Correspondence between

Date: Tuesday, November 24, 2015 1:48:03 PM Yes we reviewed our recommendations with EPA EPA and agreed upon the dosing amounts.

ug@muchigar. acy>; Dykema, Linda D. (DHHS) (Srvc Hi Stephen, Do you have the CAS Number for the orthophosphate compound being added to the Flint drinking water. This is part of the supporting documentation for that phosphate factsheet that | just sent you. If you have questions, please call. Thank you, Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services (MDHHS) 201 Townsend St. Lansing, MI 48913 xxxEND_PAGE:deq21_b232_0761_0762_1 Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:deq21_b232_0761_0762_2

FOIA] Hello Jim, Liane, and Stephen, MDHHS has created a one-page Phosphate factsheet that is in the final stages of review. We would appreciate your review of this statement: The City of Flint, MDEQ, and the EPA worked together to find how much phosphate is needed to help quickly coat the pipes with scale. Is it accurate to include MDEQ and/or US EPA in this statement? We are always open to additional comments and edits, if you have them. We appreciate your attention to this request. xxxEND_PAGE:deq16_b3_0014_0687_414 Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services (MDHHS) 201 Townsend St. Lansing, MI 48913 517-335-9935 soetachh @hnichigan. soy Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:deq16_b3_0014_0687_415

Date: Friday, October 30, 2015 11:36:41 AM Hi Liane and Steve, Here is the infographic that we mentioned on Tuesday. This infographic has some information about adult exposure and putting it into a risk context. Lead_and_your_Body_- Do you think this infographic will answer the questions you have been getting about adult exposure? Do you think a factsheet with more detail about adult risk is needed? Thank you, Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services (MDHHS) 201 Townsend St. Lansing, MI 48913 517-335-9935 [email protected] Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:deq04_b322_4499_4499_1

Hi Liane and Steve, Here is the infographic that we mentioned on Tuesday. This infographic has some information about adult exposure and putting it into a risk context. htto://www. michigan - Lead and your Body - Flint - no background 504124 7.ocif??20151030113128 Do you think this infographic will answer the questions you have been getting about adult exposure? Do you think a factsheet with more detail about adult risk is needed? Thank you, Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services (MDHHS) 201 Townsend St. Lansing, MI 48913 517-335-9935 groetschk@michigan. gov Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:dhhs02_b0770_2702_2702_1

Hello All, Thank you to everyone who has sent in there Pb information materials to Michelle. Please continue to do so. Going forward we will focus future conference calls on updating existing Pb informational materials with Pb in water messages. | see this moving toward a small group of health educators/technical experts working on the health education materials. We can discuss my suggestion on our next call. Please let Jacqui Barr or myself know if you would like to be removed from this conference call list. Sincerely, Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services (MDHHS) 201 Townsend St. Lansing, MI 48913 517-335-9935 [email protected] Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:dhhs02_b0677_2383_2383_1

Date: Tuesday, September 29, 2015 9:45:38 AM Hello All, Thank you to everyone who has sent in there Pb information materials to Michelle. Please continue to do so. Going forward we will focus future conference calls on updating existing Pb informational materials with Pb in water messages. | see this moving toward a small group of health educators/technical experts working on the health education materials. We can discuss my suggestion on our next call. Please let Jacqui Barr or myself know if you would like to be removed from this conference call list. Sincerely, Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services (MDHHS) 201 Townsend St. Lansing, MI 48913 517-335-9935 [email protected] Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:deq02_b221_3376_3376_1

Hello All, Below is a summary from our call. Please note the action items. In addition, Karen Lishinski pointed out this EPA website as a good resource: SUMMARY: Aconference call with the attendees listed below occurred on 9/22/2015 discussing lead (Pb) outreach In the city of Flint. The purpose of the call was to facilitate introductions, and identify Pb heaith education materials, current Pb outreach efforts in Flint and existing resources. DEQ provided a brief background of the drinking water compliance process in relation to efforts being conducted in Flint. Information sharing occurred between attendees about the Pb in drinking water sampling efforts in Flint. Each agency/department listed their current health education efforts and available resources that could be made available relative to Pb outreach in Flint. The CLPPP provides some limited funding to prosperity region 6 to conduct Pb outreach. CLPPP is building a Pb Tool Kit for providers. Information about Pb in drinking water does not currently exist in these materials, but they are interested to build that information into the tool kit. DEQ has contacts with the Flint’s drinking water program. GCHD has been getting many phone calls and they have had to create factsheets about water hardness and trihalomethanes. Action Items from the Call: 1. Participants will e-mail their Pb outreach materials and presentations that are in current use to Michelle Bruneau ([email protected]}. 2. GCHD will send Michelle a list of concerns they have been getting from the Flint community. 3. Michelle will to look over the materials to assess what messages are covered, what messages are not covered, and provide suggestions on what work may need to be done to address gaps. 4. Follow-up is needed on the water sampling directions being provided by the city to homeowners that request a Pb in tap water analysis. (There are two sampling procedures depending on the purpose of the water sample.) 5. Karen Lishinski will provide a contact at WIC, so they can be invited to our follow-up conference call. 6. MDHHS-DEH will arrange a follow-up conference call in approximately two weeks. Attendees: Dawn Hallwoed (Genesse Co HD) James Henry (GCHD) Mark Valacak (GCHD) Brad Wurfel (DEQ) Liane Shekter-Smith (DEQ) Richard Benzie (DEQ) Stephen Busch (DEQ) xxxEND_PAGE:dhhs02_b0936_3233_3249_11 003244 Nancy Peeler (DHHS) Karen Lishinski (DHHS) Linda Dykema (DHHS) Kory Groetsch (DHHS) Michelle Bruneau (DHHS) Current plan is te schedule another conference call in two weeks. Clearly, this is a dynamic and evolving situation. FYI- | am currently in St. Ignace participating in an emergency response exercise. Best Regards, Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services {MDHHS) 201 Townsend St. Lansing, MI 48913 517-335-9935 [email protected] Confidentiality Notice: This message, including any attachments, Is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:dhhs02_b0936_3233_3249_12 003245 Lishinski, Karen (DHHS)

Date: Thursday, September 24, 2015 1:18:42 PM Hello All, Below is a summary from our call. Please note the action items. In addition, Karen Lishinski pointed out this EPA website as a good resource: SUMMARY: A conference call with the attendees listed below occurred on 9/22/2015 discussing lead (Pb) outreach in the city of Flint. The purpose of the call was to facilitate introductions, and identify Pb health education materials, current Pb outreach efforts in Flint and existing resources. DEQ provided a brief background of the drinking water compliance process in relation to efforts being conducted in Flint. Information sharing occurred between attendees about the Pb in drinking water sampling efforts in Flint. Each agency/department listed their current health education efforts and available resources that could be made available relative to Pb outreach in Flint. The CLPPP provides some limited funding to prosperity region 6 to conduct Pb outreach. CLPPP is building a Pb Tool Kit for providers. Information about Pb in drinking water does not currently exist in these materials, but they are interested to build that information into the tool kit. DEQ has contacts with the Flint’s drinking water program. GCHD has been getting many phone calls and they have had to create factsheets about water hardness and trihalomethanes. Action Items from the Call: 1. Participants will e-mail their Pb outreach materials and presentations that are in current use to Michelle Bruneau ([email protected]). 2. GCHD will send Michelle a list of concerns they have been getting from the Flint community. 3. Michelle will to look over the materials to assess what messages are covered, what messages are not covered, and provide suggestions on what work may need to be done to address gaps. 4. Follow-up is needed on the water sampling directions being provided by the city to homeowners that request a Pb in tap water analysis. (There are two sampling procedures depending on the purpose of the water sample.) 5. Karen Lishinski will provide a contact at WIC, so they can be invited to our follow-up conference call. 6. MODHHS-DEH will arrange a follow-up conference call in approximately two weeks. Attendees: Dawn Hallwood (Genesse Co HD) xxxEND_PAGE:deq03_b075_0087_0088_1 James Henry (GCHD) ark Valacak (GCHD) Brad Wurfel (DEQ) Liane Shekter-Smith (DEQ) Richard Benzie (DEQ) Stephen Busch (DEQ) Nancy Peeler (DHHS) aren Lishinski (DHHS) Linda Dykema (DHHS) ory Groetsch (DHHS) Michelle Bruneau (DHHS) Current plan is to schedule another conference call in two weeks. Clearly, this is a dynamic and evolving situation. FYI- lam currently in St. Ignace participating in an emergency response exercise. Best Regards, Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services (MDHHS) 201 Townsend St. Lansing, MI 48913 517-335-9935 [email protected] Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:deq03_b075_0087_0088_2

Date: Thursday, September 24, 2015 1:18:42 PM Hello All, Below is a summary from our call. Please note the action items. In addition, Karen Lishinski pointed out this EPA website as a good resource: SUMMARY: A conference call with the attendees listed below occurred on 9/22/2015 discussing lead (Pb) outreach in the city of Flint. The purpose of the call was to facilitate introductions, and identify Pb health education materials, current Pb outreach efforts in Flint and existing resources. DEQ provided a brief background of the drinking water compliance process in relation to efforts being conducted in Flint. Information sharing occurred between attendees about the Pb in drinking water sampling efforts in Flint. Each agency/department listed their current health education efforts and available resources that could be made available relative to Pb outreach in Flint. The CLPPP provides some limited funding to prosperity region 6 to conduct Pb outreach. CLPPP is building a Pb Tool Kit for providers. Information about Pb in drinking water does not currently exist in these materials, but they are interested to build that information into the tool kit. DEQ has contacts with the Flint’s drinking water program. GCHD has been getting many phone calls and they have had to create factsheets about water hardness and trihalomethanes. Action Items from the Call: 1. Participants will e-mail their Pb outreach materials and presentations that are in current use to Michelle Bruneau ([email protected]). 2. GCHD will send Michelle a list of concerns they have been getting from the Flint community. 3. Michelle will to look over the materials to assess what messages are covered, what messages are not covered, and provide suggestions on what work may need to be done to address gaps. 4. Follow-up is needed on the water sampling directions being provided by the city to homeowners that request a Pb in tap water analysis. (There are two sampling procedures depending on the purpose of the water sample.) 5. Karen Lishinski will provide a contact at WIC, so they can be invited to our follow-up conference call. 6. MODHHS-DEH will arrange a follow-up conference call in approximately two weeks. Attendees: Dawn Hallwood (Genesse Co HD) xxxEND_PAGE:deq02_b072_2134_2135_1 James Henry (GCHD) ark Valacak (GCHD) Brad Wurfel (DEQ) Liane Shekter-Smith (DEQ) Richard Benzie (DEQ) Stephen Busch (DEQ) Nancy Peeler (DHHS) aren Lishinski (DHHS) Linda Dykema (DHHS) ory Groetsch (DHHS) Michelle Bruneau (DHHS) Current plan is to schedule another conference call in two weeks. Clearly, this is a dynamic and evolving situation. FYI- lam currently in St. Ignace participating in an emergency response exercise. Best Regards, Kory Groetsch, MS , Manager Toxicology and Response Section Michigan Dept of Health and Human Services (MDHHS) 201 Townsend St. Lansing, MI 48913 517-335-9935 [email protected] Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:deq02_b072_2134_2135_2

Date: Tuesday, September 22, 2015 3:26:27 PM Importance: High I’m seeing a discrepancy in the instructions for DW sampling for lead between the back of form EQB 2300 (36ME) and those at 3313 3675 _3691-9677--,00.htm|. The word or pdf instruction under helpful tools on the later page reads as Liane indicated in the call, flush the tap, let it sit 6 hours then take a first run sample. But the back of the request form says: “Select a clean faucet and remove such attachments as aerators, dishwasher connectors, etc. Allow water to run for about ten minutes at full flow from the sampling tap. Reduce flow to avoid splashing, and collect the sample directly into the bottle. Do not use an intermediate container. Do not allow water

Hi everyone: Attached please find the very draft outreach and communications plan that Kary referred to - the scope will depend on what role we take on and availability of funding. The last page includes links I’ve compiled to the recent media, cornmunity groups, and the Virginia Tech group, as well as some potential talking points we might want to address. ihave reserved our conference line far Zom, The call in murmber is! PPI Thank you! ~ Michelle > www michigan gov! eatsaietish <"}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan.gov

Hi everyone: Attached please find the very draft outreach and communications plan that Kory referred to — the scope will depend on what role we take on and availability of funding. The last page includes links I’ve compiled to the recent media, community groups, and the Virginia Tech group, as well as some potential talking points we might want to address. | have reserved our conference line for 2pm. The call in number is 877-873-8018; Access Code: 8282547. Thank you! - Michelle ><{{{'> <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 [email protected]

Ok with me, Stephen Busch, PLE. MDBEQ Lansing District Coordinator Office of Drinking Water and Municipal Assistance Lansing and Jackson District Supervisor 517-643-2314 [email protected]