HomeMy WebLinkAbout#5366_11_2012_FINALWA
i•
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
5366
Mr. Rodney Hopper
Tyson Foods, Inc.
P.O. Box 965
Monroe, NC 28112
Division of Water Quality
Charles Wakild, P. E.
Director
December 21, 2012
Dee Freeman
Secretary
SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC)
Maintenance Inspection
Dear Mr. Hopper:
Enclosed is a report for the inspection performed on November 6, 2012 by Jason Smith. I
apologize for the delay in getting this report to you 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 electronic mail, or if you have questions or need additional information please
contact me at 828-296-4677.
Sincerely,
G ci�
Gary Francies
Certification Unit Supervisor
Laboratory Section
CC: Jason Smith
Master File
DENR DWQ Laboratory Section NC Wastewater/Groundwater Laboratory Certification Branch
1623 Mail Service Center, Raleigh, North Carolina 27699-1623
Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445
Phone: 919-733-3908 \ FAX: 919-733-6241
Internet: www.dwglab.org
Nne
orthCarolna
Naturally
An Equal Opportunity 1 Affirmative Action Employer.
INSPECTION REPORT ROUTING SHEET
To be attached to all inspection reports in-house only.
Laboratory Cert. #:
5366
Laboratory Name:
Tyson Foods, Inc.
Inspection Type:
Field Maintenance
Inspector Name(s):
Jason Smith
Inspection Date:
November 6 2012
Date Report Completed:
December 3 2012
Date Forwarded to Reviewer:
December 3, 2012
Reviewed by:
Nick Jones
Date Review Completed:
December 3 2012
Cover Letter to use:
❑ Insp. Initial
❑ Insp. Reg.
❑ Insp. No Finding
❑ Insp. CP
N Corrected
Unit Supervisor:
Gary Francies
Date Received:
12/3/2012
Date Forwarded to Linda:
12/21/2012
Date Mailed:
i ��
Lc-
On -Site Inspection Report
LABORATORY NAME:
ADDRESS:
CERTIFICATE #:
DATE OF INSPECTION:
TYPE OF INSPECTION:
AUDITOR(S):
LOCAL PERSON(S) CONTACTED:
I. INTRODUCTION:
Tyson Foods, Inc.
P.O. Box 965
Monroe, NC 28112
5366
November 6, 2012
Field Maintenance
Jason Smith
Rodney Hopper
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 lab has all the equipment necessary to perform the analyses. Proficiency Testing (PT) samples have been
analyzed for all certified parameters for the 2012 proficiency testing calendar year and the graded results were
acceptable. Contracted analyses are performed by PAR Labs (Certification #20). 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. The facility discharges to the city, which requires
them to maintain laboratory certification. Samples are analyzed at the same time that city personnel analyze
samples. However, only the data obtained by the city is reported. The laboratory does not report any of the
data they generate.
III. FINDINGS REQUIREMENTS COMMENTS AND RECOMMENDATIONS:
Documentation
Comment: The laboratory needed to increase the documentation of purchased materials and reagents. 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. 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 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. The laboratory was using a traceability form that was provided by
NC WW/GW LC staff that did not include the vendor. Notification of acceptable corrective action (i.e., the
vendor is now documented on the benchsheet) was received by email on November 28, 2012. No further
response is necessary for this finding.
Proficiency Testing
Comment: The laboratory analyzes additional quality control (i.e. known standards) with Proficiency Testing
(PT) samples. The Proficiency Testing Requirements, February 20, 2012, Revision 1.2 document states:
Page 2
#5366 Tyson Foods, Inc.
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. They shall not be
analyzed with additional quality control or replicated beyond what is routine for environmental sample
analysis. This requirement is a new policy that has been implemented by our program since the last
inspection. Notification of acceptable corrective action (i.e., known standards will no longer be analyzed with
PT's) was received by email on November 28, 2012. 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. This requirement is a new policy that has been implemented by our
program since the last inspection. Notification of acceptable corrective action (i.e., the PT will be
documented on a benchsheet) was received by email on November 28, 2012. No further response is
necessary for this finding.
PH — Standard Methods 4500 H+ B
Comment: The calibration time was not documented. The NC WW/GW LC Approved Procedure for Field
Analysis of pH states: The time of calibration must be documented whenever sample analysis is performed.
Notification of acceptable corrective action (i.e., the calibration time is now documented on the benchsheet)
was received by email on November 28, 2012. No further response is necessary for this finding.
Temperature — Standard Methods 2550 B
Comment: The temperature correction was not posted on the thermometer. The NC WW/GW LC Approved
Procedure for Field Analysis of Temperature states: 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. To
check a thermometer or the temperature sensor of a meter, read the temperature of the thermometer/meter
against a NIST traceable thermometer and record the two temperatures. The verification must be performed in
the approximate range of the sample temperatures measured. The thermometer/meter readings must be less
than or equal to 10C from the NIST traceable thermometer reading. The documentation must include the serial
number of the NIST traceable thermometer that was used in the comparison. Also document any correction
that applies on both the thermometer/meter and on a separate sheet to be filed. Notification of acceptable
corrective action (i.e., the temperature correction is posted) was received by email on December 3, 2012. No
further response is necessary for this finding.
IV. PAPER TRAIL INVESTIGATION:
No paper trail was performed because the laboratory does not transcribe data for reporting.
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: Jason Smith Date: December 3, 2012
Report reviewed by: Nick Jones Date: December 3, 2012