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HomeMy WebLinkAbout#5281 - 11 - 2011 - FINALNCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director December 5, 2011 5281 Mr. Tim Lancaster Cleveland County Schools 866 Poplar Spring Church Rd. Shelby, N.C. 28152 SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Maintenance Inspection Dear Mr. Lancaster: Enclosed is a report for the inspection performed on November 9, 2011 by Chet Whiting. 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 me at 828-296-4677. Sincerely, ✓'t,�3�-mac �-s�--t., Gary Francies Unit Supervisor Laboratory Section CC: Chet Whiting Master File DENR DWQ Laboratory Section INC Wastewater/Groundwater Laboratory Certification Branch One 1623 Mail Service Center, Raleigh, North Carolina 27699-1623 NofthCarolina Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445 Phone: 919-733-3908 l FAX: 919-733-6241 vyaturallff Internet: www.dwglab.org An Equal Opportunity i 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. #: 5281 Laboratory Name: Cleveland County Schools Inspection Type: Field Maintenance Inspector Name(s): Chet Whiting Inspection Date: November 9, 2011 Date Report Completed: November 29 2011 Date Forwarded to Reviewer: November 29, 2011 Reviewed by: Todd Crawford Date Review Completed: November 30, 2011 Cover Letter to use: _ Insp. Initial X Insp. Reg. _ Insp. No Finding _ Insp. CID _Corrected Unit Supervisor: Gary Francies Date Received: 11/30/2011 Date Forwarded to Linda: 12/2/2011 Date Mailed:s On -Site Inspection Report LABORATORY NAME: NPDES PERMIT # ADDRESS: CERTIFICATE #: 110:2*672I0[+��x C�7rA I'' •-wl LOCAL PERSON(S) CONTACTED: I. INTRODUCTION: Cleveland County Schools NCO066397 866 Poplar Spring Church Rd. Shelby, N.C. 28152 5281 November 9, 2011 Field Maintenance Chet Whiting Tim Lancaster 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: There were significant improvements in organization and housekeeping. The facility is neat and well organized and the equipment appeared to be clean and well maintained. Documents were well organized and easy to retrieve. Comment: Sample site was not documented. 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 or initials of the analyst, and proper units of measure for all analyses. Notification of acceptable corrective action (i.e. notice of implementation of a revised benchsheet provided by this office documenting the sample site) was received by e-mail November 21, 2011. No further response is necessary for this finding. Comment: Sample collection and analysis times were not adequately documented. 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 or initials of the analyst, and proper units of measure for all analyses. Notification of acceptable corrective action (i.e. notice of implementation of a revised benchsheet provided by this office documenting collection and analysis time) was received by e-mail November 21, 2011 No further response is necessary for this finding. Comment: Units of measure were not documented. 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 Page 2 #5281 Cleveland Schools County Plant Operations time. The field bench sheets 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. notice of implementation of a revised benchsheet provided by this office documenting units of measure) was received by e-mail November 21, 2011. . No further response is necessary for this finding. 2H — Standard Methods, 20t" Edition, 4500 H+ B Comment: There was no system in place to document Proficiency Testing (PT) samples in the same manner as routine environmental samples. Quality Assurance Policies for Field Laboratories states: 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. Notification of acceptable corrective action (i.e. a statement that performance samples will be documented on bench sheets the same as samples) was received by e-mail on 10/19/2011. No further response is necessary for this finding. A. Finding: Instances were observed where the pH calibration check exceeded ± 0.1 SU and no corrective action was taken. Requirement: For routine work, use a pH meter accurate and reproducible to 0.41 pH unit with a range of 0 to 14, equipped with a temperature compensation device. Follow all manufacturers' recommendations for the calibration of the meter each analysis day. In all cases, the meter must be calibrated with at least two buffers. Calibrating with the pH 4 and pH 10 buffers meets standard methods requirements and brackets the pH range for most monitoring (with the exception of sludge) scenarios. The calibration; however, must bracket the range of the samples being analyzed. In addition to the calibration standards, the meter must be verified with a third calibration standard (e.g., pH 7 buffer). In order to meet the above -specified criteria, the standard must read within a range of pH 6.9 to 7.1 to be acceptable. Ref: Technical Assistance for Field Analysis of pH. Comment: Possible corrective actions include: check the meter calibration procedure, refer to the trouble shooting section in the instrument manual, and check the buffers. Even though the buffers were within their expiration dates, the method and vendors point out that the expiration date is for unopened buffers. Once buffers are opened the methods and manufacturers state that buffers degrade and should be replaced in four weeks. 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. Page 3 #5281 Cleveland Schools County Plant Operations IV. PAPER TRAIL INVESTIGATION: 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 for NPDES# NCO066397 was reviewed for June and July, 2011. No transcription errors were detected. The facility appears to be doing a good job of accurately transcribing data. V. CONCLUSIONS: Correcting the above -cited finding 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 Date: November 29, 2011 Report reviewed by: Todd Crawford Date: November 30, 2011