Loading...
HomeMy WebLinkAbout#5040 - 12 - 2011 - 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: 5040 Rutherfordton WWTP Field Maintenance Jason Smith December 21, 2011 December 30 2011 December 30, 2011 Tonja Springer January 17, 2012_ Cover Letter to use: _ Insp. Initial X Insp. Reg. _ Insp. No Finding _ Insp. CP Unit Supervisor: Gary Francies Date Received: 1 /17/2012 Date Forwarded to Linda: 1/27/2012 boDate Mailed: f Note to Gary — Report should go to Karen Andrews, not Jerry Corrected Al AL fAx NCDENR Noah Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor 5040 Rutherfordton WWTP Ms. Karen Andrews 129 N Main Street Rutherfordton, NC 28139 Division of Water Quality Charles Wakild, P. E. Director January 27, 2012 Dee Freeman Secretary Subject: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Ms. Andrews: Enclosed is a report for the inspection performed on December 21, 2011 by Jason Smith. 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. 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. 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. Sincerely, l� Gary Francies Certification Unit Supervisor Laboratory Section Enclosure Cc Master files Jason Smith 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 27607-6445 Phone: 919-733-3908 \ FAX: 919-733-6241 Internet: www.dwglab.org One N&Marolina An Equal opportunity \ Affirmative Action Employer LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: Ii "Z OYD RAM41j, Rutherfordton WWTP NC0025909 129 N Main Street Rutherfordton, NC 28139 5040 December 21, 2011 Field Maintenance Jason Smith Jerry Alexander and Phillip Reynolds This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. II. GENERAL COMMENTS: The facility has all the equipment necessary to perform the analyses. Technical assistance and quality assurance policies were provided to the laboratory at the time of the inspection. The requirements associated with Findings A, B, and C are new policies that have been implemented since the last inspection. Comment: The laboratory needed to increase the documentation of purchased materials and reagents. The 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. 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. 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 log documenting all required information was created and put into use) was performed at the time of the audit. No further response is necessary for this finding. Page 2 #5040 Rutherfordton WWTP A. Finding: Error corrections are not performed properly. Requirement: 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. Ref: Quality Assurance Policies for Field Laboratories. B. Finding: Data that does not meet all quality control requirements is not qualified on the Discharge Monitoring Report (DMR). Requirement: When quality control (QC) failures occur, the laboratory must attempt to determine the source of the problem and must apply corrective action. Part of the corrective action is notification to the end user. If data qualifiers are used to qualify samples not meeting QC requirements, the data may not be useable for the intended purposes. It is the responsibility of the laboratory to provide the client or end -user of the data with sufficient information to determine the usability of the qualified data. Where applicable, a notation must be made on the Discharge Monitoring Report (DMR) form, in the comment section or on a separate sheet attached to the DMR form, when any required sample quality control does not meet specified criteria and another sample cannot be obtained. Ref: Quality Assurance Policies for Field Laboratories. C. Finding: Proficiency Testing (PT) samples are not documented in the same manner as environmental samples. Requirement: The analysis of PT samples is designed to evaluate the entire process used to routinely report environmental analytical results. Therefore, PT samples must be analyzed and the process documented in the same manner as environmental samples. Ref: Quality Assurance Policies for Field Laboratories. D. Finding: The time of calibration is not clearly documented. Requirement: The time of calibration must be documented whenever sample analysis is performed. Ref: Technical Assistance for Field Analysis of Dissolved Oxygen. The paper trail consisted of comparing field testing records and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Quality. Data were reviewed for February, 2010 and February and June, 2011. The following errors were noted: Date Parameter Location Value on Benchsheet Value on DMR 2/1/11 Total Residual Chlorine Effluent 45 N /L 48,u /L 2/3/11 Total Residual Chlorine Effluent 33 N /L 32,u /L 2/7/11 Total Residual Chlorine Effluent 34li /L 24,u /L 6/9/11 Total Residual Chlorine I Effluent 31 ,u /L 21 ,u /L Page 3 #5040 Rutherfordton WWTP In order to avoid questions of legality, it is recommended that you contact the appropriate Regional Office for guidance as to whether amended Discharge Monitoring Reports will be required. A copy of this report will be forwarded to the Regional Office. Recommendation: These transcription errors appear to be the result of the way the laboratory handles data. Field laboratory results are entered on a legal sized paper log. This log is then faxed to the person responsible for entering the data. The faxing process reduces the size of the log to letter size paper and adds some distortion, which makes the results hard to read. It is recommended that the laboratory develop a way to improve this process, such as entering the data into a spreadsheet on the computer which is emailed rather than faxed. V. CONCLUSIONS: Report prepared by: Jason Smith Report reviewed by: Tonja Springer Date: December 30, 2011 Date: January 17, 2012