Spreadsheet: a2b147af-1040-4a3c-8a41-b3b2fd366a25
Sheet: Sheet1

FIELD PARAMETER ON-SITE INSPECTION CHECKLIST | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26
Laboratory Name |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Cert #
Lab Contact
Inspector(s)
INSPECTION TYPE
 | Initial |  |  |  | Maintenance |  |  |  |  |  | Follow-up |  |  |  |  | Abbreviated |  |  |  |  |  | Requested
LABORATORY CLASSIFICATION
 | Commercial |  |  |  |  | Industrial |  |  |  |  | Municipal |  |  |  |  | Other
Performed on Per Fee Basis? |  |  |  |  |  |  |  | Yes |  |  | No
COMPLIANCE PROGRAMS
 | NPDES |  |  | Groundwater |  |  |  | UST |  |  | Land Application |  |  |  |  | Pretreatment |  |  |  |  | Other
NPDES Permit #(s)
PARAMETERS
 | pH |  | Temperature |  |  |  | Settleable Solids |  |  |  |  | [NAME] |  |  |  |  | Conductivity |  |  |  | Total Residual Chlorine
ENTRANCE REMARKS
 |  |  |  | Attachment I Verified |  |  |  |  |  |  |  |  |  |  | Laboratory / Contact Information Verified
NC compliance data analyzed and reported? |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
Analyses performed by other NC certified labs? |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
List
QUALITY CONTROL
Are automatic pipettors used? |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
If so, are they calibrated every 12 months? |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
Are error corrections made properly? |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
Are manufacturer expiration dates observed? |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
Does the lab have a documented system of traceability for all chemicals, reagents, standards and consumables that meets NC WW/GW LC policy requirements?
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
Is a best effort made to perform analyses in a manner and location where sources of contamination or error will not be introduced (e.g. dirty work area, weather conditions, dirty cuvettes, etc.)?
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
COMMENTS
Do any [NAME] require a Notice of Finding for Immediate Response (NOFIR)? |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
Inspector's Signature |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date
DISSOLVED OXYGEN
Approved Procedure On File |  |  |  |  |  | Yes |  |  | No | [NAME])
DOCUMENTATION
 |  |  |  |  |  |  |  |  |  |  |  | COMMENTS
Indelible Ink Used |  |  |  |  |  |  |  | Yes |  |  | No
Analyzed In-Situ/ On Site |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Date |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Time |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Date * |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Time * |  |  |  |  |  |  |  | Yes |  |  | No
Facility Name |  |  |  |  |  |  |  | Yes |  |  | No
Sample Site |  |  |  |  |  |  |  | Yes |  |  | No
Analyst's Initials |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] |  |  |  |  |  |  |  | Yes |  |  | No
Temperature * |  |  |  |  |  |  |  | Yes |  |  | No
Barometric Pressure * |  |  |  |  |  |  |  | Yes |  |  | No
Elevation * |  |  |  |  |  |  |  | Yes |  |  | No
Salinity * |  |  |  |  |  |  |  | Yes |  |  | No
% Saturation * |  |  |  |  |  |  |  | Yes |  |  | No
True Value of Post Analysis Check * |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] for Post Analysis Check * |  |  |  |  |  |  |  | Yes |  |  | No
Reported in mg/L |  |  |  |  |  |  |  | Yes |  |  | No
Instrument Identification/ SN |  |  |  |  |  |  |  | Yes |  |  | No
Parameter Analyzed |  |  |  |  |  |  |  | Yes |  |  | No
Data Qualifier(s) * |  |  |  |  |  |  |  | Yes |  |  | No
Equipment Maintenance Log (Recommended)
 |  |  |  |  |  |  |  | Yes |  |  | No
Condition of Probe/Well |  |  |  |  |  |  |  | Good |  |  | Fair |  |  | Poor
Is an LDO probe used? |  |  |  |  |  |  |  | Yes |  |  | No
Is the LDO probe calibrated or verified each day of use?
 |  |  |  |  |  |  |  | Yes |  |  | No
COMMENTS
TOTAL RESIDUAL CHLORINE                                                                                                                                                                                                      DPD
Approved Procedure On File |  |  |  |  |  | Yes |  |  | No | [NAME])
Program # (may also note wavelength)
DOCUMENTATION
Indelible Ink Used |  |  |  |  |  |  |  | Yes |  |  | No |  | [NAME]  for [NAME] |  |  |  |  |  |  |  |  | Yes |  |  | No
Analyzed In-Situ/ On Site |  |  |  |  |  |  |  | Yes |  |  | No |  | [NAME] for Reagent Blank * |  |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Date |  |  |  |  |  |  |  | Yes |  |  | No |  | Reported in     mg/L     or     mg/L |  |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Time |  |  |  |  |  |  |  | Yes |  |  | No |  | TV of Post Analysis Check Standard * |  |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Date * |  |  |  |  |  |  |  | Yes |  |  | No |  | [NAME] for Post Analysis Check Standard * |  |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Time * |  |  |  |  |  |  |  | Yes |  |  | No |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
Facility Name |  |  |  |  |  |  |  | Yes |  |  | No |  | Traceability of consumables |  |  |  |  |  |  |  |  | Yes |  |  | No
Sample Site |  |  |  |  |  |  |  | Yes |  |  | No |  | Instrument ID |  |  |  |  |  |  |  |  | Yes |  |  | No
Analyst's Initials |  |  |  |  |  |  |  | Yes |  |  | No |  | Parameter Analyzed |  |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] |  |  |  |  |  |  |  | Yes |  |  | No |  | Data Qualifier(s) * |  |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] |  |  |  |  |  |  |  | Yes |  |  | No |  | Equipment Maint. Log (Recommended) |  |  |  |  |  |  |  |  | Yes |  |  | No
TV of Cal/ Cal Verification Stds |  |  |  |  |  |  |  | Yes |  |  | No |  | Condition of Cells: |  |  |  |  |  | Good |  |  | Fair |  |  | Poor
TV of Daily Check Std |  |  |  |  |  |  |  | Yes |  |  | No
STANDARDS
Option 1 |  | Three-point calibration that brackets sample range (each day of use).  May not be Gel Standards.
Conc. 1 |  |  |  |  | Conc. 2 |  |  |  |  | Conc. 3 |  |  |  |  |  | 2nd Source Chk Std
Option 2 |  | Five-point calibration, CCV with each use.  [NAME] or verified at least every 12 months.
Date Curve Created or Verified
True Values |  |  |  | Conc. 1 |  |  |  | Conc. 2 |  |  |  | Conc. 3 |  |  |  | Conc. 4 |  |  |  | Conc. 5
Observed Values |  |  |  | Conc. 1 |  |  |  | Conc. 2 |  |  |  | Conc. 3 |  |  |  | Conc. 4 |  |  |  | Conc. 5
Is the curve acceptable? (< 50 mg/L = + 25% of true value, > 50 mg/L = + 10%) |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
CCV value: |  |  |  |  |  |  |  |  |  |  |  | CCV (Mid-range) acceptance criteria: + 10% True Value
BLANKS
Is the meter properly zeroed? |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
If standards are prepared with reagent water, then is a reagent blank analyzed? |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
If so, is the reagent blank <50% of the established PQL? |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
MATERIALS
Aqueous/Gel/Sealed Standards |  |  |  |  |  |  |  |  |  | Initial Verification |  |  |  |  | Yes |  |  | No | Date
Exp. Date |  |  |  |  |  |  |  |  |  | Annual Verification |  |  |  |  | Yes |  |  | No | Date
Lot # /ID |  |  |  |  |  |  |  |  |  | Verified to Specific Meter:
DPD Total Cl Powder |  |  |  | Exp. Date |  |  |  |  |  |  |  |  | Buffer Total Cl Liquid |  |  |  |  | Exp. Date
DPD Total Cl Liquid |  |  |  | Exp. Date |  |  |  |  |  |  |  |  | Potassium Permanganate |  |  |  |  | Exp. Date
COMMENTS
TOTAL RESIDUAL CHLORINE                                                                                                                                                                   AMPEROMETRIC-POTENTIOMETRIC
Standard Method/ Hach Method
Electrode |  |  |  |  |  |  |  |  | [NAME] |  |  |  |  |  |  |  | Titrator
DOCUMENTATION
Indelible Ink Used |  |  |  |  |  |  |  | Yes |  |  | No |  | [NAME] for Reagent Blank |  |  |  |  |  |  |  | Yes |  |  | No
Analyzed In-Situ/ On Site |  |  |  |  |  |  |  | Yes |  |  | No |  | Reported in     mg/L     or     mg/L |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Date |  |  |  |  |  |  |  | Yes |  |  | No |  | TV of Post Analysis Check Standard. * |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Time |  |  |  |  |  |  |  | Yes |  |  | No |  | [NAME] for Post Analysis Check Standard. * |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Date * |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Time * |  |  |  |  |  |  |  | Yes |  |  | No |  | Traceability of consumables |  |  |  |  |  |  |  | Yes |  |  | No
Facility Name |  |  |  |  |  |  |  | Yes |  |  | No |  | Instrument ID |  |  |  |  |  |  |  | Yes |  |  | No
Sample Site |  |  |  |  |  |  |  | Yes |  |  | No |  | Parameter Analyzed |  |  |  |  |  |  |  | Yes |  |  | No
Analyst's Initials |  |  |  |  |  |  |  | Yes |  |  | No |  | Data Qualifier(s) * |  |  |  |  |  |  |  | Yes |  |  | No
TV of Daily Check Standard |  |  |  |  |  |  |  | Yes |  |  | No |  | Equipment Maint. Log (Recommended) |  |  |  |  |  |  |  | Yes |  |  | No
[NAME]  for Check Standard |  |  |  |  |  |  |  | Yes |  |  | No |  | Condition of Equipment |  |  |  |  |  | Good |  |  | Fair |  |  | Poor
MATERIALS
Dispensed Burette |  |  |  |  |  | Yes |  |  | No |  |  | Dispensed Digital |  |  |  |  |  | Yes |  |  | No
Reagents |  |  |  | Purchased |  |  |  | In-house |  |  | Note
 | PAO |  | AgNO3 |  |  | [NAME] |  |  |  | [NAME] |  |  |  | HNO3 |  |  | H2SO4 1+1 |  |  | H2O2 30% |  |  | NaOH
Chemicals and Reagents within expiration |  |  |  |  |  |  |  |  |  | Yes |  |  | No |  | Notes
In-house reagents standardized |  |  |  |  |  |  |  | Yes |  |  | No |  |  |  | Notes
End points plotted and TRC calculated as specified by method or manufacturer |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
COMMENTS
SETTLEABLE SOLIDS
Approved Procedure On File |  |  |  |  |  | Yes |  | No
[NAME] |  |  |  |  |  | Yes |  | No |  | Condition |  |  | Good |  | Fair |  | Poor
DOCUMENTATION
 |  |  |  |  |  |  |  |  |  |  |  | COMMENTS
Indelible Ink Used |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Date |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Time |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Date |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Time (Start & End) |  |  |  |  |  |  |  | Yes |  |  | No
Stir @ 45 minutes documented |  |  |  |  |  |  |  | Yes |  |  | No
Facility Name |  |  |  |  |  |  |  | Yes |  |  | No
Sample Site |  |  |  |  |  |  |  | Yes |  |  | No
Analyst's Initials |  |  |  |  |  |  |  | Yes |  |  | No
Sample Volume Analyzed |  |  |  |  |  |  |  | Yes |  |  | No
Reported as mL/L |  |  |  |  |  |  |  | Yes |  |  | No
Parameter Analyzed |  |  |  |  |  |  |  | Yes |  |  | No
Data Qualifiers * |  |  |  |  |  |  |  | Yes |  |  | No
COMMENTS
pH
Approved Procedure On File |  |  |  |  |  | Yes |  |  | No |  | [NAME])
Calibration Buffers |  |  |  |  | 1 |  |  |  | 2 |  |  |  | 3* |  |  |  | [NAME]*
[NAME]. Date |  |  |  |  | 4 |  |  |  | 7 |  |  |  | 10 |  |  |  | Other: |  |  |  |  |  | <4 or >10
Buffer Lot #s/IDs |  |  |  |  | 4 |  |  |  | 7 |  |  |  | 10 |  |  |  | Other: |  |  |  |  |  | <4 or >10
DOCUMENTATION
 |  |  |  |  |  |  |  |  |  |  |  | COMMENTS
Indelible Ink Used |  |  |  |  |  |  |  |  | Yes |  |  | No
Analyzed In-Situ/ On Site |  |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Date |  |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Time |  |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Date * |  |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Time * |  |  |  |  |  |  |  |  | Yes |  |  | No
Facility Name |  |  |  |  |  |  |  |  | Yes |  |  | No
Sample Site |  |  |  |  |  |  |  |  | Yes |  |  | No
Analyst's Initials |  |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] |  |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] |  |  |  |  |  |  |  |  | Yes |  |  | No
TV of Calibration Buffers |  |  |  |  |  |  |  |  | Yes |  |  | No
TV of Check Standard Buffer |  |  |  |  |  |  |  |  | Yes |  |  | No
[NAME]  for Check Standard Buffer |  |  |  |  |  |  |  |  | Yes |  |  | No | Buffer check acceptance criteria is + 0.1 units.
TV of Post Analysis Check Standard Buffer * |  |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] for Post Analysis Check Buffer * |  |  |  |  |  |  |  |  | Yes |  |  | No
Reported to 0.1 pH s.u. |  |  |  |  |  |  |  |  | Yes |  |  | No
Reported as [NAME] |  |  |  |  |  |  |  |  | Yes |  |  | No
Traceability of consumables |  |  |  |  |  |  |  |  | Yes |  |  | No
Instrument ID |  |  |  |  |  |  |  |  | Yes |  |  | No
Parameter Analyzed |  |  |  |  |  |  |  |  | Yes |  |  | No
Data Qualifier(s) * |  |  |  |  |  |  |  |  | Yes |  |  | No
Equipment Maint. Log (Recommended) |  |  |  |  |  |  |  |  | Yes |  |  | No
Probe rinsed between readings |  |  |  |  |  |  |  |  | Yes |  |  | No
9045D - water < 20% of total volume     /     9040C - water > 20% of total volume
[NAME] |  |  |  |  |  | Yes |  |  | No |  | Is an adequate sample of slurry prepared? |  |  |  |  |  |  |  |  | Yes |  |  | No
List buffers used (Need 12.45 or 13 buffer for VAR options 6 and 12)
Collection & Analysis Time(s) |  |  |  |  |  | Yes |  |  | No |  | Is the temperature correction applied per Vector Attraction Reduction (VAR) option 6? |  |  |  |  |  |  |  |  | Yes |  |  | No
***15 minute hold time met? |  |  |  |  |  | Yes |  |  | No
COMMENTS
**  If calibrated with 3 buffers check is still required.   *** Changed from 24 hours to 15 minutes in SW-846 Update IV.
TEMPERATURE
Approved Procedure On File |  |  |  |  |  | Yes |  |  | No |  | [NAME])
 | [NAME] Thermometer |  |  |  |  |  | Digital Thermometer |  |  |  |  |  | [NAME] |  |  |  | [NAME] |  |  |  |  | Other
DOCUMENTATION
 |  |  |  |  |  |  |  |  |  |  |  | COMMENTS
Indelible Ink Used |  |  |  |  |  |  |  | Yes |  |  | No
Analyzed In-Situ/ On Site |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Date |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Time |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Date * |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Time * |  |  |  |  |  |  |  | Yes |  |  | No
Facility Name |  |  |  |  |  |  |  | Yes |  |  | No
Sample Site |  |  |  |  |  |  |  | Yes |  |  | No
Analyst's Initials |  |  |  |  |  |  |  | Yes |  |  | No
Temp Correction Applied |  |  |  |  |  |  |  | Yes |  |  | No
Reported as oC |  |  |  |  |  |  |  | Yes |  |  | No
Temp. [NAME]. Posted on Meter/Hard Copy |  |  |  |  |  |  |  | Yes |  |  | No
Correction noted even if it is 0o |  |  |  |  |  |  |  | Yes |  |  | No
Therm./Meter Sensor(probe) Checked vs NIST Annually |  |  |  |  |  |  | Date
 |  |  |  |  |  |  |  | Yes |  |  | No
Instrument ID |  |  |  |  |  |  |  | Yes |  |  | No
Parameter Analyzed |  |  |  |  |  |  |  | Yes |  |  | No
Data Qualifier(s) * |  |  |  |  |  |  |  | Yes |  |  | No
Equipment Maintenance Log (Recommended)
 |  |  |  |  |  |  |  | Yes |  |  | No
NIST Documentation Available |  |  |  |  |  |  |  | Yes |  |  | No | Thermometer I.D.
Thermometer readings must be less than 1oC from the NIST Thermometer.  REQUIRED for certified data (NCLC Policy).
COMMENTS
CONDUCTIVITY
Approved Procedure On File |  |  |  |  |  | Yes |  |  | No |  | [NAME])
[NAME] |  |  |  |  |  | Yes |  |  | No |  | *Calibration with one standard and analysis one Q.C. standard is acceptable.
KCl [NAME] |  |  |  |  |  |  |  |  |  |  |  |  | KCl QC Check Std Conc
KCl [NAME] |  |  |  |  |  |  |  |  |  |  |  |  | KCl QC Check Std Lot#/ID
[NAME] 10% |  |  |  |  |  | Yes |  |  | No
It is recommended that the meter be calibrated or checked in the expected sample concentration range(s).
DOCUMENTATION
 |  |  |  |  |  |  |  |  |  |  |  |  | COMMENTS
Indelible Ink Used |  |  |  |  |  |  |  | Yes |  |  | No
Analyzed In-Situ/ On Site |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Date |  |  |  |  |  |  |  | Yes |  |  | No
Analysis - Time |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Date * |  |  |  |  |  |  |  | Yes |  |  | No
Collection - Time * |  |  |  |  |  |  |  | Yes |  |  | No
Facility Name |  |  |  |  |  |  |  | Yes |  |  | No
Sample Site |  |  |  |  |  |  |  | Yes |  |  | No
Analyst's Initials |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] |  |  |  |  |  |  |  | Yes |  |  | No
TV of Cal Standard |  |  |  |  |  |  |  | Yes |  |  | No
TV of Cal Check Standard |  |  |  |  |  |  |  | Yes |  |  | No
[NAME]  for Check Standard |  |  |  |  |  |  |  | Yes |  |  | No
TV of Post Analysis Check Standard * |  |  |  |  |  |  |  | Yes |  |  | No
[NAME] for Post Analysis Check Standard *
 |  |  |  |  |  |  |  | Yes |  |  | No
Reported as mmhos/cm or mS |  |  |  |  |  |  |  | Yes |  |  | No
Traceability of consumables |  |  |  |  |  |  |  | Yes |  |  | No
Instrument ID |  |  |  |  |  |  |  | Yes |  |  | No
Parameter Analyzed |  |  |  |  |  |  |  | Yes |  |  | No
Data Qualifier(s) * |  |  |  |  |  |  |  | Yes |  |  | No
Equipment Maint. Log (Recommended) |  |  |  |  |  |  |  | Yes |  |  | No
Does the meter have ATC |  |  |  |  |  |  |  | Yes |  |  | No
Does the meter have Auto Cell Constant |  |  |  |  |  |  |  | Yes |  |  | No
Automatic Temperature Compensator (ATC) Checked Annually |  |  |  |  |  |  | Date
 |  |  |  |  |  |  |  | Yes |  |  | No
If the meter does not have ATC and/or ACC how are the temperatures and cell constants factored?
COMMENTS