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HomeMy WebLinkAbout#631 2006-f On-Site Inspection Report LABORATORY NAME: Summit Environmental Technologies, Inc. ADDRESS: 595 East Tallmadge Avenue Akron, OH 44310 CERTIFICATE NO: #631 DATE OF INSPECTION: May 8-9, 2006 TYPE OF INSPECTION: Maintenance EVALUATOR: Ms. Tonja Springer LOCAL PERSON CONTACTED: Mr. Ron Gibas I. INTRODUCTION: 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 lab is congratulated for doing a good job of implementing the Certification program. All equipment is well maintained. Records are well kept and the data appeared accurate. A few more quality control measures are needed. New Policies: Pre-programmed curve: REQUIREMENT: Each analyst must have there own daily or annual curve unless a pre- programmed calibration is used. Pre-programmed calibrations must be verified annually with 5 non-zero standards and a blank. A new calibration verification will need to be performed for each new lot of digestion solution and each new lot of stock standard. Each analysis day, thereafter, include at least one reagent blank and CCV (NC Policy defines as mid-range check standard same source as calibration standards), with each digestion batch. In addition, analyze one known standard in addition to calibration standards each day samples are analyzed to document accuracy. Reference: 15A NCAC 2H .0805 (a) (7) (B) and (I); SM 20th Edition 5220D.4c. SECOND SOURCE STANDARDS NCLC REQUIREMENT: Analyze one known standard in addition to calibration standards each day samples are analyzed to document accuracy. This LCS (laboratory control standard) must be from a second source. For held curves for colorimetric methods, it must be analyzed after the initial CCV (continuing calibration verification standard) is analyzed. It is recommended that this laboratory control standard, like the CCV, have a mid-range concentration and not vary by more than ± 10%. If it does, the analysis is out of control. The analysis must be terminated and the problem corrected. Ref: 15A NCAC 2H .0805 (a) (7) (B), (F), and Standard Methods, 18th Edition - Method 1020 B.3. DEFINITION: LABORATORY CONTROL STANDARD (LCS) A standard, certified by an outside agency, used to measure the bias in a procedure. For certain constituents and matrices, use NIST Standard Reference Materials when available. SM 20th Edition Method 1010C 1. DEFINITION: QUALITY CONTROL STANDARD (QCS) Page 2 Summit Environmental Technologies, Inc. Analyze an externally generated quality control sample of known concentration at least quarterly and whenever new calibration stock solutions are prepared. Obtain this sample from a source external to the laboratory or prepare it from a source different from those used to prepare working standards. Use to validate the laboratory’s working standards both qualitatively and quantitatively. SM 20th Edition Method 3020 B 2. c. ACCEPTANCE CRITERIA: Not vary by more than ± 10% for in-house prepared standard. 15A NCAC 2H .0805 (a) (7) (B), (F). Vendors limits for purchased QA samples. In-house calculated limits (control charts) based on internal analyses. SM 20th Edition Method 1020 B 12. a. Balance Weights: Requirement: The NC Laboratory Certification Program has a new policy concerning Certified Analytical Weights. The new policy is as follows: Certified analytical weights, Class S, 1 or 2, must be recalibrated and recertified a minimum of every 5 years. The laboratory can choose to send the 3 primary weights that are check quality to meet this requirement. Thermometers: Requirement: When checking a thermometer or temperature sensor, the thermometer/meter readings must be less than or equal to 1ºC from the NIST thermometer reading. Continuing Calibration Blanks (CCB) and Method Blanks: Requirement: NCLC policy requires that the concentration of the blank must not exceed 50% of the LOQ/MQL/PQL. The lab must obtain a signal in which the constituent concentration in reagent water is 2(1.645)s above the mean of blank analyses (Lower Limit of Detection). The constituent concentration that produces a signal sufficiently greater than the blank, that it can be detected within specified limits, by good laboratories, during routine operating conditions, is the Limit of Quantitation. Typically it is the concentration that produces a signal 10s above the reagent water blank signal. In most cases, this requires an absorbance value greater than 0.005 units, preferably greater than 0.010 units. Ref: Standard Methods, 20th Edition - Method 1010 C. and 1030 C. CCB: As part of calibration verification of the periodic confirmation that instrument response has not changed significantly from the initial calibration. Verify calibration by analyzing a midpoint calibration standard and calibration blank at the beginning and end of a sample run, periodically during a run (normally after each set of ten samples). DEFINITION: METHOD BLANK (MB): A potion of reagent water treated exactly as a sample including exposure to all equipment, glassware, procedures, and reagents. The MB is used to assess whether analytes or interference are present within the analytical process or system. ELECTRODE SLOPE/EFFICIENCY DOCUMENTATION: NCLC policy requires that the slope value or efficiency be documented. Slope of ten fold millivolt change (difference in millivolt readings between one standard and another standard with a concentration ten times greater than the first standard) should be -54 to -60 mv. The millivolt change may vary from the given ranges depending on the concentration of the standards used. Harder to achieve with 0.1 and 1.0 mg/L standards, Should be routine for 1 and 10 mg/L. REQUIREMENT: For the ammonia analysis a slope calibration should be performed in accordance with the manufacturer’s recommendations and the slope must be verified to be in the acceptable range daily. The slope must be recorded daily. This is considered pertinent information. Page 3 Summit Environmental Technologies, Inc. pH meter: NCLC Requirement: There have been some changes made by the Certification Program regarding the temperature sensor and the Automatic Temperature Compensator (ATC). Most of the labs have been following the procedure outlined below (temperature sensor verification) with a NIST thermometer. This procedure, by itself, is no longer considered sufficient to verify the internal temperature compensator is operational in the pH meter. The following should be performed on an annual (12 month) basis: To check the ATC on the pH meter: 1. Take a buffer solution and cool to below 10ºC and read the temperature. Analyze the buffer solution at that temperature. Document the temperature and the measured pH value obtained on the log sheet. 2. Raise the temperature of the buffer solution to approximately 25ºC. Document the temperature and the measured pH value on the log sheet. 3. Raise the temperature of the buffer solution to approximately 35ºC. Document the temperature and the measured pH value on the log sheet. 4. Repeat with additional temperature adjustments and pH solution readings as necessary to ensure the temperature usually measured for samples has been bracketed. As the temperature increases or decreases the value of the buffer solution should remain approximately the same. To calibrate check the temperature sensor: To check the temperature sensor read the temperature of the meter against a NIST thermometer and record the two temperatures. The thermometer readings must be less than 1ºC from the NIST thermometer reading. REQUIRED for certified data. (NCLC Policy). In the documentation include the serial number of the NIST thermometer or traceable thermometer that was used in the comparison. Also document any correction that applies on both the instrument and on a separate sheet to be filed. Requirement: The temperature sensor must be calibrated annually even if it is not being used to report temperature. A. Comment: Upon completion, please send a copy to our office, of the ATC check and temperature sensor check for the pH meter and DO meter. III. DEFICIENCIES, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS,: Benchsheets: 1. Deficiency: On several of the benchsheets there were instances where the data was not legible and in other cases there were several instances where there were overwritten entries. Cited Previously (For example, Phenol, BOD, Ion Chromatography) Requirement: In the event of an error, draw a single line through the error, write the correct result near the error or in the margin, and initial the correction. Records should be legible, identifiable, and retrievable, and protected against damage, deterioration, or loss. All records should be written in indelible ink. 2. Deficiency: On several of the benchsheets reviewed, the data was incomplete. See the following: (a) Oil & Grease 1664- In some instances the blank and the LCS was not calculated out completely. - In some instances the blank weight was not documented. - Evaporation Temperature was not documented on some of the benchsheet, a space is provided on the benchsheet. Page 4 Summit Environmental Technologies, Inc. (b) Ion Chromatography- There is no analyst initials on the benchsheet. (c) TDS/TSS/TS -there is a space provided to document the balance id, oven id, but it is not always completed. B. Comment: There is no documentation to show how calibration curves are made. (Example: Cyanide). All reagents and standards associated with the samples should be documented such as the lot number and vendor of the stock standard used to make the working standard solution, along with the amount used to make the series of dilutions. More documentation is needed in the reagent logbook. Requirement: The preparation of all reagents, pre-made standards should be documented in a preparation log or logs. Traceable identifiers should link solution preparation information to analytical batches in which the solutions are used. Documentation of solution preparation should include the analyst’s initials, date of preparation, the volume or weight of standard used, the solvent and final volume of the solution. This information as well as the vendor, manufacturer, lot number, and expiration date should be retained for primary standards or chemicals and reagents used. Requirement: Supporting records shall be maintained as evidence that these practices are being effectively carried out. Reference: 15A NCAC 2H .0805 (a) (7). Comment: It is strongly recommended that the laboratory list the acceptance ranges and true values for each quality control sample on the benchsheet. This will enable the analyst to compare the analytical result to the acceptable range in a timely fashion. If the sample is out of the acceptable range, it can then be reanalyzed immediately and within all holding times. C. Comment: The laboratory is not always calculating a correlation coefficient for the standard curve for some of the analyses. The laboratory does not demonstrate statistically that the analytical curve is linear. Cited Previously. Requirement: The laboratory must calculate a correlation coefficient for each analytical curve in order to demonstrate linearity. 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. The quality control document shall be available for inspection by the State Laboratory. Reference: 15A NCAC 2H .0805 (a) (7) Comment: The standardization of the titrant is done on a computer. It is recommended that a copy of the computer printout be attached to the front of the logbook and referenced on each benchsheet. 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. The quality control document shall be available for inspection by the State Laboratory. The following are requirements for certification and must be included in each certified laboratory's quality control program. Ref: 15A NCAC 2H .0805 (a) (7). Requirement: All data and supporting documents must be stored for up to five years. Ref: NCAC 15A 2H (a) (7) (G). Comment: Please be advised that documentation requirements of 15A NCAC 2H .0800 regulations are probably not adequate for data that will be used in court. It is our experience that in litigation particular attention is focused on SOP’s, Chain of Custody documentation, and quality control documentation. Many comments and recommendations made by this office are Page 5 Summit Environmental Technologies, Inc. for the expressed purpose of helping laboratories produce more legally defensible data. It is in the laboratory’s best interest to conduct periodic evaluations of documentation procedures to determine what changes will best suit the needs of clients and the laboratory itself. D. Comment: Some of the benchsheets have two options listed for the units of measure (mL or g) but neither is circled. The analyst will need to indicate which units to apply to the samples. Oil & Grease 1664: 3. Deficiency: The laboratory is not verifying the balance with the weights required by the method. Requirement: Calibrate the analytical balance at 2 mg and 1000 mg using class “S” weights. Calibration shall be within + 10% (i.e. + 0.2 mg) at 2 mg and + 0.5 % (i.e. + 5 mg) at 1000 mg. If values are not within these limits, recalibrate the balance. Reference: Method 1664 Revision A, Section 10.1 & 10.2. E. Comment: There was not documentation of the balance verification before and after analysis, for the dates of the data reviewed. It was stated at the exit interview that another balance logbook is used for documenting the Oil & Grease balance checks. Please provide a copy of the balance logbook for the months of April and May 2006, along with a copies of any Oil & Grease 1664 benchsheets with data for these two months. Requirement: Verify calibration of the balance per Section 10 before and after each analytical batch. If calibration is not verified after measurement of the analytical batch, recalibrate the balance and reweigh the batch. Reference: Method 1664 Revision A, Section 9.5 Recommendation: It is recommended that the balance verification of the 2 mg and 1000mg before and after analysis be documented on the benchsheet. 4. Deficiency: Matrix spikes are not analyzed with every batch of 20 samples. Previously cited. Comment: The LCS does not satisfy the method requirement for the spike. The method requires a matrix spike. Requirement: Collect additional one or two aliquots (1L, additional smaller volume, or both) of a sample for each set of twenty samples or less for the matrix spike and, if used, the matrix spike duplicate. Note: For those circumstances requiring the collection of multiple aliquots of one sample, each aliquot is to be collected in either of the following ways: 1) collect simultaneously in parallel, if possible, or 2) collect as grab samples in rapid succession. Reference: Method 1664 Revision A Section 8.2. Requirement: The laboratory must spike a minimum of 5 percent of all samples from a given sampling site or, if for compliance monitoring, from a given discharge/waste stream (matrix spike). The sample aliquot shall be spiked with the hexadecane/stearic acid spiking solution. The spike must fall within the following acceptance criteria: HEM (78-114), SGT-HEM (64-132). Requirement: At any time a laboratory receives samples which do not meet sample collection, holding time, or preservation requirements, the laboratory must notify the sample collector or client and secure another sample if possible. If another sample cannot be secured, the original sample may be analyzed but the results reported must be qualified with the nature of the infraction(s) and the laboratory must notify the State Laboratory about the infraction(s). The Page 6 Summit Environmental Technologies, Inc. notification must include a statement indicating corrective actions taken to prevent the problem for future samples. Reference: 15A NCAC 2H .0805 (a) (7) (N). Requirement: Each analytical batch of 20 or fewer samples must be accompanied by a laboratory blank, an ongoing precision and recovery sample, and a matrix spike, resulting in a minimum of four analyses (1 sample, 1 blank, 1 OPR, and 1 MS) and a maximum of 23 analyses (20 field samples, 1 blank, 1 OPR, and 1 MS) in the batch. If greater than 20 samples are to be extracted in a 12-hour shift, the samples must be separated into analytical batches of 20 or fewer samples. Reference: Method 1664 Revision A, Section 18.2.1 & 18.2.2. 5. Deficiency: The laboratory does not perform multiple weighing on the boiling flasks. Requirement: Repeat the cycle of drying, cooling, desiccating, and weighing until the weight loss is less than 4 % of the previous weight or less than 0.5 mg, whichever is less. Reference: Method 1664 Revision A, Selection 11.4.4. F. Comment: A sample that was extracted on 4/8/06 and was analyzed, appeared to be a solid sample. (10g sample). If solid samples are to be analyzed, they will need to be analyzed by 9071B method. (Please clarify in the response). G. Comment: Solid samples must be analyzed by the method 9071B. On some of the data reviewed the sample 3308-01 appears to be a soil sample. This sample would need to be analyzed by the method 9071B. Please clarify in the response how this sample was filtered if analyzed by 1664. H. Comment: The true value of the LCS appears to be 20 based on the recoveries noted. If the true value is 20mg/L, some of the data reviewed for the LCS would be outside the acceptance criteria for HEM (78-114). The method requires the LCS (OPR) to be 40 mg/L. (Please clarify in the response the true value of the LCS and the corrective action taken when the values fall outside the acceptance criteria). 4. Deficiency: Matrix spikes are not analyzed with every batch of 20 samples. Previously cited. Comment: The LCS does not satisfy the method requirement for the spike. The method requires a matrix spike. Requirement: Collect additional one or two aliquots (1L, additional smaller volume, or both) of a sample for each set of twenty samples or less for the matrix spike and, if used, the matrix spike duplicate. Note: For those circumstances requiring the collection of multiple aliquots of one sample, each aliquot is to be collected in either of the following ways: 1) collect simultaneously in parallel, if possible, or 2) collect as grab samples in rapid succession. Reference: Method 1664 Revision A Section 8.2. Requirement: The laboratory must spike a minimum of 5 percent of all samples from a given sampling site or, if for compliance monitoring, from a given discharge/waste stream (matrix spike). The sample aliquot shall be spiked with the hexadecane/stearic acid spiking solution. The spike must fall within the following acceptance criteria: HEM (78-114), SGT-HEM (64-132). Requirement: At any time a laboratory receives samples which do not meet sample collection, holding time, or preservation requirements, the laboratory must notify the sample collector or client and secure another sample if possible. If another sample cannot be secured, the original sample may be analyzed but the results reported must be qualified with the nature of the infraction(s) and the laboratory must notify the State Laboratory about the infraction(s). The Page 7 Summit Environmental Technologies, Inc. notification must include a statement indicating corrective actions taken to prevent the problem for future samples. Reference: 15A NCAC 2H .0805 (a) (7) (N). Requirement: Each analytical batch of 20 or fewer samples must be accompanied by a laboratory blank, an ongoing precision and recovery sample, and a matrix spike, resulting in a minimum of four analyses (1 sample, 1 blank, 1 OPR, and 1 MS) and a maximum of 23 analyses (20 field samples, 1 blank, 1 OPR, and 1 MS) in the batch. If greater than 20 samples are to be extracted in a 12-hour shift, the samples must be separated into analytical batches of 20 or fewer samples. Reference: Method 1664 Revision A, Section 18.2.1 & 18.2.2. I. Comment: The evaporation temperature on the benchsheet reviewed was typically around 62 ºC. On the checklist the analyst answered yes on the following question: “Is the flask dried 30-45 minutes in a 70 + 2ºC oven, then desiccated at least 30 minutes before weighing?” Please clarify in the response what the evaporation temperature is set on for this procedure. 6. Deficiency: On the data reviewed there were several instances where the collected sample volume was below the method requirement of one liter. In some cases, for example, the sample volume was 610 mls, 670 mls, 710 mls, and 770 mls. If the required volume is not submitted the data must be qualified. Requirement: Collect approximately one liter of representative sample in a glass bottle following conventional sampling practices, except that the bottle must not be pre-rinsed with sample before collecting. To allow for potential QC failures, it is recommended that additional sample aliquots be collected. Reference: Method 1664 Revision A, Section 8.1. Note: Recommendation: It is suggested that the laboratory obtain a QCS from a source different from the source for the hexadecane and stearic acid used routinely in this method (Sections 7.8 and 7.9), and that the QCS be used for verification of the concentrations of HEM and SGT-HEM using the procedure given in the note in Section 7.10.3. The QCS should be analyzed monthly by laboratories performing routine analyses and less frequently by laboratories performing these analyses intermittently. Reference: Method 1664 Revision A, Section 9.7. Phenol/BOD: 7. Deficiency: Duplicates were not always analyzed. Duplicates were not analyzed on the following dates of the data reviewed for Phenols: 2/14/06, 2/15/06, and 2/20/06. Cited Previously for BOD. Requirement: Analyze 5% or more of the samples in duplicate. Analyze duplicates and known additions in matrices representative of the samples analyzed in the laboratory. Reference: Standard Methods 18th Edition; 1020B Section 6. Requirement: Except for Oil & Grease (413.1), settleable solids or where otherwise specified in an analytical method, analyze five percent of all samples in duplicate to document precision. Laboratories analyzing less than 20 samples per month must analyze at least one duplicate each month samples are analyzed. Reference: 15A NCAC 02H .0805 (a) (7) (C). Phenol / Ion Chromatography: 8. Deficiency: Units are needed on the benchsheet. Requirement: All laboratories must use printed laboratory bench worksheets that include a space to enter the signature or initials of the analyst, date of analyses, sample identification, Page 8 Summit Environmental Technologies, Inc. volume of sample analyzed, value from the measurement system, factor and final value to be reported and each item must be recorded each time sample are analyzed. Reference: 15A NCAC 02H .0805 (a) (7) (H). BOD: J Comment: The laboratory does not check the calibration of the DO meter during each sample set with sufficient frequency. The laboratory should verify the DO Meter calibration every 10 readings (to include dilutions), and at the end of the sample set. If the meter drifts more than 0.20 mg/L then recalibrate meter and reanalyze all samples since the last drift check. Requirement: Check one or two points frequently to confirm original calibration. If calibration changes, the new calibration should be parallel to the original, provided that the same membrane material is used. Ref: Standard Methods, 18th Edition - Method 4500-O G 1a. p4- 104. K. Comment: It is strongly recommended that the laboratory analyze a seeded blank. A seeded blank is a bottle of dilution water with the same amount of seed in it as the sample. The seeded blank should be around 0.2 mg/L of the calculated seed control. The seeded blank can let you know if you have the right ratio of seed in the sample to seed in seed controls. It can also let you know when your seed is weak. It can be a very good source for problem solving. L. Comment: Occasionally the dilution water blank is not <0.2 mg/L. Recommendation: It is strongly recommended that at least 2 dilution water blanks are analyzed with each batch. A dilution water blank would be the dilution water without the seeded material. The dilution water blank must be <0.2 mg/L or must be qualified. If more than one is analyzed and one is within the acceptance criteria, the data does not have to be qualified. M. Comment: Occasionally the initial DO values are around 8.0 mg/L. This is still in the acceptance criteria but it is running close to the edge. The supersaturated samples should be vigorous shaken to remove the excess oxygen. Requirement: Samples containing more than 9 mg DO/L at 20°C may be encountered in cold water or in water where photosynthesis occurs. To prevent loss of oxygen during incubation of such samples, reduce DO to saturation at 20°C by bringing samples to about 20°C in partially filled bottle while agitating by vigorous shaking or by aerating with clean, filtered compressed air. Reference: 18th Edition Standard Methods 5210B (4) (e) (4) pg 5-5. Recommendation: It is recommended that additional columns be added and other columns shifted around to document the following in this order: the amount of oxygen used (prior to the seed correction), corrected BOD after the seed correction column, column for the dilution factor and reported BOD column. This will allow anyone reading the data to follow the process a lot easier. (Note: There is a column for the dilution factor but it is not being used to document the dilution factor). N. Comment: A GGA standard is not always analyzed with each batch. Requirement: Check dilution water quality, seed effectiveness, and analytical technique by making BOD measurements on pure organic compounds and samples with known additions. If control limits are outside the range of 198 ± 30.5, reevaluate the control limits and investigate source of the problem. If measured BOD for a glucose-glutamic acid check is outside the accepted control limit range, corrective action must be taken and the data qualified. If one is within the acceptance limits Page 9 Summit Environmental Technologies, Inc. the data does not need to be qualified. Reference: 18th Edition Standard Methods 5210B (4) (c) pg 5-3. Recommendation: If is recommended that at least 2 GGA are analyzed with each batch. Only average the GGA standards that are within the acceptance criteria of + 198 mg/l. O. Comment: Sometimes seed dilutions that do not deplete at least 2.0 mg/L are used in the average to calculate the seed control. Requirement: Only data that meets the 2 mg/L used 1 mg/L left criteria can be averaged to obtain a final BOD result. Data that does not meet the method criteria must not be averaged with acceptable data to obtain a final result. Ref: Standard Methods, 18 Edition - Method 5210 B pg. 5-3. Requirement: The seed dilution used in calculating the seed control must met the “2” to “1” rule of use 2 .0 mg/L, leave 1 mg/L, and must be between 0.6 mg/L -1.0 mg/L. P. Comment: The calculated average seed control is not always used as the value to subtract from the samples. Sometimes the lowest value calculated is used. Requirement: All seed controls that meet the criteria would be average the same criteria as the samples. Requirement: Determine BOD of the seeding material as for any other sample. Ideally, make dilution of seed such that the largest quantity results in at least 50% DO depletion. Reference: Standard Methods 18th Edition- Method 5210B (4) (d) (2). Q. Comment: Sometimes the pH values were outside the range of 6.5-7.5 and no adjustment was made. For example one sample the pH was 1.22 and there was not documentation of an adjustment to the pH of the sample. Requirement: Neutralize samples to pH 6.5 to 7.5 with a solution of sulfuric acid or sodium hydroxide of such strength that the quantity of reagent does not dilute the sample by more than 0.5%. Reference: Standard Methods 18th Edition 5210B (3) (e) (1). Comment: The DO meter is set to read %, it is recommended that it be adjusted to read in mg/L. Recommendation: When anomalies occur that require additional information, we suggest that you contact Gary Francies at the Asheville Regional Office for assistance. He can be reached at 828-296-4677 (gary.francies@ncmail.net). COD: 9. Deficiency: Blanks were not always analyzed with each batch. Requirement: If the reagent blank is used to zero the instrument, the same reagent blank must be read back as the CCB after the mid-range standard, after every ten samples and at the end of the run. Recommendation: It is recommended that a copy of the calibration curve be included at the front of the logbook, if it is in another logbook. Page 10 Summit Environmental Technologies, Inc. R. Comment: The check sample at the end of analysis does not always have the % recovery documented. Recommendation: It is recommended that the % recovery, true value and acceptance criteria for all the QC standards be documented on the benchsheet. This will allow anyone observing the data, to see if it is within the acceptance criteria. S. Comment: On the data reviewed, the low check standard was outside the acceptance criteria of + 10% but it was not reanalyzed. Requirement: Corrective action would require that the batch be reanalyze or the data be qualified. Cyanide: 10. Deficiency: The preparation of the working standard cyanide solution, Chloramine T and the color reagent was not documented in a logbook. The last documentation of the Chloramine T was on 4/4/06. Requirement: The laboratory needs to increase the documentation of reagents used, made, and standard preparation. The preparation of all reagents, standards and media should be documented in a preparation log or logs. Traceable identifiers should link solution preparation information to analytical batches in which the solutions are used. Documentation of solution preparation should include the analyst’s initials, date of preparation, the volume or weight of standard used, the solvent and final volume of the solution. This information as well as the vendor, manufacturer, lot number, and expiration date should be retained for primary standards or chemicals and reagents used. Requirement: Supporting records shall be maintained as evidence that these practices are being effectively carried out. All analytical records must be available for a period of five years. Ref: 15A NCAC 2H .0805 (a) (7) and (a) (7) (G). Requirement: Reagents must be dated and initialed when prepared. Reference: 15A NCAC 2H .0805 (a) (7) (L). Requirement: Dissolve 1.0g of white, water soluble Chloramine T in 100 ml of distilled water and refrigerate until ready to use. Prepare fresh daily. Reference: EPA Method 335.2 Section 7.12. Pyridine-Barbituric Acid Reagent: This reagent is stable for approximately six months if stored in cool, dark place. Reference: EPA Method 335.2 Section 7.13.1. pH: 11. Deficiency: The analyst did not meet the 15 minute holding time for pH and it was not qualified on the client report. This was a NC project # 0509457. It was received on 10/12/06 and analyzed on 10/17/06. Requirement: The analyst must meet the 15-minute holding time for all parameters listed for “immediate” analysis in the Federal Register. Ref: Federal Register, October 26, 1984; 40 CFR 136; Table II. Required Containers, Preservation Techniques, and Holding Times. Requirement: At any time a laboratory receives samples which do not meet sample collection, holding time, or preservation requirements, the laboratory must notify the sample collector or client and secure another sample if possible. If another sample cannot be secured, the original Page 11 Summit Environmental Technologies, Inc. sample may be analyzed but the results reported must be qualified with the nature of the infraction(s) and the laboratory must notify the State Laboratory about the infraction(s). The notification must include a statement indicating corrective actions taken to prevent the problem for future samples. Reference: 15A NCAC 2H .0805 (a) (7) (N). Recommendation: It is recommended that the collection time and collection date be documented on the benchsheet to act as a visual reminder of the holding time. T. Comment: Sometimes samples are above a pH of 10. The samples should be bracketed with the pH buffers. Another buffer higher than a pH10 will need to be check whenever there is higher pH sample. Requirement: For analytical procedures requiring analysis of a series of standards, the concentrations of these standards must bracket the concentration of the samples analyzed. Reference: 15A NCAC 2H .0805 (a) (7) (I). U. Comment: It was noted during the inspection that sometimes pH paper is used to verify the pH of samples that are higher than a pH 10. Please clarify in the response this procedure. The method requires that a pH meter be used to analyze the samples. Comment: On the checklist the acceptance criteria for the third pH buffer check was noted as being 0.5 pH units. The method states the acceptance criteria for the third pH buffer as + 0.1 pH units. Requirement: For routine work use a pH meter accurate and reproducible to 0.1 pH unit with a range of 0 to 14 and equipped with a temperature compensation adjustment. Ref: Standard Methods, 18th Edition - Method 4500 - H+ B (2) and (4) (a) and Ref: 15A NCAC 2H .0805 (a) (7). Chain of Custody: 12. Deficiency: At the time of receipt the temperature for the NC project #0509457 was 12ºC but there was not indication that the client had been contacted that the sample was outside the required temperature. Requirement: A record of date collected, time collected, sample collector, and use of proper preservatives must be maintained for all samples. Reference: 15A NCAC 2H .0805 (a) (7) (M). The acceptable temperature range of samples during transport is 4 ±2°C, and during storage and for stored sample extracts, is 1.0 - 4.4°C. Ref: Federal Register, July 1, 1995; 40 CFR 136; Table II. Required Containers, Preservation Techniques, and Holding Times. EPA letters of January and February 1995. Requirement: At any time a laboratory receives samples which do not meet sample collection, holding time, or preservation requirements, the laboratory must notify the sample collector or client and secure another sample if possible. If another sample cannot be secured, the original sample may be analyzed but the results reported must be qualified with the nature of the infraction(s) and the laboratory must notify the State Laboratory about the infraction(s). The notification must include a statement indicating corrective actions taken to prevent the problem for future samples. Reference: 15A NCAC 2H .0805 (a) (7) (N). Page 12 Summit Environmental Technologies, Inc. 504.1: V. Comment: It was noted on the checklist that Field Reagent Blanks are only analyzed if submitted. This is a method requirement. If the field reagent blank is not submitted the data must be qualified. (Please clarify this response in the reply). Requirement: The minimum requirements of this program consist of an initial demonstration of capability and an ongoing analysis of field reagent blanks (FRB), laboratory reagent blanks (LRB), laboratory fortified blanks (LFB), laboratory fortified sample matrix (LFM), and quality control samples (QCS) to evaluate and document data quality. Reference: 504.1 Section 9.1. Each day, the analyst must analyze a laboratory reagent blank and a field blank, if applicable, to demonstrate that interferences from the analytical system are under control before any samples are analyzed. Reference: 504.1 Section 9.1.3. W. Comment: It was noted on the checklist that the requirement of samples being analyzed within 24 hours of extraction is for North Carolina samples and is not required by the method. This is not only a NC but a method requirement. (Please clarify this response in the reply). Requirement: Because 1,2,3-trichloropropane has been added to the analyte list in this method and has been found to have a 14-day maximum holding time in studies conducted by Method 524.24, all samples must be extracted within 14 days of collection. Samples not analyzed within this period must be discarded and replaced. Because of the potential for solvent evaporation, it is preferred that extracts be analyzed immediately following preparation. When necessary, extracts may be stored in tightly capped vials (Section 6.2) at 4º C or less for up to 24 hours. Reference 504.1 Section 8.3.2. 1631: X. Comment: It was noted on the checklist that the field blanks are analyzed if submitted by the client. As a reminder, field blanks are a method requirement. A memo was submitted to all certified labs from our office, on July 5, 2005 concerning field blanks. As stated in the memo, the determination of the NC Certification Program is that the certified laboratories are not to accept and/or analyze any samples for this analysis without the accompanying field blanks. (A copy of this memo is enclosed). (Please clarify in the response the laboratory’s policy). 6020: Y. Comment: It was noted on the checklist that the Instrument Detection Limits (IDL) is not determined every 3 months as required by the method but is performed annually. Requirement: Instrument Detection Limits (IDL) must be determined at least every 3 months and kept with the Instrument’s log book. Reference: Method 6020 Section 8.2. Z. Comment: It was noted on the checklist that samples that are more concentrated than the highest standard analyzed in the curve are not diluted and reanalyzed. Instead, the linear range is used for these samples. Requirement: For analytical procedures requiring analysis of a series of standards, the concentrations of these standards must bracket the concentration of the samples analyzed. One of the standards must have a concentration equal to the laboratory’s lower reporting concentration for the parameter involved. Reference: 15A NCAC 02H .0805 (a) (7) (I). Page 13 Summit Environmental Technologies, Inc. General Requirements Our regulation requires that a standard curve consisting of a blank and five standards must be analyzed. For colorimetric analyses this curve must be checked each time samples are analyzed with a blank and a medium level standard. In lieu of a standard curve, a three point (low, medium and high standard) may be analyzed with each group of samples. For metals analyses the standard curve must be analyzed each time samples are analyzed along with a medium level quality control standard. The standards for the standard curve should bracket the range of samples being analyzed, i.e. if you choose to have a lower detection or reporting limit of 5 µg/l for a particular metal parameter , you must analyze a 5 µg/l standard for that metal parameter and report lower samples as <5 µg/l. If you choose 1000 µg/l for the top of your standard curve, you must analyze a 1000 µg/l standard and all samples above this limit must be diluted and reanalyzed to fall within the curve. 6010B: AA. Comment: On the data reviewed the reporting limit was not demonstrated in the run. The data reviewed was not a NC sample. This is a requirement for NC samples. Requirement: For analytical Procedures requiring analysis of a series of standards, the concentrations of these standards must bracket the concentration of the samples analyzed. One of the standards must have a concentration equal to the laboratory's lower reporting concentration for the parameter involved. Ref 15A NCAC 2H .0805 (a) (7) (I) See General Requirements above. BB. Comment: On the data reviewed the pH of preserved metals samples was not documented to be pH <2 either at receiving or at the bench. Requirement: The pH of preserved metals samples must be documented to be less than 2. Ref: Federal Register; Vol. 49, p. 43234 (October 26, 1984) Table II. Requirement: The laboratory must document that the pH of all samples has been properly adjusted. A record of date collected, time collected, sample collector and use of proper preservatives must be maintained. Ref: 15A NCAC 2H .0805 (a) (7) (M). TCLP: CC. Comment: On the checklist it was stated that there is no corrective action if matrix spike results fall outside established control limits or indicate an analytical problem. Please clarify this response in the report reply. Requirement: Method states the purpose of the matrix spike is to monitor the performance of the analytical method used, and to determine whether matrix interferences exit. Use of other internal calibration methods, modification of the analytical methods, or use of alternate analytical methods may be needed to accurately measure the analyte concentration in the TCLP extract when the recovery of the matrix spike is below the expected analytical method performance. Reference: SW846 Method 1311 Section 8.2.3. Residue: DD. Comment: On the data reviewed there were some days when there was no documentation that the balance had been verified on that day. Page 14 Summit Environmental Technologies, Inc. Requirement: The analytical balance must be checked with one class S, or equivalent, standard weight each day used and at least three standard weights quarterly. The values obtained must be recorded in a log and initialed by the analyst. Reference: 15A NCAC 02H .0805 (a) (7) (K). Organics: 12. Deficiency: There is no documentation to show that a check for residual chlorine is being done. Requirement: Samples containing chlorine must be dechlorinated at the time of sample collection and treated according to the requirements of the analysis to be performed. For any sample that requires the removal of residual chlorine, (Ammonia, TKN, TPH-Gasoline, and Diesel, Cyanide, Purgeables, Pesticides, PCB’s and PAH’s) the laboratory must check to ensure that the chlorine has been removed. The residual chlorine check must be performed to verify that the residual chlorine level is below 0.5 mg/L. Commercially available starch iodide paper can be used to perform this determination. Reference: Federal Register, July 1, 1995; 40 CFR 136 for most methods and EPA SW-846; Chapter 4 table4-1 page four-7.Test methods for Evaluating Solid Waste. Requirement: At any time a laboratory receives samples which do not meet sample collection, holding time, or preservation requirements, the laboratory must notify the sample collector or client and secure another sample if possible. If another sample cannot be secured, the original sample may be analyzed, but the results reported must be qualified with the nature of the infraction(s) and the laboratory must notify the State Laboratory about the infraction in writing. The notification must include a statement indicating corrective actions taken to prevent the problem for future samples. Reference: 15A NCAC 2H .0805 (a) (7) (N). Requirement: The laboratory must document that all residual chlorine has been removed and that the pH of all samples has been properly adjusted. A record of date collected, time collected, sample collector and use of proper preservatives must be maintained. Ref: 15A NCAC 2H .0805 (a) (7) (M). IV. PAPER TRAIL INVESTIGATION: A paper trail was conducted at this facility. This consisted of comparing laboratory bench data with client reports. There were no transcription errors detected. V. CONCLUSIONS: We are concerned with the deficiencies that were cited previously and not corrected. Failure to correct the deficiencies cited in this report will lead to enforcement action. Ref: 15A NCAC 2H .0807 (a) (1) and (14) Laboratory Decertification: A laboratory may be decertified for any or all parameters for up to one year for any or all of the following infractions: (1) Failing to maintain the facilities, or records, or personnel, or equipment, or quality control program as set forth in the application, and these Rules; or (14) Failing to comply with any other terms, conditions, or requirements of this Section or of a Laboratory certification. Page 15 Summit Environmental Technologies, Inc. Correcting the above cited deficiencies and comments and implementing the recommendations will help this lab to produce quality data and meet certification requirements. Please respond to all numbered deficiencies and lettered comments. Report prepared by: Tonja Springer Date: June 21, 2006 NORTH CAROLINA DENR/DWQ WASTEWATER/GROUNDWATER LABORATORY CERTIFICATION MEMORANDUM DATE: July 5, 2005 TO: All labs certified for EPA Method 1631 FROM: James W. Meyer SUBJECT: Field Blanks It has come to our attention that samples for this analysis are being submitted without the accompanying required field blanks. The Method clearly states in Section 9.4.5 that “Field blanks are used to demonstrate that samples have not been contaminated by the sample collection and transport activities.” 9.4.5.1 states “Analyze field blanks shipped with each set of samples (samples collected from the same site at the same time, to a maximum of 10 samples). Analyze the blank immediately before analyzing the samples in the batch.” The determination of this office is that the certified laboratories are not to accept and/or analyze any samples for this analysis without the accompanying field blanks. The samples are to be Page 16 Summit Environmental Technologies, Inc. rejected by the laboratory and the client requested to resample and resubmit the samples with proper field blanks.