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HomeMy WebLinkAbout#5387_2016_1117_BS_FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: Laboratory Name: Inspection Type: Inspector Name(s): Inspection Date: Date Report Completed: Date Forwarded to Reviewer: Reviewed by: Date Review Completed: Cover Letter to use: Unit Supervisor/Chemist III: Date Received: Date Forwarded to Admin: Date Mailed: 5387 City of Kannapolis Field Maintenance Beth Swanson November 17, 2016 December 5, 2016 December 5, 2016 Anna Ostendorff December 8, 2016 ❑ Insp. Initial ❑ Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP ® Corrected ❑ Insp. Reg. Delay Gary Francies December 8, 2016 12/09/2016 12/09/2016 Special Mailing Instructions: mail to Wes Bell (a)- wes.bell(a�ncdenr.gov W o P er' R esou rce.s E N Vf rPONM EN IAL QUALI1 Y December 9, 2016 5387 Mr. Gerald Faulkner City of Kannapolis 401 Laureate Way Kannapolis, NC 28081 PAT MCCRORY DONALD R. VAN DER VAART S. JAY ZIMMERMAN SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Faulkner: Enclosed is a report for the inspection performed on November 17, 2016 by Beth Swanson. Since the Finding(s) cited during the inspection were all corrected prior to the completion of the enclosed report, a response is not required. The staff is commended for taking the initiative in correcting the Findings in such a timely manner. For Certification maintenance, your laboratory must continue to carry out the requirements set forth in 15A NCAC 2H .0800. 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 (828) 296-4677. Sincerely, Gary Francies, Technical Assistance/Compliance Specialist Division of Water Resources Attachment Cc: master file Beth Swanson Water Sciences Section NC Wastewater/Groundwater Laboratory Certification Branch 1623 Mall Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road, Raleigh, North Carolina 27607 Phone: 919-733-39081 FAX: 919-733-6241 Internet: http:1/deq.nc.govfabouUdivision s/water-resourcestwater-resources-dataiwater-sciences-home-page/laboratory-certification- bran ch LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): On -Site Inspection Report City of Kannapolis NC0006220 1353 Pump Station Rd Kannapolis, NC 28081 5387 November 17, 2016 Field Municipal Maintenance Beth Swanson LOCAL PERSON(S) CONTACTED: I. INTRODUCTION: Gerald Faulkner 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: The laboratory is spacious and clean. The analyst was forthcoming and receptive to recommendations and necessary changes. All required Proficiency Testing (PT) samples have been analyzed for the 2016 PT calendar year and the graded results were 100% acceptable. Requirements that reference 15A NCAC 2H .0805 (g) (1), stating "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", are intended to be a requirement to document all pertinent information for historical reconstruction of data. It is not intended to imply that existing records are not adequately maintained unless the Finding speaks directly to that. Contracted analyses are performed by Environment 1, Inc. (Certification #10). 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 traceability for consumables and some reagents. The reagents used to make the Total Residual Chlorine (TRC) standards were traceable and their preparation was documented. However, there was no traceability information retained for DPD Page 2 #5387 City of Kannapolis powder or pH buffers. The 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. This information as well as the vendor and/or manufacturer, lot number, and expiration date must be retained for chemicals, reagents, standards and consumables used for a period of five years. Consumable materials such as pH buffers and lots of pre -made standards are included in this requirement. Notification of acceptable corrective action (i.e., a copy of the reagent receipt log implemented December 2, 2016 with columns to enter all required traceability information) was received by email on December 2, 2016. No further response is necessary for this Finding. Proficiency Testing Comment: A new analyst is currently in training. It was discussed at the inspection that once this analyst is fully trained they will need to be included in a rotation for analyzing the annual PT samples. Comment: The preparation of the TRC PT sample was not being documented. The Proficiency Testing Requirements, February 20, 2012, Revision 1.2 document states: PT samples received as ampules must be diluted according to the PT provider's instructions. The preparation of PT samples must be documented in a traceable log or other traceable format. The diluted PT sample becomes a routine environmental sample and is added to a routine sample batch for analysis. Notification of acceptable corrective action (i.e., statements that beginning with the 2017 PT study, the TRC instruction sheet from the PT vendor will be signed and dated by the analyst to document they have followed the preparation directions) was received by email on December 2, 2016. No further response is necessary for this Finding. Comment: The laboratory was not documenting PT sample analyses in the same manner as environmental samples. The Proficiency Testing Requirements, February 20, 2012, Revision 1.2 document states: All PT sample analyses must be recorded in the daily analysis records as for any environmental sample. This serves as the permanent laboratory record. Notification of acceptable corrective action (i.e., a statement that beginning with the 2017 PT study, the PT results will be entered onto the laboratory's sample analysis log like a routine environmental sample) was received by email on December 2, 2016. No further response is necessary for this Finding. Chlorine, Total Residual — Standard Methods, 4500 Cl G-2000 (Aqueous) Recommendation: The laboratory currently verifies the calibration curve with standards at 25, 100, 200, 300 and 400 pg/L. It is recommended that the following standards be used: 25, 50, 200, 400 and one concentration between 25 pg/L and the 50 pg/L compliance limit. Comment: The calibration verifications reviewed were within the proper limits, but the analyst was unaware of the requirement that standards <50 pg/L must recover within ±25% and standards >_50 pg/L must recover within ±10%. The analyst stated that the laboratory will use the TRC calibration verification spreadsheet provided by NC WW/GW LC starting in 2017, which automatically includes this evaluation. Comment: The laboratory was not analyzing a reagent blank with the annual standard curve verification. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine document states: Each day that prepared standards are analyzed, a reagent blank must be analyzed. A reagent blank is made from the same laboratory water source used to make quality control and/or calibration standards with DPD. The concentration of reagent blanks must not Page 3 #5387 City of Kannapolis exceed 50% of the reporting limit (i.e., the lowest calibration or calibration verification standard concentration), unless otherwise specified by the reference method, or corrective action must be taken. Notification of acceptable corrective action (i.e., a statement that a reagent blank will be analyzed with the curve verification due in March 2017) was received by email on December 2, 2016. No further response is necessary for this Finding. Comment: The laboratory's reporting limit was not based on the lowest concentration standard verified. The laboratory was reporting anything less than their permit limit of 28 pg/L as <28 pg/L rather than reporting down to their lowest calibration verification standard of 25 pg/L. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine document states: 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. Example: If the laboratory chooses to have a lower reporting limit of 25 pg/L for residual chlorine, you must analyze at least a 25 tag/L and report lower concentrations as <25 pg/L. Notification of acceptable corrective action (i.e., a statement that results will be recorded and reported down to 25 pg/L beginning December 2, 2016 and that the lowest standard analyzed in subsequent curve verifications will be used for the reporting limit) was received by email on December 2, 2016. No further response is necessary for this Finding. pH — Standard Methods, 4500 H+ B-2000 (Aqueous) Comment: The pH meter calibration time was not being documented. The NC WW/GW LC Approved Procedure for the Analysis of pH document states: The following must be documented in indelible ink whenever sample analysis is performed. Meter calibration time(s). Notification of acceptable corrective action (i.e., a copy of an updated pH calibration log with a column for meter calibration time that was filled out beginning December 1, 2016) was received by email on December 5, 2016. No further response is necessary for this Finding. Comment: The calibration buffers were not clearly identified. The calibration log had a column titled "Buffers Used" and "4-7-10-8" preprinted in each cell, without specifying whether a two or three-point calibration was employed and with which buffers. The NC WW/GW LC Approved Procedure for the Analysis of pH document states: The following must be documented in indelible ink whenever sample analysis is performed. True values of buffers used for calibration. Notification of acceptable corrective action (i.e., a copy of an updated pH calibration log with the column now labeled "Calibration Buffers Used" and "4-7-10" preprinted in each cell, that was implemented December 1, 2016) was received by email on December 2, 2016. No further response is necessary for this Finding. Chlorine, Total Residual — Standard Methods, 4500 Cl G-2000 (Aqueous) pH — Standard Methods, 4500 H+ B-2000 (Aqueous) Comment: The benchsheets did not contain units of measure for all analyses. There were no pH units (i.e., s.u.) on the pH calibration log and the field benchsheet did not have units for the daily TRC Gel® check standard (i.e., pg/L). North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: Data pertinent to each analysis must be maintained for five years. The field benchsheets must provide a space for the signature or initials of the analyst, and proper units of measure for all analyses. Notification of acceptable corrective action (i.e., submission of the 2016 field benchsheet with pg/L handwritten on the check standards for December and an updated field benchsheet to be implemented January 2017 with "pg/L" typed in the results column and submission of the December 2016 pH calibration log and an updated pH calibration log to be implemented January 2017 with "s.u." handwritten or typed in all pertinent columns) was received by email on December 2 and 5, 2016. No further response is necessary for this Finding. Page 4 #5387 City of Kannapolis Comment: The pH calibration log and field benchsheet did not contain the facility name. The NC WW/GW LC Approved Procedure for the Analysis of pH and The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine documents state: The following must be documented in indelible ink whenever sample analysis is performed. Sample site including facility name and location, ID, etc. Notification of acceptable corrective action (i.e., a copy of the updated field benchsheet to be implemented January 2017 and the pH calibration log implemented December 1, 2016 with "City of Kannapolis" on the title heading) was received by email on December 2, 2016. No further response is necessary for this Finding. Comment: The pH calibration log and field benchsheet did not contain meter identification. The NC WW/GW LC Approved Procedure for the Analysis of pH and The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine documents state: The following must be documented in indelible ink whenever sample analysis is performed. Instrument identification. Notification of acceptable corrective action (i.e., submission of an updated field benchsheet to be implemented January 2017 with a column to enter the meter identification and an updated pH calibration log implemented December 1, 2016 which includes a blanket statement that if instrument #1 is not used, "#2" will be written next to the analyst's initials) was received by email on December 2, 2016. No further response is necessary for this Finding. IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing original records (e.g., laboratory benchsheets, logbooks, etc.) and contract lab reports to electronic Discharge Monitoring Reports (eDMRs) submitted to the North Carolina Division of Water Resources. Data were reviewed for City of Kannapolis (NPDES permit # NC0006220) for January, April and July 2016. No transcription errors were detected. The facility appears to be doing a good job of accurately transcribing data. V. CONCLUSIONS: All Findings noted during the inspection were adequately addressed prior to the completion of this report. The inspector would like to thank the staff for its assistance during the inspection and data review process. No response is required. Report prepared by: Beth Swanson Date: December 5, 2016 Report reviewed by: Anna Ostendorff Date: December 8, 2016