Loading...
HomeMy WebLinkAbout#5409_03_2015_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: Date Forwarded to Linda: Date Mailed: 5409 Currituck Co. Southern Outer Banks W.S. Field Maintenance Nick Jones March 25, 2015 April 10, 2015 April 10, 2015 Beth Swanson April 15. 2015 ❑ Insp. Initial ❑ Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP ® Corrected Gary Francies April 15, 2015 4/29/2015 4/30/1 I On -Site Inspection Report LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: I. INTRODUCTION: Currituck Co. Southern Outer Banks W.S. NCO087670 734 Ocean Trail Corolla, NC 27927 5409 March 25, 2015 Field Maintenance Nick Jones Benjie Carawan and David Chunn 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. Proficiency Testing (PT) samples for the 2015 proficiency testing calendar year have not yet been analyzed. The laboratory is reminded that these results must be submitted to this office directly from the vendor by September 30, 2015. Contracted analyses are performed by Environmental Chemists, Inc. (Certification #94) and Environmental Testing Solutions, Inc. (Certification #600). 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: Documentation Comment: The lab did not have a system of traceability for the documentation of purchased materials and reagents, as well as documentation of standards and reagents Page 2 #5409 Currituck Co. Southern Outer Banks W.S. prepared in the laboratory. The NC WW/GW LC Quality Assurance Policies for Field Laboratories document 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. 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. Demonstration of acceptable corrective action (i.e., laboratory personnel implemented the traceability log supplied by the inspector) was witnessed during the inspection. No further response is necessary for this finding. Comment: Error corrections were not performed properly. The NC WW/GW LC Quality Assurance Policies for Field Laboratories document states: 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. Notification of acceptable corrective action (i.e., a statement that as of 3/25/2015 the lab will make error corrections according to the NC WW/GW LC policy) was received by email on 3/26/2015. No further response is necessary for this finding. Comment: The preparation of Proficiency Testing (PT) samples was not documented. The NC WW/GW LC Proficiency Testing Requirements document states: PT samples received as ampules must be diluted according to the PT provider's instructions. The preparation of PT samples must be documented in a traceable log or other traceable format. The diluted PT sample becomes a routine environmental sample and is added to a routine sample batch for analysis. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a statement that as of 4/10/2015 the lab would begin dating and initialing the instruction sheet of the Total Residual Chlorine PT) was received by email on 4/10/2015. No further response is necessary for this finding. Comment: The laboratory was not documenting Proficiency Testing (PT) sample analyses in the same manner as environmental samples. The NC WW/GW LC Proficiency Testing Requirements 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. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a statement that as of 4/10/2015 PT sample analysis will be documented in the same manner as environmental samples) was received by email on 4/10/2015. No further response is necessary for this finding. Page 3 #5409 Currituck Co. Southern Outer Banks W.S. PH - Standard Methods, 4500 H+ B-2000 Comment: pH values were reported that exceed the method specified accuracy of 0.1 units. Standard Methods, 4500 H+ B-2000, (6) states: 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 pH unit. Demonstration of acceptable corrective action (i.e., the Electronic Discharge Monitoring Report was modified to round pH values to one decimal place) was witnessed during the inspection. No further response is necessary for this finding. Dissolved Oxygen - Standard Methods, 4500 O G-2001 PH - Standard Methods, 4500 H+ B-2000 Temperature - Standard Methods, 2550 B-2000 Comment: The units of measure were not consistently documented on the benchsheets for pH, Dissolved Oxygen (DO), and Temperature. The North Carolina Administrative Code, 15A NCAC 2H .0805 (g) (1) states: 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 bench sheets must provide a space for the signature of the analyst, and proper units of measure for all analyses. Notification of acceptable corrective action (i.e., a statement that as of 4/10/2015 units of measure will be documented on the benchsheets and submission of said benchsheets) was received by email on 4/10/2015. No further response is necessary for this finding. Temperature - Standard Methods, 2550 B-2000 Comment: The benchsheets for Temperature used by the laboratory did not contain all of the necessary labeling information. Facility name and instrument identification are not documented. The NC WW/GW LC Approved Procedure for the Analysis of Temperature documents state: The following must be documented in indelible ink whenever sample analysis is performed: document facility name and instrument identification. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a statement that as of 3/25/2015 the lab has updated their benchsheets to include facility name, meter calibration time and instrument identification) was received by e-mail on 3/26/2015. No further response is necessary for this finding. Dissolved Oxygen - Standard Methods, 4500 O G-2001 pH - Standard Methods, 4600 H+ B-2000 Total Residual Chlorine — Standard Methods, 4500-CI G-2000 Comment: The benchsheets for Total Residual Chlorine (TRC), pH and DO used by the laboratory did not contain all of the necessary labeling information. Facility name, meter calibration time and instrument identification are not documented. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine, NC WW/GW LC Approved Procedure for the Analysis of Dissolved Oxygen and NC WW/GW LC Approved Procedure for the Analysis of pH. The following must be documented in indelible ink Page 4 #5409 Currituck Co. Southern Outer Banks W.S. whenever sample analysis is performed: document meter calibration time, facility name and instrument identification. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of acceptable corrective action (i.e., a statement that as of 3/25/2015 the lab has updated their benchsheets to include facility name, meter calibration time and instrument identification) was received by e- mail on 3/26/2015. No further response is necessary for this finding. Total Residual Chlorine — Standard Methods, 4500-CI G- 2000 Comment: Values less than the established reporting limit (i.e., values <20µg/L) were being reported on the Discharge Monitoring Report (DMR). The lab's permit limit is 13µg/L. The labs current calibration verification range is 20µg/L to 200µg/L. The NC WW/GW LC Approved Procedure for the Analysis of Total Residual Chlorine states: The concentrations of the calibration standards must bracket the concentrations of the samples analyzed. One of the standards must have a concentration equal to or below the lower reporting concentration for Total Residual Chlorine. The lower reporting limit must be less than or equal to the permit limit. Notification of acceptable corrective action (i.e., a statement that from now on the lab will utilize the following concentrations for the calibration verification standards: 10, 30, 50, 200 and 400µg/L) was received by email on 4/10/2015. Notification of acceptable corrective action (i.e., a new acceptable calibration verification performed on 4/22/2014) was received by email on 4/23/2015. 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 December, 2014, and January and February, 2015. The following errors were noted: Date Parameter Location Value on Benchsheet *Contract Lab Data Value on DMR 12/1/14 Temperature Downstream 17.6 °C 17.8 °C 12/1/14 Temperature Effluent 19.6 °C 19.5 °C 12/1/14 pH Effluent 7.93 S.U. 7.92 S.U. 12/29/14 TSS Effluent * <2.6 mg/L <2.8 mg/L 1/6/15 NH3 Effluent * 21.1 mg/L 17.8 mg/L 2/9/15 Conductivity Downstream 34800 µmhos/cm 34600 In order to avoid questions of legality, it is recommended that you contact the appropriate Regional Office for guidance as to whether an amended Discharge Page 5 #5409 Currituck Co. Southern Outer Banks W.S. Monitoring Report will be required. A copy of this report will be made available to the Regional Office. 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 Report prepared by: Nick Jones Date: April 10, 2015 Report reviewed by: Beth Swanson Date: April 10, 2015 A=40 North Carolina Department of Environment and Natural resources Pat McCrory Governor April 30, 2015 5409 Mr. Benjie Carawan Currituck Co. Southern Outer Banks W.S. 734 Ocean Trail Corolla, NC 27927 Donald R, van der Vaart Secretary Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Carawan: Enclosed is a report for the inspection performed on March 25, 2015 by Nick Jones. No findings are cited in this report, a response is not required. We appreciate the fine job you and your staff are doing. As a certification requirement, 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: Master file Nick Jones Sincerely, ca��x �Z'4� e--a� Gary Francies, Technical Assistance/Compliance Specialist Division of Water Resources Water Sciences Section NC Wastewater/Groundwater Laboratory Certification Branch 1623 Mail Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road, Raleigh, North Carolina 27607 Phone: 919-733-3908 ! FAX: 919.733-6241 Internet: www.d Iab.orq An Equal Opportunity t Affirmative Action Employer