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-20111/2020

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 1.12/2021

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.

 

If you see something that should be corrected or have any questions about the content of the site, contact the site administrator

This page was last modified on 10/09/2024