HomeMy WebLinkAboutNC0024201_Historical information_20201231January 7, 2020
Subject:
Dear Mr. Brown:
1.
2.
3.
The permit lists the following units; all were observed during the inspection:4.
The facility is currently permitted to discharge up to 8.34 MGD into Roanoke River, a
Class C waters in the Roanoke River Basin. Current pennit was issued on October 19,
2018, and became effective on December 1,2018.
• Automatic and manual bar screens (Huber Rotomat cylindrical screen, manual bar screen
serves as backup)
• Vortex grit removal
Dani el ey Brown, CEO
Roanoke Rapids Sanitary District
PO Box 308
Roanoke Rapids, North Carolina 27870
Compliance Evaluation Inspection
Roanoke River Waste Treatment Plant
NPDES Permit No NC0024201
Halifax County
ROY COOPER
Cowrnor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
---------------
The laboratory was inspected in a cursory manner The facility analyzes BOD, COD, TSS,
fecal coliform, ammonia nitrogen, and total phosphorus, and is field certified for TRC,
pH, temperature and DO (Certification #70). Log books were kept and showed that
incubators were kept at acceptable temperatures. pH buffers were within dates. Calibration
logs were present. All other parameters are analyzed by Meritech, Inc. Lab results, chain-
ot-custody forms, and DMRs were complete and organized. January and July 2019 DMR
data was compared to bench sheets and lab reports; no data transcription errors were
noted. Samples were observed to be kept at proper temperature.
On December 5, 2019, Cheng Zhang of the Raleigh Regional Office (RRO) conducted a
Compliance Evaluation Inspection at the subject facility. The assistance provided by Mr. Steven
Ellis, Operator in Responsible Charge (ORC) and Ms. Isabelle Wilcoxon, Lab Supervisor was
appreciated. The inspection report is attached. Findings during the inspection were as follows:
: 11'; r i"
NORTH CAROLINA
Environmental Quality
North Cdrolin.j Departoie.'it of f.nvirwmt'tilal Qu.ility Division a' Wati.-- Ri-sources
Raleigh Ri'yionai Office 'JKOO Ban rt» Drive Raleigh. Net th Carolina 27609
919.7OJ 4200
The plant is classified as a WW -4 wastewater facility. Mr. Steven Ellis is designated as
the ORC. Mr. Timothy Skipper is designated as the main backup ORC. Daily operation
log books are detailed and are kept onsite going back at least three years.
•itvirr/niwitial j^*****^
5.
Attachments: Compliance Inspection Report
The right of way to the outfall was properly maintained. The effluent appeared clear and
free of solids. There were no visible detrimental impacts to the receiving stream.
This facility was found to be compliant with NPDES permit conditions as a result of this
inspection. The plant is well maintained and documentation was found to be detailed, organized,
and complete. If you have any questions regarding the attached report, please contact Cheng
Zhang at 919-791-4200 (or email: cheng.zhang@ncdenr.gov).
Sincerely,
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources
Cc: Central Files w/attachment (Laserfiche) .
Raleigh Regional Office w/attachment •
Steven ERis, ORC (electronic copy only)
• Influent pump station with four pumps
• Two 375, 000-gallon equalization tanks (Formerly clarifiers, only used under high flow
circumstances)
• Two primary clarifiers (one was in operation, with primary sludge pump station)
• Two trickling filters (Both were operating, with filter effluent pump station and filter
recirculation pump station)
• Two 2.000,000-gallon rectangular secondary clarifiers w/ traveling bridge (one was in
operation)
• Three 500,000 aeration basins (one was in operation)
• Two chlorine contact chambers (one was in operation)
• Two RAS pump stations
• Three anaerobic digesters (two primary and one secondary) with heat exchangers
(secondary digester was offline for maintenance), for primary sludge
• One WAS Pump Station
• Two gravity settling tanks with gravity belt thickener and lime stabilization (for wasted
activated sludge)
• 1,000,000-gallon solids storage tank
• Effluent pump station
• Fourteen sludge drying beds
• On-Site generator
EPA
Section A: National Data System Coding (i.e., PCS)
Inspection TypeNPDESyr/mo/day Inspector
3 J11 19NC002420119/12/05
21
Bl QA -Reserved-
J 72 8073
Section B: Facility Data
Entry Time/Date Permit Effective Date
18/12/0110:00AM 19/12/05
Roanoke River WWTP
Exit Time/Date Permit Expiration Date135 Aqueduct Rd
19/12'0512 30PM 22/03/31Weldon NC 27890
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
ContactedSteven L Ellis,PO Box 308 Ronok Rpd Afs NC 27870//252-536-4884/2525364885
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s)Agency/Office/Phone and Fax Numbers Date
Cheng Zhang DWR/RRO WQ/919-791-4200/
1/7/^°
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete
1Page#
S Permit
9 Self-Monitoring Program
9 Laboratory
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
| Flow Measurement | Operations & Maintenance | Records/Reports
9 Sludge Handling Disposal H Facility Site Review | Effluent/Receiving Waters
Form Approved.
OMB No. 2040-0057
Approval expires 8-31-98
///
Steven Lee Ellis/ORC/252-536-4884/
United States Environmental Protection Agency
Washington. D.C. 20460
Water Compliance Inspection Report
Inspection Work Days
671______
Transaction Code
1 12L
Facility Self-Monitoring Evaluation Rating
70 u
J17
Date
LU74 75l I I I I I I I
LU
111111 111111111111111111 1111111 .......... ...............
Fac Type
20U
71 u
18LU2 Id
NPDES 1(Cont.)
3[NC0024201
2Page#
f1
yr/mo/day
19/12/05
The permit lists the following units.
Automatic and manual bar screens
Vortex Grit Removal
Influent pump station with four pumps
Two 375.000 Gallon Equalization Tanks (Formerly clarifiers, only used under high flow situations)
Two primary clarifiers (one was in operation, with primary sludge pump station)
Two trickling filters (Both were operating, with filter effluent pump station and filter recirculation
pump station)
Two 2,000,000 gallon rectangular secondary clarifiers w/ traveling bridge (one was in operation)
Three 500,000 aeration basins (one was in operation)
Two Chlorine Contact Chambers (one was in operation)
Two RAS Pump Stations
Three anaerobic digesters (two primary and one secondary) with heat exchangers
One WAS Pump Station
Two gravity settling tanks with gravity belt thickener and lime stablization
1,000,000 gallons solids storage tank
Effluent pump station
Fourteen sludge drying beds
On-Site generator
J17
Inspection Type
181£]12l
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Current permit was issued on October 19, 2018. and became effective on December 1. 2018,
Roanoke River WWTP
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping?
Comment:
Permit Yes No NA NE
■
Is the facility as described in the permit?■
# Are there any special conditions for the permit? ■
Is access to the plant site restricted to the general public?■
Is the inspector granted access to all areas for inspection?
Comment:
Bar Screens Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?■
Is the screen free of excessive debris?■
Is disposal of screening in compliance?■
Is the unit in good condition?
Huber rotamat cylindrical screen, with manual bar screen as backupComment:
Grit Removal Yes No NA NE
Type of grit removal
a.Manual
b.Mechanical
Is the grit free of excessive organic matter?■
Is the grit free of excessive odor?■
# Is disposal of grit in compliance?■
Comment:Vortex grit removal
3Page#
Owner - Facility:
Inspection Type: Compliance Evaluation
Permit: NC0024201
Inspection Date: 12/05/2019
Facility analyzes MLSS, MCRT, Settleable Solids. pH. DO. ammonia, and Sludge Judge for
process control.
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH. DO. Sludge Judge, and other that are applicable?
Current permit was issued on October 19, 2018, and became effective on December 1,
2018,
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Roanoke River WWTP
Equalization Basins Yes No NA NE
Is the basin aerated? ■
Is the basin free of bypass lines or structures to the natural environment9 ■
Is the basin free of excessive grease?■
Are all pumps present?■
Are all pumps operable?■
Are float controls operable9
Are audible and visual alarms operable? ■
# Is basin size/volume adequate?■
Pump Station - Influent Yes No NA NE
Is the pump wet well free of bypass lines or structures?■
Is the wet well free of excessive grease?■
Are all pumps present?■
Are all pumps operable?■
Are float controls operable?■
Is SCADA telemetry available and operational?■
Is audible and visual alarm available and operational9 ■
Influent pump station with four pumps.Comment:
Primary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater?■
Is the site free of excessive buildup of solids in center well of circular clarifier?■
Are weirs level?■
Is the site free of weir blockage?■
Is the site free of evidence of short-circuiting?■
Is scum removal adequate?■
Is the site free of excessive floating sludge?■
Is the drive unit operational?■
Is the sludge blanket level acceptable9 ■
Is the sludge blanket level acceptable? (Approximately Vi of the sidewall depth)■
One of two primary clarifiers was on line at the time of inspection.Comment:
4Page#
Permit: NC0024201
Inspection Date: 12/05/2019
Owner - Facility:
Inspection Type: Compliance Evaluation
Comment: Two 375,000 Gallon Equalization Tanks (Formerly Clarifiers). Only use under high flow
situations.
Trickling Filter Yes No NA NE
Is the filter free of ponding?
Is the filter free of leaks at the center column of filter’s distribution arms?
Is the distribution of flow even from the distribution arms?
Is the filter free of uneven or discolored growth”?
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext. Air
Type of aeration system Diffused
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin’s surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/l)■
Comment:One of three aeration basins was in operation
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?■
Is the site free of excessive floating sludge?
Is the drive unit operational”?
Is the return rate acceptable (low turbulence)”?■
Is the overflow clear of excessive solids/pin floc?■
Is the sludge blanket level acceptable? (Approximately of the sidewall depth)■
5Page#
Is the filter free of sloughing of excessive growth?
Are the filter's distribution arms orifices free of clogging?
Is the filter free of excessive filter flies, worms or snails?
Permit: NC0024201
Inspection Date: 12/05/2019
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
Both trickling filters were in operation. Filter effluent pump station with 4 pumps (to
secondary clarifiers). Filter recirculation pump station with 3 pumps.
Owner - Facility: Roanoke River WWTP
Inspection Type: Compliance Evaluation
Secondary Clarifier Yes No NA NE
Comment:One of two rectangular secondary clarifiers w/ traveling bridge were on line.
Disinfection-Liquid Yes No NA NE
Is there adequate reserve supply of disinfectant?■
(Sodium Hypochlorite) Is pump feed system operational?
■
■
Is the contact chamber free of growth, or sludge buildup’’■
Is there chlorine residual prior to de-chlorination’’■
Comment:6% sodium hypochlorite solution was used for disinfection.
De-chlorination Yes No NA NE
Type of system ?Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)?■
Is storage appropriate for cylinders? ■
# Is de-chlorination substance stored away from chlorine containers’’■
Comment:38% sodium bisulfite solution was used for de-chlorination
Are the tablets the proper size and type? ■
Are tablet de-chlorinators operational?
Number of tubes in use?
Comment:
Influent Sampling Yes No NA NE
# Is composite sampling flow proportional? ■
Is sample collected above side streams?■
Is proper volume collected?■
Is the tubing clean?■
■
Is sampling performed according to the permit?■
Comment:No influent flow meter.
Effluent Sampling Yes No NA NE
6Page#
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
Celsius)?
Is bulk storage tank containment area adequate^ (free of leaks/open drains)
Is the level of chlorine residual acceptable?
Permit: NC0024201
Inspection Date: 12/05/2019
Owner - Facility: Roanoke River WWTP
Inspection Type: Compliance Evaluation
Roanoke River WWTP
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional?■
Is sample collected below all treatment units?■
Is proper volume collected?■
Is the tubing clean?■
■
■
Comment:
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory^■
Are all other parameters(excluding field parameters) performed by a certified lab?■
# Is the facility using a contract lab?■
■
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?■
Comment:
Standby Power Yes No NA NE
Is automatically activated standby power available?■
Is the generator tested by interrupting primary power source'?■
Is the generator tested under load?■
■ Was generator tested & operational during the inspection?
Do the generator(s) have adequate capacity to operate the entire wastewater site?
Is there an emergency agreement with a fuel vendor for extended run on back-up power?■
Is the generator fuel level monitored-?■
Comment:
Pumps-RAS-WAS Yes No NA NE
Are pumps in place?■
Are pumps operational?■
■ Are there adequate spare parts and supplies on site?
7Page#
Permit: NC0024201
Inspection Date: 12/05/2019
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
Celsius)?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
representative)-?
Owner - Facility:
Inspection Type: Compliance Evaluation
Pumps-RAS-WAS Yes No NA NE
Comment:
Anaerobic Digester Yes No NA NE
Type of operation Floating cover
Is the capacity adequate?
# Is gas stored on site?■
Is the digester(s) free of tilting covers?■
Is the gas burner operational? ■
Is the digester heated?■
Is the temperature maintained constantly?■
Is tankage available for properly waste sludge?■
Comment:
Aerobic Digester Yes No NA NE
Is the capacity adequate?■
Is the mixing adequate?■
Is the site free of excessive foaming in the tank?■
# Is the odor acceptable?■
# Is tankage available for properly waste sludge9 ■
Comment:1 MG sludge holding tank.
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting?■
Is flow meter calibrated annually?■
Is the flow meter operational?■
(If units are separated) Does the chart recorder match the flow meter?
Comment:The flow meter is calibrated quarterly
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained?■
Are the receiving water free of foam other than trace amounts and other debris?■
If effluent (diffuser pipes are required) are they operating properly? ■
8Page#
Permit: NC0024201
Inspection Date: 12/05/2019
Owner - Facility: Roanoke River WWTP
Inspection Type: Compliance Evaluation
Two RAS pump stations, each with two pumps. One WAS pump station with two pumps.
Primary sludge pump station (to anaerobic digesters).
Two primary anaerobic digesters were in operation. The secodary digester was off line for
maintenance.
Roanoke River WWTP
Effluent Pipe Yes No NA NE
Comment:
Drying Beds Yes No NA NE
Is there adequate drying bed space?■
Is the sludge distribution on drying beds appropriate?■
Are the drying beds free of vegetation?■
# Is the site free of dry sludge remaining in beds?■
Is the site free of stockpiled sludge?■
Is the filtrate from sludge drying beds returned to the front of the plant?■
# Is the sludge disposed of through county landfill?■
■ # Is the sludge land applied?
(Vacuum filters) Is polymer mixing adequate? ■
Only one of 14 beds was in use.Comment:
Pump Station - Effluent Yes No NA NE
Is the pump wet well free of bypass lines or structures?■
■ Are all pumps present?
■ Are all pumps operable?
Are float controls operable?
Is SCADA telemetry available and operational?
■Is audible and visual alarm available and operational?
Comment:
Chemical Feed Yes No NA NE
■ Is containment adequate?
■ Is storage adequate?
■ Are backup pumps available?
■ Is the site free of excessive leaking?
Lime, polymer feed with adequate containment and redundant pumps.Comment:
9Page#
■
■
Permit: NC0024201
Inspection Date: 12/05/2019
Owner - Facility:
Inspection Type: Compliance Evaluation
V
Roanoke Rapids Sanitary District
February 27, 2020
NC Dept of Environmental Quality
Re:
Dear Mr. Vinson:
Enclosures
Cc:
h npdes permit' 19_sys performance ann report Itf.docx
Enclosed please find three (3) copies of Roanoke Rapids Sanitary District’s System
Performance Annual Report for calendar year 2019. This report is submitted to meet the
requirements of the NCDEQ policy to promote public oversight of system performance for
reduction and elimination of sanitary sewer overflows (SSO's) from wastewater collection
or treatment works.
If these documents should be provided to additional DWQ personnel; or if additional
information is required, please contact me.
Very truly yours,
Roanoke Rapids Sanitary District
Steven Ellis
David Scott
File
CERTIFIED MA1E 7005 3110 0001 6339 2166
RETURN RECEIPT REQUESTED
Mr. Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
1628 Mail Service Center
Raleigh, N. C. 27699-1628
2019 System Performance Annual Report
Collection System #WQC00027
NPDES#NC0024201
NCG110000
Page:
1/1
<C\
ar):
I
lx P.O. Box 308
1000 Jackson Street
Roanoke Rapids, NC 27870
(252)537-9137
Fax: (252)537-3064
www.rrsd.oro
a?/ 4
MAR -/2020
Raleigh Regional Office
R. Danieley Brown, P.E.
Chief Executive Officer
https://bimsportal.ncdenr.org/ login.doBIMS
*Level of Treatment:None
Longitude:
Position Datum:-Select Vab
. 11/12/2020
Affiliations
DWQ
11/16/2020, 11:15 AM1 of I
Permit: NC0024201
Facility Name : Roanoke River WWTP
Owner : Roanoke Rapids Sanitary District
City : Weldon
5 Day Details
Bypass/Upset Details 24 Hour Details 5 Day Details 10 Day Details Questions Agencies Events
Incident Number : 202003142
County : Halifax
Region : Raleigh
Emergency Mgmt Contacts: - Select Value -
First Name:
Middle Name:
Public Notice:
Add Info Req:
Comments:
Emergency Mgmt.
09:15 am
Unknown
Unknown
*24 hour Notification Reported to:
Date/Time: 11/13/2020
mm/dd/yyyy HH:MM aa
DWQ Staff: Hayes, Mitchell S.
No • Unknown
No
No
Decimal
Latitude:
Management SystemBIMS
Primary Treatment
DD:MM:SS
Position Accuracy: —Select Vab
Position Method: -Select Vah
♦ Secondary T
Yes No • Unknown
^Location of Units being Bypassed? Filter Effluent Pump Station
(mm/dd/yyyy)
(mm/dd/yyyy)
*Bypass/Upset Start Date/Time: n/12/2020 03:00 pm
J mm/dd/yyyy HH:MM aa
*Est. Volume in gallons: 1000000
How was volume Determined?
Weather Conditions during Bypass/Upset event? 5" of rain, high flows.
Were Samples taken during bypass? Yes
Was WWTP compliant with permit requirements? • Yes
*Did Bypass/Upset reach Surface Water? • Yes
Surface Water Name? ROANOKE RIVER - 23-(25.5)
Other WaterBody:
*Fish Killed?
North Carolina
Permittee: Roanoke Rapids Sanitary District Permit Number: NC00242Q1
Facility Name: Roanoke River WWTP County: Halifax
Level of Treatment:
None Primary Treatment X Secondary Treatment Chlorination/Disinfection Only
Estimated Volume of SpiIl/Bypass:536,877 gallons (must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters?X Yes No
If yes, please list the following:
Volume Reaching Surface Waters: 536,877 gallons Surface Water Name:Roanoke River
Did the Spill/Bypass result in a Fish Kill? Yes X No
Was WWTP compliant with permit reguirements?X Yes No
Were samples taken during event?Yes X No
Source of the Upset/Spill/Bypass (Location or Treatment Unit):
Influent Pump Station and Trickling Filter effluent Pump Station
Cause or Reason for the Upset/Spill/Bypass:
Heavy Rains coupled with one of the four influent pumps not pumping.
Describe the Repairs Made or Actions Taken:
Anill/R\/na^Q Rpnnrtinn Form (Ai ini i<;t
Incident Started:
Incident Ended:
RRSD has made all attempts to find and correct all deficiencies in its collection system and will
continue to do so. The pump that had the VFD drive fault was reset and is pumping normally.
DWR
Division of Water Resources
Date: 9/18/20
Date: 9/18/20
G»^
WWTP Upset, Spill, or Bypass 5-Day Reporting Form
(Please Print or Type Use Attachments if Needed)
Opartment of Environment ai^Natural Resources
Time: 1:50am
Time: 1:10pm
Action Taken to Contain Spill, Clean Up and Remediate the Site (if applicable):
N/A
Action Taken or Proposed to be Taken to Prevent Occurrences:
Additional Comments About the Event:
24-Hour Report Made To:Division of Water Resources X Emergency Management
Contact Name:Zach Thomas Date:9/18/2020 Time: 10:45am
Incident number 202002623
Other Agencies Notified (Health Dept, etc):
Person Reporting Event:Steven L Ellis Phone Number: 252-885-0166
Did DWR Request an Additional Written Report?Yes X No
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)
In an attempt to minimize or eliminate the bypasses, 1,673,383 gallons of wastewater was equalized with
bypass pumping.
WWTP Upset, Spill, or Bypaijk-Day Reporting Form
Page 2
Regional Inspectors’ Checklist for Field Parameters
14//-V i p
TEMP SC SETT
E, Yes No
I
J No
O Yes No
Yes No
E Yes No
TRO/
■J
KJ Yes
E Yes
KI Yes
E Yes
Yes
No
No
No
No
No
No
No
] No
No
pH
HL
DO
~V_
i/
iz
y
i7
/
7F
E Yes
[KJ Yes
l-z
v
NPDES #: __
Field Lab Certification #:
Lab Contact:
E Yes No
3 Yes
E Yes
El Yes
Facility Name:
f^COo /
7^ )
L^/ '!c e xd'/i
Check the parameter(s) performed at this site for reporting purposes.
3 Total Residual Chlorine (TRC) 31 Temperature (TEMP) | I Specific Conductivity (SC)
3 PH S. Dissolved Oxygen (DO) Settleable Residue (SETT)
Are the following items documented (Y where applicable):
Item : ' 1
Date of sample collection*_________
Time of sample collection*_________
Sample collector’s initials or signature
Date of sample analysis*__________
Time of sample analysis*__________
.Analyst initials or signature________
Sample location ________________________L__z_____,
‘Date and time of sample collection and analysis may be the same for in situ or on-site measurements.
Regional Plant Inspector:_________________
Regional Inspector Contact #: y 2^rs|
Region:
Date: | yr/ __________________
III. Total Residual Chlorine _____ _____ . .. -________, ■ - , ■
Total Residual Chlorine meter make and model: P
Is a check standard analyzed each day of use? (Circle one: gel dfTiquid standard)
What is the assigned/observed value of the daily check standard? / i_
Is a 5-point calibration verification performed? Note date of last verification:
Alternatively, does the lab construct a linear regression, using 5 standards, to calculate
results? Note date of last calibration curve constructed:
True values: I3^pg/L mg/L _p-%d
Obtained values: mg/L 2-7 3 S o_
What program are samples analyzed on?_________
Are results reported in proper units? Check one: E pg/L mg/L
Are results reported between the facility’s permit limit and the compliance limit of 50 pg/L?
If value is less than the low standard, report as “<x”, where x=low standard cone.
Are samples analyzed within 15 minutes of collection?____________________________
IV- pH .. . , ...... ... ... ______
pH meter make and model: H ij-'-pOcA
Is the pH meter calibrated with at least 2 buffers per mfg's instructions each day of use?
Note buffers used: </-, 7 z /O___________
Is the pH meter calibration checked with an additional buffer each day of use? Note check
jufferused: -7 C?, , y , J_________
Does the check buffer read within ±0.1 S.U. of the known value?____________________
Are the following items documented:
Meter calibration?_______________________ _______________
Check buffer reading?_________________
Are samples analyzed within 15 minutes of collection?____________________________
Are sample results reported to 0.1 pH units?
II. General Laboratory (note any exceptions in section XI)
Are instruments, meters, probes, photometric cells, etc, maintained in good condition?
Are standards, reagents and consumables used within manufacturer expiration dates?
[TRC gel standard is exempt.]
Yes No
No
[g Yes No
No Yes
No Yes
Yes K| No
Additional comments:XI.
Electronic copies may be emailed to linda.chavis@ncdenr.gov .
Revision 04/20/2012
Please submit a copy of this completed form to the Laboratory Certification program at:
DWQ Lab Certification, Chemistry Lab, Courier # 52-01-01
No
No
L No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
“QYes
Yes
Yes
“ OYes
Yes
Ki Yes
Yes
K Yes
Yes
~~E] Yes
V.----Temperature
What instrument(s) is used to measure temperature? Check all that apply: pH meter
E DO meter Conductivity meter Digital thermometer Glass thermometer
Is the instrument/thermometer calibration checked at least annually against a NIST
traceable or NIST certified thermometer? \/ Y/ iq______________________
Are temperature corrections (even if zero) posted on the instrument/thermometer?
Are samples measured in situ or on-site? [REQUIRED - there is no holding time for
temperature]____________________ _______________
Are sample results reported in degrees C?____________________
V|. Dissolved Oxygen ______. ■ •
DO meter make and model: z — .A
Is the air calibration of the DO meter performed each day of use?
Are the following items documented:________________________________________
Meter calibration?________________________________ ____________________
,Are samples analyzed within 15 minutes of collection?
Are results reported in mg/L? ________________________ ____________
VII. Conductivity ___________ _______
Conductivityjmetei^ak^ndjmodel:______________________________________
Is the meter calibrated daily according to the manufacturer’s instructions? Note standard
used (this is generally a one-point calibration):_________________________________
Is a daily check standard analyzed? Note value:
Are the following items documented:_________________________ ____________
Meter calibration?____________________ ______________________________
Are samples analyzed within 28 days of collection?________
Are results reported in pmhos/cm (some meters display equivalent pS/cm units)?
VIII. Settleable Residue
Does the laboratory have an Imhoff Cone in good condition?_________________
Is the sample settled for 1 hour?___________________________________________
Is the sample agitated after 45 minutes? ________________________________
Are the following items documented:_____________________________________
Volume of sample analyzed? Note volume analyzed:_________________________
Date and time of sample analysis (settling start time)?________________
Time of agitation after 45 minutes of settling?_______________________________
Sample analysis completion (settling end time)?______________________
Are samples analyzed within 48 hours of collection?_________________________
Are results reported in ml/L? _______________________________ ____________
IX. Was a paper trail (comparing contract lab and on-site data to DMR)
performed? If so, list months reviewed:. ~7/
X. Is follow-up by the Laboratory Certification program recommended?z
No[ZJ Yes
B] Yes No
No
No Yes
No Yes
Additional comments:XI.
Electronic copies may be emailed to linda.chavis@ncdenr.gov.
Please submit a copy of this completed form to the Laboratory Certification program at:
DWQ Lab Certification, Chemistry Lab, Courier # 52-01-01
No
No
Yes
ZJ Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
[_____
No
< J No
-
HYes
Yes
g) Yes
Yes
Yes
Yes
Yes
Yes
Vr—-Temperature-- ----- --------------- --------------
What instrument(s) is used to measure temperature? Check all that apply: pH meter
B DO meter Conductivity meter Digital thermometer Glass thermometer________
Is the instrument/thermometer calibration checked at least annually against a NIST
traceable or NIST certified thermometer? [/ ________
Are temperature corrections (even if zero) posted on the instrument/thermometer?
Are samples measured in situ or on-site? [REQUIRED - there is no holding time for
temperature]________
Are sample results reported in degrees C?________________
VI. Dissolved Oxygen
DO meter make and model: z —' A
Is the air calibration of the DO meter performed each day of use?_____________________
Are the following items documented:___________________________________________
Meter calibration?_____________________________________________________
Are samples analyzed within 15 minutes of collection?______________________________
Are results reported in mg/L?__________
VII. Conductivity
Conductivity meter make and model:_______________________
Is the meter calibrated daily according to the manufacturer’s instructions? Note standard
used (this is generally a one-point calibration):_________________________
Is a daily check standard analyzed? Note value:___________________________________
Are the following items documented:____________________________________________
Meter calibration?___________________ ___________________________________
Are samples analyzed within 28 days of collection?___________________
Are results reported in pmhos/cm (some meters display equivalent pS/cm units)?________
VIII. . Settleable Residue
Does the laboratory have an Imhoff Cone in good condition? _______________________
Is the sample settled for 1 hour?_________________________________ _____________
Is the sample agitated after 45 minutes?_____________________________ ___________
Are the following items documented:______________________________
Volume of sample analyzed? Note volume analyzed:___________________________ _
Date and time of sample analysis (settling start time)?____________________________
Time of agitation after 45 minutes of settling?___________________________________
Sample analysis completion (settling end time)?__________________
Are samples analyzed within 48 hours of collection?
Are results reported in ml/L?
IS Yes
g] Yes
Yes No
r
X. Is follow-up by the Laboratory Certification program recommended? ^ ; r Yes [Z] Nd