Laboratory ID. Laboratory Name. Address. Phone. Lab Manager/Supervisor. QA Officer. Analyst(s) Auditor. Date(s) of Audit

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Method(s): Laboratory ID Laboratory Name Address Phone Lab Manager/Supervisor QA Officer Analyst(s) Auditor Date(s) of Audit NEW JERSEY DEPARTMENT OF ENVIRONMENTAL PROTECTION OFFICE OF QUALITY ASSURANCE ENVIRONMENTAL LABORATORY CERTIFICATION PROGRAM ON-SITE LABORATORY EVALUATION ASBESTOS PROCEDURES Asbestos Fibers Analysis -- Phase Contrast Microscope (PCM) Type of Audit Initial Biennial Special ELCP TNI/NELAP Notes:

Analytical Method & SOP Does the laboratory maintain an SOP for this accredited analyte or method? 4.2.8.5(e) Do the SOPs refer to the method as certified or applied? 4.2.8.5 Is the SOP complete and acceptable? On the SOP, does it clearly indicate the effective date of the document, revision number, and signature(s) of approving authority? Are all relevant SOPs readily available to all personnel? Sample Control Is the laboratory involved in sampling? (If not, the skip next two questions) Does the laboratory provide necessary sampling equipment and/or supplies to its clients? Does the laboratory have a sampling plan and procedures for sampling? Are three-piece filter cassettes, 25-mm size, with 50-mm electrically conductive extension cowl used for sampling? Are sample filters used that have a cellulose ester membranes with a pore size of 0.45- to 1.2-µm and back-up pad? Is each personal sampling pump calibrated with a representative sampler in line? Is a record of maintenance kept? Does the laboratory have a procedure for chain of custody (COC) of samples? Does the laboratory maintain a COC form for each sample? Does the laboratory have a policy to not accept air filters when shipped with bulk samples? Does the laboratory utilize a permanent chronological record to document receipt of all sample containers (e.g., LIMS database)? Dos the laboratory assign a unique laboratory ID code to each sample, which is linked to its field ID code? Does the laboratory assign unique ID extension to subsamples? (applies primarily to bulk samples) Standards and Reagents Are all reagents used analytical reagent grade or better? Are the containers marked with 4.2.8.5 4.2.8.5(c) 4.2.8.5(b) 5.5.1 5.7.1 1 1 5.5.5 5.8.8 5.8.7.5 5.8 5.8.7.3 5.8.7.3(b)i 5.8.5(a) 1.7.6.1(d) Page 1 of 6

expiration date(s)? 5.6.4.2 Is there a source of fiber-free water that is checked daily and a record kept? Laboratory Environment Does the facility have a clean room with no asbestos-containing materials and work surfaces that are stainless-steel or plastic-laminate? Is there a working fume hood with HEPA filter? Does the room operate under positive pressure? Does the laboratory have procedures to minimize cross-contamination? Are glass slides (25- x 75-mm) and cover slips (22- x 22-mm) available and free of dust and fibers? Are tools such as a knife (surgical steel), scalpel, and tweezers available? Are micropipettes and pipette tips available? Are the micropipettes calibrated quarterly? Phase Contrast Microscope Is there a positive phase (dark) contrast microscope (PCM) with a green or blue filter available for use? Is the PCM in good working condition? Does the laboratory have more than one PCM? Does the eye piece provide 8 to 10x mag. and phase objective piece provide 40 to 45x mag., for a total magnification of 400x? Is the numerical aperture equal to 0.65 to 0.75? Is a Walton-Beckett type, 100-µm dia., graticule available? Is a telescope with ocular phase-ring centering available? Is there a stage micrometer with 0.01 mm subdivisions? Is PCM equipped with a camera? 1.7.8.2 11 5.5.13.1(e) 12 12 12 13 15 16 Make/Model/Serial number Digital or film? Is there a maintenance log book for equipment? PCM Are all calibrations performed under the same analytical conditions used for 1.7.1.1.1 Page 2 of 6

routine asbestos analysis and recorded including data and analyst s signature? At least once daily, does an analyst use the telescope ocular (or Bertrand lens) supplied by the manufacturer to ensure that the phase rings are concentric? Is the phase-shift detection limit of the microscope checked monthly or after modification or relocation using an HSE/NPL phase-contrast test slide for each analyst/microscope combination? Is the diameter of the Walton-Becket graticule specified? Is the actual field area measured, documented, and used? (acceptable range for field area is 0.00754 to 0.00817 mm 2 ) Is the illumination of the PCM satisfactory? Is a logbook kept with the dates of microscope cleanings and major servicing? Air Filter Are representative filters analyzed before use to determine filter background? If there are > 5 fibers/100 fields, are the filters discarded? 1.7.1.2.1 1.7.1.2.2 1.7.1.2.3 1.7.1.2.3 and QC 10 NIOSH 7402 1 Is each personal sampling pump NIOSH 7402 calibrated? Sampling 1 Is there a calibration certificate for the air pump(s)? 5.5.5 Is the flow rate documented on the COC? 5.7.3 Were samples taken at 0.5-16 L/min? NIOSH 7402 Sampling 4 Are at least 2 field blanks (or 10% of total samples) submitted for each set of samples? Are photos taken of standard patterns for comparison to unknowns? Sample Preparation & Analysis Is about 25% of the filter placed on a slide and placed into a hot block at 70 C injected with acetone to mount sample? Is each slide labeled with lab sample ID number? Is triacetin added to the filter then covered by a cover slip? Are cover slips sealed with lacquer or nail polish? Sample Prep 9 5.8.7.3(b)i Sample Prep 9c Sample Prep 9e Page 3 of 6

Sample Analysis Are only fibers longer than 5 µm with a length-to-width ratio 3:1 counted? Measure- If fiber is not entirely within graticule area, is it counted as a ½ fiber? Are bundles of fibers counted as one fiber unless individual fibers can be identified by observing both ends of the fiber? Does the analyst count enough fields to yield 100 fibers? (minimum 20 fields, maximum 100 fields) Is counting performed at least 1 mm from the filter s edge? Does the analyst spend a minimum counting time of 15 s per field? Does the analyst use a data sheet to document the results? Demonstration of Capability (DOC) Has the laboratory conducted an initial DOC prior to using any method and at any time there is a change in instrument type, personnel, or method or any time it hasn t been performed in a 12 month period? Does the laboratory have a documented procedure for on-going DOC? Quality Control Is a set of reference slides maintained and remain in the custody of the QA officer? Are the labels changed periodically? Is a minimum of one reference slide by each counter/analyst? Are blind repeat counts on reference slides used to estimate the laboratory intra- and intercounter precision? Are field blanks prepared and counted along with the field samples? If a field blank yields greater than 7 fibers per 100 graticule fields, is possible contamination reported? Are blind recounts performed by the same counter on 10% of filters counted? Does the laboratory participate in a PT program, such AIHA or ELAP, NY? Does the laboratory analyze two field ment 18a 18b1 18c 18d 19 19 19 1.6.2 1.6.3 and QC 11a and QC 11a and QC 11b and QC 12 and QC 13 and QC 15 Page 4 of 6

blanks, or 10% of the total samples, at 1.7.2.1.2 minimum? Does the laboratory participate in round robin testing at least once every six months? 1.7.3.2(b) Proficiency Testing (PT) Does the laboratory participate in the appropriate field of proficiency testing (FoPT) for initial and continued accreditation? Is PT analyses not contracted out to another laboratory? Does the laboratory analyze PT sample in the same manner as used for routine environmental samples? Are there previously analyzed and statistically validated PT sample records available? Do all the analysts participate in all PT rounds? Who is the PT provider (PTP)? Does the laboratory report results for accreditation and experimental FoPTs to the PTP on or before the closing date of the study? Does the laboratory have plans for resolving analytical problems when it receives a not acceptable performance score from a PTP? Are PT results used to verify accuracy and precision for each analyst and to judge the analyst s overall performance? Reports Are the reports complete and accurate? Are there any data qualifiers on reports? Does the report have authorized signatures? Is the following information included in the report of water samples: a) Counts per field b) Total fibers counted c) Total fields counted d) Average fiber count per graticule field e) Mean field blank count per graticule field f) Fiber density on the filter (fibers/mm 2 ) g) Concentration of fibers (fibers/cc) in the air volume 4.0 5.1.2 5.1.1 5.1.1 5.2.2 6.1 5.10.2 5.10.2(g) 5.10.2(j) Calculations and Reporting of Results Page 5 of 6

sampled (L) h) Intralaboratory and interlaboratory relative standard deviations i) Filter ID number j) Analyst s name k) Date of analysis l) Comments Is the model and manufacturer of the Optional PCM system included in the report? Records Does the laboratory establish and maintain procedures for identification, collection, indexing, access, filing, storage, maintenance and disposal of quality and technical records? Do quality records include reports from internal audits and management reviews and records of corrective and preventive actions? Does the laboratory retain records concerning analyses including raw data records, quality control data records, chain-of-custody forms, and laboratory reports for at least five years? 4.13.1.1 4.13.1.1 N.J.A.C. 7:18-4.6, 5.6, 6.7, 8.5(a) Page 6 of 6