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HomeMy WebLinkAbout#5657_2017_0214_JS_FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5657 Laboratory Name: Watauga County Board of Education Inspection Type: Field Municipal Initial Inspector Name(s): Jason Smith Inspection Date: February 14, 2017 Date Forwarded for Initial March 10, 2017 Review: Initial Review by: Anna Ostendorff Date Initial Review March 10, 2017 Completed: ® Insp. Initial ❑ Insp. Reg Cover Letter to use: ❑Insp. No Finding ❑Corrected ❑Insp. CP ❑Insp. Reg. Delay (to use: rt click, properties, check) Unit Supervisor/Chemist III: Todd Crawford Date Received: March 10, 2017 Date Forwarded to Admin.: March 22, 2017 Date Mailed: March 24, 2017 Special Mailing Instructions: Water Resources LN V di20 NM LN i AL QUALM March 23, 2017 5657 Mr. Bob Auton Watauga County Board of Education P.O. Box 1790 Boone, NC 28607 ROY COOPER MICHEAL S. REGAN S. JAY ZIMMERMAN Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Bob Auton: Enclosed is a report for the inspection performed on February 14, 2017 by Jason Smith. 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. 251. Sincerely, Todd Crawford Technical Assistance & Compliance Specialist NC WW/GW Laboratory Certification Branch Attachment cc: Dana Satterwhite, Jason Smith, Master File 5657 LABORATORY NAME: Watauga County Board of Education NPDES PERMIT #: NC0066991, NC0067024 and NC0067016 ADDRESS: 251 Pioneer Trail Boone, NC 28607 CERTIFICATE #: 5657 DATE OF INSPECTION: February 14, 2017 TYPE OF INSPECTION: Field Municipal Initial AUDITOR(S): Jason Smith LOCAL PERSON(S) CONTACTED: Eric Bolick 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 2H .0800 for the analysis of environmental samples. IL GENERAL COMMENTS: The facility has all the equipment necessary to perform the analyses. The laboratory analyst was very forthcoming and receptive to implementing the necessary changes in response to the items found during the inspection. All required Proficiency Testing (PT) samples have been analyzed for the 2016 PT calendar year and the graded results were 100% acceptable. Contracted analyses are performed by Water Tech Labs, Inc. (Certification #50). Current 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 needed to increase the documentation of purchased materials and reagents. The NC WW/GW LC Quality Assurance Policies for Field Laboratories document 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. Consumable materials such as pH buffers and lots of pre -made standards are included in this requirement. Notification of acceptable corrective action (i.e., the traceability log provided by the inspector was put into use on March 9, 2017) was received by email on March 10, 2017. No further response is necessary for this Finding. Page 2 #5657 Watauga County Board of Education Comment: The laboratory benchsheet was lacking pertinent data: sample collection time, sample analysis time, units of measure and instrument identification. North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: 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. The NC WW/GW LC Approved Procedure for the Field Analysis of Temperature, NC WW/GW LC Approved Procedure for the Field Analysis of pH, NC WW/GW LC Approved Procedure for the Field Analysis of Dissolved Oxygen and NC WW/GW LC Approved Procedure for the Field Analysis of Total Residual Chlorine state: The following must be documented in indelible ink whenever sample analysis is performed: instrument identification. Notification of acceptable corrective action (i.e., an updated benchsheet including sample collection time, sample analysis time, units of measure and instrument identification with an implementation date of March 13, 2017) was received by email on March 10, 2017. No further response is necessary for this Finding. Proficiency Testing A. Finding: The laboratory is not analyzing PT samples in the same manner as compliance samples. Requirement: Laboratories shall conduct proficiency tests in accordance with their routine testing, calibration and reporting procedures, unless otherwise specified in the instructions supplied by the PT 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 and preparatory techniques such as digestions, distillations and extractions. They shall not be analyzed with additional quality control or replicated beyond what is routine for environmental sample analysis. Results from multiple analyses (when this is the routine procedure) must be calculated in the same manner as routine environmental samples. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. Comment: Additional QC (i.e., sample with a known value) was analyzed with PT samples. Comment: Corrective -action PTs, that are provided with the true values in a sealed envelope, are not considered PTs and do not meet the PT requirements outlined in 15A NCAC 2H .0800. In general, laboratories must not analyze PTs with known concentrations along with PTs with unknown concentrations, as this is not the routine testing protocol for environmental samples. This is not to say that they cannot be used for troubleshooting purposes before analyzing a remedial PT. This would be considered part of the corrective action plan. B. Finding: The laboratory is not documenting Proficiency Testing (PT) sample analyses in the same manner as environmental samples. Requirement: All PT sample analyses must be recorded in the daily analysis records as for any environmental sample. This serves as the permanent laboratory record. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. Page 3 #5657 Watauga County Board of Education Chlorine, Total Residual — Standard Methods, 4500 Cl G-2000 (Aqueous) C. Finding: A check standard (e.g., gel standard) is not analyzed each analysis day. Requirement: When a five -standard annual standard curve verification is used, the laboratory must check the calibration curve each analysis day. To do this, the laboratory must analyze a calibration blank to zero the instrument and analyze a check standard each day that samples are analyzed. The value obtained for the check standard must read within 10% of the true value of the check standard. If the obtained value is outside of the ±10% range, corrective action must be taken. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Dissolved Oxygen — Standard Methods, 4500 O G-2001 (Aqueous) Comment: The salinity and elevation used for meter calibration was not documented. The NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen states: The laboratory must document each time that a calibration is performed. Calibration documentation must include the following, where applicable to the instrument used and the type of calibration performed: elevation, temperature, barometric pressure (in mmHg), salinity, slope, or %efficiency. Simply recording a final reading (in mg/L) for instruments that auto calibrate (e.g., LDO sensors and Membrane Electrodes that AUTOCAL) is also acceptable. Notification of acceptable corrective action (i.e., an updated benchsheet including calibration elevation and salinity with an implementation date of March 16, 2017) was received by email on March 16, 2017. No further response is necessary for this Finding. pH — Standard Methods, 4500 H+ B-2000 (Aqueous) D. Finding: The meter is not verified after calibration. Requirement: The meter must be calibrated with at least two buffers. In addition to the calibration buffers, the meter calibration must be verified with a third standard buffer solution. The check standard buffer must read within ±0.1 S.U. to be acceptable. If the meter verification does not read within ±0.1 S.U., the meter must be recalibrated before any samples are analyzed. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Temperature — Standard Methods, 2550 B-2000 (Aqueous) E. Finding: The stated accuracy of the NIST traceable thermometer used to verify the meter used to measure temperature for compliance monitoring was not at least ± 0.5 °C. Requirement: Any temperature measuring device, used to measure temperature for compliance monitoring, must be verified against a National Institute of Standards and Technology (NIST) traceable temperature measuring device prior to initial use and re - verified at least every 12 months and any time the instrument is serviced. NIST traceable temperature measuring devices used for this verification must have a stated accuracy of at least ± 0.5 °C. Ref: NC WW/GW LC Approved Procedure for the Field Analysis of Temperature. Comment: The analyst is currently checking the meter against the NIST traceable thermometer daily. This is only required to be performed once every twelve months and may be performed by the contract laboratory. Page 4 #5657 Watauga County Board of Education Dissolved Oxygen — Standard Methods, 4500 O G-2001 (Aqueous) pH — Standard Methods, 4500 H+ B-2000 (Aqueous) F. Finding: The instruments are not being calibrated prior to analysis of samples each day compliance monitoring is performed. Requirement: Instruments are to be calibrated according to the manufacturer's calibration procedure prior to analysis of samples each day compliance monitoring is performed. Ref: NC WW/GW LC Approved Procedure for the Field Analysis of Dissolved Oxygen and NC WW/GW LC Approved Procedure for the Field Analysis of pH. Comment: The analyst calibrated the meters after completing work at all facilities thinking that the calibration would be acceptable for use the next day. pH — Standard Methods, 4500 H+ B-2000 (Aqueous) Temperature — Standard Methods, 2550 B-2000 (Aqueous) G. Finding: The analyst occasionally voluntarily analyzes effluent samples more frequently than the permits require, but does not report all the data. Requirement: The results of all tests on the characteristics of the effluent, including but not limited to NPDES permit monitoring requirements, shall be reported on the monthly report forms. Ref: 15A NCAC 2B .0506 (b) (3) (J). Comment: Process control samples collected upstream of the final effluent are not required to be reported. IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing original records (e.g., laboratory benchsheets, logbooks, etc.) and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Resources. Data were reviewed for Parkway Elementary (NPDES permit #NC0067016) for May 2016, Valle Crucis Elementary (NPDES permit #NC0067024) for July 2016 and Bethel Elementary (NPDES permit #NC0066991) for October 2016. The following errors were noted: Date Parameter Location Value on Value on DMR Benchsheet 7/11/2016 Temperature NC0067024 No Value Recorded 26 °C Effluent 7/12/2016 Temperature NC0067024 26 °C No Value Reported Effluent 7/18/2016 pH NC0067024 No Value Recorded 6.8 S.U. Effluent 7/18/2016 Temperature NC0067024 No Value Recorded 18 °C Effluent 7/19/2016 pH NC0067024 6.8 S.U. No Value Reported Effluent Page 5 #5657 Watauga County Board of Education 7/19/2016 Temperature NC0067024 18 °C No Value Reported Effluent Recommendation: The errors listed in the table above are transposition errors where data was reported on the incorrect date and are not intended to imply falsification of data. It is recommended that a process of peer review be initiated in order to reduce the frequency of errors. It is also recommended that you contact the appropriate Regional Office for guidance as to whether an amended DMR will be required. A copy of this report will be made available to the Regional Office. V. CONCLUSIONS: Correcting the above -cited Findings and implementing the Recommendation 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 and implementation dates for each corrective action. Report prepared by: Jason Smith Date: March 10, 2017 Report reviewed by: Anna Ostendorff Date: March 10, 2017