HomeMy WebLinkAbout#5631_03_2014_FINALINSPECTION 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:
5631
Carolina's Best Seafood LLC
Field Initial
Nick Jones
March 6, 2014
April 3, 2014
April 3, 2014
Todd Crawford
April 4, 2014
® Insp. Initial ❑ Insp. Reg.
❑ Insp. No Finding ❑ Insp. CP
❑ Corrected
Gary Francies
ril 7. 2014
Date Forwarded to Linda: April'9, 2014
Date Mailed: 4/ 1 D I I'+ U__
Pat McCrory
Governor
April 9, 2014
5631
Thomas Tsiaras
Carolina's Best Seafood, LLC
975 Gull Rock Rd
Englehard, NC 27284
Joan E. Skvarla, III
Secretary
Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC)
Maintenance Inspection
Dear Mr. Tsiaras:
Enclosed is a report for the inspection performed on March 6, 2014 by Nick Jones. 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: Nick Jones
Master File
Sincerely,
Gary Francies, Technical Assistance/Compliance Specialist
Division of Water Resources, NCDENR
Water Sciences Section
NC WastewatertGroundwater Laboratory Certification Branch
1623 Mail Service Center, Raleigh, North Carolina 27699-1623
Location: 4405 Reedy Creek Road, Raleigh, North Carolina 27607
Phone: 919-733-39031FAX: 919-733-6241
internet: www.dwglab.org
An Equal Opportunity \ Affirmative fiction Employer
LABORATORY NAME:
NPDES PERMIT #:
ADDRESS:
CERTIFICATE #:
DATE OF INSPECTION:
TYPE OF INSPECTION:
AUDITOR(S):
LOCAL PERSON(S) CONTACTED:
I. INTRODUCTION:
On -Site Inspection Report
Carolina's Best Seafood, LLC
NC008935
975 Gull Rock Rd
Englehard, NC 27284
5631
March 6, 2014
Field Initial
Nick Jones
Thomas Tsiaras
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 laboratory was clean and well organized. The facility has all the equipment necessary
to perform the analyses. Laboratory personnel communicate well with sample collectors
and coordinate sample analyses effectively to manage workload and holding times.
Proficiency Testing (PT) samples have not been analyzed for all certified parameters for
the 2014 proficiency testing calendar year. The laboratory is reminded that these results
must be submitted to this office directly from the vendor by September 30, 2014.
Contracted analyses are performed by Microbac Laboratories, Inc. (Certification #11).
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.
III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS:
Quality Control
A. Finding: The laboratory needs to increase the documentation of purchased
materials and reagents.
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#5631 — Carolina's Best Seafood, LLC
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.
Comment: An example traceability log sheet that documents all required
traceability information was supplied by the auditor during the inspection.
Documentation
B. Finding: The lab was utilizing a pencil for documentation.
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 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.
C. Finding: The lab does not have a benchsheet 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 benchsheets 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).
Requirement: The following must be documented in indelible ink whenever
sample analysis is performed: date and time of sample collection, date and time
of sample analysis to verify the 15 minute 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), sample site
including facility name and location, ID, etc, collector's/analyst's name or initials,
meter calibration and meter calibration time(s), true values of buffers used for
calibration, true value for the check standard buffer, value obtained for the check
standard buffer (verification of t 0.1 S.U.), true value and value obtained for the
post analysis calibration verification(s), where applicable, report all data values to
the nearest 0.1 pH unit, traceability for chemicals, reagents, standards and
consumables, instrument identification, parameter analyzed, data qualifier(s),
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#5631 — Carolina's Best Seafood, LLC
when applicable, equipment maintenance (recommended). Ref: NC WW/GW LC
Approved Procedure for Analysis of pH.
Comment: An example benchsheet that documents all required items was
provided by the auditor during the inspection.
Proficiency Testing
D. Finding: The laboratory is not documenting PT sample analyses in the same
manner as environmental samples.
Requirement: All PT sample analyses must be recorded in the daily analysis
records as for any environmental sample. This serves as the permanent
laboratory record. Ref: Proficiency Testing Requirements, February 20, 2012,
Revision 1.2.
Comment: 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.
E. Finding: The lab was not retaining the reporting forms used to report the PT
results to the vendor.
Requirement: The laboratory shall retain all records necessary to facilitate
historical reconstruction of the analysis and reporting of analytical results for PT
samples. This means the laboratory must have available and retain for five years
[pursuant to 15A NCAC 2H .0805 (a) (7) (G)] all of the raw data, including
benchsheets, instrument printouts and calibration data, for all PT analyses and the
associated quality control analyses conducted by all method technologies. These
records shall include a copy of the reporting forms used by the laboratory to report
the analytical results to the PT provider. If the analytical results for the PT samples
were entered or uploaded electronically to a provider website, the laboratory shall
retain a copy of the on-line data entry summary or similar documentation of entry
of the PT results from the PT provider website. Ref: Proficiency Testing
Requirements, February 20, 2012, Revision 1.2.
PH — Standard Methods, 4500 H+ B-2000
F. Finding: The lab is not calibrating the meter prior to analysis of samples each
day compliance monitoring is performed.
Requirement: Instruments are to be calibrated according to the manufacturer's
calibrationprocedure prior to analysis of samples each day compliance
monitoring is performed. The meter must be calibrated with at least two buffers.
In addition to the calibration buffers, the meter calibration must be verified with a
third standard buffer solution. The calibration and check standard buffers must
bracket the range of the samples being analyzed. A portion of the buffer
solutions should not be used for more than one calibration. Discard any used
buffer portions. The check standard buffer must read within ±0.1 S.U. to be
IV.
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#5631 — Carolina's Best Seafood, LLC
acceptable. If the meter verification does not read within f0.1 S.U., the meter
must be recalibrated before any samples are analyzed. Ref: NC WW/GW LC
Approved Procedure for Analysis of pH.
PAPER TRAIL INVESTIGATION:
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
Resources. Data were reviewed for Carolina's Best Seafood, LLC (NPDES permit #
NC008935) for October, November and December, 2013. 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 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.
Report prepared by: Nick Jones
Report reviewed by: Todd Crawford
Date: April 3, 2014
Date: April 4, 2014