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HomeMy WebLinkAbout#5621 - 06 - 2012 - FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5621 Laboratory Name: Rowan Wastewater Management Inspection Type: Field Initial Inspector Name(s): Chet Whiting, Inspection Date: June 4 2012 Date Report Completed: June 7, 2012 Date Forwarded to Reviewer: June 7 202 Reviewed by: Jason Smith Date Review Completed: June 13 2012 Cover Letter to use: X Insp. Initial _ Insp. Reg. _ Insp. No Finding _ Insp. CID Unit Supervisor: Gary Francies Date Received: 6/13/2012 Date Forwarded to Linda: 6/20/2012 Date Mailed: c; 4 I ` Corrected AJ �M NCDENR Ir North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor 5621 Mr. Lynn Aldrich Rowan Wastewater Management 780 Patterson Road Salisbury NC, 28147 Charles Wakild, P. E. Director June 20, 2012 Dee Freeman Secretary SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Initial Inspection F-. u Enclosed is a report for the inspection performed on June 4, 2012 by Chet Whiting. 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, COY �� e-� Gary Francies Certification Unit Supervisor Laboratory Section CC: Master File Chet Whiting DEN DWo 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 One Internet: www.dwglab.org North Caro na An Equal opportunity \ Affirmative Action Employer ;Vaturallff LABORATORY NAME: WATER QUALITY PERMIT # ADDRESS: CERTIFICATE #: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: INTRODUCTION: On -Site Inspection Report Rowan Wastewater Management W Q0029635 780 Patterson Road Salisbury NC, 28147 5621 June 4, 2012 Field Initial Chet Whiting Lynn Aldrich This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. II. GENERAL COMMENTS: The laboratory is not currently certified. An invoice was issued on May 29, 2012. Certification will be issued upon payment of the invoice. Facility personnel expressed a desire to have their systems for analysis and documentation compliant with Laboratory Certification requirements prior to beginning compliance testing. Their proactive attitude is appreciated. Comment: The laboratory did not have a system of documentation for analytical and supporting data as required by Certification Rules. The North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: 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. An example benchsheet was provided to the lab by e-mail June 4, 2012. Notification of acceptable corrective action (i.e., acknowledgement of implementation of a benchsheet that documents all required information) was received by electronic mail on June 7, 2012. No further response is necessary for this finding. Comment: The laboratory needed to increase the documentation of 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 Page 2 #5621 Rowan Wastewater Management solution. This information as well as the vendor, 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., implementing the use of a new benchsheet that includes consumable traceability) was received by electronic mail on June 7, 2012. No further response is necessary for this finding. Comment: The laboratory was not documenting the analysis of Proficiency Testing (PT) samples in the same manner as environmental samples (i.e., on a benchsheet). The Quality Assurance Policies for Field Laboratories document states: The analysis of PT samples is designed to evaluate the entire process used to routinely report environmental analytical results. Therefore, PT samples must be analyzed and the process documented in the same manner as environmental samples. Notification of acceptable corrective action (i.e., PT sample analysis will be documented in the same manner as environmental samples) was received by email on June 7, 2012. No further response is necessary for this finding. Comment: Although no instances were observed, the facility was unaware of the proper procedure for error correction. The Quality Assurance Policies for Field Laboratories document states: All documentation errors must be corrected by drawing a single line through the error so that the original en'-, remains iegibie. VnU les Jhall not be obllter aied by er asur ^cs of 111a1 kll lgs. V V1Ite-OutO, correction tape or similar products designed to obliterate documentation are not to be used. Write the correction adjacent to the error. The correction must be initialed by the responsible individual and the date of change documented. All data and log entries must be written in indelible ink. Pencil entries are not acceptable. Notification of acceptable corrective action (i.e., a statement that the Quality Assurance Policies for Field Laboratories had been reviewed and that error correction would be performed as required) was received by e-mail on June 7, 2012. No further response is necessary for this finding. IV. PAPER TRAIL INVESTIGATION: No paper trail was conducted because report forms were not available for review 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: Chet Whiting Date: June 7, 2012 Report reviewed by: Jason Smith Date: June 13, 2012