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HomeMy WebLinkAbout#5429 - 11 - 2011 - FINALINSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5429 Laboratory Name: Coats American Inspection Type: Field Maintenance Inspector Name(s): Jason Smith Inspection Date: November 3 2011 Date Report Completed: December 13 2011 Date Forwarded to Reviewer: December 13 2011 Reviewed by: Todd Crawford Date Review Completed: December 14, 2011 Cover Letter to use: _ Insp. Initial X Insp. Reg. _ Insp. No Finding _ Insp. CP _Corrected Unit Supervisor: Gary Francies Date Received: 12/14/2011 Date Forwarded to Linda: 12/28/2011 Date Mailed:, t 1- Beverly Eaves Perdue Governor 5429 Mr. Phillip Pittman Coats American P.O. Box 368 Marion, NC 28752 Aj NCDENR Notch Carolina Department of Environment and Natural Resources Division of Water Quality Coleen H. Sullins Director December 28, 2011 SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Pittman: Dee Freeman Secretary Enclosed is a report for the inspection performed on November 3, 2011 by Jason Smith. 1 apologize for the delay in getting this report to you. Where finding(s) are cited in this report, a response is required. Within 30 days of receipt, please supply this office with a written item for item description of how these finding(s) were corrected. 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 Unit Supervisor Laboratory Section CC: Jason Smith Gary Francies Master files 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: wvvw.dwglab.org An Equal Opportunity \ Affirmative Action Employer Customer Service: 1-877-623-6748 www.ncwaterquality.org LABORATORY NAME: NPDES PERMIT M ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: I1!It13•I91114t P►F Coats American NC0004243 P.O. Box 368 Marion, NC 28752 5429 November 3, 2011 Field Maintenance Jason Smith Phillip Pittman This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. The facility has all the equipment necessary to perform the analyses. Copies of technical assistance and quality assurance policies were provided to the laboratory. The requirements associated with Findings A, B, and C are new policies that have been implemented since the last inspection. Documentation Comment: The laboratory did not have the log book containing past National Institute of Standards and Technology (MIST) thermometer checks. Personnel loaned the log book to another laboratory to help them create their own log book. The North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (2) states: A record of instrument calibration where applicable, must be filed in an orderly manner so as to be readily available for inspection upon request. Additionally, the North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states in part: Data pertinent to each analysis must be maintained for five years. Notification of acceptable corrective action (i.e., that the log book had been returned to the laboratory) was received by electronic mail on December 12, 2011. No further response is necessary for this finding. Comment: Temperature corrections were not posted on the meter/thermometer. The Technical Assistance for Field Analysis of Temperature states: 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). Notification of acceptable corrective action (i.e., the temperature correction is now posted on the meter and thermometer) was received by electronic mail on December 12, 2011. No further response is necessary for this finding. A. Finding: Error corrections are not dated. Requirement: All documentation errors must be corrected by drawing a single line through the error so that the original entry remains legible. Entries shall not be obliterated by erasures or markings. Wite-Out®, correction tape or similar products designed to obliterate documentation are not to be 19 Page 2 #5429 Coats American 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. Ref: Quality Assurance Policies for Field Laboratories. B. Finding: The laboratory needs to increase the documentation of purchased materials and reagents. 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. 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. Ref: Quality Assurance Policies for Field Laboratories. C. Finding: Proficiency Testing (PT) samples are not documented in the same manner as environmental samples. Requirement: 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. Ref: Quality Assurance Policies for Field Laboratories. Total Residual Chlorine — Standard Methods, 20t" Edition, 4500 Cl G D. Finding: The time of calibration check standard analysis is not documented. Requirement: The following must be documented whenever sample analysis is performed: the time the calibration check was performed. Ref: Technical Assistance for Field Analysis of Total Residual Chlorine. Please submit a copy from the log book or a benchsheet with this information recorded with the reply to this report. The paper trail consisted of comparing field testing records and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Quality. Data were reviewed for Coats American (NPDES permit #NC0004243) for June, 2011. No transcription errors were detected. The facility appears to be doing a good job of accurately transcribing data. V. CONCLUSIONS: Correcting the above -cited findings will help this requirements. The inspector would like to thank the review process. Please respond to all findings. Report prepared by: Jason Smith Report reviewed by: Todd Crawford lab to produce quality data and meet certification staff for its assistance during the inspection and data Date: December 13, 2011 Date: December 14, 2011