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HomeMy WebLinkAbout#5663_2017_0214_JS_FINALTo be attached to all inspection reports in-house only. Laboratory Cert. #: 5663 Laboratory Name: Tweetsie Railroad Inspection Type: Field Municipal Initial Inspector Name(s): Jason Smith Inspection Date: February 14, 2017 Date Forwarded for Initial March 7, 2017 Review: Initial Review by: Tonja Springer Date Initial Review March 10, 2017 Completed: ® Insp. Initial ❑ Insp. Reg Cover Letter to use: ❑Insp. No Finding ®Corrected ❑Insp. CP ❑Insp. Reg. Delay (to use: rt click, properties, check) Unit Supervisor/Chemist III: Todd Crawford Date Received: March 13, 2017 Date Forwarded to Admin.: March 14, 2017 Date Mailed: Special Mailing Instructions: LNVIR0NHFHTAL. OUAI I'fY March 14, 2017 5663 Mr. Brian Banner Tweetsie Railroad 300 Tweetsie Lane Blowing Rock, NC 28605 ROY COOPER Governor MICHEAL S. REGAN Secreta,v S. JAY ZIMMERMAN SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Initial Inspection Dear Mr. Banner: Director Enclosed is a report for the inspection performed on February 14, 2017 by Jason Smith. Since the Finding(s) cited during the inspection were all corrected prior to the completion of the enclosed report, a response is not required. The staff is commended for taking the initiative in correcting the Findings in such a timely manner. 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 electronic mail, or if you have questions or need additional information, please contact me at (919) 733-3908 ext. 251. Sincerely, D mod' Todd Crawford Technical Assistance & Compliance Specialist NC WW/GW Laboratory Certification Branch Attachment cc: Dana Satterwhite, Jason Smith, Master File 5663 On -Site Inspection Report LABORATORY NAME: Tweetsie Railroad NPDES PERMIT #: NCO032131 ADDRESS: 300 Tweetsie Lane Blowing Rock, NC 28605 CERTIFICATE #: 5663 DATE OF INSPECTION: February 14, 2017 TYPE OF INSPECTION: Field Municipal Initial AUDITOR(S): Jason Smith LOCAL PERSON(S) CONTACTED: Brian Banner I. INTRODUCTION: 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. IL GENERAL COMMENTS: The facility has all the equipment necessary to perform the analyses. The laboratory analyst was very forthcoming and receptive to implementing the necessary changes in response to the items found during the inspection. All required Proficiency Testing (PT) samples have been analyzed for the 2016 PT calendar year and the graded results were 100% acceptable. Contracted analyses are performed by Water Tech Labs, Inc. (Certification #50). Current Quality Assurance Policies for Field Laboratories and Approved Procedure documents for the analysis of the facility's currently certified Field Parameters were provided at the time of the inspection. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: Documentation Comment: The laboratory needed to increase documentation of purchased materials and reagents. The NC WW/GW LC Quality Assurance Policies for Field Laboratories states: 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. Consumable materials such as pH buffers and lots of pre -made standards are included in this requirement. Acceptable corrective action (i.e. benchsheets were updated to include all required information) was performed by the laboratory and approved by the auditor during the inspection. No further response is necessary for this Finding. Page 2 #5663 Tweetsie Railroad Comment: The laboratory benchsheet was lacking pertinent data: sample collection time, sample analysis time, sample collector/analyst initials or signature, facility name and instrument identification. North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: 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. The NC WW/GW LC Approved Procedure for the Field Analysis of Temperature, NC WW/GW LC Approved Procedure for the Field Analysis of pH, NC WW/GW LC Approved Procedure for the Field Analysis of Dissolved Oxygen and NC WW/GW LC Approved Procedure for the Field Analysis of Total Residual Chlorine state: The following must be documented in indelible ink whenever sample analysis is performed: sampling site including facility name and location, ID, etc. and instrument identification. Notification of acceptable corrective action (i.e., an updated benchsheet which includes sample collection time, sample analysis time, sample collector/analyst initials or signature, facility name and instrument identification that will be implemented when the facility resumes operation in April 2017) was received by fax on March 7, 2017. No further response is necessary for this Finding. Proficiency Testing Comment: The laboratory was not analyzing PT samples in the same manner as compliance samples. The laboratory's common practice was to analyze a known standard along with the PT sample as additional QC. Since this is not performed with all compliance samples, it is considered additional QC. However, known samples are recommended when analyzing remedial PT samples as part of the troubleshooting and corrective action process. The Proficiency Testing Requirements, February 20, 2012, Revision 1.2. document states: Laboratories shall conduct proficiency tests in accordance with their routine testing, calibration and reporting procedures, unless otherwise specified in the instructions supplied by the PT provider. They shall not be analyzed with additional quality control or replicated beyond what is routine for environmental sample analysis. Notification of acceptable corrective action (i.e., a statement that a known sample will not be analyzed with PT samples beginning in 2017) was received by fax on February 20, 2017. No further response is necessary for this Finding. Comment: The laboratory was not documenting PT sample analyses in the same manner as environmental samples. The Proficiency Testing Requirements, February 20, 2012, Revision 1.2. document states: All PT sample analyses must be recorded in the daily analysis records as for any environmental sample. This serves as the permanent laboratory record. Notification of acceptable corrective action (i.e., a statement that PT analyses will be documented on the benchsheet beginning in 2017) was received by fax on February 20, 2017. No further response is necessary for this Finding. Chlorine, Total Residual — Standard Methods, 4500 CI G-2000 (Aqueous) Comment: The laboratory was not analyzing a check standard each analysis day. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine document states: When a five -standard annual standard curve verification is used, the laboratory must check the calibration curve each analysis day. To do this, the laboratory must analyze a calibration blank to zero the instrument and analyze a check standard each day that samples are analyzed. The value obtained for the check standard must read within 10% of the true value of the check standard. If the obtained value is outside of the ±10% range, corrective action must be taken. Notification of acceptable corrective action [i.e., a statement that a check standard (i.e., gel standard) will be analyzed each analysis day beginning when the facility resumes operation in April 2017] was received by fax on February 20, 2017. No further response is necessary for this Finding. Page 3 #5663 Tweetsie Railroad Comment: The incorrect units of measure (i.e., mg/L) were documented on the benchsheet. North Carolina Administrative Code, 15A NCAC 2H .0805(g) (1) states: North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: The field benchsheets must provide a space for the signature or initials of the analyst, and proper units of measure for all analyses. Notification of acceptable corrective action [i.e., an updated benchsheet which includes proper units of measure (i.e., pg/L) for Total Residual Chlorine that will be implemented when the facility resumes operation in April 2017] was received by fax on March 7, 2017. No further response is necessary for this Finding. IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing original records (e.g., laboratory benchsheets, logbooks, etc.) and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Resources. Data were reviewed for Tweetsie Railroad (NPDES permit #NC0032131) for June, October and November, 2016. No transcription errors were detected. The facility appears to be doing a good job of accurately transcribing data. V. CONCLUSIONS: All Findings noted during the inspection were adequately addressed prior to the completion of this report. The inspector would like to thank the staff for its assistance during the inspection and data review process. No response is required. 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