DOCKET NO: A - 98 - 49 ; II - A1 - 116 EPA Air eDocket # EPA - HQ - OAR - 2001 - 0012 - 0445

EPA AUDIT OF THE LOS ALAMOS NATIONAL LABORATORY - CARLSBAD

OFFICE QUALITY ASSURANCE PROGRAM

JUNE 10 –

JULY 8, 2014 JU LY 2 2 – 2 4 , 201 4

U. S. ENVIRONMENTAL PROTE CTION AGENCY OFFICE OF RADIATION AND INDOOR AIR CENTER FOR WASTE MANAGEMENT AND REGUALTIONS

WASHINGTON, DC 20460

DECEM BER 201 4ii TABLE OF CONTENTS Section Page Acronyms ................................ ................................ ................................ ................................ ....... iii 1.0 Executive Summary ................................ ................................ ................................ ............. 4 2.0 Background ................................ ................................ ................................ .......................... 5 2.1 Regulatory Background ................................ ................................ ........................... 5 2.2 Organizational Background ................................ ................................ ..................... 5 3.0 Purpose and Scope ................................ ................................ ................................ ............... 5 4.0 Defin itions ................................ ................................ ................................ ............................ 6 5.0 EPA Audit Logistics ................................ ................................ ................................ ............ 6 5.1 Audit Schedule ................................ ................................ ................................ ......... 6 5.2 Team Members ................................ ................................ ................................ ........ 6 6.0 Performance of the Audit ................................ ................................ ................................ ..... 8 7.0 Findings and Concerns ................................ ................................ ................................ ......... 9 8.0 Conclusions ................................ ................................ ................................ ........................ 10 9.0 References ................................ ................................ ................................ .......................... 11 TABLES Table 1 . EPA Quality Assurance Audit Team Members

– Track B ................................ ............... 6 Table 2. Personnel Participating in Audit Meetings ................................ ................................ ....... 8 ATTACHMENTS Attachment A: Concern No. LANL - CO - QA - 2014 - 01Ciii ACRONYMS AC administrative change ACRSP Actinide Chemistry and Repository Science Program ASME American Society of Mechanical Engineers CAQ condition adverse to quality CBFO Carlsbad Field Office CEMRC Carlsbad Environmental Monitoring and Research Center CFR Code of Federal Regula tions CTAC Carlsbad Field Office Technical Assistance Contractor DOE U.S. Department of Energy EPA U.S. Environmental Protection Agency EPA/ DC Environmental Protection Agency Docket Center FR finding report IC ion chromatography ICP - MS i nductively coupled plasma mass spectrometry LANL - CO Los Alamos National Laboratory - Carlsbad Office LSC liquid scintillation counter NIST National Institute of Standards and Technology NQA nuclear quality assurance NWP Nuclear Waste Partnership, LLC Pu plutonium QA quality as surance QAPD Quality Assurance Program Document QL - 1 Quality Level One RSS Record Submittal System RTS Record Tracking System S/N serial number SNL - CO Sandia National Laboratory - Carlsbad Office TRU transuranic WIPP Waste Isolation Pilot Plant WJC West Will iam Jefferson Clinton West4

1.0 EXECUTIVE SUMMARY This report presents results of the U.S. Environmental Protection Agency ( EPA ) audit of the Los Alamos National Laboratory - Carlsbad Office ( LANL - CO ) , Waste Isolation Pilot Plant ( WIPP) quality assurance (QA) program . EPA conducted this audit remotely from June 10

– July 8, 2014, and onsite at LANL - CO from July 2 2

– 24, 2014 . The purpose of the audit was to verify implementation of LANL - CO ’s QA program relative to the requirements of Am erican Society of Mechanical Engineers (ASME) N uclear Quality Assurance (NQA) Standard NQA - 1 - 1989, 1 “Quality Assurance Program Requ irements for Nuclear Facilities . ” LANL - CO, a Department of Energy (DOE) facility, is responsible for providing WIPP transuran ic ( TRU ) waste inventory estimates and laboratory research and program support on actinide - related issues to the DOE Carlsbad Field Office (CBFO) to maintain EPA ’s certification of the WIPP . During this audit, t he EPA audit team reviewed documents and reco rds provided by LANL - CO and interviewed LANL - CO personnel in Carlsbad, New Mexico. EPA QA auditors evaluated the LANL - CO WIPP QA program against the NQA - 1 - 1989 elements listed below to ensure compliance with EPA regulations at Title 40 of the Code of Feder al Regulations (40 CFR) 194.22:  Element 1, “ Organization .”  Element 2, “ Quality Assurance Program .”  Element 4, “ Procurement Document Control .”  Element 5, “ Instruction, Procedures and Drawings .”  Element 6, “ Document Control .”  Element 7, “ Control of Purc hased Items and Services .”  Element 9, “Control of Processes.”  Element 12, “Control of Measuring and Test Equipment.”  Element 16, “ Corrective Action .”  Element 17, “ QA Records .” Based on this audit, the EPA audit team determined that the LANL - CO WIPP QA p rog ram compl ies with the se NQA - 1 - 1989 e lement s and continue s to have sufficient independence, authority and resources to verify the quality of items and activities that are important to long - term isolation of TRU waste. EPA identif

ied one concern not requiri ng a response in LANL - CO ’ s QA p rogram relative to the requirements of ASME NQA - 1 - 1989 . NQA - 1 - 1989, Element 16, states that "conditions adverse to quality [(CAQ)] shall be identified promptly and corrected as soon as practical." EPA found that LANL - CO is co rrecting CAQs in a timely manner ; h owever, LANL - CO procedure LCO QP16 - 1, Revision 4 - AC1, does not include the NQA - 1 requirements that CAQs be identified promptly and corrected as soon as practical. EPA requests that LANL - CO review the language in the appli cable section of LCO - QP16 - 1 and make whatever changes they deem appropriate.

1 40 CFR 194.22(a)(1) states that DOE’s QA program shall comply with the requirements of the 1989 version of the ASME NQA - 1 standard.5

This report documents these audit activities. This information will be provided through EPA’s Electronic Docket (via regulations.gov) at EPA - HQ - OAR - 2001 - 0012 and the official Air Docket, in accordance with 40 CFR 194.22 (a)(1). EPA’s Air Docket A - 98 - 49 is located at the Air and Radiation Docket in the EPA Docket Center (EPA/DC), WJC West, Room 3334, 1301 Constitution Avenue, NW, Washington, DC, 20004. 2.0 BACKGROUND 2.1 Regulatory Background In accordance with 40 CFR 194.22(a)(1), EPA requires DOE to implement a QA plan that establishes the following NQA standards developed by ASME: 1. ASME NQA - 1 - 1989 . 2. ASME NQA - 2a - 1990 Addend a, Part 2.7, to ASME NQA - 2 - 1989 . 3. ASME NQA - 3 - 1989 (excluding s ection 2.1(b) and (c) and s ection 17.1). The regulation at 40 CFR 194.22(a)(2) requires DOE to implement its QA plan for all items and activities that are important to the long - term isolation of TRU waste within the WIPP. The regulation at 40 CFR 194.22(e) provides EPA with the authority to conduct audits to verify the proper establishment and implementation of QA programs for the WIPP. 2.2 Organizational Background CBFO is responsible for manageme nt of the WIPP. This responsibility includes oversight of the characterization of TRU waste bound for the WIPP and emplacement of the waste at the disposal site near Carlsbad, New Mexico. As stated in the CBFO Quality Assurance Program Document ( QAPD ) , “T he mission of the CBFO is to protect human health and the environment by operating the WIPP for safe disposal of TRU waste and by establishing an effective system for management of TRU waste from generation to disposal.” LANL - CO provides three categories o f quality - affecting work for the DOE CBFO in support of the WIPP : 1 ) LANL - CO conducts research, testing and experimentation (predominately in the field of actinide chemistry) in support of the CBFO WIPP Repository Investigations Program; 2 ) LANL - CO provide s the WIPP program with the technical expertise to solve challenging waste issues in the packaging, certification, transportation, or emplacement of defense TRU Waste ; and 3) LANL - CO manages the WIPP TRU waste inventory for WIPP recertification and provide s TRU waste management and strategic planning using a complex - wide container - specific inventory . LANL - CO performs all activities supporting the WIPP under the CBFO QAPD. 3.0 PURPOSE AND SCOPE The purpose of this EPA audit was t o verify that the LANL - CO WIPP QA program properly implements all applicable elements of ASME NQA - 1 - 1989. The scope of this EPA audit was limited to QA oversight of activities that are important to the long - term isolation of TRU waste6

as represented by doc umentation provided by LANL - CO . 4.0 DEFINITIONS Finding: A determination that a requirement of the NQA standards has not been properly

established or implemented. A finding requires a response. Concern: A judgment that a finding may occur in the future and , depending on the magnitude

of the issue, ma y or may not require a response . Quality : The reliability of a specific item or activity that is important to the long - term

isolation of TRU waste in the WIPP. “ Quality a chievement ” i s the responsibility of operational groups that directly produce such an item or perform such an activity. “ Quality a ssurance/ v erification ” is the responsibility of QA groups that do not produce such an item or perform such an activity. 5.0 EPA AUDIT LOGISTICS 5.1 Audit Schedule On July 22

– 24, 2014, EPA conducted QA audits of four DOE programs working on the WIPP project in Carlsbad, N ew M exico . For purposes of efficiency, EPA conducted the audits in two parallel tracks with one Lead QA Auditor responsible for each track. Track A included limited scope audits of the CBFO QA program (see Docket No. A - 98 - 49; II - A1 - 117 ; EPA - HQ - OAR 2001 - 0012 - 0446 ) and the Nuclear Waste Partnership (NWP) QA program ( see Docket No. A - 98 - 49; II - A1 - 118 ; EPA - HQ - OAR - 2001 - 0012 - 0447 ). Track B c ompleted audits of the Sandia National Laboratory - Carlsbad Office (SNL - CO) QA program (see Docket No. A - 98 - 49; II - A1 - 115 ; EPA - HQ - OAR - 2001 - 0012 - 0444 ) and the Los Alamos National Laboratory - Carlsbad Office (LANL - CO) QA program (this report) . EPA had begun re mote audits of the SNL - CO QA program in May 2014 and the LANL - CO QA program in June 2014. The other members of the EPA audit team participated in all four audits. This report addresses only the results of EPA’s audit of the LANL - CO QA program; the docket n umbers cited above provide results of the other three EPA QA audits. 5.2 Team Members The Track B audit team consisted of one EPA employee and three support contractors. Table 1 lists all members of the EPA audit team, alo ng with each person’s affiliation and function during this audit. Table 1 . EPA Quality Assurance Audit Team Members – Track B Audit Team Member Audit Responsibility Affiliation Lindsey Bender EPA QA Audit Team Leader EPA Patrick Kelly Lead QA Auditor SC&A , Inc. Kira Darlow QA Auditor SC&A, Inc. Karl Lindblad QA Auditor - i n - Training SC&A, Inc.7

Prior to this audit, Lindsey Bender (EPA) evaluated the qualifications of the SC&A a uditors listed in Table 1. Ms. Bender found that the S C&A auditors were qualified based on their :  W orking knowledge and understanding of the NQA standards .  Training .  On - the -

job training . In addition, Ms. Bender evaluated the qualifications of M r . Kelly to be a Lead Auditor in oversight of DOE QA audits specif ic to NQA - 1 - 1989 and found that he is qualified in this capacity based on h is :  Communication skills .  Technical qualifications .  Specific understanding of NQA - 1 . M r . Lindblad was an a uditor - i n - t raining during this audit ; his qualif ications as a QA auditor will be addressed in a subsequent EPA QA audit report. EPA held one Entrance Meeting and one Exit Meeting that included personnel f r o m all four audited organizations, identified in Table 2. Some of these personnel may have been in terviewed during one of the other three audits; however, only the personnel interviewed as part of this LANL - CO QA audit are identified in Table 2.8 Table 2 . Personnel Participating in Audit Meetings

6.0 PERFORMANCE OF THE A UDIT The EPA audit team reviewed documents and record s provided by LANL - CO and interviewed LANL - CO personnel to evaluate implementation of the requirements in ASME NQA - 1 - 1989 . LANL - CO stated, and EPA concurred, that the following NQA - 1 - 1989 elements are not applicable to work currently performed by LANL - CO:  Element 3, “ Design Control. ”  Element 8, “Ident ification and Control of Items.”  Element 10, “ Inspection. ”  Element 11, “ Test Control. ”  Element 13, “ Handling, Storage and Shipping. ”  Element 14, “ Inspection, Test and Operating Status. ”  Element 15, “ Control of Nonconforming Items. ” Name Affiliation and Title/Positi on Entrance Meeting Interview Exit Meeting April Heiser LANL - CO, Records Manager  Berry Pace CTAC , QA Programs Manager  Bill Allen NWP, QA  Cindi Castillo CTAC, QA Auditor/Observer   Cliff Stroud LANL - CO, Deputy Group Leader  Dana C . Bryson CBFO, Deputy Manager  Danielle Cleveland LANL - CO  Dave Guerin LANL - CO, TRU Waste Inventory/QA  Dennis Miehls CBFO, Senior QA Specialist   Fran Ito NWP  Gene Safley SNL - CO, QA Lead  Grace Duran SNL - CO, Records Lead  Jean Francois Lucchini LANL - CO  Jim McVay NWP  Laurie Smith LANL - CO, QA Manager    Martin Navarrete CBFO , S enior QA Specialist   Michael R. Brown CBFO, QA Director   Ned Z. Elkins LANL - CO, Program Director  Paul Shoemaker SNL - CO, Senior Manager  Porf Martinez CTAC, Regulatory Assurance Manager  Priscilla Y. Martinez CTAC, QA Auditor/Observer   Regina Sides CBFO, QAD  Shelly R. Nielsen SNL - CO, QA   Steve Davis SNL - CO, QA Assessment Task Lead   Steve Kouba RES, Mana ger EPA Compliance Program  Tammy Reynolds NWP , Deputy Recovery Manager  Val Cannon NWP , QA  9

 Element 18, “ Audits .” The NQA - 1 - 1989 elements listed below are applicable to work currently performed by LANL CO and were therefore evaluated during this audit.  Element 1, “ Organization .”  Element 2, “ Quality Assurance Program .”  Element 4, “ Procurement Document Control .”  Ele ment 5, “ Instruction, Procedures and Drawings .”  Element 6, “ Document Control .”  Element 7, “ Control of Purchased Items and Services .”  Element 9, “Control of Processes.”  Element 12, “Control of Measuring and Test Equipment.”  Element 16, “ Corrective Action . ”  Element 17, “ QA Records .” The EPA audit team reviewed documents and records provided by LANL - CO and interviewed LANL - CO personnel to evaluate implementation of the requirements in ASME NQA - 1 - 1989 for the se elements, using NQA - 1 - 1989 checklists. The check lists will be available on line through the EPA’s Electronic Docket (via regulations.gov) or in hard copy via the Reading Room/Information Center in the Agency’s Air and Radiation docket as described in section 1.0 above . In addition to the 10 elements lis ted above as evaluated during EPA’s audit, EPA also reviewed LANL - CO procedure LCO - QP18 - 1, Audits, Revision 3. However, LANL - CO is not currently performing any audits; therefore, the EPA audit team did not complete a checklist for Element 18. The EPA audit team toured the LANL - CO laboratory facilities, which are located at the Carlsbad Environmental Monitoring and Research Center at the New Mexico State University Carlsbad campus, and conducted a limited review of la boratory practices and records . EPA limit ed the laboratory evaluation to t he extent necessary to complete the applicable NQA - 1 - 1989 checklists. EPA did not evaluate the technical adequacy of the laboratory or the usability of the data produced by the laboratory. As a result of these audit activit ies, EPA determined that the LANL - CO WIPP QA program compl ies with the se NQA - 1 - 1989 elements and has sufficient independence, authority and resources to verify the quality of items and activities that are important to long - term isolation of TRU waste. 7.0 FIND INGS AND CONCERNS The EPA audit team did not identify any findings relative to the NQA - 1 - 1989 elements discussed above. The EPA audit team identified one concern not requiring a response related to NQA - 1 - 1989, Element 16 . Concern No. LANL - CO - QA - 2014 - 01C regards LANL - CO procedure LCO - QP16 - 1, Revision 4 - AC1, “Conditions Adverse to Quality.” NQA - 1 - 1989, Element 16, states that "[CAQs] shall be10

identified promptly and corrected as soon as practical." Procedure LCO - QP16 - 1, Revision 4 - AC1, does not include the NQA - 1 requirements that CAQs be identified promptly and corrected as soon as practical. Through interviews with LANL - CO personnel and review of corrective action closure dates, EPA found that even though its procedure does not explicitly require timeliness , LANL - CO is correcting CAQs in a timely manner. EPA is not concerned about the current implementation of the process to address CAQs at LANL; however, EPA requests that LANL - CO review the language in the applicable section of LCO - QP16 - 1 and make the cha nges they deem appropriate. There are no open issues as a result of this audit. 8.0 CONCLUSIONS The EPA audit team reviewed records documentation and interviewed personnel to determine the compliance of the LANL - CO WIPP QA p rogram with ASME NQA - 1 - 1989 . Based o n the sample of records reviewed and interviews conducted during this audit, EPA determine s that LANL - CO complies with the standard.11

9.0 REFERENCES 2013 Peer Inspector Training Attendance Record, TRN - 1302 - 01 - 01 - 01, January 28, 2013 ACP - EXP - 003, Balance Performance Check, Revision 3, January 7, 2011 ACP - EXP - 005, Thermometer Calibration and Performance Check, Revision 4, September 18, 2013 ACP - EXP - 006, Ultra - Violet, Visible and Near Infra - Red Spectrophotometer Calibration and Performance Check, Rev ision 4, September 18, 2013 ACP - EXP - 011, Inductively Coupled Plasma - Mass Spectrometry, Revision 3 - ACI, September 19, 2013 ACP - IMP - 003, Test Plans and Task Implementation Plans, Revision 5, September 18, 2013 ACP - IMP - 004, Measuring and Test Equipment, Revis ion 5, September 18, 2013 ACRSP ICP - MS Model 7500, S/N: JP51201393 (also showing S/N: 211306), labeled: “Calibrate Prior to Use”, observed July 24, 2014, in CEMRC Laboratory, Room 151 ACRSP Scientific Notebook No. ICP - MS 4, ACP - 1312 - 05 - 09 - 01 , May 21, 2013 Beckman Multi - Purpose Liquid Scintillation Counter, System ID No. 477965, labeled: “Performance Check - Prior to Use, 1/5/12”, observed July 24, 2014, in CEMRC Laboratory, Room 151 Calibration Certificates for PC - 0491122 , ACP - 1405 - 02 - 04 - 08, April 8, 2014 Cal ibration Standard - Modified (ICP - MSCS - M) for ICP - MS, High Purity Standards Lot No. 1328419, ACP - 1406 - 01 - 12 - 97 , April 15, 2014 Certificate of Analysis for PC - 0429249, ACP - 1210 - 02 - 04 - 02, February 29, 2012 Certificate of Analysis for PC - 0450072, ACP - 1305 - 01 - 04 - 03, October 11, 2012 Demonstration of document review request, demonstrated July 23, 2014 Email from A. Heiser to N. Elkins, et. al., re: Finding Report FR - 13 - 02 Regarding ACRSP data, with Attachment CAQ - 1312 - 01 - 01 - 01.pdf , December 18, 2013 Email from L. Sparks to P. Kelly, re: FR closure times, July 24, 2014 Grading for FY11 and FY12, GRD - 1204 - 01 - 01 - 01, April 3, 2012 Grading for FY13, GRD - 1301 - 01 - 01 - 01, January 23, 2013 Grading for FY14, GRD - 1312 - 01 - 01 - 01, December 10, 2013 Henry Troemner, LLC requalifica tion, QSL - 1306 - 02 - 01 - 01, June 12, 2013 High - Purity Standards requalification, QSL - 1210 - 01 - 01 - 01, September 10, 2012 ICP - MS Iridium Standard, High Purity Standards Lot No. 1307214, ACP - 1305 - 03 - 12 - 15 , May 7, 2013 ICP - MS Thorium Standard, High Purity Standard s Lot No. 1234128, ACP - 1305 - 03 - 12 - 16, May 7, 201312

Interference Check Solution A (ICP - MS - ICS 3, solution A) Standard for ICP - MS, High Purity Standards Lot No. 1405548, ACP - 1406 - 01 - 12 - 95 , April 15, 2014 INV - SP - 03, Requests for Quality Level 1 Inventory Infor mation, Revision 11, May 14, 2014 Key Position Descriptions, provided June 2, 2014 LANL - CO Finding Report FR - 13 - 01, CAQ - 1305 - 01 - 01 - 01 LANL - CO Finding Report FR - 13 - 02, CAQ - 1312 - 01 - 01 - 01 LANL - CO Material/Service Acceptance and Quality Level Determination for Procurement Request CEMRC 01/10/2012 to Eckert & Ziegler Analytics for LSC Calibration Standards (C 14; H - 3 and Background), ACP - 1205 - 03 - 04 - 01, March 27, 2012 LANL - CO Organization Chart for EPA Audit, provided June 2, 2014 LANL - CO Qualified Supplier List, Updated April 24, 2014 LCO - ACP - 01, LANL - CO/CEMRC Interface Document, Revision 4, April 5, 2012 LCO - MP18 - 1, Management Assessments, Revision 4, October 29, 2012 LCO - MP7 - 1, Procurement, Revision 7 - AC1 , September 20, 2013 LCO - QP16 - 1, Conditions Adverse to Qu ality, Revision 4 - AC1, September 12, 2013 LCO - QP17 - 1, Record Management, Revision 12 , September 3, 2013 LCO - QP18 - 1, Audits, Revision 3 , July 12, 2011 LCO - QP18 - 2, Qualification of Audit Personnel, Revision 3, September 24, 2013 LCO - QP2 - 1, Establishing Quali ty Controls, Revision 5, September 24, 2013 LCO - QP2 - 2, Quality Assurance Requirements for Quality Level One Activities, Revision 5, September 24, 2013 LCO - QP2 - 3, Qualification and Training, Revision 5, May 16, 2014 LCO - QP6 - 1, Controlled Document Developmen t, Change, and Revision, Revision 11, September 3, 2013 LCO - QP6 - 2, Controlled Document Review and Approval, Revision 11, September 3, 2013 LCO - QP6 - 3, Document Control and Distribution, Revision 11, September 3, 2013 LCO - QP9 - 1, Analyses, Revision 5, Decembe r 19, 2013 LCO - QPD - 04, LANL - CO Document and Record Management Plan, Revision 8, September 3, 2013 LCO - QPD - 06, LANL - CO Organization and Interface, Revision 2, May 14, 2014 Lead Auditor Maintenance of Proficiency for L. Sparks, TRN - 1310 - 02 - 01 - 01, September 25, 2013 Lead Auditor Qualification for L. Sparks, TRN - 0510 - 01 - 01 - 01, October 7, 2005 List of Measuring and Test Equipment, provided June 2, 201413

List of Qualified Audit Personnel, provided 6/2/2014 LSC Standard Set B, Eckert & Ziegler Lot Nos. 90474, 9047 5, 90476, ACP - 1205 - 04 - 12 - 07, March 21, 2012 M&TE Data Sheet for Digital Hygro/Thermometer with Timer, DHT34 Control Company, S/N: 122454202, ACP - 1301 - 02 - 12 - 35, October 10, 2012 M&TE Data Sheet for Inductively Coupled Plasma - Mass Spectrometer, S/N: JP512013 93; M&TE Data Sheet for Software, ACP - 0706 - 03 - 12 - 48, May 10, 2007 M&TE Data Sheet for Pu - 242 Standard Reference Material, NIST, Lot No. 721 - Pu242, ACP 1104 - 01 - 12 - 16, March 10, 2011 Management Assessment MA - 12 - 01, MAR - 1203 - 01 - 01 - 01, March 15, 2012 Managemen t Assessment MA - 12 - 02, MAR - 1205 - 02 - 01 - 01, May 30, 2012 Management Assessment MA - 12 - 03, MAR - 1210 - 01 - 01 - 01, October 25, 2012 Management Assessment MA - 12 - 04, MAR - 1209 - 01 - 01 - 01, September 10, 2012 Management Assessment MA - 12 - 05, MAR - 1208 - 01 - 01 - 01, August 23, 2 012 Management Assessment MA - 12 - 06, MAR - 1303 - 02 - 01 - 01, March 25, 2013 Management Assessment MA - 13 - 01, MAR - 1303 - 01 - 01 - 01, March 14, 2013 Management Assessment MA - 13 - 02, MAR - 1310 - 01 - 01 - 01, October 29, 2013 Management Assessment MA - 13 - 03, MAR - 1305 - 01 - 01 - 01, M ay 6, 2013 Management Assessment MA - 13 - 04, MAR - 1404 - 01 - 01 - 01, April 7, 2014 Management Assessment MA - 14 - 01, MAR - 1403 - 01 - 01 - 01, March 12, 2014 Material Acceptance Form for PC - 0429249, ACP - 1210 - 02 - 04 - 02, September 4, 2012 Material Acceptance Form for PC - 0450 072, ACP - 1305 - 01 - 04 - 03, March 20, 2013 Material Acceptance Form for PC - 0491122, ACP - 1405 - 02 - 04 - 08, April 23, 2014 Memo to the Quality Assurance File, QAM - 13 - 04, March 25, 2013 Mettler Toledo requalification, QSL - 1208 - 01 - 01 - 01, July 25, 2012 Posted records access list, observed July 23, 2014 Procurement Request PC - 0429249 to Fisher for Sodium Chloride for QL1 work, ACP - 1210 - 02 - 04 - 02, August 27, 2012 Procurement Request PC - 0450072 to High Purity Standards for Multi - Element IC Standard and Oxalate Standard for IC and LANL - CO Material/Service Quality Level Determination Form, ACP - 1305 - 01 - 04 - 03, March 11, 2013 Procurement Request PC - 0455212 to High Purity Standards for Multiple Standards for ICP - MS and IC Analysis and LANL - CO Material/Service Quality Level Determ ination Form, ACP - 1309 - 02 - 04 - 01, April 23, 201314

Procurement Request PC - 0491122 to Troemner for ACRSP Weights No. B and No. C Recertification, ACP - 1405 - 02 - 04 - 08, March 12, 2014 QA Index of Quality Assurance Controlled Documents, May 16, 2014 QA - DL - 01, LANL - CO QA Distribution and Required Reading List, TRN - 1406 - 01 - 01 - 01 , Revision 11, June 4, 2014 QAPD, Quality Assurance Program Document, DOE/CBFO - 94 - 1012, Revision 11, June 2010 Quality Assurance Project Leader Qualification for L. Sparks, TRN - 0502 - 05 - 01 - 01, February 21, 2005 Records filing demonstration, July 23, 2014 Review Package for INV - SP - 03, Revision 10 Review Package for INV - SP - 03, Revision 11 Review Package for LCO - QP2 - 1, Revisions 0 and 5 Review Package for LCO - QPD - 04, Revision 7 Review Package for LCO - QPD - 04, Revision 8 RSS and RTS demonstration, July 23, 2014 Supplier Evaluation of Bruker AXS, Inc., QSL - 1403 - 01 - 01 - 01, March 25, 2014 Supplier Evaluation of Michell Instruments, Inc., QSL - 1312 - 01 - 01 - 01, December 12, 2013 Tour of laboratory offices, Ju ly 24, 2014 Tour of record storage room, July 23, 2014 Training records for B. Ams, D. Guerin D, A. Heiser, D. Reed, C. Stroud Varian Cary 5000 UV/VIS/NIR Spectrometer S/N: ELO6113131, labeled: “Frequency of Performance Check - Monthly” and Maintenance Log, observed July 24, 2014, in CEMRC Laboratory, Room 151 Visual confirmation of expiration date labels, ICP - MS Standard Solutions or dilutions thereof stored in fume hood, on open laboratory bench or in laboratory glove box, observed July 24, 2014, in CEMRC L aboratory, Room 151 Visual confirmation of markings on equipment, Liquid Scintillation System, Beckman LS6500, System ID 474965, observed July 24, 2014, in CEMRC Laboratory, Room 151 Working Document Cover Sheet, Liquid Scintillation System, Beckman LS6500 , ACP - 0502 - 11 - 12 - 04, October 11, 2004A - 1 ATTACHMENT A EPA INSPECTION ISSUE TRACKING FORM CONCERN NO. LANL - CO - QA - 2014 - 01C , FINAL Inspection No. QA - LANL - CO - 2014 - 1 Concern Number: LANL - CO - QA - 2014 - 01C Date: July 23, 2014 Inspector: Kira Darlow, Patrick Kelly Attachments? YES NO Sample Size: 1 Population size (if known): 1 Description of Issue: NQA - 1 - 1989, Eleme nt 16, states that "conditions adverse to quality [(CAQ)] shall be identified promptly and corrected as soon as practical." EPA found that in practice, LANL - CO is correcting CAQs in a timely manner. However, procedure LCO - QP16 - 1, Revision 4 - AC1, does not i nclude the NQA - 1 requirements that CAQs be identified promptly and corrected as soon as practical. EPA requests that LANL - CO review the language in the applicable section of LCO - QP16 - 1 and make whatever changes they deem appropriate. B. Regulatory R eference: 40 CFR 194.2 2 ( e ) C. NQA - 1 - 1989 Element(s): 16 D. Discussed with: Laurie Smith and David Guerin E. Additional Comments: None F. Site Response Information: Site Resp onse Required? YES NO Site Response Due Date: Not Applicable