Correspondence among

Attached is updated Flint Action plan for week ending 11-13-15. Highlights this week: e GCHD completed nurse case management training e Community awareness event held at Brownell School e Congressional Call re: Ready to Feed Formula e = Call with the Agency for Toxic Substances and Disease Registry (ATSDR) xxxEND_PAGE:dhhs02_b0308_1215_1215_1

Importance: High This is the school-based modelling report of the TSG, the Toxic Subgroup comittee---and lists themembers

Eden V. Wells, MD, MPH, FACPM Clinical Associate Professor, Epidemiology Director, Preventive Medicine Residency University of Michigan School of Public Health 1415 Washington Heights, Ann Arbor, MI 48109 Tel: 734-647-5306 Fax: 734-936-2084 ewells@umich edu weeenenee= Forwarded message ----------

102515.docx; ATTO0002.htm; Provider letter_.DRAFT5 102515.docx; ATTO0003.htm I know Rep Neeley will want, from his request Friday, to see these versions, and I met with him at 10---- share or no? Sent from my iPhone Begin forwarded message:

Just got off phone with Jen Gray, our toxicologist who works with Linda. e She concurs with me that DEQ does NOT KNOW WHICH ZIPCODE these tests came from! e 15 ppb is the EPA actionable level e 4PPBis the residential limit DEQ uses to state that drinking water is safe AFTER an abatement or clean- up. e MDHHS Tox has NOT endorsed this 4 ppb level, and has been working with DEQ regarding this issue. This has implications for the exposure assessment protocol that they will be working on over the next two days with DEQ. e Right now, we cannot determine any other PH action other than turning of the water to all schools, however ,| will have a confirmation of this by Linda this evening--- e ?? and it is unknown on the MDHHS side if we can turn water back on if the school screens as nondetectable, because Linda needs to review the sampling method by DEQ. xxxEND_PAGE:dhhs02_b1031_3658_3661_3 003661 xxxEND_PAGE:dhhs02_b1031_3658_3661_4