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HomeMy WebLinkAbout#5173_2019_0821_MC_FINALLaboratory Cert. #: 5173 Laboratory Name: Innospec Performance Chemicals Inspection Type: Field Industrial Maintenance Inspector Name(s): Michael Cumbus, Beth Swanson Inspection Date: August 21, 2019 Date Forwarded for Initial Review: August 28, 2019 Initial Review by: Tonja Springer Date Initial Review Completed: September 9, 2019 Cover Letter to use: ❑ Insp. Initial ❑Insp. No Finding ❑Corrected ® Insp. Reg ❑Insp. CP ❑Insp. Reg. Delay Unit Supervisor/Chemist III: Beth Swanson Date Received: 9/9/2019 Date Forwarded to Admin.: 9/11/2019 Date Mailed: 9/13/2019 Special Mailing Instructions: ROY C001"LIB t`e t��t�t't 7Ya51, LINDA C(A I'UPER. in tof 5173 Mr. Allen Robey Innospec Performance Chemicals 510 Hinkle Lane Salisbury, NC 28144- tad0I- tF9 CAR0._1t,IA. r vr`rov menta t Quality September 13, 2019 Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Robey: Enclosed is a report for the inspection performed on August 21, 2019 by Michael Cumbus and Beth Swanson. 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. Please describe the steps taken to prevent recurrence and include an implementation date for each corrective action. 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. A copy of the laboratory's Certified Parameter List at the time of the audit is attached. This list will reflect any changes made during the audit. 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 (919) 733-3908 Ext. 259. Attachment cc: Dana Satterwhite Sincerely, .�— 2 5atr Beth Swanson Technical Assistance & Compliance Specialist Division of Water Resources k ri r Jr J' North Carolina Department of Environmental Quality I Division of Water Resources 1623 Mail Service Center I Raleigh, North Carolina 27699-1.623 Phone 919.733.3908/Fax 99.9.733.6241 CERTIFICATE : u Innospec Performance Chemicals WQ0001077 510 Hinkle Lane Salisbury, NC 28144 5173 August 21, 2019 Field Industrial Maintenance Michael Cumbus and Seth Swanson LOCAL PERSON(S) CONTACTED: Allen Robey and Roxanne Fincher This laboratory was inspected by representatives 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. The facility is neat and well organized and has all the equipment necessary to perform the analyses. Records are well organized and easy to retrieve. Staff were forthcoming and seemed eager to adopt necessary changes. Laboratory documentation, however, was incomplete, and additional quality control procedures need to be implemented. All required Proficiency Testing (PT) Samples for the 2019 PT Calendar Year have not yet been received. The laboratory is reminded that results must be received by this office directly from the vendor by September 30, 2019. The laboratory does not yet have Quality Assurance (QA) and/or Standard Operating Procedures (SOP) documents in place. Personnel were informed that while these documents are not required to be submitted, they must be in place by July 1, 2020. A documented training program must be implemented by August 1, 2020. Requirements that reference 15A NCAC 2H .0805 (g) (1), stating "All analytical records, including original observations and information necessary to facilitate historical reconstruction of the Page 2 #5173 Innospec Performance Chemicals calculated results, shall be maintained for five years," It is not intended to imply that existing records are not adequately maintained unless the Finding speaks directly to that. Contracted analyses are performed by Statesville Analytical Holdings, LLC (Certification # 440). Documentation Comment: It was noted during the inspection that the laboratory may record the facility name, permit number, method reference and instrument identification once on the cover or inside the front cover of the laboratory notebook, provided that any changes are clearly described and dated. A. Finding: The laboratory benchsheet for pH is lacking pertinent data: time of sample collection, facility name, method reference, instrument identification, analyst's name or initials and units of measure. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: the time of sample collection, facility name, method reference, instrument identification, analyst's name or initials and units of measure. Ref: 15A NCAC 2H .0805 (g) (2) (A), (B), (C), (E), (F) and (Q. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: time of sample collection, facility name, method reference, instrument identification (serial number preferred), collector's/analyst's name or initials and units of measure. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Comment: While the laboratory benchsheet did have the units of measure, the calibration log for the pH meter, which is recorded in a different location, was lacking the units of measure. B. Finding: The laboratory benchsheet for pH is lacking pertinent data: meter calibration time, permit number. Requirement: The following must be documented in indelible ink whenever sample analysis is performed: meter calibration time and permit number. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. C. Finding: The laboratory needs to document traceability information of purchased materials and reagents. Requirement: All analytical records, including original observations and information necessary to facilitate historical reconstruction of the calculated results, shall be maintained for five years. Ref: 15A NCAC 2H .0805 (g) (1). Requirement: Chemical containers shall be dated when received and when opened. Reagent containers shall be dated, identified, and initialed when prepared. Chemicals and reagents exceeding the expiration date shall not be used. Chemicals and reagents shall be assigned expiration dates by the laboratory if not given by the manufacturer. If the laboratory is unable to determine an expiration date for a chemical or reagent, a one-year time period from the date of receipt shall be the expiration date unless degradation is observed prior to this date. The laboratory shall have a documented Page 3 #5173 Innospec Performance Chemicals system of traceability for all chemicals, reagents, standards, and consumables. Ref: 15A NCAC 2H .0805 (g) (7). Comment: Dates received and opened were written on the pH buffer bottles. While this can provide a traceability link to analyses by looking at the dates that the chemicals were in use, that link is lost once the bottles are discarded. A reagent receipt log was provided to the laboratory at the time of inspection. D. Finding: Non -Compliance data is not documented as such. Requirement: All laboratories shall use printable laboratory benchsheets. Certified Data shall be traceable to the associated sample analyses and shall consist of: sample identification. Ref: 15A NCAC 2H .0805 (g) (2) (1). Comment: The laboratory is not consistent in its use of the word "effluent" to describe the compliance sample site. Prior to July 1, 2019 the laboratory was using descriptors "left", "right" and "effluent", with "effluent" referring to compliance data from analysis of the spray irrigation samples. Since July 1, 2019, the laboratory has been using the descriptor "effluent" to refer to samples which are analyzed from the discharge into the municipal sewer system and is not compliance data. As an example, for samples collected on July 18, 2019, the value recorded for pH on the DMR was 7.65 S.U., while the laboratory benchsheet listed an effluent with a value of 7.2 S.U. The WWTP daily log listed a pH of 7.65 S.U. The laboratory must come up with a system that uniquely identifies sample sites that describes them as the compliance versus non-compliance data so as to avoid questions of data integrity. Proficiency iesting E. Finding: The laboratory is not documenting PT Sample analyses in the same manner as routine Compliance Samples. Requirement: All PT Sample analyses must be recorded in the daily analysis records as for any Compliance Sample. This serves as the permanent laboratory record. Ref: Proficiency Testing Requirements, October 29, 2018, Revision 3. 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 (g) (1)] all of the raw data, including benchsheets, instrument printouts and calibration data, for all PT Sample analyses and the associated QC analyses conducted by all parameter methods. Ref: Proficiency Testing Requirements, October 29, 2018, Revision 3. Comment: The laboratory was documenting the calibration of the pH meter and the PT results on the reporting sheet that accompanies PT samples, rather than in the laboratory notebook where routine compliance samples are recorded. F. Finding: PT Samples have not been distributed among all analysts from year to year. Requirement: Laboratories shall also ensure that, from year to year, PT Samples are equally distributed among personnel trained and qualified for the relevant tests and instrumentation (when more than one instrument is used for routine Compliance Sample analyses), that represents the routine operation of the work group at the time the PT Page 4 #5173 Innospec Performance Chemicals Sample analysis is conducted. Ref: Proficiency Testing Requirements, October 29, 2018, Revision 3. G. Finding: The laboratory is not analyzing a check standard buffer after calibration and prior to sample analysis. Requirement: Instruments are to be calibrated according to the manufacturer's calibration procedure prior to analysis of samples each day compliance monitoring is performed. Calibration must include at least two buffers. The meter calibration must be verified with a third standard buffer solution (i.e., check buffer) prior to sample analysis. Ref: NC WW/GW LC Approved Procedure for the Analysis of pH. Comment: The laboratory is calibrating with 3 buffers with true values of 4.0, 7.0 and 10.0 S.U. H. Finding: Values were reported that exceed the method specified accuracy of 0.1 units. Requirement: By careful use of a laboratory pH meter with good electrodes, a precision of ±0.02 unit and an accuracy of ±0.05 unit can be achieved. However, ± 0.1 pH unit represents the limit of accuracy under normal conditions, especially for measurement of water and poorly buffered solutions. For this reason, report pH values to the nearest 0.1 H unit. Ref: Standard Methods, 4500 H+ B-2011. (6). Recommendation: It is recommended that the laboratory continue to record pH data to 0.01 S.U. but report pH data to the nearest 0.1 S.U. on the Non -Discharge Monitoring Reports (NDMRs). IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing original records (e.g., laboratory benchsheets, logbooks, etc.) and contract lab reports to NDMRs submitted to the North Carolina Division of Water Resources. Data were reviewed for Innospec Performance Chemicals (Water Quality permit # WQ0001077) for July 2019, February 2019 and November 2018. No transcription errors were observed. The facility appears to be doing a good job of accurately transcribing data. Correcting the above -cited Findings and implementing the Recommendations will help this laboratory to produce quality data and meet Certification requirements. The inspector would like to thank the staff for their assistance during the inspection and data review process. Please respond to all Findings and include supporting documentation, implementation dates and steps taken to prevent recurrence for each corrective action. 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