600R80103
                       Strategy for the Implamentation
                                   of  the
                      Environmental Protection Agency's
                     Mandatory Quality Assurance Program

                             FY 1980 -and FT 1981


                                 QAMS-001/80
                     Quality Assurance Management Staff
                  Office of Monitoring and Technical Support
                     Office of Research and Development
                    U.S. Environmental Protection Agency
                               March 11, 1930

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                         Strategy for the Implementation
                                    of the
                        Environmental Protection Agency's
                       Mandatory Quality Assurance-Program

                               FT 1980 and FY 1981
                                TABLE OF CONTENTS

                                                                          Page

   I.   Introduction                                                         1

  II.   Quality Assurance Goals and Objectives                               2

 III.   Quality Assurance Management, Organization,
       and Responsibilities                                                 3

  IV.   Quality Assurance Plans                                              7

   V.   Quality Assurance Requirements for Contracts,
       Grants, and Cooperative Agreements                                  11

  VI.   Model Quality Assurance Program Plans and
       Model Quality Assurance Project Plans                               11

 VII.   Quality Assurance Reports                                           12

VIII.   Special Quality Assurance Projects                                  12
  IX.  Resource Requirements
13
   X.  Implementation Requirements and Schedules     -                      13

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                                                             rage JL UJL j_^


                      Strategy for the Implementation
                                  or the
                     Environmental  'rotection .  ,ency's
                 Mandatory Quality . ssurance (Qn) Program


I.  Introduction

The EPA must have a comprehensive QA program to provide for the generation,

storage, and use of environmental data.  Valid data of verifiable quality

must be available to provide a sound basis for effective decisions concerning

environmental quality, pollution abatement, and control measures.  The QA

program can succeed only through rigorous adherence to established QA tech-

niques and practices.
  »

In the past, there has been a high degree of fragmentation, lack of coordination,

poorly identified needs and resources, and. duplication of efforts in the QA pro-

gram.  For these reasons, it is now Agency policy, as enunciated by the Adminis-

trator in memoranda of May 30, 1979 and June 14, 1979, that, all Regional Offices,

Program Offices, EPA Laboratories, and those monitoring and measurement efforts

supported or mandated through contracts, regulations, or other formalized agree-

ments participate in a centrally managed QA program.  Regional Offices should work

cooperatively with States to assist them in developing and implementing QA programs,


The mandatory QA program covers all environmentally-related measurements.  •

Environmentally-related measurements are defined as "essentially all field and

laboratory investigations that generate data involving the measurement of chemical,

physical, or biological parameters in the environment; determining the presence or

absence of pollutants in waste streams; health and ecological effect studies;

clinical and epidemiological investigations; engineering and process evaluations;

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                                                            Page 2 of 15



studies involving laboratory simulation of environmental events; and studies
              j
 r measurem<  .is on pollutant transport, including diffusion models.



This document presents the strategy for the development of an Agency QA program

in accordance with the Agency policy.  This strategy describes, in general, the

total program effort with respect to what must be done.  This strategy does not

attempt to describe how, in detail, the program is to be implemented within the

individual Program and Regional Offices, or the EPA Laboratories.  Subsequent

guidance documents will enable the Program and Regional Offices and the EPA

Laboratories to develop detailed QA plans.



II..  Quality Assurance Goals and Objectives

The primary goal of the QA program is to insure that aI1 environmentally-related

measurements supported or required by the EPA-result in data of known quality.

To meet this goal, the QA program must, provide for the establishment and use of

reliable monitoring and measurement systems to obtain data of necessary quality

to meet planned Agency needs.



Initial objectives are the development and implementation of QA program plans by

each of the Program and Regional Offices and EPA Laboratories which will ensure

that the QA goal can be achieved nationally.



Long-term objectives include (1) providing quantitative estimates of the quality

of all data supported or required by the Agency, (2) improving data quality where

indicated, and (3) documenting progress in achieving data quality.



A continuing objective is to promote and develop optimally uniform approaches,

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•  '                                                            Page  3  of  15






procedures,  techniques, reporting methods,  etc., across media and  across




Regional Offices,  Program  Offices, and  EPA  Laboratories.  'It  is  important  (and




most efficient and effective)  for all organizations within  EPA to  employ the




same QA language,  consistent policies,  procedures, and techniques  when  inter-




acting with  the  States, industry, the public,  contractors,  grantees,  QA-involved




professional societies, other  Governmental  agencies, and national  and inter-




national organizations.






III.  Quality Assurance Management, Organization, and Responsibilities




The QA program can succeed only if it is given attention by top  management  and




provided sufficient authority  and resources to support a national  program effort.




Therefore, the Assistant Administrators and Regional Administrators  share the




major responsibility for implementing the Agency's QA policies and directives.






The Agency-wide  QA program will be implemented through the  establishment of a




central management authority supported  by a well-defined organizational structure-




with clearly delineated areas  of responsibility.  The Administrator  has delegated




to the Office of Research  and  Development (ORD) the authority and  responsibilit37




for developing and coordinating 'the national mandatory QA program  and directing




its implementation.  Within ORD, the responsibility has been  delegated  to the




Quality Assurance  Management Staff and  the  two Environmental  Monitoring Systers




Laboratories and one Environmental Monitoring  Support Laboratory of  the Office




of Monitoring and  Technical Support.  The other agency organizations  involved in




the management of  the mandatory QA program  are Program Offices,  Regional Offices,




and Laboratories.

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   A.  Office of Monitoring and Technical Support  (OMTS)

       1)  The Quality Assurance Management. Staff  (QAMS)

      . The QAMS will manage the mandatory program.  Major functions of the QAMS

are- to:

       - Develop model QA plans and guidelines for use by data
         generating offices and laboratories in preparing QA plans.

       - Review and approve QA plans of data generating offices and
         laboratories.

       - Conduct periodic reviews of Agency QA Programs to determine
         if deficiencies exist and recommend corrective actions.

       - Provide assistance to Agency components developing and
         'implementing QA plans, including assistance in identifying
         resources and outputs needed for the fulfillment of the
         mandatory QA program.

       - Provide annual report to the Administrator and others as
         required..

       - Chair and provide administrative support to the Agency
         Quality Assurance Advisory Committee (AQAAC).

       - Review selected Agency regulations containing QA requirements
         for monitoring and measurements.

       - Coordinate and assist in development of QA training programs.

       - Maintain reference files of QA plans and procedures and serve
         as a clearinghouse for QA information.

       - Coordinate the development and approval of laboratory certification
         procedures and criteria as part of the design of the mandatory OA
         program.

       - Coordinate liaison and support for QA plans and programs with other
         agencies and professional societies, including cooperation with
         national and international standards setting organizations.

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       2)  Environmental Monitoring Systems Laboratories and
           Environmental Monitoring Support Laboratory  (EMSL)
                , \
       The EMSLs.' 3f the OMTS work closely with the QAMS and will have Agency-wide
                ' }                                      )
technical responsibility for the mandatory QA program for their respective media

or area of expertise.  These responsibilities include:
                                                                             s

       - Provision of technical assistance to the QAMS

       - Development of sampling'and measurement methods and procedures

       - Selection, testing, and validation of measurement methodology

       - Development and implementation of procedures for assessing
         equivalent and alternate measurement procedures

       -•Preparation of QA guidelines, .handbooks, and other reference
         information

       - Development and implementation of criteria and procedures for
         evaluations of routine performance of measurement systems and
         operations

         1), Provision of standards and reference materials including
            all performance evaluation samples

         2) Conducting performance evaluations

In some specialized areas, such as biomedical and pesticide residues, QA responsi-

bilities may be delegated to other OKD Laboratories.


   3.  Offices Generating Data (Program Offices, Regional Offices,
       and SPA Laboratories)

       Each office or laboratory generating data has the minimum responsibility

to inplenent procedures to assure that precision, accuracy, completeness, and

representativeness of its data are known and documented.  In addition, an organi-

zation should specify the quality data must meet in order to be acceptable.

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Each office or laboratory generating data will designate a QA Of icer.  This




person will be responsible for QA functions within his area of i^sponsibility




and provide liaison with the QAMS and other QA groups.  The functions of  the




QA Officer will be consistent with those of the QAMS as described above but




United to a specific area of responsibility.  Specific responsibilities  shall




include (1) liaison with the QAMS and other QA groups; (2) preparation of QA




program plans; (3) preparation or review and approval of QA requirements  for




grants, cooperative agreements, and contracts; and (4) preparation of QA  reports




including data quality asses scent.







Each, operating program (office, Region, or laboratory) will notify the QAMS  of




any new or planned monitoring or measurement activities.  Each operating  program




wl.11 also have a mechanism for accurately accounting and tracking resources  for




QA.  (For example, Region V has identified a QA-office for this purpose.)




     1)  Program Offices




      Based upon guidelines established by the QAMS, the Program Offices, in




conjunction with their related laboratories, Regional programs, Regional  QA




Offices, and other field units will develop and implement QA Program Plans.




These QA Program Plans will be submitted to the QAMS for review and approval.




     2)  Regional Offices




     Based upon guidelines established by the QAMS and the guidance from  the




National Program Managers, each of the Regional Offices will develop and  implement




consistent QA Program Plans.  These plans will address the responsibilities  for




the Regions, State and local agencies, and the private sector.  QA plans  will be

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                                                                rage / or xj



raviewed and approved by the QAMS.  QA programs for the States will be cooperatively


devel Ted with them through the appropriate Region.  Continual oversight of Stats

       )                                      )
QA programs will be a .Regional responsibility with guidance and assistance by the


QAMS.
                                                                  \
     3)  Laboratories


     Based upon guidelines established by the QAMS, each Laboratory will develop


and inclement a QA Program Plan for its organization.  These QA Program Plans will


be submitted to the QAMS for review and approval.



IV.  Quality Assurance Plans


The implementation of a strong QA program will depend, in large measure, upon the


development of general management plans for each distinct program ?.rea along with


explicitly detailed plans for each individual project or study.  It is essential


to understand the differences between the two types of plans.



QA Program Plans are written documents to be prepared by each Program Office,


Regional Office, and Laboratory which include the overall policies, organization,


objectives, and functional responsibilities designed to achieve data quality goals


for the activities for which the particular organization is responsible.  These QA


Program Plans are to be developed in conformance with the "Guidelines and Specifi-


cations for Preparing QA Program Plans, QAMS-004/80."



QA Project Plans are written documents, one for each specific project or each


continuing operation (or group of very similar projects or group of very similar


continuing operations), to be prepared by the responsible Program Office,  Regional

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  ;ice,  Laboratory,  Contractor-  Grantee,  or other organization which presents,
                               !
 a specific terms,  the policies :  organization (where applicable),  objectives,

 unctional activities, and specific QA and quality control (QC) activities designed

 o achieve the  data  quality goals of the  specific project(s)  or continuing opera-

;ion(s).  QA Project Plans are to be prepared in accordance with the "Guidelines

.nd Specifications  for the Preparation of QA Project Plans, QAMS-005/80, " to be

. ssued by June,  1980.


}A Program Plans only will be  reviewed and approved by QAMS in accordance with

:he "Procedures  for  QA Program Plan Review and Approval (Standard  Operating

'rocedure 001/80)."   Project Plans are to be approved by the  QA Officer of the

responsible organization.   QAMS will examine selected QA Project Plans as part

if the ongoing  review of  the QA program implementation.


     A.   Quality Assurance Program Plan

     The QA Program  Plans  must contain, as a m-in-jimmi,  the following information:
     1.  A statement  of  policy  recognizing the  organization's  intent to
        implement  a  QA  program for  their internal and extramural efforts
        to result  in measurement  data  of known quality.

     2.  An organizational chart showing the  position of  the QA Officer
        who is  accountable for the  QA  program.   In establishing the
        organizational  position of  the QA Officer,  the designating
        official  (DAA,  Laboratory Director,  RA,  etc.)  should  consider
        the need  for open lines of  communication.   The desirability of
        avoiding a presumption of conflict of  interest which  might
        result  if 'the QA  Officer  were  not sufficiently removed organi-
        zationally from the direct  generation  of the majority of the
        data should  also  be considered.

     3.  A delineation of  the responsibilities  of the QA  Officer and the
        data quality responsibilities  of the functional  groups of the
        organization.

     A.  General description of procedures or approach to be used to
        routinely  assess  and document  the precision,  accuracy,  and
        completeness of measurement data.

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                                                                .rage y ot  15


     5.  Gen ral procedures whereby QA Project Plans are prepared, reviewed,
         anc approved.

     6.  A listing of the substantial current and planned project: and •
         continuing activities for which QA Project Plans will be  jrepared.
         Target dates for the completion of each QA Project Plan will be
         indicated.

QA Program Plans will be prepared by each of the following Offices and Laboratories:

     Enforcement CNEIC-Denver)

     Water Enforcement

     General Enforcement

     Mobile Source and Noise Enforcement

     Water Planning and Standards

     Water Program Operations

     Drinking Water Programs

     Solid Waste Programs

     Noise Abatement and Control

     Air Quality Planning and Standards

     Mobile Source Air Pollution Control

     Radiation Programs

     Monitoring and Technical Support

     Environmental Engineering and Technology

     Health Research

     Environmental Processes and Effects Research

     Pesticides Programs

     Chemical Control

     Testing and Evaluation

     Program Integration and Information

     Regions I through. X

     ORD Laboratories (A Plan for Each of 15)

Note:  See the "Guidelines and Specifications for Preparing QA Program Plans,
       QAMS-004/80" for more detail.

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   •  B.  Quality Assurance Project Plans

     QA Project. Plans for n-  litoring .and measurement projects should contain

the following, .. ? applicable:

     1.  Title Page, with provision for approval signatures

     2.  Table of Contents

     3.  Project Description

     4.  Project Organization and Responsibilities

     5.  QA Objectives for measurement data in terms of precision,
         accuracy, completeness, and representativeness

     6.  Sampling Procedures

     7.  Calibration Procedures and References

     8.  Analytical Procedures  (manual, and automated)

     9.  Data Analysis, Validation, and Reporting (manual
         and automated)

    10.  Internal Quality Control Checks

    11.  Performance and System Audits

    12.  Preventive Maintenance Procedures and Schedules

    13.  Sample Custody

    14.  Specific Procedures to be used to routinely assess and
         document data precision, accuracy, and completeness of
         specific measurement parameters involved

    15.  Corrective Action

    16.  Quality Assurance Reports to Management


The QA Project Plans will be prepared in document control format, with provision

for revision, as needed, and with a record of the official distribution.

Note:  See the "Guidelines and Specifications for Preparing QA Project Plans,
       QAMS-005/80" for more detail.

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V".  Qua  ..ty Assurance Requirements for Contracts.
    Gr   :s, and Cooperative Agreements

In accordance with the Administrator's policy of June 14, 1979, QA Project Pirns

are required'for all contracts, grants, and cooperative agreements which include

environmental measurements.  Because of some procedural and legal differences,

t he QAMS will prepare two separate guidelines:

     1.  Guidelines for the Implementation of QA Requirements for Contracts

     2..  Guidelines for the Implementation of QA Requirements for Grants
         and Cooperative Agreements

These guidelines will be Implemented by the beginning of FY 1981.


VI.  Model QA Program Plan and Model QA Project Plans

S everal model QA Program Plans will be j ointly prepared by the QAMS and the

responsible QA Officer and organization.

     1.  Ambient Air (OAQPS)

     2_  Ambient Water (OWPS)

     3.  A Region CIV)

     4.  Laboratories (HERL-RTP and ERL-Narragansett)


Similarly, several model QA Project Plans will be jointly prepared by the responsible

QA Officer and Project Manager under the guidance of QAMS:

     1.  Ambient Air (Project or Pollutant Specific)

     2.  Ambient Water (Project or Pollutant Specific)

     3.  Region (Project or Pollutant Specific)

     4. . Laboratory (Project or Pollutant Specific)


These model QA Program Plans and model QA Project Plans will then be used as

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models for the preparation of other QA Program Plans and QA Project *. is.  Models

will be revised as needed to reflect new developments.


VII.  Quality Assurance Reports

Each Program and Regional Office and each Laboratory will prepare a semiannual QA

Report which will be submitted to the QAMS.  Such QA reports will include such

information as:

     1.  Status of QA Program Plans

     2.  Status of QA Project Plans

     3.  Measures of data quality from their projects

     4.  Significant quality problems, quality accomplishments,
         and recommendations

     5.  Results of Performance Audits

     6.  Results of Systems Audits

     7-  Summary of quality-related training


The QAMS will, in turn, prepare a consolidated summary reporr to the Administrator,

the Assistant Administrators, and others.


VIII.  Special Quality Assurance Projects

The QAMS will place priority on several special projects of major interest:

     1.  Conduct QA Workshops.  To assist in the preparation of QA Program
         Plans and QA Project Plans and in the implementation of the QA
         requirements for contracts, grants, and other cooperative agree-
         ments, the QAMS will conduct, in cooperation with the Program and
         Regional Offices, EPA Laboratories, and Contract and Grant Adminis-
         trations, a series of QA Workshops at Research Triangle Park,
         Cincinnati, and Las Vegas.  Attendees at the workshops will include:

              Regional QA Officers            Contract Administrators
              Program QA Officers             Grants Administrators
              Laboratory QA Officers          Project Officers
                          and Other Interested Persons

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     2.  Establish QA Clearinghouse(s).  Each clearinghouse will maintain
         listingsvof available reference materials, schedules of EPA inter-
         laboratc r/ performance audits,- files of past and current  A Program
         Plans, Cj Projecr Plans, annual QA reports, etc.          ;

     3.  Conduct Quality Systems Audits.  Specific Offices or Projects will
         be selected for on-site Quality System Audits.  Audit teams will be
         composed of qualified individuals from offices or laboratories other
         than that being audited.

     4.  Perform a QA Cost Study.  A systematic study will be made of the cost
         of quality-related activities within EPA.  Quality-related activities,
         as differentiated from other monitoring and measurement activities,
         will be carefully defined and costs for each quality-related activity
         determined or estimated.  This study will result in management guide-
         lines, for determining costs and cost benefits for external and
         internal QA programs and activities."


IX.  Resources Requirements

In FY 1980 and FT 1981, ORD will provide minimum resources to support the QAMS
and additional requirements placed on the EMSLs.  These resources are estimated
to be $500,000 and 7.0 FTE.  Three positions (one each) will be assigned to the
EMSLs.

Program Offices, Regional Offices, and Laboratories should continue to provide
the resources to-assure that the environmental measurements carried out by or
for their purposes meet their QA requirements and result in data of documented and
known quality.  ORD will provide assistance in defining the minimum requirements
and resources needed to achieve these requirements.  ORD will also provide informa-
tion on the cost of improving data quality by April, 1981.


X.  Implementation Requirements and Schedule

Table I shows the major tasks or outputs needed to implement the mandatory EPA QA
program through FY 1981.  The organization(s) responsible for each major task is
(are) indicated along with the known or expected completion dates.

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                                       TABLE I

                      IMPLEMENTATION REQUIREMENTS AND SCHEDULE
                                                                 rage J.4- oo.
 Major Task or Output
 Responsibility
 Completion
 Target Date
Agency QA Policy - General

Agency QA Policy - Contracts
   and Grants

Draft Strategy for Developing
   Mandatory QA Program

D raft Guidelines and Specifications
   for Preparing QA Program Plans

D raft Guidelines for Implementing
   QA Requirements for Contracts

Designation of OA Officers

Model QA Program" Plans (Ambient
   Air,  Water,  Region,  (Laboratory)

Draft Guidelines for QA Project
   Plans

Draft Model QA Project Plan

Quality Assurance Clearinghouse

Semiannual  Agency Quality  Assurance
   Report

Draft QA Program Plans  Submitted

Agency  QA Progr: m Plans  Approved

QA Cost  Study  Report

Draft Guidelines  for Implementing
   QA  Requirements  for  Grants

QA Workshops (QA  Officers,  Project
   Officers, Grants Administrators)

QA Project Plans Prepared
 Administrator


 Administrator


 ORD/Work Group


 OMTS/QAMS


 OMTS/QAMS

 DAAs,  Labs, RAs


 ORD POs,  ROs


 OMTS/QAMS

 OMTS/QAMS

 OMTS/QAMS


 OMTS /QAMS

 POs, Labs, ROs

 OMTS /QAMS

 ORD Labs. RCs


 OMTS/QAMS


 OMTS/QAMS

Labs,  POs, ROs
May 30,  1979


June 14,  1979


February 13, 1980


February 22, 1980


February 22, 1580

March 1,  1980


May 19,  1980


May 5, 1980

May 5, 1980

May 1, 1980


June 2,  1980

June 6,  1980

September 15,  1980

September 15  '930


September 15,  _?80


(To Be Planned)

October 1, 198C
and continuing

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 ajor Task or Output
                               Responsibility
Completion
Target Date
ocedures for Implementation
of Agency-wide QA Audit
Pro sr am
 itatistical Data Quality
  Assessment Procedures -
  Precision and Accuracy

 Semiannual Agency QA Report

 5A Work.shop
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    1
   /
            UNITED STATES ENVIRONMENTAL PROTECTION  AGENCY
                             WASHINGTON. D.C.  20460
                               DOT  09  I960
                                                                 OFFICE OF
                                                          RESEARCH AND DEVELOPMENT
SUBJECT:  Implementation Strategy for the Quality Assurance (QA) Program

FROM:

      i

TO:

THRU:
          Stephen J. Gage>
          Assistant Administrator
            for Research-and Development (RD-672)

          The Administrator

          AX-101
     We have completed the "red border" review process for the subject strategy
document.  The reactions by the reviewing offices are shown on the clearance
record shown in Tab A.

     We have since met with the staffs of the two nonconcurring offices and modi-
fied the strategy in response to their concerns and the concerns raised in the
comments from the other reviewing offices.  A copy of the revised strategy is
shown in Tab B.  Our specific actions in the nonconcurrences are summarized in
Tab C.  The- specific responses from each office are contained in Tab D.

     A major concern of all the responding offices was the potential resource
required to implement the mandatory QA program.  Specifically, there was concern
that the strategy was not in accord with your policy to "make optimum use of
existing Agency resources and expertise and provide for the least disruption of
ongoing activities."  We have responded to thir by including a section on
resources that details the Office of Research and Development's support to the
•nandatory program and reiterates your directive that the Assistant Administrators
and Regional Administrators must provide sufficient QA resources to assure that
we use data of known quality in our decisions.

     Another point raised by several reviewers was the yagneness of the strategy
and implementation schedule with respect, to specific activities.  In response, we
revised the strategy to cover FT 1980-81 only and expanded the implementation
schedule accordingly.  There were many comments raised concerning the need to
provide more specific guidance in the strategy.  Since we are preparing separate
guidance documents for implementing the key parts of the QA program, we incorporated
them in the strategy by reference where appropriate.

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U.S. En^5*";:"*"" •*         -^on Agency
Regie^  '•
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Chicig.           .-*  -j-'i-.   , --^""

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     Finally, there were objections raised regarc .ng the requirements that the
QA Officers for each unit be independent of the functional groups making environ-
mental measurements.  An independent QA review is essential to the success of the
program; however, we have revised the document to allow -more flescLbility to offi-
cials in designating QA Officers.

     We believe that the revisions of the strategy document respond to the concerns
of the reviewing offices.  It provides a clear explanation of the activities and
requirements of the QA program for the nezt two years.  Therefore, I recommend thar
you gign the attached ACTION MEMORANDUM.  Upon your concurrence, I will issue the
strategy for Agency use.

Attachments

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