216-RICR-60-05-5
216-RICR-60-05-5. Certifying Analytical Laboratories (version Amendment, 04/19/2018 to 04/30/2019)
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5.1 Authority
These regulations are
promulgated pursuant to the authority conferred under R.I. Gen. Laws
§ 23-16.2-5(a), and are established for applying minimum standards
for certification of analytical laboratories that analyze potable
water, non-potable water, or other environmental matrices for the
protection of the health, safety, and welfare of the public. The
proper operation of analytical laboratories within the state is a
matter of vital concern to the health and safety of the state. The
determination and enforcement of proper standards is necessary to
ensure the qualifications and competence of personnel and to ensure
the adequacy of equipment, facilities, and quality assurance
programs.
5.2 Incorporated Materials
A. These regulations hereby
adopt and incorporate 40 C.F.R. Parts 122, 136, 141, 143, 430, 455,
and 465 (July 1, 2003) by reference, not including any further
editions or amendments thereof and only to the extent that the
provisions therein are not inconsistent with these regulations.
B. These regulations hereby
adopt and incorporate 40 C.F.R. Part 136, Docket Number
EPA-HQ-OW-2010-0192 (March 6, 2013) by reference, not including any
further editions or amendments thereof and only to the extent that
the provisions therein are not inconsistent with these regulations.
C. These regulations hereby
adopt and incorporate EPA Solutions to Analytical Chemistry Problems
with Clean Water Act Methods, EPA 821-R-07-002 (March 2007) by
reference, not including any further editions or amendments thereof
and only to the extent that the provisions therein are not
inconsistent with these regulations.
D. These regulations hereby
adopt and incorporate EPA Manual for the Certification of
Laboratories Analyzing Drinking Water, Fifth Edition, EPA
815-R-05-004 (January 2005) by reference, not including any further
editions or amendments thereof and only to the extent that the
provisions therein are not inconsistent with these regulations.
E. These regulations hereby
adopt and incorporate EPA Supplement 1 to the Fifth Edition of the
Manual for the Certification of Laboratories Analyzing Drinking
Water. EPA 815-F-08-006 (June 2008) by reference, not including any
further editions or amendments thereof and only to the extent that
the provisions therein are not inconsistent with these regulations.
F. These regulations hereby
adopt and incorporate APHA Standard Methods for the Examination of
Water and Wastewater, American Public Health Association, 18th -
22nd editions (1992-2012) by reference, not including any further
editions or amendments thereof and only to the extent that the
provisions therein are not inconsistent with these regulations.
G. These regulations hereby
adopt and incorporate Methods for the Chemical Analysis of Water and
Wastes, U.S. Environmental Protection Agency, EPA-600/4-79-020 (March
1983) by reference, not including any further editions or amendments
thereof and only to the extent that the provisions therein are not
inconsistent with these regulations.
H. These regulations hereby
adopt and incorporate Methods for the Organic Chemical Analysis of
Municipal and Industrial Wastewater, USEPA, EPA 600/4-82-057 (July
1982) by reference, not including any further editions or amendments
thereof and only to the extent that the provisions therein are not
inconsistent with these regulations.
5.3 Definitions
A. Wherever used in these
rules and regulations the following terms shall be construed to mean:
1. “A2LA” means American
Association for Laboratory Accreditation, a voluntary program for
accrediting environmental lead laboratories and proficiency testing
providers to the ISO/IEC 17025 standard.
2. “Accredited” means to
be recognized as conforming to a standard by an accrediting
organization (i.e., NELAP approved accrediting authorities, American
Industrial Hygiene Association [AIHA], American Association for
Laboratory Accreditation [A2LA]).
3. "Act" means R.I.
Gen. Laws Chapter 23-16.2, entitled "Laboratories."
4. “AIHA” or “American
Industrial Hygiene Association” means a voluntary program for
accrediting environmental lead laboratories for the testing of
Environmental Lead per the ISO/IEC 17025 standard.
5. "Analytical
laboratory" means a facility for the biological,
microbiological, chemical, physical, and radiochemical examination of
potable water, non-potable water, or other environmental matrices.
6. “Analytical reagent
grade”, “(AR) grade”, “ACS reagent grade”, and “reagent
grade” means reagents that conform to the current specifications of
the Committee on Analytical Reagents of the American Chemical Society
(ACS).
7. “ASTM” means the
American Society for Testing and Materials.
8. “Applicant” means a
laboratory applying to the Department to become a certified
analytical laboratory.
9. “Certification” means
the determination by the Department of Health that an analytical
laboratory can perform tests or analyses of environmental samples in
accordance with the requirements of these rules and regulations.
10. “Certified thermometer”
means a thermometer that has documentation from the manufacturer that
it has been calibrated by NIST.
11. “Class ‘A’
glassware” means glassware satisfying the applicable requirements
for Class A glassware established by NIST.
12. “Compliance analysis or
testing” means the analysis of a sample that is required by law or
regulation.
13. “Department” means the
Rhode Island Department of Health.
14. "Director" means
the Director of the Rhode Island Department of Health.
15. “Environmental Lead”
means lead in paint, dust, wipe and soil and/or water samples
collected for laboratory testing to support the migration of lead
hazard or exposure.
16. “EPA” means the United
States Environmental Protection Agency.
17. “ISO/IEC 17025” means
the International Organization for Standardization Standard 17025
used by laboratories that produce testing and calibration results.
18. “NELAP” means National
Environmental Laboratory Accreditation Program, which implements the
TNI standards and evaluates the accrediting authority programs.
19. “NPDES” means National
Pollutant Discharge Elimination System, a program of the EPA.
20. “NIST” means National
Institute of Standards and Technology, an agency that sets accuracy
standards for laboratory equipment and accredits proficiency test
providers.
21. "Persons" means
any individual, firm, partnership, corporation, company, association,
or joint stock ownership.
22. “Proficiency testing
sample” or “PT sample” means a subsample of a matrix containing
analytes of a concentration unknown to the laboratory that is used to
evaluate the performance of its analytical systems. Proficiency
testing samples shall be obtained from a provider that is accredited
by the TNI Proficiency Testing Provider Accreditation Program.
23. “Quality assurance” or
“QA” means the integrated system of operations and measurements
performed to assure that data meets defined standards of quality
within a stated level of confidence.
24. “Quality control or “QC”
means the practice of standardized operations or measurements that
determine or predict aspects of data quality.
25. “TNI” or “NELAC
Institute” means a voluntary non-profit organization whose mission
is to foster performance standards for the operation of environmental
laboratories for the generation of environmental data of known and
documented quality through process that is endorsed by the EPA. TNI
also maintains the Proficiency Testing Provider Accreditor program.
5.4 Certification
5.4.1 General Requirements
A. It shall be unlawful for
any analytical laboratory to perform testing or analyses of samples
originating in this state, for which the Department requires
certification, without obtaining certification pursuant to the Act
and this Part.
B. Certification for specific
analytes and methods shall be required for laboratory testing of
potable water, non-potable water, and environmental samples for lead
content. Certification for potable water is required whenever a
laboratory performs analytical tests on drinking water supply
samples. Certification for non-potable water is required whenever a
laboratory performs analytical tests on water other than drinking
water.
C. Certification is required
for laboratories performing environmental lead analysis in accordance
with the rules and regulations for Lead Poisoning Prevention (Part
50-15-3 of this Title). A certificate for environmental lead
analysis shall be issued only to laboratories providing documentation
of accreditation through a program recognized by the EPA’s National
Environmental Lead Laboratory Accreditation Program (e.g., A2LA or
AIHA).
D. An analytical laboratory
shall represent itself in its advertisements, publications, or other
forms of communication, as providing only those services for which it
is certified and shall not advertise in a manner that tends to
mislead the public.
5.4.2 Application for
Certification
A. Application for
certification to conduct laboratory testing of potable water,
non-potable water, and environmental lead shall be made to the
Department on forms provided for initial certification and for
certification renewal.
B. Applications for
certification renewal shall be submitted to the Department on or
before the date specified by the Department.
C. Each application for
certification and renewal thereof shall contain such information as
the Department reasonably requires which may include affirmative
evidence of ability to comply with the provisions of the Act and the
rules and regulations herein.
D. Each application for
certification or renewal thereof must be accompanied by the
non-refundable fee as set forth in the rules and regulations
pertaining to the Fee Structure for Licensing, Laboratory and
Administrative Services Provided by the Department of Health (Part
10-05-2 of this Title) for each category for which the laboratory is
requesting certification, and made payable to the General Treasurer
of the State of Rhode Island and submitted to the Department of
Health.
E. The annual fee schedule per
category for both in-state and out-of-state laboratory certification
is as set forth in in the rules and regulations pertaining to the Fee
Structure for Licensing, Laboratory and Administrative Services
Provided by the Department of Health (Part 10-05-2 of this Title).
5.4.3 Issuance of a
Certificate & Renewal of Certification
A. No less than thirty (30)
days after receipt of a satisfactorily completed application for
initial certification, the Department shall issue a certificate if
the applicant meets the requirements of the Act and this Part for
certification. Said certification, unless sooner suspended or
revoked, shall expire by limitation on the thirtieth (30th) day of
December, of every year following the date of certification and shall
be renewed annually.
B. Certificates shall not be
issued to an analytical laboratory located in Rhode Island prior to
an inspection and correction of any deficiencies in a manner
acceptable to the Department as specified in § 5.4.4 of this Part.
Further, said laboratory must comply with the proficiency testing
requirements for initial certification as described in § 5.7.5 of
this Part.
C. The Department may issue a
certificate to an out-of-state laboratory provided the laboratory is:
1. Certified by the EPA in the
analytes and methods it is to perform; or
2. Licensed, certified, or
accredited by the state agency in the state where the laboratory is
located, and provided the laws, rules and regulations for licensure,
certification or accreditation of said state agency are deemed
equivalent to or exceed the Act and this Part, as determined by the
Director; or
3. Accredited by NELAP for
analytes and methods not offered by the state where the laboratory is
located, but allowable by these rules.
D. Analytical laboratories in
this state and out-of-state may receive samples from another
laboratory for examination provided the laboratory is certified in
this state pursuant to the Act and this Part.
E. A certificate shall be
issued only for the premises and persons named in the application and
shall not be transferable or assignable.
F. The certificate issued to
an analytical laboratory shall clearly identify the laboratory and
those analytes and methods under each category for which the
laboratory is certified. Such categories include:
1. Potable Water pertaining to
the following subcategories:
a. microbiology,
b. organic chemistry, and
c. inorganic chemistry.
2. Non-Potable Water
pertaining to the following subcategories:
a. microbiology,
b. organic chemistry, and
c. inorganic chemistry.
3. Radiochemistry
4. Environmental Lead
G. A certificate issued
hereunder shall be the property of the state and loaned to the
laboratory and shall be kept posted in a conspicuous place on the
premises.
5.4.4 Inspections
A. The Director or authorized
agent(s) or employees shall at all reasonable times have authority to
enter upon all parts of the premises on which any analytical
laboratory is located and of the premises appurtenant thereto, to
make any examination or investigation whatsoever for determining
compliance with the provisions of the Act and this Part.
B. Each analytical laboratory
shall be provided a written report by the Department of all
deficiencies recorded as a result of an inspection or investigation
within sixty (60) days of such inspection or investigation.
C. The analytical laboratory
shall provide a plan of corrective action, including expected
completion dates for all deficiencies listed on such report within
thirty (30) days of receipt.
D. At the discretion of the
Director, a follow-up inspection may be conducted to assure that all
deficiencies have been corrected.
5.4.5 Denial, Suspension,
or Revocation of Certificate
A. In addition to the grounds
for revocation and suspension stated in R.I. Gen. Laws § 23-16.2-7,
the Department may deny, revoke, or suspend the certificate of any
analytical laboratory for engaging in conduct that includes but is
not limited to:
1. making false or deceptive
representation on any application for certification or renewal
thereof;
2. failure to maintain
professional and competent standards of practice;
3. making false or deceptive
representation of any testing results and reports thereof;
4. engaging in false or
deceptive advertising;
5. failure to maintain a
quality assurance system and follow a quality assurance plan;
6. failure to perform proper
managerial review and approval prior to issuance of reports of any
testing results; and
7. for certified out-of-state
laboratories, failure to comply with § 5.4.5(D) of this Part.
B. Lists of deficiencies noted
in inspections and investigations conducted by the Department shall
be maintained on file in the Department and shall be considered by
the Department in rendering determinations to deny, suspend, or
revoke the certificate of an analytical laboratory.
C. Whenever action shall be
proposed to deny, suspend, or revoke the certificate or take another
disciplinary action, the Department shall notify the facility by
certified mail setting forth reasons for the proposed action, and the
applicant or certified laboratory shall be given an opportunity for a
prompt and fair hearing in accordance with R.I. Gen. Laws § 42-35-9,
"Rules and Regulations Pertaining to Practices and Procedures
Before the Rhode Island Department of Health [R42-35-PP]", and §
5.13 of this Part.
1. However, if the Department
finds that public health, safety, and welfare imperatively requires
emergency action and incorporates a finding to that effect in its
order, the Department may order summary suspension of certification
pending proceedings for revocation or other action in accordance with
R.I. Gen. Laws §§ 23-1-21 and 42-35-14(c).
D. Certified laboratories not
located in Rhode Island shall notify the Department of changes in its
accreditation, certification, or licensure status within fourteen
(14) days of receiving a notification of such changes.
5.5 Organization, Management, and
Personnel
5.5.1 Governing Body
A. Each analytical laboratory
shall have a governing body or equivalent legal authority ultimately
responsible for:
1. the management and control
of the operation;
2. the assurance of the
quality of services;
3. the compliance with all
federal, state and local laws and regulations; and
4. compliance with other
relevant health and safety requirements, including this Part.
5.5.2 Management
A. Each analytical laboratory
shall have a laboratory director who shall be responsible for the
day-to-day management and operation of the laboratory and to ensure
the achievement and maintenance of quality standards of practice.
The laboratory director shall meet the following minimum
qualifications:
1. be a person of good moral
character; and
2. has earned, from a college
or university accredited by a national or regional certifying
authority; a doctorate in the chemical or biological sciences and a
minimum of two (2) years analytical laboratory experience, or has
earned a master's degree in the chemical or biological sciences and
has a minimum of four (4) years of analytical laboratory experience,
or has earned a bachelor’s degree in the chemical or biological
sciences and has a minimum of five (5) years of analytical laboratory
experience.
B. Exempt from § 5.5.2(A)(2)
of this Part are directors of analytical laboratories that were in
operation on October 25, 1987 and who meet all other qualifications
set forth in this Part.
C. Directors of laboratories
in municipal waste treatment facilities testing non-potable water for
only fecal coliforms, Biochemical Oxygen Demand and total suspended
solids shall be deemed to be qualified if they have earned an
associate’s degree in the biological or chemical sciences and have
a minimum of two (2) years of laboratory experience; or they have
earned a bachelor’s degree in the chemical or biological sciences
and have a minimum of one (1) year of laboratory experience.
D. The director of each
analytical laboratory or his/her designee, who meets the
qualifications of § 5.5.2(A)(2) of this Part shall furthermore be
responsible for no less than the following:
1. to be present on the
premises of the laboratory during the hours of operation for a
sufficient period of time to ensure adequate and appropriate
supervision of laboratory activities;
2. to ensure the accurate
performance of all tests in the laboratory including the submission
of appropriate reports on all tests pursuant to § 5.6 of this Part.
3. to ensure the supervision
of all personnel in the laboratory and for hiring adequately trained
personnel commensurate with the workload;
4. to be available during the
hours of operation for personal or telephone consultation with
personnel;
5. to notify the Department
within ten (10) days of any change in laboratory services or
supervisory personnel;
6. to establish and adhere to
written policies and procedures for a comprehensive quality assurance
program; and
7. such other activity as may
be deemed appropriate.
E. In the event the director
of the laboratory is absent for a continuous period longer than
one-month duration, the laboratory shall not operate unless a person
who meets the qualifications of § 5.5.2(A)(2) of this Part is in
attendance.
F. The laboratory director
shall designate a quality assurance officer who has the
responsibility for the laboratory’s quality assurance plan and its
implementation. The laboratory director may be the self-designated
Quality Assurance Officer or a consultant may be designated to serve
as the Quality Assurance Officer.
1. The quality assurance
officer shall have earned at least a bachelor’s degree in a
chemical or biological science and two years of related laboratory
experience. The quality assurance officer qualifications may be met
if the person has previous laboratory quality assurance experience
acceptable to the Department in a licensed, certified or accredited
laboratory, or possesses other qualifications acceptable to the
Department.
2. The quality assurance
officer shall:
a. be responsible for the
oversight of QC data, including establishing acceptance criteria and
documenting/monitoring corrective action;
b. where staffing allows, be
independent of the technical areas for which he/she has QA oversight;
c. have general knowledge of
the methodologies for which data review is performed;
d. have oversight of the
laboratory’s quality assurance system and conduct or arrange for
annual internal audits of the technical operation and report findings
to the laboratory director.
5.5.3 Personnel
A. Each analytical laboratory
shall employ a sufficient number of qualified personnel commensurate
with the workload to ensure that services are provided effectively
and safely and in accordance with prevailing laboratory standards and
practices.
B. A job description for each
classification of position shall be established, clearly delineating
qualifications, duties and responsibilities inherent in each
position.
C. Personnel records shall be
maintained for each employee which contain no less than:
1. current background
information pertaining to qualifications, to justify initial and
continued employment;
2. orientation, including an
initial demonstration of capability for each method and/or instrument
the analyst will be performing and/or operating;
3. evidence of periodic
evaluation of work performance; and
4. such other data as may be
deemed appropriate.
5.6 Records & Reports
A. Each analytical laboratory
shall maintain appropriate records and reports, which shall be
available for inspection by authorized representatives of the
Department.
B. The certified laboratory
shall create, control, and maintain records of raw data,
chain-of-custody records, calculations, quality control data, and
other essential documentation. All records shall be complete with
signatures, units of measurement, and documentation sufficient for
verification of results. All records shall be retained in such a
manner as to permit prompt retrieval. Such records shall include:
1. records of the operation
and maintenance of all laboratory equipment;
2. records of all sample
examinations in accordance with § 5.7.3 of this Part;
3. records of control values,
standard values, calibration curves and calculations of standard
deviations; and
4. reports of proficiency
testing programs and of such other records as may be deemed
necessary.
C. All records and reports
shall clearly indicate which analytes have been analyzed by certified
methods and which have not. If a report references a method for
which the laboratory is certified, adherence to the method is
required. All records and reports including correspondence related
to reported results and compliance issues shall be retained a minimum
of five (5) years and be available for review.
D. Laboratory reports shall
clearly identify the name, address and Rhode Island analytical
laboratory certification number of the laboratory (which may be a
subcontracted laboratory) actually performing the test(s), and shall
include the results and the date of the reporting.
E. Multipage reports shall be
paginated.
F. All reports of laboratory
analyses for compliance purposes shall be submitted to the Department
by the certified laboratory contracted by the public water system to
analyze the samples.
G. Any portion of the analysis
sub-contracted to another certified laboratory shall be reported by
the primary contracted laboratory. The primary contracted laboratory
shall submit the final report to the Department.
H. Certified laboratories
shall submit forms to the Department in a format approved by the
Department, which includes hard copy or electronic forms.
5.7 Quality Assurance and Quality
Control Programs
5.7.1 General Requirements
A. Each analytical laboratory
shall have clearly established internal and external quality controls
to ensure high standards of performance and reliability of test
results. These quality controls shall consider such factors as
preventative maintenance, periodic inspection, testing for proper
validation of methods, evaluation of reagents and volumetric
equipment, surveillance of results, remedial action taken to correct
deficiencies and quality control failures and such other equivalent
factors as required in this Part and as may be deemed necessary.
B. The laboratory shall
perform all analyses which will be used for compliance with state or
federal regulations, using the prescribed methods incorporated above
at §§ 5.2(A) through (H) of this Part.
C. The laboratory’s quality
assurance plan shall be accessible to all personnel in the
laboratory. It shall include, but not be limited to:
1. sampling procedures (if
performed by the laboratory);
2. laboratory sample handling
procedures;
3. instrument calibration
procedures;
4. a list of detailed
analytical procedures or analytical references;
5. data reduction, validation,
and reporting procedures including non-compliance action plan;
6. types and frequency of
internal audit samples (quality control samples) and external audit
samples (proficiency testing samples);
7. internal audit procedures
and frequency;
8. preventative maintenance
procedures and schedules;
9. procedures for determining
accuracy and precision and method detection limits of all analytes
and specified frequency;
10. control limits and
corrective action policies;
11. laboratory organization,
staff, and responsibilities; and
12. procedures for laboratory
and managerial data review.
D. The method detection limit
(MDL) shall be determined prior to placing a new method in service
and annually thereafter for each analyte per 40 C.F.R § 136 Appendix
B incorporated above at § 5.2(A) of this Part, or other such MDL
guidance as deemed appropriate by the Department.
1. Method Detection Limits
determined by the laboratory for analytes in the potable water
category must meet the detection limit criteria specified in 40
C.F.R. §§ 141.23 and 24 incorporated above at § 5.2(A) of this
Part. If the laboratory cannot meet said criteria for an analyte, a
request for a variance must be submitted pursuant to § 5.11 of this
Part.
E. The laboratory shall follow
the quality control requirements specified in “Standards Methods
for the Examination of Water and Wastewater” incorporated above at
§ 5.2(F) of this Part.
F. The laboratory shall follow
all applicable quality control activities described in the “EPA
Manual for the Certification of Laboratories Analyzing Drinking
Water” incorporated above at § 5.2(D) of this Part. This
requirement applies to pertinent non-potable water testing as well.
5.7.2 Procedure Manual
A. Each analytical laboratory
shall have available, at all times, in the immediate bench area of
personnel engaged in conducting analytical laboratory testing, a
procedure manual which includes a detailed compilation of all
automated and manual methods and procedures for all analytical tests
which are performed by the laboratory and for which it is certified.
Furthermore, such manuals shall:
1. Specify the approved method
employed;
2. Describe the quality
control activities pertinent to the method;
3. Contain information
concerning preparation and storage of media, reagents, control and
calibration procedures and pertinent literature references;
4. Describe the laboratory's
technical procedures for the collection, processing and examination
of samples;
5. For those tests which are
normally performed on automated test equipment, provide for alternate
methods or for storage of test samples, in the event the automated
equipment becomes inoperable; and
6. Be approved, signed, and
dated by the current laboratory supervisor/director and the QA
Officer. Changes in procedures must be approved, signed, and dated
by the current supervisor/director and QA Officer.
7. Required methodologies for
testing can be found in EPA Manual for the Certification of
Laboratories Analyzing Drinking Water, Supplement 1 to the Fifth
Edition of the Manual for the Certification of Laboratories Analyzing
Drinking Water, Standard Methods for the Examination of Water and
Wastewater, Methods for the Chemical Analysis of Water and Wastes
and, Methods for the Organic Chemical Analysis of Municipal and
Industrial Wastewater incorporated at §§ 5.2(D) through (H) of this
Part.
5.7.3 Collection,
Identification & Examination of Samples
A. Information that
accompanies samples shall be sufficiently detailed to permit
identification and document chain of custody.
B. The laboratory shall not
accept samples for examination unless there is sufficient
documentation to verify proper collection, preservation, and other
conditions as prescribed in the relevant methods, and to permit
adherence to holding times.
C. The laboratory shall not
accept samples for examination without sufficient sample volume to
perform the requested analyses.
D. Each analytical laboratory
shall maintain a record indicating the daily accession of samples,
each of which shall be numbered or otherwise appropriately
identified. The records of samples shall contain no less than:
1. the laboratory number or
other identification,
2. the name of the person or
analytical laboratory that submitted the sample,
3. date of sample collection,
4. date of sample receipt,
5. condition of sample upon
receipt,
6. type of test requested and
performed,
7. the results and date of
laboratory tests and date of reporting, and
8. the name and address of
laboratory to which the sample(s) is forwarded for procedures not
performed on the premises.
5.7.4 Other Applicable
Regulations
An analytical laboratory
certified in the category of radiochemistry shall comply with the
Rules and Regulations for the Control of Radiation and shall obtain,
as applicable, the appropriate radioactive materials license from the
Department.
5.7.5 Proficiency Testing
A. Each laboratory shall
participate in a proficiency testing program approved by the
Department for each analyte (or group of analytes) and method for
which the laboratory is certified or is requesting certification.
Proficiency testing samples shall be procured from a provider of
proficiency test samples accredited by a Proficiency Testing Provider
Accreditor (PTPA) that meets the TNI requirements.
B. The laboratory shall
analyze a PT sample annually for each analyte and matrix by each
method and receive an acceptable evaluation from the PT provider for
that analyte/method/matrix, with the following exceptions:
1. laboratories certified for
environmental lead must maintain a proficient status according to
their respective accrediting agency;
2. laboratories must receive
an acceptable evaluation for at least eighty percent (80%) of the
Regulated Volatile Organic Compounds and eighty percent (80%) of
Haloacetic Acids, in potable water, to maintain certification for
these analyte groups, (as defined in the reference incorporated above
at § 5.2(A) of this Part); and,
3. laboratories certified for
potable and non-potable water-microbiology must correctly analyze
ninety percent (90%) of the samples in a shipment with no false
negatives for qualitative microbiology proficiency testing, and for
quantitative microbiology proficiency testing no more than one (1) of
the target organisms in a sample set containing three (3) or more
samples may be incorrectly quantified.
C. Proficiency test results
shall be submitted directly from the accredited provider to the
certification office by October 31 of each year. The Department
shall be designated as the recipient of the laboratory results before
the results are available to the laboratory.
D. Whenever a laboratory
receives an unacceptable evaluation for an analyte in a study, it
shall determine the cause for the failure, take corrective action,
and participate in another PT study for the failed analyte.
Documentation of the investigation and corrective action shall be
maintained and a copy provided to the Department before the next
proficiency testing study.
E. Failure to complete PT
studies or failure to obtain an acceptable result in a PT study as
specified in § 5.7.5(D) of this Part shall result in loss of
certification for the analyte until two (2) consecutive PT studies
resulting in acceptable evaluations have been completed. There shall
be an interval of at least thirty (30) days between the two (2)
studies.
F. All proficiency test
samples shall be analyzed in the same manner and frequency as a real
environmental sample using the same staff, procedures and equipment.
G. Laboratories shall not send
a PT sample, or a portion thereof, to another laboratory for any
analysis for which it is certified or seeks certification.
H. A laboratory shall not
knowingly receive any PT sample, or a portion thereof, from another
laboratory for any analysis for which the sending laboratory is
certified or seeks certification.
I. Laboratory management or
staff shall not communicate with any individual at another laboratory
concerning a PT sample or attempt to obtain the assigned value from
their PT provider.
J. All raw data obtained in
analyzing PT samples shall be retained and be available for review
for a minimum of five (5) years.
K. The use of supplemental PT
samples shall be allowed only if the PT provider certifies, in
writing, that PT samples meet the criteria specified by the EPA.
L. A laboratory not located in
Rhode Island shall follow the proficiency testing requirements of the
state in which it is located.
5.8 Physical Plant, Equipment, and
Supplies
A. Each analytical laboratory
shall be housed in well lighted, sanitary, properly vented quarters
equipped with hot and cold running water, and toilet facilities and
shall contain ample space to process and examine the samples
commensurate with the total workload. Furthermore, said analytical
laboratories shall:
1. be in distinct and separate
locations from living quarters unless provisions exist for separate
entrances and plumbing fixtures;
2. have ample workbench space,
be well lighted and have sufficient water, gas, suction, electrical
outlets and sinks;
3. have adequate and proper
storage space for all chemicals including explosive, flammable,
corrosive and caustic materials;
4. have flooring composed of
non-porous material in laboratory areas where acids, caustics, and
solvents are used;
5. have adequate temperature
and humidity controls as may be required for proper performance of
tests and operation of instruments affected by environmental
conditions;
6. have adequate electrical
supply; and
7. have adequate refrigeration
for samples, standards, and reagents used in testing
a. food for consumption may
not be stored in refrigerators containing laboratory materials.
B. The laboratory shall
possess suitable equipment required for certified analyses that shall
meet the requirements of the methods. All instruments shall be
physically located on site.
C. The laboratory shall have
sufficient glassware and plastic labware necessary for the analyses.
Glassware shall be borosilicate glass or other corrosion-resistant
glass. It shall be free of cracks and chips. Markings and etchings
shall be legible. Volumetric flasks, pipettes, and other glassware
used for volumetric analysis shall be class “A”.
D. All precision equipment and
instruments shall be calibrated and checked for accuracy at regular
intervals as required by the method and the laboratory’s quality
assurance policies. Documentation of calibration and accuracy checks
shall be maintained. Records of service by a qualified instrument
service organization shall be maintained.
E. Balance range and
sensitivity shall be appropriate for the application for which it is
used. Balances shall be kept clean and free of corrosion and
spillage and shall be checked daily with weights meeting ASTM Type I,
Class 1 or 2 specifications with values that bracket the laboratory’s
weighing needs. Records shall be maintained that include acceptance
criteria for the checks. ASTM weights shall be recalibrated every
five (5) years or immediately if nicked or corroded. Non-reference
weights may be used but shall be calibrated every six (6) months
against ASTM type 1, 2 or 3 weights.
1. All balances shall be
calibrated annually by a professional balance service.
F. All incubators,
refrigerators, ovens, and water baths shall contain calibrated
thermometers.
G. Thermometer range and
graduation increments should be appropriate for the application for
which it is used. Glass thermometers shall be checked for accuracy
annually, and other types of thermometers quarterly, by comparing
with a NIST traceable thermometer at the temperatures of interest.
Thermometers shall be tagged with the date of accuracy check and the
correction factor (which may be zero). There shall be no separation
in the liquid column of glass thermometers.
H. Analytical reagent grade
chemicals are required for analyses unless otherwise allowed or
specified by the analytical method.
I. Bottles of dehydrated
microbiology media shall be dated when received and dated when
opened. Media shall not be used beyond the manufacturer’s
expiration date or within one (1) year from opening, whichever is
sooner. It shall be discarded immediately if caked or otherwise
deteriorated. Prepared, prepackaged media are permitted.
J. All plastic labware used
for microbiology shall be clear and non-toxic.
K. For chemical analyses,
reagent water for general use shall be distilled or deionized and
have a resistivity value greater than 0.5 megohms/cm or a
conductivity value of less than 2 microhmos/cm at 25 ? C.
Quality checks shall be made according to specified analytical method
requirements, but at least monthly, with a conductivity meter. All
such quality checks shall be recorded.
L. For microbiological
analyses, reagent water shall meet all criteria listed in the
following table:
PARAMETER
LIMITS
FREQUENCY
resistivity
or
>
0.5 megohms/cm
monthly
conductivity
<
2 micromhos/cm
monthly
Pb,
Cd, Cr, Cu, Ni, Zn
<
0.05 mg/L per contaminant and
<
0.1 mg/L total
annually
total
chlorine residual
none
detectable
monthly
Heterotrophic
plate count
<
500/mL
monthly
bacteriological
quality of reagent water
Ratio
of growth rate: 0.8 to 3.0 (see Standard Methods, Section. 9020B.
This test is not required if laboratories use water that meets the
criteria for Types I and II water as defined in Standard Methods,
Section 1080).
annually
M. All reagents and solutions
shall be labeled to indicate identity, concentration, storage
requirements, expiration dates, and any other pertinent information.
N. All reagents and solutions
shall be dated when received and opened. No materials shall be used
beyond their expiration dates.
O. All laboratory prepared
reagents and solutions must be labeled with preparation and
expiration dates. No laboratory prepared materials shall be used
beyond their expiration dates.
5.9 Safety & Security
A. Adequate safety and
security precautions shall be established and maintained. Safety
instructions shall be present in a laboratory safety manual for the
protection of personnel from exposure to physical, chemical and
biological hazards in laboratories. The laboratory safety manual
shall include applicable procedures for the protection of employees
and visitors.
B. Personnel shall be given a
safety orientation reviewing policies and procedures in the safety
manual.
C. Samples, standards,
reagents, solvents, acids, chemicals and data must be kept in
restricted access areas.
D. The laboratory must
supervise visitors, repairmen, and maintenance workers in restricted
areas.
5.10 Waste Disposal
A. The laboratory must manage
medical waste pursuant to the Rules and Regulations Governing the
Generation, Transportation, Storage, Treatment, Management &
Disposal of Regulated Medical Waste in Rhode Island
(250-RICR-140-15-1).
B. The laboratory must manage
hazardous waste pursuant to the Rules and Regulations for Hazardous
Waste Management.
C. Wastes, which are not
classified as medical waste or hazardous waste or which are not
otherwise regulated by law or rule, may be disposed in dumpsters or
load packers provided the following precautions are maintained:
1. Dumpsters shall be tightly
covered, leak proof, inaccessible to rodents and animals, and placed
on concrete slabs preferably graded to a drain. Water supply shall
be available within easy accessibility for washing down of the area.
In addition, the pickup schedule shall be maintained with more
frequent pickups when required. The dumping site of waste materials
must be in sanitary landfills approved by the Department of
Environmental Management; and
2. Load packers must conform
to the same restrictions required for dumpsters and shall be high
enough off the ground to facilitate the cleaning of the underneath
areas of the stationary equipment and the loading section shall be
construed and maintained to prevent rubbish from blowing away.
5.11 Variance Procedure
A. The Department may grant a
variance either upon its own motion or upon request of the applicant
from the provisions of any rule or regulation in specific instances
where it is found that literal enforcement of such provisions will
result in unnecessary hardship to the applicant and such variance
will not be contrary to federal regulations, the public interest,
public health, or health and safety of individuals.
B. A request for variance
shall be made in writing, setting forth in detail the basis of the
request.
C. Upon filing of such request
with the Department and within a reasonable time thereafter, the
Department shall notify the applicant by certified mail of its
approval, or in case of a denial, a hearing date, time, and place may
be scheduled if the applicant appeals the decision.
5.12 Violations
In addition to revocation or
suspension of certificates granted, any person who violates the
statutory or regulatory provisions of this Part shall be subject to
the sanctions of R.I. Gen. Laws § 23-16.2-13.
5.13 Rules Governing Practices &
Procedures
All hearings and reviews
required under the provision of this Part will be held in accordance
with the Rules and Regulations Governing the Practices and Procedures
Before the Rhode Island Department of Health and Access to Public
Records of the Department of Health.