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HomeMy WebLinkAbout#5481_10_2014_FINALA;� NCDENR Pat McCrary Governor November 24, 2014 5481 Mr. Stephen Davis Shamrock Environmental Corporation 6106 Corporate Park Road Brown Summit, NC 27214 IMPS11111111110r 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 October 29, 2014 by Beth Swanson and myself. 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. 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 (828) 296-4677. Attachment cc: Beth Swanson Master File Sincerely, Gary Francies, Technical Assistance/Compliance Specialist Division of Water Resources Water Sciences Section NC Wastewater/Groundwater Laboratory Certification Branch 1623 Mall Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road, Raleigh, North Carolina 27607 Phone: 919-733.39031 FAX: 919.733.6241 Internet: www,dWrgfab,o k equal Opportunity 1 Affirmaliva A(Aw Employaf INSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5481 Laboratory Name: Shamrock Environmental Inspection Type: Field Maintenance Inspector Name(s): Gary Francies, Beth Swanson Inspection Date: October 29, 2014 Date Report Completed: November 6, 2014 Date Forwarded to Reviewer: November 6, 2014 Reviewed by: Gary Francies Date Review Completed: 11/17/2014 Cover Letter to use: ❑ Insp. Initial ® Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP ❑ Corrected ❑ Insp. Reg. Delay Unit Supervisor/Chemist III: Dana Satterwhite Date Received: 11/17/2014 Date Forwarded to Linda: 11/21/2014 Date Mailed: \1 I y `� LC_ On -Site Inspection Report LABORATORY NAME: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: INTRODUCTION: Shamrock Environmental Corporation 6106 Corporate Park Road Brown Summit, NC 27214 5481 October 29, 2014 Field Maintenance Gary Francies and Beth Swanson Stephen Davis and Jay Gainer 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 facility maintains voluntary certification. They have never produced certified data for the State of North Carolina. 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. Proficiency Testing (PT) samples have been analyzed for all certified parameters for the 2014 proficiency testing calendar year and the graded results were 100% acceptable. The requirements associated with Findings A, B (i.e., instrument ID) and C have been implemented by our program since the last inspection. Ill. . FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Quality Control A. Finding: The auto-pipettors have not been calibrated annually as required. Requirement: Mechanical volumetric liquid -dispensing devices (e.g., fixed and adjustable auto- pipettors, bottle -top dispensers, etc.), used for critical measurements, must be calibrated at least every twelve months and documented. Each liquid -dispensing device must meet the manufacturer's statement of accuracy. For variable volume devices used at more than one setting, check the accuracy at the maximum, middle and minimum values. Testing at more than three volumes is optional. When a device capable of variable settings is dedicated to dispense a single specific volume, calibration is required at that setting only. Ref: Quality Assurance Policies for Field Laboratories. Comment: An example adjustable pipettor calibration procedure and spreadsheet were emailed to the laboratory on October 30, 2014. Page 2 #5481 Shamrock Environmental Corporation B. Finding: The benchsheets do not include instrument IDs or sample time collected/analyzed. 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 Total Residual Chlorine, NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen, NC WW/GW LC Approved Procedure for the Analysis of pH. Requirement: 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 bench sheets must provide a space for the signature or initials of the analyst, and proper units of measure for all analyses. Ref: 15A NCAC 02H .0805 (g) (1). C. Finding: The laboratory needs to increase the documentation of purchased materials and reagents, as well as documentation of standards and reagents prepared in the laboratory. Requirement: All chemicals, reagents, 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. Comment: The laboratory needs to record the above information for pH buffers, DPD powder, gel standards and reagents used to prepare the total residual chlorine standards for the annual curve verification. Laboratory personnel could not verify that non -expired DPD powder was being used because there was no documentation of traceability and all DPD powder found during the inspection had exceeded its expiration date. Comment: An example traceability log is attached to the end of this report. The laboratory may adopt this form or develop its own. Proficiency Testing Comment: The laboratory's common practice was to analyze a known standard along with the PT sample. Since this would not be performed with any future compliance environmental samples, it is considered additional quality control. Known samples are only recommended when analyzing remedial PT samples as part of the troubleshooting and corrective action process. PH - Standard Methods, 4500 H+ B- 2000 Recommendation: Per the NC WW/GW LC Approved Procedure for the Analysis of pH, instruments are to be calibrated according to the manufacturer's calibration procedure prior to analysis of samples each day compliance samples are to be analyzed. The facility calibrates once a month, and did not calibrate on the day the 2014 PT sample was analyzed. Since the facility does not produce compliance data, this is not a finding. It is recommended that the pH meter be calibrated immediately prior to analysis of the PT sample. Page 3 #5481 Shamrock Environmental Corporation Comment: During the audit, an inspector told the analyst that yearly Automatic Temperature Compensator (ATC) checks were no longer required, but that the temperature sensor had to be checked yearly against a National Institute of Standards and Technology traceable thermometer. ATC checks are indeed not necessary but the comment about checking the temperature sensor was incorrect. Yearly temperature sensor checks are not required unless the instrument is used to generate temperature data. Total Residual Chlorine - Standard Methods, 4500 CI G- 2000 D. Finding: The annual calibration curve verification does not bracket the concentration of the annual PT samples. Requirement: The concentrations of the calibration standards must bracket the concentrations of the samples analyzed. One of the standards must have a concentration equal to or below the lower reporting concentration for Total Residual Chlorine. The lower reporting limit must be less than or equal to the permit limit. Ref: NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine. Comment: The most recent verification that was performed on September 18, 2014 verified the curve up to 1.0085 mg/L. The most recent PT assigned value was 1.91 mg/L. E. Finding: The laboratory is not verifying the Gel® Standard every 12 months. Requirement: Purchased "Gel -type" or sealed liquid ampoule standards may be used for daily standard curve verification only. These standards must be verified initially and every 12 months thereafter, with the standard curve. When this is done, these standards may be used after the manufacturer's expiration date. It is only necessary to verify the gel or sealed liquid standard which falls within the concentration range of the curve used to measure sample concentrations. For example, the 0.8 mg/L or 1.5 mg/L Gel® standard. Ref: Approved Procedure for the Analysis of Total Residual Chlorine. Comment: The value of the Gel® standard obtained at the time of the 5 point verification, will be the "true value" used throughout the year and until a new curve is verified. Comment: Currently, the laboratory only analyzes the yearly PT sample, which is also when the annual curve verification is performed. Be aware that any time samples are analyzed beyond that day, it is required that a daily QC check standard (Gel@ standard) be analyzed to check the curve. The Gel® standard's true value is derived from the value that was obtained on the day of the annual verification and must check within ± 10%. F. Finding: The laboratory is not verifying the curve using 5 standards. Requirement: Analyze a calibration blank to zero the instrument and then analyze a series of five standards. The curve verification must check 5 concentrations (not counting the blank) that bracket the range of the samples to be analyzed. This type of curve verification must be performed at least every 12 months. The values obtained must not vary by more than 10% of the known value for standard concentrations greater than or equal to 50 µg/L. The overall correlation coefficient of the curve must be 4.995. Ref: NC WW/GW Approved Procedure for the Analysis of Total Residual Chlorine. Comment: The laboratory was only analyzing 4 standards. In addition to the 4 standards, the curve verification showed 2 zero points that were not clearly identified. It is required that a calibration blank be analyzed to zero the instrument before any standards, samples, or the Page 4 #5481 Shamrock Environmental Corporation reagent blank are analyzed. This calibration blank would not create a value. It is also required that a reagent blank be analyzed any time standards are prepared with reagent water. This reagent blank value must be recorded and must not exceed 50% of the reporting limit (i.e., the lowest calibration verification standard). Dissolved Oxygen - Standard Methods, 4600 O G- 2001 G. Finding: The laboratory could not verify that the meter used for dissolved oxygen analysis was operable. Requirement: Each facility must have glassware, chemicals, supplies, equipment, and a source of distilled or deionized water that will meet the minimum criteria of the approved methodologies. Ref: 15A NCAC 21-1.0805 (g) (4). Comment: No samples are currently being analyzed for dissolved oxygen, but in order to retain certification for this parameter, evidence that the meter is in operable condition must be provided. IV. PAPER TRAIL INVESTIGATION: No certified data is produced by the facility, so no paper trail investigation was done. V. CONCLUSIONS: Correcting the above citing findings and implementing the recommendation will help this lab be prepared to analyze environmental samples in the event that it is necessary. The auditors would like to thank the staff for its assistance during the inspection process. Please respond to all findings. Report prepared by: Beth Swanson Date: November 6, 2014 Report reviewed by: Gary Francies Date: November 17, 2014 LLJ cl z a X ca, x w �w Q w a w w g® � � w fr 0 z w w H