Current through 2024-38, September 18, 2024
A.
Levels of laboratory/method
accreditation
1. An accredited
laboratory has met the regulatory performance criteria as explained in this
rule and as specified by the 40 CFR Part(s) 141, as amended up to July 1, 2022,
and/or 40 CFR Part 136 , as updated in the Annual Edition of July 1, 2022, and
all other applicable regulatory requirements.
2. A provisionally accredited laboratory has
deficiencies but demonstrates its ability to consistently produce valid data
within the acceptance limits specified by the 40 CFR Part(s) 141, as amended up
to July 1, 2022, and/or 40 CFR Part 136 , as updated in the Annual Edition of
July 1, 2022, and within the policies required by this rule. A provisionally
accredited laboratory may analyze samples for compliance purposes, if clients
are notified in writing of its provisional status and affected methods/analytes
are notated on reports as "provisionally accredited." The accreditation officer
may not grant provisional accreditation if the accreditation officer determines
that the laboratory cannot perform an analysis within the acceptance limits
specified by this rule and applicable regulations.
3. A laboratory may not possess accreditation
for a method under this rule if, in the opinion of the accreditation officer,
the lab is determined to be deficient in performance and cannot consistently
produce valid data for that specific method.
B.
Awarding accreditation
1. Documentation of a laboratory's
accreditation must include:
a. A certificate
acknowledging the laboratory's compliance with base accreditation requirements;
and
b. The scope of accreditation
for the laboratory.
2.
The certificate and scope of accreditation must include the:
a. Seal of the State of Maine (certificate
only);
b. Name of the
laboratory;
c. Physical address of
the laboratory;
d. Laboratory
identification number issued by the EPA or the program in the absence of an EPA
ID;
e. Effective date of the
accreditation certificate; and
f.
Expiration date of the accreditation certificate.
3. If a laboratory's scope of accreditation
changes, the accreditation officer will issue a new scope of
accreditation.
4. A laboratory's
accreditation is valid for one or two years from the date of awarding base
accreditation or renewal of base accreditation, unless conditions warrant
initiation of suspension or revocation by proceedings pursuant to 5 MRS §10051 or as otherwise provided for
by law.
5. A laboratory must return
its certificate and scope of accreditation to the accreditation officer upon
revocation of accreditation.
6. An
accredited laboratory must not misrepresent its accreditation on any document,
including laboratory reports, catalogs, advertising, business solicitations,
proposals, quotations or other materials.
7. A laboratory must make available its
current certificate and corresponding scope of accreditation, upon the request
of a client, accreditation authority or regulatory agency. The laboratory must
not supply a copy of its current certificate without the accompanying copy of
its scope of accreditation.
C.
Denial of accreditation
1. The MLAP may deny a laboratory's request
for accreditation, including a request for renewed accreditation, if:
a. The application does not meet the
requirements of Section
4;
b. The laboratory's current or prior
accreditation has been downgraded or revoked; or
c. The laboratory or one of its owners or
employees is currently in violation of this rule.
2. A laboratory which has been denied a
request for accreditation may reapply after deficiencies are corrected and/or
violations resolved. The application and all required documentation must be
accompanied with the applicable fees.
3. The accreditation officer will not refund
a base accreditation fee if an application is denied.
D.
Downgrading of accreditation to
provisional status
1. For deficiencies
not affecting the laboratory's ability to produce valid data, the MLAP may
downgrade a laboratory's accreditation status to provisional, in total or in
part, for a period not to exceed 90 calendar days. If the MLAP determines that
there are grounds for downgrading, the MLAP will notify the laboratory in
writing by certified mail.
2. If
the laboratory does not correct the deficiencies related to the accreditation
status downgrade within 90 calendar days, accreditation, in full or in part,
will be revoked.
3. A laboratory
that has had its accreditation downgraded to provisional status may request
reinstatement once deficiencies have been corrected, as long as corrections are
completed within the time period prescribed in the notification of downgrading
and are done in accordance with the requirements of Section
4.
E.
Suspension and reinstatement of
accreditation after suspension
1.
Grounds for suspension of accreditation are:
a. Failure to produce acceptable results in
two consecutive proficiency testing studies for the same field of testing;
or
b. Failure to submit an
acceptable corrective action report in response to an inspection or
unacceptable proficiency testing results.
2. When the accreditation officer determines
that there are grounds for suspension, the accreditation officer must notify
the laboratory in writing and may initiate suspension proceedings pursuant to 5
MRS §10051 or as otherwise provided for
by law. A laboratory's accreditation may be suspended in total, or in part, for
a period not to exceed 180 days or extend beyond the expiration date of the
current accreditation.
3. Notice of
suspension
a. The effective date of suspension
is the date that the laboratory receives the suspension as a result of
proceedings pursuant to 5 MRS §10051 or as otherwise provided for
by law.
b. Upon receiving the
suspension pursuant to 5 MRS §10051 or as otherwise provided for
by law, the laboratory must return to the client or subcontract to another
Maine accredited laboratory, samples for the field of testing for which the
laboratory is suspended.
c. During
the suspension period, notification to clients whose samples are subcontracted
or returned is required for all fields of testing for which the laboratory's
accreditation has been suspended. The notification from the laboratory must be
in writing.
d. At the time the
notification is sent to the client, the laboratory must submit to the
accreditation officer a list of clients who received the notification and one
copy of the form letter used for the notification. The laboratory must retain
an electronic copy of each notification sent to the client that may be reviewed
by the accreditation officer.
4. Reinstatement after suspension for failure
to submit corrective action
A laboratory that has had its accreditation suspended may
have the accreditation reinstated after acceptable corrective action has been
received by the MLAP. Repayment of fees is not required for reinstatement if
the laboratory corrects the deficiencies within the time-frame required by the
accreditation officer, not to exceed 180 days or the expiration date of the
current accreditation, whichever is sooner. If a laboratory takes corrective
action before the end of the suspension period, accreditation for the suspended
fields of testing or for the base accreditation and fields of testing must be
restored if the corrective actions satisfactorily address the deficiencies
cited in the notice of suspension. If the laboratory fails to correct the
causes of suspension within the specified time frame, the accreditation officer
will revoke in total, or in part, the laboratory's accreditation, as
authorized.
5. Reinstatement
After Proficiency Testing Failure Suspension
A laboratory with a suspended accreditation, due to
unacceptable proficiency testing results must submit acceptable proficiency
testing results according to Section
10.
F.
Revocation of accreditation
The MLAP may initiate proceedings pursuant to 5 MRS §10051 or as otherwise provided for
by law to revoke a laboratory's accreditation, in total or in part, if it
determines that there are grounds for revocation. The MLAP will notify the
laboratory in writing of the initiation of revocation proceedings pursuant to 5
MRS §10051 or as otherwise provided for
by law.
1. Grounds for Revocation are:
a. Failure to comply with applicable
standards of this rule;
b. Failure
to pass an inspection;
c. Failure
to respond to deficiencies;
d.
Failure to correct the deficiencies cited in a notice of suspension within the
time frame specified by the accreditation officer;
e. Failure to implement corrective action
related to any deficiencies found during a laboratory inspection;
f. Failure to report compliance data to a
public water system, the Drinking Water Program, the DEP or other responsible
party in a timely manner or interfering with the reporting of such data
produced by other entities;
g.
Failure to complete proficiency testing studies and maintain a history of
successful proficiency testing studies at the frequency specified in Section
10;
h. Failure to implement corrective action in
response to an unacceptable proficiency testing result;
i. Revocation of accreditation or
certification by an approving body with which the accreditation officer has
deemed equivalent;
j. Careless,
inaccurate or falsified reporting of analytical measurements and supporting
documentation;
k. Operating the
laboratory in such a manner so as to endanger public health or
safety;
l. Making an intentionally
false oral statement or written statement on any document issued by the
laboratory or on any document associated with accreditation;
m. Failure to notify the MLAP in writing
within the prescribed time frames, pursuant to Section
8(B), regarding any
change in ownership, laboratory name, laboratory location, personnel, equipment
or any other factor that could impair the analytical, reporting or operational
capability of the laboratory;
n.
Unethical conduct in the operation of the laboratory;
o. Fraudulent or deceptive
practices;
p. Reporting sample
results without indicating whether or not the laboratory is accredited for that
analysis;
q. Failure to use an
approved method or to follow the approved method for sample analysis where the
report issued for the analysis indicates that the analysis was conducted in
accordance with program accreditation standards;
r. Denial of entry during normal business
hours for an inspection, unless circumstances endangering safety or welfare
prohibit entry; or
s. Failure to
pay the inspection fee for out-of-state laboratories requiring an on-site
inspection.
2. Notice of
Revocation
a. The effective date of revocation
is the date that the laboratory receives the revocation as a result of
proceedings pursuant to 5 MRS §10051 or as otherwise provided for
by law.
b. Upon revocation pursuant
to 5 MRS §10051 or as otherwise provided for
by law, the laboratory must return to the client or subcontract to another
MLAP-accredited laboratory, samples for the fields of testing of the
revocation.
c. Notification to the
client is required for all fields of testing for which the laboratory's
accreditation has been revoked. The notification from the laboratory must be in
writing.
d. The laboratory must
retain an electronic copy of each notification sent to the client, for review
by the accreditation officer.
e. At
the time that the notification is sent to the client, the laboratory must
submit a list of clients who received the notification and one copy of the form
letter used for the notification to the accreditation
officer.
3. A laboratory
that has had its accreditation revoked must not advertise itself as accredited
and when possible, must remove or replace any advertisements that indicate that
the laboratory is accredited.
4. A
laboratory with a revoked accreditation may not reapply for accreditation until
it has corrected all written deficiencies. The laboratory must provide
documentation of the steps implemented to correct the deficiencies before
applying for accreditation according to Section 4.
5. A successor in interest of a laboratory
with a revoked accreditation may not apply for reaccreditation until all
conditions for re-application after revocation are met.
G.
Appeal of administrative
decision
1. The accreditation officer
will notify a laboratory in writing of the reasons for the administrative
decision to deny an application for accreditation or make an accreditation
provisional.
2. A laboratory has 30
days from the date of receiving the decision to appeal the decision. A request
for an administrative hearing to appeal the decision must:
a. Be in writing;
b. Indicate the facts that the laboratory
disputes; and
c. Be signed by the
laboratory technical director.
3. Adjudicatory proceedings will be conducted
pursuant to 5 MRS, Ch. 375, Sub-Chapter 4.
a.
Appeals by a laboratory are limited to appeals contending that a decision by
the Department misapplies applicable laws, procedures or rules; or is based
upon a significant factual error to the detriment of the laboratory.
b. Administrative hearing requests must state
the specific issues being appealed and requests must be directed to:
Maine Center for Disease Control and Prevention
11 State House Station
Augusta, ME 04333-0011
c. Within 14 days of its receipt, the request
for an administrative hearing accompanied by an administrative hearing report
must be forwarded to:
Department of Health and Human Services
Chief Hearings Officer, Office of Administrative
Hearings
11 State House Station
Augusta, ME 04333-0011
d. The administrative hearing is conducted by
a hearing officer.
e. The hearing
will be conducted pursuant to the rules of the Office of Administrative
Hearings, as set forth in the Administrative Hearings Regulations (10-144 CMR
Ch 1), and in conformity with 5 MRS Chapter 375, Subchapter 4.
f. A notice will inform the persons of the
time, date and place of the hearing. The hearing will be held in Augusta,
unless otherwise noted.
g. The
hearing officer or the DHHS or DEP Commissioner, as applicable, will issue a
written decision of the administrative hearing to all parties.
h. Any person or party dissatisfied with the
hearing officer's or the Commissioner's decision has the right of judicial
review under the Maine Rules of Civil Procedure, Rule
80 C.
H.
Voluntary withdrawal of
accreditation
1. If a laboratory
chooses to withdraw its application for accreditation or its current
accreditation in total, or in part, the laboratory must notify the
accreditation officer in writing and specify the effective date of
withdrawal.
2. The accreditation
officer will consider that a laboratory has chosen to voluntarily withdraw its
accreditation if the laboratory has not submitted a complete renewal
application by the expiration date of its current accreditation. In this
situation, the effective date is the expiration date of the laboratory's
current accreditation.
3. By the
effective date of the withdrawal of accreditation, in total or in part, the
laboratory must notify current clients and regulatory agencies of its intent to
withdraw its accreditation and must indicate the effective date of the
withdrawal. Notification is required for all fields of testing for which the
laboratory has chosen to voluntarily withdraw accreditation. The notification
from the laboratory to the client(s) must be in writing. The laboratory must
submit to the accreditation officer, at the time the lab is sending notice to
clients, one copy of the notification and a list of clients to whom the notice
was sent.
4. The accreditation
officer will not refund fees if a current accreditation is voluntarily
withdrawn by the laboratory.