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HomeMy WebLinkAbout#221 - 9-2011 - FINALA7J;A NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director November 28, 2011 221 Ms. Pem Carter CNA Holdings, Inc. — Ticona Facility 2525 Blacksburg Road Grover, NC 28073-9461 SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Ms. Carter: Dee Freeman Secretary Enclosed is a report for the inspection performed on September 22, 2011 by Chet Whiting. I apologize for the delay in getting this report to you. Where finding(s) are cited in this report, a response is required. Within 30 days of receipt, please supply this office with a written item for item description of how these finding(s) were corrected. 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 email or if you have questions or need additional information please contact me at 828-296-4677. Sincerely, Gary Francies Unit Supervisor Laboratory Section CC: Chet Whiting Gary Francies Master files DENR DWQ 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 27607-6446 Phone: 919-733.3908 \ FAX: 919-733-6241 Internet: www.dwglab.org An Equal Opportunity, Affirmative Action Employer Customer Service:1-877-623-6748 www.ncwaterquality.org INSPECTION REPORT ROUTING SHEET To be attached to all inspection reports in-house only. Laboratory Cert. #: 221 Laboratory Name: CNA Holdings, Inc. — Ticona Facility Inspection Type: Industrial Maintenance Inspector Name(s): Chet Whiting Inspection Date: September 22, 2001 Date Report Completed: October 7, 2011 Date Forwarded to Reviewer: October 10, 2011 Reviewed by: Todd Crawford Date Review Completed: October 11 2011 Cover Letter to use: _ Insp. Initial X Insp. Reg. _ Insp. No Finding _ Insp. CP _Corrected Unit Supervisor: Gary Francies Date Received: 10/11/2011 Date Forwarded for mailing: 11/28/2011 Date Mailed: a �. LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: IkiI"Z 01010Is] 'kF •n-Site Inspection Report CNA Holdings, Inc. — Ticona Facility NC0004952 2525 Blacksburg Road Grover, NC 28073-9461 221 September 22, 2011 Industrial Maintenance Chet Whiting Pem Carter This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. 11. GENERAL COMMENTS: The laboratory was clean and well organized. The facility has all the equipment necessary to perform the analyses. The requirements associated with Findings A, B, D and E are new policies that have been implemented by our program since the last inspection. r - e; - • r - • �. A. Finding: The date materials are put in use is not always documented. Requirement: 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 (where specified). 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 primary standards, chemicals, reagents, and materials used for a period of five years. Consumable materials such as pH buffers, lots of pre -made standards and/or media, solids and bacteria filters, etc. are included in this requirement. Ref: North Carolina Wastewater/Groundwater Laboratory Certification Policy. Page 2 #221 CNA Holdings, Inc.—_Ticona Facility_ General Laboratory B. Finding: Auto-pipettors are not calibrated. Requirement: Mechanical volumetric liquid -dispensing devices (e.g., fixed and adjustable auto- pipettors, bottle -top dispensers, etc.) must be calibrated at least twice per year, approximately six months apart and documented. Each liquid -dispensing device must meet the manufacturer's statement of accuracy. Ref: North Carolina Wastewater/Groundwater Laboratory Certification Policy. C. Finding: Standard Operating Procedures (SOPs) have not been updated since 2004 for all of the parameters included on the laboratory's certificate attachment. Requirement: Each laboratory shall develop and maintain a document outlining the analytical quality control practices used for the parameters included in their certification. Supporting records shall be maintained as evidence that these practices are being effectively carried out. Ref: 15A NCAC 2H .0805 (a) (7). Requirement: The laboratory must have an updated Quality Control/Standard Operating Procedures document for the parameters included on the certificate attachment by March 31, 2012. This must be submitted for review upon completion. Comment: The Analytical Quality Control document must include standard operating procedures. A standard operating procedure describes the method in such detail that an experienced analyst unfamiliar with the method can obtain acceptable results and meet documentation requirements. Standard operating procedures must be developed which describe in detail how a method is performed in that particular laboratory. Recommendation: It is recommended that SOPs include a revision history with relevant dates and a brief description of the change(s) made. Standard Methods, Recommendation: It is recommended that the laboratory change terminology from time set up and counted to time in and out of the water bath to clearly demonstrate the required incubation time was met. D. Finding: A calibration blank and calibration verification standard (mid -range) are not analyzed at the end of the sample group and/or after every tenth sample. Requirement: 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.). Ref: North Carolina Wastewater/Groundwater Laboratory Certification Policy based upon Standard Methods, 20t" Edition, 1020 B. (10) (c), 3020 B. (2) (b), and 4020 B. (2). E. Finding: The laboratory is not analyzing matrix spikes. Page 3 #221 CNA Holdings, Inc. —Ticona Facility Requirement: Unless the referenced method states a greater frequency, spike 5% of samples on a monthly basis. Laboratories analyzing less than 20 samples per month must analyze at least one matrix spike each month samples are analyzed. Prepare the matrix spike from a reference source different from that used for calibration unless otherwise stated in the method. If matrix spike results are out of control, the results must be qualified or the laboratory must take corrective action to rectify the effect, use another method, or employ the method of standard additions. When the method of choice specifies matrix spike performance acceptance criteria for accuracy, and the laboratory chooses to develop statistically valid, laboratory -specific limits, the laboratory -generated limits cannot be less stringent than the criteria stated in the approved method. If the unspiked sample result is in the top 40% of the calibration range, the sample should be diluted and the matrix spike prepared using the diluted sample. The recovery of the matrix spike samples must be bracketed by the calibration range. The volume of spike solution used in matrix spike preparation must in all cases be <_ 10% of the total matrix spike volume. It is preferable that the spike solution constitutes <_ 1 % of the total matrix spike volume so that the matrix spike can be considered a whole volume sample with no adjustment ent by calculation necessary. if the Spike solution volume ie constitutes %1 % of the total sample volume, the sample concentration or spike concentration must be adjusted by calculation. Ref: North Carolina Wastewater/Groundwater Laboratory Certification Policy. Chemical Oxygen Demand — Standard Methods, 18th Edition, 5220 D Fecal Coliform — Standard Methods, 18th Edition, 9222 D Suspended Solids — Standard Methods, 181h Edition, 2540 D F. Finding: Sample collection time and receipt in the laboratory time are not clearly documented. Requirement: 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. Ref: 15A NCAC 2H .0805 (a) (7) (A). Comment: The samples are collected when the pH sample is collected and are received in the laboratory when the pH sample is returned for analysis. The samples are received in less than 15 minutes; however this procedure is not documented. This information must be documented or the laboratory must document thermal preservation (samples received on ice, temperature at collection and upon receipt.) Recommendation: The laboratory has an in-house custody document. It is recommended that sample collection and receipt be documented there. G. Finding: Chemical preservation (to a pH of < 2) is not documented. Requirement: 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. Ref: 15A NCAC 2H .0805 (a) (7) (A)• Comment: 40 CFR Table II, footnote 2 states: Add the preservative to the sample container prior to sample collection when the preservative will not compromise the integrity of a grab sample, a composite sample, or an aliquot split from a composite sample; otherwise, preserve IV. Page 4 #221_CNA Holdings, Inc. — Ticona Facility the grab sample, composite sample, or aliquot split from a composite sample within 15 minutes of collection. Recommendation: The laboratory has an in-house custody document. It is recommended that the chemical preservation be documented there. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing laboratory benchsheets and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Quality. Data were reviewed for the Ticona Plant for May, July, and August 2011. No transcription errors were detected. 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 lab to produce quality data and meet certification requirements. The inspector would like to thank the staff for its assistance during the inspection and data review process. Please respond to all findings. Report prepared by: Chet Whiting Report reviewed by: Todd Crawford Date: October 7, 2011 Date: October 11, 2011