Current through Register Vol. 56, No. 18, September 16, 2024
(a) The laboratory shall
develop and keep current a quality assurance/quality control manual. The laboratory
shall not perform analyses of regulatory samples without having a current quality
assurance/quality control manual covering the analysis in question. In the manual,
the laboratory shall describe the following:
1.
The procedures that the laboratory will use in meeting the quality control
requirements of this chapter and all applicable DSAMs, including, but not limited
to, requirements pertaining to laboratory equipment, instrumentation and supplies;
and
2. The frequency with which the
laboratory will perform the procedures listed pursuant to (a)1 above.
(b) The laboratory shall develop and
implement a written methods manual containing a standard operating procedure (SOP)
for each DSAM, in accordance with the criteria and procedures of the DSAM and this
chapter. A laboratory shall not perform analyses using a DSAM unless it has
developed and implemented such an SOP for the DSAM.
1. The laboratory shall update the manual to
reflect any changes in the procedures practiced by the laboratory.
2. The laboratory shall keep copies of the methods
manual in the immediate bench area of personnel engaged in the analysis of samples
and related procedures within the Microbiological Testing Categories.
3. In the manual, the laboratory shall properly
designate by revision number and date the standard operating procedure (SOP) for a
specified analytical method for a particular type of analysis.
4. Changes to SOPs are effective only if:
i. The change is made by the manager, supervisor
or quality assurance officer of the laboratory; and
ii. The manager, supervisor or quality assurance
officer makes the change in writing, signed and dated by the manager, supervisor or
quality assurance officer.
5.
The laboratory shall make manufacturers' instruction manuals and any applicable
regulations readily available to laboratory personnel at all times. Textbooks may be
used to supplement written instructions, but may not be used in lieu
thereof.
(c) A laboratory
performing microbiological analyses shall conduct the quality control checks
specified in the applicable DSAMs, and the following additional checks:
1. When the laboratory finds no positive samples
for a certified method within a calendar quarter, the laboratory shall run a
positive control sample for that method;
2. For each sample filtration series, the
laboratory shall conduct a start and finish MF sterile control test of rinse water,
media and supplies, using sterile rinse water as the sample. If the MF sterile
control tests indicate contamination, then all data from the affected samples shall
be rejected and the laboratory shall request immediate resampling of those waters
involved in the laboratory error;
3. The
laboratory shall complete the MPN test for drinking water samples on 10 percent of
positive confirmed total coliform samples, except that gram staining need not be
performed. However, if no positive tubes result from the tested drinking water
samples, the laboratory shall complete the MPN test (and need not perform gram
staining) quarterly on at least one water source for which results have been
positive;
4. The laboratory shall cause
its laboratory pure water to be tested, using approved methods, in accordance with
(c)4i through v below.
i. The testing may be
performed by the laboratory preparing the water, by another certified environmental
laboratory, or by the manufacturer of the water if the laboratory purchases its
laboratory pure water. If the laboratory purchases its laboratory pure water, it
shall have each lot or batch of the water tested. Otherwise, the laboratory shall
have its laboratory pure water tested at the frequency specified in Table 4.1
below;
ii. If the source water is
chlorinated, the laboratory shall test the water for total residual chlorine using
the DPD method. If the source water is not chlorinated, the laboratory need not test
it for residual chlorine;
iii. The pour
plate method (Method 9215B in SM18) shall be used to determine the heterotrophic
plate count;
iv. In testing the
bacteriological quality of the water, the laboratory shall use the methods described
in SM18 or in EPA Microbiological Methods, p.200. The control water for testing
bacteriological quality is double distilled water using a glass still; and
v. If the laboratory pure water does not meet the
criteria set forth in Table 4.1 below, then the laboratory shall take action
immediately to correct all failures to meet the criteria, and shall continue taking
corrective action until a retest of the water shows that it meets the criteria.
Table 4.1 |
Requirements for Laboratory Pure Water |
Parameter | Limits | Frequency |
Conductivity | >0.5 megohms resistance or
<2 | Monthly |
micromhos/cm at 25 [degree]C |
Lead, Cadmium, | Not greater than 0.05 mg/L
per | Annually |
Chromium, Copper, | parameter. Collectively, no
greater |
Nickel, Zinc | than 0.1 mg/L |
Total Chlorine,
Residual | Nondetectable | Monthly |
Heterotrophic
Plate | <500/milliliter | Monthly |
Count |
Bacteriological Water | Ratio
0.8-3.0 | Annually |
Quality |
5. Each
certified environmental laboratory shall satisfactorily analyze one unknown PT
sample per year, when available from a Department-approved PT sample provider, for
the parameters within the Categories for which the environmental laboratory has
received certification;
6. Any
certified environmental laboratory analyzing samples for a public water facility
shall examine a minimum of one positive control sample per month in addition to
analyzing the required number of distribution samples and records
maintained;
7. The laboratory shall
record the temperature of air or water-jacketed incubators and water baths at least
twice daily, with at least four hours between readings;
8. The laboratory shall record the contents, date,
time, and temperature for each sterilization cycle of the autoclave;
9. The laboratory shall maintain records of hot
air ovens showing the contents, date, time and temperature of each sterilization
cycle;
10. The laboratory shall use only
membrane filters that have been recommended or approved by the manufacturer for use
in the analysis of water;
11. When the
laboratory first uses a detergent or washing product, or changes the brand or type
of washing product it uses, the rinsing process shall demonstrate that the detergent
or washing product provides glassware free of toxic material by the inhibitory
residue test as set forth in SM18 or in EPA Microbiological Methods, p.
199;
12. The laboratory shall check each
batch of rinse water for sterility. The laboratory shall add 50 milliliters of water
to a 50 milliliter volume of a double-strength non-selective broth (for example,
tryptic soy, trypticase soy or tryptone broth) and then incubating the preparation
at 35 degrees +/-0.5 degrees Celsius for 24 hours. At the end of the incubation
period, the laboratory shall check the preparation for growth, and record the
results. If bacterial growth is observed, the batch shall be discarded and a new
batch prepared;
13. The laboratory shall
check at least one sample container from each batch of laboratory sterilized sample
containers or at least one sample container from each batch or lot of purchased
sterile containers. The laboratory shall add approximately 25 milliliters of sterile
non-selective broth to the container or containers being checked, and incubate the
preparation at 35 degrees +/-0.5 degrees Celsius for 24 hours. At the end of the
incubation period, the laboratory shall check the container for growth, and record
the results. If bacterial growth is observed, the batch shall be resterilized and
the results recorded;
14. The laboratory
shall maintain annual service contracts or internal protocols on balances,
autoclave, water still, and any other equipment requiring periodic servicing. The
laboratory shall enter records of actual servicing in a log book. The laboratory
shall make these contracts, protocols and service records available to the
Department during inspections or upon the Department's request;
15. The laboratory shall maintain records of
preparation of each batch of sterilized media. In the records, the laboratory shall
include the lot number of the batch, date of preparation, sterilization time and
temperature, final pH of each batch, and the preparing technician's name. The
laboratory shall make these records available to the Department during inspections
or upon the Department's request;
16.
The laboratory shall label each bottle of dehydrated media with the date of receipt,
and the date on which the bottle is first opened. The laboratory shall not use the
media more than six months after it is first opened, provided however, that if the
bottle is stored in a desiccator the media may be used for 12 months after it is
first opened;
17. The laboratory shall
record the lot number of packages of membrane filters and date of receipt;
18. The laboratory shall use heat-sensitive tapes,
spore strips, spore ampules or a maximum registering thermometer during each
autoclave cycle;
19. The laboratory
shall label all reagents and solutions to identify them and indicate other
information pertinent to identification, such as (when applicable) strength or
concentration, storage requirements, preparation date, expiration date, and other
information pertinent to identification; and
20. The laboratory shall not use any caked or
discolored media, or any media that has exceeded the manufacturer's expiration date.
The laboratory shall discard such media immediately.