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HomeMy WebLinkAbout#5515_2020_1111_MWC_FINALTo be attached to all inspection reports in-house only. Laboratory Cert. #: 5515 Laboratory Name: Synagro Central Date Mailed: Special Mailing Instructions: ROY COOPER c � o yeas or MICHAEL S. Secretary S. REGAN Director December 21, 2020 5515 Mr. Adam Brigman SYNAG RO CENTRAL 12701 Lancaster Hwy. Pineville, NC 28134- Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Brigman: Enclosed is a report for the inspection performed on November 11, 2020 by Michael Cumbus. 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, Beth Swanson Technical Assistance & Compliance Specialist Division of Water Resources Attachment cc: Michael Cumbus, Todd Crawford North Carolina epar tment of Eriviront- ental Quality I Division ion of Water esources 4405 Reedy Creek Road � 1623 Mail Service Center~ Raleigh, North Carolina olina 1699 1623 NORTH CAROLINA WATER QUALITY PERMIT #: WQ0013981 (Inactive) CERTIFICATE #: 5515 ....................................................................................................................................................................................................................................................................................................... DATE OF INSPECTION: November 117 2020 .................................................................................................................................................................................................................................................................................... TYPE OF INS---- --PECTION: Field Industrial Maintenance AUDITOR(S): Michael Cumbus ....... ....................... ... ....... I ..................... .......................... ...... - .................... ........ .............. - .......................................................................................................................................... LOCAL PERSON(S) CONTACTED: Nate Roth I. INTRODUCTION: This laboratory was inspected by a representative of the North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) program to verify its compliance with the requirements of 15A NCAC 02H .0800 for the analysis of compliance monitoring samples. II. GENERAL COMMENTS: The inspection was performed remotely due to the coronavirus pandemic. The laboratory submitted requested documentation and pictures of their consumables and instruments electronically on November 11, 2020 and December 1, 2020. The laboratory is not currently analyzing compliance samples and has not analyzed anything other than Proficiency Testing (PT) Samples since 2012. Analyses were performed for land application purposes under permit WQ0013981 until 2012, when the subject wastewater treatment plant began using other methods of residual disposal. In the event that the laboratory is involved with another land application project, their Certified Parameters Listing (CPL) must be amended to reflect the proper Vector Attraction Reduction (VAR) option being used. Approved Procedure documents for the three VAR options currently allowed for Field Laboratories were provided to the laboratory prior to the inspection material submission deadline. The facility has all the equipment necessary to perform the analysis. Staff was forthcoming and responded well to suggestions from the auditor. The laboratory submitted their Standard Operating Procedure (SOP) document in advance of the inspection. The document was reviewed, and editorial and substantive revision requirements and Page 2 #5515 Synagro Central 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 June 30, 2021. The laboratory is reminded that any time changes are made to laboratory procedures, the laboratory must update the QA/SOP document(s) 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 document(s) is in agreement with each approved practice, test, analysis, measurement, monitoring procedure or 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". All required PT Samples have been analyzed for the 2020 PT Calendar Year and the graded results were 100% acceptable. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation Comment: NC WW/GW LC was previously allowing pH certification to substitute for VAR Options 6 and 12 since they were not certifiable parameters for Field laboratories. However, certification for these VAR Options is now offered for laboratories classified as Field. A. Finding: The laboratory benchsheet is lacking required documentation: the instrument identification, the date of sample collection and the proper units of measure. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: the instrument identification, date and time of sample collection and the proper units of measure. Each item shall be recorded each time samples are analyzed. Analyses shall conform to methodologies found in Subparagraph (a)(1) of this Rule. Ref: 15A NCAC 02H .0805 (g) (2) (C), (F) and (L). Comment: The 2-hour column is lacking the units of measure (S.U.). Comment: The laboratory benchsheet includes only one date. It is unclear if this date is the sample collection date, date that sample analysis is initiated or both. The benchsheet also lacks a date for the 24-hour sample collection and analysis. Recommendation: It is recommended that the laboratory utilize the serial number of the pH meter as the instrument identification. B. Finding: The laboratory is not documenting traceability information for purchased reagents and standards. Requirement: 15A NCAC 02H .0805 (a)(7)(K) and (g)(7) requires laboratories to have a documented system of traceability for the purchase, preparation, and use of all chemicals, reagents, standards, and consumables. That system must include documentation of the following information: Date received. Date Opened (in use). Vendor. Lot Number. and Expiration Date (where specified). A system (e.g., traceable identifiers) must be in place that Page 3 #5515 Synagro Central links standard/reagent preparation information to analytical batches in which the solutions are used. Documentation of solution preparation must include the analyst's initials, date of preparation, the volume or weight of standard(s) used, the solvent and final volume of the solution. This information as well as the vendor and/or manufacturer, lot number, and expiration date must be retained for primary standards, chemicals, reagents, and materials used for a period of five years. Consumable materials such as pH buffers, lots of pre -made standards and/or media, solids and bacteria filters, etc. are included in this requirement. Ref: NC WW/GW LC Policy. Comment: The bottles of pH buffers were dated when received and when opened. While this can provide a traceability link by comparing dates on the bottles to laboratory benchsheets, this link is lost once the bottles are discarded. C. Finding: Error corrections are not always properly performed. mentatiumerrQrs-shall--be--corrected-bY-cfrawirrg-a- single -fin the error so that the original entry remains legible. Entries shall not be obliterated by erasures or markings. Wite-OutO, correction tape, or similar products designed to obliterate documentation are not to be used; instead the correction shall be written adjacent to the error. The correction shall be initialed by the responsible individual and the date of change documented. Ref: 15A NCAC 02H .0805 (g) (1). Comment: The laboratory benchsheet lists the pH buffers used in calibration as 10 S.U. and 13 S.U. These were changed to 4 S.U. and 7 S.U. with a single line but lacked the date and initials of the analyst. A bottle of pH 4 S.U. buffer was noted to have the year received (2020) partially obscured with multiple markings and replaced with 2019. This was also lacking date and initials. �H — SW-846 Method 9040 C (Aqueous) �H — SW-846 Method 9045 D (Non -Aqueous) Comment: The laboratory does not appear to be using a low -sodium electrode. While not necessary at this time, a low -sodium electrode will be necessary to measure values over 10 S. U. if the analysis of biosolids resumes. D. Finding: The pH meter is not calibrated with standards that bracket the range of the sample measurements encountered. Requirement: Each instrument/electrode system must be calibrated at a minimum of two points that bracket the expected pH of the samples and are approximately three pH units or more apart. Ref: EPA SW-846 Test Methods for Evaluating Solid Waste, Physical/Chemical Methods; 3rd Edition, Method 9040 C. Rev. 3, November 2004, Section 7.1.2. Comment: The laboratory is calibrating the pH meter with 4 S. U. and 7 S. U. buffers, with no additional check buffer to extend the range. This range did not cover the value of the PT sample analyzed in 2019. Calibration with 4 S.U. and 10 S.U. buffers would cover the expected range of the PT samples. Alternatively, the laboratory may choose to calibrate with the 4 S.U. and 7 S.U. buffers and analyze the 10 S.U. buffer as a calibration check, depending on the manufacturer's requirements for calibrating the pH meter. E. Finding: The laboratory is not analyzing a check standard buffer after calibration and prior to sample analysis. Page 4 #5515 Synagro Central Requirement: Laboratory procedures shall comply with Subparagraph (a)(1) of this Rule. Ref: 15A NCAC 02H .0805 (g) (4). Requirement: Instruments are to be calibrated according to the manufacturer's calibration procedure prior to analysis of samples each day compliance monitoring is performed. Calibration must include at least two buffers. The meter calibration must be verified with a third standard buffer solution (i.e., check buffer) prior to sample analysis. All check standard buffers must read within ± 0.1 S. U.to be acceptable. If the meter verification does not read within ± 0.1 S.U., corrective actions must be taken before any samples are analyzed. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Comment: To address this Finding, the benchsheet must be updated with a space for the check buffer result, true value and acceptance criteria in S.U. IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing copies of original records (e.g., laboratory benchsheets, logbooks, etc.) to PT results. Data were reviewed for 2019 and 2020 PT studies. No transcription errors were noted. The facility appears to be doing a good job of accurately transcribing data. V. CONCLUSIONS: 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 i . 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