: The laboratory analyzes a matrix spike duplicate for every 15 samples. Chromium, Hexavalent — EPA Method 218.6, Rev. 3.3, 1994 (Aqueous) LL. Finding: The samples are not preserved within 15 minutes of collection in order to achieve the 28-day holding time. Requirement: To achieve the 28-day holding time, use the ammonium sulfate buffer solution specified in EPA method 218.6. The allowance in this footnote supersedes preservation and holding time requirements in the approved hexavalent chromium methods, unless this supersession would compromise the measurement, in which case requirements in the method must be followed. Ref: Code of Federal Regulations, Title 40, Part 136.3; Federal Register Vol. 82, No. 165, August 28, 2017; Table II, Footnote 20. Requirement: Except where noted in this Table II and the method for the parameter, preserve each grab sample within 15 minutes of collection. Ref: Code of Federal Regulations, Title 40, Part 136.3; Federal Register Vol. 82, No. 165, August 28, 2017; Table II, Footnote 2. MM. Finding: The laboratory does not analyze all prepared LFB standards. Requirement: Laboratory Fortified Blank (LFB) - To an aliquot of Laboratory Reagent Blank (LRB) add an aliquot of stock standard (Section 7.3) to produce a final concentration Page 18 #329 Pace South Carolina of 100 pg/L of Cr (VI). The LFB must be carried through the entire sample preparation and analysis scheme. Ref: EPA Method 218.6, Rev. 3.3 (1994), Section 7.5. Comment: The laboratory prepares an LFB (called LCS by the lab) with each preparation batch. When multiple preparation batches are combined into a single analytical batch, only one of the LCS samples are analyzed. Chromium, Hexavalent — Standard Methods, 3500 Cr B-2011 (Aqueous) NN. Finding: The laboratory does not use an acceptance range of 95-105% recovery for the initial calibration verification (ICV). Requirement: For regulatory compliance purposes, use acceptance criteria of between 95 and 105% of the expected value. If the ICV is not within acceptance limits, do not proceed with analysis; take corrective action such as recalibrating or changing standards. Ref: Standard Methods, 3020 B-2005. (2) (c). Comment: The laboratory is using 90-110% recovery. ®O. Finding: The laboratory is not adding H3PO4 to the samples. Requirement: Color development and measurement: Bring samples to room temperature before analysis. Add 0.25 mL (5 drops) H3PO4 to samples. Use 0.2N H2SO4 and a pH meter to adjust solution to pH 2.0 ± 0.5. Ref: Standard Methods, 3500 Cr B-2011 (4) (c). PP. Finding: The laboratory is not calibrating with each batch of samples. Requirement: Repeat calibration at the beginning of each batch of samples and whenever calibration verification acceptance criteria are not satisfied. Ref: Standard Methods, 3020 B- 2005. (2) (a). Comment: The laboratory is holding the curve in the instrument for up to six months. QQ. Finding: The laboratory is not checking and documenting the pH of the sample to show that pH adjustment is within the proper range. Requirement: Use 0.2N H2SO4 and a pH meter to adjust solution to pH 2.0 ± 0.5. Ref: Standard Methods, 3500 CrB2011. (4)_(c). Requirement: Certified Data shall be traceable to the associated sample analyses and shall consist of: sample preparation, where applicable. Ref: 15A NCAC 02H .0805 (a) (7) (F) (x). Comment: The pH adjustment is performed by the instrument. The final pH needs to be documented. Cyanide — EPA Method 335.4, Rev. 1.0, 1993 (Aqueous) Cyanide — SW-846 9012 B (Total) (Aqueous) Cyanide — Standard Methods, 4500 CN E-2011 (Aqueous) Cyanide - Lachat 10-204-00-1-X, Rev. 2.2, 2005 (SM 4500 CN E-2011) (Aqueous) Comment: The laboratory is checking and documenting that the pH of samples is >12 S.U. The preservation requirements listed in Code of Federal Regulations, Title 40, Part 136; Federal Register Vol. 82, No. 165, August 28, 2017; Table II, state that the pH be >10 S.U. Although the Page 19 #329 Pace South Carolina Lachat method states that the pH of samples be >12 S.U., in situations where the method conflicts with the Code of Federal Regulations, the Code of Federal Regulations takes precedence. The laboratory may therefore choose to preserve samples to pH >10 S.U. Cyanide — EPA Method 335.4, Rev. 1.0, 1993 (Aqueous) RR. Finding: The laboratory is not standardizing the Stock Cyanide Solution. Requirement: Titrants prepared in the laboratory must be standardized initially and monthly; thereafter, unless a different frequency is specified in the referenced method. All certified titrants which are purchased, may be used initially without standardization. The Certificate of Analysis must be kept on file. The certified titrant must be standardized monthly; thereafter, for as long as it is used unless a different frequency is specified in the referenced method. If the normality (titer value) changes, a new titrant at the specified normality must be used, or the sample results must be calculated using the newly determined normality. Quality Control standards do not take the place of titrant standardization. Ref: NC WW/GW LC Policy. Comment: A certified Stock Cyanide Solution is purchased but is not being standardized monthly after opening. Nitrogen, Ammonia — EPA Method 350.1, Rev. 2.0, 1993 (Aqueous) Nitrogen, Total Kieldahl — EPA Method 351.2, Rev. 2.0, 1993 (Aqueous) Phosphate, Ortho — EPA Method 365.1, Rev. 2.0, 1993 (Aqueous) SS. Finding: Calibration standards are not analyzed in order of decreasing concentration. Requirement: Place appropriate standards in the sampler in order of decreasing concentration and perform analysis. Ref: EPA Method 350.1, Rev. 2.0 (1993), Section 10.5. Requirement: Place appropriate standards in the sampler in order of decreasing concentration and perform analysis. Ref: EPA Method 351.2, Rev. 2.0 (1993), Section 10.5. Requirement: Place appropriate standards in the sampler in order of decreasing concentration and perform analysis. Ref: EPA, Method 365.1, Rev. 2.0 (1993), Section 10.5. -Comment:- The laboratory is -generating calibration curves in order of increasing - standard concentration. EPA has stated that altering the order of calibration standards, when specified, is not an allowable method modification. Nitrogen, Ammonia — EPA Method 350.1, Rev. 2.0, 1993 (Aqueous) Recommendation: It has been shown that chlorine test strips are often not reliable at extreme pHs. It is recommended that the laboratory educate clients that chlorine testing of ammonia samples should be done in the field, at the time of sample collection, and prior to acid preservation. It is also recommended that the Chain of Custody (COC) be modified to include space to document that chlorine testing is performed prior to any pH adjustments to the sample. Nitrogen, Nitrate — SW-846 9056A (Aqueous & Non -Aqueous) Nitrogen, Nitrate — EPA Method 300.0, Rev. 2.1, 1993 (Aqueous & Non -Aqueous) Nitrogen, Nitrate — (NO3+NO2 EPA 363.2, Rev 2.0, 1993) — (NO2 EPA 353.2, Rev. 2.0, 1993) (Aqueous) Page 20 #329 Pace South Carolina Nitrogen, Nitrite — EPA Method 353.2, Rev. 2.0, 1993 (Aqueous) Nitrogen, Nitrite — EPA Method 300.0, Rev. 2.1, 1993 (Aqueous & Non -Aqueous) Nitrogen, Nitrite — SW-846 9056 A (Aqueous & Non -Aqueous) Nitrogen, NO3+NO2 — EPA Method 353.2, Rev. 2.0, 1993 (Aqueous) Comment: The Sulfanilamide Color Reagent is being made with 10g of sulfanilamide per liter instead of 40g per liter as required by the method. The analyst stated that the instrument manufacturer says to prepare with 10g per liter. Nitrogen, Nitrate — SW-846 9056 A (Aqueous & Non -Aqueous) Nitrogen, Nitrate — EPA Method 300.0, Rev. 2.1, 1993 (Aqueous & Non -Aqueous) Nitrogen Nitrate — (NO3+NO2 EPA 353.2, Rev 2.0, 1993) — (NO2 EPA 353.2, Rev. 2.0, 1993) (Aqueous) TT. Finding: The stated true value of the QC standard is incorrect. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: all quality control assessments; any other data needed to reconstruct the final calculated result. Each item shall be recorded each time samples are analyzed. Ref: 15 NCAC 02H .0805 (a) (7) (F) (xv) and (xviii). Comment: The "Nitrate/Nitrite/Nitrate-Nitrite Analysis Cover Sheet" lists the "NO3 LCS/D or MS/D" concentration as 0.8 mg/L. The true concentration is 0.4 mg/L. UU. Finding: The laboratory is not properly evaluating the percent recovery of the LFM and LFMD to demonstrate the established acceptance criterion is met. Requirement: Unless specified by the method or this Rule, each laboratory shall establish performance acceptance criteria for all quality control analyses. Each laboratory shall calculate and document the precision and accuracy of all quality control analyses with each sample set. When the method of choice specifies performance acceptance criteria for precision and accuracy, and the laboratory chooses to develop laboratory -specific limits, the laboratory -specific limits shall not be less stringent than the criteria stated in the approved method. Ref: 15A NCAC 02H .0805 (a) (7) (A). Comment: The MS and MSD concentrations listed on the Analytical Batch data sheets that are used to calculate the NO3 MS/MSD recoveries are the concentrations of the NOx spiked samples, not the NO3 spiked samples. Example: Sample UH23013-007 in Analytical Batch 26935. Nitrogen, Nitrite — EPA Method 353.2, Rev. 2.0, 1993 (Aqueous) Nitrogen, Nitrite — EPA Method 300.0, Rev. 2.1, 1993 (Aqueous & Non -Aqueous) Nitrogen, Nitrite — SW-846 9056 A (Aqueous & Non -Aqueous) W. Finding: The laboratory is not evaluating the percent recovery of the LFM and LFMD to demonstrate the established acceptance criterion is met. Requirement: Unless specified by the method or this Rule, each laboratory shall establish performance acceptance criteria for all quality control analyses. Each laboratory shall calculate and document the precision and accuracy of all quality control analyses with each sample set. When the method of choice specifies performance acceptance criteria for precision and accuracy, and the laboratory chooses to develop laboratory -specific limits, Page 21 #329 Pace South Carolina the laboratory -specific limits shall not be less stringent than the criteria stated in the approved method. Ref: 15A NCAC 02H .0805 (a) (7) (A). WK Finding: The laboratory is not evaluating the Relative Percent Difference (RPD) of duplicate analyses to demonstrate the analytical process is in control and the established acceptance criterion is met. Requirement: Unless specified by the method or this Rule, each laboratory shall establish performance acceptance criteria for all quality control analyses. Each laboratory shall calculate and document the precision and accuracy of all quality control analyses with each sample set. When the method of choice specifies performance acceptance criteria for precision and accuracy, and the laboratory chooses to develop laboratory -specific limits, the laboratory -specific limits shall not be less stringent than the criteria stated in the approved method. Ref: 15A NCAC 02H .0805 (a) (7) (A). Nitrogen, Total Kieldahl — EPA Method 351.2, Rev. 2.0, 1993 (Aqueous) XX. Finding: Samples are not being analyzed as soon as possible after digestion. Requirement: The method does not provide for holding samples between digestion and analysis. EPA has stated that once the process has initiated (digestion) it is the implied expectation in the method to analyze ASAP after digestion. Ref: Email from EPA Region IV. Comment: The laboratory SOP states that samples may be held up to 7 days after digestion before being analyzed. Comment: EPA also stated that a holding time study would be required for a laboratory to establish a policy of holding digestates for analysis. Oil & Grease — EPA Method 1664, Rev. B (Aqueous) Recommendation: It is recommended that the laboratory add the acceptance criterion (RPD) for the MSD to the review cover sheet (ME0023P-02). Recommendation: It is recommended that the laboratory add the balance weight acceptance criterion to the review cover sheet (ME0023P-02). YY.. Finding The laboratory is not consistently weighing the aluminum pans to constant weight. Requirement: Continue to dry and cool the flask to room temperature in a desiccator for 30 minutes minimum. Remove with tongs and weigh immediately. While at room temperature and without additional heating, repeat the cycle of desiccating and weighing until the weight loss of the flask and dried residue is less than 4 % of the previous weight or less than 0.5 mg, whichever is less. Ref: EPA Method 1664, Rev. B, Section 11.4.4. Comment: The laboratory was weighing some pans to constant weight, but not all. ZZ. Finding: The laboratory acceptance criterion for the method blank deviates from the method -defined acceptance criteria. Requirement: If material is detected in the blank at a concentration greater than the minimum level (Section 1.6), analysis of samples is halted until the source of contamination is eliminated and a blank shows no evidence of contamination. All Page 22 #329 Pace South Carolina samples must be associated with an uncontaminated method blank before the results may be reported for regulatory compliance purposes. Ref: EPA Method 1664, Rev. B, Section 9.4.2. Comment: The laboratory review cover sheet states that the MB must be < PQL but if sample results are >_ 10x the blank results, then the effect of contamination is considered minimal and ignored. The method and SOP state that the MB must be < PQL. Comment: The laboratory must drop the stipulation that the MB may be >PQL if the sample result is >_10x the blank results unless it is a DOD requirement. In that case, the clarification must be made that it only applies to DOD samples. Oil & Grease — SW-846 9071 B (Non -Aqueous) Comment: The laboratory blank acceptance criterion is < LOQ. Since the method does not specify acceptance criteria for the blank, the laboratory must ensure that the acceptance criterion will meet the client's site -specific cleanup requirements. Paint Filter Liquids — SW-846 9095 B Recommendation: It is recommended that the laboratory establish, implement and document a routine holding time. Phosphate, Ortho — EPA Method 365.1, Rev. 2.0, 1993 (Aqueous) AAA. Finding: Samples are not being filtered within 15 minutes of collection. Requirement: The immediate filtration requirement in orthophosphate measurement is to assess the dissolved or bio-available form of orthophoshorus (i.e., that which passes through a 0.45-micron filter), hence the requirement to filter the sample immediately upon collection (i.e., within 15 minutes of collection). Ref: Code of Federal Regulations, Title 40, Part 136; Federal Register Vol. 82, No. 165, August 28, 2017; Table II, Footnote 24. Residue, Dissolved 180 C — Standard Methods, 2540 C-2011 (Aqueous) Residue, Suspended — Standard Methods, 2540 D-2011 (Aqueous) Residue, Total — Standard Methods, 2540 B-2011 (Aqueous) Comment: The laboratory is analyzing a Method Blank with each analytical batch. Method Blanks are not a required QC element of these methods per Standard Methods 2020 B-2010, Table 2020 II. Residue, Suspended — Standard Methods, 2540 D-2011 (Aqueous) Residue, Total — Standard Methods, 2540 B-2011 (Aqueous) BBB. Finding: Drying Oven #3 is not able to consistently maintain an operational temperature of 103-105°C. Requirement: Each laboratory requesting Certification shall be maintained so as to ensure the security and integrity of samples. Samples shall be analyzed in such a manner that contamination or error will not be introduced. Each facility shall contain or be equipped with the following: Glassware, chemicals, supplies, and equipment required Page 23 #329 Pace South Carolina to perform all tests, analyses, measurements, or monitoring included in its Certification. Ref: 15A NCAC 02H .0805 (a) (6) (B). Requirement: Dry evaporated sample for at least 1 h in an oven at 103-105°C, cool dish in desiccator to balance temperature, and weigh. Ref: Standard Methods, 2540 B-2011. (3) (b). Requirement: Dry for at least 1 In at 103-105°C in an oven, cool in a desiccator to balance temperature, and weigh. Ref: Standard Methods, 2540 D-2011. (3) (c). Comment: According to the Drying Oven Temperature Log, Oven #3 has been fluctuating both above and below the required temperature range for several months. CCC. Finding: Sample volumes greater than 1 liter are occasionally filtered. Requirement: Choose sample to yield between 2.5 and 200 mg dried residue. If volume filtered to meet minimum yield, increase sample volume up to 1 L. Ref: Standard Methods, 2540 D-2011. (3) (b). Comment: Suspended Residue is a Method -Defined Parameter. Increasing the sample volume to lower the reporting limit or to avoid reporting a "less than" value is not allowed. Residue, Total — Standard Methods, 2540 B-2011 (Aqueous) DDD. Finding: An inconsistency was noted between the SOP and laboratory practice as follows: The analytical balance is being checked with a 2 g ICV weight; the SOP says to use a 10 g weight. Requirement: Each laboratory shall develop documentation outlining the analytical quality control practices used for the Parameter Methods included in its Certification, including Standard Operating Procedures for each certified Parameter Method. Quality assurance, quality control, and Standard Operating Procedure documentation shall indicate the effective date of the document and be reviewed every two years and updated if changes in procedures are made. Each laboratory shall have a formal process to track and document review dates and any revisions made in all quality assurance, quality control, and Standard Operating Procedure documents. Supporting Records shall be maintained as evidence that these practices are implemented. Ref: 15A NCAC 02H .0805 (a) (7). Sulfide — Standard Methods, 4500 Sz- F-2011 (Aqueous) EEE. Finding: The acceptance criterion of the LRB is < LOQ. Requirement: Any constituent(s) recovered must generally be less than or equal to one- half the reporting level (unless the method specifies otherwise). Ref: Standard Methods, 4020 B-2011. (2) (d) Comment: The SOP states that the acceptance criterion for sulfide is either: < LOQ or < 5% of the measured concentration in the sample, whichever is greater. No acceptance criteria are listed in SW-846 9030B or SW-846 9034. While the criteria listed in the SOP are acceptable for SW-846 methods, they do not meet the requirements of Standard Methods, 4500 S2- F-2011. Page 24 #329 Pace South Carolina FFF. Finding: The laboratory is exceeding the method -specified holding time for the solid sodium sulfide nonahydrate reagent. Requirement: Prepare sulfide standards from sodium sulfide nonahydrate (Na2S * 9 H2O) crystals. These crystals usually have excess water present on the surface, in addition to a layer of contamination from oxidation products (polysulfides, polythionates, and sulfate) of sulfide reacting with atmospheric oxygen. Further, solutions of sulfide are prone to ready oxidation by dissolved and atmospheric oxygen. Use reagent water to prepare sulfide standards and sample dilutions. Degas the water with either argon or nitrogen. Purchase the smallest amount of solid standards possible and keep no longer than 1 year. Ref: Standard Methods, 4500 S2- A-2011. (6). Comment: The laboratory is keeping the solid sulfide standard until the end of the manufacturer's designated expiration date. GGG. Finding: The stock solution is not being stored in a container with minimal headspace. Requirement: Store stock solution with minimum headspace for no more than 1 week. Ref: Standard Methods, 4500 S2- A-2011. (6). Sulfite — Standard Methods, 4500 S032- B-2011 (Aqueous) HHH. Finding: The holding time for Sulfite analysis is routinely exceeded. Requirement: Analyze within 15 minutes. Ref: Code of Federal Regulations, Title 40, Part 136; Federal Register Vol. 82, No. 165, August 28, 2017; Table II. Comment: The laboratory noted two clients reporting to North Carolina had requested Sulfite analysis for a total of 22 samples in 2019. The laboratory is appropriately qualifying the results on client reports. Comment: It is not acceptable to routinely analyze a sample out of hold time, which would always be the case due to the distance of the lab from North Carolina clients. Sulfite is defined as a Field Parameter in NC WW/GW LC rules and would be more appropriate for the Pace South Carolina - Field Laboratory and Service Center (Certificate #5639), which operates out of Charlotte. TCLP — SW-846 Method 1311 (Non -Aqueous) III. Finding: The laboratory is improperly preparing a sub -sample of the solid phase for pH analysis during the extraction fluid determination step. Requirement: Add 96.5 mL of reagent water to the beaker, cover with a watchglass, and stir vigorously for 5 minutes using a magnetic stirrer. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 1311. Rev. 0, July 1992, Section 7.1.4.2 Comment: The laboratory is using 95 mL of reagent water instead of 96.5 mL. Metals — EPA Method 200.8, Rev. 5.4, 1994 (Aqueous) Metals — SW-846 Method 6020 B (Aqueous) Metals — EPA Method 200.7, Rev. 4.4, 1994 (Aqueous) Page 25 #329 Pace South Carolina JJJ. Finding: Samples analyzed for dissolved metals are not being filtered within 15 minutes of sample collection. Requirement: For dissolved metals, filter grab samples within 15 minutes of collection and before adding preservatives. For a composite sample collected with an automated sampler (e.g. using a 24-hour composite sampler; see 40 CFR 122.21(g)(7)(i) or 40 CFR part 403, appendix E), filter the sample within 15 minutes after completion of collection and before adding preservatives. Ref: Code of Federal Regulations, Title 40, Part 136.3; Federal Register Vol. 82, No. 165, August 28, 2017; Table II, Footnote 7. Mercu — EPA Method 245.1, Rev. 3.0, 1994 (Aqueous) KKK. Finding: The laboratory digests the calibration standards. Requirement: Prepare calibration standards by transferring 0.5, 1.0, 2.0, 5.0, and 10 mL aliquots of the 0.1 pg/mL CAL (Section 7.6) to a series of sample containers (Section 6.5.2). Dilute the standard aliquots to 100 mL with reagent water (Section 7.2) and process as described in Sections 11.1.2, 11.1.3 (without heating), and 11.1.5. Ref: EPA Method 245.1, Rev. 3.0 (1994), Section 11.2.2. Silica - Metals — EPA Method 200.7, Rev. 4.4, 1994 (Aqueous) LLL. Finding: Samples are not properly preserved. Requirement: Cool, <_ 6 'C. Ref: Code of Federal Regulations, Title 40, Part 136; Federal Register Vol. 82, No. 165, August 28, 2017; Table II. Comment: The laboratory is obtaining a sample for silica analysis from the sample container for other metals analyses. Other metals do not require refrigeration as a preservative, but instead use acidification to pH < 2 S.U. However, silica may precipitate out in acidic solutions, so proper thermal preservation without acidification is necessary for accurate results. Recommendation: Metals samples do not require immediate chemical preservation, as long as the samples are acidified at least 24 hours prior to analysis. It is recommended that the laboratory send an unpreserved sample bottle solely for Silica sample collection. Base Neutral/Acid, Organics — SW-846 8270 E_(Aqueous &_ Non -Aqueous) Base Neutral/Acid, Organics — EPA Method 625.1, December 2016 (Aqueous) Comment: It was noted during data review that a Base Neutral/Acid Extractables sample was diluted by a factor of 10, though the sample had no detections for any target analytes. However, the sample had a Tentatively Identified Compound at a concentration of 1000, well above the linear range of the calibration for the instrument. Based on this information, the laboratory is doing a good job of diluting samples when appropriate to protect the instrumentation from matrix effects. MMM. Finding: An inconsistency was noted between the SOP and laboratory practice as follows: The laboratory is not consistently preparing an MS/MSD with each batch of samples for EPA Method 625.1 and SW-846 8270E. The Base Neutral/Acid Organics SOP (Document Number ME0014Q-10) requires an MS/MSD be prepared with each batch. If insufficient sample remains, the SOP allows for an MS and sample duplicate or an LCSD to be prepared. Extraction Batch numbers #13996, 14131 and 14781 were lacking spiked environmental samples, sample duplicates and an LCSD. Page 26 #329 Pace South Carolina Requirement: Each laboratory shall develop documentation outlining the analytical quality control practices used for the Parameter Methods included in its Certification, including Standard Operating Procedures for each certified Parameter Method. Quality assurance, quality control, and Standard Operating Procedure documentation shall indicate the effective date of the document and be reviewed every two years and updated if changes in procedures are made. Each laboratory shall have a formal process to track and document review dates and any revisions made in all quality assurance, quality control, and Standard Operating Procedure documents. Supporting Records shall be maintained as evidence that these practices are implemented. Ref: 15A NCAC 02H .0805 (a) (7). Comment: An MS/MSD is required per batch by EPA Method 625.1, Section 8.3. Analyses are often performed as combined runs. In the case of combined batches and/or runs, the laboratory must adhere to the strictest QC element requirements. Chlorinated Acid Herbicides — SW-846 Method 8151 A (Aqueous & Non -Aqueous) NNN. Finding: The laboratory is not consistently adding cold (4°C) H2SO4 to all extracts when the pH was adjusted to < 2 S.U. Requirement: Adjust the pH of the solution to < 2 with cold (4°C) sulfuric acid (1:3) and extract once with 40 mL of diethyl ether and twice with 20-mL portions of ether. Ref: SW- 846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; V Edition, Method 8151A, Revision 1, December 1996, Section 7.2.3.3. Requirement: Adjust the pH of the solution to < 2 with cold (4°C) sulfuric acid (1:3) and extract once with 40 mL of diethyl ether and twice with 20-mL portions of ether. Ref: SW- 846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 8151A, Revision 1, December 1996, Section 7.2.4.2. Requirement: Add 17 mL of cold (4'C) 12 N sulfuric acid to the sample (or hydrolyzed sample), seal, and shake to mix. Check the pH of the sample with pH paper. If the sample does not have a pH less than or equal to 2, adjust the pH by adding more acid. Ref: SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 8151A, Revision 1, December 1996, Section 7.3.4. Comment: The laboratory was acidifying the soil extracts with H2SO4 but the acid was not consistently at 4°C at the time of addition to the sample. The addition of sulfuric acid is an exothermic reaction. The sulfuric acid solutions must be kept cooled until the addition to the sample in order to minimize loss of target analytes. TPH Diesel Range, Organics — SW-846 Method 8015 C (Aqueous & Non -Aqueous) Comment: The DRO ICV is dual labelled as an LCS to generate a recovery sheet for quality control purposes. It is not a true LCS in the sense of having gone through extraction processes. Comment: The analyst completing the DRO checklist indicated that they believed the percent recovery acceptance criterion for the DRO second source standard is 70-130%. The laboratory's SOP and the method both set the acceptance criterion at 80-120%. The data examined had a percent recovery of 111 %, which does meet the criterion. Recommendation: It is recommended that prior to recalibrating, the laboratory add an additional 1-minute hold to the initial temperature of the DRO instrument before beginning the temperature increase program. This will allow n-Decane to fully resolve from the solvent peak. Page 27 #329 Pace South Carolina Recommendation: It was noted during data review that ICV# SVGC 1170.5 had a dilution factor of 5X. It is recommended that the laboratory not dilute the standard, but change the value in the LIMS or use a different standard so standards and samples are treated the same. Alternatively, the laboratory may wish to address the reason for the dilution in the SOP. OOO. Finding: An inconsistency was noted between the Diesel Range Organics SOP (document number ME00138-05) and laboratory practice as follows: The SOP states that the CCV true value is the mid -point of the calibration curve (i.e. 5000 pg/L). Examination of the data showed that the CCV true value is 500 pg/L, which is the median value, not the mid -point (mean) value. Requirement: Each laboratory shall develop documentation outlining the analytical quality control practices used for the Parameter Methods included in its Certification, including Standard Operating Procedures for each certified Parameter Method. Quality assurance, quality control, and Standard Operating Procedure documentation shall indicate the effective date of the document and be reviewed every two years and updated if changes in procedures are made. Each laboratory shall have a formal process to track and document review dates and any revisions made in all quality assurance, quality control, and Standard Operating Procedure documents. Supporting Records shall be maintained as evidence that these practices are implemented. Ref: 15A NCAC 02H .0805 (a) (7). Comment: SW-846 8015C does not state that the CCV must have a concentration at the mid -point of the calibration curve. If the SOP were revised to state the current true value of the CCV, the concentration would be considered acceptable. Extractable Petroleum Hydrocarbons — MADEP, May 2004, Rev. 1.1, (Aqueous & Non - Aqueous) Recommendation: The laboratory is currently calculating breakthrough by a spreadsheet, which is archived after a period of time. It is recommended that the laboratory retain a copy of the spreadsheets with the raw data or note in the SOP where the spreadsheet for each extraction batch is stored, so that the calculation is more easily accessible. Recommendation: It is recommended that the laboratory use the same weight of sand in QC samples as it does for routine samples. Currently, the lab uses 30g of soil for analysis, but the MB, LCS, and LCSD use only 10g sand. Recommendation: It is recommended that the laboratory adjust the scale of the EPH chromatogram. Currently the target analytes are not visible due to the scale of the Y-axis being affected by the size of the solvent peak. PPP. Finding: The laboratory is not consistently preparing an LCSD with each batch of samples. Requirement: At a minimum, for each analytical batch (up to 20 samples of similar matrix), a Laboratory Method Blank, a Laboratory Control Sample (LCS), and an LCS Duplicate must also be analyzed and results analyzed as part of the laboratory's continuing quality control program. The blank and quality control samples fortified with known concentrations and volumes of analytical standards should be carried through the complete sample preparation and measurement processes. Ref: MADEP, Method for the Determination of Extractable Petroleum Hydrocarbons (EPH), May 2004, Rev. 1.1, Section 10.1.3.2. Nonhalogenated Volatile, Organics — SW-846 Method 8015 C (Aqueous & Non -Aqueous) Page 28 #329 Pace South Carolina Recommendation: It is recommended that instrument maintenance be performed when 2- Propanol and Ethanol peak resolution deteriorates. Pesticides, Organochlorine — EPA Method 608.3 (Aqueous) Pesticides, Organochlorine — SW-846 8081 B (Aqueous & Non -Aqueous) Recommendation: The toxaphene LCS is manually integrated, but some peaks are not well defined. Toxaphene is a multi -component pesticide whose composition may vary by vendor. Currently the laboratory uses separate vendors for their primary and secondary source standards which have dissimilar peaks. It is recommended that separate lot numbers from the same vendor be used to ensure that integration would not be called into question for dissimilar peaks. Polychlorinated Biphenyls (PCBs) — EPA Method 608.3 (Aqueous) Polychlorinated Biphenyls (PCBs) — SW-846 8082 A (Aqueous & Non -Aqueous) QQQ. Finding: The laboratory is not consistently preparing the LCS, MS and MSD at the required frequency. Requirement: The laboratory must, on an ongoing basis, spike at least 5% of the samples in duplicate from each discharge being monitored to assess accuracy (recovery and precision). Ref: EPA Method 608.3, December 2016, Section 8.3 Requirement: A QC check sample (laboratory control sample, LCS; on -going precision and recovery sample, OPR) containing each single -component analyte of interest (Section 1.4) must be extracted, concentrated, and analyzed with each extraction batch of up to 20 samples (Section 3.1) to demonstrate acceptable recovery of the analytes of interest from a clean sample matrix. If multi -peak analytes are required, extract and prepare at least one as an LCS for each batch. Alternatively, the laboratory may set up a program where multi -peak LCS is rotated with a single -peak LCS. Ref: EPA Method 608.3, December 2016, Section 8.4. Requirement: The laboratory must also have procedures for documenting the effect of the matrix on method performance (precision, accuracy, method sensitivity). At a minimum, this should include the analysis of QC samples including a method blank, a matrix spike, a duplicate, and a laboratory control sample (LCS) in each analytical batch and the addition of surrogates to each field sample and QC sample when surrogates are used. Any method blanks, matrix spike samples, and replicate samples should be subjected to the same analytical procedures (Sec. 11.0) as those used on actual samples. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 8082 A. Rev. 1, February 2007, Section 9.6. Requirement: To promote consistency with the use of SW-846 methods and to assure generation of data of known quality, the minimum recommended quality control benchmarks in the methods will be considered the minimum QA/QC requirements. For example, where a method states, "Documenting the effect of the matrix on target analyte measurements should include the analysis of at least one matrix spike and one duplicate unspiked samples or one matrix spike/matrix spike duplicate pair.", the laboratory must analyze at least one matrix spike and one duplicate unspiked sample or one matrix spike/matrix spike duplicate pair. Laboratories may adopt more stringent QC acceptance criteria for method performance but may not omit or use less stringent criteria than that stated in SW-846 methods. Ref: NC WW/GW LC Policy Page 29 #329 Pace South Carolina Comment: Data was examined for Client Report UF27061 and Sample Prep Batch 21370. The Sample Prep Batch was lacking an LCS, MS, and MSD spiked with PCBs. Data submitted prior to the inspection for EPA 608.3/ SW-846 8082A did include Sample Prep Batches with appropriately spiked samples. Purgeable, Organics — EPA Method 624.1 (Aqueous) RRR. Finding: Sample vials are not properly preserved for the analysis of some target compounds. Requirement: The ethers listed in Table 2 are prone to hydrolysis at pH 2 when a heated purge is used. Aqueous samples should not be acid preserved if these ethers are of interest, or if the alcohols they would form upon hydrolysis are of interest and the ethers are anticipated to present. Ref: EPA Method 624.1, Section 9.6 Comment: 1,4-Dioxane was noted to be a target analyte. This compound is an ether and is listed in Table 2 of the method. SSS. Finding: The LCS is not being analyzed in the same manner as samples. Requirement: Laboratory control sample (LCS; laboratory fortified blank (LFB); on -going precision and recovery sample; OPR) — An aliquot of reagent water spiked with known quantities of the analytes of interest and surrogates. The LCS is analyzed exactly like a sample. Its purpose is to assure that the results produced by the laboratory remain within the limits specified in this method for precision and recovery. Ref: EPA Method 624.1, December 2016, Section 19.2 Comment: The laboratory was not adding the anti -foaming agent, mentioned in the SOP (Document Number: ME0012X-13) to an LCS when analyzing a batch of samples to which the reagent had been added. The laboratory was adding the reagent to an additional Method Blank. Adding the anti -foaming agent is considered part of the analysis. Volatile Petroleum Hydrocarbons — MADEP, February 2018, Rev. 2.1 (Aqueous & Non - Aqueous) TTT. Finding: More than one C9-Cjo Aromatic component is being used in the calibration. Requirement: Calculate a CF for the C9-Cjo aromatic hydrocarbon range using the following steps. Use the individual PID peak area of the one VPH component that is used to establish an average range CF for C9-Cjo aromatic hydrocarbons, as designated in Table 2b. It is important to note that integration must be performed using a valley -to - valley approach for the one peak that comprises this range. This area is used in the subsequent calculation. Note: Do not include the area of any surrogate standard in calculating a hydrocarbon range CF. Do not include the area of naphthalene when determining the CF for C9-Cjo aromatic hydrocarbons. Ref: MADEP, Method for the Determination of Volatile Petroleum Hydrocarbons (VPH), February 2018, Rev. 2.1, Section 9.4.2.9. Requirement: Using the PID chromatogram, calculate an average collective CF for the total concentration of C9-C10 Aromatic Hydrocarbons. This value is the value for 1,2,4- trimethylbenzene, the only aromatic standard within this range. Ref: MADEP, Method for the Determination of Volatile Petroleum Hydrocarbons (VPH), February 2018, Rev. 2.1, Section 11.1.5. Page 30 #329 Pace South Carolina Comment: The analyst was adding more peaks in the Cs-Clo Aromatics PID range other than 1,2,4-Trimethylbenzene. UUU. Finding: The laboratory was analyzing and evaluating 4 LCSs when performing Initial Demonstrations of Capability (IDOC). Requirement: Prepare and analyze seven (7) replicate Laboratory Control Samples (LCSs) fortified at a concentration of 50% of the highest calibration curve standard (100 pg/L for aqueous samples and 5 mg/kg for soil/sediment samples). Ref: MADEP, Method for the Determination of Volatile Petroleum Hydrocarbons (VPH), February 2018, Rev. 2.1, Appendix 7, Section 3.0. The paper trail consisted of comparing original records (e.g., laboratory benchsheets, logbooks, etc.) COCs and client reports. Base Neutral/Acid Extractables and Organochlorine Pesticides/PCBs data were reviewed for sample ID UF27061-002. Mercury data were reviewed for project number UA28038-001. CBOD data were reviewed for sample ID UD25044-001. COD data were reviewed for sample ID UB27037-002. No transcription errors were observed. The facility appears to be doing a good job of accurately transcribing data. Correcting the above -cited Findings and implementing the Recommendations will help this laboratory to produce quality data and meet Certification requirements. The inspector would like to thank the staff for their assistance during the inspection and data review process. Please respond to all Findings and include supporting documentation, implementation dates and steps taken to prevent recurrence for each corrective action. Report prepared by: Michael Cumbus Date: February 10, 2020 Report reviewed by: Anna Ostendorff Date: February 27, 2020 Page 31 #329 Pace South Carolina Fecal Sludge MPN ® How to Determine the Appropriate Dilutions when Referencing SM 9221 C E-2006 Standard Methods states that when more than three dilutions are used in a decimal series of dilutions, use the guidelines in SM 9221 C-2006 (2) to select the three most appropriate dilutions and refer to Table 9221:IV. We have found that the language there can be confusing because it is interlaced with comments relevant only when using specific dilution schemes. For example, in one place SM states, "If no dilution has all positive tubes (Example F), select the lowest two dilutions, corresponding to 10 and 1 mL sample". This does not mean that your particular dilution scheme must have tubes that contain 10 and 1 mL of sample. Your dilution scheme may be different. This technical assistance document uses the instructions in Standard Methods but does not include those type examples and simply provides the steps that one would go through to narrow the dilutions down to the appropriate three. Also, be aware that the steps and conditional questions in Standard Methods are being asked with the assumption that you have 5 dilutions. While having 5 dilutions is recommended, a minimum of 4 dilutions is required. The black text below is language as it appears in Standard Methods with the example references removed. Yellow highlighted text is intended to help explain or clarify what the conditional questions and instructions in black mean. Proceed through the numbered steps below until you have identified the appropriate three dilutions to use in the final MPN determination. Once you have your three appropriate dilutions, determine the MPN Index/100 mL value from Table 9221:IV. If the three dilutions selected are not found in Table 9221:IV, use the highest dilution with at least one positive tube and the two dilutions immediately lower as the three selected dilutions. 1. First, remove the highest dilution (the most dilute, with the least amount of sample) if it has all negative tubes and at least one remaining dilution has a negative tube. 2. Next, remove the lowest dilution (the least dilute, largest sample volume) if it has all positive tubes and at least one remaining dilution has a positive tube. 3. If the lowest dilution does not have all positive tubes, and several of the highest dilutions have all negative tubes, then remove the highest negative dilutions. 4. More than three dilutions may remain after removal of the lowest dilution with all positive tubes and high dilutions with all negative tubes. Page 32 #329 Pace South Carolina In this case, if the highest dilution with all positive tubes is within two dilutions of the highest dilution with any positive tubes, then use the highest dilution with any positive tubes and the two immediately lower dilutions. Remember, in Step 4, you are only looking at the dilutions that remain after having gone through steps '1 3. 5. If, after removal of the lowest dilution with all positive tubes, no dilution with all positive reactions remains, then select the lowest two dilutions and assign the sum of any remaining dilutions to the third dilution. From there, use the formula in Appendix F, Section 1.1 (6) of Control of Pathogens and Vector Attraction in Sewage Sludge, EPA/625/R-92/013, (July 2003), more commonly known as the White House book, to determine the final MPN/gram result. See below. mL MPN Fecal CGhl'GrWg �.10 x hn9Pt� lip i 1 + I e 1 vd,,unie x % dry Aids NOTE: % dry solids is not in decimal form. 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