EPA-450/l-90-004b
                                             September 1990
     Cancer Risk from Outdoor Exposure
               to Air Toxics
          VOLUME  II:  APPENDICES

               FINAL REPORT
Appendix A.  Comments Received on the External
             Review Draft
Appendix B.


Appendix C.
Cancer Risk Reduction Analysis
for Selected Pollutants

Summaries of Pollutant-Specific
 and Source-Specific Studies
 (Including Noncancer Health Risk
 Project on Air Toxics)

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       APPENDIX A





COMMENTS RECEIVED ON THE



  EXTERNAL  REVIEW  DRAFT
          •A-l

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      Approximately 23 comment letters were received on the September,
1989, external review draft of this report.  Commenters included EPA
personnel, industry representatives, State and local agencies, and
university professors.  Table A-l lists the commenters and their
affiliations.
      The comments were tabulated and sorted by subject areas.  The EPA
then reviewed the comments to determine which ones would be incorporated
into the final report.  The following paragraphs summarize how EPA
responded to some of the major comments.
Reference Section
      Several commenters suggested that a reference section be added to
both Volume I and Volume II.  While separate reference sections were not
created, we agree that more complete referencing was needed.  In Volume
I and Appendix B (Volume II), references are provided as they occur.  In
Appendix C, references are provided at the end of each summary.
      Along similar lines, we have improved the citations within the
report to facilitate access to source material for the reader.  We have
also increased cross-referencing within the report, particularly in
Chapter 4, to facilitate the location of related information.
Glossary
      Several commenters suggested that, to improve the readability of
the  report, a more complete glossary be provided, that a list of
acronyms be provided, and that these be placed in Volume I, rather than
as appendices in Volume II.  We  agree that these suggestions  improve the
readability of the report, and have incorporated them  in Volume I of the
final report.
                                   A-2

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                               TABLE A-l
                           LIST OF COMMENTERS
      Commenter
                  Affiliation
Donald J. Ames

Walter J. Bishop
Geraldine V. Cox
Robert Fegley
John L. Festa
Robert C. Kaufman
Maryann Froehlich
John Graham
William Groan
Richard Guimond
Charles E. Holmes

Stacey Katz

Steven D. Lutkenhoff

Bruce K. Maillet

William H. McCredie
John F. Murray
John E. Pinkerton

John Roberts
Robert R. Romano
Stationary Source Division, California Air
Resources Board
East Bay Municipal Utility District
Chemical Manufacturers Association
U.S. EPA, Air Economics Branch
American Paper Institute

U.S. EPA, Regulatory Integration Division
School of Public Health, Harvard University
Hardwood Plywood Manufacturers Association
U.S. EPA, Office of Radiation Programs
Department of Air Pollution Control, Common-
wealth of Virginia
U.S EPA, Office of Technology Transfer and
Regulatory Support
U.S. EPA, Environmental Criteria and Assessment
Office.
Division of Air Quality Control,  Commonwealth
of Massachusetts
National Particleboard Association
The Formaldehyde Institute, Inc
National Council  of the Paper Industry for Air
and Stream Improvement, Inc.
Engineering Plus, Inc.
Chemical Manufacturers Association
                                 A-3

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                               TABLE A-l
                    LIST OF COMMENTERS (concluded)
      Commenter
                  Affiliation
Sara D. Schotland
James H. Souther!and
Donald F. Theiler

Dr. Paul Urone

William Waugh
Cleary, Gotlieb, Steen, & Hamilton
U.S. EPA, Pollutant Characterization Section
Department of Natural Resources, State of
Wisconsin
Department of Environmental Engineering
Sciences, University of Florida
U.S. EPA, Health and Environmental Review.
Division                               	
                                  A-4

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 Terminology
       We  received  numerous  comments  concerning  some  of the  terminology
 used  in the report.   We  have  reviewed  carefully all  of the  suggestions,
 and have  incorporated most  of them in  the  final  report.   For  example,
 several commenters did not  like  the  term "best  estimate"  when referring
 to the estimates of  nationwide cancer  incidence obtained  as the result
 of the reduction analyses.  In the final report, we  now use the term
 "point estimate,"  even though for four pollutants our  "point"  estimate
 of nationwide  annual  cancer incidence  is still  a range  (rather than a
 single number).
       Several  commenters requested that we use  the term "upper-bound" to
 qualify our  nationwide estimates.  We  have not  done  this  in the final
 report.  We  believe  that to describe the estimates as  upper-bound would
 not be an appropriate  descriptor of national estimates aggregated across
 a limited set  of pollutants and source categories studied.  It is
 possible that  the  risk methodologies and as yet unquantified  risks from
 other  pollutants and  sources  may make the use of "upper-bound"
 inappropriate.  We agree that  the unit risk factors  in and of themselves
 are upper-bound estimates.  However,  other factors that enter  into
 estimating nationwide  cancer  incidence may make the use of the term
 "upper-bound" misleading, especially since it is so closely associated
with unit risk factors.
      Several commenters requested that the terminology associated with
lifetime individual risk be reviewed  for clarity and consistency.   This
has been done, although some of the original  detail  has been retained.
       In describing the risk estimates, we  have revised the language to
reflect past EPA descriptions  that note the derivation of the  unit risk
                                  A-5

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factors, and that the actual risk is unknown and may even be as low as
zero.
Specific Pollutants
      A number of comments were received on several pollutants, mostly
concerning the uncertainties associated with each one's risk.  In
general, the report already identified a number of uncertainties
associated with individual pollutants.  In addition, it is not the
purpose of this report to review all of the uncertainties associated
with each individual pollutant.  This report rather tries to highlight
                                                               \
some of the more important uncertainties in order to give the reader a
feel for the uncertainty associated with the estimates.  Other reports
and studies should be reviewed for details on any individual pollutant.
      Nevertheless, we have considered each point raised by the
commenters.  Those associated with formaldehyde have generally been
incorporated, with the exception that the reported risk estimates
continue to be based on the upper-bound unit risk factor and not the
maximum likelihood unit risk factor.  This decision is consistent with
current EPA policy.  The other comments generally have not been
incorporated because, in our opinion, they did not add to the  sense of
uncertainty already presented  in the report.
Source Categories
      One commenter questioned the segregation of the  individual source
categories between point and area sources.  This was reviewed,  and we
agree that several individual  sources that were  identified as  area
sources should have been identified as point sources.  The,final report
makes these changes.  Because  of these changes,  the final report shows
area sources contributing approximately 75 percent of  the total
                                   A-6

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 estimated  national  cancer  incidence  and  point  sources  25  percent.  The
 draft  external  review  draft  showed a 80  percent contribution  by  area
 sources  and  20  percent by  point  sources.
       A  brief discussion explaining  how  the  source categories were
 divided  between  area and point has been  added.  While  this should help
 the reader understand  how  we  assigned the source categories,  a clear
 distinction  between area and  point sources is  not always  possible.
       Several commenters made suggestions concerning individual  source
 categories.  In  most instances,  these comments were not incorporated
 because  it was  felt that the  text already adequately covered the comment
 or that  the  additional  detail was not appropriate for  this report.  One
 commenter  noted  a discrepancy in the estimated cancer  incidence  for
 POTWs.   This discrepancy has  been corrected  in the final  report.
       One  commenter requested that the cancer risk estimates for TSDFs
 and sewage sludge incinerators be eliminated from the  report because of
 the methodologies are  flawed  and the estimates from them  are not
 meaningful.  We  have retained the estimates  from these two source
 categories.  We  agree  that these two source  categories have uncertain
 risk estimates,  and this has  been noted  in the appropriate spots in the
 report.
ATERIS/SARA Title III
       Several comments were received concerning the'ATERIS data base and
the use  of toxic emission  information received under SARA Title  III.
The SARA Title III data are not reported in a form that allows for the
development of risk estimates.  It is outside the scope of this study to
develop  original analyses based on those data.  Thus,  the SARA Title III
data are not used in this report.  Future updates of this report will
                                   A-7

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include the results of any risk analyses based on the SARA Title III
data.  In the meantime, the risk estimates from the ATERIS data base
have been retained in the final report.  These estimates are available,
and we believe do provide useful information..  In addition, they have
been adequately caveated in an attempt to limit their misuse.
Uncertainty in Cancer Risk Estimates
      Several commenters requested that we segregate the cancer
incidence estimates for the individual pollutants on the basis of the
relative uncertainty with each estimate.  We agree that this can be a
desirable segregation.  However, such an effort is outside the scope of
resources allocated to this study.  Further, we believe that there is
sufficient information in the report that allows the reader to gain a
sense of the relative uncertainty of each of the estimates.  Thus, the
final report does not incorporate this suggestion.
Perspective of Cancer Estimates to Total Cancer
      Several commenters suggested that a brief paragraph relating the
estimates of cancer risk from outdoor exposure to air toxics to
estimates of total cancer incidence.  We agree that such a comparison is
useful for the reader, and have addressed this comment in the Executive
Summary.
Maximum Exposed Individual
      One commenter suggested that the method for calculating the risk
to the maximum exposed individual should be redone by collecting some
actual data of residential living patterns and human activity patterns.
According to the commenter, it is not defensible at this stage to
continue to use totally unrealistic assumptions, especially since these
MEI/MIR numbers may take on increasing regulatory importance in the
                                   A-8

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future.  This .comment could not be responded to within the context of
this report.  Therefore, the methodology used to estimate the MEI/MIR
estimates has not been changed.
                                  A-9

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          APPENDIX B







CANCER RISK REDUCTION ANALYSIS



    FOR SELECTED  POLLUTANTS
             B-l

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      The purpose of this appendix is to present the reduction analyses
for the 23 individual pollutants that were initially identified as
possibly resulting in at least 10 cancer cases per year nationwide.   The
analyses derive a point estimate, or as narrow a range as possible,  of
the annual cancer cases per million population for each pollutant/source
category combination from the range of estimates found in the various
reports and studies.  The specific data on the estimated number of
annual cancer cases and the estimated annual  cancer cases per million
population for a pollutant by each source category for each study are
presented in this appendix.  The annual cancer cases per million popula-
tion are shown in parentheses in the tables.   NOTE:  Unless otherwise
noted, all risk estimates have been adjusted  based on a consistent set
of unit risk factors.
      Please note that the last two columns in each table are "Range"
and "Point Estimate".  The numbers in these two columns are estimates of
nationwide annual cancer cases.  The estimates are conservative in that
actual risk may be higher, but is more likely to be lower.1   For the
"Range" column, the estimates of nationwide annual cancer cases were
calculated, in most instances, by taking the  lowest and highest annual
cancer cases per million population for a source category and multi-
plying it by 240 (1986 U.S. population in millions).  The "Total" for
this column simply represents the summation of the low end of the range
and the summation of the high end of the range.  The column labeled
"Point Estimate" presents the estimates of nationwide annual cancer
     1   The  unit  risk factors used to estimate cancer risk are based on a
linearized multistage procedure that leads to a plausible upper limit to
the  risk   that   is  consistent  with   some  proposed   mechanisms   of
carcinogenesis.  Such an estimate,  however,  does  not  necessarily give a
realistic prediction of the risk.  The true value of the risk is unknown,
and may be as low as zero.
                                  B-2

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incidence based on the results of the reduction analyses.  The text

discusses how the ranges and point estimates were selected.

      Where the cancer incidence for a pollutant was estimated with both

modeled concentrations and ambient-measured concentrations, this is

shown in the "Totals" row.  Separate headings are given for the modeled

concentration-based estimates (i.e., "Modeled") and for the ambient-

measured concentration-based estimates (i.e., "Ambient").  Some studies

estimated cancer incidence using both types of concentrations.  For

these studies, entries are made for both "Modeled" and "Ambient" totals.

      An index to the pollutants covered in this appendix is presented

below.
            Pollutant

            Acrylonitrile
            Arsenic
            Asbestos
            Benzene
            1,3-Butadiene
            Cadmium
            Carbon tetrachloride
            Chloroform
            Chromium
            Coke Oven Emissions
            1,2 Dichloropropane
            Dioxin
            Ethylene dibromide
            Ethylene dichloride
            Ethylene oxide
            Formaldehyde
            Gasoline vapor
            Methylene chloride
            Perchloroethylene
            PIC
            Tri chloroethylene
            Vinyl  chloride
           .Vinylidene chloride
Page Number

B-4
B-9
B-17
B-21
B-31
B-37
B-46
B-52
B-58
B-65
B-67
B-68
B-71
B-76
B-83
B-87
B-94
B-98
B-102
B-107
B-124
B-130
B-135
                                  B-3

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Acrvlonitrlle.  Point-sources of acrylonitrile include acrylonitrile
monomer production, acrylic and modacrylic fiber production, ABS/SAN
resin production, nitrile rubber production, and acrylamide and
adiponitrile production.  Other production processes that consume a
small percentage of acrylonitrile are nitrile barrier resin production,
fatty amine production, and as an absorbent.2  Acrylonitrile emissions
have also been identified as occurring from publicly owned treatment
works (POTWs) and treatment, storage, and disposal facilities (TSDFs).
      Seven studies included acrylonitrile as a pollutant of concern
(see Table B-l).  Seven specific source categories were examined.  Three
of the studies (35-County, the lEMP-Kanawha Valley, and the Southeast
Chicago studies) did not identify the specific types of plants included.
A comparison of plant locations in the NESHAP/ATERIS data base with the
counties included in the 35-County study revealed that some of the
counties examined in the 35-County study had acrylonitrile sources
covered in the NESHAP/ATERIS data base.  On the other hand, none of the
plant locations examined in the NESHAP/ATERIS data base were identified
as being in the areas covered by the lEMP-Kanawha Valley study.
      The annual incidences were based on modeled estimates of ambient
concentrations.  The lEMP-Kanawha Valley used a box model and an,ISCLT
model.  The box model was known to likely overestimate actual exposure
levels, but was used in the study to bound  the problem.  For the TSDF
study, the annual  incidence attributable to acrylonitrile was estimated
by assuming the annual  incidence from acrylonitrile was proportional  to
      2  U.S. EPA.   Locating  and  Estimating Air  Emissions  from  Sources  of
 Acrvlonitrile.   EPA 450/4-84-007a.   March  1984.
                                   B-4

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its relative contribution to the weighted unit risk factor used to
estimate the total annual incidence from TSDFs.  This is a very crude
estimate.
      Point Estimate.  Excluding for the moment the estimated annual
cancer cases from the chemical manufacturing source category of the
lEMP-Kanawha Valley study and from TSDFs, the estimated annual cancer
cases from the other five studies total between 2 and 3 cancer cases per
year.  It is quite likely that there is some double counting between the
NESHAP/ATERIS estimates and the 35-County estimate for point sources
(because, as noted above, some of the acrylonitrile sources identified
in the NESHAP/ATERIS data base are located in counties evaluated in the
35-County study).  Double counting is also likely with regard to the
POTW estimates in the 35-County study and the POTW study.  With regard
to the chemical manufacturing sources in the lEMP-Kanawha Valley study,
it does not appear that these sources are included in the NESHAP/ATERIS
data base.  Since the sources of acrylonitrile emissions in the lEMP-
Kanawha Valley study are point source emissions related to a specific-
type, but unknown, chemical manufacturing facility, it is not possible
to estimate annual cancer cases beyond this study's limited geographic
range, and it would.be unreasonable to apply its annual cancer incidence
per million population to the entire U.S. population to obtain a
national estimate.  Taking these things into consideration, the point
estimate of total annual cancer cases from these five studies is
estimated to be approximately two cancer cases per year.
      As noted earlier, the estimated cancer cases from TSDFs is a very
crude estimate, but is the only estimate available at this time.  Since
the TSDF study is a national estimate, it most likely includes the
Southeast Chicago study area.  Even if it does not, the negligible
                                   B-7

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estimated cancer cases from TSDFs in the Southeast Chicago study would
not affect the estimate of annual cancer cases from TSDFs (i.e., 11
cancer cases per year).  Combining the six studies, a total  of 13 cancer
cases per year nationwide from exposure to acrylonitrile emissions is
estimated.
                                  B-8

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Arsenic.  Arsenic is emitted from a number of point and area sources.
Point sources include smelters, glass manufacturing, and steel mills.
Area sources are primarily combustion related activities.
      Thirteen studies included arsenic as a pollutant of concern (see
Table B-2).  Of these studies, three estimated annual cancer cases on
the basis of ambient measurements (the lEMP-Santa Clara study, the South
Coast study, and the Ambient Air Quality study) and the other ten used
modeling to estimate ambient concentrations and cancer cases.  The South.
Coast study also included an estimate based on modeling.
      Ambient Estimates.  The South Coast study estimated 1.5 cancer
cases per year, or approximately 0.14 cases per year per million
population, based on an average ambient concentration of approximately
2.4 x 10"3  micrograms  per  cubic meter  (/ig/m3).  This estimate was based
on over 300 individual samples at a total of 7 sampling sites; 24 of the
samples were below the minimum detectable limits.  The lEMP-Santa Clara
study estimated 0.2 to 0.4 annual cancer cases, or approximately 0.14 to
0.29 cancer cases per year per million population.  The lower estimate
reflects half of the minimum detectable limit of the analytical
equipment used (i.e., one-half of 0.0055 jig/m3).   The upper estimate
reflects the average of the lower estimate with the samples above the
minimum detectable limits.  The Ambient Air Quality study estimate of 68
annual cancer cases, or approximately 0.28 cancer cases per year per
million population, was based on 163 areas with ambient data.  Because
of the larger geographic scope of the Ambient Air Quality study, 68
annual incidences was selected as the best estimate of cancer cases from
arsenic based on ambient air quality data.
                                   B-9

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                                                    TABLE  B-2

               ESTIMATED  ANNUAL  CANCER  CASES  FROM ARSENIC  BY  SOURCE  CATEGORY

SOURCE
CATEGORY

INDIVIDUAL STUDY
Ambient
Air
Quality
NESHAP/ Coal and Oil Hazardous
ATERIS Combustion Waste
Combustors
Municipal
Waste
Combustors
Sewage Waste Oil
Sludge Combustion
Incinerators
Thirty-
five
County
Chcralcal
Hanufacturing

Class
Hanufacturing

Hon- ferrous
Smelters

Coal and Oil
Combustion/
Heating

Hazardous Uastc
Combustors

Municipal Waste
Coccus tors
 •icircrators

'*i.v= Oil
Combustion

Other
Solvent Use

Voodsmokc
Steel Hills/
Iron and Steal

Zinc Oxide
 0.0043
(0.00002)

   0.4
(0,0017)

   1.1
(0.0046)
                 5.3
               (0.022)
                             0.005
                            (0.00002)
                                            0.16
                                         (0.0007)
                                                                                       0.17
                                                                                     (0.0007)
                                                                    0.087-0. >-.Z
                                                                  (O.OOU36-0.002)
                                 0.08
                               (D.00033)
                                                                      7.46
                                                                     (0.16)
                                                                      0.64
                                                                     (0.014)

                                                                      33.9
                                                                      (0.72)
TOTALS
      MODELED


      AHBIEHT
                   68
                  (0.28)
   1.6
(0.0067)
  5.3
(0.022)
  0.005
(0,00002)
   0.16
(0.0007)
  0,17
(0.0007)
   0.087-0.48
(0.00036-0.002)
   42
(0.89)
                                                            B-10

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                    TABLE  B-2  --  concluded
ESTIMATED ANNUAL CANCER CASES FROM ARSENIC BY SOURCE CATEGORY
SOURCE
CATEGORY
Chemical
Manufacturing
Glass
Manufacturing
Non-ferrous
Smelters
Coal and Oil
Combustion/
Heating
Hazardous Waste
Combustors
Municipal Waste
Combustors
Sewage Sludge
Incinerators
Waste Oil
Combustion
Other
Solvent Use
Woodsmoke
Steel Mills/
Iron and Steel •
Zinc Oxide
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
IEMP- IEMP- Southeast
Five City Kanawha Santa Clara Chicago South Coast
Valley


0.01
(0.0006)
0.37 0.018
(0.023) (6.18)



0.0004
(0.004)
0.76 0.0014
(0.048) (0.004)
0.0009
(0.000057)
0.013
(0.0008)
0 ' 0.02
(0.05)


1.14 0.018 0.021
(0.072) (0.18) (0-055)
0.2-0.4 " 1.5
(0.14-0.29) (0.143)
NATIONWIDE
POINT
RANGE3 ESTIMATE13
0.0043 0.0043
0.4 0.4
0.1-1.1 0.1-1.1
5.3-43 • 5.3
0.005 0.005
0.16 0.16
0.17 0.17
0.09-3.4 0.5
1-173 1-34
0.01 0.01
0.2 0.2
c c
0.08 0.08

7.5-222 8-42
34-70 68
                               B-ll

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Footnotes to Table B-2.
NOTE:
       Mumbers in parentheses are annual cancer cases per million population.   For  nationwide
       studies, annual cancer cases were divided by 240 million,  unless  otherwise noted.   For
       studies with smaller geographic scopes, the annual cancer  cases were divided by the study's
       population.

MOTE:  An "x" in a column indicates that the source category was  considered in the  study,  but  a
       specific cancer risk for the source category was not indicated.

8  The numbers in this column were calculated by taking the lowest and highest incidence  rates for
   a source category and multiplying it by 240 (1986 U.S. population in  millions).   The total  for
   this column is the summation of the low end of the range and the sum  of  the high end of the
   range.

k  The numbers in this column present the results of the reduction analyses.  In most instances, a
   point estimate of nationwide annual cancer incidence was derived for  each pollutant/source
   category combination.  In some instances, a point estimate could not  be  reasonably derived.  For
   these instances, as narrow a range as possible of nationwide annual cancer incidence was
   estimated, and such ranges appear in this column.  The text discusses how these  point  estimates
   and ranges were derived.

0  Estimate for this source category was assumed to be included in the "other" source category.
   See text for explanation.
                                                B-12

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      Modeled Estimates.  The estimates of cancer cases based on
modeling provide for a wider range of estimates.   One difficulty in
assembling Table B-2 was ensuring that the categories are mutually
exclusive.  The most important' examples in terms of estimated cancer
cases are the categories "Heating" and "Other/Point Sources."  The
"heating" category, which was used in the lEMP-Kanawha Valley study and
the 35-County study, was assumed to be the same as or a subcategory to
the "Coal and Oil Combustion" category of the Coal and Oil Combustion
study,3 as were the "utility boilers"  and "oil  combustion" categories of
   i
the 5-City study.
      There are four source categories in Table B-2 for which more than
one study estimated cancer cases.  For "coal and oil combustion/
heating," the lEMP-Kanawha Valley and the 35-County studies, which used
"heating" to describe the source category, both estimated nearly
identical cancer cases per year per million population rates (0.18
versus 0.16, respectively).  .These estimates are higher than the coal
and oil combustion estimates in the Coal and Oil Combustion and the
5-City studies, both of which calculated approximately 0.022 cancer
cases per year per million population.  One reason for this difference
in annual cancer incidences per million population appears to be the use
of different emission factors.  (Both sets of annual cancer incidences
per million population already have been "corrected" for  unit risk
factors.)  the 5-City study notes that the coal and oil combustion
emission factors for arsenic, chromium, formaldehyde, and nickel were
revised from those of the original 5-City study using more recent test
     3  The 35-County  study  identified  heating  as  being  composed of
commercial, industrial,.and residential heating by fuel type,  i.e.,  coal
and  oil.   This  is  the same  type of breakdown  as  in the  Coal  and Oil
Combustion study.
                                  B-13

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data, whereas the 35-County study notes that newer source factors for
area sources such as heating and waste oil burning were not included
within the updated 35-County study.  Thus, it appears that a best
estimate of nationwide risk from this source category would be based on
the annual cancer incidences per million population from the Coal and
Oil Combustion and 5-City studies, which yield an estimated 5 cancer
cases per year.
      Three studies included "Waste oil combustion" as a source
category.  Although a fairly wide range of cancer cases per year per
million population is shown (0.0004 to 0.014), total annual cancer cases
are relatively small (less than 4 per year at the highest annual cancer
incidence per million population).  The higher estimate is from the 35-
County study, and as noted above, the 35-County study apparently did not
incorporate newer source factors for waste oil burning.  Although
emission factors between the studies could not be compared, as a
specific national study on waste oil burning was available, the estimate
from that study  (0.5 annual cancer cases) was selected as the best
estimate.
      Two studies included "non-ferrous smelters" sources - the
NESHAP/ATERIS data base and the 5-City study.  Because of the specific
locations of the non-ferrous facilities and the national scope of the
study, the NESHAP/ATERIS data base estimate was selected as the best
estimate.
      Three studies include a source category for "other" sources.  For
the 35-County study, the cancer risk associated with this source
category is large, 34 cancer cases per year, or approximately 0.72
cancer cases per year per million population.  It is unclear as to what
sources were modeled to obtain this estimate, although municipal
                                  B-14

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 incinerators and steel  mills (coke ovens)  were included.   For the
 5-City study,  the "other" source category  shows a cancer  rate of
 approximately 0.05 cancer cases per year per million  population.   Again,
 the sources included in this category are  unspecified,  although  it is
 clear that "iron and steel"  is  not included.   The 5-City  study did not
 report any annual  cancer risk due to arsenic emissions  from  iron  and
 steel  mills.   Finally,  the Southeast Chicago study showed a  relatively
 small  annual  cancer incidence per million  population  for  the "other"
 category (0.004  cancer  cases per year per  million population)," but a
 more  significant one for steel  mills (0.05 cancer cases per  year  per
 million  population).  For the "other"  and  "iron and steel/steel mills"
 source categories,  a combined range  of 0.05 to 0.72 cancer cases  per
 year  per million population  can be created.   Based on the 35-County and
 the Southeast  Chicago studies,  steel mills  appear to be the  largest
 contributor to this  annual cancer incidence per million population.  To
 apply  the  annual  cancer incidences per million  population from these two
 studies  for these two source  categories  to  the  total U.S.  population
 would  result in  an estimated  13  to 173 cancer  cases per year.  One
 difficulty  with  this  is  that  steel mills are site-specific sources  that
 cannot easily  be extrapolated to  national estimates.  For example,  the
 Southeast Chicago study  modeled  four steel  mills  and the  35-County  study
 selected counties that,   in part, were  khown to  have sources emitting the
 pollutants  being studied,  in this  case arsenic.  Thus, it  is unlikely
 that applying the annual cancer  incidences  per million population from
 these two studies to the entire U.S. population  is appropriate.
      Because of the uncertainty associated with the sources  included  in
the "other" source categories and with extrapolating risk from the
 "steel mills/iron steel" source  category, it is extremely difficult to
                                  B-15

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narrow the range of risks.  Excluding these two source categories,  a
total of approximately 8 cancer cases per year nationwide is estimated.
If the cancer risk from the 35-County study is primarily attributable to
steel mills/iron and steel, then the nationwide estimate could be
increased to 42 (8 plus 34), keeping in mind that not all steel  mills
may be located in these 35 counties.
      Point Estimate.  The best estimate of nationwide cancer cases
using ambient measured data appears to be 68 cancer cases per year.  For
modeled estimates, a range of 8 to 222 annual cancer cases was
developed.  For reasons noted above, the upper end is a likely
overestimation.  Because of the uncertainties in trying to narrow the
modeling range (which was narrowed to 8 to 42 annual cancer cases) and
the relative extensiveness of the ambient data, the Ambient Air Quality
study's estimate of 68 annual cancer cases was preferred.  Thus, a total
of 68 cancer cases nationwide due to exposure to arsenic is estimated.
                                   B-16

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Asbestos.  Annual cancer cases as a result of asbestos emissions have
been estimated for point sources, such as fabrication, milling,
renovation, and demolition, and from motor vehicles (see Table B-3).
One study examined point sources and three studies examined motor
vehicles.  All four studies used models to estimate cancer risk.  Annual
cancer cases due to asbestos emissions from point sources were estimated
to be approximately 82 per year under current compliance conditions with
the current asbestos standards.  If full compliance with current
regulations were being met, annual cancer cases from point sources would
be less than 1 per year.
      Using a range of unit risk factors derived from the National
Academy of Sciences (NAS), the Mobile Source study estimated urban
cancer cases due to asbestos from motor vehicles to be 0.41 cases per
year based on an emission rate of 4 ^g/mile and 113.4 cases per year
based on an emission rate of 27 //g/mile.  The emission rate factors of 4
//g/mile and 28 ^g/mile were estimated to result in maximum annual
average asbestos levels in a central city area of approximately 2.5 x
  "4
10"  fjg/m  and 1.75 x 10
                       ~3
                               , respectively.  Adjusting  the  estimated
annual incidences to a unit risk factor of 7.6 x 10"3  (^g/m3)"1 (as
listed in Table 2-6) results in a narrower range of estimated
incidence -- 4.7 to 33 cancer cases per year.  According to the report,
the 4 //g/mile emission rate may be a better overall estimate than the 28
//g/mile.  Using 4 ^g/mile, the 4~7 cancer cases per year translates into
approximately 0.026 cases per year per urban million population (urban
population equal 180 million).
      The 5-City study shows cancer rates for motor vehicles ranging
from 0.0013 to 0.012 cancer cases per year per million population, with
a five-city average of 0.008 per million population.  Without knowing
                                  B-17

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                                          TABLE  B-3

       ESTIMATED ANNUAL  CANCER CASES FROM  ASBESTOS  BY  SOURCE CATEGORY
SOURCE
CATEGORY
Hilling
Manufacturing
Fabricating
Renovation
Demolition
Motor Vehicles
TOTALS
MODELED
INDIVIDUAL STUDY
Mobile Southeast
Asbestos Sources Five City Chicago
0.004-0.005
(<0. 00021)
0.3-0.7
(0.0013-0.003)
0.05-0.2
(0.0002-0.0008)
0.41 0.00057C
(0.0017) (0.0015)
80.5
(0.335)
4.7-33d 0.13 0.0014
(0.026-0.183) (0.008) (0.004)

81.2-81.8 4.7-33 0.13 0.002
(0.34) (0.026-0.183) (0.008) (0.005).
NATIONWIDE
POINT
RANGE8 ESTIMATE"
0.004-0.005 0.005
0.3-0.7 0.5
0.05-0.2 0.13
0.41 0.41
80.5 80.5
1-44 6.24e

82-126 87.8
NOTE:  Numbers in parentheses are annual cancer cases per million population.  For nationwide
       studies, annual  cancer cases were divided by 240 million, unless otherwise noted.  For
       studies with smaller  geographic scopes, the annual cancer cases were divided by the study's
       population.

a  The numbers in this  column were calculated by taking the lowest and highest incidence rates  for
   a source category and  multiplying it by 240 (1986 U.S. population in millions).  The total  for
   this column is the summation of the low end of the  range and the sum of the high end of the
   range.
                                                                                              For
The numbers in this column present the results of the reduction analyses.1  In most instances,  a
point estimate of nationwide annual cancer incidence was  derived for each pollutant/source
category combination.   In some  instances, a point estimate  could not be reasonably derived.
these instances,  as narrow a range as possible of nationwide annual cancer incidence was
estimated, and such ranges appear in this column.  The text discusses how these point estimates
and ranges were derived.

Includes "demolition."  Based on data contained in the background  information document to
support the Asbestos NESHAP.  Scaled national estimates of  asbestos emissions based on number  of
households.

Risk estimates adjusted from original study by using a unit risk factor of 2.3 x 10
(fibers/ml)  .  Estimate  is for urban  population only (180 x  10°  population).  Original risk
estimates were 0.41 to  113.4 cancer cases per year, which reflect  the use of an NAS-derived
range of unit risks.

Reflects applying the urban incidence rate from motor vehicles of  0.026 annual cancer cases per
urban million population  to total U.S. population.


                                            B-18

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the emission factors used in the 5-City Study, it is difficult to
determine the differences in the annual cancer incidences per million
population estimated for these two studies.
      The Southeast Chicago study used an asbestos emission factor of
4 ^g/mile and a unit risk factor of 8.1 x 10"3 (Aig/m3)"1  to  estimate
cancer incidence from mobile sources.  The Southeast Chicago study
estimated approximately 0.0014 cancer cases per year, or 0.004 cancer
cases per year per million population.  This annual cancer incidence per
million population falls within the range created in the 5-City study
for the five individual cities, but is approximately 6.5 times smaller
than the annual cancer incidence per million population from the Mobile
Source study based upon the same emission factor of 4 /zg/mile.
Different models were used in estimating risk between the two studies,
and this difference may explain the different annual cancer incidences
per million population.  However, the information available is
insufficient to resolve this difference.
      Point Estimate.  For point sources, the best nationwide estimate
is 82 cancer cases per year.  For motor vehicles, a range between 1 and
44 annual cancer cases can be created.  The lower estimate applies the
Southeast Chicago study's annual cancer incidence per million population
to the total U.S. population and the upper estimate applies the upper
annual cancer incidence per million population from the Mobile Source
study to total U.S. population.  Since the differences between the
Mobile Source study and the 5-City and the Southeast Chicago studies
cannot be resolved at this time, the results of the Mobile Source study
were selected as the best estimate for calculating nationwide incidence.
As the 4 ^g/mile emission rate appears to be a better overall estimate
than 28 ^g/mile, the upper end of the range may be closer to 6 cancer
                                  B-19

-------
cases per year (0.026 cancer cases per year per urban million times 240
million) than to 44 cancer cases per year.  Although this applies urban
data to rural populations, the difference in total  annual incidence is
small (5 vs. 6 cancer cases per year).  In light of these
considerations, the best estimate of cancer risk from motor vehicles is
selected as approximately 6 cancer cases per year.   Combining the
estimates, a total of 88 cancer cases per year nationwide from exposure
to asbestos is estimated.
                                   B-20

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 Benzene.   Benzene  emissions  occur  from a  multitude  of sources,  both
 point  and  area  sources.   Most  of the  emissions  are  associated with
 gasoline and  other fuel  combustion (such  as motor vehicles)  and
 marketing  (such  as service stations).   Fifteen  studies  included benzene
 as a pollutant  of  concern, covering approximately 20  source  categories
 (see Table B-4).
       Several of the  studies estimated cancer risk  using  ambient
 measurements  or  compared  ambient measurements with  modeled ambient
 concentrations.  In studies that compared ambient measurements  with
 modeled ambient  concentrations  (e.g.,the  South  Coast  study,  the
 Southeast Chicago  study,  and the lEMP-Philadelphia  study), amb,ient
 measured concentrations were generally about two times  higher than the
 modeled concentrations.   This  is considered to  be a fairly reasonable
 agreement.
      Ambient Estimates.  The Ambient  Air Quality study was  the only
 study to rely solely on ambient measurements to estimate  the risk from
 benzene.  Ambient  concentrations ranged from approximately 3 /ig/m3 to
 15.5 /ig/m3 for individual city (urban) averages.  The national  urban
 population weighted average concentration was 8.07 ng/m3 and the
national rural population average  concentration was 0.6 ^g/m3.   Based on
these average concentrations, annual cancer incidences were estimated to
be 181 per year, with a cancer rate of 0.75 cancer cases  per year per
million population.
      The other studies that included  ambient measured concentrations
included the South Coast study, the Mobile Source study,  the Southeast
Chicago study, the lEMP-Baltimore  study, and the LEMP-Philadelphia
                                  B-21

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study.  Except for the Mobile Source study, all of the ambient
concentrations reported in the other studies were within the range of
concentrations for urban areas in the Ambient Air Quality study.
For example, the concentrations in the South Coast study were between
7.9 and 15.4 /^g/m3; in the Southeast Chicago study,  between 3.6 and
5.1 /ig/m3; and in the lEMP-Philadelphia study,  6 /tg/m3.   The ambient
data in the lEMP-Baltimore study was considered marginal in that study.
The Mobile Source study used "old" national average ambient measured
concentration to estimate the mobile source contribution to benzene
risk.  This method has been updated to reflect the "new" national
average ambient concentrations in the Ambient Air Quality study.
      For the national estimate for cancer risk from ambient measured
concentrations of benzene, the annual cancer incidence estimated in the
Ambient Air Quality study would represent the best estimate.  The other
studies illustrate the geographic variation that can occur and by
themselves are not the best estimates from which to extrapolate
nationwide risk from benzene.
      Modeled Estimates.  Except for the Ambient Air Quality study and
the lEMP-Baltimore study, all of the studies estimated cancer risk from
modeled ambient concentrations of benzene.  Approximately twenty source
categories were identified as benzene emission sources.  About one-half
of the source categories were overlapping between the studies.  Of
these, only the motor vehicle and the iron and steel  source categories
appear to potentially contribute more than 10 cancer cases per year.   Of
the other source categories,  industrial solvent coatings in the IEMP-
Santa Clara study and the unspecified stationary source category in the
35-County and the South Coast studies have annual cancer incidences per
                                  B-27

-------
million population that would result in about 10 or more annual  cancer
cases nationwide if applied to the total U.S. population.
      The cancer rate from stationary sources ranges from approximately
0.15 to 0.28 cancer, cases per year per million population, excluding the
35-County's and the South Coast's unspecified stationary source
category.  The South Coast's unspecified stationary source annual cancer
incidence per million population is between 25 and 130 percent higher,
being 0.35 cancer cases per year per million population.  This is
consistent with the higher measured ambient concentration in the South
Coast study of 12 /tg/m3, which is approximately 44 percent higher than
the national urban average of 8.35 /tg/m3 found in the Ambient Air
Quality study.  Thus, the South Coast study's estimate is probably a
very geographic-specific annual cancer  incidence per million population
that one can not reasonably use to extrapolate nationwide risks.  The
35-County's unspecified stationary source annual cancer  incidence per
million population is close to the lower end of this range (0.13 vs.
0.15 cancer cases per year per million  population).  It  is known that
this source category in the 35-County study contains iron and steel
sources (coke ovens), which can contribute a significant portion of this
risk from benzene emissions from stationary sources.  This is
illustrated by the results of the Southeast Chicago study, where iron
and steel sources contributed to approximately one-half  (0.08) of the
total annual -cancer  incidence per million population in  that study.
Lacking more specific information on the specific  stationary sources,
this source category in the 35-County study was considered duplicative
of the stationary sources  in the other  studies.
      Of the individual source categories with  "overlapping" estimates*
only the motor vehicle  category will be discussed  in detail.  As seen  in
                                  B-28

-------
 Table B-4,  seven  studies  estimated  cancer  risk from  motor  vehicles.
 Five  of these  seven  studies  have  very  similar  cancer rates,  ranging
 between 0.32 and  0.43  cancer cases  per year  per million  population.  The
 lEMP-Santa  Clara  study's  model  was  identified  in that study  as
 underestimating benzene emission  levels  by 2 to 3 times.   Increasing
 modeled emission  levels two  to  three times would increase  the cancer
 rate  in the IEMP:Santa Clara study  to  between  0.25 and 0.38  cancer cases
 per year per million population.  This is  certainly  in line  with the
 other studies.  The Southeast Chicago  study  also noted that  its modeled
 estimates appeared to  underestimate measured ambient  concentrations by
 two to  three times.  Using the  measured  ambient  concentrations increases
 the Southeast  Chicago  estimated cancer rate  to  between 0.14  to 0.21
 cancer  cases per year  per million population.   While  this  is below the
 other annual cancer incidence per million  populations, it  is consistent
 with  the lower measured ambient concentrations  in the Southeast Chicago
 study,  which were between 3.6 and 5.1 ^g/m3.   Thus,  what  we are seeing
 are differences in the modeling techniques as well as geographic
 variations.
      Point Estimate.  The best estimate from modeled concentrations
 appears to  be about 143 cancer  cases per year nationwide (0.6 cancer
 cases per year per million population)  and about 181 cancer cases per
year  nationwide (or approximately 0.75 cancer cases per million
population) from ambient measured concentrations.  As noted above,  two
of the  studies discussed how the models underestimated benzene
concentrations (by a factor of  2 to 3).  These underestimations could be
simply due to incomplete emission inventories in those studies and  the
narrower underestimation (0.6 vs.  0.75) in the present study due to a
more complete accounting created by examining more studies and source
                                  B-29

-------
categories.  Based on these considerations, the ambient-based estimate
of 181 cancer cases per year (based on 0.75 cancer cases per year per
million population) was selected as the estimate of nationwide annual
cancer incidence due to exposure to benzene.
                                   B-30

-------
   1,3-Butadiene..  Eight studies  examined  1,3-butadiene  (see  Table  B-5).
   Emission sources of 1,3-butadiene include  point  sources, primarily
   synthetic rubber producers,  and area sources  (e.g., motor  vehicles).
   One study (the 35-County study) identified motor vehicle emissions  of
   1,3-butadiene occurring from both exhaust  and  tire wear.   Seven  studies
   used modeled estimates to calculate  cancer risk  and one study, the
   Ambient  Air Quality study,  used ambient measurements.
         Modeled Estimates.   Five of the seven studies included  point
   sources.   Of these  five,  the NESHAP/ATERIS data  base,  the  5-City study,
   and the  TSDF study  identified  the specific types of sources;  the 35-
   County and the lEMP-Kanawha  Valley studies did not.   Thus,  an effort was
   made to  determine whether any  of the sources  in  the NESHAP/ATERIS data
   base were included  in the lEMP-Kanawha  Valley  and the  35-County  studies.
   Based on  information in the  lEMP-Kanawha Valley  study  report, the point
   source facility  is  located  in  Institute, West  Virginia.  The
.   NESHAP/ATERIS data  base did  not include a  facility in  Institute,  WV,
   although  one in  Washington,  WV,  was  included.  Thus,  it appears  that the
   cancer risk from chemical manufacturing in the lEMP-Kanawha Valley  is in
   addition  to that from the NESHAP/ATERIS data base.
         In  contrast,  a comparison of city locations in the NESHAP/ATERIS
   data base with the  counties  in the 35-County study showed  an  overlap of
   geographic areas.   For the 35-County study, it is likely that the two
   risk estimates are  not mutually exclusive,  although to what extent  there
   is  an  overlap has not been determined.  When the  annual cancer cases
   from the  NESHAP/ATERIS data  base  is  divided by the exposed population,
   the  cancer rates  from both studies are  the same  - approximately  0.3
   cancer cases  per year per million  population.  This strongly  suggests a
   likelihood of much  overlapping between  these two  studies.  In the case
                                     B-31

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of the 5-City study, all of the estimated stationary source cancer cases
were from two facilities in one city.  These two facilities are included
in the NESHAP/ATERIS data base.  Thus, the cancer estimates of the
5-City study and the NESHAP/ATERIS data base are duplicative of each
other.
      Based on the above, point sources appear to result in between 24
and 38 cancer cases per year, depending on the overlap between the
35-County study and the NESHAP/ATERIS data base.  It seems likely that a
more detailed comparison would show the estimate closer to 24 annual
cancer cases than to 38.
      Five studies used modeled concentrations to estimate risk from
motor vehicles.  In order to compare the risk estimates and annual
cancer incidences per million population among the studies, a consistent
emission factor was applied to four of the five studies.  (The IEMP-
Kanawha Valley study was not included because the study did not identify
the emission factor used.)  The emission factor selected to put the risk
estimates on a more common basis was the estimated 1986 emission factor
of 0.0089 to 0.0098 grams per mile (g/mile), which was taken from the
latest work by the Office of Mobile Sources.4  The range reflects the
presence and absence of an inspection/maintenance program, respectively.
After adjusting to a common emission factor (0.0089 to 0.0098 g/mile), a
cancer rate range of 0.25 to 1.02 cancer cases per year per million
population is created.  Each of the four studies used a different model
to estimate risk.  The modified CO NEM model used in the Mobile Source
study appears to generate higher risk estimates than the model used in
     4  Carey, Penny M. and Joseph Somers.  Air Toxics Emissions from Motor
Vehicles.  Paper presented at 81st Meeting of APCA.  Dallas,  TX.  June 19-
24, 1988.
                                  B-34

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-------
population.  The Ambient Air Quality study was based on data from
California.  Of the NESHAP/ATERIS point sources, two are located in
California, but not in cities that provided 1,3-butadiene ambient
measurements.  It is not unreasonable to expect ambient measurements to -
be higher in cities with point sources.  Thus, it is not unreasonable in
this instance that the ambient data and the modeled point source data
are mutually exclusive.  On this basis, cancer incidence is estimated to
be 266 annual cancer cases nationwide (22 from point sources (including
TSDFs) and 244 from motor vehicles/ambient measured data) due to
exposure to 1,3-butadiene.
                                  B-36

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                                TABLE B-7.

                    ESTIMATED ANNUAL CANCER CASES FROM
                  CADMIUM EMISSIONS  FROM MOTOR VEHICLES

ITEM
Original Estimate
(Annual Incidence
per million
population)
1.9xlO'6 g/mile
Without tire wear

Mobile
Study
0.001a
0.001
0.001
STUDY
35 County
0.009 to
0.013b
0.004 to
0.006
0.0012 to
0.0017
•--
South
Coast
0.0398C
0.011
0.011

Southeast
Chicago
0.0036d
0.001
0.001
Assumes cars with
catalytic conver-
ters have zero
cadmium emissions
0.001     <(0.0012 to
               0.0017)
<0.0012£
0.001
   Exhaust  emissions  only;  1.9xlO"6 grams/mile emission factor; based on
   1.9x10   g/mile for non-catalytic equipped cars and 0 g/mile for cars
   with catalytic  converters.

   Exhaust  and tire wear emissions; 9.0xlO"6 g/mile exhaust emission
   factor and 4.85xlO"6 g/mile factor for tire;  no distinction as to
   catalytic or non-catalytic equipped cars.

   Exhaust  emissions  only;  emission factor  not given;  emission rate
   assumes  all cadmium  in gas (0.02 mg/1) is exhausted  from both
   catalytic and non-catalytic equipped cars.  At  0.02  mg/1,  an emission
   factor of 6,6xlO"6 g/mile is  calculated.

d  Based on emission  factor of 6.7xlO"7 grams/mile.

  Assumes  12 percent of fleet is non-catalytic equipped  (same
  assumption as in Mobile  Source Study).
                                  B-41

-------
cases per million population is used for the best estimate.   This is
equivalent to 0.2 to 9.6 cancer cases per year nationwide.
     Cancer risk due to heating was found to have a fairly wide range in
annual cancer incidences per million population,  from approximately
0.005 to almost 0.04 cancer cases per year per million population.  This
is equivalent to approximately 1 to 9 cancer cases per year nationwide.
The 35-County study indicated that the emission estimates for cadmium
were based on species apportionment factors used in the earlier
35-County study.  The 5-City study indicated species apportionment
factors revised since then were used.  Using the 5-City and Coal and Oil
Combustion studies' estimates, a narrow range of 1.1 to 2.2 annual cases
per year nationwide is obtained.  Insufficient information was available
to determine why the lEMP-Kanawha Valley had a higher annual cancer
incidence per million population.  It is possible that the urban nature
of the 5-City study may contribute to the higher annual cancer incidence
per million population than the one from the Coal and Oil Combustion
study, but the range of 1.1 to 2.2 estimated cancer cases per year
nationwide is retained.
     The NESHAP/ATERIS data base and the Southeast Chicago study  both
estimated risk from iron and steel plants.  The higher annual cancer
incidence per million population in the Southeast Chicago study  could be
attributable to two factors.   First, the Southeast Chicago study  area
could have a concentration  of  iron and  steel plants that results  in  a
higher annual cancer incidence per million  population, whereas  the lower
annual cancer incidence per million population of the  NESHAP/ATERIS  data
base  reflects the  spreading of the annual cancer cases over  the  entire
U.S.  population.   As noted  elsewhere, the Southeast Chicago  study
modeled  four steel mills.   Second, the  Southeast Chicago  study's
                                   B-42

-------
 inventory was designed to estimate actual emissions assuming full
 utilization of existing  steel production facilities.  This is apparently
 different from the U.S.  EPA's study on steel mill emissions.  The
 Southeast Chicago study  notes that the U.S. EPA's revaluation of steel
 mill, emissions conducted a review of the operating status of major units
 at each of the steel mills in the study area.  The inventory as of July
 1987 is based on particulate matter emissions estimates contained in the
 National Emissions Data  System  (NEDS), which reflects sometimes outdated
 judgments of which units are operating and which units may be considered
 permanently shutdown.  Thus, the Southeast Chicago study's inventory
 would contain a higher level of estimated emissions than under the
 NESHAP/ATERIS data base.  For this source category, the total annual
 cancer cases associated with the NESHAP/ATERIS data base (0.06 per year)
 was selected as the best estimate of nationwide cancer risk.
      The NESHAP/ATERIS data base and the Sewage Sludge Incinerator
 study both estimated cancer risk from sewage sludge incinerators.  Since
 the Sewage Sludge Incinerator study is a more recent estimate, the
 cancer risk estimated in it was selected as the best estimate of- cancer
 risk from cadmium from sewage sludge incinerators.
      Even though there are similar wide ranges of annual  cancer
 incidences per million population for some of the other source
categories,  total annual cancer cases from the remaining six source
categories are estimated to most likely be less than three.  Combining
the best modeled estimates from all  of the source categories yields an
estimated 7 to 15 annual cancer cases nationwide (or between 0.029 and
0.063 cancer cases per year per million population).
      The above estimate does not include the "point sources" category
of the 35-County study.   It was not possible to identify what overlap
                                  B-43

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there might be with the other specified point source categories.
However, it is known that some of the iron and steel plants are located
in cities in counties that are included in the 35-County study (such as
Chicago in Cook County, IL).  Thus, it might be reasonable to compare
the total annual cancer incidence per million population of the 35-
County study with the upper end of the above range (which includes the
higher annual cancer incidence per million population for the heating
category from the 35-County study).  When this is done, there is
somewhat better agreement (0.10 vs. 0.06 cancer cases per year per
million population).  By adjusting the motor vehicle contribution from
the 35-County study as described earlier, the total annual cancer
incidence per million population for the 35-County study is lowered
marginally.  Considering that the counties in the 35-County study were
selected, in part, on the basis of sources known to emit the pollutants
being studied, it is not necessarily inconsistent that the resulting
annual cancer incidence per million population is higher than the
aggregate total from the nationwide studies.
      Ambient Estimates.  As noted earlier, four studies used ambient-
measured "concentrations to estimate risk.  The ambient-measured
concentrations of cadmium for the lEMP-Baltimore study were all below
the minimum detectable limits of the analytical technique.  Thus, the
range of cancer cases reflects zero to the detection limit (between
0.001 and 0.002 ng/m3) concentrations.  The lEMP-Santa Clara used the
1985 Ambient Air Quality Study's concentrations (0.001 to 0.003 Aig/m3)
to estimate cancer cases.
      The updated Ambient Air Quality study used an annual average
concentration of approximately 0.0016 ^g/m3 to estimate cancer cases.
This estimate was based on data from  164 counties.  The South Coast
                                  B-44

-------
study report showed a concentration range of 0.0014 to 0.0018
Both studies result in approximately the same annual cancer incidence
per million population - 0.042 to 0.045 cancer cases per year per
million population.
      Point Estimate.  The annual cancer incidences estimated from
ambient-measured concentrations lie within the range derived from the
modeled concentrations - 10-11 vs. 2-44 cancer cases per year.  The best
estimate of total nationwide cancer cases based on modeled concentration
is estimated to between 6 and 16 per year.  A single point estimate of
10 cases per year was selected based on the ambient data of the Ambient
Air Quality study.
                                  B-45

-------
Carbon Tetrachloride.  Carbon tetrachloride was included as a pollutant
of concern in thirteen studies (see Table B-8).  Carbon tetrachloride
sources are primarily point sources.  At least eleven source categories
were considered in the studies.  The lEMP-Philadelphia and the South
Coast studies incorporated both ambient measured concentrations and
modeled ambient concentrations.  Since carbon tetrachloride remains in
the atmosphere long after it is emitted, ambient-measured concentrations
are more likely to result in better risk estimates than those estimates
based on modeled ambient concentrations.  Therefore, the analysis only
focuses on the ambient-measured cancer risk estimates.
     Several comprehensive studies6 have identified a global  background
concentration for carbon tetrachloride of approximately 0.8 /*g/m3.   As
carbon tetrachloride is difficult to measure and as there are no known
"sinks" for carbon tetrachloride, any ambient-measured concentration
much below this level must be viewed as due to test method error.  This
information is important in assessing the cancer risk for carbon
tetrachloride as reported in the studies.
     Ambient Estimates.  Six studies estimated risk based on ambient-
measured concentrations.  The Ambient Air Quality study was based on
data from 24 counties.  The Ambient Air Quality study estimated a
cancer rate of 0.15 cancer cases per year per million population, based
     6  P.G.  Simmonds et-  a]_.  "The  Atmospheric Lifetime  Experiment 6-
Results for Carbon Tetrachloride Based on 3 Years Data."  The Journal of
Geophysical Research.   Vol.  88,  No.  CIS.,  pp.  8427-8441.   October 20,
1983.
       H.B. Singh, L.J.  Falas, R.E. Stiles.  "Selected Manmade Halogenated
Chemicals in the Air and Oceanic Environment."  The Journal of Geophysical
Research.  Vol. 88,  No. C6, pp. 3675-3683.  April 20,  1983.
       H.B. Singh et. a]_.  Toxic Chemicals in  the Environment:  A  Program
of Field Measurements.  EPA/600/3-86-047.  August 1986.
                                  B-46

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                                TABLE B-8



ESTIMATED ANNUAL CANCER CASES FROM CARBON TETRACHLORIDE BY SOURCE CATEGORY
SOURCE
CATEGORY
Pesticide
Production
Pharmaceutical
Production
Chemical Users
and Producers
Aerators
POTU's
TSDF'S
Unspecified
Indirectd
Impacts
A--ea
TOTALS
MODELED.
AMBIENT
INDIVIDUAL STUDY
Ambient NESHAP/
Air ATERIS
Quality
0.42
(0.0018)
0.00013
(0.0000005)
0.19
(0.0008)




13. 9e
(0.058)

14.5
(0.06)
36
(0.15)
Drinking Thirty- IEMP-
Uater POTU's TSDF's five Five City Baltimore
Aerators County


0.01 „ X
(0.00063)
<0.0047
(<0. 00002)
0.03 0.13 X
(0.00013) (0.0027)
2.28
<0.0095)
0.44
(0.028)


<0.0047 0.03 2.28 0.13 0.46
(0.00002) (0.00013) (0.0095) (0.0027) (0.029)
0.3
(0.196)
                                      B-47

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                          TABLE B-8 -- concluded
ESTIMATED ANNUAL CANCER CASES FROM CARBON TETRACHLORIDE BY SOURCE CATEGORY
SOURCE
CATEGORY
Pesticide
Production
Pharmaceutical
Production
Chemical Users
and, Producers
Aerators
POTU's
TSOF'S
Unspecified
Indirect
licpacts
Area
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
IEHP- IEHP- IEHP- Southeast
Konawha Philadelphia Santa Clara Chicago South Coast
Valley
„-.
X
0.0086-0.021
(0.086-0.214)


0.00014
(0.00036)
negligible
0.064
(0.164)


0.0086-0.021 0.035 . 0.00014 XJ.0014
(0.086-0.214) (0.02) (0.00036) (0.00013)
0.64 0.2 0.064 1.41
(0.39) (0.14) (0.164) ;(Q-13)
NATIONWIDE
POINT ,
RANGE3 ESTIMATE0
0.42 0.42
0.00013 0.00013
0.16-0.19° 0.19
O.0047 <0.0047
0.03-0.65 0.03
2.3 2.3
6.7 6.7
_ _ - -
13.9 13.9

23.5-24.2 24
31.2-47f 419
                                     B-48

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Footnotes to Table B-8.
NOTE:  Numbers in parentheses are annual cancer cases per million population.   For nationwide
       studies, annual cancer cases were divided by 240 million,  unless otherwise noted.   For
       studies with smaller geographic scopes, the annual cancer  cases were divided by the study's
       population.

a  The numbers in this column were calculated by taking the lowest and highest incidence  rates for
   a source category and  multiplying it by 240 (1986 U.S. population in millions).  The  total for
   this column is the summation of the low end of the range and the sum of the high end of the
   range.

   The numbers in this column present the results of the reduction analyses.  In most instances,  a
   point estimate of nationwide annual cancer incidence was derived for each pollutant/source
   category combination.  In some instances, a point estimate could not be reasonably derived.  For
   these instances, as narrow a range as possible of nationwide annual cancer  incidence was
   estimated, and such ranges appear in this column.  The text discusses how these point  estimates
   and ranges were derived.

c  Does not include extrapolating the incidence rate from the lEMP-Kanawha Valley study to a
   nationwide risk estimate because of  the unknown type of facilities.

   "Indirect impacts" refers to carbon tetrachloride emissions that have been  emitted in  the past.
   As noted in the text, carbon  tetrachloride persists in the atmosphere long after it has been
   emitted.  Since the Southeast Chicago study used ambient-measured concentrations to estimate
   risk from this source category, the results are reported under the "Ambient" total and not'under
   the "Modeled" totals.

e  Incudes solvent applications and grain fumigation.

   Due to the minimal number of data points associated with the lEHP-Philadelphia study,  the range
   does not include extrapolating  nationwide cancer risk from the incidence rate for that study.

"  As discussed in the text, this is based on a global background concentration of 0.8 /tg/m .
                                               B-49

-------
on population-weighted ambient concentrations of 0.79 /^g/nv5 for urban
areas and 0.4 ^g/m3 for rural areas.  The range of concentrations
identified in the study was  from 0 to 1.87 /^g/m3.   The other five
studies were for specific locales - Baltimore, Philadelphia, the South
Coast Air Basin, Santa Clara, and Southeast Chicago.  Of these five
studies, the lEMP-Philadelphia study appears to be based on a single
data point.  Ambient-measured concentrations were 1.8 ^g/m3 for the
lEMP-Philadelphia study. The Southeast Chicago study had two sets of
sample data for two sample sites.  One set measured 0.44 //g/m3 over 10
to 15 samples and the second set measures 2.7 /^g/m3 for 5 to 7 samples.
The IEMP-Baltimore study had at least 10 monitoring sites, and the South
Coast study had five monitoring sites with a combined total of over 100
samples.  The 10 sites in the lEMP-Baltimore study showed a range of
average concentrations from  0.6 to 1.4 //g/m3 with a population weighted
average of 0.9 /^g/m3.   The South Coast study showed annual  (1985)
average concentrations ranging from 0.6 to 0.76 fjg/m3 for the five sites
and a population weighted average of 0.69 //g/m3.   The Santa Clara study
reported monitored concentrations ranging from 0.2 to 1.2 ^g/m  from a
single monitoring site.
      As seen above, the various studies present a range of carbon
tetrachloride concentrations.  A number of reported ambient-measured
concentrations were substantially below the expected background
concentration of 0.8 ^g/m3.   Such instances are likely due to sampling
error.  Based on a concentration of 0.8 //g/m3,  a nationwide estimate of
approximately 41 cancer cases per year (0.17 cancer cases per year per
million population) is obtained.  This result is very close to that
estimated by four of the five studies.  Only the lEMP-Philadelphia study
shows a substantial deviation, with an estimated cancer rate of  0.39
                                  B-50

-------
cancer cases per year per million population.   This could be due to
sampling error, the small number of data points,  geographical variation,
or a combination of any of these factors.
     Point Estimate.  It appears that the best estimate of nationwide
cancer risk from carbon tetrachloride is based on applying the
background concentration to the total U.S. population, which results in
an estimated cancer risk of 41 cancer cases per year.  The studies
indicate that there can be locally high levels of concentrations to
which populations are exposed.  This would increase the estimate of
nationwide cancer risk based only on the background concentration of
0.8 pg/m3.   The magnitude of this potential  increase,  however,  is
unknown.  Thus, nationwide cancer risk from carbon tetrachloride is
estimated to be 41 cancer cases per year.
                                  B-51

-------
Chloroform.  Thirteen studies included chloroform as a pollutant of
concern (see Table B-9).  Only a few specific source categories were
identified as chloroform emission sources in these thirteen studies.
One study, the South Coast study, found that ambient measured
concentrations of chloroform were much higher than the modeled ambient
concentrations, and suggested that this might be due to sources not
included in the emission inventory.  Thus, as was for carbon
tetrachloride, risk estimates based on ambient measurements may yield
better estimates.  In addition, the non-specificity of a, number of the
studies as to the specific source categories examined made it difficult
to sum across the estimates based on modeling.
     Ambient Estimates.  Three studies used ambient monitoring data to
estimate cancer risk - the lEMP-Baltimore study, the South Coast study,
and the Ambient Air Quality study.  The lEMP-Baltimore study showed an
average cancer rate of 0.29 cancer cases per year per million
population, with a range for individual geographic areas within the city
from 0.07 to 1.54 cancer cases per year per million population.  Ambient
measured concentrations ranged from 0.2 to 4.7 ng/m3,  with an average
concentration of 1.7 ^g/m3 over the ten monitoring sites.   The
population weighted average, however, was approximately one-half of
                                      it-
that, being 0.88 ^g/m3.
     In the South Coast study, ambient concentrations from five
monitoring sites ranged from 0.27 to 0.55 /ig/m3, for a population-
weighted annual average of approximately 0.38 /tg/m3.  This concentration
is slightly less than  one-half of Baltimore's population-weighted
average concentration  of 0.88 ^g/m3.  The resulting cancer rate in the
South Coast study was  approximately 0.12 cancer cases per year per
million population.
                                  B-52

-------
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B-55

-------
     The Ambient Air Quality study used ambient measurement data from 22
geographic areas, the majority of which were located in California.  The
annual average ambient concentrations ranged from 0 to 9.3 ^g/m3.   The
California data has a much narrower range (0.13 to 1.81 ng/m3),  and a
much lower average concentration than the non-California data.  Using a
population weighted urban concentration of 1.86 ng/m3 and a rural
concentration of 0.1 jig/m3,  the Ambient Air Quality study estimated
total annual cancer cases at 115, or equivalently 0.48 cancer cases per
year per million population.  Of the three studies using ambient-
measured concentrations, the Ambient Air Quality study was selected as
providing the best estimate of nationwide annual incidence because of
its broader geographic coverage.
     Modeled Estimates.  Excluding the "chemical manufacturing" source
category in the lEMP-Kanawha Valley study for the moment, the modeled
estimates of cancer risk from chloroform are estimated to be between 4
and 10 cancer cases per year nationwide.  (This supports the South Coast
study's finding that models may be "missing" chloroform emission sources
when compared to the cancer risk estimates based on ambient-measured
concentrations.)  The "chemical manufacturing" source category in the
lEMP-Kanawha Valley study has a very high cancer rate - 0.58 to 1.9
cancer cases per year per million population.  However, it does not
appear reasonable at this time to try to extrapolate nationwide cancer
risks from this annual cancer incidence per million population because
the types of facilities and their products that lead to these chloroform
emissions have not been identified.  Thus, the representativeness of the
emission sources is unknown.
     Point Estimate.  As noted above, ambient measurements appear to
provide a more complete accounting of chloroform concentrations then do
                                  B-56

-------
modeled estimates.  The cancer risks based on ambient-measured
concentrations, therefore, were selected as being more likely
representative of actual risks.  Of the three studies that estimated
cancer risk from ambient-measured concentrations, the Ambient Air
Quality study used data with a broad geographic coverage, including data
from areas covered by the two other studies.  Therefore,  the estimate of
115 cancer cases per year from the Ambient Air Quality study was
selected as estimate of nationwide cancer risk from exposure to
chloroform emissions.
                                 B-57

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Chromium.  Thirteen studies included chromium as a pollutant of concern
(see Table B-10 and B-ll).  Ten of the studies estimated cancer risk
based on modeled ambient concentrations; four using ambient measured
concentrations.  (The South Coast study used both modeled and monitored
ambient concentrations to estimate risk.)  Of the fourteen plus source
categories identified, two are of primary concern - chrome platers and
cooling towers - for estimating cancer risk.  For both modeled and
ambient measured concentrations, the percent of total  chromium assumed
to be hexavalent is also important.  For some source categories, such as
chrome platers, nearly 100 percent of total chromium emissions are
hexavalent; while for some other source categories, such as
incinerators, less than 1 percent of total chromium emissions are
hexavalent.
      Ambient Estimates.  Assuming 100 percent of the measured ambient
concentrations are hexavalent, the four studies resulted in estimated
cancer rates between 0.82 and 2.77 cancer cases per year per million
population (see Table B-10).  On a nationwide basis, this is equal to
approximately 197 to 665 cancer cases per year.
      Results from the 5-City study suggest that the ratio of hexavalent
to total chromium concentrations in model-predicted ambient levels range
from 0.085 to 0.815.  Applying the appropriate ratios to the annual
cancer incidences per million population  in Table B-10 to the IEMP-
Baltimore study and the South Coast study yields very similar cancer
rates - 0.8 vs. 0.67 cancer cases  per year  per million population.  For
the five cities, an arithmetic average  ratio  of 0.4 and  a population-
weighted average of 0.6 for hexavalent-to-total chromium emissions were
obtained.  Applying these ratios to the Ambient Air Quality estimate  of
283 cancer cases per year yield  an estimated  113 and  175 cancer cases
                                   B-58

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                                          TABLE  B-10
               ESTIMATED ANNUAL CANCER CASES  FROM  CHROMIUM BY SOURCE CATEGORY
                                AMBIENT MEASURED CONCENTRATIONS
STUDY
Ambient Air Quality
100% Hexavalent
62% Hexavalent
40% Hexavalent
IEHP - Santa Clara
100% Hexavalent
IEMP - Baltimore
100% Hexavalent
29% Hexavalent
South Coast
100% Hexavalent
81.5% Hexavalent
Totals
100% Hexavalent
<100% Hexavalent
Concentration3 Incidence .
(j*g/m3) Annual Annual Per Million
Population

0.0069 283 1.18
0.0043 175 0.73
0.0028 113 0.47

0.0126-0.0138 3.02-3.3 2.16-2.37

0.016 4.24 2.77
0.8

0.0048 8.97 0.82
0.67


Nationwide
Incidence

283
175
,113

518-569

665
192 .

197
161

197-665
113-192
Point
Estimate









283
113
     Total chromium.
_
                                                B-59

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                                               TABLE  B-ll

     ESTIMATED  ANNUAL  CANCER  CASES  FROM  CHROMIUM  - MODELED  CONCENTRATIONS
    SOURCE
   CATEGORY
BOPF's


Chemicals


Chroraite


Cooling Towers
Ferrochromium
Production

Glass Furnaces
Municipal
Incinerators

Refractories
Sewage Sludge
Incinerators

Specialty Steel
 Heating/
 Combustion

 Hazardous Waste
 Combustors

 Waste Oil
 Conbustors

 Chrome ploters
 Unspecified


 Other


 Hotor Vehicles
 TOTALS
                                              INDIVIDUAL
                                                             STUDY
  NESHAP/
  ATERIS
Coal and Oil
 Combustion
   0.001
(0.000004)

   0.22
 (0.00091)

  0.00045
(0.000002)

   0.58
 (0.0024)

   0.062
 (0.00026)

   0.013
(0.000054)

  0.00071
(0.000003)

   0.016
(0.000067)

  0.00016
(0.0000007)

   0.25
  (0.001)
    330°
   (1.38)
    331
   (1.38)
 Hazardous
   Waste
Combustion
  Municipal
Incinerators
 Waste Oil
Combustion
Thirty-
 five
County
                                                           0.0018
                                                          (0.00004)
                                 0.12
                               (0.0005)
                 0.20
                (0.0008)
                               <0.25
                              (<0.001)
                                                        0.0012-0.0065
                                                         <<0.000027)
                                                            0.06
                                                           (0.0013)
                                                             0.01
                                                           (0.0002)

                                                              273
                                                            (5.77)
     0.20
   (0.0008)
    <0.25
  (<0.001)
     0.12
    (0.0005)
0.0012-0.0065
 (<0.000027)
  273.4
 (5.78)
Five City
                                                           7.37
                                                          (0.464)
                                                                          0 44
                                                                          (i).028)
                                                           0.00089
                                                          (0.00006)

                                                           0.0052
                                                          (0.00033)
                                                                                                        (0.5)
   15.81
  (1.00)
                                                          B-60

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                        TABLE B-ll -- concluded



ESTIMATED ANNUAL CANCER CASES FROM CHROMIUM - MODELED CONCENTRATIONS
SOURCE
CATEGORY
BOPF'S
Chemicals
Chronrite
Cooling Towers
Ferrochromium
Production
Glass Furnaces
Municipal
Incinerators
Refractories
Sewage Sludge
Incinerators
Specialty Steel
Heating/
Combustion
Hazardous Waste
Combustors
Waste Oil
Combustors
Chrome platers
Unspecified
Other
Motor Vehicles
TOTALS
INDIVIDUAL STUDY
Sewage Southeast
Sludge Chicago South Coast
Incinerators
X


<0.024
(0.062)

X


0.26
(0.0011)
0.00086
(0.0022)
X


0.186
(0.473)
6.97
(0.64)

1.17
(0.107)
0.26 0.211 8.14
(0,0011) (0.537) (0.75)
NATIONWIDE
. RANGE3
0.001
0.22
0.0045
0.01-111
0.062
0.013
0.00071-0.12
0.02-6.7
.00016-0.26
0.01-0.53
0.08-0.3
<0.25
0.0012-0.05
113-343°
154
330
26
140-4896
POINT
ESTIMATE
0.001
0.22
0.0045
0.01-111
0.062
0.013
0.12
0.02-6.7
0.26
0.01-0.53
0.2
<0.25
0.0012-0.05
120
--
--
26
147-265
                                  B-61

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Footnotes to Table B-11.


NOTE:  Numbers in parentheses are annual cancer cases per million population.   For  nationwide
       studies, annual cancer cases were divided by 240 million,  unless otherwise noted.   For
       studies with smaller geographic scopes, the annual cancer  cases were divided by the study's
       population.

NOTE:  An "x" in a column indicates that the source category was  considered in the  study,  but  a
       specific cancer risk for the source category was not indicated.

a  The numbers in this column were calculated by taking the lowest and highest incidence  rates for
   a source category and  multiplying it by 240 (1986 U.S. population in millions).  The  total for
   this column is the summation of the low end of the range and the sum of the high end of the
   range.

b  The numbers in this column present the results of the reduction analyses.  In most instances,  a
   point estimate of nationwide annual cancer incidence was derived for each pollutant/source
   category combination.  In some instances, a point estimate could not be reasonably derived.  For
   these instances, as narrow a range as possible of nationwide annual cancer incidence was
   estimated, and such ranges appear in this column.  The text discusses how these point  estimates
   and ranges were derived.

c  Based on adjusting estimated incidence from 272 to 191 based on newer emission data for one city
   (see text) and then  extrapolating the 35-County study estimate nationwide according to
   information provided in the 35-County study, which indicates 55% of chrome platers are in 35
   counties.

d  Includes nine source categories:  chrome plating, refractory,  chromium chemicals, steel
   manufacturing, ferrochromium  manufacturing, chromium ore manufacturing, sewage sludge
   incineration, municipal refuse incineration, and cement manufacturing.  Over 90 percent of the
   annual cancer  incidence is associated with refractory, chromium chemicals, chrome plating, and
   steel manufacturing.

e  Does not  include  risk estimates from "unspecified" and "other" source categories.
                                                B-62

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per year respectively or, equivalently,  cancer rates of approximately
0.47 and 0.73 cancer cases per year per million population.
     Modeled Estimates.  Summing across the various source categories
results in a range of nationwide cancer cases between 140 and 489 per
year.  By far the majority of this range is due to the estimate for
chrome platers (113 to 343 per year) and secondarily to cooling towers
(0.01 to 111 per year).
     The wide range of incidence from the chrome platers appears to be
mostly due to the estimate of total chromium emissions attributable to
chrome platers in one particular city.  The 35-County study uses
emissions approximately 4.2 times that used in the 5-City study.
However, the higher level of emissions used in the 35-County study is
apparently out-of-date.  The 5-City study's data are more recent and are
known to be in agreement with the local records for that city.
Adjusting the 35-County study's estimate to the lower emissions used in
the 5-City study, a new nationwide cancer rate of about 1.43 cancer
cases per year per million population is calculated.  This is still
higher than the 5-City study's cancer rate of 0.5 cancer cases per year
per million population.  The Southeast Chicago study shows an annual
cancer incidence per million population essentially equivalent to that
of the 5-City study (0.47 vs. 0.5).  For the best estimate of risk from
chrome platers, the annual cancer incidence per million population from
the 5-City study and the Southeast Chicago study  (0.5 cancer cases per
year per million population) was selected as the  best estimate to
extrapolate to a nationwide estimate of annual incidence.
     The 35-County study and the 5-City study also  show significantly
different cancer rates for cooling towers  (0.0004 vs. 0.46 cancer cases
                                  B-63

-------
per year per million population).  However,  insufficient data are
available to understand why such a difference exists.
      Point Estimate.  The range of cancer risks from the studies based
on modeled ambient concentrations and those from the ambient measured
studies are similar (147 to 265 vs. 197 to 665 cancer cases per year).
Considering the ambient-based estimates only, the Ambient Air Quality
study, by virtue of its broader geographic scope, may better reflect
nationwide incidence.  The Ambient Air Quality study would result in an
upper estimate of about 283 cancer cases per year (at 100% hexavalent).
By applying the results of the 5-City study as to estimated average
ratio'of hexavalent to total chromium to the Ambient Air Quality study's
result, total cancer cases would be estimated to be 113 per year.
Considering the modeled-based estimates, there does not seem to be
sufficient information to further narrow the range (147 to 265).
      Because of the uncertainty of applying a nationwide ratio of
hexavalent to total chromium to ambient-measured data, the modeled
estimates' range of 147 to 265 cancer cases per year was selected as the
estimate of nationwide annual cancer incidence due to exposure to
hexavalent chromium emissions.
                                  B-64

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Coke Oven Emissions.  Three studies estimated cancer  incidences from
coke oven emissions  - the NESHAP/ATERIS data base, the 35-County study,
and the Southeast Chicago study  (see Table B-12).  Only the Southeast
Chicago study identified estimated concentrations of  coke oven
emissions.  The Southeast Chicago study estimated a range of
concentrations from  approximately 0 ng/m3 to 6.1,/ig/m3.   (That study
noted that the actual peak concentration for coke oven pollutants is
probably somewhat higher than the 6.1 /ig/m3:)   The Southeast Chicago
study estimated approximately 0.35 cancer cases per year for  its study
area.  This is equivalent to an areawide average coke oven emissions
concentration of approximately 0.1 ^g/m3.   The other two studies show
areawide average concentrations of approximately 0.005 /tg/m3 (35-County
study) and 0.0033 ^g/m3 (NESHAP/ATERIS data base)..  This trend in
calculated concentrations is expected since the area  covered by the
Southeast Chicago study is known to contain these emission sources and
the counties in the 35-County study were selected, in part, on the basis
of known emission sources.  Thus, those two studies would be expected to
result in higher cancer rates and estimated coke oven concentrations.
The NESHAP/ATERIS data base is broadest in scope, including areas with
and without-eoke oven emission sources, and was therefore selected as
the estimate of cancer incidence from exposure to coke oven emissions
(approximately 7 cancer cases per year).
                                  B-65

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                                          TABLE  B-12

            ESTIMATED  ANNUAL CANCER  CASES  FROM COKE  OVEN  EMISSIONS
SOURCE
CATEGORY
Iron and Steel
TOTALS
MODELED
INDIVIDUAL STUDY
NESHAP/
ATERIS
6.9
(0.029)

6.9
(0.029)
Thirty-
five
County
2.1
(0.044)

2.1
(0.044)
Southeast
Chicago
0.346
(0.88)

0.346
(0.88)
NATIONWIDE
POINT
RANGE3 ESTIMATE0
7-11c 7

7-11° 7
NOTE:  Numbers in parentheses are annual cancer cases per million population.   For  nationwide
       studies,  annual cancer cases were divided by 240 million, unless otherwise noted.  For
       studies with smaller geographic scopes,  the annual cancer cases were divided by  the study's
       population.

a  The numbers in this column were calculated by taking the  lowest and highest incidence  rates for
   a source category  and multiplying it by 240 (1986 U.S. population in millions).   The total for
   this column is the summation of the low end of the range  and the sum of the high end of the
   range.

k  The numbers in this column present the results of the reduction analyses.  In most instances, a
   point estimate of  nationwide annual cancer incidence was  derived for each pollutant/source
   category combination.   In some instances, a point estimate could not be reasonably derived.  For
   these instances, as narrow a range as possible of nationwide annual cancer incidence was
   estimated, and such ranges appear in this column.  The text discusses how these  point  estimates
   and ranges were derived.                         _.

0  The range does not include the nationwide estimate that would be calculated using the  incidence
   rate from the Southeast Chicago study, because it was felt that the concentration of iron and
   steel facilities in the Southeast Chicago study area was  too non-representative  of typical
   nationwide conditions.
                                              B-66

-------
 1,2  Dichloropropane.  Although two  studies reported cancer risk for  1,2
 dichloropropane,  the  lEMP-Baltimore study apparently applied the annual
 cancer  incidence  per  million population generated in the lEMP-
 Philadelphia  study  (i.e., 0.067 cancer cases per year per million
 population) to the  Baltimore population to estimate cancer risk.  In the
 IEMP-Philadelphia study, the initial source of 1,2 dichloropropane is
 from an unspecified chemical manufacturing plant.  Thus, it would be
 reasonable to apply the lEMP-Philadelphia annual cancer incidence per
 million population only in those instances where a similar facility
 exists.  Since the type of facility is not reported, a reasonable
 nationwide estimate can not be made.  Obviously, the lEMP-Philadelphia
 annual  cancer incidence per million population could be applied to the
 total U.S. population to yield a nationwide estimate of 16 cancer cases
 per year.   This estimate,  however,  has essentially no meaning.   Thus,
the best that can be done is to say that there are possibly as  little as
0,2 cancer cases per year (in Philadelphia and Baltimore).
                                  B-67

-------
 Dioxin.   Five studies  included  dioxin  as  a  pollutant  of  concern  (see
 Table B-13).   The risk estimates  in  each  study  are  highly  uncertain.
 The South Coast study  used ambient data found in  an article7 because
 there were no currently available data on ambient concentrations of
 dioxins  and furans in  the South Coast  .study area.  The South Coast  study
 report notes that "these data have limited  usefulness because  the vapor
 phase concentrations of these pollutants  were not measured."
       Both the Southeast Chicago study and  the  Municipal Waste Combustor
 study examined dioxin emissions from incinerators.   Both studies noted
 problems with estimating risk.   For  example, the  Municipal Waste
 Combustor study identified two problems with estimating risk from
 dioxins.  One problem dealt with the capture efficiency of the sampling
 method used to estimate emissions of dioxin and the other problem dealt
 with the methodology needed to extrapolate the  risk from
 tetrachlorinated dibenzodioxin (TCDD)  to the other dioxin subspecies.
       The TSDF study presents  a very  rough initial  estimate of potential
 risk from a large number of pollutants.  By proportioning according to
 projected emissions and unit risk factors, cancer risk  for each
 individual pollutant can be generated.  When this  is done, dioxin  is
' calculated to  contribute 91 of the  estimated 140 cancer cases from
 TSDFs.   This estimate  must be  viewed  as  a  very crude estimate.   In fact,
 there may  be substantially less  dioxin emitted from  TSDFs so  that  the
 actual  risk  is much lower.
       Point  Estimate.   For dioxin,  it is extremely difficult  to  identify
 a  point estimate because  of  the  "limited usefulness"  of the ambient  data
       7Czuczwa, J.  and R.A. Hites, 1984.  "Environmental Fate of Combustion
  Generated  Polychlorinated  Dioxins  and Furans,"  Environ.  Sci.  Technol.
  18(6)-.444-50.
                                    B-68

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                                          TABLE B-13

         ESTIMATED  ANNUAL CANCER  CASES  FROM DIOXIN  BY  SOURCE CATEGORY
SOURCE
CATEGORY
TSDFs
Sewage Sludge
Incinerators
Municipal Waste
Combustors
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
Municipal Sewage Sludge Southeast
Waste Incinerator TSDFs Chicago South Coast
Combustors
91 0.00014
(0.38) (0.00036)
0.42
(0.0013)
1-20° 0.0029
(0.004-0.083) (0.0073)

1-20 0.42 91 0.003
(0.004-0.083) (0.0013) (0.38) (0.0076)
0.29-5.71
(0.026-0.52)
NATIONWIDE
POINT
RANGE3 ESTIMATE"
0.09-91 0.09-91
0.42 0.42
1-20 1-20

2-111 2-111
6-125 6-125
NOTE:  Numbers in parentheses are annual cancer cases per million population.   For  nationwide
       studies,  annual cancer cases were divided by 240 million, unless otherwise noted.   For
       studies with  smaller geographic scopes,  the annual cancer cases were divided by  the study's
       population.

a  The numbers in this column were calculated by taking the lowest and highest  incidence rates for
   a source category and multiplying it by 240  (1986 U.S. population in millions).   The total for
   this column is the summation of the low end  of the range and the sum of the  high end of the
   range.

   The numbers in this .column present the results of the reduction analyses.  In most instances, a
   point estimate of nationwide annual cancer incidence was derived for each pollutant/source
   category combination.  In some instances,  a  point estimate could not be reasonably derived.  For
   these instances,  as narrow a range as possible of nationwide annual cancer incidence was
   •estimated,  and such ranges appear in this  column.  The text discusses how these  point estimates
   and ranges  were derived.

0  This estimate is  based on an older assessment and is calculated by applying  the  ratio of the
   newer total, risk  estimate to the older total  risk estimate.  See the summary on  municipal waste
   combustors  in Appendix C.
                                              B-69

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and the great uncertainty associated with the modeled estimates.
Therefore, the nationwide estimate of annual cancer incidence from
exposure to dioxin is a range, from approximately 2 to 125 cancer cases
per year nationwide.  Even this range remains very crude and this caveat
should be kept in mind.
                                   B-70

-------
 Ethvlene  dibromide.  Ten  studies  included ethylene dibromide  (EDB)  (1,2-
 dibromoethane)  as  a  pollutant  of  concern (see Table B-14).  Sources of
                           $
 EDB  in  these ten studies  included motor vehicles, drinking water
 aerators, gasoline marketing  (service stations, refueling, bulk plants
 and  terminals), TSDFs,  and EDB manufacturing and formulation  facilities.
 EDB  is  used in  leaded gasoline as a  "scavenger," and as leaded gasoline
 is phased-out,  EDB emissions will be reduced.  Two studies used ambient
 measured  concentrations to estimate  risk, and eight used modeled
 concentrations.  (The South Coast study used both ambient measured and
 modeled concentrations.)
      Modeled Estimates.  As seen in Table 3-23, the estimate of annual
 cancer cases per million  population varies dramatically for the gasoline
 marketing source category.  There is a 1,000-fold difference  (0.038 vs.
 0.000033) in this estimate.  This could be explained, in part, as the
 NESHAP/ATERIS data base's estimate is based on a July 1978 report8,
 whereas the Gasoline Marketing study is a more recent study.
 Furthermore, the Gasoline Marketing study's estimate is based on a 33-
 year projection period  in which EDB emissions fall to zero for the last
 20 to 23 years due to the projected complete phase-out of leaded
 gasoline.  Considering  its focused subject area and the explicit
 accounting of the projected phase out of EDB as a gasoline additive, the
 estimate of cancer incidence from the Gasoline Marketing study was
 selected as the best estimate of cancer risk from gasoline marketing for
 EDB emissions.
      For motor vehicles,  the range of cancer incidence per million
 population is narrower,  from almost 0.002 to 0.011 annual  cancer cases
     8  Mara,  Susan J,  and Shonh S. Lee, Atmospheric Ethylene Dibromide:
A Source-Specific Assessment. SRI International, July 1978.
                                  B-71

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                               TABLE B-14



ESTIMATED ANNUAL CANCER CASES FROM ETHYLENE DIBROMIDE BY SOURCE CATEGORY
SOURCE
CATEGORY
Gasoline
Marketing
Drinking Water
Aerators
Motor Vehicles
TSOFs
EOB Mfg. and
Formulation
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
Ambient NESHAP/ Drinking Gasoline Mobile IEMP- ^i™^-..,
Air ATERIS Water Marketing Sources TSDFs Kanawha Santa Clara
Quality Aerators Valley
9.2 • 0.008 0.0003
CO. 038) (0.000033) (0.0028)
<0.0002C
(<0. 000001)
x 0.78 0.0011
(0.004) (0.01D
0.02
(0.0008)
X
• 11.5 <0.0002 0.008 0.78" 0.02 ' 0.0013 0.004
(0.048) (<0. 000001) (0.000033) (0.004) (0.0008) (0.013) (0.003)
£8
(0.28)
                                      B-72

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                                 TABLE B-14  --  concluded

ESTIMATED  ANNUAL  CANCER CASES FROM ETHYLENE DIBROMIDE  BY  SOURCE  CATEGORY
SOURCE
CATEGORY
Gasoline
Marketing
Drinking Water
Aerators
Motor Vehicles
TSDFs
EDB Mfg. and
Formulation
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
Southeast
Chicago South Coast


0.00071 0.02
(0.0018) (0.002)



0.00071 . 0.02
(0.0018) (0.002)
1.13
(0.104)
NATIONWIDE
POINT
RANGE3 ESTIMATE13
0.008-9.2 0.008
<0.0002C <0.0002C
0.44-2.64 0.78
0.02 0.02
<2.3 1.5d

0.5-14 2.3
25-68 68
NOTE:   Numbers in parentheses are annual cancer cases per million population.   For nationwide
        studies,  annual  cancer cases were divided,by 240 million, unless otherwise noted.  For
        studies with smaller geographic scopes,  the  annual cancer cases were divided by the study's
        population.

NOTE:   An "x" in a column  indicates that the source category was considered in the study, but a
        specific cancer  risk for the source category was not indicated.

a   The numbers in this  column were calculated by taking the lowest and highest  incidence rates for
    a source category and  multiplying it by 240 (1986 U.S. population in millions).  The total for
    this column is the summation of the low end  of the range and the sum of  the  high end of the
    range.

    The numbers in this  column present the results of the reduction analyses.   In most instances,  a
    point estimate of nationwide annual cancer incidence was derived for each pollutant/source
    category combination.  In some instances,  a  point estimate could not be  reasonably derived.
    For these instances, as narrow a range as  possible of nationwide annual  cancer incidence was'
    estimated,  and such  ranges appear in this  column.  The text discusses how these point estimates
    and ranges were derived.

0   The Drinking  Water Aerator study estimated 0.0002 annual cancer cases from EDB and
    dibromochlbropropane combined.  No separate  estimate for EDB was given.

    Assumes 0.003 cancer cases per year per million  population is due to motor vehicles and the
    remainder (0.0063) is from EDB manufacturing and formulation.
                                              B-73

-------
per million population.  These estimates translate into total  nationwide
cancer cases of approximately 0.5 to 2.6 per year.  Considering again
the specific source nature of the Mobile Source study, the best estimate
of cancer risk from mobile sources for EDB emissions was selected from
the Mobile Sources study (0.78 cancer cases per year nationwide).
Cancer cases from TSDFs and drinking water aerators appear to be
negligible.  The estimates of cancer risk from EDB manufacturing and
formulation and from motor vehicles in the NESHAP/ATERIS data base could
not be "broken out" from the NESHAP/ATERIS data base's total.
      When combined, the above data result in a potential cancer rate
range of 0.002 to 0.056 cancer cases per year per million population (or
0.5 to 14 annual cancer cases nationwide), with a best estimate of 2.4
cancer cases per year nationwide.  The best estimate includes 1.5 cancer
cases per year nationwide from EDB manufacturing and formulation
facilities.  This estimate was obtained by subtracting the best estimate
of cancer risk from motor vehicles (0.78 cancer cases per year) from the
NESHAP/ATERIS data base's estimated 2.3 cancer cases per year from motor
vehicles plus EDB manufacturing and formulation facilities.
      Ambient Estimates.  Two studies used ambient measured
concentrations to estimate risk from EDB - the South Coast study and the
Ambient Air Quality study.  The South Coast study measured annual EDB
concentrations at five locales, ranging from 0.0154 to 0.0616 /ig/m3 in
1985, with a population weighted annual average concentration between
0.021 and 0.048 /ig/m3.  These concentrations were substantially higher
than the modeled concentrations.  The South Coast study  suggested that
this discrepancy might be due to entrainment and out-gassing from the
ground, which-would increase the ambient measured concentrations
relative to the modeled ambient concentrations.
                                  B-74

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      The Ambient Air Quality study used ambient data available from 30
locations.  In 29 of the 30 locations, concentrations ranged from 0.03
to 0.09 /ig/m3, with one location reporting a concentration of 0.2 ng/m3.
Most of the data was for California locations, which were measured in
1986 and 1987.  Calculating cancer cases in California based on the
California ambient measured concentrations  (0.03 to 0.1 ^g/m3)  and
population and in the rest of the U.S. based on the non-California
ambient measured concentrations (0.04 to 0.02 ^g/m3) and population,  the
Ambient Air Quality study estimated 68 annual cancer cases nationwide.
This is equivalent to the cancer risk calculated from population
weighted concentrations of 0.10 ^g/m3 for urban populations and 0.05
fig/m3 for rural  populations.
      Point Estimate.  The consistency of the ambient measured
concentrations suggests that the studies that modeled EDB concentrations
did not fully account for all  sources of EDB emissions, whether they
occur from entrainment or outgassing, as suggested in the South Coast
study, or for some other reason.  The ambient measured concentrations,
thus, seem to be a preferable basis for estimating risk.  The
concentrations measured in the South Coast Air Basin (0.021 to 0.048
jtg/m3)  are very  similar to the California data used in  the Ambient Air
Quality study (0.03 to 0.1 /tg/m3).   Given the broader geographic scope
of the Ambient Air Quality study,  the results from that study (68 cancer
cases per year nationwide) were selected as the estimate of cancer
incidence from exposure to EDB emissions.
                                  B-75

-------
Ethvlene dlchloride.  Ethylene dichloride (EDC) (1,2-dichloroethane)
emissions come from both point and area sources.  Point sources of EDC
include the production of EDC, vinyl chloride, methyl chloroform (CHC),
ethyl amines, trichloroethylene, perch!oroethylene, vinylidene chloride,
ethyl chloride, polysulfide rubber, and liquid pesticide.  Area source
emissions include grain fumigation, leaded gasoline, paints, coatings,
adhesives, cleaning solvents, and waste treatment, storage, and disposal
facilities.9
      Thirteen studies included EDC as a pollutant of concern (see Table
B-15).  At least thirteen source categories were specified in these
studies.  The cancer risk estimates in the Ambient Air Quality study and
the lEMP-Baltimore study were based on ambient measured concentrations.
The lEMP-Philadelphia study compared ambient measured concentrations
with modeled ambient concentrations.  The lEMP-Philadelphia study and
the remaining ten other studies used models to estimate cancer risk.
      Ambient Estimates.  The Ambient Air Quality study used
an urban average concentration of 0.59 /ig/m3 and a rural  average
concentration of 0.20 ^g/m3 to estimate cancer risk.  EDC concentration
data from 17 locations were used,''with a range of concentration from
0.09 to 4.12 Mg/m3.   The lEMP-Baltimore study measured annual  average
ambient concentrations ranging from 0.2 to 2.6 /*g/m3, with a population
weighted annual average concentration of 0.26 ^g/m3.  The lEMP-Baltimore
study data falls within the range used in the Ambient Air Quality study.
Since the higher ambient concentrations in the Ambient Air Quality  study
seem to correspond to cities with known point sources of EDC emissions
     9  U.S. EPA.  Locating and Estimating Air Emissions from Sources  of
Ethvlene Dichloride.   EPA-450/4-84-007d.  March  1984.
                                   B-76

-------
                               TABLE  B^15



ESTIMATED ANNUAL CANCER CASES FROM ETHYLENE DICHLORIDE BY SOURCE CATEGORY
SOURCE
CATEGORY
Pesticide
Production
POTWs .
Pharmaceutical
Manufacturing
EDC Production
CMC Users
Drinking Water
Aerators
Gasoline
Marketing
TSDFs
Unspecified
Point Sources
Chemical
Manufacturing
Refineries
Sewer
Volatilization
Delaware
River
Motor
Vehicles
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
Ambient NESHAP/ Drinking Gasoline
Air ATERIS Water Marketing POTWs
Quality Aerators
0.01
(0,00004)
0.09
(0.0004)
0.0029
(0.000012)
0.79
(0.0033)
0.0044
(0.000018)
X
0.01
(0.00004)








0.81 negligible 0.01 0.09
(0.0034) (0.00004) (0.0004)
45
(0.19)
TSDFs







5.37
(0.024)







5.37
(0.024)

                                 B-77

-------
                                 TABLE  B-15 —  continued

    ESTIMATED  ANNUAL  CANCER  CASES FROM ETHYLENE DICHLORIDE  BY SOURCE CATEGORY
SOURCE
CATEGORY
Pesticide
Production
.
Thirty-
five
County
IEMP- IEMP-
Five City Baltimore Kanawha
Valley
IEHP- Southeast
Philadelphia Chicago

POTWs
Pharmaceutical
Manufacturing

EOC Production
CHC Users
 4.62
(0.098)
 0.083
(0.05)
                                                                            negligible
Drinking Water
Aerators
Gasol ine
Marketing
TSOFs
Unspecified
Point Sources
Chemical
Manufacturing
Refineries
Sewer
Volatilzation
Delaware
River
Motor
Vehicles
TOTALS
MODELED
AMBIENT

0.12 0.013 0.00035 0.00087
(0.003) (0.0008) (0.0035) (0.00052)

1.25 0.814 0.00002
(0.026) (0.051) (0.0002)
0.009 , 0.00004
(0.0005) (0.000024)
0.011
(0.0066)
0.019
(0.011)
0,022
(0.013)


5.99 0.83 0.00037 0.138
(0.127) (0.052) (0.0037) (0.083)
0.148
(0.097)


negligible
0.00071
(0.0018)




-

0.00071
(0.0018)

                                          B-78

-------
                            TABLE B-15 -- concluded
ESTIMATED ANNUAL CANCER CASES FROM ETHYLENE DICHLORIDE BY SOURCE CATEGORY
SOURCE
CATEGORY
Pesticide
Prpduction
POTWs
Phar(naqe.utical
Manufacturing
EDC Production
CHC Users
Drinking Water
Aerators
Gasoline
Marketing
TSDpS
Unspecified
Point Sources
Chemical
Manufacturing
Refineries
Sewer
Volatilzation
Delaware
River
Motor
Vehicles
TOTALS
MODELED
AMBIENT

Sputh Coast








X





0.007
(0.0007)

NATIONWIDE
RANGE3
0.01
0.1-24,
0.0029
0.79
0,0044
negligible
0.01-0.84
5.37
0-12.2
0.007-0.12
1.92
3.36
3.84
0-0.17
15.4-52.5
23.3-45
POINT
ESTIMATE13
0.01
0.1
0.003
0.79
0.0044
negligible
0.01
5.4
0-12,2
0.1
1.92
3.36
3.84
<0.2
16-28
45
                                    B-79

-------
Footnotes to Table B-15.


NOTE:     Numbers in parentheses are annual  cancer  cases per million population.  For nationwide
          studies,  annual  cancer cases were  divided by 240 million, unless otherwise noted.  For
          studies with smaller geographic scopes, the annual cancer cases were divided by the
          study's population.

NOTE:     An "x" in a column indicates that  the source category was considered in the study, but a
          specific cancer  risk for the source  category was not indicated.

a   The numbers in this column were calculated by taking the lowest  and highest  incidence  rates  for
    a source category and multiplying it by 240 (1986 U.S.  population in millions).   The total for
    this column is the summation of the  low end of  the range and the sum of  the  high  end of the
    range.

    The numbers in this column present the results  of the reduction  analyses.   In most  instances, a
    point estimate of nationwide annual cancer incidence was derived for each  pollutant/source
    category combination.   In some instances,  a point estimate could not be  reasonably  derived.-
    For these instances, as narrow a range as possible of nationwide annual  cancer incidence was
    estimated, and such ranges appear in this column.   The text  discusses how  these point  estimates
    and ranges were derived.
                                               B-80

-------
the lower concentrations in Baltimore could reflect the lack of such
sources.
      On the basis of its wider geographic scope and its coverage of
cities with and without known point sources, the results from the
Ambient Air Quality study seem to provide a better estimate of
nationwide cancer risk from EDC than does the lEMP-Baltimore study.
      Modeled Estimates.  Unlike the results for many other compounds,
there appears to be very good agreement as to the risk from EDC between
the estimates based on modeled versus measured ambient concentrations.
As seen in Table B-15, when the various individual source categories are
summed, the range of nationwide risks is nearly identical to the range
based on the two studies using ambient measured concentrations.
      The major difficulty in summing the source categories is the
"unspecified point source" source category in the 35-County study.  If
this source category duplicates other specified source categories, then
the range of nationwide cancer cases decreases from 15 to 53 per year to
3 to 40 per year.  It is interesting to note that the total cancer rate
of the 35-County study (0.127 cancer cases per year per million
population) falls within the range created by the lEMP-Baltimore and the
Ambient Air Quality studies (0.097 to 0.19 cancer cases per year per
million population).
      Of the individual source categories, the nationwide cancer risk
associated with POTWs has the largest absolute difference.  The POTW
study shows a much lower cancer rate (0.0004 annual cancer cases per
million population) than does either the lEMP-Philadelphia study (0.059
annual cancer cases per million population) or the 35-County study
(0.098 annual cancer cases per million population).  The causes for this
wide difference are unknown.  If the nationwide POTW study is assumed to
                                  B-81

-------
more accurately reflect the exposure to EDC emissions from POTWs than
the two smaller geographic studies, estimates of nationwide cancer risk
would be between 15.4 and 28.6 cases per year.  If the "unspecified
point source" source category is also eliminated (as discussed above),
the nationwide cancer cases decrease further, to 3.2 to 16.4 cases per
year.
      Three of the source categories (refineries, sewer volatilization,
and Delaware River) are extrapolated from the lEMP-Philadelphia study to
obtain nationwide cancer risk estimates.  Whether this is reasonable is
very uncertain.  For example, while a large number of cities have
petroleum refineries, they are-better modeled on a site-specific basis
than by applying the results of one city with two refineries to the
nation as a whole.
      Point Estimate.  Overall, the results from the various studies are
fairly close.  The Ambient Air Quality study's result, 45 cancer cases
per year, was selected as the estimate for nationwide cancer incidence
from exposure to EDC on the basis of its wider geographic scope and
greater likelihood of accounting for area-wide emission sources.
                                   B-82

-------
 Ethylene  oxide.   Six  studies  estimated  cancer risk from ethylene oxide
 (ETO)  emissions  (see  Table  B-16).  The  TSDF  study also included ethylene
 oxide  as  a  pollutant  of  concern, but  no emissions of ethylene oxide
 where  indicated  and thus no risk was  reported.  Specific source
 categories  include ETO production  and commercial sterilization.  All of
 the  studies used modeled ambient concentrations to estimate risk.
       Modeled  Estimates.  The  six  studies show a wide range of cancer
 rates, from approximately 0.02 to  8.4 annual cancer cases per million
 population.  The lEMP-Kanawha Valley  has the highest cancer rate, 3.5 or
 8.4  cancer  cases per  year per million population, depending on which
 model  is  used.   The 8.4  cancer rate is  likely to be an overestimate
 because of  the nature of the model.  The sources of ethylene oxide in
 the  Kanawha Valley are particular  chemical manufacturing facilities.
 These  facilities are  not  included  in the NESHAP/ATERIS data base.  In
 addition, the document "Locating and Estimating Emissions from Sources
 of Ethylene  Oxide" (U.S.  EPA, EPA-450/4-84-0071, September 1986) does
 not  list  any source in West Virginia.  The high cancer rate is due to
 specific  sources  that may be unique to the Kanawha Valley.   Even if not
 unique to the Kanawha Valley, no information is available to extrapolate
 to obtain a  nationwide estimate.
       Except for  the  5-City study  and assuming the ATERIS file is the
more accurate estimate of risk for commercial sterilizers under the
 NESHAP/ATERIS data base,  the remaining studies have estimated cancer
rates between 0.018 and 0.028 annual  cancer cases per million
population.   This results in a relative narrow absolute range when
extrapolated to nationwide cancer cases of 4 to  7 per year.   Of these
four studies, three have even closer estimates,  0.018 to  0.02 annual
cancer cases per million population.   The slightly higher 35-County
                                  B-83

-------










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8-85

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cancer rate may be due to the selection of counties with known sources
of ethylene oxide emissions (e.g., commercial sterilizers).  If the
higher estimate for commercial sterilizers from the NESHAP/ATERIS data
base is used, then the range is approximately 4 to 13 cancer cases per
year nationwide.
      The 5-City study has a calculated cancer rate of 0.11 annual
cancer cases per million population.  One city has a cancer rate of
0.144 cancer cases per year per million population, with the other four
cities having rates between 0.001 and 0.04.  Without the one city, the
cancer rate for the remaining four cities is calculated to be 0.022
cancer cases per year per million population.  This estimate is much
more in line with the other studies.  The high cancer rate in the one
city, which is also located in one of the counties in the 35-County
study, appears to be attributable to an abundance of commercial
sterilizers.  Based on information in the NESHAP/ATERIS data base, this
city has approximately 9 commercial sterilizers, whereas each of the
other four cities have between 0 and 2 commercial sterilizers.
      Point Estimate.  Excluding the lEMP-Kanawha Valley study and based
on the above considerations, a nationwide estimate based upon 0.02
annual cancer cases per million population appears to be a reasonable
estimate.  This results in an estimate of approximately 4 to 5 cancer
cases per year.  The sources covered in the  lEMP-Kanawha Valley appear
to be independent of the other source categories.  Thus, the
approximately 1 cancer case per year from that study can be added to the
4 to 5 cancer cases per year to result in 5  to 6 cancer cases per year.
                                  B-86

-------
 Formaldehyde.   Ten studies considered formaldehyde in their estimate of
 cancer risk from ambient air pollutants (see Table B-17).   Numerous
 chemical  manufacturing production processes and other point sources
 contribute to  formaldehyde emissions.  In addition,  area sources,  such
 as  motor  vehicles,  contribute to formaldehyde emissions.  Finally,  a
 large portion  of formaldehyde in the air is the result of secondary
 formation.   This source of formaldehyde is not typically accounted  for
 in  modeling studies because there are no validated photochemical models
 to  estimate secondary formaldehyde production from VOC and other
 precursors.  Thus,  assessments  based on ambient monitoring data provide
 a more  complete  accounting of actual  exposure to formaldehyde  than  from
 emission  estimates  alone.
      Ambient  Estimates.   Average annual  formaldehyde data used in  the
 Ambient Air Quality study  ranged from 1.1  to  5.0 /tg/m3 for  individual
 locales.   Estimates of cancer risk in the  Ambient Air Quality  study were
 made  using  an  average  urban  concentration  of  3.16 ng/m3  and an  average
 rural concentration of 1.50  /tg/m3.  The South Coast study used  a
 concentration  of approximately  14.7  /ig/m3 to estimate cancer risk.    In
 the 5-City  study, a single representative  annual  average formaldehyde
 concentration was selected for  each  city,  ranging  from 3 /tg/m3 to
 6.7 ;ig/m3.  in  the Southeast Chicago Study, an ambient-measured
 concentration of 2.98  Mg/m3 was obtained at a single site.  This
 concentration reflects  16 samples  collected for  24 hours every  12 days
 from September 1987 to March  1988.  However, the Southeast  Chicago  study
notes that "the  absence of data  from  the summer, when photochemical
formation  of formaldehyde is greatest,  indicates that available data
probably understate the annual average  formaldehyde concentration."
                                  B-87

-------
                                               TABLE  B-17

              ESTIMATED  ANNUAL  CANCER  CASES  FROM  FORMALDEHYDE  BY SOURCE
    SOURCE
   CATEGORY
Chemical
Manufacturing

Motor Vehicles
Heating/
Congestion

Municipal
Contbustors

Municipal Waste
Incinerators

TSOFs
Unspecified
Sources
Hor.ferrous
Smelters

Petroleum
Refining

Solvent Use
Uoodsmoke
Secondary
Formation
TOTALS
       MODELED


       AMBIENT
                                              INDIVIDUAL STUDV
Ambient
  Air
Quality
NESHAP/
ATERIS
Coal  and Oil
 Combustion
Mobile
Sources
  Municipal
Incinerators
TSDFs
               0.062C
             CO.0003)
                                          43d-48e
                                         (0.18-0.2)
                             0.01
                           (0.00004)
                                                         0.009
                                                       (0.00004)
                                                                       0.31
                                                                     (0.0013)
               1.81
             (0.0075)
  124
 (0.52)
             0.062-1.81
              (0.0003-
              0.0075)
               0.01
             (0.00004)
                  43d-43e
               (0.18-0.2)
                 0.009
              (0.00004)
                    0.31
                (0.0013)
Thirty-
 five
County
                                                                       9-10
                                                                      (0.2)

                                                                      3.37
                                                                      (0.07)
                                                                      2.93
                                                                      (0.06)
                 13.0
               (0.27)
                                                          B-88

-------
                 TABLE B-17 -- concluded
ESTIMATED ANNUAL CANCER CASES FROM FORMALDEHYDE BY SOURCE
SOURCE
CATEGORY
Chemical
Manufacturing
Motor Vehicles
Heating/
Combustion
Municipal Waste
Combustors
Municipal
Incinerators
TSDFs
Unspecified
Sources
Nonferrous
Smelters
Petroleum
Refining
Solvent Use
Woodsmoke
Secondary
Formation
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
Five City
0.05
(0.003)
4.17
(0.26)
0.39
(0.025)



1.43
(0.009)
0.16
(0.01)
0.21
(0.013)
0.0004
(0.00002)
0.23
(0.014)
10.1
(0.64)

16.73
(1.05)

Southeast
Chicago South Coast

0.0186
(0.047)
0.0032
(0.008)


negligible
0.0028
(0.008)




0.174
(0.44)

0.024
(0.06)
0.194 28.6
(0.494) (2.62)
NATIONWIDE
RANGE3
0.07-0.72
11.3-62
0.01-16.8

0.009
0.31
1.9-21.6
2.4
3.1
0.005
3.4
106-154

23-110f
129-2649
119-629
POINT
ESTIMATE13
0.5
48
0.01

0.01
0.31
2-22
2.4
3.1
0.005
3.4
106-154

60-80f
166-2349
124
                      B-89

-------
Footnotes to Table B-17.
NOTE:   Numbers in parentheses are annual cancer cases per million population.  For nationwide
        studies, annual cancer cases were divided by 240 million, unless otherwise noted.  For
        studies with smaller geographic scopes, the annual cancer cases were divided by the study's
        population.

8   The numbers in this column were calculated by taking the lowest and highest incidence rates for
    a source category and multiplying  it by 240 (1986 U.S. population in millions).  The total for
    this column is the summation of the low end of the range and the sum of the high end of the
    range.

b   The numbers in this column present the results of the reduction analyses.  In most instances,  a
    point estimate of nationwide annual cancer incidence was derived for each pollutant/source
    category combination.  In some instances, a point estimate could not be reasonably derived.
    For these instances, as narrow a range as possible of nationwide annual cancer incidence was
    estimated, and such ranges appear in this column.  The text discusses how these point estimates
    and ranges were derived.

c   Source categories are:  phenolic formaldehyde resins; urea formaldehyde; formaldehyde
    production; melamine formaldehyde; 1,4-butanediol; 4,4-methylenedianol; hexamethlenetetramm;
    pentaerylthiotol; phthalic anhydride; polyacetal resin, and  trimethylolpropane.
d   Assumes 35 percent of ambient concentrations are attributable to motor vehicles.
    multiplying  risk from Ambient Air Quality study by 35 percent.

c   Based on modeling of direct formaldehyde emissions.

*   Excludes cancer risk from "secondary formation" source category.

9   Includes cancer risk from "secondary formation" source category.
Calculated by
                                                B-90

-------
      Of these four studies, the Ambient Air Quality study contains the
most complete set of ambient-measured concentration data.   Some of the
earlier data collected apparently were sampled using older sampling
techniques that are now known to bias the data, overestimating ambient
concentrations.  Recently collected data, which are used in the Ambient
Air Quality study, show that ambient-measured concentrations may be
approximately one-half to one-third of the average concentrations
measured previously.  Based upon the new set of formaldehyde
concentration data, the Ambient Air Quality study estimates 124 cancer
cases per year.  The techniques used to obtain the samples and the
concentrations reported in the South Coast study were not identified in
the report.  The data used in the South Coast study, however, came from
samples collected between 1980 and 1984.  This suggests that some of
these data may have been collected using sampling techniques that are
now known to overestimate formaldehyde concentrations.  The Ambient Air
Quality study's estimate of 124 cancer cases per year is selected as the
best nationwide estimate of risk from among the studies that based their
risk estimates on ambient-measured concentrations.
      Modeled  Estimates.  As seen in Table B-17, total nationwide cancer
risk based on  the modeled estimates is calculated to be between 23 and
110 cancer cases per year, with a best estimate range of 60 to 80 cancer
cases per year.  Two studies, the 5-City study and the Southeast Chicago
study, calculated the difference between the cancer risks estimated
based on selected or measured concentrations and the cancer risks
estimated based on the modeled concentrations, and assigned the
difference to  a "secondary  formation" category.  When the risk estimates
                                   B-91

-------
for "secondary formation" are included, the total  risk based on modeled
emissions range from 166 to 234 cancer cases per year.
      Of the individual source categories, the largest discrepancy
occurs with estimates of risk from primary (direct) formaldehyde
emissions from motor vehicles.  Three of the four studies estimate a
cancer rate of approximately 0.2 to-0.26 cancer cases per year per
million population.  The Southeast Chicago study estimate is about one-
fifth (0.047 cancer cases per year per million population) of this
cancer rate.  Part of this difference appears to be due to the
particular vehicle mix and/or average speed in the Southeast Chicago
area that led to lower average hydrocarbon emissions and to lower
formaldehyde emissions.  It has been estimated based on information in
the Southeast Chicago study that a comparably based formaldehyde
emission factor of between 0.011 and 0/033 g/mile was used, being
approximately 25 to 75 percent lower than the emission factors used in
the Mobile Source study.  Adjusting the Southeast Chicago cancer rate
for this difference in emission factors results in an adjusted cancer
rate between 0.06 and 0.19 cancer cases per year per million population.
Different models used in the two studies may explain the remaining
differences.
      Point Estimate.  As noted above, ambient-measured data can
directly account for formaldehyde that is the result of secondary
formation, whereas models can not.  Thus, risk estimates based on
ambient-measured concentrations are to be preferred.  Of the studies
that estimated risk using ambient-measured concentrations, the Ambient
Air Quality study had the broadest geographic data base, which is
preferred for nationwide estimates.   (The three individual studies that
used ambient-measured concentrations more reasonably  show the  city-to-
                                  B-92

-------
city variation that may be associated with formaldehyde.)  Based on the
recently obtained data in the Ambient Air Quality study, the estimate of
nationwide cancer risk is estimated to be 124 cancer cases per year due
to exposure to formaldehyde.
                                 B-93

-------
Gasoline Vapor.  Eight studies examined risk from exposure to gasoline
vapors (see Table B-18).  Sources of gasoline vapors were identified as
vapor displacement due to the refueling of motor vehicles, the transfer
of gasoline at bulk terminals, bulk plants, and refineries, and TSDFs.
One study, the Southeast Chicago study, also identified evaporative
gasoline vapors loss from motor vehicles.  All of the risk estimates for
gasoline vapors are based on modeled ambient concentrations.
      Modeled Estimates.  The primary study on gasoline vapors is the
Gasoline Marketing study.  Table B-19 shows the breakdown by sources
within the gasoline marketing source category as estimated in the
Gasoline Marketing study.  Several of the studies (e.g., the Mobile
Source study) appear to have incorporated the results of the Gasoline
Marketing study.  As seen in Table B-19, cancer risks are shown for both
total gas vapors'and for the "C6 and higher" fraction of gas vapors.
Some evidence suggests that it is the C6 and higher fraction of gas
vapors that is the carcinogenic portion.  At this time, it is EPA's
policy to report both numbers with equal weight until further studies
suggest whether risks based on total gas vapors or on the C6+ fraction
are preferred.
      As noted above, the Southeast Chicago study estimated risk from
evaporative gasoline vapor loss from motor vehicles.  This risk was
estimated, in part, by treating evaporative emissions as equivalent to
gasoline vapors and estimated the risk  using the cancer risk factor for
gasoline vapor.  The Office of Mobile Sources, however, states that "the
composition of totally vaporized gasoline  is markedly different from
evaporative emissions" and that  "the majority of evaporative emissions
are C6 and lower."  Thus, the estimate provided in the Southeast Chicago
                                   B-94

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-------
         TABLE B-19

ESTIMATED ANNUAL CANCER CASES
   FROM GASOLINE MARKETING
Facility
Category
Bulk Terminals
Bulk Plants
Service Stations
Community Exposure
Self-service
Occupational
TOTAL
Average Annual Incidence
Total Gas Vapor
3.5
1.4

13
33
17
68
C6 and Higher
0.9
0.4

3.3
8.3
4.3
17
          B-96

-------
study is likely to be a very conservative (i.e.,  overestimate)  estimate
of risk from evaporative emissions.
      Point Estimate.  Since the risks from motor vehicle evaporation
and petroleum refineries are exclusive from the gasoline marketing
source category, the cancer risks can be summed from each.  However,  due
to the differences in composition of evaporative emissions from gasoline
vapor, it was felt that, at this time, insufficient information was
available to include an estimate of cancer risk from evaporative
emissions as part of the best estimate.   Thus,  based on total  gas
vapors,  a nationwide cancer risk of approximately 76 cases per year is
calculated.  .Assuming the risk comes only from the C6+  fraction,  which
is approximately 25 percent of totally vaporized gas,  nationwide cancer
cases are estimated to be approximately 19 per year.  Extrapolation of
the refinery incidence rate from the lEMP-Philadelphia study to
nationwide incidence is uncertain due to the point source nature of
petroleum refineries.  The effect of this extrapolation, however, is
likely to have a smaller effect on total cancer risk from gas vapors
than the total vapor vs. C6+ fraction question.   Thus,  a range  of 19  to
76 cancer cases per year nationwide was selected as the estimate of
nationwide annual cancer incidence due to exposure to  gasoline vapors.
                                  B-97

-------
Methvlene chloride.  Eleven studies included methylene chloride as a
pollutant of concern (see Table B-20).  Two of the studies (the IEMP-
Kanawha Valley and the South Coast studies) had estimated annual
incidences per million population that would result in 10 or more cancer
cases per year if extrapolated to the total U.S. population.  The
ambient concentrations used to calculate the cancer risk in these two
areas reflect geographic variation as seen in the ambient monitoring
data used in the Ambient Air Quality study.  The lEMP-Kanawha Valley
study reported ambient concentrations ranging from 3.1 to 20.8 fjg/m  and
the South Coast study from 7.7 to 17.3 /*g/m3.  The Ambient Air Quality
study's data base showed ambient concentrations ranging from
approximately 0.5 to 10.0 /ig/m3.  Thus,  it is not reasonable to use
either of these two cancer rates to estimate nationwide cancer cases.
      The Ambient Air Quality study's results are based on the. largest
data base.  Based on a population weighted urban concentration of
approximately 4.0 /ig/m3 and a nonurban concentration of approximately
0.2 ^g/m3, the Ambient Air Quality study estimated approximately 5
cancer cases per year, or a cancer rate of 0.02 cancer cases  per year
per million population.  This cancer  rate  is essentially  the  same  as
that obtained by summing individual source categories  in  the  35-County
and the  5-City studies.  Total  nationwide  instances,  in  either case,  are
approximately 5 cancer cases per year.
                                B-98

-------
                               TABLE B-20



ESTIMATED ANNUAL CANCER CASES FROM METHYLENE CHLORIDE BY SOURCE CATEGORY
SOURCE
CATEGORY
Pesticide
Production
Pharmaceutical
Mfg.
Paint and
Other
Stripping
Chemical Users
and Producers
POTWs

TSDFs

Unspec i f i ed

Solvent
Usage
Aerosol
Area
TOTALS
Modeled

Ambient

INDIVIDUAL STUDY
Ambient NESHAP/ATERIS POTUs TSDFs Thirty- Five City IEMP-
Air five Kanauha
Quality County Valley
0.0045
(0.00002)
0.04
(0.00017)
0.22 f
(0.0007)

0.14 0.0012-0.003
(0.00059) (0.012-0.03)
0.03
(0.0001)
0.07
(0.0003)
0.037
(0.00078)
0.85 0.33 0.0012
(0.018) (0.02) (0.012)



0-4 0.03 0.07 0.89 0.33 0.0024-0.0042
(0.0017) (0.0001) (0.0003) (0.019) (0.02) (0.024-0.042)
5
(0.02)
                                  B-99

-------
                        TABLE B-20 -- concluded



ESTIMATED ANNUAL CANCER CASES FROM METHYLENE CHLORIDE BY SOURCE CATEGORY

SOURCE
CATEGORY
Pesticide
Production
Pharmaceutical
Mfg.
Paint and
Other
Stripping

Chemical Users
and Producers
POTWs
TSOFs
Unspecified
Solvent
Usage
Aerosol
Area

TOTALS
Modeled
Ambient
INDIVIDUAL STUDY
IEMP- lEMP-Santa Southeast South Coast
hiladelphia Clara Chicago



0.0016
(0.001)
i
X




negligible negligible
negligible
0.0013 x 0.00057 x
(0.00076) (0.00145)
0.0013 x
(0.00076)
x
0.0014
(0.0036) x

0.0066 0.0011 O.OOZ 0.386
(0.004) (0.0008) (0.005) (0.035)
0.92
(0.084)
NATIONWIDE
.RANGE3 POINT
ESTIMATE0

0.0045 0.0045

0.04-0.24 0.04-0.24

0.22 0.22


0.14° 0.14


0-0.03 0.03
0.07 0.07
0-0.35
2.9-4.8 2.9-4.8

""
0.9


4.3-6.8 3-5.5
5-20.5 5
                               B-100

-------
Footnotes to Table B-20.


NOTE:   Numbers  in parentheses are annual cancer cases per million population.  For nationwide
        studies, annual cancer cases were divided by 240 million, unless otherwise noted.  For
        studies  with smaller geographic scopes, the annual cancer cases were divided by the study's
        population.

NOTE:   An "x" in a column  indicates that the source category was considered in the study, but a
        specific cancer risk for the source category was not indicated.

    The numbers  in this column were calculated by taking the lowest and highest incidence rates for
    a source category and multiplying it by 240 (1986 U.S.'population in millions).  The total for
    this column  is the summation of the low end of the range and the sum of the high end of the
    range.

    The numbers  in this column present the results of the reduction analyses.   In most instances,  a
    point estimate of nationwide annual cancer incidence was derived for each  pollutant/source
    category combination.  In some instances,  a point estimate could not be reasonably derived.
    For these instances, as narrow a range as possible of nationwide annual cancer incidence was
    estimated, and such ranges appear in this column.  The text discusses how  these point estimates
    and ranges were derived.

0   Does not include extrapolating the incidence rate from the lEMP-Kanawha Valley study to
    nationwide cancer risk estimate because of the uncertainty as to the type  of facilities being
    modeled.
                                          B-101

-------
Perchloroethvlene.  Fifteen studies included perch!oroethylene as a
pollutant of concern (see Tables B-21 and B-22).  Several  of the studies
examined both ambient measured and model predicted concentrations.
Within a study, ambient measured concentrations were in general higher
than those predicted by the models, but in general were in reasonably
good agreement.
   Based on the modeled estimates (see Table B-21) available for
specific source categories, nationwide cancer cases are estimated to be
between approximately 4 and 11 per year.  Based on the ambient-measured
data estimates (see Table B-22), nationwide incidences due to
perch!oroethylene appear to fall between approximately 6 and 13 cancer
cases per year.  Although one of the studies (the South Coast study) has
a cancer rate that would extrapolate to a somewhat higher nationwide
incidence of 10 to 13 cancer cases per year, the cancer rate is due to
the geographic variability of perchloroethylene and it would not be
reasonable to extrapolate to the nationwide estimate.
   Point Estimate.  Risk from perchloroethylene seems to be highly
variable with geographic location, though overall risk appears to be
relatively small.  The scope of the Ambient Air Quality study and its
data account for this geographic variability.  Therefore, the result
from the Ambient Air Quality study, 6 cancer cases per year, was
selected as the estimate of nationwide annual cancer incidence due to
exposure to perchloroethylene.
                               B-102

-------










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                     TABLE B-22



MEASURED AMBIENT CONCENTRATIONS OF PERCHLQROETHYLENE
STUDY CONCENTRATION
(jig/nO
Airbient Air Quality
Range 0.33-17.0
Urban 3.83
Rural 0.3
South Coast 6.8
Cancer Cases by Study Nationwide
Per Year Per Million Cancer Cases
Population Per Year
6 0.025 6
0.59 0.054 13
lEMP-Kanawha Valley 1.0-3.4
lEMP-Baltimore
Range 1.5-9.3
Average 5.51
lEHP-Philadelphia 4.7
Totals
Range
Point Estimate
0.06 0.038 .9
0.06 0.039 9
6-13
6
                         B-106

-------
PIC.  "Products of Incomplete Combustion" (PIC) is a term used to refer
to a large number of organic particulate compounds that result from
incomplete combustion, such as may occur from gasoline- and diesel-
fueled motor vehicles.  These organic particulate compounds consist
primarily of polynuclear organics, or, synonymously, polycyclic organic
matter (POM).  POMs would therefore be considered a subset of the
compounds termed PIC.
      Polycyclic organic matter, in turn, is a generic term that covers
hundreds of chemical substances that contain two or more ring
structures.  Compounds covered by the term POM include:  (1) compounds
composed only of carbon and hydrogen, which are known as polycyclic
aromatic hydrocarbons (PAHs); (2) compounds with a ring nitrogen (aza
and imino arenes); (3) oxygenated species; and (4) nitrated and
chlorinated POM, including dioxins and pesticides such as aldrin and
DDT.
      Polycyclic aromatic hydrocarbons (PAH's) can be divided into three
compound categories: (1) naphthalene; (2) the anthracene groups; and (3)
the benzo(a)pyrene (BaP) group.  The individual constituents of the last
group include BaP, acenaphthylene, benz(a)anthrancene,
benzo(k)fluoranthene, benz(g,h,i)perylene, and indeno(l,2,3-c,d)pyrene.
      Risk Estimation.  Twelve studies include risk estimates for PIC.
A total  of four different risk estimation methodologies were used.
These studies and the risk estimation methodologies used in each study
are shown in Table B-23.  The most frequently used methodology assumed
that all  of the risk from PIC can be adequately represented by using BaP
emissions as a surrogate.  This methodology uses measured or modeled BaP
emission concentrations and applies either (1) the BaP unit risk factor
or (2) the PIC unit risk factor to those concentrations to calculate
                               B-107

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 risk.   (Note:   The  35-County  study  treated  these  two  approaches  as  non-
 duplicative  and summed  their  results  to  give  an estimate  of total risk
 from  all  P-IC compounds.)   For example, suppose an ambient BaP
 concentration  of 1  //g/m3 is measured.  A population of 100,000 people  is
 exposed to this concentration for 70  years.   Applying the unit risk
 factor for BaP of 1.7xlO"3 (//g/m3)"1 yields an estimated 170 cancer cases
 over  70 years,  or approximately  2.4 cancer  cases  per year.   This
 methodology  assumes that all  of  the risk from PIC is attributable to
 BaP.  In  other words, none of the other components have any cancer  risk
 associated with them.   Suppose instead the  PIC unit risk  factor of
 4.2xlO"1(from  the Six-Month  Study)  was applied  to this  measured  ambient
 concentration.   Estimated cancer cases from PIC in this example would  be
 42,000 over  70  years, or 600  cancer cases per year.  The  method used to
 calculate the  PIC unit  risk factor reported in the Six-Month Study was
 unusual and  any risk estimate  based on its use should be  treated as a
 very preliminary  estimate.
      A second  variation involving BaP was to use specific  PAH/POM
 emission factors  specific to  a particular source  category to estimate
 concentration.levels of PIC and then  apply the BaP unit risk factor to
 estimate risk.   This methodology, which is separate and distinct from
 the first two  identified, assumes that the average unit risk of all
 components that make up the modeled concentration is the  same as the
 unit risk factor for BaP or that each component has the same risk value.
      Another methodology uses individual PIC component emission factors
 specific to a particular source category to estimate the concentrations
of the individual components  within the PIC mixture and applies to those
concentrations  the corresponding unit risk factors for those components.
                               B-109

-------
This technique allows for variation in the overall unit risk factor that
is estimated for specific source categories.
      A similar methodology is known as the comparative potency factor
approach.  This approach involves using an emission rate for particle-
associated organics  (as an unspeciated mixture) and a unit risk factor
for these organics as an unspeciated mixture.  This approach has been
used, for example, in estimating risk from diesel emissions.  The unit
risk factor for a suspect human carcinogen  (e.g., diesel emissions) for
which there are no epidemiological cancer data is estimated by
comparison to a known human carcinogen  (e.g., coke oven emissions);
the risk associated  with the known human carcinogen is multiplied by
bioassay potency of  the suspect human carcinogen  divided by the bioassay
potency of the known human carcinogen.   (A  variation on this methodology
is to use particulate emission factors  and  comparative potency unit risk
factors adjusted to  reflect the particle-associated organic fraction.)
      Table B-24 summarizes the risk  estimates from the ten studies,
broken down by source category.  Two  of the ten  studies estimated risk
based on ambient measurements; the others based  their  risk estimates  on
modeled concentrations.
      Ambient  Estimates.  The  two  studies that used ambient measurements
were the lEMP-Santa  Clara study and the Ambient  Air Quality study.  The
lEMP-Santa  Clara  study  estimated  cancer risk by  scaling other  national
ambient  concentration data  for PAH's  from  similar urban areas  to
estimate PAH  concentrations.   Using  EPA's  unit risk factor of  1.7  x
10"3 (jtg/m3)"1 for BaP, cancer rates between  0.004 and  0.49 annual cancer
cases  per million  population  are  calculated.  These rates  correspond  to
a PAH  (BaP  group)  concentration  of 0.00016  /tg/m3 to 0.02 ^g/m3.  These
                                   B-110

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»n population. For nationwide studies, annual cancer cases were divided by
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-------
estimates were included in the lEMP-Santa Clara study to provide at
least a rough estimate of cancer risk rather .than ignore this pollutant
altogether.
      The Ambient Air Quality study estimated risk from PIC based upon
1986 and 1987 ambient BaP concentrations.  These data were used because
the 1982 through 1985 data were found to have a positive bias because of
some unknown contamination.  The 1986 and 1987 data are higher than the
1977 through 1980 data, but are significantly lower than the 1981 and
1982 data.  The 1985 Ambient Air Quality study on BaP and PIC used the
1977-1982 period.  (Since the lEMP-Santa Clara report was published in
1986, it is possible that at least some of the ambient data used in that
study came from 1977-1982 period.)  Using the BaP concentration
(approximately 0.0006 ^g/m3) as an estimate for PIC emissions and then
applying the Six Month Study's unit risk factor for PIC, 876 total
annual cancer cases due to  PIC were calculated.  Assuming all of the
cancer risk from PIC is due to BaP, the Ambient Air Quality Study
estimated 4 cancer cases per year nationwide.
      Of the two ambient-based estimates, the Ambient Air Quality study
was selected as the better  study from which to estimate nationwide risk
than the Santa Clara study.  This selection was based on consideration
of the Ambient Air Quality  Study's broader scope and use of more recent
and, presumably, better ambient data.   In addition, applying the lEMP-
Santa Clara cancer rate to  the national population would not be
appropriate as the estimated ambient concentrations were calculated
based on emission sources  specific to Santa Clara.  Based on the two
methodologies used in  the  Ambient Air Quality study, a  range of  4 to  876
cancer cases per year  due  to PIC  is estimated.
                               B-116

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      Modeled Estimates.  The other ten studies calculated ambient
concentrations using models.  Nine specific source categories and one
"unspecified" source category were examined in these eight studies.  Of
the nine specific source categories, the most important contributor to
cancer incidence is motor vehicles.  Woodsmoke/woodstoves as part of the
"heating/woodstove" source category are the second largest contributor.
The other seven source categories appear to be relatively insignificant,
totalling less than 8 cancer cases per year.
      As shown in Table B-23, these studies used a variety of methods
for estimating risk.  In selecting estimates of cancer incidences per
year per million population with which nationwide estimates of cancer
incidence would be made, the cancer rates derived from unit risk factors
based on the carcinogenicity of the entire PIC mixture were favored over
those cancer rates derived .from either assuming the entire cancer risk
from PIC is attributable to BaP or using the Six-Month Study's unit risk
factor for PIC.  This was done because it was felt that the unit risk
factors estimated for the PIC mixtures are an improvement over the other
two approaches.  In any event, the reader is reminded that the unit risk
factors for specific PIC mixtures have not received the same level of
scrutiny as for other pollutants and that all cancer risk estimates for
PIC remain highly uncertain.  The following paragraphs discuss the
source categories and their estimated risk from PIC.
      As noted above, motor vehicles appear to be the most important of ,
the nine source categories associated with PIC.  Five of the ten studies
estimated risk from motor vehicles.  Table B-25 summarizes the unit risk
factors, annual cancer cases, and annual cancer cases per million
population for this source category in the five studies.  The 5-City
study uses emission factor data provided by EPA's Office of Mobile
                               B-117

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                                           TABLE B-25



              ESTIMATED  ANNUAL CANCER  CASES FROM PIC FROM MOTOR VEHICLES
STUDY
35 -County
Mobile Sources
5-City
Southeast Chicago
lEHP-Kanawha Valley
Pollutant
Emission
Factor
POM
BaP
BaP
BaP
BaP
Particle
associated
organics
Particle
associated
organics
POM
BaP
Unit Risk Factor
Gasoline: 5.4E-04
Diesel: 6.6E-06
BaP: 3.3E-03
PIC: 4.2E-01
BaP: 3.3E-03
PIC: 4.2E-01
Gasoline: 2.5E-04
Diesel: 2.0E-05
to
10E-05
Gasoline: 1.2E-04
7.9E-04
Diesel: 3.0E-05
BaP: 1.7E-03
BaP: 3.3E-03
Annual Cancer Cases
Gasoline Diesel Total
56
0.8
102
1.3 -- 1.3
122 -- 122
163-176 -- 163-176
178-860 178-860
341-1,036
7.9 -- 7.9
11.3 11.3
19.2
0.053 -- 0.053
0.0028 -- 0.0028
Annual Cancer Cases
Per
Million Population
1.18
0.02
2.16
0.007a
0.68a
0.68-0.73b
0.74-3.58b
1.42-4.32
0.5
0.71
1.2
0.134
0.028
a  Based on urban population only (180 million), as reported  in the Mobile Source study.



b  Based on urban (180 million) and rural (60 million) populations, as reported in the Mobile Source study.
                                             B-118

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 Sources,  which  were used in  the  Mobile  Source  study.   The  Mobile  Source
 study uses  more recent  PIC emission  factors  than  used  in the  35-County
 study.   However,  due to different  unit  risk  factors for gasoline  and
 diesel  particulates,  the 35-County and  Mobile  Source studies  result in
 nearly  identical  estimates of  cancer incidences per year per  million
 urban population.   In the Mobile Source study, the estimates  for  cancer
 risk  from organics  associated  with gasoline  particulates using BaP
 emissions and the 1985  Six-Month Study's  PIC unit risk factor results in
 an  urban  cancer rate  of approximately 0.68 cancer cases per year  per
 million  urban population,  which  is essentially identical to the urban
 cancer  rate  calculated  using emission factors  for gasoline particle-
 associated  organics  and a unit risk  factor for these organics.  This, in
 turn, is  the same as  that found  in the  35-County  study, where the only
 difference  is in the  emission  rate.
      The lEMP-Kanawha  Valley  and  the Southeast Chicago study use data
 more  specific to their  locales.  In  the case of the lEMP-Kanawha Valley,
 information of  the emission rate used to estimate BaP  emissions was not
 available.  The Southeast  Chicago  study used an emission factor for POM,
 which is  approximately  55  times  larger  than  the BaP emission  factor used
 in the Mobile Source  Study.  When  the same emission factor and unit risk
 factor are used, the  resulting annual cancer incidence per million
 population between the  two studies are the same.
      In  summary, the results from the Mobile Source study seem to be
 the best  national estimate for risk  from motor vehicles.   The
differences between studies seem to  lie mainly in the assumptions
concerning emission factors and unit  risk factors, although different
models were used.  Among the estimates of risk reported in the Mobile
Sources study,  the best estimate of  PIC risk from motor vehicles was
                               B-119

-------
selected as that estimated using the unit risk factors estimated
specifically for diesel particulates and'gasoline particulates.   For  ,
organics associated with gasoline particulates from motor vehicles,  an  .
estimate of 163 to 176 annual cancer cases is selected.  For diesel
particulate, the range of 178 to 860 is selected, because of the
inability at this time to select a more likely unit risk factor from the
range reported in the Mobile Source study.
      Woodsmoke/woodstoves were estimated to be the second largest
potential source of risk from PIC.  Estimated cancer rates ranged from
0.018 to 1.01 cancer cases per year per million population, with
nationwide annual cancer cases ranging from 55 to 242.  Four studies
estimated risk from this source category.  Two of the studies, the 5-
City study and the 35-County study, estimated risk using unit risk
factors for the PIC mixture.  The estimated cancer rates from these two
studies using these unit risk factors were 0.3 and 0.24 cancer cases per
year per million population, respectively.  The Southeast Chicago study
estimated concentrations of the full class of POM compounds, and then
estimated risk by multiplying the POM concentrations by BaP unit risk
factor.  (As that study noted:  "While some POM compounds are probably
more carcinogenic and  other POM compounds are less carcinogenic, this
approach in effect assumes that the average cancer potency of the full
range of POM compounds equals the cancer  potency of benzo(a)pyrene.")
The Southeast Chicago  study, using this approach, estimated a cancer
rate of 0.29 cancer cases per year per million population.
      The 35-County study and lEMP-Kanawha Valley study estimated risk
by applying the  BaP unit  risk factor to BaP concentrations.  This
resulted in similar estimates of  cancer risk  --  0.013  and  0.018 cancer
cases per year per million  population.  The 35-County  study also
                                  B-120

-------
estimated cancer  risk  by applying the Six-Month Study's unit risk factor
for  PIC to  BaP concentrations.  The resulting cancer rate was 1.01
cancer cases per  year  per million population.
      As noted earlier, the approach favored in this study for
estimating  risk from PIC is to use those estimates based on PIC unit
risk factors for  specific mixtures.  Both the 35-County study and the
5-City study used this approach.  Their resulting estimates of cancer
rates were  similar --  0.24 and 0.3 cancer cases per year per million
population.  Applying  these rates to total U.S. population results in an
estimated 58 to 72 cancer cases per year.  The Southeast Chicago study
used a slightly different approach, which resulted in an estimated
cancer rate of 0.29 cancer cases per year per million population (or,
when extrapolated nationwide, approximately 70 cancer cases per year
nationwide).  Overall, it was felt that the 5-City study provided a
better accounting of this source category then either of the two
studies.  Thus, its estimated cancer rate was used for calculating the
best estimate of  nationwide cancer risk from PIC emissions from
woodsmoke/woodstoves.
      For the remaining stationary source categories, there is little
individual  risk or differences in estimates of that risk.  Two studies
estimated risk from coal and oil  combustion.  The Coal  and Oil
Combustion study  estimated risk to be approximately 1.1 cancer cases per
year nationwide using the BaP unit risk factor applied to BaP emissions.
Using the cancer rate estimated in the 5-City study,  nationwide risk was
  -i
estimated to be approximately 0.43. cancer cases per year.  The 5-City
study applied PIC unit risk factors that were specific to the source
category.   These two studies created a range of 0.43 to 1.1 annual
cancer cases nationwide.  Because it was based on the approach preferred
                              B-121

-------
in this study, the best estimate of nationwide risk was selected as 0.43
cancer cases per year.  In either case, the relative magnitude is fairly
small.
      Only one study, the 5-City study, estimated risk from the "iron
and steel" source category.  The estimated cancer cases in that study
was 0.34 cancer cases per year, and resulted from just one of the five
cities studied.  Since iron and steel facilities are not limited to that
one city, a nationwide estimate of 5 cancer cases per year was
calculated by applying the cancer rate of 0.022 cancer cases per year
per million population to the total U.S. population (240 million).  The
estimate of 5 cancer cases per year is viewed as an upper limit.
      Finally, the other remaining stationary source categories showed
very little annual incidence or were reported in only one study  (e.g.,
sewage sludge incinerators).  The analysis, therefore, did not try to
further refine these estimates.
      In summary, the best estimates of annual cancer cases based on
modeled estimates were:  346 to 1,028  from motor vehicles; 72 from
woodsmoke/woodstoves; less than 5 from iron and steel sources;  1.5 from
sewage sludge incinerators;  13 from  "other" sources; and  1.5  from the
other remaining  source categories.  The total cancer risk from  PIC based
on the modeled estimates  is  thus estimated to be 438 to  1,120 cancer
cases per year.
      Point  Estimate.  The estimates of risk  from  ambient-measured
concentrations in the  studies  examined were based  on applying either  the
BaP  unit  risk factor to  BaP  concentrations or the  Six-Month Study's  PIC
unit risk factor to  BaP  concentrations.   Since  it  was  felt  that the
newer approaches that  use unit risk factors estimated  from  PIC  mixtures
from specific sources  are an improvement  over those two  approaches,  the
                               B-122

-------
estimates of cancer incidence from PIC were selected based on the
modeled estimates using the newer approaches.  Thus, the estimate of
nationwide annual cancer incidence was selected to be 438 to 1,120
cancer cases per year.  This range results from the inability at this
time to select a single unit risk factor for diesel particulates.
Further, these estimates in themselves remain highly uncertain.
                               B-123

-------
Trichloroethvlene.  Emissions of trichloroethylene (TCE) have been
identified as coming from the production of trichloroethylene, ethylene
dichloride/vinyl chloride, polyvinyl chloride, and vinylidene chloride.
The majority of TCE is used as a solvent for degreasing operations, the
largest source of TCE emissions.  Other sources include chemical
distributors, POTWs, and solvent usage in adhesives, paints, and
coatings.10
      Fourteen studies estimated cancer risk from TCE  (see Table B-26).
Three studies relied on ambient measured concentrations to estimate
risk; the  others used modeled concentrations.  As seen  in,Table B-26,
the majority of TCE emission sources have been included in one or more
studies.
      Ambient Estimates.  The Ambient Air Quality study, the IEMP-
Baltimore  study, and the South Coast study used ambient measured
concentrations to estimate cancer risk.  The Ambient Air Quality study
used data  from 25 locations to estimate risk.  Average  population
weighted annual TCE concentrations  of 1.50 /zg/m3 and 0.2 //g/m3 for urban
and rural  areas, respectively, were used to estimate risk.  The IEMP-
Baltimore  study used average annual ambient data from  10 locations.  The
range of concentrations was from 0.2 to 3.9 //g/m3, with a population
weighted average of 0.71 //g/m3.  The South Coast study  showed a range of
concentrations from 0.53 to 2.12 //g/m3, and a weighted  annual average
concentration of  1.7 //g/m3.  The latter two studies are best viewed as
reflecting the potential geographic variation  between  urban  areas.   For
a nationwide estimate,  the Ambient  Air Quality study was  selected  as the
best estimate.
      10
         U.S.  EPA.   Survey of Trichloroethvlene Emission  Sources.
 450/3-85-021.   July 1985.
                               B-124
EPA-

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      Modeled Estimates.  Summing across source categories from the
studies, that used modeled concentrations yields a nearly identical  range
of nationwide cancer estimates as that presented by the ambient
concentrations.  The major significant risk source appears to be solvent
usage/degreasing, which is consistent with this source category being
identified as the major user of TCE.  This source category shows a range
of nationwide risk between 2 and 10 cancer cases per year.  The higher
risk estimate is from the 35-County study; the lower risk estimate is
from both the lEMP-Philadelphia and the Southeast Chicago studies.   The
larger geographic scope of the 35-County study may suggest that its
cancer rate of 0.04 cancer cases per year per million is a more
reasonable rate to extrapolate to a national estimate.  On the other
hand, the counties selected in the 35-County study were selected, in
part, for presence of known sources, and may be biased on the high side,
although this is less likely to occur for an area source such as
degreasing than for a point source.  If the cancer rate for solvent
use/degreasing from the other four studies is used (i.e., approximately
0.01 cancer cases per year per million population), the range of
estimated cancer cases narrow to 4 to 6 per year.  (Within the 5-City
study, individual cities had estimated cancer rates between 0.005 and
0.051 annual cancer cases per million population.)
      Point Estimate.  The range of estimated cancer  incidence from both
ambient-measured and modeled concentrations is relatively narrow (4 to 9
and 5 to 13 cancer cases per year, respectively.)  The wider range could
probably be accepted as is for a reasonable nationwide estimate.  As
noted above, the range  could be narrowed to 4 to 6 using the lower, but
consistent, cancer rate of 0.01 cancer cases per year per million
population for solvent  use/degreasing.  For ambient-measured estimates,
                               B-128

-------
the Ambient Air Quality study's estimate of 7 cancer cases per year is
considered the best estimate.  Based on these considerations, the 7
cancer cases per year estimated by the Ambient Air Quality study is
selected as the estimate of nationwide annual cancer incidence due to
exposure to trichloroethylene.
                              B-129

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Vinvl Chloride.  Nine studies included vinyl chloride as a pollutant of
concern (see Table B-27).  Very few of the same source categories were
examined by more than one study.  Further, four of the studies had
general, nonspecific source categories.  Except for the Ambient Air
Quality study, modeled ambient concentrations were used to estimate
cancer risk.
      Modeled Estimates.  The range of nationwide risk has been
estimated to be between 6 and 25 cancer cases per year.  The largest
reported risk estimate (19 cancer cases per year) is from the
NESHAP/ATERIS data base.  This estimate reflects emissions estimated
from all source categories emitting vinyl chloride and not just from
those source for which regulations have been developed.11  The  specific
source categories are not identified in the NESHAP/ATERIS data base,
other than for ethylene dichloride manufacturing.  Since TSDFs and POTWs
are relatively "new" source categories, it is very likely that they are
not included in the NESHAP/ATERIS data base.  It is unknown if sewage
sludge incinerators are included in the NESHAP/ATERIS data base for
vinyl chloride emissions.  Thus, the best estimate of risk based on
modeled estimates is estimated to be 22 to 25 cancer cases per year
nationwide (the NESHAP/ATERIS data base estimate plus the estimates from
TSDFs, POTWs, and sewage sludge incinerators).
      Ambient Estimates.  The Ambient Air Quality study used test
results from 10 locations to estimate nationwide risk.  These data are
summarized in Table B-28.  For eight of the data points, the tests
actually did not indicate any vinyl chloride; only the Institute, W.V.
     11   U.S.  EPA.   Estimation of the Public Health Risks Associated with
Exposures  to  Ambient  Concentrations  of  87  Substances.    July  1984.
Appendix A.  Public Health Risks Associated with Substances Listed Under
Section 112 of the Clean Air Act.
                                  B-130

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                             TABLE B-27



ESTIMATED ANNUAL CANCER CASES FROM VINYL CHLORIDE BY SOURCE CATEGORY

SOURCE
CATEGORY
Chemical
Manufacturing
Aerators
Sewage Sludge
Incinerators
TSDFs
PVC and ED/VC
Manufacturing
Unspecified

POTW's
-
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
Ambient NESHAP/ Drinking Sewage • Thirty-
Air , ATERIS Water Sludge TSDFs five
Quality Aerators Incinerators County
0.0051C
(0.000022)
negligible
2.7
(0.011)
0.023
(0.0001)
18.5
(0.077)
0.11
(0.0023)
0.68
(0.014)

0.0051-18.5 negligible 2.7 0.023 0.79
(0.000021-0.077) (0.011) (0.0001) (0.017)
13
(0.054)
                           B-131

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                                 TABLE B-27  --  concluded

   ESTIMATED ANNUAL  CANCER CASES  FROM  VINYL  CHLORIDE  BY  SOURCE  CATEGORY
SOURCE
CATEGORY
Chemical
Manufacturing
Aerators
Sewage Sludge
Incinerators
TSOFs
PVC and ED/VC
Manufacturing
Unspecified
POTW's
INDIVIDUAL STUDY
IEMP- Southeast
Five City Kanawha Chicago
Valley
0.00037 negligible
(0.00002)


negligible

0.013 negligible
(0.0008)

NATIONWIDE
POINT
RANGE3 ESTIMATE
<0.0055
negligible negligible
2.7 2.7
0-0.023 0.023
18.5 18.5
0-0.6 0-0.6
3.49 3.5
    TOTALS
           MODELED
           AMBIENT
 0.0136
(0.0009)
negligible
negligible
                                                                  6.2-24.7
                                                                     13
                                                                                  25
                                                                                  13
NOTE:   Numbers in parentheses are annual cancer cases per million population'.  For nationwide
        studies,
       annual  cancer cases were divided by 240 million,  unless  otherwise noted.  For studies with
       smaller geographic scopes,  the annual cancer cases were  divided by the study's population.

8  The numbers in this  column were calculated  by taking the lowest and highest incidence rates for
   a source category and multiplying it by 240 (1986 U.S. population in millions).  The total  for
   this column is the summation of the low end of  the range and the sum of the high end of the
   range.

   The numbers in this  column present the results  of the reduction analyses.   In most instances, a
   point estimate of nationwide annual cancer  incidence was derived for each pollutant/source
   category combination.   In some instances, a point estimate could not be reasonably derived.  For
   these instances, as  narrow a range as possible  of nationwide annual cancer  incidence was
   estimated,  and such  ranges appear in this column.  The text discusses how these point estimates
   and ranges were derived.

0  Ethylene dichloride  (EDO manufacturing.

   Lower estimate assumes  sewage sludge incinerators are included in the NESHAP/ATERIS data base.
                                             B-132

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 and  the  Baton  Rouge,  LA,  tests  provided  actual measured  concentrations.
 For  six  of  the eight  tests  for  which no  concentrations were  actually
 measured, the  Ambient Air Quality  study  assumed concentrations to  be
 one-half of the limit of  detection  (LOD) of the tests.   In reality, the
 actual concentrations could be  from 0 /^g/m3 to approximately 2.5 Atg/m3.
 For  the  other  two tests for which  no vinyl chloride was  measured,  no LOD
 values were indicated.  For these  two locations, the Ambient Air Quality
 study assigned a value of 0 ^g/m3.   While specific point sources have
 not  been identified in California, there are at least two known point
 sources  in  Baton Rouge, LA.  This  likely accounts for concentrations
 being high  enough to  actually measure.  On the other hand, the IEMP-
 Kanawha Valley study  identifies a  single point source, located in  Nitro,
 WV,  but no  sources in Institute, WV.  This appears to be at least
 confusing with  the ambient data in Table B-28, which shows the highest
 concentration  in Institute, WV.  The lEMP-Kanawha Valley study did find
 negligible concentrations in Nitro, which is consistent with the table
 if the actual   concentration is below the LOD of the test method.
      Point Estimate.   Given the paucity and suspect nature of the
 ambient data,   the risk estimated using modeled concentrations was
 selected as the estimate of cancer cases nationwide.  Thus,  nationwide
risks from vinyl exposure to chloride emissions are estimated to be 25
cancer cases per year.
                                 B-133

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                  TABLE B-28

   VINYL CHLORIDE CONCENTRATIONS  USED  IN THE
           AMBIENT AIR QUALITY  STUDY
LOCATION
Fremont, CA
Mountain View, CA
Napa, CA
Redwood City, CA
San Leandro, CA
Vail e jo, CA
Las Vegas. NV
Institute, WV
Nitro, WV
Baton Rouge, LA
Concentration
Ug/m3)
1.278b
1.278b
1.278b
1.278b
1.278b
1.278b
Oc
2.442
Oc
1.41
NOBS3
1
1
1
1
1
1
2
1
5
1
a NOBS  =  number  of  site-years satisfying the minimum data
         requirements of the Ambient Air Quality study.

b These values are  based on  one-half of the  limit  of
  detection of the test method.

c Tests did not  indicate any vinyl  chloride.   Limit of
  detection for the test methods were not reported.
                     B-134

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 Vinvlidene chloride.   Emission  sources  of vinylidene  chloride  (VDC)
 include the production of VDC,  perchloroethylene  and  trichloroethylene,
 1,1,1-trichloroethane,  VDC polymers  and copolymers, and chloroacetyl
 chloride.   In  addition,  VDC emissions occur  from  waste treatment,
 storage,  and disposal  facilities.12  Five studies included VDC as a
 pollutant  of concern  (see Table B-29).   Four of the studies  used modeled
 ambient concentrations  and one  study, the Ambient Air Quality  study,
 used  ambient measured  concentrations.
      Modeled  Estimates.   The three.specified  source  categories covered
 by  the  three studies are  a portion of the known sources of VDC
 emissions,  but  are  expected to  be the major  emitters.  The two specified
 source  categories  (i.e.,  VDC polymer and  VDC monomer) under  the
 NESHAP/ATERIS data  base are expected to be sources covered by the
 "unspecified" source category.   Thus, the most  likely estimate for risk
 from  the NESHAP/ATERIS data base is  0.05  cancer cases per year.  As the
 facility modeled in the Kanawha  Valley does  not appear in the
 NESHAP/ATERIS data  base,  the three modeled estimates  can be  summed.  The
 lEMP-Kanawha Valley facility is  not  known as to the type of
 manufacturing process, and  as it is  a point  rather than an area source,
 one cannot  reasonably extrapolate cancer  risk to  larger geographic
 areas.  Thus, it is more  reasonable  to add the cancer risk from the
 study rather than apply its  cancer rate (of  0.001 annual  cancer cases
 per year per million population) to  the entire U.S.  population in
 estimating  nationwide incidence.  Given these considerations, a
 nationwide  cancer risk of approximately 0.5 cancer cases  per year is
 estimated from the modeled estimates.
        U.S. EPA.  Locating and Estimating Air Emissions from Sources of
Vinvlidene Chloride.   EPA-450/4-84-007K.  September 1985.
                                  B-135

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                                                 TABLE B-29

       ESTIMATED ANNUAL  CANCER CASES FROM  VINYLIDENE  CHLORIDE  BY  SOURCE  CATEGORY
SOURCE
CATEGORY
VOC Polymer
VOC Monomer
Chemical
Manufacturing
TSOF's
POTWs
Unspecified
TOTALS
MODELED
AMBIENT
INDIVIDUAL STUDY
Ambient NESHAP/ IEMP- Southeast
Air ATERIS TSDF's Kanawha Chicago
Quality Valley
0.017
(0.000071)
0.0023
(0.00001)
0.001
(0.01)
0.49 negligible
(0.002)
negligible
0.05d negligible
(0.0002)

0.019-0.05 0.49 0.001 negligible
(0.00008-0.0002) (0.002) (0.01)
10
(0.04)
NATIONWIDE
. POINT
RANGE3 ESTIMATE*3
--
--
0.001C 0.001
0-0.49 0-49
negligible negligible
0.05 0.05

0.05-0.5 0.5
10 10
NOTE:   Numbers  in parentheses are annual  cancer cases per million  population.  For nationwide studies, annual
        cancer cases were divided by 240 million, unless otherwise  noted.  For studies with  smaller geographic
        scopes,  the annual cancer cases were divided by the study's population.

8  The numbers in this column were calculated by taking  the  lowest and highest incidence rates for a  source
   category and multiplying  it by 240 (1986 U.S.  population  in millions).   The total  for this column  is  the
   summation of the low end  of the range and the sum of  the  high end of the range.

b  The numbers in this column present the results of the reduction analyses.   In most  instances, a point
   estimate of nationwide annual  cancer incidence was derived for each pollutant/source category
   combination.  In some instances,  a point estimate could not be  reasonably derived.  For  these instances,
   as narrow a range as possible  of  nationwide annual cancer incidence was estimated,  and such ranges
   appear in this column. The text  discusses how these  point estimates and ranges were derived.

c  Due to unknown nature of  chemical facility, the incidence rate  from the lEMP-Kanawha Valley study was
   not extrapolated nationwide.

d  This number  likely includes VDC polymer and VDC monomer sources as well as other unspecified sources.
                                                      B-136

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       Ambient  Estimates.   The  Ambient  Air  Quality  study  estimates  20
 times  this  risk (10  cancer cases  per year  versus 0.5  per year).  The
 results  of  the Ambient  Air Quality  study are  based upon  ambient measured
 data from ten  locations.   At least  four of these locations  have known
 VDC emitters  (Los Angeles,  Chicago, Charleston, W.V.,  and Sacramento,
 CA.).  The  ambient concentrations for  these four cities  were 0.02,
 0.088, 0.03, and 0.27 /*g/m3, respectively,  for a per city average of
 0.10 ^g/m3.   Based on locations identified in "Locating and Estimating
 Air Emissions  from Source  of the Vinylidene chloride," (EPA-450/4-85-
 007k), none of the other six cities have point sources of VDC.  Ambient
 concentrations  in these seven  other cities ranged  from 0.036 to
 0.124  ^g/m3, for a per city average of 0.066 /ig/m3.  Given  the  known
 locations of VDC point  source  emitters, it is not  surprising that the
 four-city average concentration is larger than the six-city average
 concentration,  although it  is  somewhat surprising  that two of the four
 cities with known VDC sources  had the two lowest concentration reading
 of all  ten locations.
       Point Estimate.  Considering the above information-, a range of
 cancer cases of between 0.5 and 10 per year nationwide is created.
Although more information on VDC sources and a broader data base would
 be desirable,  the Ambient Air Quality study's results (10 cancer cases
per year)'were selected as the estimate of cancer risk to total VDC
exposure at  this time.
                                 B-137

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                      APPENDIX C







            SUMMARIES OF POLLUTANT-SPECIFIC



              AND SOURCE-SPECIFIC  STUDIES



(INCLUDING NONCANCER HEALTH RISK  PROJECT ON AIR TOXICS)
                         C-l

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      This appendix presents summaries of ongoing EPA studies that are

related to specific pollutants and source categories.  Most of these

studies are related to the development of national emission standards

for hazardous pollutants (NESHAPs).  'in addition, a summary of the EPA

study on noncancer health risks of air toxics is provided (Noncancer

Health Risk Project).  An index to these studies is presented below.
                     Study
Page No.
             1.  Asbestos                                   C-3
             2.  Coal and Oil Combustion                    C-6
             3.  Drinking Water Aerators                    C-12
             4.  Gasoline Marketing                         C-17
             5.  Hazardous Waste Combustors                 C-24
             6.  Municipal Waste Combustors                 C-34
             7.  Municipal Solid Waste Landfills            C-41
             8.  Publicly Owned Treatment Works (POTWs)     C-42
             9.  Radionuclides                              C-46
            10.  Sewage Sludge Incinerators                 C-50
            11.  Superfund Sites                            C-55
            12.  Treatment, Storage, and Disposal
                  Facilities for Hazardous Waste  (TSDF)     C-56
            13.  Waste Oil Combustors                       C-61
            14.  Woodstoves                                 C-67
            15.  Noncancer Health Risk Project              C-70
                                   C-2

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Asbestos
      The Office of Air and Radiation promulgated the initial asbestos
NESHAP in 1973 and revised the rule in 1975, 1978, and 1984.  The
purpose of this asbestos project is to review the current NESHAP, assess
its effectiveness and revise the rule as necessary.  The current NESHAP
covers asbestos milling, manufacturing and fabricating, removal of
.asbestos prior to renovation or demolition, the disposal of asbestos
waste, and the use of asbestos in spraying, insulation, and asphalt-
concrete for roadways.1  The standard was based on a qualitative
assessment of the risk from exposure to asbestos.  With the development
of a unit risk estimate for asbestos, it is now possible to make a
quantitative assessment of risk.
      The risk assessment has been performed to assess the risk from the
current asbestos emissions as well as the regulatory alternatives
(Reference 1).  Table C-l presents the current risks and the minor
revisions alternative that would promote full compliance to the NESHAP.
Other alternatives (not presented) reduce risk to negligible levels.
      Asbestos emissions from milling, manufacturing and fabricating and
waste disposal from these facilities were modeled using the point source
algorithm of the Human Exposure Model (HEM).  Plant specific data were
obtained by Section 114 letters for the plants with the highest maximum
lifetime risk and annual incidence.  Two of these plants were modeled
using ISCLT/LONGZ.  The maximum individual lifetime risk reported in
Table C-l for manufacturing results from this more detailed modeling.
     1  Due to the discontinued use of asbestos in spraying, insulation,
and asphalt concrete roadways, emissions and, therefore,  risks are thought
to  be negligible.   The  regulation does  not address  unpaved roadways
containing  asbestos-contaminated  gravel,  which  occurs naturally in some
areas.  This was concluded a local problem and risk was not assessed.
                                   C-3

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                                  TABLE C-l

              ESTIMATES OF INCIDENCE AND INDIVIDUAL RISK DUE  TO
                        ASBESTOS EMITTED INTO THE AIRa


Source
Categories
Milling
Disposal
Manufacturing
Fabrication
Renovation,
Removal
Disposal
Demolition,
Removal
Disposal
TOTAL
Maximum Individual
Lifetime Risk
Full
Compliance
3 x If5
6 x 10'9
2 x 1CT3
2 x 10'4

3 x 10'7
6 x 10'8

2 x 10'5
1 x 10-5

Current
Compliance6
same
same
same
same

6 x 10'7
3 x 10"5

4 x 10'5
7 x 10"3

Estimated Excess Annual
Lung Cancer and Mesotheliomas
Full
Compliance
0.004 - 0.005
<0.0001
0.3 - 0.7
0.05 - 0.2

0.003
0.0007

0.3
0.1
0.7 - 1.2
Current
Compliance
same
same
same
same

0.0071
0.35

0.5
80
81.6
Source:  Reference 1, pages A-28, A-32, A-35,  and A-36.

 a  Please refer to footnote 1, page C-3, for a list of caveats and an
    explanation of the methodology used to generate these results.

 b  The large number of sources and inadequate enforcement resources have
    resulted in noncompliance with the demolition and renovation (including
    waste disposal) standards.  The Stationary Source Compliance Division
    estimated compliance in 1985 at about 50 percent.  The risk estimates in
    parentheses were estimated under the assumption that only 50 percent of
    the demolitions and 80 percent of the renovations were in compliance.
                                         C-4

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      Asbestos  emissions  from  removal  and waste disposal during
 renovation  and  demolition activities were modeled using the area  source
 algorithm of  HEM.  Asbestos emissions  were assigned to each county based
 on the population  of that county.  This process generated the annual
 incidence figures.  The maximum  individual lifetime risk was generated
 assuming that emissions assigned to the county with the highest
 population  density were emitted  from a single point source.  This
 technique overestimates risk.
      The renovation and  demolition source categories for asbestos are
 unique because  it  is estimated that only 80 percent and 50 percent are
 in compliance,  respectively, to the current NESHAP.  This makes baseline
 risk different  from full  compliance to the current NESHAP.
      Asbestos  is  a known  human carcinogen.  The unit risk estimate is
 based on several human studies.  The health data base for asbestos is
 much better than most toxicant data bases.  It is important to note,
 however, that in order for asbestos to cause lung cancer or mesothelioma
 the fibers must be respirable.  Respirable refers to fibers small enough
 to enter small  airways.   Lacking fiber size distribution information,
 100 percent respirability was assumed.   The larger nonrespirable
particles may comprise a  large portion of the emissions.   The emissions
of respirable asbestos and thus estimated risk could be greatly
overestimated.

References
1. U.S. Environmental Protection Agency, Emission Standards and
   Engineering  Division.   National Emission Standards for Asbestos-
   Background Information for  Proposed Standards.  Draft.  March 5,
   1987.
                                  C-5

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Coal and Oil Combustion
      The Environmental Protection Agency's Office of Air Quality
Planning and Standards has evaluated on a national scale toxic emissions
from utility, industrial, commercial and residential  combustion units
(Reference 6).  These four combustion sectors, briefly described in
Table C-2, are known to emit several carcinogenic compounds, of which 9
were specifically included in this effort.  These 9 pollutants are:
acetaldehyde, acrolein, arsenic, beryllium, cadmium,  hexavalent
chromium, polycyclic organic matter (POM), formaldehyde, and
radionuclides.  Other pollutants were not evaluated because of a paucity
of emissions data.  Because of the nature of the available emissions
data (national averages, of data with large variations), short-term
exposures were not specifically considered and long-term exposures (and
associated cancer risks) were given the most attention.  The pre-
liminary cancer risk assessment estimates (see Tables C-3 and C-4)
indicate that the national cancer incidence is about 11 cases per year
and that the maximum individual risk for all sectors is less than  10"4.
However, these estimates are crude and at best are considered "order of
magnitude" values since the exposure techniques  (described  below)  are
not based on site-specific analysis.
      As seen in Table C-2, the number of combustion units  is very large
and reasonably precludes site-specific analysis.  However,  for the
utility sector, a data base which contained basic stack parameters and
control technology status was available  for a large majority of  the
plants and was used for this study.  The Human Exposure  (computer) Model
was run for  each plant in the data  base  in conjunction with an emissions
data base containing national average  emissions  factors and average
control efficiencies.  Flat terrain was  assumed  for the air dispersion
                                   C-6

-------
                                TABLE C-2

      BACKGROUND INFORMATION ON THE COAL AND OIL COMBUSTION SECTORS
SECTOR
Utility
Industrial
Commercial
Residential
NO. OF UNITS
COAL
987b
51,000C
163,000°
430,000d
OIL
264b
190,000°
443,000°
13,000,000d
FUEL BURNED3
COAL OIL
1012 Btu/yr
(Millions of
tons/yr)
12,500a
(594)
2,500*
(105)
115a
(5)
77a
(3)
1012 Btu/yr
(Millions of
barrel s/yr)
l,600a
(250)
2,400a
(390)
840a
(138)
l,050a
(180)
a Reference 3.
b Reference 1.
c Reference 4.
d Reference 2.
                                  C-7

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analysis and no site-specific or geographic or seasonal  adjustments were
made to the emission factors.  As in the case for all  sectors,
distinctions were made for three coal types (bituminous, anthracite, and
lignite) and two different oil types (distillate and residual).  For the
industrial and commercial combustion units, a subset of all the boilers,
a stratified random sample from the National Emissions Data System, was
analyzed in a manner similar the utility sector.  Because this sample of
boilers were representative of boilers greater than two million Btu's
per hour, an additional exposure analysis, which applied a simple area
source model, was used for these very small boilers.  Toxic emissions
and long-term concentrations were estimated on a county-by-county basis.
For the last sector, residential heating, the same approach as that used
for the very small industrial/commercial boilers was applied.
      For this project there are several uncertainties of note.  Based
on a review of the emissions data, there is a very wide range of
emission factors found in the literature; however, this study assumed
that average or typical emission factors were applicable at boiler  site.
Coal and oil combustion is known to emit a wide range of compounds, but
all the pollutants evaluated in this study  (a total of 9)  account for
less than 10 percent of the particulate matter and the volatile organic
compound emissions.  Thus, there is a considerable fraction of the
combustion emissions of unknown toxicity.   Lastly, and most important
because the estimated maximum and average concentrations are low, the
models by which public risks are calculated must extrapolate a health
data base established from high exposure levels to public  exposure
levels which are several too many orders of magnitude lower.
                                  C-10

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References

1.  Peters,  W.D.,  US  EPA,  Pollutant  Assessment  Branch.   Coal  and Oil
    Combustion.  July 25,  1988.   6 pages.

2.  Utility  Data Institute.   Power Statistics Database.  1983.   Developed
    by:   Edison Electric  Institute.

3.  U.S.  Department of Commerce,  Bureau  of the  Census.   Statistical
    Abstract of the United States -  1986.   106th  Edition.   Table 1315,
    page  733.

4.  U.S.  Department of Energy, Energy  Information Administration.   State
    Energy Data Report:   Consumption Estimates. 1960-1982.  May 1984.

5.  U.S.  Environmental  Protection Agency,  Industrial  Environmental
    Research Lab.  Population  and Characteristics of
    Industrial/Commercial Boilers in the U.S.   EPA-600-7/79-178a, August
    1979.

6.  U.S.  Environmental  Protection Agency,  OAQPS.  Coal and  Oil
    Combustion Study:   Summary and Results.  External Review Draft.
    September 1986.
                                  C-ll

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Aeration of Toxics from Drinking Water Treatment Facilities
      In response to several requests from the Office of Drinking Water
(ODW), the Office of Air Quality Planning and Standards (OAQPS) has
assessed the cancer risk associated with aeration treatment of drinking
water in the U.S.  When drinking water supplies contain volatile
compounds (VCs) that are toxic, the aeration process can be used very
effectively to remove the VCs from the water, but at the same time,
create VC emissions to the  atmosphere.  To date, OAQPS has evaluated 10
pollutants (listed in Table C-5) in three different studies.  The
preliminary risk assessment results are summarized in Table C-6.  These
results, which are based on a screening analysis described below,
provide crude estimates and are, at best, order of magnitude estimates.
      In Study Number 1 (Reference 1), the first seven chemicals  in Table
C-5 were evaluated from 22  existing sources with known contamination
levels that were either aerating or planning to aerate their water
supplies in the near future.  The ODW supplied the necessary emissions
and stack data, but the exact locations of the facilities were  unknown.
The facilities were assumed to  be located in:   (1) the center  of the
cities to which units were  supplying water,  and  (2)  in areas of flat
terrain.  The VC emission rates were based on  actual  site-specific data
and the assumption of 100 percent efficient  aerators.  The  Human
Exposure Model  (HEM) was used to estimate the  air dispersion of the
emissions, the  public exposure  to the emissions, and the  associated
cancer  risks.   As  seen in Table C-6,  risk projections were  made based  on
the thought that the 22  selected sites  were  typical  operations and were
representative  of  as many as  200-500  facilities  which were  anticipated
to be built over the next ten years.   It was assumed that the  aggregate
                                   C-12

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                          TABLE C-5

  LIST  OF  POLLUTANTS  EMITTED  FROM AERATION OF DRINKING WATER
 TREATMENTFACILITIES  WHICH HAVE  BEEN  EVALUATED  BY OAQPS
POLLUTANT
Trichloroethylene

Tetrachl oroethyl ene

1,1,1 Trichloroethane

1,2 Dichloroethane (EDC)

Carbon Tetrachl oride

1,1,2,2 Tetrachl oroethane

Vinyl chloride

Ethylene dibromide (EDB)
'
Dibromochloropropane (DBCP)

Radon

STUDY NO.

1

1

1

1

1

1

1

2

2

3
REFERENCE
NO.

1

1

1

1

1

1
-
1

2

2

3
NOTE:  Study numbers refer to studies listed in Table C-6.
                            C-13

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                                    TABLE C-6

                    RISK  ASSESSMENT  RESULTS  FOR THE THREE
                       DRINKING  WATER AERATION STUDIES

1








2
3


No. of
	 Plants
22
(existing)

200


500


7
20
Approx.
26000
No. of
Pollutants L
All but
EDB, DBCP,
Radon
All but
EDB, DBCP,
Radon
All but
EDB, DBCP,
Radon
EDB & DBCP
Radon
Radon

Max. Individual Annual
ifetime Risk 	 Incidence
2 x 10~5 0.0047


2 x 10'5


2 x 10~5


3 x 10'6 0.0002
5 X 10~5 0.016
5 x 10~5

Projected
Annual Incidence
-


0.043


0.11


-
-
0.4a

a Assumes all facilities using water supplies with radon concentrations
  > 200 pCi/L apply aeration as a control technique.
                                         C-14

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 population risks were proportional to the number of plants applying
 aeration treatment.
       In Study Number 2 (Reference 2), only two chemicals (see Table
 C-6) from seven sites were evaluated.  However, in this case, although
 the analysis was conducted in a manner similar to Study Number 1, there
 were no projections of national or future level of aggregate risks.  The
 site-specific contamination data were thought to be untypical of most
 plants in the country,  since these chemicals were not usually found in
 drinking water supplies.
       In Study Number 3  (Reference 3),  the  OAQPS,  in  conjunction  with
 the Office  of Radiation  Programs (ORP),  estimated cancer risks
 associated  with potential  radon emissions5 from the  aeration  process.
 The ODW  selected 19 sites  that were thought  to be typical  of  facilities
 across the  country  plus one site that was known to  have  a  very large
 radon  emission  rate.  Many of the facilities  selected,  in  addition  to
 most facilities  in  the country,  are not  currently aerating their
 drinking water;  the goal of this  study was to  determine  the potential
 level of risks  if many of  the  existing facilities would  aerate their
 water supplies.  Because of the  complicated mathematics  that  are
 required to model air dispersion  of radioactive emissions  of  both the
 parent isotopes  and progeny of the  radioactive decay process, the HEM
 cannot adequately estimate  public exposure.   So, the ORP computer models
 that were specifically designed for radioactive emission exposure
 (AIRDOS-EPA, RADRISK, DARTAB) were required.   These computer models
estimate radionuclide concentrations in the  air, rates of deposition on
the ground,  and the amounts of radionuclides taken into the body via
inhalation of air and ingestion of meat,  milk,  and fresh produce.   As  in
                                  C-15

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the case where the HEM was used, flat terrain was assumed when running

the ARDOS model.

      In addition, using a technique like that used in the first study,

national risk estimates were projected based on the results of the 19

facilities.

References

1. Memorandum  W.D.  Peters, US  EPA,  Pollutant  Assessment  Branch,  and
   S.W.  Clark,  US EPA,  Science and  Technology Branch,  to R.G. Kellam,
   US  EPA,  Science  and  Technology Branch.   Risks Associated with Air
   Emissions from Aeration of  Drinking Water.   November  18, 1985.
   (Study  Number  1)

2. Memorandum.  W.D.  Peters, US EPA,  Pollutant Assessment Branch,  to
   S.W.  Clark,  US EPA,  Science and  Technology Branch.  Aeration
   Drinking Water Facilities - EDB  and DBCP Emissions.   February 18,
   1986.   (Study  Number 2).

3. Memorandum.  W.D.  Peters, US EPA,  Pollutant Assessment Branch,  and
   C.B.  Nelson, US  EPA,  Office of Radiation Programs,  to S.W. Clark,  US
   EPA,  Technology  Section, STB, CSD, ODW.   Preliminary  Risk  Assessment
   for Radon  Emissions  from Drinking  Water  Treatment  Facilities.  May
   1988.   (Study  Number 3)
                                   C-16

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 Risk Assessment for the Gasoline Marketing Source Category
       A cancer risk assessment was performed for the gasoline marketing
 source category to determine risk from high exposure and cancer
 incidences, due to exposures to gasoline vapor emissions.  Pollutants of
 concern were benzene,  gasoline vapors (as a collection of all
 components), ethylene  dibromide (EDB) and ethylene dichloride (EDC).
 The study evaluated uncontrolled and controlled emissions from bulk
 gasoline terminals, bulk plants, storage tanks, and service stations.
 This discussion presents a summary of these risk analyses.   More
 detailed discussion can be found in the  EPA reports describing the
 entire analysis (see References 2  and 3).
       The purpose  of the overall  study was  to  evaluate environmental
 impacts,  costs,  risks,  and benefits associated  with reducing  emissions
 at' gasoline marketing  facilities.   Many  regulatory  strategies were
 analyzed  in this study.   However,  risk assessments  centered on the
 evaluation  of exposures  for individuals  living  in the  vicinity of
 gasoline  marketing  facilities  (community exposures).   Risks for  these
 individuals  were based  upon  emissions  from  bulk terminal  and  bulk  plant
 storage tank and tank truck  loading operations,  gasoline  deliveries to
 service stations (service  station Stage  I)  and  vehicle refueling
 operations  (service  station  Stage II).  The vehicle refueling  analyses
 included not only community  exposures  but also  self-service refueling
 exposures to individuals refueling their own vehicle, and occupational
 exposures to service station attendants.
      The project is on-going and risk assessments have centered on
benzene and gasoline vapor exposures.  EDB and EDC are components of
leaded gasoline only and were found to be very small, especially with
the decline of leaded gasoline usage.  Gasoline vapor risk analyses were
                                  C-17

-------
originally based upon studies of exposures to wholly vaporized  gasoline,
since this was the basis of the animal  exposure studies from which the
risk factors were calculated.  Based on review by the Science Advisory
Board and on public comments received,  there was some concern whether
all components in wholly vaporized gasoline were indicative of  actual
gasoline vapor exposure.  An estimate of components C6 and  higher
(thought to be the components of concern in gasoline vapors) was
calculated.  As a result, exposure to gasoline vapors was calculated and
expressed as due to total vapors and due to C6 and higher components in
gasoline vapors.  Table C-7 contains a summary of unit risk factors used
in the gasoline marketing analysis.
      Risk estimates for all gasoline marketing source categories proved
to be very difficult because of the large number of sources involved
(1500 terminals, 15,000 bulk plants, and 400,000 service stations).
Obviously risk assessments could not be conducted on  each  individual
source, so a scheme of model plants and representative locations was
developed.
      The assessment methodology derived  for  bulk terminals and  bulk
plants were similar.  A  series of model plants  for  each  source category
were developed for both  product storage and  truck loading  operations.
Since these facilities  are  usually  clustered  due  to  access to  pipelines,
railways  and barge transport points, clusters of  complexes of  facilities
were developed.  Several cities, of varying  population  sizes and
densities, were  selected to  represent  the country as  a whole.  The  model
complex  selected for  use in  each city  was developed to represent the
city size (e.g., large  terminals  in larger cities,  smaller terminals in
smaller  cities).   Model  facility complexes were placed at  coordinates of
                                   C-18

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                                TABLE C-7
              UNIT RISK  FACTORS APPLICABLE TO THE  GASOLINE
                        MARKETING SOURCE CATEGORY
          Pollutant
    Unit
Risk  Factor3
Benzene
2.6 x 10"2
Gasoline Vapors
      - Rat Studies
         o  PULb
         o  MLEC
3.1 x 10"3
2.0 x 1CT3
      - Mice Studies
         o  PULb
         o  MLEC

Ethylene Dibromide

Ethylene Dichloride
2.1 x 10'3
1.4 x 10~3

4.2 x 10"1

2.8 x 10~2
SOURCE:  Reference 2, pages 6-2 and 6-31, and Reference 3, page  2-61.
a  Probability of cancer incidence from exposure to  1 ppm over a 70-  '
   year lifetime.
b  PUL = Plausible Upper Limit.
c  MLE = Maximum Likelihood Estimate.
d  Risk factor used as basis for gasoline vapor risk estimates in  latest
   analysis.
                                  C-19

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known bulk loading sites within each city selected.   Emission  rates  and
heights were calculated and used as input to the Human Exposure Model
(HEM) to estimate cancer incidences for individuals  living in  the
vicinity of the model loading complex.  Nationwide incidences  were then
calculated based on incidences for each city evaluated and the
population distribution of each city size found in the country.  For
example, the country was divided into seven population ranges.  Several
cities were selected to represent each population range.  The HEM
results for each city within a range were averaged,  and the results used
to represent that range.  The average exposure from each population
range was weighted by the percent nationwide population in that range to
obtain the nationwide exposure.
      Because of the vast number of service stations and the ability to
locate them virtually anywhere within a metropolitan area, the method
for  estimating  incidences due to exposures to individuals living in the
vicinity of service  stations could not be based on actual locations.
      Several metropolitan areas around the country were selected to
represent population ranges  for the nation.  Within each metropolitan
area, the gasoline consumption was used to estimate total emissions from
service stations.  These emissions were then assumed to be uniformally
spread over the metropolitan area  and a uniform exposure concentration
was  calculated.   This  uniform  concentration was used  as input  to the HEM
model  to determine cancer  incidence estimates  in  each  of the  selected
metropolitan  areas.  Nationwide  incidences were calculated by  weighing
the  results from  each  population range  by  the  percent  nationwide
population  in that range,  as was done for  bulk terminals  and  bulk
plants.   Risks  from  high exposure  were based  upon calculations of
exposures  to  individuals living  near  a model  complex  or service stations
                                   C-20

-------
 such as may be found at intersections with service stations on every
 corner.
       Vehicle refueling self-service and occupational  exposures were
 calculated based upon field studies to determine actual  concentration
 experienced in the breathing zone of individuals refueling their
 vehicles (see Reference 1).   These exposure concentrations,  coupled with
 the  risk factors and known  quantities of gasoline pumped nationwide at
 self-service  and full-service operations were  then used  to calculate
 cancer incidences.
       Table C-8 presents  a  summary of the nationwide average annual
 baseline risks associated with  exposures to benzene, gasoline vapors,
 EDB,  and EDC.   Lifetime risks from high  exposures  are  based  upon
 exposures  to  total  gasoline  vapors.   Table  C-9 summarizes  the residual
 risks  and  risk reductions associated  with the regulatory strategies
 revaluated  in  this  analysis.  Values  for EDB and  EDC are not  included in
 the  summary since they  had been dropped  from consideration at  the time
 this analysis  was conducted.
 References                                                      «
 1. -Clayton Environmental  Consultants,  Inc.   Gasoline Exposure Study for
   the American Petroleum Institute.   Job No.  18629-15.  Southfield,
   MI.  August 1983.
2. U.S.  Environmental  Protection  Agency.   Evaluation of  Air  Pollution
   Regulatory Strategies  for Gasoline Marketing  Industry.  EPA-450/3-
   84-012a.   July  1984.
3. U.S.  Environmental  Protection  Agency.  Draft  Regulatory  Impact
   Analysis:   Proposed  Refueling  Emissions  Regulations for Gasoline-
   Fueled  Motor Vehicles  - Volume  I Analysis of  Gasoline Marketing
   Regulatory  Strategies.  EPA-450/3-87-001a.  July 1987.
                                  C-21

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                                     TABLE  C-8

       SUMMARY  OF  ESTIMATED  BASELINE CANCER RISKS FOR THE GASOLINE
                               MARKETING  INDUSTRY3
Lifetime Risk
Facility From High
Category Exposure Benzene
Bulk Terminals 5.7 x 10~3 0.1
Bulk Plants 2 x 10~4 0.05
Service Stations
• Community Exposure
- Stage I 6.7 x 10"* 0.1
- Stage II 1 x 10"* °-4
(Total) (1.6 x10"4) (0.5)
• Self-Service 8 x 10~5 4.4
Total Public Incidence 5.1
Occupational 4 x 10~ 1.7
(Service Stations)
Total Incidence for 6.8
Gasoline Marketing
Source Category
Average Annual Cancer Cases
Gasoline Vapors EDB
Total C6
3.5 0.9 0.0005
1.4 0.4 0.0002


3 0.8 -c
10 2.5
(13) (3.3) (0.001)
33 8.3 0.006
51 13 0.008
17b 4.3

68 17 0.008


EDC
, 0.0006
0.0002


(0.001)
0.008
0.01
-

0.01


SOURCE:  Reference 2, page 6-31 and Reference 3, page 2-63.

a   Baseline risks are those projected throughout  the study period  (1988-2020) with no additional
    controls.

b   Based on plausible upper limit for total gasoline vapors.

c   Hot calculated.
                                          C-22

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Hazardous Waste Combustors
      Wastes containing hazardous materials are commonly burned in
incinerators, boilers, and industrial furnaces.  The U.S. Environmental
Protection Agency has estimated toxic emissions from hazardous waste
incinerators as part of regulations under the Resource Conservation and
Recovery Act (RCRA) and from the burning of hazardous wastes in boilers
or industrial furnaces, also as part of regulations under RCRA.  Table
C-10 summarizes the toxic emissions being regulated from hazardous waste
combustors.
      For incinerators, boilers, and industrial furnaces, EPA has
determined that risks from the burning of hazardous wastes in these
devices can be unacceptable under reasonable, worst-case circumstances.
                        »
For purposes of the rules, EPA defined unreasonable risk to be either:
(1) an exceedance of incremental lifetime cancer risk of greater than 1
x 10"5  to  the potential  maximum exposed  individual  (MEI)  for  toxic metal
and organic compound emissions and other carcinogens; or (2) an
exceedance at the MEI of Reference Air Concentrations for noncarcinogens
established at 25 percent of the Reference Dose.3
Risk Assessment.  For hazardous waste incinerators, a risk assessment
was performed under existing baseline and post-compliance conditions for
82 incinerators.  The risk assessment was performed for  three
carcinogenic metals (arsenic,  cadmium, and hexavalent chromium),
     2  Components  of the  reasonable,  worst-case circumstances  included
concentrations  of  constituents  in  the  incinerated  waste,   combustion
capacity  or feed rate,  partioning  of metals  to bottom ash,  collection
efficiency   of   emission  control  equipment,   and  local  terrain   and
meteorological  conditions.
     3 Except for lead and  hydrogen chloride.  The exceedance for lead  was
set  at  10 percent of the national ambient  air  quality  standard for  lead,
and  for  hydrogen  chloride  the  reference  air  concentration  was  based
directly  on  inhalation  exposure studies.   (Reference 2,  page  13).
                                  C-24

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              TABLE  C-10

      TOXIC  EMISSIONS  SUBJECT  TO
HAZARDOUS WASTE COMBUSTOR REGULATIONS
       Pollutant	

       Antimony
       Arsenic
       Barium
       Beryllium
       Cadmium
       Chromium (VI)
       Hydrogen Chloride
       Lead
       Mercury
       Principal organic hazardous
        constituents (POHCs)
       Products of incomplete
        combustion (PIC)a
       Silver
       Thallium
SOURCE:  Reference 3, Exhibit 7-3.

a Includes  the following compounds:

      benzene
      perch!oroethylene
      carbon tetrachloride
      1,1,1-trichloroethane
      1,1,2-trichloroethane
      chloroform
      trichloroethylene
      1,2-dichloroethane
      1,1-dichlorqethylene
      1,1,2,2-tetrachloroethane
      1,2-dichloroethylene
                C-25

-------
principal organic hazardous compounds (POHCs),  and products of
incomplete combustion (PIC), and for noncarcinogens (hydrogen chloride,
lead, barium, and mercury).4  For the three carcinogenic  metals,  both
lifetime cancer to the maximum exposed individual and the annual  cancer
incidence attributable to all metals at each facility were estimated.
      Emissions of the six metals from each facility were approximated
by using estimates of:   (1) the quantity of hazardous waste combusted by
RCRA code, (2) the estimated fraction of metals  in each  RCRA code, (3)
the fraction of each metal segregated as bottom  ash and  stack emissions,
and  (4)  metal removal efficiencies for in-place  air pollution control
devices.  Maximum and area-wide  ambient concentrations were predicted
using dispersion modeling  for ten hypothetical facilities  plus the
actual  facility at 24 different  sites.  The unit cancer  risk values  were
obtained from EPA's  Carcinogen Assessment  Group.   Population data for
estimating the number of exposed individuals was obtained  from U.S.
Census  data  available from the Office of Toxic Substance's Graphical
Exposure Modeling System (GEMS).
       For  hazardous  waste boilers and  industrial furnaces, the risk
assessment performed also examined  both  existing baseline  and  post-
compliance conditions.   The analysis predicted  health risks from stack
releases and resulting  atmospheric concentrations of POHCs, PICs,
metals, and  hydrogen chloride.   Both cancer and  non-cancer health
effects were considered; .however, estimates were only made for the
 aggregate number of cancer cases.  Both maximum exposed individual  risk
 and aggregate cancer cases over 70 years were estimated.
      4 Lead  has  since been  designated as  a  B2 carcinogen,  and  is not
 included in this report's estimate of cancer risk.
                                   C-26

-------
       In estimating cancer risk from boilers and industrial  furnaces,

 risks were calculated assuming two types of hazardous wastes being

 burned (a base case waste and a high risk waste)5 and  two levels of

 control  device performance (a base case  and a pessimistic performance

 level).   The analysis assumed that all toxic compounds in the waste  are

 emitted  unless destroyed  or removed by air pollution  control  devices.

 For  metals,  the risk calculations  assume that all metals are present in

 stack emissions and that  none remain in  the ash.  Estimates  of ambient

 concentrations were made  using the Industrial  Source  Complex Long-Term .

 (ISCLT)  Model.   Site meteorology and population  data  were obtained from

 GEMS.

 Results.   Table C-ll  summarizes the estimated  excess  cancer  cases  from

 incinerators  burning  hazardous wastes and  Table  C-12  for boilers and

 furnaces  burning hazardous  wastes.   Table  C-13 summarizes the

 distribution  of MEI  risk  levels for boilers  and  furnaces.

       Incinerators.   The  estimated  annual  baseline cancer incidence  for

 the  three  carcinogenic metals, aggregated  across all  167 sites  at  which

 EPA  estimates  such metals are  contained  in  hazardous waste that are

 incinerated,  is approximately  0.03,  or roughly 2 cases in 70 years for

 the  U.S. as a whole.  Hexavalent chromium  accounts for over half of  the

 predicted  annual cancer incidence,  with cadmium and arsenic contributing

 approximately 34 percent and  13 percent,  respectively.  Twenty-two
       "Base case" waste is not a "typical" waste in that it contains both
metals and  organic  constituents.   It contains  metals  equal  to the 50th
percentile  values for  wastes  that contain metals (rather  than the 50th
percentile values for all  hazardous wastes, including those containing no
metals).  Both POHC  and chlorine  content  are  higher  than  reported for a
large number of  actual waste  streams.   Thus,  the hypothetical  base case
waste  could result  in greater  risk  when burned  than  many  types  of
hazardous waste that may be burned for fuel.   "High  risk"  waste consists
of 90  percent  organic constituents  and  the  90th percentile levels  for
metals.  (Reference 3, p.  5-6)

                                  C-27

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                               TABLE C-ll

      ESTIMATE OF EXCESS ANNUAL AND LIFETIME CANCER INCIDENCE FROM
               HAZARDOUS WASTE COMBUSTORS -  INCINERATORS
Pollutant
Arsenic
Cadmium
Chromium (VI)
Total
Annual Cases
Baseline After Comoliance3
0.005 0.003 (0.001)
0.012 0.007^ (0.004)
0.018 0.009 (0.005)
0.034 0.019 (0.011)
Cases
' Baseline
0.318
0.824
1.248
2.39
per 70 Years
After Cornel iancea
0.184
0.509
0.603
1.297
(0.103)
(0.299)
(0.368)
(0.771)
SOURCE:  Reference 2, pages 128 and 132.

a Numbers not  in  ( ) represent compliance with the proposed rule that
  would require controlling emissions such that a maximum  individual
  risk level of 1 x  10"5 is not exceeded at any individual  facility.
  Numbers in ( )  represent control of emissions such that  a maximum
  individual risk level  of 1 x 10'6 is not exceeded at  any individual
  facility.
                                   C-28

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                               TABLE C-12
   ESTIMATE OF  EXCESS CANCER CASES OVER 70 YEARS FROM HAZARDOUS WASTE
                    COMBUSTORS -  BOILERS AND FURNACES
Pollutant
POHCs
PICs
Metal
Total
POHCs
PICs
Metals
Total
Type of
Waste0
Base Case

High Risk

Control Device Performance
Rasp fa<;pa
Baseline
1
1
16
18
25
4
582
611
After Regulation
0
0
15
15
2
0
- 292d
294d
Pp
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                                        TABLE  C-13

                        DISTRIBUTION OF MEI  FROM  HAZARDOUS
                     WASTE COMBUSTORS  -  BOILERS AND  FURNACES
MEI
>1 x 10'4
1 x 10"4
1 X 10'5
1 x 10"6
1 X 10'7
<1 X 10'7
Total
>1 x 10'4
1 x 10"4
1 x 10'5
1 x 10"6
1 x 10"7
<1 x 10"7
Total
Type of
Waste0
Base Case

'




High Risk






Control Device Performance
Base Case8
Basel ine
0"
0
10
61
103
778
952
0
19
100
167
198
468
952
After Regulation
0
0
6
48
56
650
759d
0
0
73
52
35
595
755d
Pessimistic0
Basel ine
0
C
10
65
101
777
952
0
21
102
167
207
456
953
After Reaulation
0
0
6
48
72
634
759d
0
0
73
58
36
585
752d
Mote:    (lumbers  in table indicate  the numbers of  hazardous waste combustors associated with each
        maximum  exposed individual  risk level.

SOURCE:   Reference 3, Exhibits 7-6, 7-9,  7-12, and 7-14.

8  "Base case" assumes "typical" removal  efficiencies for control devices.

b  "Pessimistic" assumes removal efficiencies of  control devices for toxic metals  and hydrogen
   chloride are  several percentages points lower  than in the base case in most cases.  For organic
   compounds the difference is several fractions  of a percent in most instances.

0  See Footnote  5 on page C-28 for description of types of waste.

d  Difference in total device due  to some devices that discontinue burning due to  the regulations.
                                             C-30

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 incinerators are estimated to pose a risk of 1'x 10"5 to the MEI under
 baseline conditions.
       After compliance with the proposed rule,  which would require
 control  of emissions such that the maximum individual  risk at  any
 facility is no greater than 1 x 10~5, EPA conservatively estimates that
 the annual  cancer incidence for these metals could be  reduced  from 0.03
 to 0.02, or a reduction of approximately one lifetime  cancer case  in a
 70-year  period.   The risk reduction may be understated  as  the  actual
 environmental  protection afforded by the recommended control
 technologies at  each affected facility  could be higher.
 Boilers/Furnaces.   Assuming base case waste composition  and  base case
 control  device performance,  18 excess cancer cases  are  estimated over
 the next 70 years  from the baseline annual  level  of burning.   If all
 devices  were to  burn high  risk waste, baseline  burning  practices are
 predicted to cause  611  excess cancer cases  over the next 70 years.   Most
 of the cancer  cases  in  both  scenarios are  attributable to  metals
 emissions.   After compliance  with  the proposed  rule, the estimated
 excess cancer  cases  drop to  15  over 70 years  for  the base  case wastes
 and  to 294  over  70 years for  the high risk  waste.   All 15  excess cancer
 cases after compliance  are attributable  to  metals emissions, while 292
 out  of the  294 excess cancer  cases  are attributable to metal emissions
 after compliance under  the high risk waste  scenario.  The  pessimistic
 control  device performance assumption has little effect on aggregate
 cancer cases when base  case waste are assumed to be burned, but a
 slightly more pronounced effect when high risk wastes are  assumed to be
burned.
      Maximum exposed individual risks were also calculated (see Table
C-13).  Of the 952 devices burning base case hazardous  waste under
                                  C-31

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baseline conditions, 10 are estimated to result in a MEI of 1 x 10"5, 61

in a MEI of 1 x 10"6,  103  in  a MEI of  1 x 10"7,  and the remaining 778

devices in a MEI of less than 1 x 10"7.  Burning high  risk waste

increases the MEI and the number of devices estimated to pose higher MEI

risk levels.  For example, 19 devices are estimated to pose a 1 x 10"

MEI when burning a high risk waste.   After compliance, the number of

devices for each of the MEI levels decreases with some control devices

projected to discontinue the burning of hazardous wastes due to the

regulations.  The pessimistic control device performance assumption has

little effect on the distribution of devices among the various MEI

levels.

      The analysis of human health risks from burning hazardous wastes

is very uncertain and suffers from several important  limitations.  The

major limits of the analysis include:

      . The  calculations  suffer  from  the lack of  information  about  key
        toxics  such as  hazardous waste composition, cancer potencies,
        and  baseline  control device performance.  Some  wastes  being
        burned  as fuel  in  boilers and industrial  furnaces may  be  less
        contaminated  than  the base case waste and in  other cases  may be
        more contaminated  than the base case.  Therefore, the  base  case
        waste scenario  will  either overstate or understate risks  for
        specific facilities.

      . The  analysis  does  not consider possible effects of clustering
        of  devices  in the  same general locations.   While such
        clustering  would  not affect  aggregate cancer  case estimates,
        the  distribution  of  cancer risks  across the population and  to
        the  MEIs would  be  altered.

      •  In  calculating  aggregate cancer cases  from  boilers and
         industrial  furnaces, it  is assumed that wastes  displaced  from
         burning under the rule will  be  burned  in  certain kilns and
         industrial  furnaces, and will present  risks equal  to the
         average for these devices. Net  reductions in  cases may be over-
          or understated depending on  the  accuracy of  this  assumption.
         No  adjustments  are made  to reflect risks  from displaced wastes
         when calculating  the distribution  of devices  by MEI  cancer
         risks  and threshold  ratios.
                                   C-32

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References

1.  U.S.  Environmental  Protection  Agency,  Office of Solid Waste.
    Burning  of Hazardous  Waste  in  Boilers  and  Industrial  Furnace'
    Proposed rule  and  request for  comment.   52  FR 16982.   May 6,
'1987.
2. U.S.  Environmental  Protection  Agency, Office  of Solid  Waste.   Draft
   Preamble  for Hazardous Waste  Incinerator  Regulation.   June  14,  1988.

3. U.S.  Environmental  Protection  Agency, Office  of Solid  Waste.
   Regulatory  Impact Analysis  for Hazardous  Waste  Boilers and
   Industrial  Furnaces.  Draft.
                                 C-33

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Municipal Waste Combustors (MWCs)
(NOTE:  The EPA is currently developing a revised New Source Performance
Standard (NSPS) for MWC emissions.  The new NSPS, which was proposed on
December 20, 1989, does not contain estimates of cancer risk, although
work associated with it did revise cancer risk estimates from previous
efforts.  The most recent risk estimates are shown in Table C-17 in
comparison with the previous estimates.  The newer risk estimates do not
show the breakdown of risk by pollutant.  For purposes of risk estimates
presented in Appendix B, the individual pollutant risks reported in
Table C-16 have been used, but have been cut in half to generally
reflect the overall decrease in estimated risk from MWCs.)
      The Environmental Protection Agency's (EPA) Office of Air Quality
Planning and Standards has conducted a multipollutant risk assessment of
air emissions from existing and projected/new MWCs (incinerators).
Based on the results of this study, the Administrator determined that
EPA will regulate MWC emissions through the development of a revised new
source  performance standards for municipal  incinerators (Sections  lll(b)
and lll(d)  of the Clean Air Act).  There are three major types of  MWCs:
massburn, modular and refuse derived fuel  (RDF).  The number, type and
capacity of both  existing  and projected MWCs are  summarized  in Table
C-14.   The  pollutants evaluated  in this risk assessment are  summarized
in Table C-15.  Other pollutants  were  not  evaluated  due to  the lack of
emissions  and  health effects data.   Since  limited data  were  available  on
short-term emissions, the  risk  analyses  focused on long-term health
impacts.  The  estimated risks for existing MWC  ranged from 2 to  40
cancer  incidences per year with  an estimated maximum individual  risk
 (MIR) of 1 in  1000  (1  x 10"3).  The estimated risk for projected/new
 sources ranged from 2  to 20 cancer incidences  per year with an  MIR of 1
 in 10,000  (1 x 10'4).
       As shown in Table C-14,  the number and type of MWCs range from a
 relatively large number of small modular facilities  (average design
 capacity of 100 tons/day) to a small number of large capacity

                                   C-34

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                                TABLE C-14



      NUMBER AND CAPACITY OF EXISTING AND PROJECTED MWCs  IN THE U.S.
EXISTING MWCs


DESIGN TYPE
A.




B.




C.


D.
E.
MASSBURN
- No heat
recovery
- With heat
recovery
MODULAR
- No heat
recovery
- With heat
recovery
RDF
- With heat
recovery
UNKNOWN
TOTAL

NO.
MWCs


21

24


17

39


10
0
111
CAPACITY
(METRIC TONS/
DAY)


13,000

20,100


600

3,900


11,400
0
49,000
PROJECTED MWCs
CAPACITY
NO. (METRIC TONS/
MWCs DAY)


0 0

118 . 113,000


0 0

24 5,000


31 39,000
37 36,000
210 193,000
SOURCE:  Reference 2, pages 15 and 18.
                                  C-35

-------
                               TABLE C-15
            POLLUTANTS  EVALUATED  IN  MUNICIPAL WASTE  COMBUSTOR
                             RISK ASSESSMENT
Arsenic
Beryllium
Cadmi urn
Chiorobenzenes
Chlorophenols
Chromium*6
Chlorinated Dibenzo-p-dioxins and Chlorinated Dibenzofurans (COD/CDF)9
Formaldehyde
Hydrogen  chloride
Lead
Mercury
Polychlorinated biphenyls  (PCB)
Polycyclic aromatic  hydrocarbons  (PAH)
aThe terms  dioxins and dibenzofurans refer to a group of 75
  chlorodibenzo-p-dioxin compounds and 135 chlorodibenzofuran  compounds,
  each having similar chemical  and physical properties'.
                                   C-36

-------
 RDF facilities with an average design capacity of 1140 tons/day.  The
 projected/new MWC facilities are expected to be similar in size except
 for the modular units which, on average, are expected to double in size.
 Due to the limited number of existing facilities and because the data
 base contained the stack parameters and control technology status
 necessary for a risk analysis,  a detailed risk assessment was conducted
 for the existing sources.  Model  plant data were used to estimate risk
 from the projected/new MWC facilities.  The Human Exposure Model was run
 for each existing facility and  for the model plants  using average
 emissions factors based primarily on available U.S.  emission test data.
 Emission factors varied by design type and  for existing and projected
 facilities.   The analysis considered the cancer risk impacts for
 existing control  levels and regulatory requirements  (see  Table  C-16).
 Annual  incidence was  estimated  to be from 4  to  60  and maximum individual
 risk levels  from 10"3 to 10"4.   The  risks  from MWCs are  dominated by  the
 dioxin  emissions.   In most  cases,  over 90 percent  of the  estimated risk,
 is  from dioxin/furans.
      There  are  significant  uncertainties effecting  this analysis.
 There are a wide  range  of emissions  data  found  in  the MWC data  base,
 with average  emission estimates used  in this analysis.  The feed
 material are  heterogeneous and  vary  from day to day,  season to  season.
 The thirteen  pollutants considered  in this analysis  are only  a  small
 portion of the total air emissions from MWCs, therefore the risks from
 this portion  of emissions are not known and not represented in  this risk
 analysis.  Also, there is significant uncertainty in dioxin emissions
due to variability in stack sample recovery results  (from 10 to 100%
reported pollutant recovery) and homolog versus isomer specific
                                  C-37

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-------
 analysis.  The variability in the dioxin emissions are the primary
 source of the range in risks frpm MWCs.
       The evaluation of stack emissions from MWCs was limited to
 pollutants for which emission test data were available and some
 indication of public health or welfare were reported.  Data were
 sufficient for analysis of 13 pollutants or classes of pollutants as
 summarized in Table C-15.   On a total  mass basis,  the predominant
 emissions are carbon monoxide,  hydrogen chloride,  nitrogen oxides,  and
 sulfur oxides.
       As  part of the original  effort  associated  with  the  proposed MWC
 NSPS for  new  facilities (lllb)  and  emission guidelines  for existing
 facilities  (Hid),  a risk  assessment  for baseline  emissions  from MWCs
 was  conducted.  -This assessment  used  recently developed emissions data
 in conjunction with  17  model  plants representing existing  MWC  (Hid)
 facilities  and 10 model plants representing  new  (lllb) facilities to
 estimate  cancer risks from direct inhalation exposure.  A  comparison of
 the  baseline  risks developed  for the proposed NSPS  and emission
 guidelines and the previous 1987 study are presented  in Table C-17.   As
 seen in Table C-17,  the new estimates reduce estimated annual incidence
 between 25 and 50 percent.
 References
 1. Morrison,  R., U.S. Environmental Protection Agency, Pollutant
   Assessment Branch.   Municipal Waste Combustion  fMWCs).  September 7,
   1988.  8 pages.                       ~
2. U.S. Environmental Protection Agency.  Office of Solid Waste and
   Emergency Response.  Municipal Waste  Combustion Study:  Report to
   Congress.  EPA-530-SW-87-021a.  June  1987.	
                                  C-39

-------
                               TABLE C-17
            MUNICIPAL WASTE COMBUSTOR BASELINE RISK ESTIMATES
                              Old Estimate
                                 (1987)a
                              New Estimate
                                 (1989)a
New MWCs
Annual Incidence
MIR
   2 to 20
10"4 to  10"6
                                                            1  to 5
  10
    -5
Existing MUCs
Annual Incidence
MIR
   2 to 40
10'3 to  10"6
1 to 15
  10
    -4
SOURCE:  Personal communication.   Ray  Morrison,  U.S.  EPA,  Pollutant
         Assessment  Branch.
a  Only direct inhalation.
                                   C-40

-------
 Municipal Solid Waste Landfills
       Regulations are being proposed to control air emissions from
 municipal solid waste landfills under the Clean Air Act.  New source
 performance standards are being developed under Section lll(b) for newly
 constructed landfills.  Emission guidelines are being developed under
 Section lll(d) for existing landfills.   The emission guidelines will  be
 implemented by the States through plans approved by EPA.
       Municipal  solid waste landfill  emissions are a complex aggregate
 of compounds.   The gas that is generated from the decomposition of waste
 consists of approximately 50 percent  methane,  50 percent C02,  and  trace
 constituents of non-methane organic compounds  (NMOCs).   Public health
 and welfare concerns  are from NMOCs--which  are composed of volatile
 organic  compounds,  some  of which are  toxic;  and methane emissions  which
 contribute  to  global  warming and can  cause  explosions at' or near
 landfills.   The  proposed regulations  would  set an  annual  emission  cutoff
 for NMOCs,  that  when  controlled  at  affected  landfills,  would reduce the
 bulk of  the  NMOCs, toxics,  and methane  emissions.
       Best  Demonstrated  Technology  (BDT) consists  of an  active  gas
 collection  system and  an  add-on  control  device  as  applied  to landfills
 emitting large quantities of emissions.  The add-on control,  device
 required at  a minimum  is  a  flare.  The  regulation would  also encourage
 the  use of energy recovery devices such  as boilers, internal  combustion
 engines, and gas turbines.
      A background information document  for the proposal is  being
 revised and should be available by the end of the 1990.   A copy of the
document can be obtained by contacting Alice Chow, EPA/OAQPS at FTS 629-
5626 or (919) 541-5626 or Mark Najarian, EPA/OAQPS at FTS 629-5393 or
 (919) 541-5393.
                                  C-41

-------
Publicly Owned Treatment Works fPOTWs)
      Estimates of emissions from publicly owned treatment works (POTWs)
were developed as part of the NESHAP development program.   POTWs were
identified as significant emitters of potentially hazardous air
pollutants (PHAPs) during the source assessment work for the individual
pollutants.  Data collected by the Office of Water Regulations and
Standards were used to identify industries discharging PHAPs to POTWs.
Site-specific loadings and model plant loadings were combined to
generate the current  industrial loadings at 1,621 POTWs, which treat 97
percent of all industrial wastewater.  The TSDF aerated tank models were
incorporated into a computer  program that estimated emissions at each of
the  1,621  POTWs.  The Human Exposure Model was  then used  to develop  risk
estimates.
Results.   Risk estimates  were estimated  for seven pollutants  (see
Table C-18).   These pollutants are  acrylonitrile, carbon  tetrachloride,
chloroform,  ethylene  dichloride,  methylene chloride,  perch!oroethylene,
and  trichloroethylene.  Total annual  cancer risk from POTWs was
estimated  to be  1.5  cancer cases  per year.  Approximately one-quarter of
this total  was attributed to  acrylonitrile  (0.4 cancer cases  per year).
Three pollutants (trichloroethylene, methylene chloride,  and  chloroform)
 each were estimated to contribute 20 percent  of the total, or 0.3 cancer
 cases per year for each pollutant.   Maximum individual increased
 incidence was estimated to be 4.5 x 10"2.
       On a source category basis (see Table C-19),  equipment
 manufacturers and the organic chemicals, 'plastics,  and synthetic fibers
 industries were estimated to be the largest contributors to increased
 incidence at 0.51 and 0.44 cancer cases per year, respectively.  This is
 approximately 63 percent of  the total estimated cancer risk.  The pulp
                                   C-42

-------
                                         TABLE C-18

                        SUMMARY OF CANCER INCIDENCE FROM AIR TOXICS
                                         FROM POTWS
Pollutant
Trichloroethylene
Perchloroethylene
Methyl ene chloride
Chloroform
Acrylonitrile
Ethylene dichloride
Carbon tetrachloride
Total
Emissions
(Ma/vr)
4,840
3,230
2,130
. 439
182
102
47.9
10,971
Cancer Cases
oer vear
0.3
0.07
0.3
0.3
0.4
0.09
0.03
1.49
          SOURCE:   Reference  1,
_
                                           C-43

-------
                                      TABLE  C-19

                         SUMMARY OF CANCER  INCIDENCE FROM AIR
                        TOXICS  FROM POTWs,  BY SOURCE  CATEGORY

Source
Category
Equipment Manufacturing and Assembly
Hazardous Waste Treaters
Pulp and Paper Manufacturing
Organic Chemicals, Plastics, and
Synthetic Fibers
Pharmaceutical Mfg.
Pesticides Mfg.
Electrical and Electronic Components Mfg.
Electroplating and Metal Finishing
Industrial Laundries
Textile Mills
Paint Manufacture and Formulation
Leather Tanning and Finishing
Petroleum Refining
Small Quantity Industrial Commercial, and
Residential

Number
of Sites
5,317
641
262
424
87
39
267
712
"1,000
1,411 .
518
150
45
24,177
Totals
Emissions,
Potentially
Hazardous
Air
Pollutants
8,710
312
254
248
179
92.3
34.7
33.4
31.1
11.9
10.3
1.61
1.35
1,060
10,980
Mg/yr
Total
Hazardous
Organics
19,200
1,676
965
3,970
680
138
798
73.5
404
48.8
35
85.3
331
6,570
34,975
Annual
Cancer
Cases
0.51
0.059
0.095
0.44
0.084
0.076
0.0026
0.002
0.0023
0.0158
0.0023
0.00032
0.001
0.019
1.48
SOURCE:  Reference 1.
                                          C-44

-------
and paper industry and the pharmaceutical industry were estimated to be
the next largest contributors to cancer risk from POTWs, each
contributing approximately 6 percent of the total risk.
References
1.  Memorandum.  R.B. Lucas, U.S. EPA, Chemicals and Petroleum Branch,
    to J. Padgett, U.S. EPA, OAQPS.   New Study on the Air Toxics Problem
    in the United States - POTW Emissions.   July 29, 1988. 3 pages.
                                 C-45

-------
Radionuclides
Background.  The EPA's Office of Radiation Programs (ORP) has evaluated
radionuclides as a hazardous pollutant, based on the widespread human
exposure to radionuclides in the ambient air, and on numerous studies
that document the incidence of cancer resulting from exposure to
ionizing radiation in many species of animals and human populations.
Subsequently, EPA has listed radionuclides as hazardous air pollutants
under section 112 of the Clean Air Act and has promulgated emission
standards or work practices for seven categories of sources: (1)
Department of Energy Facilities; (2) Nuclear Regulatory Commission-
Licensed Facilities and Non-DOE Federal Facilities; (3) Elemental
Phosphorous Plants; (4) Licensed Uranium Mill Tailings;  (5) Underground
Uranium Mines; (6) Uranium Fuel Cycle Facilities; and  (7) Phosphogypsum
Stacks.6  Exposure to indoor concentrations of radon due to radon in
soil gases entering homes through foundations and cellars was not
included in this rulemaking.
Results to Date.  The most recent estimates  available  on cancer risk due
to exposure to radionuclide emissions to air are from  a background
information document in support of rules for radionuclides emissions to
the air (see Reference 2).  Table C-20 summarizes the  cancer risk
estimates from radionuclides and Table C-21  summarizes those from radon.
As seen in these two tables, total estimated cancer incidence is
approximately 4 fatal cancer cases per year.  Maximum  individual risks
range from 7 x 10"6 to 4  x 10'3.
     6 Other sources that can contain and emit  radionuclides  include coal
and oil combustion, drinking water  aerators, municipal waste combustors,
publicly  owned treatment  works,  sewage  sludge  incinerators,   Superfund
sites, TSDFs,  waste oil  combustors,  and  woodstoves.
                                  C-46

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                                          TABLE C-20


               CANCER RISKS  FROM RADIATION SOURCES  EXCLUDING  RADON
Source
Category
NRC- Licensees
DOE Facilities
High-level Wastes'3
Uranium
Fuel Cycles
Elemental
Phos. Plants
Coal Fired
Boilers
TOTALS
SOURCE: References 2
a Maximum individual
individual risks.
and not individual
Maximum
Number of . Individual
Sources Risk3
6,000 2 x 10~4
27 2 x 10~4
0 *
136 2 x 10'4
8C 6 x 10'4
50,000d 7 x 10~6
1,200e 3 x 10"5

and 3.
risk is for one facility; other facilities
The maximum individual risk estimates for
boi lers'.
Fatal
Cancers/yr
0.2
0.3
*
0.1
0.07
0.4
0.4
1.5f

are estimated to
boilers are based
Population
w/in 80 km
240,000,000
67,000,000
*
240,000,000
1,800,000
240,000,000


have lower maximum
on typical boilers
There are no high-level waste disposal facilities operating in the U.S. (Reference 2, p. 5-1).




   Of these 8, five are operating  and three are closed.  Risk  estimates based on operating  plants
   only.  Estimated maximum individual risk and fatal cancers  per year for the three idle plants are
-   9 x 10 J and 0-04, respectively.


   Industrial boilers (most of which are much  smaller than utility boilers).


e  Utility boilers.


   Based on Reference 3, total  cancer effects  (fatal plus nonfatal) would  be approximately 3 cancer
   cases per year.
                                            C-47

-------
                                          TABLE  C-21

                           CANCER  RISKS  FROM  RADON  SOURCES
Source
Category
Underground
Uranium Mines
Open-Pit
Uranium Mines
Uranium Mill
Tailings
(existing)
Disposal of
Uranium Mill
Tailings
Radon from
DOE Facilities
Phospho-
gypsum
Stacks
TOTALS
Maximum
Number of Individual
Sources Risk3
15b 4 x 10"3
(1 site)
1,300C 5 x 10~5
(.2 sites)
26d 3 x 10"5
<1 site)
50 3 x 10"4
5 1 x 10~3
(1 sites)
66e 9 x 10~5
(2 sites)

Fatal
Cancers/yr
0.8
0.03
0.0043
0.07
0.07
1.0
2.0f
Population
w/in 80 km
2,200,000
30,000,000
1,900,000
9,400,000
28,000,000
95,000,000

SOURCE:  References  2 and 3.

8 The number of sites associated with  the maximum individual risk is shown below  the risk estimate
  in parentheses.  Other facilities are  estimated to have lower maximum individual  risks.  Number
  of sites for disposal of uranium mill  tailings with this MIR was not identified.

b In 1982, there were 139 underground  uranium mines in operation in the U.S.,  Currently, thirteen
  are producing ore and two are on standby.

c Over 1,300 surface uranium mines have  been identified in tlie U.S.  The risks are  based on 265
  mines, which account for over 99 percent  of all surface uranium ore production; 2 are operating
  and the other 263 are closed or in varying states of reclamation.

d Of these 26, four are operating, eight are on stand-by, and 14 are being or have  been
  discontinued.  Cancer risks based on the  twelve operating and stand-by facilities for operating
  and standby phases only.

e Of the 66 identifiable phosogypsum stacks, 63 are addressed in this assessment.

f Based on Reference 3, total cancer affects (fatal plus non-fatal) would be approximately 2.1
  cancer cases per year.
                                               C-48

-------
 Sources  of Uncertainty.   Source  term  measurement  errors  are  not

 considered significant compared  to  other  uncertainties.

      Atmospheric  dispersion models are a major source of  uncertainty.

 Studies  have  indicated that an uncertainty of approximately  a factor of

 about 2  for locations within 10  kilometers of the release  point can be

 expected for  estimates of annual average  concentrations.

      Dose estimates based on unit concentrations of radionuclides are a

major source  of uncertainty.  Much of this uncertainty reflects real

differences in individual characteristics within the general population.

Dose estimates should be accurate within  a factor of three or four.

      Risk estimate uncertainties are believed to be within a factor of

three of the true value.   Risk estimates  are continually being re-

evaluated as new information becomes available.

References
1.    U.S. EPA, Office of Radiation Programs.  Risk Assessment
      Methodology.  Environmental  Impact Statement.   NESHAPs for
      Radionuclides.  Background Information Document - Volume 1.
      520/1-89-005.   September 1989.
EPA
      U.S.  EPA,  Office of Radiation Programs.   Risk Assessments.
      Environmental  Impact Statement.   NESHAPs for Radionuclides.
      Background Information Document  - Volume 2.   EPA 520/1-89-006-1
      September  1989.

      U.S.  Environmental  Protection Agency.  National  Emission  Standards
      for Hazardous  Air Pollutants: Radionuclides.   Final  rule  and
      notice of  reconsideration.   54 FR 51654.   December 15,  1989.
                                 C-49

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Sewage Sludge Incinerators
      On an annual basis, approximately 1.7 million dry metric tons of
sludge are estimated to be incinerated in 282 sludge incinerators at 169
publicly owned treatment works (POTWs) in the United States.  The
incineration of sewage sludge is regulated under the Clean Air Act, the
Resource Conservation and Recovery Act, the Clean Water Act, and the
Toxic Substances Control Act.  Sewage siudge>incinerators use wet
scrubbing systems to control emissions.  These systems have been
designed primarily to control particulate emissions to meet both Federal
and State requirements.
      The Office of Water, U.S. EPA, proposed standards on February 6,
1989, (54 FR 5746) that would control seven toxic metals and total
hydrocarbons from sewage sludge incinerators (see Table C-22).  As part
of this regulatory work, the Office of Water estimated both cancer and
noncancer risk.  The unit risk values for cancer risk were estimated
based upon work completed by the U.S. EPA Carcinogen Assessment Group
(CAG).  The risk assessment considers only exposure due to inhalation.
      In brief, the methodology used to estimate risk combined site-
specific treatment plant data with air dispersion information for ten
sites that serve as model facilities.  Each  POTW was assigned to one of
the 10 model incinerators.  Although these model facilities served as
the basis for the fate and transport modeling, individual
characteristics (e.g., volume of sludge incinerated daily) of each
incinerating POTW were used  in the risk analysis.  One facility  in each
of the 10 groups of incinerators was modeled to determine  its air
dispersion characteristics by using the Industrial Source  Complex
Long-Term  (ISCLT) model  supplemented by LONGZ model and the COMPLEX  I
model to account for terrain effects  in urban and rural settings,
                                  C-50

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                              TABLE  C-22

              POLLUTANTS  FROM  SEWAGE SLUDGE  INCINERATORS
                FOR WHICH STANDARDS  HAVE  BEEN  PROPOSED
Pollutant
Arsenic
Beryllium
Cadmium
Chromium
Lead3
Mercury
Nickel
Total Hydrocarbons'5
Carcinogen (C)/Noncarcinogen (NC)
C
C
C
C
C
NC
C
C, NC
Lead has recently been designated as a B2 carcinogen.

Includes both carcinogens and noncarcinogens.  Carcinogenic
hydrocarbons include such compounds as carbon tetrachloride, vinyl
chloride, and PCB's.
                                C-51

-------
respectively.  Population data for each of the facilities were generated
from the Human Exposure Model (HEM).
      The results of the risk analysis showed that,  under current
conditions, exposure to seven metals  and total hydrocarbon emissions
from sewage sludge incinerators results in a projected upper bound
estimate of 13 cancer cases per year and a maximum individual risk (MIR)
of 5 x 10"2 summed  across  all  pollutants.  Most of the annual  cancer
incidence is projected to result from exposure to cadmium (see Table
C-23).  However, adjusting the unit risk factors to those reported in
Table 2-6 of this report results in an estimated 37 cancer cases per
year, with most of the annual incidence attributed to vinyl  chloride.
This occurs because the unit risk factor for vinyl  chloride is
approximately 10 times larger than that used in the sewage sludge
incinerator study.
      The estimates of risk from sewage sludge incinerators are
especially sensitive to the assumptions made concerning the metal
removal efficiencies of the scrubbers, and the percent of chromium
emissions that is hexavalent.  Other factors affecting the risk
estimates  include:  (1) the assumption that all particulate emissions
remain airborne  (thus maximizing their potential for inhalation by the
maximum exposed  individual) and (2) the constituent concentrations in
the  sewage sludge being incinerated.  The constituent concentration data
used in the  analysis are  believed  to underestimate the content of
organic pollutants and to overestimate the content of metal pollutants
in the sewage sludge.  This  uncertainty is due to the fact that the data
on the sewage sludge used in  the risk assessment were collected prior to
the  implementation of many pretreatment programs.  Pretreatment programs
that are  available for a  limited number of metals may lower the
                                   C-52

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                             TABLE  C-23

                ESTIMATED CANCER  INCIDENCE BY  POLLUTANT
                   FOR SEWAGE  SLUDGE  INCINERATORS
 Pollutant
                                                     Cancer Cases Per Year
Arsenic
Beryllium
Cadmium
Chromium
Nickel
Total Hydrocarbons
Acrylonitrile
Aldrin
Benzene
Benzidine
Benzo(a)pyrene
Bis(chloromethyl)ether
Chlordane.
Chloroform
Chloromethane
Chloromethyl methyl ether
Dibenzo(a,b)anthracene
1,2-Dibromo-3-chloropropane
Dieldrin
Diethylstilbestrol
Heptachlor epoxide
2,3,7,8 Hexachloro-dibenzo-p-dioxin
3-Methylcholanthrene
2-Nitropropane
N-Nitrosodiethylamine
N-Nitrosodimethylamine
PCBs
2,3,7,8-Pentachlorodibenzo-p-dioxin
Reserpine
2 , 3 , 7, 8- Tet rach I orodi benzofuran
2,3,7,8-Tetrachlorodibenzo-p-dioxin
Other tetrachlorodibenzo-p-dioxin
Tetrachloroethylene
Vinyl chloride
0.17
<0.01
3.3
0.26
0.28
8.6
0.98
0..02
0.09
0-26
1.52
0.25
0.15
0.10
0.01
0.01
0.06
0.05
0.01
0.56
0.01
0.01
0.01
0,25
0.17
0.06
0.76
0.29
0.01
0,08
0,02
0.02
0.10
2.7a
TOTAL
                                                           13
SOURCE:  Reference  1, p. 7-55.

 a Adjusting this estimate to the unit risk factor  reported  in Table 2-6 of this
   report results in an  estimate of 27 cancer cases per year from vinyl chloride,
   for a total of 37 cancer cases per year from sewage sludge incinerators.
                                  C-53

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concentrations of these metals in sewage sludge.   On the other hand,  the
Domestic Sewage Sludge Exclusion of RCRA may channel more organic wastes
into municipal sewers as limits are imposed on the land disposal  of
hazardous wastes, particularly liquid wastes, thereby increasing the
concentration of organic pollutants in municipal  sewage sludge.
References
1.  U.S. Environmental Protection Agency.  Human  Health Risk Assessment
    for Municipal Sludge Disposal:  Benefit of Alternative Regulatory
    Options.
2.  U.S. Environmental Protection Agency.  Standards for the Disposal of
    Sewage Sludge.  Proposed Rule.  54 FR 5746.  February 6, 1989.
                                  C-54

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 Super-Fund Sites
       As of May 1988 there were 800 Superfund  sites  listed on  the
 National  Priorities  List (NPL).   Approximately 20  percent  of these  sites
 were  placed on  the NPL  because  of a high  air score on  the  Hazard Ranking
 System (HRS).   This  means  that  the site had observed air releases that
 were  significantly above background concentration.   In addition, there
 have  been estimates  that approximately 40 to 60 percent of the  sites  on
 the NPL  have a  significant air  component that  must be  considered either
 as a  result of  disturbing  the site to implement a  remedy or implementing
 the selected remedy  itself (e.g.,  air stripping, incinerator, or soil
 vapor  extraction).   For  many of  these sites, the air emissions would
 include  a  variety of potentially  toxic air pollutants.
       Each  Superfund site  is unique  as to the mix of air toxics that may
 be released.  This uniqueness is  due to the fact that  the types of air
 toxics released depends  on the type  of hazardous materials  located at
 the site, which will  vary  from one  site to the next.   Most of the air
 toxics data  obtained has been the  identification of the type of
 hazardous materials at individual  sites that may result in the release
of air toxics.   Quantifying the levels of emissions has begun at a
number off-sites.  Thus, there are no national  estimates of cancer risk
from air toxics released from Superfund sites.
References
1.  Memorandum.   D.  Dunbar, PEI  Associates,  Inc.,  to  K. Meardon, Pacific
    Environmental Services, Inc.  Superfund  Material  for Update Six
    Month Study.  September 1,  1988.  Attachment:   Superfund Sites.
                                  C-55

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Treatment, Storage, and Disposal Facilities for Hazardous Waste
Background.  Regulations to control organic air emissions as a class
from hazardous waste treatment, storage, and disposal facilities (TSDFs)
under Section 3004(n) of the Resource Conservation and Recovery Act
(RCRA) were promulgated on June 21, 1990.  These regulations apply to
process vents and  equipment leaks at TSDFs.  Proposal of regulations
that would apply to tanks, surface impoundments, and containers are
scheduled for late 1990.  A longer term effort  is planned to address
individual toxic constituent emissions as necessary to provide
additional health  protection.
     Nationwide cancer  incidence has been estimated through summing the
results from  a model that approximates the cancer incidence resulting
from each  individual facility  and maximum lifetime cancer risk  and  acute
and chronic non-cancer  effects have been estimated using a model
facility.  A  draft Background  Information Document (BID) dated  March
1988 was  developed to  support  the  proposal of  standards.  The  BID
provides  a detailed  review  of  the  TSDF  health  risk assessment.
Results.   The results  of the  health risk assessment  for  TSDF  organic  air
emissions indicate that there  are  about 140  cancer  incidences  per  year
due  to these  emissions.  Due  to the  large  number of  TSDF nationwide
 (over 2000 facilities)  and  the lack of site-specific data  about these
 facilities,  health risks have been estimated using models.   Organic
 emissions have been  calculated for each TSDF individually through  a
 model  that uses site-specific data where it is available and national
 averages for missing information.   Cancer incidences associated with
 these emissions were calculated using a weighted average national  cancer
 potency estimate.  The weighted average potency was developed by
 weighing the national TSDF emissions of all non-carcinogens at a potency
                                   C-56

-------
 of zero with the national  TSDF emissions of each carcinogen at its
 specific potency.  The results of this analysis are summarized in Table
 C-24.   While estimating site-specific emissions and potencies based on
 national average parameters causes a high degree of uncertainty for
 site-specific cancer incidence estimates, summing to a nationwide total
 yields a reasonable estimate of total  cancer incidence.
     The TSDF health risk  assessment further shows that  the maximum
 lifetime cancer risk to the most exposed individual  is.2 in 100
 (2 x 10~2).  Because the emission estimates for individual facilities
 that are calculated by the national  emission model  are highly uncertain,
 another analysis was used  to calculate maximum  cancer risk.   Two  model
 facilities were selected for analysis.   The  operation of these  two
 facilities were then characterized  in  terms  of  the  facility layout of
 waste  management units and the  types of wastes  managed.   Maximum  risks
 for the two  facilities were calculated  through  emission  models  and
 dispersion models  identifying the maximum ambient concentration of
 organics.  The  same  average potency  used  for  calculating  cancer
 incidence was used with  the concentration  to  determine risk.  The  higher
 of  the  risks calculated  for the  two facilities was used  as  the maximum
 individual cancer risk.  A major source of uncertainty in this
 assessment is the selection  and  characterization of the  facilities used
 to  estimate maximum  risk and the use of the average potency.
     The same two facilities that were used to calculate cancer risk
were also used to assess non-cancer risks.  Both short-term (acute) and
long-term (chronic) non-cancer endpoints were compared to the ambient
concentrations predicted for the two model facilities.  The short-term
concentration did not exceed any available level of concern and the
long-term concentrations did not exceed available acceptable daily
                                  C-57

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                    TABLE C-24



EMISSIONS-WEIGHTED COMPOSITE UNIT RISK FACTOR (URF)
Chemical
name (carcinogen)
1 , 1-d ! ch 1 or oethy tone
1,2-dtphenyl hydrazine
l,2-d!bromoothane
1 , 2-d i bromo-3-ch 1 oropropane
1,2-dlch loroethane
l,4-d!ox»ne
2-nitropropane
acetaldehyde
acetonitr! le
aery 1 amide
•crylonitri lo
aldrin
ally! chloride
an! line
benzene
benzotr} chloride
benzo(a)pyrene
benzo (b) f 1 uoranthene
benzy 1 ch 1 or i de
benz (a) anthracene
b i s (ch 1 o romethy 1 ) ethe r
bl s (2-ch 1 oroethy 1 ) ether
bis(2-othylhoxyl)phthalate
bromo-2-ch 1 oroethane
butadiene
carbazole
carbon tetrachloride
chlordane
chloroform
chloromethyl methyl ether
ch 1 oron 1 trobenzene
chrysene
creosote
fiftT
W 1
d ! benz (a , h) anthracene
dlchlorobonzene(l,4) (p)
dichloropropene
dimethoxy benzidlne, (3,3')
dimethyl phenol
dimethyl sulfate
dinitrotoluene
eplchlorohydrin
ethyl aery late
ethyl carbamate
LDR8 uncontrolled
emissions, Mg/yr
1,093
1
0
2
23,101
270
8
6,214
469.100
74
17,770
34
248.600
5,380
6164.000
21.653
2
1.219
289.800
0.230
374
0
338.062
10.310
115
46.760
16,920
8
4,586
0
2508.980
0.316
37.110
27
0.053
0.085
30.540
0.000
21.310
0.192
250.000
1,595
28.920
12.180
URF
6.0 x 10~5
2.2 x 10-4
2.2 x 10"4
5.0 x 10-3
2.6 x 10-B
1.0 x 10-6
3.0 x 10-3
2.2 x 10-6
1.0 x 10-3
6.8 x 10-5
4.9 x 10-3
1.0 x 10-5
8.0 x 10-6
1.7 x 10-3

8.9 x 10-4
3.3 X 10~4

.
2.8 x 10~4
1.5 x 10-5
3.7 x 10~4
2.3 X 10-5
2.7 x 10-3


3.0 x 10~4
1.4 x 10-2




8.8 x 10-5
1.2 x 10-6

— -
URF x emissions for chemical
Total TSDF emissions
3.0 x 10-8
8.8 x 10-H
0
4.6 x 10-9.
3.3 x 10-7
1.6 x 10-10
1,4 x 10-8
7.4 x 10-9
4.0 x 10-8
6.6 'X 10-7
8.9 x 10-8
2.9 x 10-8
2.7 X 10-8
1.4 x 10-9

1.1 x 10-10
0


1.8 x 10"8
1.4 x 10-7
1.6 x 10-9
5.7 X 10-8
0


4.6 x 10-9
4.0 x 10-10




1.2 x 10-8
1.0 x 10-9

/ 	 !_• 	 l\
                         C-58

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                                       TABLE  C-24



          EMISSIONS-WEIGHTED  COMPOSITE UNIT RISK FACTORS  (URF)  (concluded)
Chemi ca t
name (carcinogen)
ethyl ene di bromide
ethylene imine (azaridine)
ethylene oxide
formaldehyde
gaso 1 t ne
heptach 1 or
hexach lorobenzene
hexach lorobutadiene
hexach loroethane
hydraz i ne
i ndeno (123-cd) pyrene
lead acetate
lead subacetate
1 indane
methyl chloride
methyl cholanthrene (3)
methyl hydraz ine •
methyl iodide
methylene chloride
nitrobenzene
n i tro-o-to 1 u i d i ne
n-n i trosopy rro 1 i d i ne
n-n i troso-n~methy I urea
parathion
pentach 1 oroethane
pentach 1 oropheno 1
phony 1 ene diamine
polychlorinated biphenyls
propylene dichloride
sty rene
TCDD (tetrach lorodi benzo-p^dio)
tetrach loroethane(l ,1,1,2)
tetrach 1 o roe thy 1 ene
th i ourea
toluene diamine
toxaphene
tr i ch 1 oroethane (1,1,2)
tr i ch 1 oroethy 1 ene
trichlorophenol
v i ny 1 ch 1 or i de'
Total nationwide
uncontrolled emissions
LOR uncontrol led
emissions, mg/yr
10
51640.000
0.000
2,646
2,742
1
158
45780.000
1,553
238
0.033
1.901
0.000
9.5 x 10~5
58
5
8
0.000
16,676
5438.900
0.000
0.000
0.000
75.950
2458.000
27.630
1171.000
0.061
45.460
682.499
0.310
7,135
17,271
5
21.718
56
18,458
56,353
30
626

1,839,267
URF
2.2 x 10-4

1.0 x 10-4
1.3 x 10-5
6.6 x 10-7
1.3 x 10-3
4.9 x 10-4
2,2 x 10-E
4.0 x 10-6
2.9 x 10-3



3.8 x 10-4

3.0 x 10-3


4.7 x 10-7


6.1 x 10-4
8.6 x 10-2







33
5.8:x 10-5
5.8 x 10-7
5.5 x 10-4

3.2 x 10-3
1,6 x 10-5
1.7 x 10-6
5.7 x 10-6
4.1 x 10-6


URF x emissions for chemical
Total TSDF emissions
. 1.2 x 10-9

0.000 .
1.9 x 10-8
9.8 x 10-10
8.6 x 10-10
4.2 x 10-8
5.4 x 10r7
3.4 x 10-9
3.8 x 10-7



2.0 x 10-14

8.6 x 10-9


4.3 x 10-9


0
0







5.6 x 10-6
2.3 x 10-7
S.4 x 10-9
1.5 x 10-9

9.8 x 10-8
1.6 x 10-7
5.2 x 10-8
9.6 x 10-H
1.4 x 10-9

8.6 x 10-6

aLDR = Land disposal  restrictions.
                                          C-59

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intake benchmark levels.  The major source of uncertainty,  beyond the

uncertainty associated with the selection and characterization of the

facility as noted above under cancer risk, is the characterization of

the specific non-carcinogenic constituents and their concentrations.

References

1.  U.S. EPA, OAQPS.  Hazardous Waste TSDF - Background Information for
    Proposed RCRA Air Emission Standards.  Volume I - Chapters.
    Preliminary Draft EIS.  March 1988.

2.  U.S. EPA, OAQPS.  Hazardous Waste TSDF - Background Information for
    Proposed RCRA Air Emission Standards.  Volume II - Appendices.
    Preliminary Draft EIS.  March 1988.
                                   C-60

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 Waste Oil  Combustors
       In 1985 estimates supplied by the Office of Solid Waste,  about 638
 million gallons of waste oil  were combusted.   Based on the available
 data,  there are nine hazardous constituents in waste oil  known  to be
 emitted from combustion sources.   Cancer risks were estimated for nine
 pollutants based on the availability of cancer potency estimates,  while
 maximum concentration estimates were also estimated for the lead
 emissions  (See Table C-25).   Other known hazardous  emissions such  as
 formaldehyde are emitted from all  oil  combustion,  but this study was
 designed to focus only on those pollutants  that would be  emitted at
 rates  exceeding those found  in virgin  fuels.   Therefore,  the pollutants
 included in this study were those  contaminants that were  not normally
 found  in virgin oils or those with  waste oil concentrations higher than
 those  typically found in  virgin oils.
       The  emission  factors for the  ten  pollutants studied  were
 calculated  from the  typical level  of these  pollutants  found in waste oil
 (Table  C-26).   These values were based  on several sampling studies.
Although virgin  oil  combustion generates  very  little  or no bottom  ash,
typical  waste  oils will generate some bottom ash because not  all the
constituents in  waste  oil can  be burned.  Thus, assuming that 100
percent  of  the  contaminants entering the  boiler in  the waste oil feed
are emitted  in  the flue gas would overestimate emissions.   Earlier
studies  provided  enough data  to estimate the partitioning  and/or
destruction efficiency for each pollutant of concern.  Since waste oil
is mostly burned  in  virgin oil combustion devices which are typically-
uncontrolled,  it was assumed that no air pollution control devices were
being used at  any facility.
                                  C-61

-------
                              TABLE C-25

         CANCER RISK ASSESSMENT RESULTS - WASTE OIL COMBUSTION
                        METHOD  1
                  (based on 633  residual
                     oil facilities)
                    Maximum
                    Individual     Annual
       METHOD 2
(based on 70 facilities
known to burn waste oil)
 Maximum
 Individual      Annual
   Risk         Incidence
KOI lutani 	
Arsenic
Cadmi urn
Chromium (+6)
Trichloroethylene
Tetrachl oroethyl ene
Benzene
Benzo(a)pyrene
Polychlorinated
biphenyls
Total
Maximum Long-Term
Lead Concentration
[\ 1 3N 	 XII
2.4 x 10"6
3.2 x 10'7
3.2 x 10"8
6.2 x 10'11
4.7 x 10"11
8.3 x 10'10
2.3 x 10"9
3.8 x 10"9

2.7 x 10'6
0.0047

0.48
0.064
0.0065
0.000013
0.0000096
0.00017
0.00047
0.00077

0.56
/iQ/m3

1.6 x 10'4
2.1 x 10"5
2.1 x 10"6
4.1 x 10"9
3.1 x ID'9
5.4 x 10'8
1.5 x 10"7
2.5 x 10'7

1.8 x 10'4


0.087
0.012
0.0012
0.0000022
0.0000017
0.000030
0.000085
0.00014

0.10
0.33 /ig/m3

SOURCE:  Reference 1, page 3.
                                   C-62

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      Two approaches were used in this study.  The first approach used
to assess waste oil combustion risks directly incorporated the results
of the residual oil combustion analysis.  This approach assumes each
U.S. residual oil burner also combusts a proportionate amount of waste
oil.  Thus, OAQPS could reuse the existing dimensionless HEM residual
oil results by making simple modifications to the Boiler Computer Model
(BCM) to accommodate the different fuel rates and emission factors
required to evaluate waste oil combustion emissions.
      The second approach focused on those specific boilers that are
known to burn waste oil.  These combustors were identified by searching
through an OAQPS data base" (the National Emissions Data Systems or NEDS)
to obtain a list of boilers burning waste oil.  With this approach, each
boiler required a HEM analysis (using the dimensionless emissions rates)
and a BCM analysis to convert the HEM results to risk values.  Since not
all of the waste oil being burned in the U.S. was accounted for in those
waste oil burners identified by OAQPS, the annual incidence results were
scaled to national estimates by the ratio of sample waste oil use to
national waste oil use.  The estimated maximum individual risk
associated with this sample of boilers was assumed to be representative
of the entire population of waste oil units.
      As can be noted in Table C-25, there is approximately two orders
of magnitude difference between maximum individual risk estimates for
the two approaches.  Given that Approach 2 is based on actual reported
quantities .of waste oil burned, and that this risk statistic depends
largely on site-specific characteristics, we believe that the results
from Approach 2 are to be preferred.  On the other hand, given the
inherent uncertainties of the risk assessment process, the two
approaches produce aggregate  risk estimates  that are quite similar  (0.56
                                  C-64

-------
 versus  0.10  cases/year).   Because the NEDs data base  is biased towards
 larger  capacity  units, which tend to produce lower estimates of risk per
 unit  of fuel,  the  aggregate risk estimates from the first approach
 probably reflect more accurate estimates of national  exposure.
      Due to the nature of the risk assessment methodologies, an
 understanding  of the uncertainties within the analysis is as important
 as the  results.  A  brief summary of these uncertainties follows:
      1.   There are significant data gaps in our knowledge of the number
 and toxicity of  pollutants being emitted from waste oil combustion.
 This  study has included only those pollutants that have been measured in
 waste oil and  are  known as probable carcinogens.
      2.   Site-specific emissions and fuel contaminant level data were
 not available; average values were used.
     3.   The study  assumes a steady-state condition in which fuel  use
 patterns, control  technology, and population remain constant over a
 period  long enough  to evaluate the cancer risk (a 70-year lifetime).  It
 is certainly reasonable to expect that one or more of these parameters
 will change substantially over the study period.
     4.  The uncertainty in the estimates of carcinogenic potency is
 considerable.  For  the most part,  unit risk estimates represent
 plausible upper  bounds of the cancer risk.   The estimates have been
 derived from studies of workers or test animals exposed to levels  of the
 substances much  higher than those found or modeled in the ambient  air.
 It is not clear  how applicable these exposures  are to the lower
 concentrations of trace constituents present in the atmosphere due to
waste oil combustion emissions.   The aggregate  cancer incidence
estimates reflect the exposure of large numbers of people to low
pollutant concentrations.   In addition,  cancer  risks  were evaluated for
                                  C-65

-------
each pollutant and total risks were calculated by adding individual
pollutant risks.  Synergistic or antagonistic effects that may be
associated with complex mixtures of pollutants have not be calculated.
     5.  Only cancer risks have been estimated.  Although this
represents an important portion of the health concern about such
mixtures, the possibility of other health effects was not examined.
     6.  There is a potential for exposure by routes other than direct
inhalation.  Although few data are available to estimate the relative
contribution to exposure from the deposition and subsequent re-
suspension or ingestion of emitted compounds, some affect on soil and
water levels and subsequent exposure would be expected.
     7.  There are numerous simplifying assumptions in exposure
assessment.  The estimation of human exposure requires simplifying
assumptions about the dispersion of the pollutants such as assumptions
about terrain features  (assumed flat terrain) at each boiler site and
the use of the nearest  meteorological data site as representative of the
study area.  Maximum individual lifetime risk is particularly sensitive
to changes in such assumptions.  Further, exposures beyond 50 kilometers
were not examined.
     Based on the above uncertainties within this  analysis, we believe
that this study does not provide accurate, absolute estimates of public
risk.  The study results must be viewed as rough estimates with error
bands  in the range of orders of magnitude.
References
1.  Peters, W.D. and Fegley, R.  U.S. Environmental  Protection Agency.
    Waste Oil Combustion Cancer Risk Assessment.   Technical Staff Paper.
    October 1987.
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 Woodstoves
       Many studies on woodstove emissions have been undertaken as a part
 of EPA's Integrated Air Cancer Project (IACP).  The goals of the IACP
 are to (1) identify the principal airborne carcinogens, (2) determine
 which emission sources are major contributors of carcinogens to ambient
 air, and (3) improve the estimate of human exposure and comparative
 human cancer risk from specific air pollution emission sources
 (Reference 1).  The initial phases of the IACP were aimed at quantifying
 carcinogens emitted from residential  woodstoves and motor vehicles
 because data at that time indicated that these two sources made a
 significant contribution to the mutagenic activity of ambient air
 samples.
       Initiaf IACP studies were conducted in Raleigh,  NC,  and
 Albuquerque,  NM,  two communities with relatively simple airsheds  where a
 significant percentage of the homes use wood as the major heating fuel.
 These initial  IACP studies emphasized field  and laboratory evaluation  to
 select sampling and analysis  methodologies for a major field study
 initiated in  Boise,  ID,  in the winter of 1986-87.   These  field  studies
 were designed  to  simultaneously sample and characterize.the  emissions  at
 the  source,  in  the ambient air near to specific sources,  and in the
 ambient air distant from the  sources.   Sampling indoors and  outdoors of
 homes  both  with and  without woodstoves was conducted to provide an
 indication  of  total  human  exposure.
       Other studies  on woodstove  emissions conducted under the  IACP or
                                                                         s
 elsewhere have  included  examining  (1)  the  mutagenicity  of  woodsmoke
•(References 2  and  7),  (2)  the  chemical  characteristics  of  respirable
 particulate matter (Reference  7),  (3)  the  effect of photooxidation
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reactions and aging by itself on the mutagenic activity of woodsmoke
(References 3 and 4), (4) the relative mutagenic activity
of the gas-phase reactants and products compared to that of the
particulate phase (Reference 4), and (5) the relative mutagenicity and
carcinogenicity of particle bound organics in woodsmoke with a variety
of other sources of incomplete combustion products (References 5 and 6).
      One study has estimated a unit risk factor of 1.0 x 10'5  for
woodstove emissions (Reference 6).  Combining relative potencies with
the percentage organic extractable matter and particle emission rates
suggests that woodstove emissions make a significantly greater
contribution to ambient hazardous organics than the use of residential
fuel oil on a mutagenic emission rate per joule of energy basis.  More
research is being undertaken to understand the relationship between the
emissions, potential  atmospheric transformations, human exposure,
dosimetry, and final  cancer risk from woodstove emissions as well as
other sources of products of incomplete combustion.
References
1.  Cupitt, L. and Joel 1 en Lewtas.   EPA's  Integrated  Air  Cancer  Program.
    Proceedings of US-Dutch Expert  Workshop  on Air Toxics, Amersfoort,
    The  Netherlands,  May  16-18,  1988,  in  press.
2.  Claxton,  L.D., et. al.  The  Mutagenicity of Ambient  and Source
    Samples from Woodsmoke-Impacted Air Sheds.  Proceedings of the  1987
    EPA/APCA  Symposium on Measurement  of  Toxic  and Related Air
    Pollutants, APCA, Pittsburgh,  PA,  pp.  591-596.1987.
3.  Kamens,  R.M.,  et. al.  "Mutagenic Changes in Dilute Wood Smoke  as  It
    Ages and  Reacts  with  Ozone  and  Nitrogen  Dioxide:   An  Outdoor Chamber
    Study,"  in  Environmental  Science Technology,  Vol. 18,  No.  7,  1984.
    pp.  523-530.
4.  Kleindienst, T.E.,  et.  al.  "Woodsmoke:   Measurement of the Mutagenic
    Activities  of  Its Gas-  and  Particulate-Phase  Photooxidation
     Products,"  in  Environmental  Science Technology,  Vol.  20,  No.  5,
     1986,  pp.  493-501.
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5.
6.
7.
Lewta's, J. "Comparison of the Mutagenic and Potentially Carcinogenic
Activity of Particle Bound Organics from Woodstoves, Residential Oil
Furnaces, and Other Combustion Sources."  1981  International
Conference on Residential Solids Fuels, pp. 606-619.  1982.

Lewtas, J. "Genotoxicity of Complex Mixtures:   Strategies for the
Identification and Comparative Assessment of Airborne Mutagens and
Carcinogens from Combustion Sources," in Fundamental and Applied
Toxicology. Vol. 10, No. 4, May 1988.  pp. 571-589.

Watts, R.R.,  et. al.  "Wood Smoke Impacted Air:  Mutagenicity and
Chemical Analysis of Ambient Air in a Residential Area of Juneau,
Alaska," in AP'CA Journal. Vol. 38, No. 5, pp, 652-660.  July 1988.
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                      NONCANCER HEALTH RISK PROJECT
(Note:  The following is the Executive Summary taken from Toxic Air
Pollutants and Noncancer Health Risks:  Screening Studies (U.S.
Environmental Protection Agency,  Office of Air Quality Planning and
Standards, Research Triangle Park, NC, 27711) Final  External  Review
Draft.  September, 1990.  For additional information on the noncancev*
health risk project, contact Beth Hassett-Sipple, Pollutant Assessment
Branch, (919)-541-5346.)
      Greater than 2,000 man-made chemicals have been detected in
ambient air.  Many of these chemicals are known to cause adverse health
effects in exposed humans or laboratory animals.  Historically, the
evaluation of risks associated with exposure to toxic air pollutants has
focused on the potential for a carcinogenic response.  In a recent
Agency-wide comparison  of environmental risks, noncancer risks
associated with exposure to toxic air pollutant were  among the Agency's
highest concerns.  To better understand the potential for the  occurrence
of adverse noncancer  health effects as  a result  of  exposure to routine
emissions of toxic  air  pollutants, the  Environmental  Protection Agency
(EPA)  Office of Air Quality Planning  and Standards  (OAQPS) conducted the
subject screening studies.
Approach
       The screening studies represent approaches taken to  characterize
the  potential  noncancer risks  associated with  exposure to  toxic  air
pollutants,  each  looking at slightly  different aspects of  the  question.
The  initial  phase included  review of  case  reports;  State,  local,  and
Federal agencies'  experiences;  health effects  literature;  and  exposure
data (i.e.,  modeled and monitored ambient  concentrations).   From this
information,  two  assessments  were conducted  by OAQPS:  (1)  an  evaluation
of the potential  nationwide noncancer problem, and  (2)  a more  complete
analysis  of a typical industrialized  urban area.
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Nature of the Problem
      Several data sources were evaluated in the screening studies.
These included:  incidences of noncancer diseases in the United States;
reports of noncancer effects linked with nonoccupational exposures to
industrial air releases; and experiences of State, local, and Federal
agencies involved in the regulation of toxic air pollutants.  The data
support the finding that adverse noncancer effects are an important
public health concern and that environmental factors may play an
important role in disease incidence.  A survey of State, territorial,
and local agencies indicated that a number of air releases,  with the
potential to result in serious noncancer health effects in the exposed
population, are likely to occur each year.  Many State and local air
pollution control agencies have required additional  air pollution
control equipment for sources emitting toxic air pollutants  specifically
to reduce potential noncancer effects.
Available Exposure Data
      An evaluation of available exposure data for toxic air pollutants
revealed that air releases of these pollutants are widespread, but
neither a comprehensive monitoring or modeling data base nor a complete
toxicity data base exists.  Biological indicators studied (e.g., human
adipose and other tissue samples) revealed that many chemicals found in
the atmosphere also have been detected in human tissues.  Although other
exposure pathways besides inhalation are expected to contribute to the
presence of these chemicals in human tissue samples, air exposures can
not be ignored.
OAQPS Analyses - Broad Screening and Urban County Studies
      To examine the potential association between noncancer health
                                                        s
effects and exposure to toxic air pollutants, two studies were
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undertaken by OAQPS.  In both cases, data limitations precluded
quantification of the magnitude of noncancer risks.   However,  the data
do indicate ambient air concentrations of many pollutants may
significantly contribute to potential noncancer health risks associated
with environmental exposure.
      The assessments were conducted by comparing modeled and/or
monitored ambient concentrations to health reference levels and lowest-
observed-adverse-effect levels (LOAELs).7  The Broad Screening Study
examined exposure to individual or multiple pollutants in ambient air
based on exposure data from many areas of the country.  Exposure data
included ambient concentrations for approximately 325 pollutants
monitored throughout the United States and annual averaged ambient
modeled concentrations for approximately 40 pollutants emitted from more
than 3,500 facilities.  Health data and quantitative exposure data were
available for only about 150 pollutants, less than ten percent of the
chemicals which have been detected in ambient air.  For those few
chemicals with both health and exposure data, noncancer health risks
appeared to be of concern.  For approximately half of these chemicals,
modeled and/or monitored levels exceeded health reference levels at
numerous sites through the country.  Ambient levels for approximately
one-third of these chemicals exceeded the health reference level at more
than 25 percent of the sites studies.  Less than 5 percent of sites and
     7  Health  reference  level  .-   The   LOAEL  divided  by  appropriate
uncertainty  factors  to  account for  inter- and intra-species variability
and  identifies their  LOAEL  versus   a  NOAEL  (no-observed-adverse-effect
level).
      LOAEL  -  In  a study, the lowest dose  or exposure level  at which a
statistically  or  biologically significant  effect  is  observed  in  the
exposed  population compared  with  an unexposed control  group.   The study
LOAEL was converted  to an  human equivalent level  for  comparison with
exposure  levels in the  analyses conducted.
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 chemicals indicated ambient concentrations exceeding LOAELs.  These
 exceedances were seen with short-term and long-term ambient monitored
 concentrations.  Modeling of short-term emissions was not performed
 because of data limitations.
       The simultaneous presence of several  pollutants in ambient air is
 a frequent occurrence.  When considering the potential  impact of
 exposure to chemical  mixtures,  combined exposures were  of concern for
 several  types of health endpoints  (e.g.,  reproductive/developmental
 toxicity,  respiratory toxicity,  etc.)  in  many geographical  areas.   The
 impacts  of chemical mixtures were  frequently dominated  by a small  subset
 of chemicals.   For  example,  15  chemicals  associated  with neurotoxic'
 effects  may have been monitored  at one  location  though  only two  or three
 chemicals  were  monitored  at  concentrations  that  contributed
 significantly to health reference  level exceedances.
       The  second analysis  involved a more detailed evaluation  of a
 midwestern  industrialized  urban  county.  This  analysis  expanded  the
 number of  chemicals evaluated in the Broad  Screening  Study  and assessed
 the combined  impact of multiple  emission sources  versus  the  impact of
 sources  independently.  Approximately 200 chemicals from  122 point
 sources  plus 9  area sources were evaluated.  Health reference levels and
 LOAELs were compared  to modeled pollutant concentrations  in three
 independent modeling  exercises.   Results suggested that a larger number
 of pollutants exceeded  health reference levels for short-term modeled
 concentrations than for long-term modeled concentrations.  Ambient
 concentrations were estimated to exceed health reference levels for
 long-term concentrations predicted by the Industrial  Source Complex-Long
Term model and the Human Exposure Model  (4 and 8 percent of pollutants
respectively) and short-term (24-hour)  concentrations predicted by the
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SCREEN model (22 percent of pollutants).   Estimated  long-term
concentrations did not exceed any pollutant LOAELs.   Estimated short-
term (24-hour) concentrations exceeded LOAELs for approximately 2
percent of the pollutants assessed.  In general,  proximity to individual
sources was a significant factor in determining degree of potential
exposure.  Another important finding of this study was that the additive
contribution for a single pollutant emitted from a variety of sources
resulted in health reference level exceedances over a broad geographic
area.
Conclusions
      Based upon analysis of the available data, it is clear that
environmental exposures to toxic air pollutants have the potential to
adversely impact public health.  Although the magnitude of such
noncancer risks can not be estimated from the available data, the broad
implications of this  study suggest that public health risks resulting
from exposure to toxic air pollutants  are not limited to carcinogenicity
which has traditionally been the focus of regulatory programs.   For
certain  pollutants, the combined impact of multiple sources may  result
in  substantial exposure to many people.  This finding suggests that the
problem  may not be limited to  large point  sources,  but that  smaller
point sources and area sources that are numerous  in populated  areas can
not be  ignored.  Similarly,  exposure  to chemical mixtures may  result  in
adverse  noncancer health  risks that might  not be  predicted  if  only
impacts  of  individual pollutants  are  considered.
      The sparseness  of  available  data represents the principal
limitation  of the screening  studies.   Few  data were available  to aid  in
the prediction  of ambient concentrations  and the  derivation  of health
benchmarks.  Despite  the limitations,  however,  the  studies  support  a
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finding that toxic air pollutants represent a potential noncancer health
risk that warrants routine evaluation.
      In recent Congressional activity to amend the Clean Air Act, the
importance of adverse noncancer effects is emphasized.  Many provisions
of the proposed legislation focus on better understanding potential
noncancer public health risks and controlling emissions of toxic air
pollutants in order to reduce these risks.
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