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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

RE: Preliminary and Deliberative, Not Subject to FOIA - School Analysis Priority List Draft

Ch = Cast fron D1 = Dructile fron Cu = Copper You are correct that the sive is the gipe diameter in inches. This information was provided by the City. Stephen Busch, PE. MDEG Lansing District Coordinator Office of Drinking Water ancl Municipal Assistance Lansing and Jackson District Supervisor 547-643-2514 buschs@michigan gay

VA Tech study

Hi Steve, I’ve been charged with understanding the VA Tech study and how it compares to the testing done by the city of Flint and the state. Do you have a copy of the VA Tech protocol and/or findings, or have you developed a document comparing the two, and can you share those with me? Linda D. Dybema, PAD. Environmental Public Health Director Division of Environmental Health Michigan Department of Health & Human Services 517.335.8566 [email protected] xxxEND_PAGE:deq17_b177_1247_1247_1

Flint Pb Health Education Conference Call Summary

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: htto://water.epa 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 (Bruneau @michigan.gov). 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. 2 xxxEND_PAGE:dhhs02_b0680_2390_2392_2 002392 6. MDHHS-DEH will arrange a follow-up conference call in approximately two weeks. Attendees: Dawn Hallwood (Genesse Co HD) James Henry (GCHD) Mark Valacak (GCHD) Brad Wurfel (DEQ) Liane Shekter-Smith (DEQ) Richard Benzie (DEQ) Stephen Busch (DEQ) Nancy Peeler (DHHS) Karen Lishinski (DHHS) Linda Dykema (DHHS) Kory Groetsch (DHHS) Michelle Bruneau (DHHS) Current plan is to schedule another conference call in two weeks. Clearly, this is a dynamic and evolving situation. S 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_b0680_2390_2392_3

RE: lead sampling instructions

The 26 ME is a general metals sample and wouid include lead, or as noted if lead or arsenic is the only metal requested It can be done at a lower cost S18 vs. S102. This is used at entry points to distribution systerns, ie. the finished water plant tep of a water treatmant plant. The flushing described is used to ensure water quality is representative of the public water system. ifis nota first draw sample, & 36 CO is usact specifically for customer tap lead anc copper monitering in accordance with the laad and copper rule. As indicated in the lab sheet it asks for a minimum 6 hour stagnation period, preservation within 14 days andi a first draw sample, no flushing. at Here is the full lab analysis and the bottle requisition form linked below. Mote the two bottles 36ME and 36CC are very different. If the fab hada raquast for the first draw lead and copper analysis on a metals bottle that was submitted it wouldn't be run and vice versa, Stephen Busch, PE. MBEO Lansing (Hetrict Coordinator Office af Drinking Water and Municipal Assistance Lansing and Jackson Ristrict Supervisor 517-643-2314

lead sampling instructions

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

RE: Lead

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]