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HomeMy WebLinkAbout#5114_2017_1012_TH_FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5114 Laboratory Name: City of Hamlet WWTP Inspection Type: Maintenance Inspector Name(s): Tom Halvosa and Todd Crawford Inspection Date: October 12, 2017 Date Forwarded for Initial Review: October 30, 2017 Initial Review by: Tonja Springer Date Initial Review Completed: October 31, 2017 Cover Letter to use: ❑ Insp. Initial ❑Insp. No Finding ❑Corrected ® Insp. Reg ❑Insp. CP ❑Insp. Reg. Delay Unit Supervisor/Chemist III: Todd Crawford Date Received: November 6, 2017 Date Forwarded to Admin.: November 14, 2017 Date Mailed: November 15, 2017 Special Mailing Instructions: Water Resources ENVIRONMENT AL QUALITY November 15, 2017 5114 Mr. Earl G. Dunn Jr. City of Hamlet WWTP P.O. Box 1229 Hamlet, NC 28345 ROY COOPER MICHEAL S. REGAN r<< LINDA CULPEPPER Lderim i)1r,, r 1 Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Dunn: Enclosed is a report for the inspection performed on October 12, 2017 by Tom Halvosa. 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. 251. Sincerely, Todd Crawford Technical Assistance & Compliance Specialist NC WW/GW Laboratory Certification Branch Attachment cc: Dana Satterwhite, Tom Halvosa, Master File # 5114 Water Sciences Section NC Wastewater/Groundwater Laboratory Certification Branch 1623 Mail Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road, Raleigh, North Carolina 27607 Phone: 919-733-3908 `, FAX: 919-733-6241 Internet: httD:/idea.nc.goviaboutidivisions/water-resources/water-resources-data/water-sciences-home-page/laboratory-certification-branch LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: INTRODUCTION: City of Hamlet WWTP NC0047562, WQ0002269 790 Freeman Mill Road Hamlet, NC 28345 5114 October 12, 2017 Field Municipal Maintenance Tom Halvosa and Todd Crawford Earl G. Dunn, Jr. and Darrell Lowery 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 2H .0800 for the analysis of environmental samples. II. GENERAL COMMENTS: Staff were forthcoming and seemed eager to adopt necessary changes. Laboratory personnel coordinate sample analyses effectively to manage workload and holding times. The facility is neat and well organized and has all the equipment necessary to perform the analyses. Benchsheets are well designed, easy to follow and concise. The laboratory is commended for having an Equipment Maintenance Log, which is not required by 15A NCAC 2H .0800. All required Proficiency Testing (PT) Samples have been analyzed for the 2017 PT Calendar Year and the graded results were 100% acceptable. Contracted analyses are performed by Cameron Testing Services, Inc. (Certification # 654). Quality Assurance Policies for Field Laboratories and Approved Procedure documents for the analysis of the facility's currently certified Field Parameters were provided at the time of the inspection. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation Comment: The laboratory benchsheet was lacking instrument identification. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine, NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen and NC WW/GW LC Approved Procedure for the Analysis of pH documents state: The following must be documented in indelible ink whenever sample analysis is performed: Instrument Identification and Thermometer/Instrument Page 2 #5114 City of Hamlet WWTP Identification. Acceptable corrective action (i.e., the benchsheets were updated to include the instrument ID, were reprinted and immediately put into use) was performed by the laboratory and approved by the auditor during the inspection. No further response is necessary for this Finding. Comment: The laboratory benchsheet was lacking facility name. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine and NC WW/GW LC Approved Procedure for the Analysis of Temperature documents state: The following must be documented in indelible ink whenever sample analysis is performed: Sample site including facility name and location, ID, etc. Acceptable corrective action (i.e., the benchsheets were updated to include the facility name, were reprinted and immediately put into use) was performed by the laboratory and approved by the auditor during the inspection. No further response is necessary for this Finding. Comment: The laboratory needs to increase the traceability documentation of purchased materials and reagents. NC WW/GW LC Policy states: All chemicals, reagents, standards and consumables used by the laboratory must have the following information documented: Date received, Date Opened (in use), Vendor, Lot Number, and Expiration Date (where specified). A system (e.g., traceable identifiers) must be in place that links standard/reagent preparation information to analytical batches in which the solutions are used. Documentation of solution preparation must include the analyst's initials, date of preparation, the volume or weight of standard(s) used, the solvent and final volume of the solution. This information as well as the vendor and/or manufacturer, lot number, and expiration date must be retained for 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. Acceptable corrective action (i.e., a lab supply receipt log was printed then filled out and immediately put into use) was performed by the laboratory and approved by the auditor during the inspection. No further response is necessary for this Finding. Comment: The units of measure are not consistently documented on the benchsheets for Total Residual Chlorine. The North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: Data pertinent to each analysis must be maintained for five years. Certified Data must consist of date collected, time collected, sample site, sample collector, and sample analysis time. The field benchsheets must provide a space for the signature or initials of the analyst, and proper units of measure for all analyses. Acceptable corrective action (i.e., the benchsheets were updated to include the proper units of measure, were reprinted and immediately put into use) was performed by the laboratory and approved by the auditor during the inspection. No further response is necessary for this Finding. A. Finding: Data qualifiers from the contract laboratory reports are not being transferred to the eDMR. Requirement: When quality control (QC) failures occur, the laboratory must attempt to determine the source of the problem and must apply corrective action. Part of the corrective action is notification to the end user. If data qualifiers are used to qualify samples not meeting QC requirements, the data may not be useable for the intended purposes. It is the responsibility of the laboratory to provide the client or end -user of the data with sufficient information to determine the usability of the qualified data. Where applicable, a notation must be made on the Discharge Monitoring Report (DMR) form, in the comment section, when any required sample quality control does not meet specified criteria and another sample cannot be obtained. Ref: Quality Assurance Policies for Field Laboratories. Page 3 #5114 City of Hamlet VWVFP Comment: An example of this was from the Cameron Testing BOD report dated February 9, 2017 where qualifier "A" was not transferred to the eDMR. Qualifier "A" states: All BOD QC requirements were not met. The dilution water blank was not <0.20 mg/L. Data should be considered valid. Proficiency Testing B. Finding: Additional Quality Control (QC) beyond what is routine for Compliance Samples is being analyzed with PT Samples. Requirement: Laboratories are required to analyze an appropriate PT Sample by each parameter method on the laboratory's Certified Parameters Listing (CPL). The same PT Sample may be analyzed by one or more methods. Laboratories shall conduct the analyses in accordance with their routine testing, calibration and reporting procedures, unless otherwise specified in the instructions supplied by the Accredited PT Sample Provider. This means that they are to be logged in and analyzed using the same staff, sample tracking systems, standard operating procedures including the same equipment, reagents, calibration techniques, analytical methods, preparatory techniques (e.g., digestions, distillations and extractions) and the same quality control acceptance criteria. PT Samples shall not be analyzed with additional quality control. They are not to be replicated beyond what is routine for Compliance Sample analysis. Although, it may be routine to spike Compliance Samples, it is neither required, nor recommended, for PT Samples. PT Sample results from multiple analyses (when this is the routine procedure) must be calculated in the same manner as routine Compliance Samples. Ref: Proficiency Testing Requirements, May 31, 2017, Revision 2.0. C. Finding: The preparation of Proficiency Testing (PT) Samples is not documented. Requirement: PT Samples received as ampules are diluted according to the Accredited PT Sample Provider's instructions. It is important to remember to document the preparation of PT Samples in a traceable log or other traceable format. The diluted PT Sample then becomes a routine Compliance Sample and is added to a routine sample batch for analysis. No documentation is needed for whole volume PT Samples which require no preparation (e.g., pH), but it is recommended that the instructions be maintained. Ref: Proficiency Testing Requirements, May 31, 2017, Revision 2.0. Comment: Dating and initialing the instruction sheet for the preparation of the Total Residual Chlorine PT would satisfy the documentation requirement. Chlorine, Total Residual — Standard Methods, 4500 Cl G-2000 (Aqueous) D. Finding: Values less than the established reporting limit are being reported on the electronic Discharge Monitoring Report (eDMR). Requirement: The concentrations of the calibration standards must bracket the concentrations of the samples analyzed. One of the standards must have a concentration equal to or below the lower reporting concentration for Total Residual Chlorine. The lower reporting limit must be less than or equal to the permit limit. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Comment: The lower reporting limit is determined by the concentration of the lowest standard in the calibration curve verification. The concentration of the lowest standard in Page 4 #5114 City of Hamlet WVVfP IV the laboratory's most recent calibration curve verification was 10 pg/L. Compliance samples with concentrations less than 10 pg/L must be reported as "<10 pg/L" on the eDMR. Dissolved Oxygen — Standard Methods, 4500 O G-2001 (Aqueous) E. Finding: The laboratory is not performing a post -analysis calibration verification when analyses are performed away from the certified laboratory's primary location. Requirement: When performing analyses away from the certified laboratory's primary location, a post analysis calibration verification must be analyzed at the end of the run. It is recommended that a mid -day calibration verification be performed when samples are analyzed over an extended period of time. The calculated DO value must verify the meter reading within ±0.5 mg/L. If the meter verification does not read within ±0.5 mg/L of the theoretical DO, corrective action must be taken. Ref: NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing original records (e.g., laboratory benchsheets, logbooks, etc.) and contract lab reports to eDMRs submitted to the North Carolina Division of Water Resources. Data were reviewed for City of Hamlet WWTP (NPDES permit # NC0047562 and Water Quality permit # WQ0002269). The following error was noted: Value on Date Parameter Location Benchsheet Value on eDMR 8/9/2017 pH Effluent 7.7 7.4 To avoid questions of legality, it is recommended that you contact the appropriate Regional Office for guidance as to whether an amended eDMR(s) will be required. A copy of this report will be made available to the Regional Office. V. CONCLUSIONS: Correcting the above -cited Findings will help this laboratory to produce quality data and meet Certification requirements. The inspector would like to thank the staff for its assistance during the inspection and data review process. Please respond to all Findings and include supporting documentation and implementation dates for each corrective action. 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