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RE: Attached -- Task Force Comments on Residential Sampling Protocol

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

RE: Attached -- Task Force Comments on Residential Sampling Protocol

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

Phosphate Factsheet - NEW draft

Hi Liane, Please see attached - updated version of the factsheet.. Jen and | are still planning to walk over at 2 pm. | left in the background about sources of lead - but moved it outside the section of how the phosphate addition section. See what you think - we will try again if needed. Thanks Kory xxxEND_PAGE:deq14_b0887_3201_3201_1

RE: Water Sampling Protocol

| 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

Water Sampling Protocol

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

RE: EBL Water Sampling Protocol

Date: Wednesday, November 18, 2015 11:41:14 AM Hi Linda, The Contacts at the Lab would be: ulia Pieper irby Shane Carol Smith have included them in this e-mail for your convenience. ulia, Please provide Linda with the requested information. Thank you! 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

VA Tech protocol

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

DRAFT Residential Drinking Water Sampling Protocol for EBL Investigations

10Nov15.docx Attached is a draft document for your review/comment. We discussed last week a plan to key/code each location so that addresses would not be listed on the sampling forms in order to protect the anonymity of the residence. Do you want any discussion of this in the sampling protocol or do you want to handle that outside of the protocol? It’s currently not addressed. xxxEND_PAGE:deq15_b657_2306_2306_1

RE: Pb - follow-up from call.

Date: Monday, October 26, 2015 9:28:59 AM All, HHS has developed materials regarding blood lead testing that will be provided to parents through the schools. It sounds like DEQ is interested in developing materials regarding the water testing and results. | think it would be best to pull these efforts together to maintain consistency in the messaging. Sue and Eden, please advise on how you'd like to move forward. Thanks Linda D. Dykema, PH.D. Environmental Public Health Director Division of Environmental Health Michigan Department of Health & Human Services 517.335.8566 [email protected]

RE: Pb - follow-up from call.

AuL HHS has developed materials regarding blood lead testing that will be pravided to parents through the schools, it sounds like DEQ js interested in developing materials regarding the water testing and results. | think it would be best to pull these efforts together to maintain consistency in the messaging. Sue and Eden, please advise on how you’d like ta move forward. Thanks Linda D, Dykema, PAB. Environmental Public Health Director Division of Environmental Health Michigan Department of Health & Hurnan Services 517.335.8566 dykernal@ michigan. gov

Meeting with Flint Superintendent

Date: Thursday, October 15, 2015 3:54:40 PM Hello all, A meeting has been scheduled for 1:00 Friday, October 16 @ 1:00 with the Flint Schools Superintendent. There unfortunately is no conference call capabilities. I know some of you were hoping to phone in. I will be sending out a meeting notice momentarily with a bit more information. This was just a heads up, so you were not surprised by the meeting notice. Thanks! Heather Feuerstein Management Assistant to Maggie Pallone, Deputy Director and Brad Wurfel, Communications Director Department of Environmental Quality 517.284.6715 xxxEND_PAGE:deq02_b215_2369_2369_1

RE: DRAFT DELIBERATIVE. NOT SUBJECT TO FOIA - Draft recommendations for restaurants from MDARD

Thanks Linda — So everyone is or the same page - Businesses thet wish to he tested can go through the lab and rust pay for the testing. They are not being offered free testing as is being done for residents. Since the docurnent MDARD prepared is specific to restaurants, atc. net sure that we have enough basis to suggest that rid-day flushing is necessary. But flushing is never a badidea. We'll keer this in mind as we proceed with developing recommendations for schoois. i believe as long as the Genesee County cio not use the water order is stillin place, we should be confident that bagged ice isn’t oraduced locally, Kevin — you ray want to place a caveat in the document just in case,

FW: Flint PoCu data DRAFT DELIBERATIVE. NOT SUBJECT TO FOIA.

Attached are the pdf/scanned forms that were submitted by the city jwe do have the individual lab sheets, but didn’t think thase would be helofull for the 2 six month rounds of monitoring conducted (uly — December 20:14 and January - dune 2015). Also, Adarn has provided the excel spreadsheet that he used to calculate the ag" percentile numbers for both rounds. Ask if you have questions. liane

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