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HomeMy WebLinkAbout#173_08_2012_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: Date Received: Date Forwarded to Linda: Date Mailed: #173 -Mooresville Rocky River WWTP Lab Municipal Maintenance Chet Whiting August 30, 2012 September 14, 2012 September 14, 2012 Jason Smith September 19, 2012 ❑ Insp. Initial ❑ Insp. Reg. ❑ Insp. No Finding ❑ Insp. CP x Corrected Gary Francies 9/20/2012 9/244/2012 - 9 ja �5_ i I ,.A L)u ff LV-WYTA ja NCDENR # ! Division of Beverly Eaves Perdue Governor 173 Mr. John Ritchie Mooresville Rocky River WWTP Lab P.O. Box 878 Mooresville, NC 28115 Charles Wakild, P. E. Director September 24, 2012 Dee Freeman Secretary SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Ritchie: Enclosed is a report for the inspection performed on August 30, 2012 by Chet Whiting. 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. 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 828-296-4677. Sincerely, Gary Francies Certification Unit Supervisor Laboratory Section CC: Chet Whiting Master File DENR DWO Laboratory Section NC Wastewater,Groundwater Laboratory Certification Branch 1623 Mail Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445 Phone: 919-733-3908 \ FAX: 919-733-6241 Internet: wvvw.dwglab.org One Northfarolina NodurallY An Equal Opportunity \ Affirmative Action Employer On -Site Inspection Report LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: INTRODUCTION: Mooresville Rocky River WWTP Lab NCO046728 P.O. Box 878 Mooresville, NC 28115 173 August 30, 2012 Municipal Maintenance Chet Whiting John Ritchie and Whitney Munroe 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 is reminded that any time changes are made to laboratory operations; the laboratory must update the Quality Assurance (QA)/Standard Operating Procedures (SOP) document(s). Any changes made in response to the Findings, Recommendations or Comments listed in this report must be incorporated to insure the method is being performed as stated, references to methods are accurate, and the QA and/or SOP document(s) is in agreement with approved practice and regulatory requirements. In some instances, the laboratory may need to create a SOP to document how new functions or policy will be implemented. On May 18, 2012, EPA promulgated changes to the list of Clean Water Act (CWA) methods at 40 CFR Part 136.3. This action, referred to as the Methods Update Rule (MUR) approves new methods, or changes to existing methods, that affects over 100 EPA methods, Standard Methods, ASTM methods, and other test procedures in Part 136 of Title 40 of the Code of Federal Regulations (CFR). The rule also contains a number of clarifications relating to approved methods, sample preservation and holding times, and method modifications. The final rule may be found at: http://water.epa.gov/scitech/methods/cwa/update index.cfm. The North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) program will be asking certified laboratories to move toward implementation of the new rule with changes fully implemented by the end of 2012. Each laboratory will need to review the MUR and evaluate its effect on current laboratory practices. These changes must be made in the laboratory's Standard Operating Procedures and in Quality Manuals, as well as any other place where the method is cited, e.g., reports, benchsheets, logs, etc. During this transition period, inspection reports will refer to the methods employed at the laboratory at the time of the inspection, but will reference the requirements in the most recently approved version of the method. Any difficulties encountered with meeting the requirements of these references by the date due may be addressed in the written corrective action response. Per an e-mail communication on September 13, 2012 the Lab will submit updated SOP's by March 1, 2013. Page 2 #173 Mooresville Rocky River WWTP Lab Quality Control Comment: The laboratory was not calculating and documenting duplicate and spike recoveries. 15A NCAC 2H .0805 (a) (7) (F) states: "Any time quality control results indicate an analytical problem, the problem must be resolved and any samples involved must be rerun if the holding time has not expired." In order to meet this criterion the results obtained must be documented on the bench sheet and evaluated against the acceptance criteria to demonstrate that the analyst was aware of any out -of - control situation and the corrective action that was taken. Any samples not meeting the criteria must be reanalyzed if possible. If this is not possible, the data must be flagged on the laboratory reports and Discharge Monitoring Reports (DMR) as all quality control requirements not met. Demonstration of acceptable corrective action (i.e. a revised benchsheet with Q.0 and applicable acceptance ranges documented) was received by e-mail September 7, 2012. No further response is necessary for this finding. General Laboratory Comment: Multiple instances of overwriting were observed. NCWW/GLC Policy 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. Demonstration of acceptable corrective action (i.e. a revised benchsheet with instructions not to overwrite) was received by e-mail September 7, 2012. No further response is necessary for this finding. Total Suspended Solids — Standard Methods, 20th Edition, 2540 D Recommendation: For low level results, using a default Relative Percent Difference (RPD) may not provide an adequate evaluation of precision of samples. An example is Total Suspended Solids (TSS) results below 10 mg/L. In this example, TSS results yielding 4 mg/L for the parent sample and 2 mg/L for the duplicate is a reasonable difference in raw sample concentrations; however, the RPD presents a different picture. The RPD is calculated as follows: RPD = 2[A-Bl x 100 = 2f4 mg/L - 2 mg/1-1 x 100 = 66% (RPD) A+B 4 mg/L + 2 mg/L The RPD looks excessive, yet an examination of the raw results indicates good precision. In such cases, we recommend a two -tiered evaluation system (i.e., using one acceptance criterion for low concentration samples and another acceptance criterion for high concentration samples). For example, the TSS duplicate acceptance criterion for sample concentrations below 10 mg/L might be set at a maximum 3 mg/L absolute difference and the TSS duplicate acceptance criterion for sample concentrations equal to 10 mg/L or higher might be set at a maximum default RPD of 20%. Please contact this office if you need additional guidance in establishing duplicate acceptance criteria. Comment: The laboratory was using a minimum dried residue weight gain of 1 mq to determine the reporting limit. NC WW/GW LC Policy based upon Standard Methods, 20th and 21' Editions, 2540 D. (3) (b) states: The minimum weight gain allowed by any approved method is 2.5 mg. Choose sample volume to yield between 2.5 and 200 mg dried residue. This establishes a minimum reporting value of 2.5 mg/L when 1000 mL of sample is analyzed. If complete filtration takes more than 10 minutes increase filter diameter or decrease sample volume. In instances where the weight gain is less than the Page 3 #173 Mooresville Rocky River WWTP Lab required 2.5 mg, the value must be reported as less than the appropriate value based upon the volume used. This requirement is a new policy that has been implemented by our program since the last inspection. Demonstration of acceptable corrective action (i.e. a revised benchsheet documenting the minimum weight gain) was received by e-mail September 7, 2012. No further response is necessary for this finding. Comment: Samples were not weighed to constant weight, nor had an annual multiple weighing study, to verify the adequacy of the drying time, been performed within the last twelve months. NC WW/GW LC Certification Policy based on Standard Methods, 20th Edition, 2540 D. (3) (c), 2540 B. (3) (b), and 2540 C. (3) (d). Constant weights must be documented. The approved methods require the following: "Repeat the cycle of drying, cooling, desiccating, and weighing until a constant weight is obtained or until the weight change is less than 4% of the previous weight or 0.5 mg, whichever is less." In lieu of this, an annual study documenting the time required to dry representative samples to a constant weight may be performed. Verify minimum daily drying time is greater than or equal to the time used for the initial verification study drying cycle. Drying cycles must be a minimum 1 hour for verification. Acceptable corrective action (i.e. a study documenting a 1 hour drying time) was performed during the inspection on August 30, 2012. No further response is necessary for this finding. Comment: Filters were not weighed to constant weight prior to sample analysis, nor is a dry filter blank analyzed with each set of samples. North Carolina Wastewater/Groundwater Laboratory Certification Policy based upon Standard Methods 20th Edition 2540 D. (3) (a) states: If pre -prepared filters are not used, the method requires that filters must be weighed to a constant weight after washing. Repeat cycle of drying, cooling, desiccating, and weighing until a constant weight is obtained or until weight change is less than 4% of the previous weighing or 0.5 mg, whichever is less. In lieu of this process, it is acceptable to analyze a single daily dry filter blank to fulfill the method requirement of drying all filters to a constant weight prior to analysis. This requirement is a new policy that has been implemented by our program since the last inspection. Notification of corrective action (i.e. implementation of a dry blank for constant weight) was received by e-mail on September 7, 2012. No further response is necessary for this finding Biochemical Oxygen Demand — Standard Methods, 20th Edition, 5210 B Comment: Extra nutrient, mineral, and buffer solutions were not added to the sample bottles containing more than 67% sample. Standard Methods, 5210 B-2001, (5) (c) (2) states: When a bottle contains more than 67% of the sample after dilution, nutrients may be limited in the diluted sample and, subsequently, reduce biological activity. In such samples, add the nutrient, mineral, and buffer solutions (3a through e) directly to individual BOD bottles at a rate of 1 mL/L (0.33 mL/300-mL bottle) or use commercially -prepared solutions designed to dose the appropriate bottle size. This requirement is a new policy that has been implemented by our program since the last inspection. Demonstration of acceptable corrective action (i.e. a revised benchsheet documenting the addition of nutrients to bottles containing more than 201 mL of sample) was received by e-mail on September 7, 2012. No further response is necessary for this finding Ammonia Nitrogen — Standard Methods, 20th Edition, 4500 NH3 F Comment: Samples were checked to verify that the pH was > 11 Standard Units (S.U.), however this was not documented. The North Carolina Administrative Code, 15A NCAC 2H .0805 (a) (7) (A) states: All analytical data pertinent to each certified analysis must be filed in an orderly manner so as to be readily available for inspection upon request. This requirement is a new policy that has been implemented by our program since the last inspection. Demonstration of acceptable corrective action (i.e. a revised benchsheet documenting that the pH is elevated to > 11 S.U.) was received by e-mail September 7, 2012. No further response is necessary for this finding. Page 4 #173 Mooresville Rocky River WWTP Lab Comment: The laboratory was not analyzing a blank at the end of the sample run. NC WW/GW LC Policy based upon Standard Methods, 20th Edition, 1020 B. (10) (c), 3020 B. (2) (b), and 4020 B. (2) states: The calibration blank and calibration verification standard (mid -range) must be analyzed initially (i.e., prior to sample analysis), after every tenth sample and at the end of each sample group to check for carry over and calibration drift. If either fall outside established quality control acceptance criteria, corrective action must be taken (e.g., repeating sample determinations since the last acceptable calibration verification, repeating the initial calibration, etc.). Notification of corrective action (i.e. sample runs will end with a mid -range standard and blank) was received by e-mail on September 7, 2012. No further response is necessary for this finding IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing laboratory bench sheet and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Quality. Data were reviewed for Mooresville Rocky River WWTP (NPDES permit #NC0046728) for April, May and June, 2012. 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. Report prepared by: Chet Whiting Date: September 14, 2012 Report reviewed by: Jason Smith Date: September 19, 2012