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HomeMy WebLinkAbout#5276-final INSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 5276 Laboratory Name: Pinewood Manor Rest Home Inspection Type: Field Maintenance Inspector Name(s): Todd Crawford Inspection Date: August 18, 2010 Date Report Completed: August 20, 2010 Date Forwarded to Reviewer: August 20, 2010 Reviewed by: Chet Whiting Date Review Completed: August 23, 2010 Cover Letter to use: Insp. Initial X Insp. Reg. Insp. No Finding Insp. CP Unit Supervisor: Dana Satterwhite Date Received: August 23, 2010 Date Forwarded to Alberta: August 24, 2010 Date Mailed: August 24, 2010 _____________________________________________________________________ On-Site Inspection Report LABORATORY NAME: Pinewood Manor Rest Home NPDES PERMIT #: WQ0002096 ADDRESS: 240 S. Early Station Rd Ahoskie, NC 27910 CERTIFICATE #: 5276 DATE OF INSPECTION: August 18, 2010 TYPE OF INSPECTION: Field Maintenance AUDITOR(S): Todd Crawford LOCAL PERSON(S) CONTACTED: Stewart White I. INTRODUCTION: 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: This inspection was conducted off-site from the Pinewood Manor Rest Home. All equipment necessary to perform the certified parameters were present and appeared well maintained. A description of current field lab policies and technical assistance documents for the analysis of the facility’s currently certified parameters were provided at the time of the inspection. Finding A is a new policy that has been implemented by our program since the last inspection. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation A. 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, 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, 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. Page 2 #5276 Pinewood Manor Rest Home IV. PAPER TRAIL INVESTIGATION: No paper trail performed. V. CONCLUSIONS: Correcting the above-cited finding will help this lab to produce quality data and meet certification requirements. The inspector would like to thank the staff for its honesty and assistance during the inspection and subsequent data discovery and review process. Please respond to all findings. Report prepared by: Todd Crawford Date: August 20, 2010 Report reviewed by: Chet Whiting Date: August 23, 2010