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HomeMy WebLinkAbout#5468_1216_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 Linda: Date Mailed: 5468 EMA Resources, Inc. Field Maintenance Beth Swanson, Gary Francies December 16, 2015 January 5, 2016 January 5, 2016 Nick Jones January 6, 2016 ❑ Insp. Initial ® Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP ❑ Corrected ❑ Insp. Reg. Delay Gary Francies 1 /6/2016 1/19/2016 1 /20/2016 Water- Resources ENVIRQNMEN FAL QUALITY January 19, 2016 5468 Mr. Brent Collins EMA Resources, Inc. 755 Yadkinville Road Mocksville, NC 27028 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. Collins: Enclosed is a report for the inspection performed on December 16, 2015 by Beth Swanson and Gary Francies. 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. 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 • • b - • • _I LABORATORY NAME: EMA Resources, Inc. ADDRESS: 755 Yadkinville Road Mocksville, NC 27028 CERTIFICATE #: 5468 DATE OF INSPECTION: December 16, 2015 TYPE OF INSPECTION: Field Maintenance AUDITOR(S): Beth Swanson and Gary Francies LOCAL PERSON(S) CONTACTED: Brent Collins 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. GENERAL COMMENTS: The facility has all the equipment necessary to perform the analyses. Compliance monitoring is performed for clients during lime stabilization, i.e., pH adjustment through alkaline treatment. The inspectors noted that the proposed Rules revision includes the addition of Vector Attraction Reduction Option 6 to Field Parameters, which more accurately defines the compliance testing that the facility performs. We will keep the facility up to date with any changes to Field Parameter Certification. Proficiency Testing (PT) samples were analyzed for all certified parameters for the 2015 proficiency testing calendar year. The laboratory fulfilled its PT requirements for the 2015 calendar year. Current Quality Assurance Policies for Field Laboratories and Approved Procedures for the analysis of the facility's currently certified parameters were provided at the time of the inspection. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation Comment: The benchsheets from 8/19/2014 and 10/27/2014 did not contain the analyst's initials. Benchsheets from 2015 data were acceptable. Please continue to include analyst's initials on all data. A. Finding: The laboratory needs to increase the traceability of purchased materials. Requirement: 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 Page 2 #5468 EMA Resources, Inc. pre -made standards are included in this requirement. Ref: Quality Assurance Policies for Field Laboratories. Comment: No traceability information is retained. A traceability log was emailed to the lab following the inspection. Use of this log and recording pH buffer lot numbers on the benchsheets will fulfill traceability requirements. B. Finding: The laboratory benchsheet was lacking pertinent data: Instrument identification. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: Instrument Identification. Ref: NC WW/GW LC Approved Procedure for the Analysis of Temperature. C. 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. pH — Standard Methods, 4500 H+13-2000 pH — SW-846 Method 9040 C Comment: The facility does not currently analyze solid samples for pH. If a new client requiring the analysis of solid samples is obtained, remember to seek Certification for SW-846 Method 9045 D. Comment: The facility currently sends the pH meter to an outside vendor for yearly calibration. This is not required. Comment: Benchsheets reviewed showed instances where pH analysis time preceded meter calibration time. However, the initial pH analysis is not intended for compliance monitoring, only to estimate the volume of lime needed to raise the pH to >_12 S.U. For instance, on 8/19/2015, the initial pH analysis was documented as 8:45 AM and the meter calibration was documented as 9:45 AM. It is recommended that the meter calibration be performed prior to any pH analysis, regardless of the sample type. D. Finding: The pH calibration is not being verified with a check buffer. 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 calibration and check standard buffers must bracket the range of the samples being analyzed. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Requirement: 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. E. Finding: The calibration log and benchsheet do not include units of measure for pH (i.e., S.U.). Requirement: Data pertinent to each analysis must be maintained for five years. Certified data must consist of date collected, time collected, samples site, sample collector, and sample analysis time. The field bench sheets must provide a space for the signature of the analyst, and proper units of measure for all analyses. Ref: 15A NCAC 2H .0805 (g) (1). Page 3 #5468 EMA Resources, Inc. Temperature — Standard Methods, 2550 B-2000 F. Finding: The temperature correction for the thermometer is not documented. Requirement: All thermometers and temperature measuring devices must be checked every 12 months against a National Institute of Standards and Technology (NIST) traceable thermometer. The process must be documented and proper corrections made to all compliance data The documentation must include the serial number of the NIST traceable thermometer that was used in the comparison. Ref: NC WW/GW LC Approved Procedure for the Analysis of Temperature. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: The temperature correction (even if it is zero) must be posted on the meter as well as in hard copy format (to be retained for 5 years). Ref: NC WW/GW LC Approved Procedure for the Analysis of Temperature. Comment: The thermometer is calibrated annually by CATLab but the facility does not maintain documentation of the calibration or any correction factor, if applicable. IV. PAPER TRAIL INVESTIGATION: No paper trail was completed. The benchsheets are submitted to the client as a complete form. V. CONCLUSIONS: Correcting the above -cited Findings will help this lab 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 an implementation date for each corrective action. Report prepared by: Beth Swanson Date: January 5, 2016 Report reviewed by: Nick Jones Date: January 6, 2016