Loading...
HomeMy WebLinkAbout#183_0312_final�' f NCDEN North Carolina Department of Environment and Natural Resources Pat McCrory Donald R. van der Vaart Governor Secretary April 2, 2015 183 Kapstone Kraft Paper Corporation Neal Davis 100 Gaston Road Roanoke Rapids, NC 27870-1900 Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Davis: Enclosed is a report for the inspection performed on March 12, 2015 by Todd Crawford. 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 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 us at (919) 733-3908. Attachment cc: Todd Crawford Sincerely, Dana Satterwhite, Environmental Program Supervisor Division of Water Resources 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 l FAX: 919-733-6241 Internet: www.dwalab.oro An Equal Opportunity 1Affiirmative Action Employer INSPECTION 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: 183 Kapstone Kraft Paper Corporation Roanoke Rapids Mill Industrial Maintenance Todd Crawford March 12, 2015 March 26, 2015 March 26, 2015 Tonia Springer March 26, 2015 ❑ Insp. Initial ® Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP ❑ Corrected ❑ Insp. Reg. Delay Dana Satterwhite 3/26/2015 4/2/2015 4/2/2015 On -Site Inspection Report LABORATORY NAME: Kapstone Kraft Paper Corporation, Roanoke Rapids Mill NPDES PERMIT # : NC0000752 ADDRESS: 100 Gaston Road Roanoke Rapids, NC 27870-1900 CERTIFICATE #: 183 DATE OF INSPECTION: March 12, 2015 TYPE OF INSPECTION: Industrial Maintenance AUDITOR(S): Todd Crawford LOCAL PERSON(S) CONTACTED: Neal Davis, Paul Kinnon and Michael Knudson 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. The system for traceability of standard and reagent preparation is effective, thorough and easy to follow. Laboratory personnel communicate well with sample collectors and coordinate sample analyses effectively to manage workload and holding times. Proficiency Testing (PT) samples for the 2015 proficiency testing calendar year have not yet been analyzed. The laboratory is reminded that these results must be submitted to this office directly from the vendor by September 30, 2015. Contracted analyses are performed by Meritech, Inc. (Certification #165). The requirements associated with Findings A and B have been implemented by our program since the last inspection. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Standard Operating Procedures Recommendation: It is recommended that Standard Operating Procedures (SOPs) contain a sheet where review dates can be documented. This gives the lab credit for reviewing the SOPs even when revisions may not be needed. Recommendation: It is recommended that SOPs include a revision and review history with relevant dates (e.g., effective, review and revision dates) and a brief description of the change(s) made. Page 2 # 183 Kapstone Kraft Paper Corporation, Roanoke Rapids Mill A. Finding: The laboratory does not have a documented plan for proficiency testing (PT) procedures. Requirement: Each laboratory shall develop and maintain a document outlining the analytical quality control practices used for the parameters included in their certification. Supporting records shall be maintained as evidence that these practices are being effectively carried out. Ref: 15A NCAC 2H .0805 (a) (7). Requirement: Laboratories must have a documented plan (this is usually detailed in the laboratory's Quality Assurance Manual) of how they intend to cover the applicable program requirements for proficiency testing per their scope of accreditation. This plan shall cover any commercially available proficiency testing and any inter -laboratory organized studies, as applicable. The laboratory must also be able to explain when proficiency testing is not possible for certain parameters and provide a description of what the laboratory is doing in lieu of proficiency testing. This shall be detailed in the plan. The plan must also address the laboratory's process for submission of proficiency testing results and related corrective action responses. Laboratory Standard Operating Procedures (SOPs) must address how low level samples will be analyzed, including concentration of the sample or adjustment of the normality of a titrant. These instructions shall be followed when the concentration of a PT sample falls below the range of their routine analytical method. Instructions shall also be included in the laboratory's SOP for how high level samples will be analyzed, including preparation of multiple dilutions of the sample. These instructions will be followed when the concentration of a PT falls above the range of their routine analytical method. Ref: Proficiency Testing Requirements, February 20, 2012, Revision 1.2. PH — Standard Methods, 4500 H+B-2000 Comment: The true value of the calibration check buffer was not stated on the calibration worksheet. 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 value for the check standard buffer. Demonstration of acceptable corrective action (i.e., an updated QA logsheet showing the true value of the pH check buffer and a stated implementation date of 4/1/15) was received by email on 3/18/15. No further response is necessary for this finding. Conductivity —Standard Methods, 2510 B-1997 Comment: The time of analysis was not documented on the benchsheet. The NC WW/GW LC Approved Procedure for the Analysis of Specific Conductance (Conductivity) document states: The following must be documented in indelible ink whenever sample analysis is performed: Date and time of sample analysis to verify the 28 day holding time is met. Alternatively, one time may be documented for collection and analysis with the notation that samples are measured in situ or immediately at the sample site. Demonstration of acceptable corrective action (i.e., newly designed Field parameter worksheet with space to document the analysis time and a stated implementation date of 4/1/15) was received by email on 3/18/15. No further response is necessary for this finding. Comment: The Automatic Temperature Compensator (ATC) had not been verified. The North Carolina Wastewater/Groundwater Laboratory Certification Approved Procedure for the Analysis of Specific Conductance (Conductivity) document states: The ATC must be verified annually (i.e., every twelve months) and the process documented. The ATC must be verified by analyzing a standard at 25 °C (the temperature that conductivity values are compensated to) and a temperature(s) that brackets the temperature ranges of the samples to be analyzed. This may require the analysis of a third temperature reading that is > 25 °C. Demonstration of acceptable corrective action (i.e., documentation of an acceptable ATC check) was received by email on 3/18/15. No further response is necessary for this finding. Page 3 # 183 Kapstone Kraft Paper Corporation, Roanoke Rapids Mill PH — Standard Methods, 4500 H+B-2000 Conductivity —Standard Methods, 2510 B-1997 Temperature — Standard Methods, 2550 B-2000 Dissolved Oxygen — Standard Methods, 4500 O G-2001 Comment: The units of measure were not documented in the Field parameters logbook. The North Carolina administrative Code, 15A NCAC 2H .0805 (7) (H) states: All laboratories must use printed laboratory bench worksheets that include a space to enter the signature or initials of the analyst, date of analyses, sample identification, volume of sample analyzed, value from the measurement system, factor and final value to be reported and each item must be recorded each time samples are analyzed. Demonstration of acceptable corrective action (i.e., newly designed Field parameter worksheet showing proper units and a stated implementation date of 4/1/15) was received by email on 3/18/15. No further response is necessary for this finding. Comment: The facility name was not documented in the Field parameters logbook. The NC WW/GW LC Approved Procedure for the Analysis of pH, NC WW/GW LC Approved Procedure for the Analysis of Specific Conductance (Conductivity), NC WW/GW LC Approved Procedure for the Analysis of Temperature and NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen documents state: The following must be documented in indelible ink whenever sample analysis is performed: Sample site including facility name and location, ID, etc. This requirement is a new policy that has been implemented by our program since the last inspection. Demonstration of acceptable corrective action (i.e., a newly designed Field parameter worksheet showing the facility name and a stated implementation date of 4/1/15) was received by email on 3/18/15. No further response is necessary for this finding. Comment: The Field parameter meters were not identified in the Field parameters logbook. The NC WW/GW LC Approved Procedure for the Analysis of pH, NC WW/GW LC Approved Procedure for the Analysis of Specific Conductance (Conductivity), NC WW/GW LC Approved Procedure for the Analysis of Temperature and NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen documents state: The following must be documented in indelible ink whenever sample analysis is performed: Instrument identification. This requirement is a new policy that has been implemented by our program since the last inspection. Demonstration of acceptable corrective action (i.e., a newly designed Field parameter worksheet that identifies each field meter and a stated implementation date of 4/1/15) was received by email on 3/18/15. 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 Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Resources. Data were reviewed for November and December, 2014 and January, 2015. No transcription errors were detected. The facility appears to be doing a good job of accurately transcribing data. V. CONCLUSIONS: Correcting the above -cited finding and implementing the recommendations 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 and supporting documentation for each corrective action. Report prepared by: Todd Crawford Date: March 26, 2015 Report reviewed by: Tonja Springer Date: March 26, 2015