Forms and Inspection Checklists

Applications

Application TypeDocument LinkRevision

Initial Application for Field Laboratories

Click here for guidance in completing the initial application.

PDF7/1/2024
Initial Application for non-Field LaboratoriesPDF9/1/2024
Amendment Application for any laboratory typePDF9/1/2024

Forms

The following forms are provided for reference and use. 

Form TypePurpose
Laboratory Certification Program Evaluation Form A form used to evaluate various performance areas within the NC WW/GW LC program including auditor performance, inspection reports and program performance. [Extended Format] 
Laboratory Certification Program Short SurveyA short survey to provide feedback on the services provided by the NC WW/GW Laboratory Certification program. [Short Format]
Notice of Finding for Immediate Response (NOFIR) FormA form used by NC WW/GW LC auditors during on-site inspections when a Finding is judged to be severe to the extent that immediate correction or suspension of the action is required. 
Sample Non-conformance NotificationExample of a form that can be used when laboratories submit notification to the NC WW/GW LC program of samples analyzed that do not meet sample collection, preservation or holding time requirements.

Checklists

This section contains copies of the parameter/method/technology checklists used by NC WW/GW Laboratory Certification auditors during the on-site inspections of laboratories. They include comments, technical tips and the applicable literature references. 

General Checklist TitleRevision DateDocument Links
Inspection Entrance Interview Checklist08/28/2008

WORD

PDF

Sample Receipt Checklist06/19/2015

WORD

PDF

Quality Assurance Systems Checklist05/19/2011

WORD

PDF

Exit Interview Summary Checklist12/30/2009

WORD

PDF

Field Laboratory Entrance Walkthrough7/2023

WORD

PDF

 

Non-Metal Inorganic        
Checklist        
Title
TechnologyMethodRevision        
Date
Document Links
pHElectrometricSM 4500 H+ B - 202107/2024

PDF

WORD

ConductivityWheatstone BridgeSM 2510 B - 2021 and EPA 120.1, Rev. 198207/2024

PDF

WORD

Total Residual ChlorineColorimetric, DPDSM 4500 Cl G - 201111/2023PDF
Settleable ResidueVolumetricSM 2540 F - 20158/2023

PDF

WORD

SalinityConductivitySM 2520 B - 201111/2023PDF
TemperatureThermometricSM 2550 B - 201011/2023PDF
Dissolved OxygenMembrane ElectrodeSM 4500 O G-2016, ASTM D888-12 (B)11/2023PDF
Dissolved OxygenOptical/Luminescent 

SM 4500 O H-2016, Hach 10360 Rev. 1.2, 10/2011,

ASTM D888-12 (C), In Situ 1002-8-2009

11/2023PDF
Total Organic CarbonPersulfate-UV or Heated PersulfateSM 5310 C - 20145/2023

PDF

WORD

Total Organic CarbonHigh-Temperature CombustionSM 5310 B - 20149/2023

PDF

WORD

BOD and CBOD (5-day)DO Depletion and LDO SM 5210 B - 20168/2023

WORD

PDF

Ammonia NitrogenISESM 4500 NH3 D-20212/2024

WORD

PDF

Ammonia NitrogenSpectrophotometricEPA Method 350.1, Rev. 2.0, 1993 (Hach Method 10205 TNT)3/2021

WORD

PDF

Ammonia NitrogenAutomatic phenateEPA Method 350.1, Rev. 2.0, 19934/2023

PDF

WORD

Ammonia NitrogenTitrationSM 4500 NH3 C-202107/2024

WORD

PDF

Suspended Residue GravimetricSM 2540 D - 20205/2024

WORD

PDF

Dissolved ResidueGravimetricSM 2540 C - 2020 5/2024

WORD

PDF

Total ResidueGravimetricSM 2540 B - 20205/2024

WORD

PDF

Ignitability of SolidsClosed-Cup Tester SW-846 10301/2020

WORD

PDF

Paint Filter LiquidGravimetricSW-846 9095B6/2016

WORD

PDF

Nitrite NitrogenColorimetricSM 4500-NO2 B-20111/2020

WORD

PDF

Nitrite Nitrogen

Automated -

Cadmium Reduction Bypassed

EPA 353.2, Rev. 2, 19932/2022

PDF

WORD

TurbidityNephelometricSM 2130 B-20209/2024

PDF

WORD

Oil & GreaseGravimetric, HEMEPA 1664 Rev.B7/2023

WORD

PDF

Total PhosphorusAscorbic Acid, AutomatedEPA 365.1, Rev. 2.0, 19931/2020

WORD

PDF

Total PhosphorusAscorbic Acid, ManualSM 4500 P E -20215/2024

WORD

PDF

Total PhosphorusAscorbic Acid, AutomatedSM 4500 P F -20215/2024

WORD

PDF

HardnessTitrationSM 2340 C -20212/2024

WORD

PDF

CODColorimetricSM 5220 D-201111/2024

WORD

PDF

CODColorimetricHach 8000, Rev. 1979 (method here)3/27/23

WORD

PDF

AlkalinityTitrationSM 2320 B-20215/2024

WORD

PDF

Anions Ion ChromatographyEPA 300.0, Rev. 2.1, 19931/2020

WORD

PDF

AnionsIon ChromatographySW846 9056A5/2023

WORD

PDF

Color (PC)Visual ComparisonSM 2120 B-20112/2021

WORD

PDF

Nitrogen, Total Kjeldahl Digestion with SpectrophotometricHach 10242 Rev 1.211/2024

WORD

PDF

Nitrogen, Total Kjeldahl

Block Digestion and Semi-Automated

Colorimetry 

EPA 351.2, Rev. 2.0, 19932/2022

PDF

WORD

Nitrogen, Total KjeldahlMacro Digestion and TitrationSM 4500 Norg B (NH3 C)-201111/16/2022

PDF

WORD

Cyanide, TotalManual SpectrophotometricSM 4500 CN- E-202110/2024

WORD

PDF

Nitrate + NitriteCadmium Reduction, ManualSM 4500 NO3E-201906/2024

PDF

WORD

Nitrate + NitriteCadmium Reduction, AutomatedSM 4500 NO3F-20161/2022

PDF

WORD

Nitrate + Nitrite Cadmium Reduction, AutomatedEPA 353.2, Rev. 2.0, 199311/2022

PDF

WORD

Nitrate + NitriteSpectrophotometric (2,6-dimethylphenol)Hach 102069/2024

PDF

WORD

Nitrate NitrogenSpectrophotometric (2,6-dimethylphenol)Hach 102069/2024

PDF

WORD

Vector Attraction Reduction Option 1: Reduction in Volatile Solids Content5/2022

PDF

WORD

Vector Attraction Reduction Option 5: Aerobic Processes at Greater Than 40C1/2022

PDF

WORD

Vector Attraction Reduction Option 6: Addition of Alkali6/2023

PDF

WORD

Vector Attraction Reduction Option 7: Moisture Reduction of Sewage Sludge Containing No Unstabilized Solids4/2023

PDF

WORD

Vector Attraction Reduction Option 8: Moisture Reduction of Sewage Sludge Containing Unstabilized Solids5/2023

PDF

WORD

 

Bacteriological Checklist TitleTechnologyMethodRevision        
Date
Document Links
Thermotolerant (Fecal) ColiformMPNColilert® 187/2023

WORD

PDF

Thermotolerant (Fecal) ColiformMembrane FilterSM 9222 D -20151/2023

WORD

PDF

Thermotolerant (Fecal) Coliform for Sludge (503)MPNSM 9221 E - 20149/2021

WORD

PDF

Total Coliform Membrane FilterSM 9222 B-20152/2023

WORD

PDF

Enterococci MPNEnterolert® IDEXX1/2020

WORD

PDF

E. ColiMPNColilert® 183/2022

PDF

WORD

E. ColiMPNColilert®(24)3/2022

PDF

WORD

 

Metals Checklist TitleTechnologyMethodRevision DateDocument Links
MercuryCVAAEPA 245.1, Rev. 3.0 (1994)01/2020

WORD

PDF

MercuryCVAASW-846 7470A01/2020

WORD

PDF

Hexavalent ChromiumColorimetricSW-846 7196A01/2020

WORD

PDF

Hexavalent ChromiumColorimetricSW-846 7196A/3060A (Non-Aqueous)01/2020

WORD

PDF

Hexavalent ChromiumColorimetricSM 3500 Cr- B-2020 (Aqueous)06/2024

WORD

PDF

Metals ICP-MSEPA 200.8, Rev. 5.4 (1994) (Aqueous & Non-Aqueous)3/2022

PDF

WORD

MetalsICP-AESEPA 200.7, Rev. 4.4 (1994) (Aqueous & Non-Aqueous)3/2022

PDF

WORD

 

Organics Checklist TitleTechnologyMethodRevision DateDocument Links
Total Petroleum Hydrocarbons - GROGCSW846- 8015C (Aqueous & Non-Aqueous)2/18/2021

WORD

PDF

Purgeable OrganicsGC/MSSW-846 8260D (Aqueous & Non-Aqueous)10/04/2022

WORD

PDF

 

Additional checklists will be added as they are reviewed and finalized.

 

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This page was last modified on 11/06/2024