Correspondence between

1 apologize for the slow responses. I've been pulled in many different directions over the past few days. Working with you and sampling the schools is my priority moving forward and my communications will be more prompt. Mike, | left you a voicemail yesterday afternoon when I received the message that you left earlier in the day. Sorry my response wasn't sooner, T'll be at my office by 8am tomorrow and I'd be happy to discuss anything. George, I have the professional sanitarian staff to collect water at schools, The GCHD financial people calculated $92/hr to cover costs. That didn't include 11/2 overtime pay. I can discuss this further. Thave the yellow copies of water (collection) forms used during our first round of sampling at the schools. I can fax, email or discuss them in detail. If you need details from discussions between GCHD staff and the school staff during the sampling, I can have my staff to sit in on a conference call, There seemed to be a lot of discrepancies regarding when/if and how long the fixtures were flushed. The sanitarian that sampled Freeman Elementary told me that the drinking fountains appeared to have been used prior to him collecting the samples (there was water in the basins). Keep in mind, this was after the schools had prohibited use of the fountains. He told me that he assumed that students were randomly pushing the drinking fountain buttons as they walked by because they were told not too use them. Steve, you made the expectations clear and detailed what everyone's role was with the first round. Of course some mistakes were expected, but the only consistency with flushing the water fixtures seemed to be the inconsistencies. For example; The central kitchen was not informed and the fixtures were not flushed previous to our sampling. However; we sampled a prep sink that had not been used that morning, but the kitchen manager couldn't recall the last time it had been used. I collected the samples at the school admin building and met with Tony Sitko. He wasn't sure, but thought the custodian flushed the drinking fountains and didn't know when they were flushed. There are many similar experiences that my staff reported back to me. I don't mean this critically and this just confirms that mistakes and will occur regardless of how clear the instructions. I think your approach to limiting the different parties involvement with sampling will help reduce mistakes. Thank Jim Sent from my phone xxxEND_PAGE:deq04_b580_7196_7564_126 Rennaker, Joanne (DEQ)

it sounds like from the meeting | just got out of the Lab would prefer to have the restaurants contact them directly. Let's touch base again tomorrow. We'll have to see if there Is an easy and convenient wey to distribute sample bottles and get them to the lab for analysis. Stephen Busch, PE. MDEQ Lansing District Coordinator Office of Brinking Water and Municipal Assistance Lansing and Jackson District Supervisor 517-643-2314 yortint Sent: Thursday, October 08, 2015 3:58 PM

Please refer all inquiries regarding the Flint school water results to MDEQ, The results have not been shared with GCHD. Jira Henry RS, MBA Environmental Health Supervisor 430 S. Saginaw St, Suite 4 Hint, MI 48502-1540 Phone {810} 257-3618 y Fax (810) 257-3125 ifyou

i ie & £ [email protected] ged informaty 4. Sf you have ¢ use of the addressee and may o an prop action in reliance of th Wants af nd desiroy ali copies. Thank ant, any disclosu: if error, please notify me via For a cepy of the Health Department's Mos of information Practices, contact the Health Department or visit the Health Department's websil at hile fiw, gechid. us xxxEND_PAGE:deq16_b5_0892_4900_0144 fey Water Supply attire Weary Oacleration for: Puente Using the Fiiets e the Snacks: Te wet WLOLUMOLLOLLLLLA 3S B oA WMD is-coss yf GHENT “or Wie YES boporten' LLL LL EEE EEE xxxEND_PAGE:deq16_b5_0892_4900_0145 Suid be Sationay AUONS ara Hae SSNRS.IN WHOSEsoresA Use ACIS courdry, Uy Rese are many other potent ox @ “Rome temearias ane cow & Tamasnds ar Masiae e Bear oats s Cpystaldecanters Spunsl gs fhe Sey xxxEND_PAGE:deq16_b5_0892_4900_0146 xxxEND_PAGE:deq16_b5_0892_4900_0147

Good afternoon, below is the message that | sent to GCHD staff today. Please let me know if there are questions ar concerns. Thanks Jim Attached is the school list w/assignmments and sarnpling protocal. if the school locations are more geographical convenient for someone else, please feel free to switch. Plan @ Report to GCHD tomorrow morning at regular scheduled time to pick up the water bottles and farms. » Report to first school office w/identification fanprox. 8:Sdam}. They will have designated three sample locations per school, The school will have followed their part of the sampling protocal. ® Follow our part of the sampling protocol. Be very specific when identifying the location on the MDEQ sample form i.e. classroom numbers, NSEW, ect, @ Return to office with samples. MDEQ will pick up sanigies for analysis. Let rae know if there are questions/concerns. Thanks for helping to expedite the schools sampling. Thanks Jim Jim Henry RS, MBA Environmental Health Supervisor $30 S. Saginaw St., Suite 4 Flint, MI 48502-1540 Phone {810} 257-8618 Fax (810) 257-3125 E-mail @¢ 5 @geche *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. ‘Thank you. xxxEND_PAGE:deq16_b5_0892_4900_0129 For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department's website at fy

Sounds great. Since there are multiple drinking fountains per school, GCHD staff will be as descriptive as possible on the report forrn regarding the sample location.

Thank you. We ask that the GCHD staff collecting sarnples please report to the main office of each school site to sign in as visitors and present GCHD identification. Principals will identify the selected fountains and direct you to their locations. Respectfully, Tony

Got it, Thanks GCHD staff will collect samples Friday morning, if it works for the schools. | will follow us with more detailed information. Jim Henry RS, MBA Environmental Health Supervisor Genesee County Health Department www.gchd.us 630 S. Saginaw St., Suite 4 Flint, MI 48502-1540 Phone (810) 257-3618 Fax (810) 257-3125 E-mail [email protected] xxxEND_PAGE:deq16_b5_0892_4900_0626 *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at htto://www.eehd.us/ Cai Pallone, Massie (DEQ); Wurfel, Brad (DEQ)

Aschool based sampling instruction sheet is attached. We will provide conies to the Genesee County Health Denartment with sampling units. A sheet should be completed for each sample. As discussed yesterday the plan is to collect 3 samples from each facility. Stephen Busch, PLE. MDEQ Lansing District Coordinator Office of Drinking Water ard Municipal Assistance Lansing and Jackson District Supervisor 547-643-2314 buschs@michigan gov

lam available Michael Prysby, P.E. District Engineer St . Office of Drinking Water and Municipal Assistance : es 517 290-8817 “ Lo ne ieee rena _ From: Busch, Stephen (DEQ) Sent: Tuesday, April 07, 2015 12:10 PM

fam out of the office on Sick Leave today. Mike Prysby will try to callin. Stephen Busch, PE. Lansing and Jackson District Supervisor Office of Drinking Water and Municipal Assistance MEQ. 517-643-231

Hello Mr. Busch, If possible would you or a representative from your office please attend the conference call that is being hosted by MDCH regarding the Legionella cases in Genesee County. Your knowledge and experiences may help us better understand the Flint municipal water system and municipal water in general, relative to Legionella. | understand that this is short notice, the meeting is today at 2:30pm and the call line is below. 1-877-873- 8017 Access code: : Thank you Jim Jim Henry RS, MBA Environmenial Health aan 630 S: Ragincw St, Suite 4 Flint, MI 48502-1540 Phone {810} 257-3618 Fax (810) 257-3125 E-mail xxxEND_PAGE:deq17_b440_2090_2091_1 neat’s Notwe of fntos

Hello Mr. Busch, If possible would you ora representative from your office please-attend the conference call that is being hosted by MDCH regarding the Legionella cases in Genesee County. Your knowledge and experiences may help us better ~ understand the Flint municipal water system and municipal water in general, relative to Legionella. | understand that * this is short notice, the meeting is today at 2:30pm and the call line is below. ~ . 1-877-873-8017 Access code: 7931338 Thank you Jim Jim Henry‘RS, MBA Environmental Health Supervisor Genesee County Health Department www.gchd.us. 630 S. Saginaw St., Suite 4 : Flint, MI 48502-1540 ” Phoéne (810) 257-3618 Fax (810) 257-3125 Email [email protected] xxxEND_PAGE:deq26_b240_1890_2019_081 “crtca: ‘This e-mail, including attachments, is intended for the exclusive use of the addiessee and may contain proprietary, confidential or privileged information. Ifyou are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this ¢-muail iri error, please notify me via e-mail and permanently delete the original and destroy all copies. ‘Thank you. Kor a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department's website at http:/ /wow.gchdus/

Hello Mr. Busch, r office please attend the conference call that is being hosted by p us better | understand that If possible would you ora representative from you MDCH regarding the Legionella cases in Genesee County. Your knowledge and experiences may hel understand the Flint municipal water system and municipal water in general, relative to Legionella. _ this is short notice, the meeting is today at 2:30pm and the call line is below. 1-877-873-8017 Access code: 7931338 _ Thank you . 7 Jim* i” xxxEND_PAGE:deq26_b240_1890_2019_083 Jim Henry RS, MBA Environmental Health Supervisor Genesee County Health Department www.gehd.us 630 S. Saginaw St., Suite 4 : - Flint, MI 48502-1540 Phone (810) 257-3618 Fax (810) 257-3125 E-mail [email protected] ? SNOTICE: This e-mail, including atrachments; is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged safes Tf you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly probibited. If you | have received this.¢-mail in error, please notify me via e-mail and penmanently delet the original and destroy all copies. Thank you. Kora copy of the Health Department’s Notice of Information Practices, contact the I Tealth Department or visit the Health Department's website at towed ae

Hello Mr. Busch, Thanks for your response. I'm looking forward to working with your office moving forward. Based upon my experiences with this investigation, I think it is necessary for my communications to be candid and followed up in writing whenever possible. Our goal is to successfully conduct this investigation in efforts to better protect the public. Lagree there are ambiguities written in the FOIA request. GCHD does not have municipal water system expertise and we are continuously learning about the processes. The FOIA request is specific enough that we should have received a timely response from the City of Flint. Also, it is addressed to the City and I apologize if there were misunderstandings regarding the intended recipient. There have not been any conclusions regarding the source of ilinesses. Our team is gathering information and we suspect there may be several sources. It has been made clear that the Flint municipal water system is in compliance with the Safe Drinking Water Act. It seems reasonable that your office would be involved regardless if a potential health risk from municipal water is related to consumption, inhalation or dermal exposure. Perhaps the legislation should be revisited to better address risks. xxxEND_PAGE:deq28_b096_0381_0384_1 As you mentioned, we had communications with your office in October 2014, regarding Legionella, but I also had three telephone conversations with Mr. Michael Prysby, from your office between January 21, 2015 and January 23, 2015. These conversations occurred around the same time that your office participated with the TTHM presentation in Flint. I "explicitly explained" the details of the Legionella concerns and the possible associations with the Flint municipal water system and I specifically requested to meet with your office for further discussions: Mr. Prysby informed me that the concerns were discussed with you. I was informed there was no reason to meet because the municipal water system is in compliance with the Safe Drinking Water Act. Other than the timeframes written in your email, you are correct, I did not contact your office again until the email, dated March, 10, 2015. GCHD has been working closely with MDCH and has consulted with CDC on several occasions regarding the epidemiological investigation. Also, we have been working with Legionella and municipal water experts, and recently with the USEPA. Based upon these discussions we have been informed that it is likely that a small amount of Legionella will survive the water treatment process at the plant and enter into the distribution system. Our team is in the process of developing plans, which may include sampling locations within the distribution system and comparing environmental and clinical isolates. We recognize potential social, political and economic impacts regarding this investigation and need to be prepared for all outcomes. Hopefully, your office, the regulatory agency, will be available for assistance. Ifa representative from your office is available to meet next week, please respond with some dates and times. I think it would be appropriate for the City to attend meetings and I will contact Mr. Croft, Flint DPW Director, after J receive a response from your office. Thank you Jim Jim Henry Jim Henry RS, MBA Environmental Health Supervisor Genesee County Health Department www. ach US 630 S. Saginaw St., Suite 4 Flint, MI 48502-1540 * Phone (810) 257-3618 Fax (810) 257-3125 E-mail [email protected] *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at hetp://www.gchd.us/ xxxEND_PAGE:deq28_b096_0381_0384_2