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Attached for your review is EBL water protocol with revisions made in response to EPA comments 2 through 8. Regarding comment #1: some of the issues raised by EPA will be addressed by the GCHD nurse case managers (e.g., filter maintenance). Other issues are difficult to address in the context of the protocol. For example, the timing of exposure relative to an elevated blood test and subsequent EBL investigation will vary between children and will be difficult to identify in most cases. In addition, it’s unlikely that most Flint homes would have been using a water filter prior to Oct 1, 2015. Given the limitations and the need to identify and abate relevant exposures as quickly as possible, the best we can do is measure current lead levels in unfiltered tap water as a proxy for past exposures. | need to share this with our contractors and oversight staff so the changes can be implemented. Please let me know ASAP if you have concerns. Linda

Date: Monday, December 07, 2015 10:11:16 AM Thanks Jim. | think we can make the recommended changes to the sampling steps, provided DEQ is willing to and can provide wide-mouth bottles. The response to comment #1 is somewhat complex and will vary depending on when an EBLL was reported. Does DEQ plan to respond or should HHS take the lead? Linda

| confirmed with the lab that they will have 10 kits ready for pick-up at 2:00 PM Please contact Kirby Shane (included in this e-mail) if you have any kit related questions. Thanks to all! George George L. Krisztian Flint Action Plan Coordinator Laboratory Director Michigan Department of Environmental Quality Desk ph (517) 284-6719 Cell ph (517) 420-5897

Attached is the final residential drinking water sampling protocol that we’ll share with our contractors. George, please let us know when the sampling kits are ready to be picked up. Our EBL contractors are starting today, but will tell the residents that they'll return to take the water samples soon. | believe 2 more investigations are schedule for next week so it would be great if we could get at least a few kits ASAP. Linda D. Dykema, PAD. Environmental Public Health Director Division of Environmental Health Michigan Department of Health & Human Services 517.335.8566 [email protected] xxxEND_PAGE:deq04_b591_7575_7575_1

FYI - Attached is the water sampling instructions used by VA Tech. Their protocol says the first bottle is the “first draw standard” and the second bottle is “targeting the lead service line”. They don’t state a purpose for the 3" bottle, just that it’s collected after 5 minutes of flushing. xxxEND_PAGE:deq15_b670_2352_2352_1

FYI, I'm forwarding the DAG’s response to the attached online complaint they received from Wayne Koper.

FYI, Peter Manning hand carried to me this afternoon the attached Environmental Incident Report Form that was submitted online to, and subsequently faxed to, DAG’s ENRA Division.

The mystery is solved! I’m covering Executive Division’s main phone line this morning, and | received a call from Wayne Koper (a citizen from the Thumb area) who said he faxed to 373-1610 an Environmental Incident Report Form (a DAG form) regarding “poisoning of children of Flint.” He said the complaint number assigned to it is: 2015-ep10081942753-A. | checked online and found out that fax number is for the DAG’s Environment, Natural Resources, and Agriculture Division. | then spoke with Peter Manning’s secretary, Nancy Hart, to see if they received his form and to let her know I’d be e-mailing her a phone message from Mr. Koper to return his call. She said they have the form, and she will ask Peter if it's OK to forward a copy to me to share with you. Stay tuned.....

Date: Thursday, October 08, 2015 2:33:46 PM thanks