svEPA
United States     Environmental Monitoring System!;   EPA-600/4-84-031
Environmental Protection Laboratory           April 1984
Agency        Research Triangle Park NC 27711
Research and Development 	
Study of Carbon
Monoxide Exposure of
Residents of
Washington, DC and
Denver, Colorado

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                                              EPA-600/4-84-031
                                              August 1984
     STUDY OF CARBON MONOXIDE EXPOSURE OF RESIDENTS
         OF WASHINGTON, DC AND DENVER, COLORADO

                           By

T.D. Hartwell, C.A. Clayton, R.M. Ritchie, R.W.! Whitmore,
       H;S. Zelon, S.M. Jones, and D.A. Whitehurst
                 Contract No. 68-02-3679
                    Project Officer:
                    Gerald G. Akland
      Environmental Monitoring System Laboratory
         U.S. Environmental Protection Agency
     Research Triangle Park, North Carolina 27711
      ENVIRONMENTAL MONITORING SYSTEMS LABORATORY
          OFFICE OF RESEARCH AND DEVELOPMENT   '   •
         U.S. ENVIRONMENTAL PROTECTION AGENCY
            Research Tri.angle Park, NC 27711

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                      NOTICE

This document has been reviewed in accordance with
U.S. Environmental Protection Agency policy and•'
approved for publication.  Mention of trade names
or commercial products does not constitute endorse-
ment or recommendation for use.

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                                          iii
                                  FOREWARD
     Measurement and monitoring  research  efforts  are designed to anticipate
potential environmental problems,  to support regulatory  actions  by develop-
ing an  in-depth  understanding of the nature and processes that impact health
and the  ecology, to provide  innovative  means of  monitoring  compliance with
regulations and  to evaluate  the  effectiveness  of health  and environmental
protection efforts  through  the monitoring of long-term, trends.  The Environ-
mental Monitoring  Systems Laboratory, Research Triangle Park, North Carolina,
has the  responsibility  for:   assessment  of environmental  monitoring  tech-
nology  and systems;  implementation of agency-wide quality assurance programs
for air  pollution measurement  systems;  and supplying technical  support  to
other groups  in  the Agency  including the Office of Air, Noise and Radiation,
the Office of Toxic  Substances and the Office of Enforcement.
                 -
     This document is  a  report of  the development  and application  of personal
exposure methodology for carbon monoxide to  the residents of Washington,  D.C.,
..during  the winter of 1982-83.  This  report  discusses  the methodology  used in
the study and the  results of  applying this methodology,.
                                     Thomas &. Hauser  ;.
                                         Director      |
                                 Environmental Monitoring
                                    Systems Laboratory

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                                   iv
                           TABLE OF CONTENTS
                                                                 Page

Disclaimer	  '  ii
                                                          •  • •    ,'    /
Forward	 *	    iii
                                                               .._••:!:

List of Tables 	'...'.	    viii

List of Figures	 ^.. '   xii
                           .->             ---.,,
List of Exhibits	    xiv

Acknowledgements	...'........    xv

Abstract 	....................    xvi


1.   INTRODUCTION				'."      1

2.   SUMMARY OF STUDY DESIGN AND PROCEDURES 	      4

3.   SUMMARY OF STUDY RESULTS AND CONCLUSIONS 	     10

4.   RECOMMENDATIONS 	     16

     4.1  Design Recommendations	     16

     4.2  Recommendations Concerning Field Operations
          and Data Collection	     17

     4.3  Recommendations for Further Statistical Analysis ...     21

5.   METHODS AND PROCEDURES	     23

     5.1  Survey Design	     23
          5.1.1  Selection of First-Stage Sampling Units
                 (FSUs)	     25
          5.1.2  Selection of Second-Stage Sampling Units
                 (SSUs)	     29
                 5.1.2.1  Selection of SSUs Within FSUs
                          With Donnelley Listings 	     29
                 5.1.2.2  Selection of SSUs Within FSUs
                          With No Donnelley Listings 	     35
          5.1.3  Screening Response 	     36
          5.1.4  Selection of the Third Stage Sample 	     41
          5.1.5  Third Stage Response	     46
          5.1.6  Variance Estimation and Screener Analysis ...     46

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Table of Contents (continued)
     5.2  Survey Activities			     48
          5.2.1  Public Relations Efforts in Denver 	     48
          5.2.2  Data Collection Instrument Development
                 and Approval	     49
          5.2.3  Phase I - Household Screening Survey 	     49
                 5.2.3.1  Computer Assisted Telephone
                          Interviewing (CATI) System 	     50
                 5.2.3.2  Telephone Interviewers 	     50
                 5.2.3.3  Interviewing	     51
          5.2.4  Phase II - Washington, DC Area Survey 	     54
                 5.2.4.1  Telephone Interviewing	     54
                 5.2.4.2  Final Document Preparation 	     57
                 5.2.4.3  Protection of Human Subjects 	     57
                 5.2.4.4  Field Staff Recruitment 	     57
                 5.2.4.5  Training the Field Staff; 	     58
                 5.2.4.6  Field Office	     58
                 5.2.4.7  Special Field Studies	     58
                          5.2.4.7.1  Missed Housing Units 	     59
                          5.2.4.7.2  Segments With No
                                     Donnelley Listing 	     59
                          5.2.4.7.3  No Previous Telephone
                                     Contact	     59
                 5.2.4.8  Regular Field Assignments  	    59
                 5.2.4.9  Breath Sampling	 .|	    61

      5.3  Field Measurements  and Quality Assurance! 	    62
          5.3.1  Description  of  the Ambient Monitors  	    62
          5.3.2  Description  and Verification of the Field
                 Standards  	-...'...	    64
          5.3.3  Preparation  of  CO Monitors  for the
                 Acquisition  of  a CO Exposure Sample  	    65
          5.3.4  Analysis Method for Carbon Monoxide
                 in Breath  	.'	    73
                 5.3.4.1  Description  of Method  ..!..	    73
                 5.3.4.2   Instrument Noise 	;..	    74
                  5.3.4.3   Instrumental Response Time	    74
                 5.3.4.4   Sample Bags  -  Recovery  Study  	    77
                  5.3.4.5   Sample Contamination  from  CBH  Bags .    77
                  5.3.4.6   Effect of Various  Parameters on
                           Breath CO Measurement  . i	    79
                  5.3.4.7   Interference Due to Plastic
                           Mouthpiece  ..	,,	    83
                  5.3.4.8   Effect of Concentrated  Organic
                           Compounds  on Monitor and Prefilter
                           Performance 	     83
                  5.3.4.9  Method Precision			     84
                  5.3.4.10 Analysis Procedure Used During
                           Field Sampling 		     84

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                                   vi
Table of Contents (continued)
     5.4  Data File Creation and Descriptions	     86
          5.4.1  Descriptions of Raw Data Files	     86
          5.4.2  Creation of Analysis Files 	     97
                 5.4.2.1  Creation of the Basic Analysis
                          File (BAF) 	     97
                 5.4.2.2  Creation of the Activity Analysis
                          File (AAF) 	    102
                 5.4.2.3  Creation of the Duplicate
                          Measurement File (DMF)	    110

6.   RESULTS AND DISCUSSION		    HI

     6.1  Survey Design Results	    Ill
          6.1.1  Household Screener Statistical Analysis .....    Ill
          6.1.2  Personal Item Statistical Analysis	    112
          6.1.3  Introduction to Sample Design Results 	    125
          6.1.4  Use of Geographically Classified Telephone
                 Directory Listings in Association With
                 Standard Area Household Sampling
                 Techniques	    125
          6.1.5  Lead Letter Results		.    134
          6.1.6  Sampling Person-Days	    134

     6.2  Field Survey Activities	    136
          6.2.1  Survey Post-Field Activities 	    136
          6.2.2  Post Data Collection Discussions	    139

     6.3  Field Measurements and Quality Assurance	    141
          6.3.1  Field Measurement Activities	    141
                 6.3.1.1  Personal Exposure Sampling	    141
                 6.3.1.2  Analysis of CO Levels in
                          Respondent Breath Samples	    144
                 6.3.1.3  Fixed Site CO Data	    144
          6.3.2  Problems With Monitors	    146
                 6.3.2.1  The COED-1 (GE/Magus) Monitor .	.    146
                 6.3.2.2  The GE/HP Monitor	    158
          6.3.3  Quality Assurance Activities	    161
                 6.3.3.1  Quality Assurance Project Plan .....    161
                 6.3.3.2  External (EPA-Conducted)  QA
                          Systems Audits	    161
                 6.3.3.3  Internal (RTI-Conducted)  QC Audit ..    161
                 6.3.3.4  Multipoint Calibrations to Assess
                          Monitor Linearity 	„    161
                 6.3.3.5  Monitor Stability Over the Course
                          of the Study	    162
                 6.3.3.6  Assessment of Measurement
                          Precision and Accuracy	    166

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                                   VX1
Table of Contents (continued)
     6.4  Results of Statistical Analysis	.	   175
          6.4.1  Analysis of Hourly CO Exposure Data	   178
          6.4.2  Analysis of CO Breath Measurements 	   193
          6.4.3  Analysis of Activities and Associated CO
                 Exposures	   193
                 6.4.3.1  Activity and Location Patterns 	   195
                 6.4.3.2  Carbon Monoxide Exposures 	   197
          6.4.4  Analysis of Measurement Variability 	   204
                                           - •       I
 7.   REFERENCES	,	   209

 APPENDIX A:  Maps of Target Areas                 !

 APPENDIX B:  Phase  II Computer Model  Input Questionnaire

 APPENDIX C:  Field  Interviewer's Manual

 APPENDIX D:  Table  of Contents of  the OMB  Package

 APPENDIX E:  Telephone  Survey Unit Specifications ;

 APPENDIX F:  Phase  II Telephone  Interviewer's Manual
                                                  i
 APPENDIX G:  Materials  on Protection  of  Human Subjects
                                           i
                                                            ,
 APPENDIX H:   Standard  Operating  Procedure  for Collecting and
            ,  Sampling  Alveolar  Carbon Monoxide   j

 APPENDIX I:   Quality Assurance  Plan

 APPENDIX J:   Results of High and Low CO Exposure Days

 APPENDIX K:   High Occupational Exposure Categories
                                                  i
 APPENDIX L:   Post-Field Work Questionnaire
                                                  I
 APPENDIX M:   Comparison of COED-1 and Fixed Site Monitoring Data

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                                    VX11
                            LIST OF TABLES


Number    Title	   Page

5.1.1     Distribution of Initial Telephone Screening
          Final Result Codes	    32

5.1.2     Distribution of Final Result Codes for Denver
          Screening Sample	    37

5.1.3     Distribution of Final Result Codes for
          Washington Screening Sample 	„,   39

5,1.4     Screening Response Rates	    40

5.1.5     Third Stage Sample Allocation for the Denver
          Sample	    42

5.1.6     Third Stage Sample Allocation for the
          Washington Sample	 ,    43

5.1.7     Distribution of Final Result Codes for
          Individuals Selected for CO Monitoring in          ......
         . Washington	,	    47

5.3.1     Instrument Response Times in Minutes	,..   ,76

5.3.2     Loss of CO From Fenwal Sampling Bags	    78

5.3.3     Loss of CO From CHB Sampling Bags	    78

5.3.4     Effect of Filter on Measured CO	    80

5.3.5     Effect of Humid Air on Measured CO	    80

5.3.6     Effect of Storage in Sampling Bags on CO
          Measurements at 3 ppm CO	    80

5.3.7     Effect of Storage in Sampling Bags on CO
          Measurements at 7 ppm CO	    81

5.3.8     Effect of Storage in Sampling Bags on CO
          Measurements at 15 ppm CO	    81

5.3.9     The Effect of Ethanol on Measured CO	    82

5.3.10    Breath Measurements for Non-Smoking Subjects 	    85

5.4.1     Number of Routine Samples With Valid Hourly
          CO Values, By Hour of Day	    99

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List of Tables (cont'd)






Number    Title            	   i   	   Page
5.4.2

5.4.3

6.1.1
6.1.2
6'.1.3
6.1.4

6.1.5

6.1.6

6.1.7

6.1.8

6.1.9

6.1.10
6.1.11
6.1.12

6.1.13
6.1.14

6.1.15

6.1.16

Distribution of the Number of Hourly CO
Values Per Sample 	 	 	 '. 	
Distribution of Sampling Dates, by Month and

Estimated Number of Households Using a Fireplace . . .
Estimated Number of Households Using a Wood Stove . .
Estimated Number of Households Using a Gas Furnace .
Estimated Number of Households Using a Gas or

Estimated Number of Households Using a G,as

Estimated Number of Households Using a Gas Hot
Water Heater 	 	
Estimated Number of Households Using a Gas
Clothes Dryer 	 	 	 	
Estimated Number of Households Using Other Gas
Appliances 	 	 	 	 	
Estimated Number of Households Having an Attached
Garage or Sharing a Multi-Family Garage 	 	
Estimated Sex Distribution 	 .; 	
The Sex Distribution According to the 1980 Census . .
Estimated Age Distribution - Categorized
According to the 1980 Census Definitions 	
Age Distribution According to the 1980 Census 	
Estimated Distribution of Relationship to Head

Estimated Distribution of Persons 13 Years and

Estimated Distribution of Persons 13 Ye^rs or
Older Who Work Either Full or Part Time ... 	 ' 	

100

100
113
113
114

114

115

115

116

116

117
119
119

120
121

122

123

126

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List of Tables (cont'd)
Number
Title
6.1.17    Estimated Distribution of Persons 13 Years or
          Older Who Travel Anywhere at Least 3 Times Per
          Week	    126

6.1.18    Estimated Distribution of Amount of Time Spent
          Traveling One Way at Least 3 Times Per Week for
          Persons 13 Years or Older 	    127

6.1.19    Results of Missed HU Checks	    129

6.3.1     Statistics on Ambient Sampling Waves	    143

6.3.2     Results of Respondent Breath Analyses (ppm) 	    145

6.3.3     Site Characteristics of Washington Carbon
          Monoxide Monitors Operating During Study	    147

6.3.4     Summary Statistics for Hourly Average Carbon
          Monoxide Values Reported by Washington Monitoring
          Sites Between November 8, 1982 and February 25,
          1983 	    150

6.3.5     Date and Time of Maximum Hourly Average Carbon
          Monoxide Value	    151

6.3.6     Summary Statistics for Daily Maximum 1-Hour
          Carbon Monoxide Values Reported by Washington
          Monitoring Sites Between November 8, 1982 and
          February 25, 1983	    152

6.3.7     Summary Statistics for Daily Maximum 8-Hour
          Carbon Monoxide Values Reported by Washington
          Monitoring Sites Between November 8, 1982 and
          February 25, 1983 	    153

6.4.1     Estimates of Mean Population CO Exposure Levels
          (ppm) — Diurnal Patterns by Time of Week and
          Type of Day 	„    179

6.4.2     Summary of Maximum Hourly CO Concentration Data ....    182

6.4.3     Summary of Maximum 8-Hour CO Concentration Data ....    187

6.4.4     Summary of Mean Hourly CO Concentration Data .......    192

6.4.5     Summary of Breath CO Concentration Data ............    194

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                                   XX
List of Tables (cont'd)


Number    Title
6.4.6     Summary of Population Estimates Relating to
         , the Number of Individuals Involved In, and
          Amount of Time Spent In, Various Types of
          Activities . .................. • ........ ! .............   196

6.4.7     Summary of Population Estimates Relating to
          the Number of Individuals Exposed To, and
          Amount of Time Spent In, Various Types of
          Environments .......................... • • • ..........
 6.4.8      Summary  of  CO  Exposure Levels, by Type .'^of
           Activity ......... * ----- ................ ..............    199

 6.4.9      Summary  of  CO  Exposure Levels, By Type . of
           Activity — Ranked According to  Mean CO Level ......    200
 6.4.10    Summary of CO Exposure Levels,  by Type of
           Environment 	.	•	
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                                   xii
                           LIST OF FIGURES
Number
Title
                                                                 Page
5.1.1     Selection of First-Stage Units and the Initial
          Sample of Donnelley Listings	     28

5.1.2     Denver CO Sample Protocol	     33

5.1.3     Washington CO Sample Protocol	     34

5.2.1     Table of Contents of the Telephone Interviewer's
          Manual (CO Exposure Study) 	     52

5.2.2     Final Telephone Interviewing Status Report -
          Phase I Screening (Washington, DC and Denver,
          Colorado) 	     53

5.2.3     Telephone Response Rates	     56

5.3.1     COED-1 Monitor Status Sheet 	     69

5.3.2     GE/HP Monitor Status Sheet 	.'	     70

5.3.3     Field Data Sheet, Side 1 	     71

5.3.4     Field Data Sheet, Side 2 	     72

5.3.5     Instrument Noise	     75

5.3.6     Breath Sample Data Sheet, Side 1 	,	     87

5.3.7     Breath Sample Data Sheet, Side 2 	     88

6.2.1     Carbon Monoxide Exposure Batch Header Sheet 	    138

6.3.1     Locations of Fixed-Site Monitors 	    149

6.3.2     Response Levels	    163

6.3.3     Monitor Battery Voltages (volts) 	    164

6.3.4     Flow Rate 	    165

6.3.5     Washington,  D.C.  Personal CO Exposure Project
          PEM vs.  Fixed Site Monitor (FSM) Comparison ........    168

6.3.6     Washington,  D.C.  Personal CO Exposure Project
          PEM vs.  Fixed Site Monitor (FSM) Comparison:
          Plot of PEMCONC*FSM	    170

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                                   xiii



List of Figures (cont'd)


Number    Title	;	;	   Page
" ""	n'nuHjin —          ^               .                   |   .

6.3.7     Washington, B.C. Personal CO Exposure Project
          PEM vs. Fixed Site Monitor (FSM) Comparison:
          PID=7000417			   171
                                                  i

6.3.8     Washington, B.C. Personal CO Exposure Project
          PEM vs. Fixed Site Monitor (FSM) Comparison:
          PID=7000524	!	   172

6.3.9     Washington, B.C. Personal CO Exposure Project
          PEM vs. Fixed Site Monitor (FSM) Comparison
          for Concentration Bata £ 1.0 ppm	„	   174

6.4.1     Average CO Exposure Levels, By Hour of Day 	   180

6.4.2     Maximum Hourly  CO Concentrations by Occupational
          Exposure, Washington, B.C	   183

6.4.3     Maximum Hourly  CO Concentrations for Weekdays
          and Weekend Bays, Washington, B. C	i.	   184

6.4.4     Maximum Hourly  CO Concentrations for Selected
          Commuting Statuses, Washington, D.C.	   185

6.4.5     Maximum 8-Hour  CO Concentrations by Occupational
          Exposure, Washington, B.C	   188
                                      .
6.4.6     Maximum 8-Hour  CO Concentrations for Weekdays
          and  Weekend Bays, Washington, B.C	   189
                                                  i
6.4.7     Maximum 8-Hour  CO Concentrations for Selected
          Commuting  Statuses, Washington, B.C.  ..j	   190

6.4.8     Plot of STBCONC * MEANCONC  	^	   205

 6.4.9     Bistribution  of Standard Beviations  of
          Replicate  Observations	   206

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        xiv
LIST OF EXHIBITS
Number
5.4.1
5.4.2
5.4.3
5.4.4
Title
Contents of File A (PEM Data) 	 	
Description of Codes for Variables Appearing
In File B (Activity Diary Data) 	
Contents of File D (Questionnaire Data) 	
Contents of Basic Analysis File 	 	 	 	
Page
. . 90
92
94
103

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                                   XV
                           ACKNOWLEDGEMENTS
     The authors would like to sincerely thank the following individuals
for their  assistance  in  carrying out the Carbon  Monoxide  Study:   Dan
Ward, John Sokash, and Jon Lodge of RTI who ran the  field  laboratory  in
Washington, D.C. and did  an  excellent job  in  maintenance and repair of
the CO PEMs under severe time constraints;  Velma Brock, Field Supervisor
for the  Washington,  D.C. data  collection  effort; Martin  Rosenzweig,
Cliff Decker, Tom Virag, and Barbara Alexander of RTI and Robert Jungers
of EPA who helped  in many phases of the study including study  design,
data analysis, quality control,  and project management; Lanny Piper and
Janice Whelan who  programmed RTI's computer  assisted  telephone inter-
viewing system for the study; and Linda Sheldon who  managed  the experi-
ments used to establish the  breath analysis procedure,.  Without the aid
of these  individuals  it would not have been  possible to successfully
carry out  the project and we certainly appreciate their time and effort.
Finally, we wish  to  express  our appreciation to Ms. Carol Johnson for
her excellent work in typing the manuscript.       •

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                                   XVI
                               ABSTRACT
     This report describes a  study  funded  by the EPA and conducted by
the Research Triangle Institute in 1982 and 1983 to evaluate methodology
for collecting representative personal exposure monitoring  (PEM) CO and
corresponding activity data in  an urbanized  area.   This involved tele-
phone screening of households and sample selection of respondents in the
metropolitan areas in and  around Denver, Colorado  and Washington,  D.C.
Data on CO breath levels were also collected in Washington,  D.C.  (PEDCo
Environmental conducted the field work  in  Denver.)   The target popula-
tion in both cities consisted of the non-institutionalized, non-smoking
adults (ages 18 to 70) of  these metropolitan areas.  The data  collected
in  the  field were edited  and appropriately weighted  to  produce CO
exposure estimates for the target population.  These estimates  included
average maximum hourly and 8-hour CO levels, and average  CO levels for
various activities and locations.

     Based on the experience  gained during the study,  the  methodology
developed, with  some  modifications, may be used effectively  in other
areas of  the country for  collecting  PEM  data.  These modifications
should make  the  methodology  more  cost effective, improve the  response
rate, and lead to more accuracy activity information.

     Estimates of CO exposure for the winter of 1982-83 in Washington,
D.C. were  obtained  using  the data  base constructed from the  raw  CO
levels by  activity  data which  consisted of  hourly CO  values  on 712
respondents, activity  patterns  and  corresponding  CO  levels  on 705
respondents, and CO breath measurements corresponding to the PEM CO data
on 659 respondents.  The size of the target population  was  estimated  to
be 1.22 million individuals.

     The weighted average  maximum hourljr PEM CO level  in Washington,
D.C. was 6.74 ppm.   The  average maximum 8-hour CO level was 2.79 ppm.
The percentage of the population with maximum hourly CO values  over the
35 ppm CO standard was estimated to  be 1.28 percent while the percentage
with an 8-hour maximum over the 9 ppm standard was 3.9 percent.

     Estimates were also made for subgroups of  the population.   Persons
in  high-exposure occupations (about  4.6%  of  the  total population)
generally exhibited higher CO exposure levels:  it was estimated  that
about 24% of this high-exposure group had  1-hour CO  exposures  above the
35 ppm standard and that about 28% exceeded the 8-hour standard.  It was
also shown that CO levels were generally higher for commuters, especially
for those with larger amounts of travel.

     Breath CO levels (taken at the end of the sampling periods, usually
in  the  respondents'  homes)  for the adult non-smoking  population  in
Washington averaged 5.12 ppm.   Slightly higher  levels were  observed for
persons with high occupational exposures  and  for  persons  with  large
amounts of travel.

     By combining PEM data with data from  individuals' diaries, estimates
of both CO levels and time durations for various activities and personal

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                                   XV13.
environments were made.  For example, the activities "in parking garage
or parking lot" and "travel, transit" had the highest average CO concen-
trations (6.93 ppm, and 4.51 ppm, respectively) while "sleeping" had an
estimated CO  concentration  of  only  .85  ppm.   Among the environments
considered, the three  with  the highest average CO  concentrations were
"indoor parking garage", "outdoor parking area",  and '"in transit-car".
The average levels  for these environments were 10.36,  4.67,  and  5.05
ppm, respectively.                                  !
   -
     Variation  from duplicate  hourly  PEM measurements under  field
condition were  also analyzed.   An analysis of  variance of this data
which considered person-to-person, hour-to-hour,  and measurement varia-
tion indicated that about 5  to 6  percent of total variation  among  the
hourly duplicate readings was  due  to deviation in measurements made by
two PEMs at the same hour for the same person.

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                           1.   INTRODUCTION
     As the control of emissions increases, the burden  of  proof  on EPA
to show that a particular  level of emission control is justified  also
increases.  It has become more and more important  to  show  that a given
level of control is justified for each air pollutant, with the relative
risk of  public health  approximately comparable for  each pollutant
controlled.
                                                   I
     A critical factor in determining the degree of risk to  the  popula-
tion is the exposure  of  members of the  population.  In the past, moni-
toring of airborne pollutants has necessarily been based on  the  assump-
tion that fixed-site monitoring is  representative; of  concentrations
surrounding the  site, since monitoring techniques were generally not
developed for  determining personal exposures.  Then to  obtain estimates
of  population exposure, techniques  such as  computer  simulation  or
overlaying isopleths  of pollution concentrations meiasured  at  fixed sites
on  population  density maps  have been used.   For some pollutants,  these
techniques may be reasonable approximations; however,  recent work has
                                                   i
shown  that many pollutant  concentrations are not  homogeneous and that
activity  patterns play  an  important role  in  an  individual's actual
exposure.  Therefore, data  from ambient fixed sites often  differ signif-
icantly  from the concentrations with which people actually  come  into
contact.                                           I
     As  EPA  engages  in  modifications — or  "fine tuning" — of emission
standards, it  becomes necessary to focus more attention on those compo-
nents  for which data are most  lacking.  The ultimate  goal  of the present
research program was to develop a methodology to determine the public's
exposure to  air pollutants  with known precision  and accuracy.
     A wide variety  of  air pollutants could have been selected  for
                         '
study.  For  example in the gas phase, carbon monoxide1., nitrogen oxides,
 and hydrocarbons have been of concern either because they cause adverse
health effects or because  they are  precursors  in the  formation of air

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pollutants that  cause  adverse health effects  (e.g.,  ozone).   In  the
solid  phase,  particulates and  their associated  organics have been
targeted for control.
     Carbon monoxide was  selected for primary emphasis in the current
study because:
     -    Accurate and portable field tested instruments  now are avail-
          able for CO (Wallace & Ott, 1982).
     -    Most of the CO  to  which the public is exposed  can be attri-
          buted to motor vehicles.
     -    It appears that CO is a  good  "indicator"  (i.e.,  surrogate)
          pollutant  for  estimating exposures to  several other motor
          vehicle pollutants of interest.
          Because CO is a nonreactive air pollutant,  it  is simpler to
          treat analytically.
     -    The health effects of CO  are  reasonably well documented, and
          NAAQS based on these effects have been promulgated.
     -    Considerable data exist showing  that  CO varies spatially and
          that many  locations in cities  have concentrations that differ
          from those reported at fixed air monitoring stations.
     Thus, RTI and EPA formulated a study plan to develop and field test
a population exposure methodology  using CO while making  sure  that the
methodology was broad enough to accommodate other pollutants of concern.
The specific objectives of this study were the following:
     -    To develop a  methodology for  measuring  the  distribution of
          carbon monoxide  (CO) exposures of a representative population
          of an urban area for assessment of the risk to the population.
     -    To test, evaluate, and validate  this methodology by  employing
          it  in  the execution  of  pilot field  studies  in Denver,
          Colorado, and in Washington, DC.
     -    To -obtain an  activity-pattern  data  base related  to CO
          exposures.
     The study was  carried out  in Washington,  DC and Denver,  Colorado
during the winter of 1982-83  (the  period of the year with maximum
ambient CO concentrations).  The population exposure profile was deter-
mined by direct measurement of CO with personal exposure monitors  (PEMs)
                                   -2-

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through the use of  statistical  inference from the^statistically drawn
                                                   I
sample.  The study provided sufficient data  to  determine exposure  as a
function of concentrations within  significant  micrpenvironments (home,
in-transit, work,  and leisure) and individual activity patterns.
     The following report describes in detail the activities involved in
this study  and  presents  the results and recommendations  evolving  from
the study.  It  is extremely important  to note that! the  study not  only
developed and tested methodology for measuring the distribution of CO in
an urban  area but also  produced direct  estimates  of  CO exposure that
apply  to  two  large  metropolitan areas.  In addition, a  very  important
product of  this work is  a unique and valuable datji base on individual
exposures  to  CO and  the  corresponding activities that  led to these
exposures.
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                   SUMMARY OF STUDY DESIGN AND PROCEDURES
     The study conducted by RTI was to evaluate methodology for collect-
ing representative personal exposure monitoring (PEM) CO and correspond-
ing activity data in an urbanized area.  This involved telephone screen-
ing of households and sample selection of respondents in the metropolitan
areas in and around Denver,, Colorado and Washington, DC,  and  collection
of PEM CO and activity data from respondents in Washington, DC.  Data on
CO breath levels were also collected in Washington, DC.  (PEDCo Environ-
mental conducted the  field work in Denver.)  The target population  in
both cities consisted  of  the  non-institutionalized, non-smoking adults
(ages 18 to 70) of these metropolitan areas.  The data collected  in  the
field were  edited  and appropriately weighted  to  produce CO  exposure
estimates for the target population.   These estimates  included average
maximum hourly and 8-hour  CO  levels, and  average  CO levels for various
activities and locations.
     A probability sample  of the target population  was selected in both
cities.  This sample  was  a stratified, three-stage, probability-based
design.  Area sample  segments defined by  Census  geographic variables
were selected at the first stage of sampling.  Households were selected
at the second stage,  and a household member was  administered a short
screening interview covering all household  members  to  identify indivi-
duals with characteristics believed to  be  postively correlated with CO
exposure.  Thus, household members with these  characteristics could be
oversampled in the third  stage.   Donnelley Market Corporation listings
were used to help select  households for the screening interview.  The
third stage sample was  a  stratified sample of screened eligible  indi-
viduals  (i.e., non-smoking,  aged 18 to 70).   The individuals in  the
third stage sample were administered  a Computer Model Input  Question-
naire and were asked  to carry a personal  CO  monitor and an  Activity
Diary for 24 or 48 hours  (for Washington  and Denver, respectively).   A
breath sample was also  requested from  these individuals and  they  were

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asked to fill out  a  Household (Study) Questionnaire.  The third stage
sample design also allocated individuals to specific  days  within  the
sampling period.  A detailed discussion of the sample design is given in
Section 5.1 and in Whitmore, et al. [1983a].       :
     To carry out  the  sample design,  RTI developed the data collection
instruments and worked with EPA in obtaining OMB approval for the study.
An  initial  telephone screening was  carried out  in  both Denver and
Washington, DC  by  using RTI's Computer Assisted Telephone Interviewing
(CATI) system.  This initial screening was supplemented by limited field
screening in  both  sites.  Specific information  collected during this
interview included:  time  spent in regular  commuting and  smoking status
of  each  household  member, as  well as presence of Jgas  appliances  and
attached garages in  their residences.  After the initial screening  and
the initial selection  of potential  participants,;another telephone
interview was conducted.   The purpose of this call  was  to  contact the
selected individual  to further explain the study and attempt to enroll
him(her) into  the  study.  If  the  individual agreed  to be part of the
study, an  appointment  was established for a field [interview.  In  addi-
tion,  during  this  call, a Computer Model Input Questionnaire was admin-
istered which  collected additional data on commuting patterns, demogra-
phics  of household members,  and household characteristics.
     Finally, participating individuals were met at their home or other
convenient  location and given all study  materials.   These  participants
carried  both a PEM  for the  24 hours of their  participation and  an
Activity Diary in which  to  record a description of  their  activities.
Participants  were requested  to push  a button on their PEM  every  time
 they changed  activities and to record descriptions of the new activities
 in their diaries.    In  addition,  for  a small sample of participants, a
 GE/HP  PEM  was  used which allowed the participant  to  also  enter an
 activity code  into  the monitor (see Section  5.3).   Participants  were
 also asked to complete a self-administered Household Questionnaire which
                             ,
 provided information on themselves and  on  their  home and work environ-
 ments.  The telephone screening and  sample selection of  individuals for
 both Denver and Washington were carried out by RTI as was the field work
 in Washington.
                                    -5-

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     The results of the telephone screening and field activities for the
study are  described  in detail in Sections  5.1  through 5.3.  Briefly,
8643 household  screenings  were  attempted by RTI in Washington, DC  and
4987 were attempted in Denver, Colorado.  The successful screening rates
were 75.8 percent in Washington and 70.4 percent in Denver.  From these
telephone  and  field screenings,  5418  eligible  respondents  were
identified in Washington  and  2232 in Denver.  From this population  of
eligibles, 1987  individuals were  selected for participation (i.e.,  to
carry a  PEM)  in Washington and  1139 in Denver.   Of  these selected
individuals, 58  percent actually  scheduled  appointments  to carry a PEM
in Washington.   Finally,  35.8 percent  of the individuals in Washington
selected  to  participate  contributed  usable CO monitor  data.   This
represented 712  sample respondents.  Instrument failure  was one of  the
major reasons for the low  response rate.  Specifically,  CO data was  not
collected or was unusable for analysis purposes for 232 respondents  (22%
loss rate) due to monitor failure or malfunction.   Usable CO breath data
corresponding to the usable CO monitor data was collected  on 659 sample
respondents.
     In order to successfully implement  the study  in  Washington,  DC, a
field office/laboratory was established in the offices of the Metropoli-
tan DC Council of Governments.  This office was used for several purposes
including supervision of  field  staff,  storage of  supplies, maintenance
of records, allocation of field assignments, and maintenance and repair
of the PEMs.  This office was visited twice nightly by all interviewers
to receive PEMs and  data  collection forms  for that evening and  for
return of completed study materials including the PEMs used the previous
24 hours.  All  calibrations of  the  PEMs during the study were  carried
out in this field laboratory.  In addition  to  the  field  supervisor  for
the interviewers, the field laboratory  was  staffed with two full-time
technicians working seven days per week throughout the study.   A detail-
ed description of the PEMs (COED-ls and  GE/HPs) used  in  this study  and
the extensive daily  technical  support  that they required  is given  in
Section 5.3.
     As mentioned above, breath samples were collected from respondents
during the study.  This required RTI to evaluate a method for collecting

                                   -6-

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and measuring alveolar CO.  This  evaluation is described in detail in
Section 5.3.4.  The method essentially required each respondent to blow
into a sample bag  at the end of  his 24 hour  sampling  period.   This
Sealed bag was;then returned to the field laboratory for CO analysis.
     Throughout the field work, a quality control and assurance program
was maintained  for  the sampling and analysis procedures employed  (see
Section 5.3 and 6.3).  This included using  field standards  to calibrate
all the CO  monitors.   The monitors were subject to calibration (two-
point, zero/span) before they were put  in the  field and 24 hours later
when they  were  returned from  the field.   The comparison  of  the two
calibration curves was used to  assign validity codes to the PEM data.
Other quality control procedures  employed were:  a  ten  percent  check  of
data transcribed from  monitor  memory to field data sheets; monitoring
control charts  on  each monitor  describing  the course  of  differences
between pre-sample and post-sample span, zero, battery voltage, and flow
rate values;  collecting  duplicate colocated samples for the purpose of
characterizing  monitor precision; performing external and  internal QA
and  QC  audits;  performing multipoint  calibrations! to  assess monitor
linearity during the study; and  obtaining duplicate breath samples from
respondents.  The results of these extensive quality control and quality
assurance procedures are given in Section 6.3.
     After  the  field work was  completed,  the data were returned to RTI
where detailed  editing of the data was  carried out  by RTI  editors. The
data were  then entered into computer  files using RTI's mini-computer
data base  entry system.  All  data were keyed and  then 100  percent
key-verified.   Extensive machine editing was carried  out which  resulted
in identifying  many computer  records which required  further manual
editing.  The process  of editing  the computer  files took extensive staff
time.  In  particular,  checking  the  consistency of the PEM  data  with the
diary data was  a time  consuming  process.           i
     Sampling weights  were computed  according to  prescribed formulas
 (see Section 5.1).  This involved  extensive computations  so that the
weights could be used  to draw  inferences to the target  populations.   The
sampling weights were  then  put on a computer file so that  they could be
merged with the corresponding  field  data.          i
                                    -7-

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     Estimates were computed of household and individual characteristics
in Washington  and  Denver using results  from the Household Screening
Questionnaire.  When  possible, these  estimates were  compared with
corresponding Census  estimates.   Household  estimates computed for the
two areas included proportion of homes using a fireplace, a wood stove,
a gas  furnace,  a gas  cooking  stove,  and having an  attached  garage.
Estimates computed for individuals' characteristics included age and sex
distributions, proportion of smokers,  proportion who work,  and propor-
tion who travel at least 3 times per week.
     Detailed statistical analyses were carried  out  using computer data
files with PEM CO and activity diary  data  (Section 6.4).  Estimates
computed during this analysis were weighted estimates for the population
of inference  - adult non-smokers  in  the  Washington, DC metropolitan
area.  Standard  errors of estimates were produced by  using specially
written  software  designed for analysis  of  data from  complex sample
surveys  (see Shah [1981]).
     In particular, analyses were  first produced for hourly CO exposure
data.  These  analyses  included computing statistics  describing diurnal
patterns, maximum hourly CO concentrations, maximum  8-hour CO  concentra-
tions, and mean  hourly CO concentrations.  Statistics  included means,
standard errors,  and percentages  of the  population  exceeding certain
specified CO  levels.   Estimates of these statistics were computed  for
all days, week and weekend days,  and low  and high CO days  (as indicated
by fixed site monitors).  In addition, CO hourly level comparisons were
also made for 3 occupational groups; 6 commuter  group  (i.e., non-commut-
ers; commuters who traveled up to 5 hours/week;  etc.);  and  4  categories
describing the use of  gas stoves.
     Estimates were  also produced for CO exposure  levels for various
activities (e.g., in transit)  and  locations  (e.g., indoors-at  residence),
Statistics computed  for each  activity and  location included  mean  CO
level, the estimated  standard  error,  and  estimates of  the proportion  of
the population having CO levels above specified levels.  The  distribu-
tion of  times spent  in the various activities and locations  were  also
computed.
                                   —8—

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     Breath measurements taken at the end of each individuals' monitor-
ing period were  used  to produce estimates of  the  distribution of CO
breath levels in the Washington, DC area.  Finally, using  the  duplicate
CO monitor data,  estimates were computed to  assess variation in PEM
measurements under field conditions.
                                    -9-

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              3.  SUMMARY OF STUDY RESULTS AND CONCLUSIONS
     Based on the experience gained during the Washington, DC and Denver
PEM CO  studies,  the methodology  developed, with  some modifications  (see
Section 4), may  be used effectively in other areas  of  the  country  for
collecting PEM data.   Experience gained during this initial study will
improve the execution  of such  similar studies.   Modifications that are
suggested  include  a different  sampling design  using the classified
telephone  directory  listings,  improvements  in  the  CO  monitors, and
additional refinement  of the method  used to  collect activity data.
These modifications  should  make the  methodology more cost effective,
improve the response rate,  and  lead to more accurate activity informa-
tion.   However,  it is  important to realize that  the  response rates for a
study of  this  complexity will  always be relatively  low as  compared  to
studies where only a questionnaire  is administered  to a respondent.   In
particular, for  the current study in  Washington,  DC, 58% of  the  indivi-
duals selected and interviewed over the telephone agreed to supply PEM
CO data,  and  35.8%  actually gave analyzable CO  data (see Sections  5.1
and 5.4 for additional details).
     Important new information was  learned for  each of  three  sampling
methodology studies of the project:    (1) It was found that geographical-
ly classified telephone  directory listings can be used  in a  cost-effec-
tive manner in association with  standard  area household sampling tech-
niques  for personal monitoring studies like  the  current CO study.  The
sampling design  for the  cost-effective use of these  telephone  directory
listings differs substantially from the design used for  the CO  study,
however (see required  procedure  in  Sections 4 arid  6.1).  (2)  Sending
lead letters to  individuals who  were selected for personal monitoring
prior to calling to schedule an appointment was found to be an effective
strategy.   (3) The need for person-day sampling for  studies that monitor
personal exposure to  airborne  pollutants is  apparent.   The CO  study
gained valuable experience with this technique.  Further study, possibly
                                    •10-

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even another methodological  study,  is needed to refine this technique
(see Section 6.1).
     Based on  experience derived during  this  project, two  important
conclusions were  reached concerning the use of  the COED-1 and GE/HP
monitors for monitoring personal CO exposure:
          The COED monitors  exhibited a less than  desirable  reliability
          during  this study  producing a final  successful  sample comple-
          tion rate of only  78 percent.  Since most,  of the lost samples
          can be  attributed  to unreliability of the monitor electronics,
          the battery packs, or  the sample pump  (169  of the  232 samples
          lost due to monitor malfunction), these monitors will probably
          become  acceptable  for  future projects  of this type providing
          that the recommendations  discussed in Sections 4 and 6.3.2.1
          are  successfully  incorporated  into  the  monitor  design.
          Excessive calibration  drift accounted  for the remaining 63 of
          the  232 samples lost due  to monitor malfunction  (approximately
          6  percent  of  the samples attempted).  The monitors exhibited
          high linearity (calibration r2 s 0.9997),  acceptable stability
           (86  percent within ±  10  percent  of initial  response levels
          after  24  hours),  and  reasonable  precision  (median standard
          deviation  of  duplicate measurements = 0. ,25  ppm) during  field
          monitoring.
          The  GE/HP monitors  will probably  be acceptable  for  such
          monitoring  following perfection of the design  and incorpora-
           tion of the  recommendations suggested  in  Sections 4  and
                                   •
           6.3.2.2.   The full user-programmability  of these monitors  will
           add  desirable flexibility,  not  achieveable with the COED-1,  to
           future monitoring projects. On-board  micro-processor monitor-
           ing  of, and compensation for, parameters such as cell tempera-
           ture and  battery voltage may increase monitor stability  and
           precision.
      Concerning  the  monitoring of alveolar  carbon  monoxide by  the method
 utilized during  this project,  the following conclusions were reached:
           The  proposed method performed well, producing  a mean differ-
           ence between duplicate samples of 0.11  p*pm ± 0.13 ppm  at  the
                                    -11-

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          95 percent confidence level and an estimated accuracy of ± 0.3
          ppm at 3.5 ppm and ± 1.0 ppm  at 40 ppm.   The proposed modifi-
          cation to the procedure concerning use of humidified zero  and
          calibration matrices is, however, deemed  necessary  for  proce-
          dural stability.  The method  is highly reliable  (97.5 percent
          successful sample completion rate).
     The field wo.rk for the study also  indicated,  in addition to the
several suggested improvements in the present  CO monitor and continued
development of the  autolog  to  record activities on the PEM, that other
modifications can be made to enhance the reliability of the data collect-
ed  and  to  ease the  interviewer's work load for future  PEM studies.
These include:   (1)   devising a sampling scheme  that will allow  for
down-time during data  collection to permit instrument repair, enhance
rescheduling of appointments,  and provide regular  time-off for  field
staff; and  (2) allowing  field staff earlier and fuller  involvement  in
the development of  logistical support mechanisms —  including monitor
evaluation and testing,  field laboratory space, and  publicity (again,
recommendations are given in Section 4).
     Using the data collected in the Washington, DC and Denver metropol-
itan areas with the Household Screening Questionnaire, weighted  esti-
mates were computed of population characteristics  (Section  6.1).   These
estimates were based  on screening  interviews  in 4394 households in
Washington and 2128 households in Denver.  In particular, the population
estimate for the number of households in the two areas was  953,714 for
Washington and 345,163 for Denver.  Population  estimates of percentages
of households with various characteristics were as  follows:
                                  Washington          Denver
                                      33%
Use Fireplace
Use Wood Stove               4%
Use Gas Furnace             56%
Use Gas Stove               64%
Use Gas Hot Water           57%
Have Attached Garage        22%
 or Multi-Family Garage
30%
 6%
71%
25%
78%
35%
                                   -12-

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     In addition to household  characteristics,  several estimates were
also obtained for  individuals'  characteristics  in the two areas.  For
example,
                                   Washington          Denver
          Male                        48%          ,      47%
                                                   -
          Smokers  (13 years                        i
 • '      .          or older)           33%          |      38%
          Work (13 years or older)    70%                72%
          Travel £ 3 times/week       84%          ,      82%
     It is  important  to note the distribxition  of people selected for
actual monitoring  necessarily  differs  from the above  in several  ways.
First, smokers were not sampled because they were ineligible  for par-
ticipation in the  survey.  Second, other population subgroups thought to
be  at  risk for high  CO exposure were  oversampled,j   As  discussed in
Section 5.1.4,  individuals with  a  usual daily commuting  time of 30
minutes or more were oversampled.  Individuals with, a  gas stove or space
hteater in the home were also oversampled, as were tihose with an attached
garage.  Thus, other  population subgroups  were  relatively  undersampled.
The  purpose of the oversampling  was  to insure representation  of the
population  subgroups most  likely  to be exposed  to high CO  levels.  This
      '
oversampling is compensated for in analysis of  the CO  data by use of the
 sampling weights.   The sampling weights are  inversely proportional to
 the  probability  of selection.   Thus,  the member  of subgroups that were
 oversampled  receive smaller sampling weights.  As a  result, weighted
 analyses produce unbiased  estimates even when the isubgroup sample sizes
 .
 are  not proportional to the number of population members in the sub-
 groups.
     Regarding  estimates  of CO exposure for  the  winter of 1982-83  in
 Washington,  DC,  a data base was constructed from the  raw  CO  levels by
 activity  data which consisted of hourly CO values on 712 respondents,
 activity patterns  and corresponding CO levels on  705  respondents, and CO
 breath  measurements corresponding to  the PEM  CO data  on  659 respondents.
 These  data were  used  to obtain estimates of CO exposure for the  popula-
 tion of inference ~ the adult (18 to 70 years old),  non-smokers in the
 urbanized  portion of  the Washington,  DC SMSA.  The| size of this  popula-
                                    -13-

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 tion was estimated to be  1.22 million individuals.  The results presented
 below  are  weighted estimates which apply  to  this population.  Before
 analysis of  the data could be undertaken,  extensive editing was required
 of  the raw data collected in the field  (see Section 5.4).
     The weighted average maximum hourly PEM  CO  level in  Washington,  DC
 was 6.74 ppm (this was  computed as  the weighted average of the maximum
 hourly CO  value for each individual in  the sample).  The average maximum
 8-hour CO  level was  2.79 ppm.  The percentage  of the population with
 maximum hourly CO values over the 35 _ppm CO standard was estimated to be
 1.28 percent while, the  percentage with  an  8-hour maximum  over the  9 ppm
 standard was 3.9 percent.
     Estimates were also made for subgroups of  the population.   Persons
 in  high-exposure  occupations  (about  4.6% of  the total  population)
 generally  exhibited higher  CO  exposure levels:   it was estimated  that
 about  24%  of this high-exposure group had  1-hour CO exposures above the
 35-ppm standard and that about  28% exceeded the 8-hour standard.  It was
 also shown that CO levels were  generally higher for commuters, especially
 for those with larger amounts of travel.   For example, 8% of the commut-
 ers indicating 16  or  more hours of travel per week were  estimated to
have maximum 8-hour CO  concentrations over 9  ppm, whereas less than 1%
                                                              i,
 of the non-commuters were estimated to have such levels.
     Breath CO levels (taken at the end of the sampling periods, usually
 in  the respondents'  homes) for the adult non-smoking  population  in
Washington averaged 5.12 ppm.   Slightly higher levels were observed for
persons with high  occupational exposures  and  for persons with  large
amounts of travel.
     By combining PEM data with data from  individuals' diaries, estimates
of both CO levels and time durations for various activities and personal
environments were made.  In general, these results were consistent with
a priori expectations.  For example, the activities "in parking garage
or parking lot" and "travel, transit" had the highest  average CO concen-
trations (6.93 ppm, and 4.51 ppm, respectively) while "sleeping" had an
estimated  CO concentration  of  only  .85 ppm.   Among the  environments
considered, the three with  the  highest  average  CO concentrations, were
"indoor parking garage", "outdoor parking  area",  and  "in  transit-car".

                                   -14-

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The average levels  for  these environments were  10.36,  4.67,  and 5.05
ppm, respectively.
     Variation  from duplicate hourly  PEM measurements under  field
conditions were also  analyzed.   An analysis of  variance  of  this data
which considered  person-to-person, hour-to-hour, and measurement vari-
ation indicated that  about  5  to  6 percent of total variation among the
hourly duplicate  readings was due to deviations  in measurements made  by
two PEMs at the same hour for the same person.
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                          4.  RECOMMENDATIONS
     The  recommendations  presented  in this  section suggest (1)  improve-
ments  in  the  sample design and associated sampling procedures (e.g., the
PEM);  (2)  changes  in  the logistics and methods  of data collection for
improving  data  quality and response rates;  and  (3) performing additional
statistical analyses.
4.1  Design Recommendations
     The  suggested improvements  in the sample design  are  described in
detail in Section 6.1.4.   Briefly, from RTI's  experience using  the
geographically-classified telephone directory listings  in  the current CO
study,  it  appears  that such listings  can best be  utilized with a dual
frame  sampling  procedure.  In this  approach,  two independent samples  of
first  stage units would be selected from the  (complete) area frame:  (1)
one sample would be a standard area sample  with sample clusters identi-
fied from field listings of  all housing units  in the selected area
segments,  (2) the other  sample  would use the commercial  listings to
identify sample clusters  in the  selected  area segments.  The commercial
listing sample  would  only be used to generate telephone interviews based
upon the  telephone directory listing while the standard area frame
sample would  be used to  compensate for the bias  resulting from  the
telephone  interviews  generated  by  the  commercial  listing sample  (see
Section 6.1.4 for details on how the bias would  be compensated  for).
     The lead letter  methodology study (Section 5.1.4)  indicated  that
these  letters appeared to have  had a positive  effect upon response
rates.   Accordingly,  in  future  studies, RTI would recommend that  lead
letters be sent to all individuals selected  for monitoring.   In this
regard, it is important  that  the entire data collection methodology be
further reviewed  to  determine other  methods that might  be used  to
increase response rates.
     Some  form  of  person-day  sampling is  necessary for future  studies
which monitor personal exposure  during some time period.   However, the
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procedure used in  the  current  study (Section 5.1.4J) was  somewhat  awk-
ward.  Therefore, a better procedure needs to be designed.  One possible
methodology would be to select six days within the study period for each
person selected  for monitoring.  These  could be three consecutive days
in one week  and  the  same  three days in the next week.  Priorities from
one to six could then  be  assigned  for  each person.>  When the person is
asked to  participate,  he would be  asked to participate  on his  first
priority day.  If  he could not participate then, the interviewer would
proceed  to  the  second  priority  day, etc.   This methodology, or  an
alternative method, should be explored in  future studies.
4.2  Recommendations Concerning Field Operations and Data Collection
     As  suggested  in Section 3, there  are several  ways  in which  the
field aspects of this  study could be improved.  These improvements would
affect the willingness  of individuals  to participate,  reduce  the burden
placed on respondents,  and make the interviewer's jpb less difficult and
time consuming.  In  general, the recommendations for change  or improve-
ment fall  into three areas.  These  include:   (1)  the Carbon Monoxide
(CO) Monitor and general data collection,  (2)  the  sampling and field
data collection  process,  and (3) logistical  support.
     Data Collection.   Further development work must be done on both the
CO monitors  and  the survey instruments  used to collect data.  When a
respondent has agreed  to  participate and an appointment has been  sche-
duled (sometimes with  great difficulty),  the loss of data due  to instru-
                                                   i
ment failure  is  quite  distressing to the respondent  and the field  staff;
moreover, the loss of  data at  an unpredictable and variable rate makes
it extremely difficult to schedule  field operations!  (e.g.,  to determine
completion dates).   The reliability of  the CO monitor is  thus extremely
important to the results of a study of  this type;  therefore, further
work must be done  to improve the COEDs before they are used again in a
full-scale field study.
     Some specific problems with the two types  of piortitors used in  this
study, the COED-1  monitor and  the GE/HP  monitor, that need to  be resolved
before  either monitor  is used in  the  field for future  studies are
addressed below:                                  i
                                   -17-

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COED-1 Monitor
(1)  The electronic problems with the Magus data unit of the COED-1
     monitor must  be  corrected.  Problems  to be  corrected  are
     "lock-up", "mode  shift",  and susceptability  to  static  dis-
     charge .
(2)  Alkaline batteries should  be considered as a substitute for
     the nickel-cadmium (Ni-Cd)  batteries  currently powering the
     GE-CO unit.  Many of  the battery related monitor failures were
     due to charging difficulties and reliability problems with the
     Ni-Cd batteries.   Brief field tests indicated that six alkaline
     batteries will power  the  data unit for up  to seven 24-hour
     sampling periods before replacement and four alkaline batteries
     will adequately power  the  CO monitoring unit for up to  four
     24-hour periods.
(3)  A more  durable  sample pump,  still  compatible with monitor
     specifications,  is necessary.  The service life of the current
     pump may be as low as 900 hours.
(4)  The configuration of  the sample flow  path should be modified
     so the  flow  through  the prescrubber  is  up with respect to
     gravity to minimize  the deposition of  prescrubber material
     fines in  the  pump.   If this  is not possible, the  scrubber
     should be horizontal.   An  efficient filter between the  pre-
     scrubber cartridge and the  pump may solve the problem if the
     filter can be easily replaced.   Research-has  shown  the filter
     will be quickly contaminated.
(5)  The unit should have a sample pump  on/off  switch  inaccessible
     to the respondent but  available to  the  interviewer to reduce
     the load on the monitoring unit batteries.
(6)  The electrical connection to the sample  pump  should be  modi-
     fied to facilitate removal and replacement of the pump because
     of the  field  requirements  for  frequent  pump service.   The
     connection currently  requires  soldering a  piece  of printed
     circuit tape to the pump motor terminals.
                              -18-

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     GE/HP Monitor                                 :
     (1)  The electronic design of the GE/HP monitor should be carefully
          examined and modified  to  eliminate the llogic faults experi-
          enced during this project.
     (2)  The compatibility of the lead-acid gel cell batteries with the
          GE/HP unit should be  investigated.   Indications are that the
          batteries may not be capable of powering ;the currently design-
          ed unit for the necessary 28-32 hours.   i
     (3)  After the  battery  capacity question  is  decided, clear  and
          complete instructions  for charging  the batteries  must  be
          written  and  charger /charging  circuits olf  the  appropriate
          capacity should be assembled and supplied to future users.
     (4)  The packaging  of the  GE/HP  unit  should', be redesigned  to
          combine the current two-component package!.
     (5)  If batteries  are to be removed  from the; GE/HP monitor  for
          recharging, they should be made  easier to access and remove.
                                                   i
          Also, battery  connections should  be polarized  to  prevent
          accidental reversal of polarity.
     (6)  The redesigned monitors should be  thoroughly evaluated in the
         , -laboratory and in the field  before they ;are used in another
          sampling project.                        i
The rationale for  these  specific recommendations is further elaborated
in Section 6.3.2.
     In addition,  further  development  and  refinement of the capability
to enter activities directly into the GE/HP monitor's data storage would
yield benefits in  at least two  ways.   The first wo;uld be the reduction
in the  number of  steps  involved in preparing  data  for analysis.   The
second  would be  higher quality  information  on activities, since  more
consistency from  respondent-to-respondent would  be attained.  Since
                                                   f
activity and exposure  data would exist  on the saute data  string,  the
problems associated with matching of data  points by time, dealing with
missing or inappropriate entries, and preparing analysis  files would be
ameliorated.  Although the experience  gained using  the Hewlett Packard
(HP) based COEDs was  limited  in time and numbers,  the response of the
persons who used the devices  was very favorable.   If  the size of  the
                                   -19-

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keys and the  printing  of activities were enlarged, the instrument  and
the process of logging activities would be totally acceptable to respon-
dents.  In order to have more flexibility as to the number and  types  of
permissible activities,  a large detailed  set  of disjoint activities
could be developed  (based  on data  from this and other studies).  Two-
digit activity  codes  could then be  assigned,  and the HP programming
could be modified to store and use the two-digit entry for such activi-
ties.  After  further development and testing,  such a  device might allow
the use of the activity diary to be dropped or highly modified.
     Review of the diaries indicated problems with legibility of respond-
ents' entries and varying degrees of conformation to  the  specifications
for entering  activity  and  location information.  In particular,  diaries
for later studies  should be  structured to force a standardized format
for address entries.   Further explanation by  interviewers can  address
these problems, but a  cost in time  spent  with  respondents in a tightly
scheduled field  activity has .definite  impacts on the  study.   While
modification  of  the diary format, instructions, and  explanations  may
help, the best  solution is  the  further  development  of the  automatic
entry of activity codes.  A  diary should be retained  to provide quality
control checks for the automatic logger,  to test other concepts of  data
collection, and to provide detailed location (address) information.
     Sampling and  Field Data Processing.   It is  very difficult to
maintain a field  data  collection process of the  intensity of  the  CO
study on a seven-day-per-week basis.  The logistics  required  to start
and  finish  individual respondents'  data  collection  periods  created
extreme scheduling problems  for  both interviewers  and respondents.   It
was very difficult to  permit changes in respondents'  appointments,  even
within a three day window, and it was exceedingly difficult  to schedule
time off for  interviewers without  compromizing the  entire data collec-
tion process.  Undoubtedly,  a larger interviewing staff would  aid  the
problem, but  of course there would  be  an  associated  increase in costs.
A review of the  process  of selecting respondents in  terms of  location
and appointment availability might also yield  some benefits by cluster-
ing work to provide increased efficiency and reduced expense.
                                   -20-

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     Logistical Support.   For future studies, it is recommended that the
field staff who are to work in the laboratory and  field office space be
involved in the selection  of  the area to be used, i For example, for a
study similar  in  size and  duration  to the  CO  study, using  similar
monitoring  equipment,  approximately 500 square  feet  of office  space
would be needed.   About  325 square feet would  be used for the  field
technicians as  a  laboratory.   The remaining  175  square  feet  would be
used by the field interviewers for office and storage space.  This space
should be centrally located in the interviewing area with easy entry for
staff members.   Without this  amount  of space,  the field  staff  and
technicians will be hindered in  performing their duties.
     Another major  concern is publicity.  With the current climate of
nonresponse  to personal and telephone  interview contacts,  field data
collections  are increasingly difficult.  Early and continued publicity
on a project,  with increased intensity  at the  beginning  of each phase
will help reduce  non-participation by  increasing awareness  of  the
legitimacy of  the  study.   A multi-media  publicity drive  before the
telephone  screening  and  before  the  appointment-scheduling telephone
calls  should be incorporated into further studies of this  type.  Use of
lead letters before the  final round of calls increased the  response rate
in the sample  tested.  Inclusion of  a letter from the project sponsor
would also be of  benefit.
 4.3  Recommendations for Further Statistical Analysis
      Additional statistical analysis of the CO data over and above that
 presented in Section 6.4 should be undertaken.  The data base developed
 by RTI and described in Section 5.4 is  extremely  rich and  allows infer-
 ences to be made to  a large urban  area.  In particular,  possible addi-
 tional .analyses include the following:
      (1)  Statistical testing of  differences  between CO  levels  in
           various activities and environments using  appropriate  statis-
           tical software.
      (2)  Modeling  maximum hourly and maximum 8-rho'iir  CO  levels  as
            functions  of activities, environments,  and questionnaire data
            (for these analyses,  it  may be  desirable to control  for
            individual characteristics,  e.g.,  type  of occupation).

                                    -21-          !

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 (3)  Comparing fixed-site and PEM values.
 (4)  Computing time-weighted CO  levels  (to take into account  the
      time spent in an activity;  e.g., the  maximum 8-hour CO level
      is not highly affected by 15 minutes in a parking garage).
 (5)  Performing additional  analysis  of questionnaire  data  to
      determine the usefulness of specific questions.
 (6)  Examining in more detail relationships  between CO  levels and
      diary and questionnaire information (e.g., if  occupationally-
      exposed individuals were actually working, etc.).
 (7)  Determining whether meteorological  data are useful  in predict-
      ing CO levels  (analyses  described  in Section  6.4  only used
      high- and low-CO days;  temperature, wind speed  and  direction,
      relative humidity,  atmospheric stability,  mixing height,  and
      precipitation are also  available).
 (8)  Correlating breath  and  PEM levels.
 (9)  Analyzing childrens'  breath levels.
(10)  Investigating between-person versus within-person variation.
(11)  Analyzing data from the Computer  Model Input  Questionnaire.
(12)  Presenting standard errors of estimated quantities  (e.g., the
      proportions shown in Section 6.4).
                              -22-

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                      5.   METHODS AND PROCEDURES
5.1  Survey Design
     The purpose  of  the carbon  monoxide (CO)  study  was to  develop
methodology and to monitor personal exposure  to  carbon monoxide  for
residents of  the  metropolitan areas surrounding Denver,  Colorado and
Washington, D.C.  The target  populations  consisted of the non-institu-
tionalized, non-smoking residents, aged,18 to  70,  of  these metropolitan
areas.   For  the purpose of  sample selection,  the Washington,  D.C.
metropolitan  area was precisely  defined to  be all areas simultaneously
                                                    t
inside the Washington, D.C.  SMSA and  inside the Washington,  D.C. Urba--
nized Area as defined by the 1980 Census (see Appendix A).  The Denver
metropolitan  area was defined to  be the following  places  in  Colorado  as
defined  by  the  1980 Census:  Denver,  Englewood, Arvada, Aurora,  and
Commerce City.  These areas are also in the Urbanized Area of the Denver
SMSA  (see Appendix A).                              |
     Among the  objectives  of  the CO study was  to  make  inferences con-
cerning  the  personal CO exposure for  all members  of the Denver and
Washington metropolitan areas.   The only statistically valid procedure
that  is  widely accepted for making such inferences^  is to  select  a
probability  sample  from the  target populations.   Hence,  the sample
design for  the  CO study is a stratified, three stage probability-based
design.  Area sample segments defined  by Census geographic  variables
were  selected at  the first stage of sampling.   Households were selected
at the second stage, and all  household  members  were administered a  short
screening  interview.   The purpose  of   this  intervie^r was  to identify
                           '
individuals  with  characteristics believed to  be  positively  correlated
                                                    |
with  CO  exposure  so that  they could be oversampled '. in the third stage
sample.  The third stage  sample  was  a stratified  sample  of screened
eligible individuals.   The individuals in the  third  stage sample were
administered a Computer Model  Input  Questionnaire jby  telephone (see
Appendix B)  and asked  to carry  a personal CO monitor for 24 or 48 hours
                                  -23-

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for Washington or Denver,  respectively.   A breath  sample was  also
requested from the individuals who  were monitored,  and they were asked
to fill out a household questionnaire (see Appendix C).
     Whenever  probability  sampling  techniques  are used in  sample  sur-
veys,  sampling weights that reflect  the  procedures used  for  sample
selection must be used when analyzing the data.   The weight of a sample
unit can be viewed as the number of units in the  target population that
the sample unit represents.  The initial  sampling weight  for a unit is
usually  calculated  as the  reciprocal  of  either  the probability  of
selection of  the unit or  the expected frequency of selection  when
sampling with  replacement.  This  initial sampling  weight is often
adjusted in later steps  to reduce the bias  caused  by nonresponse  and
undercoverage  of  the  target population.   The  adjusted sampling weights
serve  to differentially xreight the  sample data to reflect the level of
disproportionality in the  final  sample relative  to  the population of
interest.
     If  the  sampling weights were  all equal,  the  weights could  be
ignored  in constructing survey estimates.   Otherwise,  the weights  must
be used in order to obtain unbiased population estimates.   Even when the
sample has been designed to affect  exact  proportional representation  of
the target  population, the  differential  impact  of  nonresponse and
undercoverage  leads  to a  distortion in the sample which  requires  the
construction of differentially adjusted sample weights.  Thus, it  would
be quite unusual  for sample suirvey data  to yield unbiased  estimates
without the use of sampling weights in the analysis.
     Since probability  sampling  techniques were  used to  select the
individuals to be monitored, the validity of inferences for this survey
is based upon  the statistical theory  of  sample  surveys  (see,  e.g.,
Cochran  [1963] or Raj  [1968]).   Probability sampling affords unbiased
inferences to  the target population when  sampling weights are used in
the analyses.
     To the extent that respondents and  nonrespondents are alike  with
respect to probability of responding and/or response values within non-
response weighting classes, the use of adjusted weights for the analyses
                                -24-

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reduces the bias due to nonresponse.  This topic is discussed further in
Whitmore, et al. [1983a].                            |
     Section 6.1.2 contains  analyses  of the screening data,  including
comparisons to  1980  Census  data on age, race,  and  sfex for the target
areas.  The Census data do not reflect changes in the populations of the
target areas between April,  1980, and  the  Fall of 1982, when  the  CO
study was performed.   They do,  however,  provide a useful benchmark for
comparison.  The results presented in Section 6.1.2 show that the sample
                                                     i
estimates and Census  values  are indeed comparable.   jNo such benchmarks
                                                     i
are readily available for the  persons selected for GO monitoring since
these individuals were required to be nonsmokers between 18 and 70 years
of age.  These  benchmark comparisons  are not  necessary,  however,  due to
the solid  probability foundation of the sample  selection  methodology.
The probability structure  of the sample provides  the basis for valid
inferences to the target population.                 '
     The purpose  of  this section is to  document  the  sample design and
construction of sampling weights  for  the CO study.   |(Additional discus-
sion  of  the sampling weights  is also  presented  in Whitmore, et al.
[1983a]).   Initial,  unadjusted sampling weights were  computed  for all
individuals selected into the monitoring sample.  These  sampling weights
are simply the  reciprocal of the overall probability of selection for
each  individual.  Two sets of  adjusted weights have :also been computed.
The  first  set  of adjusted person-level weights is  adjusted  only for
household-level nonresponse  to  the  screening  interviews.   The second set
                                                     I
of adjusted weights  is also  adjusted  for person-level nonresponse  to the
CO monitorings.  Considerations related to  use of  these  analysis weights
are  presented  in Sections  5.1.5 and  5.1.6  and in '/Jhitmore,  et  al.
 [1983a].                                             j.     '           .
      5.1.1  Selection of First-Stage  Sampling Units (FSUs)
             The first step  in selecting the samples|was to extract all
block group (BG)  and enumeration district  (ED) records  for each  target
area  from the 1980 Census Summary Tape File 1A (STF--1A) data tapes.  In
both  target areas,  all  Census records were  found  to be  block group
 records.  However,  there is  sometimes more than one;record for a single
                                  -25-

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block group.  Hence, the next step was  to  produce  a  data  set  of  records
for each site such that there was one and  only one record for each block
group.
     Since some block groups contain few,  if any, occupied housing units
as reported by the 1980 Census, it was necessary to combine block groups
to form a  sampling  frame  of first-stage units (FSUs).  The block group
records for each  site were first  ordered by the following  Census  geo-
graphic variables:

          State, County, Tract Basic, Tract Suffix, Block Group.

The block  groups  were then combined within tract  to  form FSUs with a
target size of 40 or more  occupied housing units.  The  BG-level  records
were processed sequentially and records with  a small size measure were
combined with the following records until  either the last BG record in a
tract was  reached or the  frame unit contained  40 or more occupied
housing units.  The FSUs. were not allowed to cross tract  boundaries
because of  a  desire to use sequential selection by  tract  number to
assure geographic dispersion  of the  sample.   In retrospect,  the FSUs
could have been allowed to  cross tract  boundaries without affecting the
geographic dispersion of  the  sample.  Each FSU would  then  contain at
least 40 occupied housing  units,  and undercoverage  of  tracts with no
1980 Census occupied  housing units would  be  prevented.  None of  the
small frame units were actually selected into the samples, however.
     In order  to  achieve  approximately equal probabilities  for the
second-stage sampling  units  (SSUs)  for each  site,  the  first-stage
sampling units were selected with probabilities proportional  to  size as
measured by the 1980  Census counts of occupied housing units.   Equal-
sized random samples  of SSUs within each FSU would  then result  in
approximately equal probabilities for the sample of SSUs.
     A sequential,  minimum  probability replacement  (MPR)  sampling
procedure developed at RTI  was  used  to select the sample of  FSUs  (See
Chromy [1979]  and Williams and Chromy [1980]).  The frame for each site
was first ordered in a serpentine fashion by the following variables:
                                 -26-

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                    State, County, Tract, TOTHUS,
where TOTHUS is the number of 1980 Census occupied housing units for the
FSU.  The FSUs were then selected with  probabilities  proportional to
size as measured by TOTHUS from the ordered sampling:frame.  The  sample
sizes were  250  FSUs for Washington  and 100  for  Denver.   Since  the
sampling was performed with replacement, multiple selections of the same
FSU were possible.  One FSU in the Denver sample was:selected  twice,  so
the Denver  sample  contains  99 distinct FSUs  or area: sample segments.
The sample for Washington consists of 250 distinct FSUs or area segments.
In addition, the ordering of the sampling frames resulted in a controlled
allocation  (proportional allocation)  to  the  implicit geographic strata
                                               ?
formed by crossing the sorting variables.  This control results from the
sequential nature of the sample selection and is  analogous  to  selection
of a systematic sample from an ordered frame.
     After  the sample  FSUs were  selected,  a  computer  tape  listing the
block groups  (BGs)  in  the  sample FSUs was sent to Donnelley Marketing
Corporation.  The tape was returned to RTI with name, address, and tele-
phone number  listings for  each  sample  BG.   The first-stage  sample
selection and selection  of the initial sample of  Donnelley listings is
summarized by the flow chart in Figure 5.1.1.        !
     The Donnelley  listings had been  compiled from two sources:   tele-
phone directory listings and vehicle registration records.  Ideally, the
number of Donnelley listings for a BG should  be  comparable to the 1980
Census of occupied  housing units  for  the BG.   The Donnelley list  count
and  the  Census  count were  comparable for most  BGs.  Unfortunately,
however, three FSUs in the Washington sample  had  no  Donnelley  listings.
These three FSUs were  in an area of Maryland for which the Donnelley
Corporation had no  telephone  listings,  and Maryland
does not allow the
Donnelley Corporation access  to  its  vehicle registration records.  For
all  other  FSUs, the Donnelley  lists were  used  as the  second-stage
sampling frames.
                                 -27-

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Extract all block group and enumeration
district records for the target area from
the 1980 Census STF-1A data tape. I/


Combine records whenever necessary to pro-
duce one record for each block group.


Form first stage units (FSUs) by combining
block groups as necessary within Census
Tract so that each FSU contains at least 40
Census occupied housing units.


Select 250 FSUs for Washington and 100 FSUs
for Denver with probability proportional to
size as measured by the Census occupied
housing units.


Send the list of block groups comprising
sample FSUs to Donnelley Marketing Corpora-
tion and receive their lists of block group
residents .


Select 50 Donnelley listings from each
Denver FSU and 40 listings from each Wash-
ington FSU, or select all listings from a
FSU that has fewer than the required number.
I/   All extracted records were block group records.
Figure 5.1.1  Selection of First-Stage Units  and the  Initial  Sample  of
              Donnelley Listings.
                                -28-

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     5.1.2  Selection of Second-Stage Sampling Units (SSUs)
          ,  A second-stage .sample of housing units,  as  defined  for the
1980 Census, was  selected  within each sample FSU.  ;.For the  FSUs with
Donnelley listings,  the Donnelley listings were  used  to  select the
                                                    I
second-stage sample.  The listings were used as a  second-stage  sampling
frame in lieu of the traditional  field listing  of  all housing units in
the sample  segments.  For  the three Washington FSUs: with  no  Donnelley
listings, field procedures were used  to  select  second-stage  samples of
housing units.                                      ,.
              '
            5.1.2.1  Selection of SSUs Within FSUs With Donnelley
                     Listings
                     For each FSU with Donnelley  listings,   a  simple
random sample of  listings  was selected without replacement.  A random
sample of 50 listings was selected within each Denver FSU, and  40 within
each Washington FSU.  For  any FSU that did not contain this many list-
ings,  all  listings were selected.   A sample  of  9,876  listings  was
selected for Washington, and  4,987 listings were selected  for the Denver
sample.  When it became apparent that a  smaller  sample  size  would
produce  sufficient  screening  data for  Washington,  the Washington sample
was randomly  subsampled.   The utlimate sample size  for Washington was
8,643  listings.   Whitmore,  et al. [1983a]  discusses the computation of
the first stage sample weights using the above scheme.
     In  order to  obtain complete  coverage  of  the  target population, the
                                                    i
sample of Donnelley listings  was  regarded  as  a sample  of  housing units
identified  by the name and address  in each Donnelley  listing.  There
were many Donnelley listings  for  which the address alone was not suffi-
cient  to identify a specific  housing unit.  This was particularly  true
of housing  units  in apartment complexes.   Since most Donnelley listings
come from telephone directory listings,  the address;shown for apartment
residents was often no more  than  the  street  address of the  apartment
complex.  Whenever  the  address was not sufficient to identify  a parti-
cular  housing unit, the individual's  name  was  also> used.  The  sample
housing  unit  was then  defined to be the housing  unit at the  sample
address  in  which the named individual either currently or  previously
resided.                                            i
                                 -29-

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      A single housing unit also may be linked to more than one Donnelley
 listing.   This can  occur whenever the  Donnelley  Corporation listed
 multiple  telephone  subscribers  and/or vehicle registrants for a single
 housing unit.  These frame multiplicities can be associated with current
 residents of  the  housing unit and/or previous residents of the housing
 unit.   Since the  name and address  must sometimes be used simultaneously
 to  identify a  sample housing unit, it is virtually impossible to accu-
 rately identify  all of  these frame  multiplicities.  Consequently,  no
 attempt was made  to  remove these multiplicities from the sampling frame
 prior  to  sample selection.   It also does not appear to be cost-effective
 to  pursue any multiplicity  adjustments  in analysis  of  this sample.
 Hence,  the sampling weights  have  been computed treating each  sample
 housing unit as if it was linked to only one Donnelley listing.
     All  sample  Donnelley listings  were initially assigned to the
 telephone mode for administration  of  the screening  interview.  About 75
 percent of the sampled  Denver  listings  and about  88  percent of the
 sampled Washington listings  had phone numbers.  The difference seems to
 be  that vehicle  registration records were  not  available to Donnelley
 Corporation for the  Maryland portion  of  the Washington  sample, but  were
 available for  all of Colorado.   RTI's  telephone  interviewing staff
 attempted to obtain  telephone numbers for the sample listings with no
 phone  number.  Phone numbers were obtained for  about ten percent  of
 these listings.
     For  each call made  by the  telephone interviewing staff, the tele-
 phone number was  first verified with the individual who  answered.   If
 the correct telephone number had  been  reached,  the address was also
verified.   Since  the sample  was regarded as an address  sample,  not a
 telephone number  sample, the interview was  terminated  if the indivi-
 dual's  address was  not  the  address   shown  for  the sample Donnelley
 listing.  These addresses were  placed in a pool to be subsampled   for
field interviewing.  Otherwise, all  individuals  living in the housing
unit  (1980 Census definition) were screened by a telephone  interview.
The name  shown for  the Donnelley listing was never verified.   It  was
implicitly assumed that  the  correct  housing unit  had been accessed if
 the telephone number and address were correct.
                                -30-

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     Table 5.1.1  presents the  final  result codes  generated by the
telephone screening attempts.  It also identifies a pool of result  codes
for which  the  listings  were treated  as  not covered by the  telephone
screenings, e.g., those  for  which no phone number  could  be obtained.
                                                      [
Some assumptions are inherent  in this categorization.  For example, it
has been assumed that listings  with  a final result of "ring-no-answer"
are listings for which the address would have  been verified as correct
if someone had been contacted.  The distribution of the telephone result
codes is also presented in Table 5.1.1.               ;
                                                      i
     It was not  feasible  with  the project's time and [money constraints
to  attempt field screenings  for all  sample Donnelley listings not
covered  by the telephone  screenings.  Hence,   a subsample of  these
listings was selected as  illustrated by the subsample of  n«  Donnelley
listings shown  in  Figures 5.1.2 and  5.1.3.  Given the sampling rates
                         '
shown in Figures 5.1.2  and  5.1.3, the  loss in precision  due  to this
subsampling is  considered acceptable.   A field interviewer was sent to
each housing unit  represented  by this subsample of Donnelley  listings.
The field  interviewer administered the screening interview if  a reliable
respondent was  available on the first attempt.  Otherwise,  the inter-
viewer attempted to get the  correct telephone  number from a neighbor  or
information operator.   When the  field  interviewer was able  to  get a
telephone  number for the  sample housing unit,  subsequent screening
attempts were made by telephone.  When the first attempt  did  not yield
either  a completed interview or  a telephone number, additional field
attempts were made for  the Denver sample.  The wide  geographic disper-
sion of  the Washington  sample made additional  field [attempts prohibi-
tively expensive for the  Washington sample.           j
     As  shown in Figure  5.1.2,  a total of 1,825 sample Donnelley list-
ings were  not covered by  the initial  telephone  screenings  for  Denver.  A
simple  random  sample of  242 of these  listings was  selected  without
replacement.  A field  screening attempt was made  for each listing in
this subsample.   Similarly,  as shown in Figure  5.1.3,,  a  simple random
sample  of 353  listings  was selected without  replacement from 2,396
sample  listings not covered by the  initial telephone  screenings  for
Washington.
                                 -31-

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Table 5.1.1  Distribution of Initial Telephone Screening Final Result
             Codes
Result
Code
01
51
52
53 -1
64 -l
71^
72
73
74^
75
76 -/
81 - -
82
83
84
95
Total
Frequency
Interpretation
Completed Interview
Refusal or Breakoff, Conversion
Attempt Failed
Refusal or Breakoff, Not Reached for
Conversion Attempt
Circumstantial Non-Interview
Partial Interview
Nonworking Number
Nonresidential Number
Entire Household Moving
Address Doesn't Match Donnelley Listing
No Reliable Respondent (3 attempts)
No Phone Number
Final Phone Problem (confirmed by
operator)
Ring-No-Answer (6 attempts)
Answering Machine (6 attempts)
Final Busy (10 attempts)
Other (both eligible & ineligible cases)

Denver
1,997
469
135
6
13
436
91
92
350
21
1,032
7
207
22
4
105
4,987
Washington
4,245
673
93
10
32
997
187
187
609
36
782
8
503
35
4
242
8,643
 I/   An eligible housing unit was contacted, but circumstances prevented
     a screening interview.
 2j   Breakoff after Question 7.
 3/   Result Codes for the pool of Donnelley listings not covered by the
     initial telephone  screening.
 4/   Branching, complete silence, fast-busy or other problem confirmed
     by an Operator.
                                  -32-

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                   Initial Sample of n.
                   Listings
= 4987 Donnelley
          4987 Telephone
          Screenings Attempted
                            T
                    1165  Refusals;  Non-
                    interviews ;  Unable
                    to Contact Reliable
                    Respondents;  Non-
                    Residential  Phones,
                    Etc.
Stratified Sample of
n. = 1000 Eligib3.es
                    Refusals;
                    Ring-No-Answers
                    Etc.
                    Refusals; Not-
                    At Homes, Etc.
             1
          1825 Donnelley
          Listings Not
          Covered by Tele-
          phone Screening
          Attempts
                              Sulisample  of
                              n  '=• J50 Listings
                              to .Check for
                              Hifised  HUs
                                                                      Refusal; Mon-
                                                                      Tnterview;
                                                                      Unable,  to Con-
                                                                      tatt Reliable
                                                                      Respondent,  Etc.
                          Figure .5.1.2  Denver CO Sample Protocol

                                          -33-

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Initial Sample of "h. '
Listings
                                           8643 Donnelley
          8643 Telephone
          Screenings Attempted
                    2002 Refusals; Non-
                    interviews; Unable
                    to Contact Reliable
                    Respondents; Non-
                    Residential Phones,
                    Etc.
                              2396 Donnelley
                              Listings Not
                              Covered by Tele-
                              phone Screening
                              Attempts
 Stratified  Sample
 of n.  -  1779
 Eliglbles
     Sample of n = 96
     HUs from Segments
     With no Donnelley
     Listings
                          1
                     Refusals;
                     Ring-No-Answers
                     Etc.
                     Refusals;
                     Not-At  Homes,
                     Etc.
Subsample of n_
= 300 Listings
to Check for
Missed HUs
                                                                      Refusal; Non-
                                                                      Interview;
                                                                      Unah.1 e. to Con-
                                                                      tact Reliable
                                                                      Respondent, Etc.
1    A total of 1217 interviews were scheduled between all Washington samples.
2    Usable CO monitor data were obtained for 712 individuals in the Washington samples.
                      Figure  5.1.3  Washington  CO  Sample  Protocol

                                           -34-

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     The second-stage sample of Housing units also addressed the problem
of undercoverage by the frame  of Donnelley  listings,;   In a traditional
listing of all HUs in the sample segments, the interval from each sample
housing unit  (HU) to the next  listed  HU is  checked for missed HUs.  If
unlisted HUs  are  found,  they are included in the  sample.   The direct
extension of  this procedure  to the sample of Donnelley  listings would
require a check for missed HUs  for  each of  the  8,643 Washington sample
HUs and each  of the 4,987 Denver sample  HUs.   This|procedure was not
feasible  since  most of  the  screening  interviews  were conducted  by
telephone.  Instead,  a subsample of  Donnelley  listings to check  for
missed HUs was  selected for  each site.   The  subsample of n. HUs, using
the notation  from Figure  5.1.2, was selected in two  stages.   First, a
subsample of  FSUs was  selected, 15 for Denver  and 30 for Washington.
Then a subsample  of ten Donnelley listings from the initial sample of nn
                                                                       U
Donnelley  listings  was selected  by  simple  random sampling  without
replacement from  each of these  area segments.  The F,SUs were selected as
a  stratified  simple  random  sample  without replacement.  This  stratifi-
cation was designed to guarantee that some of the missed HU sample would
fall within the segments  for which the number of  1980 Census  occupied
housing units was 50 percent or more  greater than  the  number of Donnelley
listings.                                           |
     The  sample of  Donnelley listings for which a. missed  HU  check was
performed is  considered  to  be minimally adequate.   A.  larger sample was
not selected  because the expense of the missed HU  checking depended upon
the unknown  quality of the  Donnelley listings.  The  missed  HU field
procedure was designed to also  detect and document misclassifications of
HUs into  block  groups.   Hence, the Missed HU Sample,  was important for
assessing the usefulness of  the Donnelley listings as a sampling frame.
As a result,  it was decided  that a  thorough  check  in a few FSUs was the
best approach.  The results  of  these  checks were generally favorable and
are discussed in  Section  6.1.4.
            5.1.2.2  Selection of SSUs  Within FSUs With No Donnelley
                     Listings
                     As  discussed  earlier,  there were three FSUs in the
Washington sample for which there were no Donnellejr listings.  Sample
                                 -35-

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housing units were  selected  from these FSUs even though no funds were
budgeted for field listing of housing units in area segments.  Hence, a
minimal cost procedure that affected complete coverage of these FSUs was
adopted.  Block statistics from Summary Tape File IB  (STF-1B) were used
to obtain the 1980 Census count of occupied housing units for each block
within these FSUs.  The blocks were  then  combined into subsegments and
one subsegment was selected from within each FSU.  The  subsegments were
selected with probabilities proportional  to their 1980  Census count of
occupied housing units.  Thus, approximately equal sized samples within
the subsegments were selected to obtain an approximately equally weight-
ed sample.
     Since the budget  for field  screenings  was very  limited,  the field
samples were selected without listing all housing units.  Instead, every
k   HU was selected into the sample, with a random start from 1 to  k.
The value of k was chosen to yield approximately 35 sample housing units
in each subsegment based upon the 1980 Census data.  The only compromise
resulting from  this  procedure is that direct  quality control of  the
listing became impractical.  However,  as  an alternative,  these samples
were listed by  one  of  RTI's  most experienced and reliable field  staff
members.  We feel that the quality of  the listing was probably superior
to the qualilty usually achieved with the standard procedures.
     If a reliable  respondent was available on the first pass through
each subsegment,  a  screening interview was conducted.   If the  field
interviewer could get  the home  telephone number, subsequent  screening
attempts were made by  telephone  from RTI.  Otherwise, the budget  per-
mitted no further interview attempts.  Further discussion of the special
subsample is presented in Whitmore, et al. [1983a],
     5.1.3  Screening Response
            The distribution of  final result codes for the Denver  and
Washington screening samples is  shown in Tables 5.1.2 and 5.1.3.   The
overall response rates for the  screening phase,  shown in Table  5.1.4,
were 70.4 percent for Denver and 75.8 percent  for Washington.   The
sample design proposed in  Section 6.1 is expected to raise  these re-
sponse rates  to near  80 percent for  future  studies  of  this type.
                                 -36-

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Table 5.1.2   Distribution of Final Result Codes for Denver Screening
              Sample                                ;
Result
Code

01
02
03
05
 11
Interpretation
 Primary
  Phone
Screenings
 Completed Interview/
 Telephone Number
 Obtained

 Completed Interview/
 Telephone Number Not •
 Obtained

 Completed Interview/
 No Telephone Available

 Entire Household
 Moving Based on
 Field Contact

 No Age Eligible During
 Field Contact/Telephone
 Number Obtained
                                     1,997
   No
Previous   Missed
Contact      HUs    Total
                109
             27     2,133
                                                    !o
j_*-t ix \j WLI<=> LIVJIUG ISIJ.JL o-i-ig
Field Contact /Telephone
Number Not Obtained 0
17 Language Barrier/
Telephone Number
Obtained 0
18 Language Barrier/
Telephone Number
Not Obtained 0
20 Field Refusal/
Breakoff 0 2
25 No Contact 0 2
30 Not a Residence 0
31 Vacant 0
•». 32 Demolished /Condemned 0
33 No Such Address 0 1
40 Other Field Result 0 4

-37-


00 0


4 1 5


1 0 1

2 8 30
9 12 41
8 ,0 8
6 0 6
3 0 3
1 0 11
3 0 43
continued

1

-------
Table 5.1.2 continued
Result
Code
51
52
53
64
71
72
73
74
75
82
83
84
95
TOTAL
Primary
Phone
Interpretation Screenings
Refusal or Breakoff
Conversion Attempt
Failed
Refusal or Breakoff
Not Reached for Con-
version Attempt
Circumstantial
Non-Interview
Partial Interview
Nonworking Number
Nonresidential Number
Entire Household Moving
Address Doesn't Match
Donnelley Listing
No Reliable Respondent
(3 attempts)
Ring-No-Answer
(6 attempts)
Answering Machine
(6 attempts)
Final Busy (10 attempts)
Other (both eligible
and ineligible cases)

469
135
6
13
0
91
92
0
21
207
22
4
105
3,162
No
Previous
Contact
0
0
0
0
0
0
0
0
0
0
0
0
0
242
Missed
HUs
0
0
0
0
0
0
0
0
0
0
0
0
0
48
Total
469
135
6
13
0
91
92
0
21
207
22
4
105
3,452
                                -38-

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Table 5.1.3
Distribution of Final Result Codes for Washington
Screening Sample
I/
Result
Code
01
02
03
05
11
14
18
20
25
30
31
32
33
40
51
52
53
64
71
72
73
74
75
82
83
84
95
Total
Primary Phone
Screenings
4,245
0
0
0
0
0
0
0
0
0
0
0
0
0
673
93
10
32
0<
187
187
0
36
503
35
4
242
6,247
No Previous Missed No Donnelley
Contact HUs Listings Total
85 15
2 1
0 0
2 0
0 1
9 1
1 0
29 3
49 17
8 0
19 0
5 0
7 0
38 6
0 0
0 0
0 0
3 0
5 0
1 0
0 1
27 0
1 0
2 1
1 0
0 0
59 0
353 46
56 4,401
2 ,5
2 2
0 2
0 1
0 10
0 1
10 42
15 81
0 8
1 20
0 5
0 7
0 44
1 674
0 93
0 10
5 40
0 5
0 188
0 188
3 30
0 37
0 506
0 36
0 4
1 302
96 6,742
 I/    See Table 5.1.2 for result code description.
                                 -39-

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               Table  5.1.4    Screening Response Rates _!/
Sample
initial Telephone Screenings
No Previous Contact Sample
Missed HUs
No Donnelley Listings
Overall
Denver
0.720
0.524
0.563
NA
0.704
Washinjgtoja
0.791
0.282 21
0.364 2J
0.632 2J
0.758
Ij   Response rate calculation in terms  of final result codes  from
     Table 1.7:
          Rate
                             01 + 02 + 03
                    Total - 05-30-31-32-33-72-73-82
2j   Field screening response rates are low for Washington because
     the field effort was minimized to control costs.   Due to the
     wide geographic dispersion of the Washington field sample,  a
     more exhaustive field effort was considered to be prohibitively
     expensive.
                                 -40-

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Nonresponsc adjustment  to  the sampling weights are discussed  in  Whit-
more, et al. [1983a] including the formation of weighting classes.
     5.1.4  Selection of the Third Stage Sample     i                   ^
            As discussed in  Section  5.1, the eligible  individuals  for
the CO study were  the  nonsmoking residents of the tiarget areas between
18 and  70 years of age.   The field screenings yielded 139 eligible
individuals in  responding  households  for  the Denver samples  and 214
eligible  individuals for the Washington samples.   The field screenings
were  generated  by the  No  Previous Contact Sample  ,knd  the Missed HU
Sample for  Denver.  They  also included  the sample  tor  the three area
segments  with  no  Donnelley  listings  for  Washington.  All  eligible
individuals from  the Denver  field samples  were selected into  the third
stage  sample  for  CO  monitoring.  For Washington,  jthe 208  eligible
individuals with  a known  telephone  number were  all  selected  for CO
monitoring.
                                                    j
     The  initial  telephone screenings  yielded 2093  eligible individuals
for Denver  and 5209 eligible individuals for  Washington.  For  each site,
a  stratified simple random sample of eligible indiyidxials was selected
for  CO  monitoring as  shown  in Tables  5.1.5 and 5.1.6.  The purpose of
the  stratification was to oversample  those  individuals who  appeared
likely  to be exposed to the  highest  CO levels based upon their screening
data.  Since the  sample sizes defined  by Tables 5.1; 5 and  5.1.6 were not
explicitly  allocated to first-stage  sampling  units,;the number of sample
individuals selected  from each  first-stage unit  is actually  a random
variable.   Hence, the  sample  design is not strictly a nested design,
which presents  some problems for estimation  of precision, as  discussed
in Whitmore, et al. [1983a].                       I
                                                    I-
      The  sample stratification for the  initial telephone  screenings is
shown in Tables 5.1.5  and 5.1.6.  The strata are defined in  terms  of
four stratification variables.  Based  upon discussions with EPA staff
members,  it was  decided  that commuting time was tihe most  important
stratification  variable.   Respondents  who had indicated  a usual daily
one-way commuting time of 30 minutes  or more were  defined  as  belonging
to the "long commuting time" strata.  All  other respondents  were  defined
 to belong to the  "short commuting time" strata.   It was decided  that the
                                  -41-

-------
   Table  5.1.5   Third  Stage  Sample Allocation for the Denver Sample
Stratum
Number
L
2
3
4
5
6
7
8
9
TOTALS
Commuting
Time
Short
Short
Short
Short
Short
Short
Long
Long
Long
Gas
Appliance
Space
Heater
Space
Heater
Gas _!/
Stove
Gas Stove
Other
Other
Space
Heater or
Gas Stove
Other
Other
Attached
Garage
Yes
No
Yes
No
Yes
No
—
Yes
No
Screened
Eligibles
48
43
70
342
529
577
143
182
159
2,093
Sample
Size
48
43
56
148
229
250
74
78
74
1,000
I/  Gas stove,  but not a space heater.
                                 -42-

-------





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-------
second most  important stratification variable  was a  gas  applicance
variable.  This variable  was  defined to have the  following  levels  in
terms of the gas appliances used at the respondent's residence:
     (a)  a space heater is used,
     (b)  a gas stove is used, but not a space heater, or
     (c)  neither space heater nor gas stove is used.
The screening questionnaire had  probed  for  use  of  several  types of  gas
appliances in  the- residence.   It  was  decided that all  types  of gas
appliances other than space heaters  and gas  stoves were  usually vented.
Hence, space heaters and gas stoves were considered the major sources of
CO generation within  the  home and were used for stratification.  Rare
groups based upon  these two stratification variables were oversampled,
and the  remainder  of the  sample was proportionally allocated  to the
remaining strata for each  site.  Some of the larger strata that received
a  proportional  allocation of the  remaining sample were divided  into
substrata.  Since  the substrata  received a  proportional  allocation,  the
additional  stratification simply  added control  over distributional
characteristics of the sample.
     Two additional variables were used to define substrata:  Presence
of an  attached  garage and use of  tobacco in the home.   Individuals  in
households that indicated an  attached  garage were  assigned to  one level
of the attached garage variable, and all other  individuals were assigned
to a second  level.   The individuals from a  residence  in which  someone
was identified  as  a tobacco  user were assigned to  one  level  of the
smoking  or  tobacco-use  variable.  The individuals in  all  other house-
holds were  assigned  to  a  second level  of  this  variable.  The  attached
garage variable was  considered to be  the more  important of these two
substratification  variables.  The smoking variable was not used for  the
Denver stratification due to  the smaller stratum sizes.
     Another aspect of  the third stage sample design was the allocation
of  individuals  to specific days within the  sample  period.   A major
purpose  of the  CO  study was to  estimate the distribution of personal CO
exposures for the  study populations during  the study season.  Of parti-
cular  interest  was the maximum personal CO exposure.   Individual  CO
exposure is heavily  dependent upon several factors including:   weather,
                                 -44-

-------
location, and activity  patterns.   Since weather is  such  an important
factor, it was necessary to field as large a sample,  as possible on each
day during the study period.  Otherwise, there could be no one monitored
on the  days  with weather  patterns  producing the highest  CO levels.
Since activity patterns are important, the sample participants could not
be allowed complete freedom of choice in selecting a day to be monitored.
The sample subjects could introduce a bias by selecting mostly days when
they plan to be inactive  or  stay at home.  The  strong  influence of
weather  and  activity  patterns upon  CO exposure suggests  a specific day
                                                   I
should be randomly  selected for each individal to be monitored.   How-
ever,  it was anticipated  that the response rate would be so poor as  to
                                                   j
invalidate the  study  if only  one  day was offered fcjr each sample subject
to participate.  Hence,  the sample for Washington was randomly allocated
to non-overlapping  three-day interview periods.  likewise,  the  sample
for  Denver  was  allocated  to  four-day interview periods.   Four-day
interview periods were used for the Denver sample because  each indivi-
dual  selected for Denver was asked to  participate  for  two consecutive
days.   Each individual in  the Washington  sample  participated for only
one day.                                          ,
      The allocation of individuals in the Washington sample to specific
three-day interview periods had  a  greater negative impact on the  re-
sponse rate than had  been expected.   Some individuals indicated  that
they  were willing  to participate, but not  within  the selected  time
period.   These  individuals were given one  additional  opportunity to
participate by randomly reallocating them to  one new  three-day  period.
A total  of  550 individuals were reallocated  in this manner  for  the
Washington  sample.  Reallocation to  new  time periods was also allowed
 for the Denver sample.  However, the method of reallocation was  somewhat
 different.
      The third  stage sample for Washington  also  incorporated a  lead
 letter methodology study.  A sample  of 596  individuals was selected to
 receive  a lead letter.  A random subsample was selected from each of the
                                                   I
 strata  shown in Table 5.1.6.  The lead letter informed  the  individual
 that he or  she had been selected for monitoring and  that a telephone
 interviewer would be  calling soon.   The lead  letters appear  to have had
                                  -45-

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a positive effect upon the response rate.  The overall response rate for
individuals selected into  the  Washington sample was about 58  percent,
but the response  rate  for individuals in  the  lead letter sample was
approximately 63 percent.   (These  response rates  are calculated as  the
number of  individuals who  agreed to schedule a monitoring appointment
divided by the number of  individuals selected.)   Hence,  a person-level
response rate of about 65 percent may be possible  for  future studies of
this type.  Third stage response a.nd sample weights are  also discussed
in detail in Whitmore, et al.  [1983a].
     5.1.5  Third Stage Response
            The distribution of  final result codes for all individuals
selected for CO monitoring in Washington is shown in Table 5.1.7.  It is
easily seen from the table that  appointments were scheduled for about 58
percent of the individuals selected into the sample.  However,  due  to
various factors, usable CO monitor  data were obtained  for  only about 36
percent of the individuals sampled.  Instrument failure  and refusal to
carry the monitor were  two of the major reasons  for the low response
rate.
     Thus, as  shown in Table  5.1.4,  approximately 76 percent  of the
eligible households in the Washington screening  sample responded.   And,
from Table 5.1.7, usable CO  monitoring  data were obtained for about 36
percent of  the individuals  selected.   These response rates could  be
improved in the  future  by sending letters  to all  individuals  selected
for monitoring,  by reduction  of monitor failure,  and by  making the
monitors less intrusive.   Like most personal monitoring  studies, the CO
study achieved a relatively  low  overall  response  rate.   However, it may
be very plausible  to  presume that the CO  exposures  of respondents  and
nonrespondents are  alike within weighting classes.   If  so,  the low
response rate is not as much of  a  problem as it might be in some other
type of study, e.g., a study of  people's attitudes  and opinions.
     5.1.6  Variance Estimation  and  Screener Analysis
            The sampling design  for the  CO study  is a stratified,  three
stage design.  Area segments  defined by  1980  Census block groups are
selected  at  the  first s.tage.  Donnelley  listings  are selected  at the
second stage.  However, the  second-stage sample is  a multi-phase sample.
                                 -46-

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Table 5.

Result
Code
02
03
04
12

14
15
21

22
23
24
25
.26
30
99

1.7 Distribution of Final Result Codes for Individuals
Selected for CO Monitoring in Washington

Interpretation ;
No Contact After Appointment Scheduled
Need to be Rescheduled
Refused to Keep Appointment
Appointment Not Kept - Will Not
Reschedule
Refused After Field Contact
Snowstorm Forced Cancellation
Completed Data Collection; Unusable CO
Data
Partial Data Collected
Wrong Person Monitored
Monitor Malfunctioned
Other Result , Eligible for Monitoring
Ineligible (e.g., smoking or illiterate)
Usable CO Data
Unable to Schedule an Appointment
TOTAL

Frequency
N %
16 0.8
1 0.1
40 2.0
76 3.8

51 2.6
9 0.5
132 6.6

7 0.4
2 0.1
68 3.4
36 1.8
11 0.6
712 35.8
826 41.6
1987 100.1
-47- . '

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Each sample Donnelley  listing is initially assigned  to  the  telephone
phase.   A subsample of the listings not covered by the telephone phase,
e.g., listings with no telephone number,  is  then  selected for a second
phase.   In particular, the No Previous Contact Sample is  a field inter-
view phase of the  second  stage  sample.  Moreover, a third phase of the
second stage  sample  is selection of a subsample  of listings for  the
Missed HU Sample.  Finally,  the third  stage  sample of people for moni-
toring is not completely  nested within the first-stage sampling units.
As a result of these design  complexities,  exact formulas  for estimation
of variances  and  standard  errors  are complex,  if not  intractable.
Approximate formulas are  generally used to obtain appropriate estimates
of standard  errors with designs of this  type.   See Whitmore,  et  al.
[1983a]  for  additional details on this topic.   In addition, Whitmore
also discusses  estimating totals and proportions for the CO screening
sample as well as  their associated standard errors.
5.2  Survey Activities
     This section  describes  the field  survey activities for  the project.
As described  in Section 5.1, survey activities occurred  in  two phases.
Phase  I  was an initial telephone  screen  in both Denver, Colorado  and
Washington,  D.C.   Phase  II  involved another  telephone   interview  to
identify a  specific  respondent  and to  set up an appointment for a field
interview.  The  field  interview for the  collection of personal exposure
monitoring  (PEM)  data and breath samples  followed.  RTI  performed Phase
II in Washington,  D.C.  only.
     5.2.1  Public Relations Efforts in Denver
            On  August  9,  1982,  the survey task leader and other project
personnel  met in  Denver  with  various city,  state, and  EPA regional
 officials.   All aspects of the  study were discussed.   Substantive  issues
 discussed  included  data requirements, and  placement of fixed site
monitors in  relation  to segments  selected  for  personal monitoring.
 Recommendations were made for  placement  of  additional  fixed site  moni-
 tors.   Discussions also centered on the  types of  local support needed to
 complete the project and included the need for public relations activi-
 ties prior to each phase of telephone interviewing.
                                   -48-

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     5.2.2  Data Collection Instrument Development and Approval
            Four data collection instruments were developed and reviewed
by internal project staff.  After revision, they were sent for review by
the sponsor.  Two of the forms were administered by the Computer Assist-
ed Telephone  Interviewing (CATI)  system and the sponsor reviewed  them
for substance only.  Those forms were the  Household  Screening  Question-
naire and the Computer Model  Input Questionnaire.  The  remaining forms,
the Activity Diary and the Study Questionnaire, were completed directly
by  the  respondents.   All forms  were finalized and:  put  into  the OMB
package for approval.   (Copies of  the forms appear in the Field Inter-
viewer's Manual in Appendix C.)        .
     In early July a draft OMB package was prepared  and submitted to EPA
for  internal  review.   Based  on  this review, revisions were made  and
copies were prepared and  sent to EPA on July 27, 1982.
     A  final  version of the  OMB package was prepared and  submitted on
August  18,  1982.   (See Appendix D for a Table of  Contents of the  OMB
Package.)  The  revisions  were based  on comments supplied by EPA as well
as  RTI  reviews  of  the  earlier draft  submissions.   The required copies of
the form  were delivered to  the  project officer at EPA-RTP.  A memo from
the EPA project officer  denoting interim  approval to proceed  with the
telephone screening phase was received on August  19, 1982.   Based on
this memo,  all activities were  continued  according   to the previously
prepared  schedule.   Formal  OMB  approval was received later in  the  month.
The OMB number (2080-0003) and  expiration date (September 1983)  were
placed  on the data collection instruments.
      5.2.3   Phase I - Household Screening  Survey
          '   As described above,  the first phase  of the study was a
 screening of selected households in Denver  and Washington, DC.  Infor-
mation dealing specifically with length of time spent in regular commut-
 ing as well  as demographies  were collected about all  members of   the
 household.    Specific  information collected  about  the  housing unit
 included presence of gas applicances and presence of an attached garage.
      A Computer Assisted Telephone  Interviewing  (CATI)  system was used
 to perform this  task.   Local,  experienced telephone interviewers  were
 hired and trained and interviewing was begun on August 24, 1982.
                                  -49-

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            5.2.3.1  Computer Assisted Telephone Interviewing (CATI)
                     System
                     The Computer Assisted Telephone Interviewing system
at RTI was used to administer the Household  Screening Questionnaire and
the Computer Model Input Questionnaire used  during Phase II.   The CATI
system involves programming  a computer  so that questions are presented
on a screen in front of a telephone interviewer.  The interviewer enters
answers from the respondent  directly  into the computer  data base.  The
answers entered  then interact with  the program to  select the next
question to be presented on  the screen and asked of  the  respondent.   In
addition, this system provides immediate  access to answers  for analysis
and reduces  clerical error  introduced  in multi-stage  data handling
operations.
     Programming of the Household Questionnaire for  the  CATI  system was
started in July 1982.  Final testing of the CATI system and the screener
were completed a week before the  screening phase was implemented.  The
speed of the machine was somewhat less than  desirable, but  did not  have
an effect on  the  respondents' willingness to participate.  After work
was completed on the development and testing of the  screening question-
naire, initial development  of  the CATI  programming for the  Computer
Model Input Questionnaire was begun.   Testing and refinement was done in
an iterative manner.  RTI personnel acted as interviewers and respond-
ents during test phases and  provided knowledgeable immediate  inputs for
modifications of the system.
            5.2.3.2  Telephone Interviewers
                     During  July  1982,  recruiting  and hiring of  tele-
phone interviewers for the  household  screening phase was begun by  the
Telephone Survey Unit.   In  response to  advertisements  in  local  news-
papers, over 700 persons  requested  information about the  interviewing
positions.  All were sent applications and mock interview  forms.  Those
persons whose applications  seemed promising  were called and  asked  to
administer the mock  questionnaire.  From those deemed acceptable,  the
Telephone Survey Unit (TSU)   supervisor selected candidates  for personal
interview and made offers to nineteen persons who accepted positions.
All nineteen were trained on Monday, August  23, 1982 and started  inter-
                                 -50-

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viewing after training.  One  of  the nineteen was asked to move into  a
task leader slot, and two others who were doing unacceptable work  could
                                                   I
not be successfully retrained and  left the  project.   Replacements were
recruited and trained when hired.   The Table of Contents of the Tele-
phone Interviewer's Manual is given in Figure 5.2.1.
            5.2.3.3  Interviewing                  i
                     Specifications for  the execution of the  Computer
Assisted Telephone Interview  (CATI) data acquisition were provided  to
the Telephone Survey Unit  (TSU)  for use during hiring of staff as well
as during project operations.  A copy  is provided In Appendix E.
     Interviewing for  the  Household Screening Questionnaire was imple-
mented in full on Tuesday, August  24th.  No major  problems  occurred  and
the speed of the interview process increased as  the  staff gained  famil-
iarity with the  CATI system and  the screener,  and  as they gained  confi-
dence in their ability to use the  system.
     Telephone  interviewing  continued through September  21,  with the
last  seven days devoted to  conversion attempts of  cases which were
refusals or breakoffs.  Approximately 30% of the recontacted  cases were
converted  to completed  interviews.   This  conversion rate  compared
favorably with in-person refusal conversions,  the method  considered most
effective.  After  all  conversions were completed, a series of  clean-up
procedures were  applied  to the cases.  All  cases coded as "other" were
                 '
categorized  based  on  comments in the data file.   All cases  showing
pending  codes  were reviewed  and placed  into appropriate final codes.
Based  on the final cleaned data,  a final  telephone response  rate was
calculated  by dividing  the  number of complete screening  interviews
 (6243) by  the  sum of the completes  (6243),  the  refusals  (1142), break-
offs  (228),  the  partial  interviews (45), and the number of final others
 (347)  [see Figure  5.2.2].  This  final telephone  response  rate  was  78.0%.
                                                  •l
     Negative  publicity  in Denver, due  to  the report of  an apparently
bogus  survey asking highly  sensitive questions, led to  some  problems
 during the telephone interview.   By  delaying  most of the Denver cases
until  after a local EPA press conference,  most  of this negative  influ-
                                                   i
 ence was overcome.   In general,  the delay  in the public announcement of
 the study presented some obstacles which had  to be  overcome  during  the
                                 •-51-

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                            Figure 5.2.1

                      TABLE OF CONTENTS OF THE
                   TELEPHONE INTERVIEWER'S MANUAL
                          (CO Exposure Study)
                                                                Page

  I. Introduction	   I-1

    A.   Research Triangle  Institute	   1-1

    B.   Background  and Purpose  of  the  Study	   1-1

 II. Computer Assisted  Telephone  Interviewing  (CATI)	   H-l

    A.   Introduction	   II-l

    B.   CATI Screen	   H-l

    C.   CATI Keyboard	   H-3

    D.   CATI Input	   H-4

    E.   CATI Control  Features	   II-6

    F.   Error Messages  	*	   II-7

III. Administering the  Questionniare	   III-l

    A.    Overview	   III-l

    B.    Reaching an Eligible Respondent 	   III-l

    C.    Question-By-Question Specifications 	    Ill-3

 IV. Administrative Procedures	    IV-1

     A.    Terms of Employment	    IV-1

     B.    Confidentiality			    IV-1

     C.    Proj ect Interviewing Schedule 	    IV-3

     D.    Control Cards 	    IV-3

     E.    Scheduling Calls  	    IV-6

     F.    Result  Codes	    IV-7
     G.
Accounting for Control Cards	   IV-11
                                 -52-

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                             Figure 5.2.2
         Final Telephone Interviewing Status Report - Phase I
            Screening (Washington,  DC and Denver,  Colorado)
                        ListJng of Project Codes
FINAL CODES;
01 - Completed Interview
51 - Final Refusal or Breakoff                     [
52 - Refusal or Breakoff, Not Reached for Conversion
53 - Circumstantial NI
64 - Partial Interview                             ;
                                           .
71 - Nonworking Number
72 - Nonresidential Number
73 - Entire Household Moving
74 - Wrong Address
75 - No Reliable Respondent  (3 attempts)
76 - No Listed Phone Number
81 - Final Phone Problem  (confirmed by operator)
82 - Final No Answer (6 attempts)
83 - Answering Machine  (6 attempts)
84 - Final Busy  (10 attempts)
91 and 95 - Other
NUMBER
 6242
 1142
  228
   16
   45
 1433
  278
  279
  959
   57
 1814
   15
  710
   57
     8
  347
                                  -53-

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interviews.  The use of  RTI's  toll-free number as a contact point  and
later the  provision of  the EPA public affairs number helped allay  the
fears of the respondents in both  Denver and Washington,  DC.   After the
major press  releases  in the two cities, cooperation and  participation
were more  easily obtained.
     5.2.4  Phase II - Washington, DC Area Survey  •
            The second  phase  of the  study  developed  as  two distinct
tasks.  The first task was an  additional round of  telephone  interviews.
The purpose  of this round was twofold.  The  primary  reason was  to
contact a  specific member  of the household, who was the  sample  respond-
ent selected, and to further explain  the study in an  attempt to enroll
the selected respondent into the study.  Establishing an appointment for
a field interviewer to bring the  study materials  and  CO monitor to the
respondent was  the successful  endpoint  to  this telephone call.   The
second purpose was to conduct  a brief (approximately  25 minute) inter-
view to obtain information about  each member (up  to the eldest six) of
the household.  The information sought was  for use in one of the  extant
computer models used to calculate carbon monoxide exposures.  This round
of telephone interviews  was  done by  RTI for the  Washington, DC  area
sample only.
     The second task  of Phase  II was  the actual  field  sampling.   The
selected respondents were  met  at their home  or at another convenient
location and given  all  materials.   Each respondent carried  a  personal
exposure monitor for  the twenty-four  hours  of their participation.  In
addition,  they carried an  Activity Diary to  record a description  of all
their activities and  they  were asked to  complete a self-administered
Study Questionnaire by  providing information  on  themselves  and their
home  and  work environments.   Each time the respondent  recorded  an
activity in  the diary,  he/she  had to push  a  button on  the monitor to
record the corresponding CO value for that activity.
            5.2.4.1  Telephone Interviewing
                     On October 25, a two-hour training session was held
at RTI for the telephone interviewing staff who worked  on the second
phase of the project.  The staff  consisted  for six interviewers and one
supervisor, all of whom had worked on Phase I.  After training, work  on
                                 -54-

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the first wave (15 day sampling period -  see  Section  5.2.4.8)  of  inter-
                          .
views of  respondents  who would participate  in the main  field study
began.  Plans were to arrange  up  to twenty appointments per day,  but a
delay in the delivery of the monitors caused a reduction to a maximum of
ten per day for the first two week period.  At the time of this decision,
151 appointments had been made.   No further  new appointments were made
for this time.period, but schedules were adjusted in an attempt to yield
ten appointments per day.  A decision was  also made to  limit  the  second
wave  of  interviewing appointments  (November  28 through December 12,
1982) to fifteen per day.                           •
                                                    .1         ,     . •  -
     Telephone interviewing continued through February with participants
from Waves  2  and 3 contacted  during  November,  from Wave  4  contacted
during December,  from Waves 5 and  6  during  January,  and  from Wave  7
during February.                                    !
     After  the  seventh and final wave  of telephone interviewing, the
following results were obtained.  Out of 1987 cases assigned, 1126 had
been interviewed by telephone  and had scheduled appointments.  This is a
completion  rate of 56.7% (1126/1987).  A more accurate response rate can
be  calculated by  removing  from the  denominator those cases which ended
in  a status no  longer  eligible for  inclusion  in the  study.   These
include those respondents who  are physically or mentally incapable (13),
those respondents  for whom there was a language barrier  (20),  those
cases where the  respondent  or  the entire household had.  moved  (128),  and
a  share  of those cases  in  the 'other' categories  (30  cases  where a
written comment  indicates  ineligibility).  By removing  from the denomi-
nator these 191 cases and  11  cases not  worked  because the  sampling
quotas were completed, the  response rate  becomes  63^1%  (1126/1785).  The
refusal rate was  225/1785 = 12.6%.  When the number of  telephone  inter-
views without  established  appointments is included in the calculations
by  adding  153 cases to the  1126,  a  completion rate of 64.4% (1279/1987)
and a response rate of  71.7%  (1279/1785)  are obtained.   Figure  5.2.3
displays  all  of these figures and  their relationships:.   Final rates,
which include the field  screened  cases  as  well as  the telephone screened
cases described here, are presented in  Section 5.1.5.
                                  -55-

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              Figure 5.2.3   Telephone Response Rates
                                  1,987
                            Cases Assigned
   11
Non-Worked
  Cases
                                    191
                                Ineligible
                                   Cases
                             1,785   (89.8%)
                             Eligible  Cases
225   (12.6%)
 Refusals
    1,279  (71.7%)
Telephone Interviews
 281  (15.7%)
     Other
Non-Interviews
           1,126  (61.2%)
           Interview and
            Appointment
                      153   (8.3%)
                    Interview Only
                                  -56-

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            5.2.4.2  Final Document Preparation
                     During October, all materials for use in the field
were prepared, reviewed,  and  finalized.   Copies of all documents were
delivered to the EPA project officer and/or to PEDCo for use in Denver.
Documents delivered  included the  second  round Telephone  Interviewer
Manual, a hardcopy version of the  Computer Model Input Questionnaire
with  instructions, the Study  Questionnaire,  the Activity Diary and
instructions, Worksheets and Screeners for the special field activities,
and the Field Interviewer Manual.   RTI's Duplicating Department repro-
duced  these  documents  and a Consent/Incentive Receipt Form for use in
the field.   The  Field  Interviewer's Manual  (Appendix C)  contains  copies
of the forms used  in the  field.  A copy of the Phase II Telephone Inter-
viewer's Manual  and  the hardcopy version of  the questionnaire  are given
                                                   i
in Appendices B  and F.
             5.2.4.3  Protection  of Human  Subjects |
                     A research  protocol was  submitted  to  RTI's Commit-
tee  for the  Protection of Human Subjects during October.   Permission to
proceed was  received on October 21, 1982, before fieldwork began.   The
protocol provides  sufficient  information for  the committee to  attest all
requirements for the Protection of Human Subjects jare being met  within
the  design  of the project.  The protocol was reviewed by the Coorporate
Vice-President.   A copy of the protocol submitted and the review letter
are  attached as  Appendix G.
             5.2.4.4   Field Staff Recruitment       !
                                                   |
                      Potential interviewers were recruited from RTI's
National Interviewer  File,  from recommended interviewers  from recent
 studies conducted in  the  Washington  area,  and from responses to news-
 paper advertisements.  A newspaper advertisement for field interviewers
 for the main field study was  run in the Washington Post and local
 suburban shoppers newspapers.  The suburban weeklys  generated the most
 responses.    The responses were  screened,  qualified applicants  were
 called, and appointments for personal interviews in DC were established.
 Offers were made  to those deemed  suitable and  a staff, of fifteen was
 retained.   Based  on performance at training and during the early part of
 the field study,  staff adjustments were made.  As the project proceeded,
                                   -57-

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the length was  extended and additional  recruiting  took place.  This
recruiting involved an  additional newspaper  advertisement  and personal
recruiting by the current staff.  Training was done for new hires by the
field supervisor and her assistant.
            5.2.4.5  Training the Field Staff
                     On November 1 and 2, all day training sessions were
held in Washington, DC  for  the  field  staff which consisted of thirteen
interviewers, a field supervisor, and an assistant supervisor.  Training
covered all aspects of  the  study including special assignments,  regular
assignments, problem resolution, and  reporting.  All staff members  left
the training with  a  good grasp of the activities required.   Each  was'
given an  initial  special assignment on Tuesday afternoon  (November  2)
and was asked to report to  the field office  on Thursday to have their
initial work checked and to receive additional special assignments and
their Wave  1  field assignment.  With a  single exception,  no  problems
were noted after careful review of  the first special assignments.   All
work was  done  according to specifications.  The one exception was an
interviewer who had some specific problems and questions.  An additional
one-half hour of training and some close follow-up of this individual by
the supervisor eliminated the problem.
            5.2.4.6  Field Office
                     A  field office/laboratory was  established  in  the
offices of the Metropolitan DC  Council of Governments.   One office was
allocated for RTI  use.   The field office served several purposes.   It
was the supervisor's  office and was  used  to store  supplies,  maintain
records,  create  assignments,  and supervise  staff.   It served  as  the
location  to which  all interviewers reported  nightly  to  receive monitors
and data  collection forms to take to  respondents and to which completed
materials were returned.
            5.2.4.7  Special Field Studies
                     As  described in Section 5.1,  three special field
studies were undertaken during November  to assure complete coverage of
the target population.   (See Section  5.1 for the rationale for each of
these studies.)
                                 -58-

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                     5.2.4.7.1  Missed Housing Units .
                                Thirty segments were selected and ten
addresses were chosen in each.  Each address was located and used as the
Start of an interval to be  checked for missed unitss.  The housing unit
to the left of the  start  point  was identified and  its  address  checked
against the Donnelley listing for  the segment.   If it was found on the
listing, then the process was complete.  If not,  the  interviewer  com-
pleted a Household  Screening  Questionnaire, or obtained a phone number
for  the housing  unit.   The  interviewer proceeded  tip the next unit (to
the  left)  and  repeated  the process.  Data  from this activity showed a
low  yield  of  missed units which is encouraging for future use of the
Donnelley  lists.
                     5.2.4.7.2  -Segments With No Donnelley Listing
                                Three segments in the Washington,  DC
area had no listed  housing  units on the Donnelley  lists.   These segments
were counted and listed  using standard  procedures.  In  two of the
segments  every house was selected for inclusion,  prhile  in the third
segment  every other house  was selected.   Members ;from each selected
house were given a  chance to  complete a Household Screener or to provide
 a telephone number  for  later  screening from RTI.    i
                      5.2.4.7.3  No Previous Telephone Contact
                                 A sample  of cases where  there ,was  no
 telephone contact  during screening  was  selected.  These  cases were
 worked by the field staff.  Respondents were asked,to complete a screen-
 er or to provide a correct telephone number for interview by phone  from
 RTI.                   ,     .                     I
      All  three  special field studies were completed with information
 returne.d  to 'RTI for data  entry or subsequent telephone  interviewing.
 During December, the telephone interviewers completed the special field
 sample activities  by entering data obtained in the field  or  by using the
 phone numbers obtained to  call identified sample units and complete the
 screening interview.  Both processes were  done using  the  CATI  system.
              5.2.4.8  Regular Field Assignments     j
                      CO  data were collected in th4 field in Washington,
 D.C. from November 8,  1982 through February 25,  1SJ83  with the exceptions
                                   -59-

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of November  24  - 27, 1982  (Thanksgiving  weekend),  December 22,  1982
through January  3,  1983  (Christmas  week), and February 10  -  14,  1983
(heavy snowfall).  Cases were assigned  to the telephone unit  in waves.
Original plans called for twenty cases  to be  assigned  to  the  field per
day for each of the fifteen days in a wave.  The use of waves  of assign-
ments was done in order to  keep  the time  between the telephone contact
and the in-person appointment reduced to  a workable  amount.  People are
most often reluctant to make definite  appointments  too far in advance,
and if they make the appointment, may forget  and make  other plans.  The
use of waves -reduced the interval  to  a  maximum  of  17 days between
telephone call and data collection appointment.  The telephone staff was
allowed to schedule appointments on any of the three days  indicated for
each case  (see  Section 5.1), thus  allowing  some flexibility  for  the
respondent.  After  all cases  in a wave were  worked,  those cases with
scheduled appointments were sent to the  field.   The field supervisor
divided  the  control cards  into  assignments  for the  interviewers.
Assignments were created with an attempt  to minimize driving time.  Each
field interviewer was required to make  a  reminder telephone call  to the
respondent at least twenty-four hours before  the appointment.   This call
reconfirmed  the  appointment and  was used  to  get specific  directions to
the house.
     Prior to the appointment,  the  interviewer reported to the central
office and was issued a monitor  and all required data  collection forms.
The interviewer  went to  the respondent's  home,  further explained the
study, obtained  informed consent, and  made an appointment to  return in
twenty-four hours to retrieve all materials and to pay the  incentive.
     Cases were first assigned  to  the interviewing field staff  on
November  4.   This  allowed  sufficient  time for the  required  reminder
calls  to  be  made before the  initial PEM  delivery appointments  which
started on November 8.   In  general, no major problems were encountered
in the field.  However, the amount  of driving involved in getting to and
from the respondents' homes created a  logistics  problem as did creating
an interviewer's work assignment which permitted time off.  The addition
of staff  reduced these problems.   Problems with the monitors created
some lost data  situations,  but,  by  the end of November, this was being
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reduced.  There were some problems with rescheduling; broken appointments.
An immediate attempt was made to reschedule within the three-day sampling
period.  When unsuccessful, the case was returned to RTI for rescheduling
in a different wave.  This process  enabled RTI to maintain a high rate
of participation.  All  activities  ran until December 22 when work was
stopped for a holiday break.  Other than one day  of  field  activity lost
due .to  inclement weather  (heavy snowfall), all activities  proceeded as
planned.
     The  field  response rate was  somewhat lower than planned  during
January.  This  was  attributed to continued monitor  failures  and to a
somewhat  higher than expected  refusal  rate.   Broken appointments  or
requested reschedules also decreased  the completion rate.
     Three  snow days  in Washington delayed field sampling during early
February.   The  delay caused the rescheduling of the three  days'  appoint-
                                                    i
ments  to  three days appended at  the  end  of the  scheduled wave.  The
rescheduling  of appointments was  handled  by  the  field  interviewers,
since  all  RTI  telephone  operations  had  been terminated.   During
                                                    I
February,  the  newly developed  monitoring  package,  involving  the
Hewlett-Packard calculator and  interface was made available.  From  the
units  available,  equipment problems reduced the number of opportunities
to  place  the  monitor with respondents,  and minimal data were collected.
                                                    i
Most  respondents liked the new device, and,  in  several  instances,  a
different member of  the household had carried  the original PEM,  allowing
for good comparative data.   The  problems  reported by the respondents
included  the  size of  the keys (too small to push easily) and  the size  of
the lettering of the labels,  also too small.
      All  data  and forms  were received from the  field by the end of
                                                                     1
February  and batched and  logged  in according  to instructions prepared
for this phase  of  the  study.  Counts  of  each document were used  to
account for all  cases  and were used  to determine final response and
refusal rates.
             5.2.4.9  Breath Sampling
                      Each respondent  was  asked  to  provide  a  breath
                                        -
 sample at the end of the 24-hour monitoring period,.  Following  a stand-
 ard protocol, which the interviewer read  to the respondent,  the respond-
                                  -61-

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ent was  asked  to take a deep breath  and hold it, and then  expel  it
fully.  Another  deep  breath was taken and  held.   After half of  the
second breath was expelled,  the remaining volume was collected in the
sample bag through a disposable mouthpiece.  The sample bag was sealed,
labelled with the respondents unique  study  number,  and  returned  to the
lab for analysis.  After analysis was completed, the bags were recycled
into the system.  The repetative use caused some problems due to  leakage
of sampling bags and loss of samples  (i.e.,  some bags sent  back  to the
field developed  leaks  after being used several times).  This  loss of
samples was the only major field problem encountered.  There .appeared to
be no  major difficulty involved  with the  actual  collection of the
samples.
     At  the  request  of EPA, RTI  also collected breath  samples  from
children ages  5-7  in households of respondents.   Breath sampling of
children started slowly as  few  children in the age range of 5-7 years
were found.  Field staff were instructed to  expand the age range to  4-8
during December.  The  acceptable  age  range was further  expanded  during
January.
     Acquisition of breath samples from children continued slowly.  Even
with the increased  age range and increased  interviewer  awareness and
diligence, only  12 samples were collected.
5.3  Field Measurements and Quality Assurance
     The field measurement  of personal exposure levels of carbon monox-
ide was  accomplished using  battery-powered,  portable CO monitors.   Two
configurations  of  the CO monitor  were evaluated  in Washington,  DC.
However, virtually  all of  the  ambient data were  acquired from  one
configuration.   The  use of such monitors  required  extensive,  daily
technical  support  on-site  to keep the monitors  functioning properly.
This support was provided from an on-site, field laboratory staffed with
two full-time  technicians working seven days  per  week  throughout the
study.
     5.3.1  Description of  the Ambient Monitors
            The  monitoring  of ambient levels  of CO was  accomplished
using  two  configurations  of portable, battery-operated monitors which
were  assembled from commercially-available  subassemblies  by Rockwell
                                 -62-

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International for EPA.  Each of the monitor configurations was composed
of two major subsections  —  the CO monitoring subseiction and the data
acquisition  subsection.   In each  configuration,  the  CO monitoring
Subsection consisted  of a  specially  modified General  Electric  CO-3
carbon monoxide monitor.  This  monitor operated on the; principle of  a
reversed fuel  cell.   A small,  diaphragm pump within  the monitoring
                                                    i
subsection drew  a  sample  of ambient  air into the monitor  through  a
prefilter designed to remove reducing  species  (e.g.,  alcohols,  alde-
hydes, ketones,  etc.)  within the sample.  The  sample  was then passed
through  the  detector  cell where it  came into contact  with a moist,
polymeric membrane containing  a wiring grid which conducted a small,
constant electric current.   In the presence of the el€>ctrical current,
the CO in the sample reacted with the water in  the membrane to form C0_
and H_.   This  reaction resulted in a  slight alteration  in the grid
current.  The current alteration was sensed by the monitor's electronics
which transformed the  signal into  an  analog output voltage  proportional
to the CO concentration in  the sample.  The electronics package within
the monitor  contained  provisions for  adjusting  the zero-  and span-level
responses as well as  for electrically adjusting  flow rate by controlling
pump speed.
     The two monitor  configurations  differed  in their  data  acquisition
subassemblies.   One  configuration, the model COED-1,  utilized a data
acquisition  package supplied by Magus, Inc.  The  second  configuration,
the so-called  GE/HP model,  utilized a Hewlett-Packard  HP-41CV program-
mable calculator and  a HP-IL interface loop and converter  as  the data
acquisition  unit.  In both configurations,  the continuous analog voltage
from  the GE  monitoring unit was fed  into the data lunit  where  it was
formatted into time-period averages which were stored  in  on-board memory
for later manual acquisition.   The definition of the time-period averages
was accomplished either by an  on-board  clock  (i.e,time  periods which
                          '" •                          I
were  hourly  averages) or by userr-initiated "activity  signals"  (i.e.,
averages based on periods of specific activities).  The output from the
Magus data unit  consisted of time/average pairs where  the average datum
represented  the  true  arithmetic average  of the  CO concentration for a
time  period  and  the  time  datum represented the  actual  time, in  24-hour
                                  -63-

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clock, that the pair was stored (i.e., the time that the time or activ-
ity period was completed).  The  scanning rate for this data unit  was
about 6 per minute.  The average was computed by accumulating  the sum of
the individual scan values  obtained during an individual time  period and
dividing it by the number  of  scans  within the period  at the end of the
period.  The Magus unit was  capable of storing about 120 time/average
pairs, but  was  capable of defining only one type of activity.   The
program operating the Magus was primarily "hard wired"  (i.e., unaccess-
ible  to  the user), although  some limited operating  parameters  were
user-selectable.
     The HP data unit also  output time/average pairs,  but was  capable of
being programmed  to retain in memory (and, subsequently output) addi-
tional data with  each pair.   Examples  of such additional data included
the minimum and maximum scan  value  within a time period, the standard
                                                                    i
deviation of period data,  the number of observations (i.e, scans) within
a period, etc.  Since the  HP  system was based on a continuous-memory,
fully-programmable,  scientific function calculator,  any  statistic
desired could be computed and retained for each time period subject only
to the time constraints of the data acquisition cycle and the available
memory of the calculator.  The memory of the unit, as  configured for
this  project, approached 4,800  bytes thereby allowing the user  a  fair
amount of flexibility concerning what data and how much data was acquir-
ed during a sample.   The HP  units were programmed for  this project  to
differentiate between ten different activity designations.  The activity
designation was stored with  the time/average pair.  The scanning  rate
was programmed at 4 per minute.  The unit output data to a small-format,
thermal printer,  but  could be configured  to off-load stored data  to
magnetic tape or to a mini-computer.
      5-3.2  Description and Verification of the Field Standards
            The field  standards  used for calibrating the  CO  monitors
were  generated from multiple  cylinder gases at pre-selected concentra-
tion  levels rather than from  dynamic dilution of a single,  high  concen-
tration  standard.   This  alternative was  chosen to minimize the  time
required for standard preparation in the field.   An additional benefit
derived from the  use  of fixed concentration standards was the elimina-
                                  -64-

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tion of  the  day-to-day variation  in standard  concentration  levels.
Cylinders of carbon monoxide in air were obtained from Airco  Industrial
Gases, RTP, NC at concentration levels of 10, 50, 100, 150, and  200 ppm
(v/v).   A  certificate of  analysis was required  with each cylinder
ordered.  Additionally, prior  to  use in the  field,  each cylinder was
verified in the  RTI  Environmental  Standards Laboratory against NBS SRM
or CRM standards or  against RTI GMPS  (Gas Manuf acturjer's Primary Stand-
ard) cylinders.                                      '
     Since the Airco standards were  composed of a synthetic air matrix
                                                             .
(i.e., pure oxygen and pure  nitrogen blended to approximate the compo-
sition of air),  the  oxygen content of each  cylinder  brdered was verified
to be 20.8 ±  0.5 percent.  Since EPA ruggedness testing  of the monitors
prior to the  project had  revealed no carbon dioxide  or water vapor
interference,  these  gases were omitted from the standard gas matrices.
     Airco 0.1 Grade Zero Air was utilized as  the  i?ero-level matrix.
This  gas also was  dry and contained no CO..  It was certified by Airco
as  containing less than 0.1  ppm  CO and was  verified|at RTI at the same
level.                                               i
                                                          .
      5.3.3  Preparation of CO Monitors for_the  Acquisition of  a  CO
            Exposure Sample                          !
            The  following procedure was performed on  a  daily basis  on
every monitor assigned to a project  sample.   In the  early afternoon,
prior to delivery to the field interviewers, the sampler was provided
with fresh batteries (if its batteries had not been charged overnight
the previous  night), powered-on,  and allowed to operate  on a  maintenance
charger for  approximately  1 hour.   During this warm-up  period,  the
monitor's clock was set  (if necessary), the user-selectable program
options were set, and the  pre-scrubber and cell water  reservoir were
checked and serviced, if necessary.  The pre-scrubber was replaced or
 refilled with 1/16"  Purafil®  (potassium permanganate  coated  on silica)
 spheres when its normal pink color had changed to brown halfway down the
 column.  The water  reservoir was refilled  with deionized water  whenever
 it was found less than half full.
      Following the warm-up period, the monitor was moved to the calibra-
 tion manifold and,  again, connected  to a maintenance charger.  Monitor
                                   -65-

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flow rate was measured  and  adjusted  to  70 ± 10 seem, if necessary.   If
this flow specification could not be met,  the  monitor was removed from
service until the problem could be diagnosed and corrected.  The monitor
was subjected to a two-point, zero/span check at CO concentration levels
of 0.0 and approximately 50 ppm.  The two-point check was deemed adequate
due to the high degree of linearity  (0.9993 £  r2 ^  0.9999)  demonstrated
by pre-study,  post-study,  and  within study multipoint calibrations
covering a 0 -  200 ppm  range.   Zero  and span responses were monitored
both at the analog voltage  output from the  GE monitoring  section  and at
the digitized and integrated (5 minute integration  periods) output from
the data unit.   The  zero response of  the monitor was  adjusted  to  a
nominal level of  1.0 ppm whenever response to  the  zero concentration
matrix fell outside of the  0.5 to 2.5 ppm range as  determined at  the GE
monitor analog output.  A nominal zero setting  of  1.0 ppm, rather than
0.0 ppm, was  chosen  to  avoid the likelihood of negative  responses  to
near-zero concentration levels due to monitor drift.  This was necessary
because the Magus data  unit interpreted all incoming negative data as
the absolute  of the  data,  thus  leading  to possibly  large errors in
accumulated averages.   The span  response was  adjusted whenever  the
response to the  span matrix varied  by more than ±  5 percent  from the
nominal value as  determined at the  GE monitor  analog voltage output.
After all adjustments were completed, the responses to the zero and span
matrices were redetermined  and the slope  and  intercept of the response
curve were computed based  on  the 5  minute integrated data  output from
the data unit.
     Following the zero/span operation, the monitor was removed from the
maintenance charger  and allowed to  operate for 5-10 minutes.   During
this time the sample operating parameters were established  (e.g., memory
clear, auto-log mode  on,  time-display mode selected, and  data  logging
enabled).  After 5-10 minutes had elapsed,  the  battery  voltage  for each
of the battery  packs was measured  at the  pack.   The GE  CO monitor
battery voltage was expected to be 5.65 ± 0.10  volts,  the Magus voltage
was to be 8.40  ±  0.10 volts,  and the GE/HP voltage was to be 5.2 - 6.4
volts.  If these voltage  specifications were not  met, the battery pack
was replaced with a freshly charged one.  If the specification was still
                                 -66-

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not met, the monitor was  removed  from active status until the problem
was diagnosed and corrected.  Following  the  battery check,  the monitor
cover was installed and  secured  and the monitor was  stored  (with the
sample pump  running)  on a maintenance charger  until \ delivery to  the
field interviewer (FI).  The monitor was delivered  to the FI within  0-2
hours of calibration,  generally.                      '
                                                     i
     Following the sample  period,  the monitor cover wass  removed, the
monitor was  inspected for  obvious problems  (e.g., dead batteries,
depleted prescrubber,  physical damage, etc.), the sample pump was turned
off, and the  data unit was placed in the "display" mode  for  data re-
covery.  The data were transcribed from monitor memory to the field data
sheet by the field interviewer.   Ten percent of the incoming monitors on
any given day were subjected to a  QC  data  reread where the monitor-to-
data-sheet transcription was checked point-by-point.  Discrepancies were
resolved immediately and the FI was notified of the findings and resolu-
tions.
                                                     I
     The battery voltage(s),  the  water reservoir levjel,  and  the pre-
scrubber condition were, again, checked  and noted.   The zero/span check
was repeated, however, no adjustments were made.  This post-sample check
was performed with the monitor operating on  its  internal  batteries only
and not  connected to  a  maintenance charger.  Again,.  the slope  and
intercept of the response curve were computed based on integrated output
from the data unit.   The post-sample response curve was  compared with
                                                     1
the pre-sample curve and an appropriate  data validity code was assigned
to the sample.  All computations connected with the pre- and post-sample
zero/span operations including calculation of percent variation,  slope,
and intercept  and assignment of  validity code  were performed by a
Hewlett-Packard Model  41-C programmable  calculator  operating  under the
control of a program prepared by RTI field personnel ^specially for this
   •'
project.
     The following  specifications  defined the range  of  each  validity
code:                                                i
                                 -67-

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     Code
       1
       2
       3
       4
where:
Slope
|AM[ < 5%
5%  15%
Intercept
JAbj  < 1.0 ppm
1.0 ppm __ 2.0 ppm
        AM
                 M,
    x 100
        Ab
and:
     M. = post-sample slope,
     MI s pre-sample slope,
     b» = post-sample intercept, and
     b, - pre-sample intercept.
Whenever  the codes for  the slope and  intercept differed, the  most
conservative one (i.e., the code of higher number) was chosen.
     The computation of applicable slope  and  intercept  for ambient  data
reduction was based on  the validity  code assigned to the data.  If  the
assigned code was  1, then  the  applicable  slope  and  intercept  were  equal
to  the pre-sample  zero/span slope  and intercept.  If the assigned code
was 2, 3, or 4, then the applicable slope and intercept were  the averages
of  the pre-  and post-sample slopes and intercepts, respectively.
     Monitors which  failed to complete  a post-sample zero/span check
were assigned a validity code  of 5 and all ambient  data from the sample
were flagged as  invalid.  This situation  usually occurred because  of
insufficient battery  capacity, but may also  have been  caused by data
unit malfunctions  such as  "lock-up" or "mode  shift".
     All  data  derived during  zero/span  operations  were recorded on a
"Monitor  Status  Sheet" such as  those depicted  in  Figures 5.3.1 and
5.3.2.  Ambient data recovered from monitor memory were transcribed  onto
the "Field Data  Sheet"  depicted in Figures 5.3.3 and 5.3.4.   Zero/span
data were  also  transferred to control charts describing  the  course of
                                 -68-

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                   CO EXPOSURE  STUDY,  WASHINGTON, DC
                         MONITOR  STATUS  SHEET
MONITOR EPA NO.
PID #
Sample Date
PARAMETER
Date
Time
Analyst
Barometric Pressure
Laboratory Temp.
                          SHEET NO.
                        NOMINAL
                         RANGE
                       750-770 mm
                       20-30*C
                                               COND. CODE'
                                           CO STO ID
                                           CO STD Cone
PRE-SAMPLE
  VALUE
POST-SAMPLE
   VALUE
Zero Response (Unadj)   0 +_ 2 ppm
Span Response (Unadj)   '"SO ppm
Span Variation (Unadj)  -_+ 5%
Zero Response (Adj )
Span Response (Adj)
Span Variation (Adj)
                        0 +_ 2 ppm
                        *> 50 ppm
                        + 5%
                xxxxx
                xxxxx
                xxxxx
 Integrator Zero Resp.
 Integrator Span Resp.
                        0 j^ 2 ppm
                        w 50 ppm
 Zero  Intercept
 Slope
                        0 +_ 2 ppm
                        1.00 + 0.05
 Flow Rate  (Unadj)
 Flow Rate  (Adj)
                        70 _+ 10 SCOT
                        70 + 10 seem
                xxxxx
 Battery Voltage
   CO-3 Unit
   Integrator
                      5.65 +_ 0.05 volts
                      8.40 * 0.05 volts
              4.95
              7.75
                                 O.OSv
                                 0.05v
 Water Level
 Pre-Scrubber level
                        1/2-3/4 Full
                        1/2-1/1 Pink
 COMMENTS:
   Figure  5.3.1.   COED-1 Monitor Status  Sheet;
                                  -69-

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MONITOR EPA NO.
PID #
Sample Date
                   CO  EXPOSURE  STUDY, WASHINGTON, DC
                      6E/HP MONITOR STATUS SHEET
PARAMETER
Date
Analyst
Barometric Pressure
Laboratory Temp.
      SHEET NO.
     NOMINAL
     RANGE
    750-770 mm
    20-30*C
        COND.  CODE
                       CO STD ID
                       CO STD Cone
PRE-SAMPLE   POST-SAMPLE
  VALUE         VALUE
Zero Response (Unadj)    0 _+ 2 ppm
Span Response (Unadj)      50 ppm
Span Variation (Unadj)   +; S%
Zero Response (Adj)     0 i 2 ppm
Span Response (Adj)       50 ppm
Span Variation (Adj)    £ 5%
                                   xxxxx
                                   xxxxx
                                   xxxxx
Integrator Zero Resp.
Integrator Span Resp.
    0 +; 2 ppm
      50 ppm
Zero Intercept
Slope
    0 j* 2 ppm
    1.00 + 0.05
Flow Rate (Unadj)
Flow Rate (Adj)
    70 £ 10 seem
    70 + 10 seem
                                   xxxxx
Voltages
  Pump
  Batteries
6.4 to 5.2 volts
Cell Temperature
Water Level
Pre-Scrubber level
    20 to 30 deg
    1/2-3/4 Full
    1/2-1/1 Pink
 COMMENTS:
   Figure 5.3.2.    GE/HP Monitor  Status  Sheet
                                  -70-

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           CO EXPOSURE STUDY, WASHINGTON, DC
               FIELD DATA SHEET
            Monitor ID:

            Status Sheet No.
PID f:

Read by: | 1 1

Verified by: | | 1

Approved by: ] [ [ ]
NOTE: 1 - Use back of form
2 - Record all times
Seq.
No. Time Value (ppm)
01 1 | | 1

02 I I I

03 | | |

04 | |

OS | |

06 I I

07 I | |

08 1 II

09 | |

10 ( 	

11 LZ

12 1 —

13 1 1

14 I I

15 IZ

16 1 	 ' "

17 Q

18 I I

19 Q

20 | '"" 	 	

21 1 1

22 | | ,

23 CI

24 LZ










































1 !TI 1

1 1,1 1

1 ITI 1





























LZ



LZ

1

EZ

1


1 1 1

Z3.O

Date Sampled: j j
Date Read: 1 1
Date Verified: | |
• Data Approved: | |
to describe any problems.
in 24-hr clock.
Seq.
No. Time
25 | | |

26 | | |

21 \ 1 II

28 I I I I

Z9 LI 	 I 	 1

Z3.EH 30 i i ii

zi.a

zi.a

zi.a

	 |TL7I

zi.a

zLa

zi.a

zi.n

zi.a

zi.a

zi.a

zi.a

zi.a


31 1__L__J_J

32 [" "][ |

33 I I ||

34 L_L-__U

35 I I II

36 r i ii

37. i i l l

38 | | ||

39 1 1 1 1 1

40 | | I I I

41 | 1 1 1 1

42 I I I I I

43 |""| | '-| |

	 | ^ j 44 | | j | |

zi.a

in .a

Z3.O

zi.a

45 I | | I |

46 I I I I |

4/ I 1 1 1 1

48 I I . | I I
                               Month   Day  Year
                              ca  co  EZO
                                   CO  r~n
                                   co  ca
                                   ca  ca
                                   Value (ppm)
                                  aza.a
                                  aza.a
                                  aza.a
                                  azo.a
                                  azo.a
                                  aza.a
                                  Lzcia.a
                                  azo.a
                                  aza.a
                                  aza.a
                                  aza.a
                                  aza.a
                                  izizz:.a
                                  aznn.izi
                                  aza.a
                                  aznn.a
                                  azo.a
           If data continued on back of page, check here

Data Validity Code: | |

Applicable Slope: f~1 . |  | ) |    Applicable Intercept: f~| . FT") I
    Figure 5.3.3.
Field Data Sheet, Side 1

      -71-

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PID *:
Page 2
Seq.
No. Time
49 1 1 1 1

50 | | | |

51 1 1 1 1

52 I I I I

53 | | | |

54 | | | |

55 | | | |

56 | | 1 i

57 | | | |

. 58 | | | |

59 1 1 1 1

60 | | | |

61 1 II 1

62 1 1 1 1

63 | | 1 1

64 1" | i |

65 | | | |

66 | | ||

67 I I I I

68 | | 1 1

69 1 1 1 1

70 | | 1 1

71 1 1 1 1

7H I I I I
Comments :
Value (ppra)
1 1 1 1 IT| 1

1 1 1 1 l.l 1

1 1 1 1 LI 1

1 1 1 1 I.I 1

1 1 1 1 I.I 1

| 1 1 1 LI 1

1 1 1 1 LI 1

1 1 1 1 ITI 1

| 1 1 1 I.I 1

1 1 1 1 I.I 1

1 1 1 1 I.I 1

| 1 1 1 I.I 1

| 1 1 1 I.I .1

1 1 1 1 l,ljrl

1 1 1 1 I.I 1

i i i i U,l

1 1 1 1 I.I 1

till 1,171

1 1 1 1 I.I _.l

) 1 1 1 LI 1

J 1 1 1 I.I 1

J 1 1 1 LI 1

J 1 1 1 1,1 1

1 1 1 1. Ij 1

Seq.
No.
73 ~

74 ~

75 ~

76 ~

77 £

78 ~

79 -

80 ~

81 ~

82 ~

83 ~

84 ~

85 ~

86 £

87 '

88 "

89 "

90 '

91 "

92 [

93 £

94 [

95 [

96 [

Time Value (ppra)
1 1 1 1 1 LI 1

1 1 1 1 1 I.I 1

1 1 1 1 I.I 1

1 1 1 1 1 I.I 1

1 1 1 1 L! .1

L ill ••! 1,1 I

1 1 1 1 1 1 I.I 1

1 1 1 1 1 I.I 1

1 1 1 1 1 I.I 1

1 1 1 1 LI 1

1 1 1 1 1 IJ 1

1 1 1 1 1 LI 1

1 1 1 1 1 I.I 1

i i i i i i_r~i

II 1 1 I.I 1

1 1 1 1 1 1 I.I 1

1 1 1 1 1 I.I 1

II 1 1 1 1 I.I 1

1 1 1 1 1 1 1 I.I 1

1 1 1 1 1. 1 1 I.I 1

1 1 1 1 1 1 1 I.I 1

1 1 1 1 1 1 1 LI 1

1 1 1 1 1 1 1 I.I 1

1 1 1 1 1 1 1 IJ 1










      Figure 5.3.4.  Field Data Sheet, Side 2
                             -72-

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differences between  pre-sample and  post-sample  span,  zero,  battery
voltage, and flow rate values.  Examples  of  these charts are presented
and discussed in Section 6.3.3.5 of  this  report.  Complete files of  the
                                                    i •  -
data sheets and control charts, organized on a monitor-by-monitor basis,
will be transferred to EPA at the conclusion of the project.
     5.3.4  Analysis Method for Carbon Monoxide in Breath
            A study was undertaken to develop  and evaluate a  method  for
                                                    i
collecting and  measuring  alveolar carbon monoxide  prior to  the field
study.  The effects  of  sampling bag, sample  storage, measurement time,
and instrument  interferences  on measured CO were investigated  using a
single  General  Electric CO-3 monitor identical  to  the  ones  used  for
breath  analysis in  the  field.   Calibration curves w'ere  generated under
several conditions to assess both precision and accuracy of the measure-
ment method.  Finally,  the precision of the  final method was tested by
collecting and  measuring four breath samples from each  of eight nonsmok-
ing subjects.   Since EPA loaned RTI  only one CO-3 monitor and the field
study started within two weeks after the  instrument was received, a  very
limited amount  of  time was available  to conduct  tjhesse experiments.
Accordingly,  the number of determinations for each jexperiment were  not
statistically designed.  This  led to an unequal number  of determinations
                                                    i
in the  various  experiments.
             5.3.4.1   Description of  Method
                      Alveolar  CO  was measured using  a  General  Electric
CO-3  monitor equipped with an on-line  activated  charcoal/Purafil® pre-
 filter  to remove potential interferences from  breath  samples.   The
 filter  was prepared by  filling a  10  mL  disposable pipette with  9.0 cm of
Purafil® (potassium  permanganate  coated silica  spheres)  and 9.5 cm
 activated cocoanut charcoal.  The Purafil®  consisted of 1/16" spheres
 and the charcoal was 6-14 mesh.  The filter was  attached to  the  sample
 inlet of the CO monitor at the end  containing Purafil®. A  strip  chart
 recorder was attached to  the monitor for output  signal recording.
      The following technique was used  to acquire a field sample.   The
 participant was instructed to take a deep breath then expel  all air  from
 his lungs.  He took a  second deep breath and held this breath for  20
 seconds.  He then expelled the first part of his breath into the room
                                  -73-

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and the last portion into a sample bag.  The bag was sealed by clamping
the inlet  tube  and was transported back to  the field laboratory for
breath analysis.  For  analysis,  the bag was  attached  to  the GE monitor
With the prefilter in line and the measurement was taken after the strip
chart trace had stabilized.  The amount of CO  in the  sample was deter-
mined from the  recorder trace by  transforming  it to a  concentration
value according to the monitor's calibration curve.
           5.3.4.2  Instrument Noise
                    The General  Electric  CO-3 monitor was  tested for
output signal noise while monitoring  zero  gas  (0.0 ppm CO) from  a  gas
mixing manifold.   Instrumental noise  was characterized  as one half the
peak to peak variation in the signal output.   Figure  5.3.5 shows the
recorder tracing obtained during testing.   Noise was determined to be at
±0.2 ppm  for this instrument.
            5.3.4.3  Instrumental Response Time
                     Instrumental response time was determined for the
GE CO-3 monitor using  CO  concentrations ranging from  5 to 50 ppm.  The
strip chart recorder was  used to monitor instrument output over  time.
Measurements were  made with the monitor attached directly to the  CO
source with and without the charcoal/Purafil® prefilter  in-line.  Under
both conditions, gas flow through the monitor was adjusted to 75 mL/min.
     The monitor response was  considered  stable once the recorder  had
maintained the  same reading for at  least  30 seconds.   Stabilization
times for  all conditions are listed in Table 5.3,. 1.  Stabilization times
varied from 1.5 to 7.5 minutes  with the longest times required for the
highest CO concentrations.   In  addition,  the  times  required  for  the
monitor to reach 90 and 95 percent of the  final stabilized  reading  were
measured and have  been listed in Table 5.3.1.   These  times were also
dependent  on concentrations, but in all cases, values were less than 2.5
minutes.   The increased stabilization time for those  samples employing
the  in-line filter was due  to  the air volume contained within  the
filter.  These data demonstrated that for the CO concentrations expected
in nonsmoking subjects (10  ppm or less), the instrument  with the pre-
filter in-line will reach 95  percent  of  the actual CO concentration in
less than  2 minutes and will  reach stabilization after  4.5  minutes.  At
                                  -74-

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5.0 —
                     Time (minutes)
  Figure 5.3.5   Instrument Noise
                          -75-

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Table 5.3.1   Instrument Pesponse Times in Minutes
CO
Concentration
(ppm)
5.0
5.0 4/
8.0
8.0 4/
10.0
10.0 4/
31.0
31.0 4Y
50.0
50.0 47

90%
0.3
1.0
0.5
1.4
0.4
0.6
0.5
1.3
0.7
1.6
Percent Stabilization
I/ 95% 21
0.4
1.4
0.7
1.7
0.5
0.8
0.9
1.7
1.7
2.3

100% 3/
1.5
2.8
4.0
4.5
1.5
2.0
4.5
6.5
5.5
7.5
JY   Time at which the instrument reached 90% of the final
     stabilized reading.

2j   Time at which the instrument reached 95% of the final
     stabilized reading.

3j   Measured after instrument had given a stable reading for
     30 seconds.

4/   Measured with prefilter on-line.
                                  -76-

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an air flow of 75 mL/min, these times correspond  to,a sample  volume of
150 and 420 mL, respectively.  This  information verified  that a 600 mL
sample bag could provide  an  adequate sample volume for accurate read-
ings,                                               i
     As well as determining  the  stabilization time for the monitor  to
respond to the presence of CO, the  time  required fbr the monitor  to
reequilibrate at a zero level after  exposure  to CO was studied.  It  was
determined the the GE monitor would equilibrate at  zero  within two
minutes after exposure to CO levels  as high as 15 ppm.
            5.3.4.4  Sample Bags - Recovery Study   l
                     Experiments were performed to determine  the amounts
                    .
of CO  lost from spiked  air loaded  into  two types  of  sampling  bags:   600
mL blood  transfer  bags (Fenwal, Inc.)  and 1  L carboxyhemoglobin bags
 (Energetics  Science Division, Becton-Dickenson).  During testing,  CO
                                                    |
concentrations  were  first measured by attaching the  CO monitor directly
to the gas mixing  manifold.   Finally,  CO  concentrations in the bag  air
were measured immediately after  filling  the bags, ;  Experiments  were
performed using CO concentrations  ranging  from 2.5 t:o 15.5 ppm with  both
dry  and humid  air  (75%  relative  humidity).  A new sampling bag was used
 for  each measurement.  A single measurement was performed  for each
 condition.  Results  are given in Tables 5.3.2 and 5.3.3.   The data show
 that a reproducible loss of CO occurred  for  each bag regardless of CO
 concentration.  The Fenwal bags  showed  an average loss of 1.7 ± 0.5 ppm
 CO while the carboxyhemoglobin (CBH) bags showed a;loss  of only 0.3 ±
 0.2  ppm CO.
      With both bags, there appeared to be greater CO losses when dry,
 rather than  humid, air was used.   Due  to  high CO  losses,  the  Fenwal bags
 were considered unacceptable.  All  further testing;was performed  using
 only the carboxyhemoglobin bags.
             5.3.4.5  Sample  Contamination from CBH Bags
                      Contamination  of  samples resulting from  their
 storage in the CBH  bags  was examined.   Humidified zero air  was placed
 into three bags and analyzed immediately.  Next,  humidified zero air was
 placed into  three bags  and  stored  for  approximately  20 hours.  No
 elevation of the  zero CO response level was  observed for either set of
 samples.
                                    -77-

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Table 5.3.2   Loss of CO From Fenwal Sampling Bags
Air Type
humid
dry
humid
humid
dry
dry
humid
dry
dry
humid
dry
Measured
Manifold
15.5
15.5
12.3
8.8
8.8
8.0
5.8
5.8
2.8
2.5
2.5
Average Humid ± S.D.
Average Dry ± S.D.
Average Both ± S.D.
[CO]
Bags
13.8
12.8
10.3
7.8
7.0
5.8
4.3.
3.8
1.4
1.3
.8
(ppm)
CO Lost
1.7
2.7
2.0
1.0
1.8.
2.2
1.5
2.0
1.4
1.2
1.7
1.5 ± 0.
2.0 ± 0.
1.7 ± 0.







4
5
5
Table 5.3.3   Loss of CO From CHB Sampling Bags
     Air Type

     humid
     dry

     humid
     dry

     dry
                                Measured [CO]  (ppm)
Manifold       Bags       GO Lost

   7.0          6.8         0.2
   7.0          6.8         0.2

   3.0          2.8         0.2
   3.0          2.4         0.6

   2.8          2.4         0.4
                    Average Humid ± S.D.           0.2  ±  0.0
                    Average Dry ±S.D.             0.4±0.2
                    Average Both ±S.D.            0.3±0.2
                                -78-

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            5.3.4.6  Effect of Various Parameters cm Breath CO
                     Measurement
                     Air spiked  with CO at  known concentrations was
measured under  several  conditions.   Measurements were  taken with the
monitor attached directly  to  the CO source,  to the'CO  source with  the
prefilter in-line using both  dry and humid air,  and to  the bag with the
prefilter in-line using humid air spiked with ethanpl at a concentration
of 5 ug/L.  Measurements  from the CHB bags were maiple with and without
storage.
                                                    i
     Table  5.3.4  shows measured CO concentrations  with  the monitor
attached directly  to the  gas mixing manifold with and without  the
prefilter on-line.   Table  5.3.5 shows measured  CO  concentrations with
the monitor attached to the  gas mixing manifold w:ith  the prefilter
in-line using dry and humid air.  A single measurement  was made for each
condition.  The instrument was allowed to rezero using  ambient air after
each measurement.   Results show no significant differences in measured
CO under the conditions tested.
     Tables 5.3.6  through  5.3.8 show comparisons of. spiked air sampled
directly from the gas mixing  manifold to measurements for  air taken  from
                                                    I
the same source, but loaded into CHB sampling bags  prior to measurement.
Experiments were  performed at  three  CO  concentrations (3,  7,  and  15
ppm) .  The  prefilter was  in-line for all measurements.   Bags were first
                                                    |.
flushed  and then  filled  with  air  to minimize  carry-over  effects.
Results show some loss  from sampling bags.   Losses  appear  to be greatest
for  dry air with a  storage period, but the data are  not  conclusive.
During storage, a mean loss  of  0.8 ± 0.4 ppm was observed for  dry air
samples over all  tested concentrations.   Samples using humid air showed
a loss of 0.6 ± 0.3 ppm CO from the bags.
     Data  in  Table  5.3.9 show measured  CO  values for  air  spiked with
ethanol  sampled under a variety of conditions.   All measurements were
taken  with  the  prefilter on-line.  Ethanol  does  not appear to affect the
CO measurement.  The general  trend  of  some  sample loss  from the bag over
time appears  to have also  occurred  during this  experiment.
                                  -79-

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Table 5.3.4   Effect of Filter on Measured CO
CO Air
Source Type Measured [CO]
manifold - dry 5.0 8.0
no filter
manifold - dry 5.0 8.0
filter
on-line
(ppm)
31.5
31.5
Table 5.3.5 Effect of Humid Air on Measured CO
CO Air
Source T7'Pe Measured [CO]
manifold - dry 2.8 7.0
filter
manifold - humid 3.0 7.0
filter
Table 5.3.6 Effect of Storage in Sampling Bags on CO
3 ppm CO
CO Air Storage
Source I/ Type Time (h) Measured
manifold dry 0 " 2.9 ±
manifold humid 0 3.0
CHB bag dry 0 2.4 ±
CHB bag humid 0 • 2.8
CHB bag dry 18 2.5 ±
CHB bag humid 18 2.7 ±
(ppm)
15.5
15.5
Measurement at
[CO] (ppm)
0.1 21
I/
0.2 4/
I/
0.3 2J
0.1 2J
_!/ Measured with filter on-line.
21 Triplicate determinations ± S.D.
3f Single determination.
j4/ Duplicate determination ± mean deviation.
                                                                                  't
                                 -80-

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Table 5.3.7   Effect of Storage in Sampling Bags on CO Measurements at
              7 ppm CO
CO
Source I/
manifold
manifold
CHB bag
CHB bag
CHB bag
CHB bag
Air
Type
dry
humid
dry
humid
dry
humid
Storage
Time (h)
0
0
0
0
23
23
Measured [CO] (ppm)
.7.0 _2_/
, 7 JO 21
6.8 2J
6,8 2J
6.3 t 0..3 3/
6.3 ± 0.3 37
      I/   Measured with  filter  on-line.
      2/   Single  determination.
     "3~/   Triplicate  determinations  ±  S.D.
 Table 5.3.8    Effect  of  Storage in Sampling Bags on CO Measurements at
               15  ppm  CO                             !

      CO            Air        Storage              ;
      Source  I/     Type      Time (h)        Measured [CO]  (ppm)

      manifold      dry           0                14.8 2J

      manifold      humid        0                14.8 2j

      CHB bag       dry          20            13.1 ± 0.5 3j

      CHB bag       humid       20            13.9 ± 0.1 _3/
      \J   Measured with filter on-line.
      2j   Single determination.
      3/   Triplicate determinations ± S.D.
                                   -81-

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Table 5.3.9   The Effect of Ethanol on Measured CO
GO
.Source I/
manifold
CHB bag
manifold
CHB bag
manifold
CHB bag
CHB bag
manifold
CHB bag
Air
Type
humid
humid
humid
humid
humid
humid
humid
humid
humid
Storage
Time (h)
0
0
0
0
0
0
18
0
0
Measured [CO] (ppm)
15.5 2J
15.2 ± 0.1 I/
7.3 2J
6.8 ± 0.0 J7
3.3 21 •
3.1 ± 0.3 I/
2.7 ± 0.1 _!/
-0.3 2J
-0.3 ± 0.0 If
     ll   Triplicate determinations ± S.D.
     2j   Single determination.
                                 -82-

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            5.3.4.7  Interference Due to Plastic Mouthpiece
                     Interferences or losses of CO due  to  the use of a
disposable mouthpiece were determined.   No  noticeable CO interferences
were observed when using the mouthpieces.  An average loss of  0.7 ±  0.2
ppm CO occurred when using humid  air spiked with  6.3  ppm CO  loaded into
and measured from a CHB sampling bag with the mouthpiece in place.  This
compares to a loss of 0.5 ppm CO observed when using the bag without the
mouthpiece.  All  samples  were loaded and analyzed with less than ten
minutes storage time.
            5.3.4.8  Effect of Concentrated Organic Compounds on Monitor
                     and Prefilter Performance     ' i
                     Experiments  were  performed to determine  possible
interferences with CO measurements using compounds which might be found
in breath  samples.   In an initial experiment, a  10 imL  volume of neat
(i.e.,  not in  solution,  undiluted) ethanol,  acetone,  methyl  ethyl
ketone, or  propionaldehyde was  placed  in a small beaker.  Headspace of
the beaker  was  sampled using the GE monitor adjusted to a flow rate of
100 mL/min  without the  charcoal/Purafil® prefilter. i The monitor  did not
respond to  acetone and methyl ethyl ketone, but gave an immediate high
response to ethanol and propionaldehyde.  For these flatter two  compounds,
the  small,  integral  Purafil® filter within the GE monitor had  turned  a
noticeable  brown  color.                             ;     .
      The  experiment was  repeated with  ethanol,  propionaldehyde, and
acetaldehyde using a charcoal/Purafil®  prefilter.  The  breakthrough  time
and  sample volume for each compound were determined  for the prefilter
using the  GE monitor attached to  a strip chart  recorder.  For ethanol, a
baseline deflection or monitor  response became  noticeable after approxi-
mately 60  minutes, which is  equal to  a 6 L breakthrough volume.  The
Purafil®  in the prefilter had started  to turn brown1 before any detector
response was  recorded.   Since this was the case, a color change  in  the
Purafil®  could  be used as the criterion for replacing the filter during
    •
field sampling.           ,                          !
      Propionaldehyde   appeared  to  instantaneously [breakthrough  the
 charcoal/Purafil® prefilter.  However,  the  Purafil® did not  discolor
 during this experiment.  Since  previous experiments  with propionaldehyde
                                  -83-

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had shown  a brown discoloration  of the Purafil®  and aldehydes are
unstable and tend to break  down into  other  chemicals, the breakthrough
response was  attributed  to a contaminate  in the  propionaldehyde.
Because of  these spurious results  acetaldehyde was  tested.   The filter
appeared to retain acetaldehyde for approximately 20  minutes before the
Purafil® discolored and the monitor gave an off-scale response.
     These experiments were performed under  "worst  case" conditions  by
loading the prefilter with high  concentrations  of organic  compounds
where breakthrough should result from saturating the  filter  rather than
from a chromatographic effect.  Even under these conditions, the filter
was effective and should be adequate for field testing of breath samples.
            5.3.4.9  Method Precision
                     In a final experiment,  the precision of the method
was evaluated  using eight  nonsmoking  subjects  who  gave four  breath
samples each.  All samples  were collected in the CBH  bags using dispos-
able mouthpieces and  analyzed on  a GE  CO monitor, Model  3.   The  CO
levels analyzed ranged from 1.9 to 3.8  ppm with  coefficients of varia-
tion from 0 to  16 percent.  Except for one individual, all CVs were 5%
or lower.  The final results are listed in Table 5.3.10.
     The range of concentrations examined during the  laboratory evalua-
tion of method precision were necessarily low due to use of samples from
non-smoking  subjects.   A measure  of  the method precision  at  higher
concentration levels can be inferred from the analysis of laboratory and
field control samples performed during  the  field  sampling phase of the
project.  The means of analyses of laboratory and  field control samples
at 9.98 ppm were 9.46  ±  0.45  ppm (± one standard deviation) and 9.51 ±
0.50 ppm, respectively.  The means for  analyses  of samples at  39.6 ppm
were 39.3 ± 0.35 ppm and 39.4 ± 0.58 ppm, respectively.
            5.3*.4.10  Analysis Procedure Used During  Field Sampling
                      	
                      Based on the result of the method development  and
evaluation,  a  Standard Operating  Procedure  entitled  "Collecting  and
Sampling Alveolar  Carbon Monoxide" was written and has been included
herein as  Appendix  H.  This SOP  was  used as  the  analysis procedure
during field monitoring with one exception concerning the preparation of
standard  atmospheres  for monitor  calibration.  Analysis data were
                                 -84-

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Table 5.3.10   Breath Measurements for Non-Smoking Subjects
               Subj ect




                 1




                 2




                 3




                 4




                 5




                 6




                 7




                 8
Measured [CO] ppm ± S.D.  (C.V.)




          1.9 ± .1   ( 5)




          2.7 ± .1   ( 14)
          2.7 ± .1




          1.9 ± .1
          2.1 ±  .1
          2.4 ±  .4
(4)




(15)
          1.9 ±  .1    ( !5)
(5)
          3.8 ±  0    ( 0)
(16)
                                 -85-

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 recorded on the data  sheet  depicted in Figures 5.3.6 and  5.3.7.   The
 exception to the SOP is discussed below.
      The calibration standards for the breath analysis consisted  of  CO
 in synthetic air cylinder gases  at  CO  levels of 0.0, 3.59, 9.98,  and
 39.6 ppm.  Like the standards for the ambient  analyses,  these gases
 contained no carbon dioxide or water vapor.  They were analyzed for  CO
 and oxygen content  by the manufacturer and  verified for CO  content
 against NBS-tracable standards at RTI before being  used  in the field.
 At the beginning of the  field analyses,  however,  it was demonstrated
 that the routine transition from "wet"  breath samples (i.e., samples at
 essentially 100 percent relative humidity)  to "dry"  zero  or calibration
 matrices (or vise-versa)  induced a nonreproduceable  zero-level response
 from the CO-3 monitor.  These  phenomena were  attributed to retention  and
 subsequent  release of water vapor by the  prescrubber  column during
 sample/standard transitions.   This led to  the imposition of  a  water
 vapor gradient  on the monitor  which lasted  for 5-10 minutes  and produced
 the nonreproduceable zero responses.   It  was decided that wet zero and
 calibration matrices would be  used, for the  analyses.  The humidification
 of the zero air was accomplished by placing an impinger containing
 deionized water between  the  zero air supply and the zero air manifold.
 The humidified  standards were  prepared by filling sampling bags to which
 1-2 drops of water had been added with the  various calibration matrices.
 These  bags  were set  aside for  approximately 30 minutes while the added
water  evaporated into the calibration gas.  The  use  of the wet zero and
 calibration matrices  eliminated  the  nonreproduceable zero response and
 it  is  recommended that this modification be added  to the  SOP before it
 is  again  utilized in field sampling.
 5.4  Data File Creation and Descriptions
     5.4.1  Descriptions of Raw Data Files
            Data for the Washington, D.C.  carbon monoxide exposure study
consisted of four  basic types  (exclusive of  the sampling information,
described in Section 5.1).  These four data files are briefly  described
below.
     File A;  Personal Exposure Monitor (PEM) Data.  CO exposure levels
     from the PEM were obtained for four kinds of samples:
                                 -86-

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              CO EXPOSURE STUDY, WASHINGTON, DC
                  BREATH SAMPLE DATA SHEET
SAMPLE DATE 	  ANALYSIS  DATE 	  ANALYST
              P.I.D. #                      CO LEVEL  (PPM)|

                         '

                                          i  i   i  "i.r~i
                                                  i.O.
                                                  1.0
                                                  1.0.
                     i   i

                     i   i                  i   i  i   uD
                                                 n.o
       iii	                   i  i   i  uO
                       if data continued on back:  |   I
     Figure 5.3.6    Breath Sample Data Sheet, Side 1
                                     ••                 i   -


                                   -87-

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           BREATH SAMPLE DATA SHEET  (Continued)

          P.I.O. #                     CO LEVEL (PPM)
  I  I   I  I  I   I  I   I
  I   I  I  I   I  I   I  I
                                           3.LZI
                                           ii.n
                                            .LZI
                                             .n
Figure 5.3.7   Breath Sample Data Sheet,  Side 2
                             -88-

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(1)  routine samples — 774 data records — for CO measurements on
     persons selected into the sample,
(2)  duplicate samples — 60 data records covering 28 person-days
     — for CO measurements on interviewers carrying multiple PEMs,
(3)  colocated samples — 10 data records — for PEMs monitoring
               •
     CO levels in the vicinity of a fixed-site monitoring station,
(4)  EPA audit samples — 9 data records.
This file thus consisted of 853 data records.   j
     In addition  to sample-identifying  information,  each record
indicated the time and value of a series of  PEM measurements.   The
CO measurements were generated as automatic  recordings on the  hour
or as manual  readings when activities of sample members  changed.
The measurements  represented the average  (integrated)  CO  level
during the  preceding  time interval (i.e., since the  beginning of
the hour or since  the last manual entry).   On the raw data file,
the CO data were recorded in raw units.   However,  the slope and
intercept, as well  as  a  validity  check code for; the  straight-line
calibration curve, were  available on  each record so  that  CO levels
could be  converted to parts per million (ppm).   The contents of
this file are shown in Exhibit 5.4.1.  For the routine samples, the
time period during which  the PEM was  in  the  presence of  the sample
member was identifiable only through  the diary data.
File B;  Activity Diary  Data.  Diary  data  consisted  of  (a) identi-
fication  data (person and monitor  ID numbers, and  starting and
ending times and dates);  and (b) information on each  activity.  The
latter included:
-    activity code
-    location code
—    address information
     mode of travel (if  in transit)
     indicator for whether a garage was  attached to building (if
     indoors)                                   j
-    indicator for whether a gas stove was in use  (if indoors)
                                                j
-    indicator for whether smoker(s)  were present^
                             -89-

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Exhibit 5.4.1   Contents of File A (PEM Data)
Variable




BATCH




PID




MONID




SAMPDATE




VALCODE




APPINTRC




APPSLOPE




THR1-THR96




TMIN1-TMIN96




C1-C96
Description
Batch Number




Person or sample identification number




Monitor ID number




Date of sample (month/day/year)




Validity check code for calibration curve



Intercept of calibration curve




Slope of calibration curve



Hour of PEM reading (up to 96 readings)




Minute of PEM reading (up to 96 readings)




CO level from PEM (up to 96 readings)
                                 -90-

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Exhibit 5.4.2 shows the data codes used for the above variables.
The raw  data file of  diary  data contained  16,820  data records
(i.e., activity segments) for 917 persons.
File C;  Breath CO-Level Data.   The  "breath" CO data file, in its
initial form, consisted of 1,390 data records,!  which were distri-
buted as follows:
(1)  793 routine samples from sample members
(2)  110 duplicate  routine  samples (some of  these  represent the
          only usable breath measurement for some individuals, even
          though they were coded as duplicates)
(3)   12 children's breath samples (from  children in households of
          study participants)                 |
(4)   14 suspected smoker's breath samples
(5)   61 quality control samples  (blank, field control, and labora-
          tory air samples).
The information on each record  consisted  of  the (30  level  (in ppm),
as well  as  sample identification data  and  dates of sampling and
chemical analysis.
File D;   Questionnaire Data.   In  addition  to providing  PEM and
breath measurements and the Activity Diary data, study participants
were asked to furnish  information on  their homes, typical  commuting
activities,  etc.  through a Study Questionnaire  (see Appendix C).
Data from this  questionnaire were incorporated into  a  data file;
the file contained data for 916 persons.      [   .
                                              I
     Exhibit 5.4.3 shows the variables  on this  file.  Only a  few of
the pertinent variables  in these data records were  utilized in the
analyses reported  herein due to time and cost  constraints (addi-
                                              t
tional use  of the questionnaire data are recommended for  future
analyses).  These  included the  following:     i
     Questions  20  and  29A — variables 13 and 69 — were  utilized
     to  classify persons into  three  occupational exposure  cate-
     gories:                                  |
      (1) "doesn't work outside  home";         '
      (2) "works outside home — low exposure";  or
                             -91-

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Exhibit 5.4.2   Description of Codes for Variables Appearing in File B
                (Activity Diary Data)

Activity Codes;
     Act       Description                         	__________
       1       transit, travel
       2       work, business meeting
       3       cooking
       4       laundry
       5       inside house - chores
       6       outside house - chores
       7       errands, shopping, etc.
       8       personal activities
       9       leisure activities
      11       sleeping
      12       school, study
      13       eating, drinking
      14       sports and exercise
      15       church, political meetings, etc.
      16       inside house - misc.
      17       in parking garage or lot
      18       outside, not otherwise specified
      19       doctor or dentist office
      87       start diary
      88       end diary
      89       any other activity
      90       no activity entry
      91       activity entry not legible
      92       uncertain of applicable activity code

Location of Activity
     Loc       Description	
     0100      in transit
     0200      indoors - residence
     0300      indoors - office
     0400      indoors - store
     0500      indoors - restaurant
     0661      indoors - garage
     0662      indoors - auditorium, sports arena, etc.
     0663      indoors - church
     0664      indoors - shopping mall, theater at mall
     0665      indoors - school, school gym
     0666      indoors - hospitals
     0667      indoors - laboratories
     0668      indoors - not specified
     0669      any other indoor location
     0700      outdoors - within 10 yards of road or street
     0881      outdoors - garage, parking lot
     0882      outdoors - construction site
     0883      outdoors - residential area
     0884      outdoors - park, sports arena, playground
     0885      outdoors - gas station
     0888      outdoors - not specified
     0889      any other outdoor location
     0900      uncertain
     9800      missing
                                 -92-

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Exhibit 5.4.2 (cont'd)


Mode of Travel
     Modetrav  Description
     0100      walking
     0200      car
     0300      bus
     0400      truck
     0500      train/subway
     0661      jogging
     0662      bicycle
     0663      motorcycle
     0664      van
     9500      bad data
     9600      multiple response
     9800      missing
Smokers Present?
     Smokers   Description
        •      missing
        1      yes
        2      no
        3      uncertain
Garage Attached to Building?
     Garage    Description
         •      missing
         1 .     yes
         2      no
         3      uncertain
 Gas  Stove  in Use?
      Gasstove  Description
         «      missing
         1      yes
        .2      no
         3      uncertain
                                  -93-

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Exhibit 5.4.3   Contents of File D (Questionnaire Data)

#         Variable       Label
45
74
75
76
39
67
1
47
108
52
106
105
107
72
50
71
70
35
4
25
8
9
10
60
62
64
61
63
65
46
29
27
30
28
101
103
48
19
84
13
87
89
91
93
95
88
AIRCONDT
AREAAIRC
AREAFANS
AREASMOK
ATTICFAN
AUTOYEAR
BATCH
BUSGARGE
COMMENTS
COMMJT3X
DATEDA
DATEMO
DATEYR
DESCSPAC
ELECPLNT
ENCLSFAC
ENCLWORK
EXTRAINS
FINUMBER
FIREPLAC
FRMINUT1
FRMINUT2
FRMINUT3
FRMODES1
FRMODES2
FRMODES3
FRSMOKR1
FRSMOKR2
FRSMOKR3
GARAGEAT
GASDRYER
GASFRUNC
GASKERHT
GASRANGE
HODMATER
HOUSTYPE
HWEHDEP
INGARMIN
KINDBUSN
KINDWORK
LEISACT1
LEISACT2
LEISACT3
LEISACT4
LEISACT5
LEISPLA1
                         Q8 Air Cond used in living quarters
                         Q24 Enclosed area air-conditioned
                         Q25 Fans used in enclosed area
                         Q26 Smokers present in enclosed area
                         Q6A Attic fan used in living quarters
                         018 year of auto most.used in normal week

                         Q10A Living quarters within 3 blocks bus  garage
                         Comments
                         Qll Commute to work, school* etc., 3X/week
                         Day
                         Month
                         Year
                         Q220th Describe other enclosed area
                         Q10D Living quarters near electric or  steam
                              plant
                         Q22 Enclosed area at work most of time
                         Q21 Some part worktime in enclosed area
                         Q5C Extra insulation
                         FI Number
                         Q4A Fireplace used in living quarters
                         Q14B1 Minutes traveling for commute
                         Q14B2 Minutes traveling for commute
                         Q14B3 Minutes traveling for commute
                         Q14A1 Mode transportation for commute
                         Q14A2 Mode transportation for commute
                         Q14A3 Mode transportation for commute
                         Q14C1 Smokers present during commute
                         Q14C2 Smokers present during commute
                         Q14C3 Smokers present during commute
                         Q9 Garage attached or in structure
                         Q4F Gas clothes dryer in living quarters
                         Q4C Gas furnace used in living quarters
                         Q4G Gas or kero.  space heater in living
                              quarters
                         Q4D Gas cookstove used in living quarters
                         FIUSA housing construction material
                         FIUSB type of housing structure
                         Q10B Living quarters near heavy vehicle depot
                         Q34 Minutes spent in indoor garage
                         Q29B Kind of business employed in
                         Q29A Occupation
                         Q32A1 Leisure activity
                         Q32A2 Leisure activity
                         Q32A3 Leisure activity
                         Q32A4 Leisure activity
                         Q32A5 Leisure activity
                         Q32B1 Place of leisure activity
                                 -94-

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Exhibit 5.4.3 (continued)                            :

 90       LEISPLA2       Q32B2 Place of leisure activity
 92       LEISPLA3       Q32B3 Place of leisure activity
 94       LEISPLA4       Q32B4 Place of leisure activity
 96       LEISPLA5       Q32B5 Place of leisure activity
 14       LEISTIM1       Q32C1 Time spent in leisure activity
 15       LEISTIM2       Q32G2 Time spent in leisure, activity
 16       LEISTIM3       Q32C3 Time spent in leisure activity
 17       LEISTIM4       Q32C4 Time spent in leisure activity
 18       LEISTIM5       Q32C5 Time spent in leisures activity
 21       LIVQALLP       Q3A Number of people in living quarters
 23       LIVQCIGT       Q3C Cigarette smokers in living quarters
 20       LIVQKIND       Ql Living quarters description
 24       LIVQSMOK       Q3D Number cigarette packs used in week
  3       LIVQSQFT       Q2 Square feet in living quarters
 22       LIVQTOBA       Q3B Tobacco smokers in living quarters
 43       MAINHEAT       Q7 Main type of heating system
 44       MAINHTSP       Q7SP Specify other type main heat
 79       NRBUSGAR       Q28A Work 3 blocks from bus garage
 82       NRELPLNT       Q28D Work 3 blocks from elec. op. steam plant
 80       NPHVDEPO       Q28B Work 3 blocks from heavy vehicle depot
 81       NROPBURN       Q28C Work 3 blocks from open burn site
 83       NRSMPLNT       Q28E Work 3 blocks from heavy smoke emitter
 49       OPENBURN       Q10C Living Quarters near site of open burning
 41       OTHERFAN       Q6C Other type fan used in living quarters
 37       OTHERGAD       Q5E Other energy-saving device
 31       OTHERGAS       Q4H Other gas appliance
 42       OTHFANSP       Q6CSP Specify other type fan
 38       OTHGADSP       Q5ESP Specify other energy-saving device
 32       OTHGASSP       Q4HSP Specify other gas appliance
 102       OTHMATER       FIUSAOTH Describe other housing material
 104       OTHSTYPE       FIUSBOTH Describe other housing structure
 86       OUTDWKWK       Q31 Hours work outdoors in week
 69       OUTSIJOB       Q20 Full- or part-time job outside home
 66       PASSGHRS       Q17 Passenger for how many hours weekly
   2       PID
 99       RESP_AGE       Q35B Respondent's age
 100       RESP_EDU       Q35C Respondent's education  level
 98       RESP_SEX       Q35A Respondent's sex
 59       SAMEMODE       Ql.3 Return home  same  travel mode
 97       SHOPPARK       Q33 Indoor parking on shopping trips
 73       SIZESPAC       Q23  Size of enclosed  area  £t work
 51       SMOKPLNT       Q10E Living quarters  near  heavy smoke  emitter
 36       SPDAMPER       Q5D  Special dampers stove/fireplace
 34       STORMDOR       Q5B  Storm  doors
  33       STORMWIN       Q5A  Storm windows
  11       TIMEARRI       Q15 Time  arrive  at destination
  12       TIMEDEPA       Q16 Time depart  for home
   5       TOMINUT1       Q12B1 Minutes  traveling for  commute
   6       TOMINUT2       Q12B2 Minutes  traveling for  commute
   7       TOMINUT3       Q12B3 Minutes  traveling for  commute
                                  -95-

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Exhibit 5.4.3 (continued)

 53       TOMODES1       Q12A1 Mode transportation for commute
 55       TOMODES2       Q12A2 Mode transportation for commute
 57       TOMODES3       Q12A3 Mode transportation for commute
 54       TOSMOKR1       Q12C1 Smokers present during commute
 56       TOSMOKR2       Q12C2 Smokers present during commute
 58       TOSMOKR3       Q12C3 Smokers present during commute
 68       WEEKLHRS       Q19 Hours spent in auto in average week
 40       WINDOFAN       Q6B Window fan used in living quarters
 78       WKHEATSP       Q27SP Specify other type heating system
 26       WOODSTOV       Q4B Woodstove used in living quarters
 77       WORKHEAT       Q27 Main heating system at work place
 85       WORKWEEK       Q30 Number hours in normal work week
                                 -96-

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          (3) "works outside home —high  exposure".   (The  occupations
                                                   i
               identified  as having high potential  exposure were:
               crane,  derrick,  or hoist operator; automobile mechanic;
               garage  or gas station worker;  machines  operator;  bus
               driver;  taxi driver/chauffeur; truck driver; construction
               laborer; warehousmen; cook; airline  host/hostess;  firemen;
               police/detective - see  Appendix K.)
          Question 4D  —• variable 28  —-  was used  to  classify  persons
          according to the type of stove  used in their home:   (1) vented
                                                   I
          gas stove,  (2) unvented gas  stove,  or (3) other (non-gas).
          Questions 11 and 17  — variables 52 and 66  — were  utilized to
          classify individuals according to  commuting status and amount
          of travel:  (1) non-commuter, or (2) commuter with total travel
          of 0-5 hours per week, 6-10 hours per week,  11-15 hours per
          week, or more than  15 hours  per week.    !
     5.4.2     Creation of Analysis  Files          I
               Three analysis  files  were created:  (1)  the basic analy-
sis file  (BAF);  (2) the  activity  analysis  file  (AAF); and  (3) the
duplicate measurement  file (DMF)»                   :
     These files and their construction are  described,  respectively, in
subsections 5.4.2.1, 5.4.2.2,  and 5.4.2.3.
                                                   I
          5.4.2.1  Creation of the Basic Analysis File  (BAF).
                   A first step in creating  the BAF  involved the exami-
   '
nation of the sampling dates  and times as reported in the Activity Diary
(i.e., File B).  Where necessary, corrections were made to these start
and stop times (e.g.,  by comparison to the PEM data)  and dates (e.g., by
correcting the year from 1982 to 1983 in some cases).
                                                   I
     The next step in creating the BAF was to perform edit checks on the
PEM data  (File A).  The  774  routine  samples were first examined to
determine  those  individuals with  unusable or  insufficient data.   This
involved  eliminating  41  samples for  which the calibration data were
questionable (validity codes = 4); eliminating  15  samples with less  than
an 18-hour monitoring period  (it was  felt, since 8-hour CO maximums were
to be  computed,  that  at least 18  hours of data should  be  available  for
                                                   i
each sample  respondent);  eliminating  5 samples for which no diary data
                                  -97-

-------
(and hence no start or  stop  times)  were available;  and eliminating one
sample due to misassignment of the PEM  (i.e., the wrong person had been
monitored).  This left  712 sample members  whose PEM information, after
further editing, was considered acceptable.
     The editing of the PEM data involved  identifying  and resolving the
following types of potential problems:
     (1)  out-of-range hour and/or minute values                                 ,«
     (2)  times not in the proper sequence
     (3)  missing times and/or missing CO values                                  *
                                                                                   i,j|
     (4)  large CO values (e.g., over 20 ppm).
The PEM information was listed and  examined manually for any  individual
whose data  exhibited  any of  the  above.  When  deemed  necessary, the
hard-copy field data and/or  diary data  were  consulted  in order to make
the appropriate resolutions in the time and/or CO values.                '
     After this  editing,  the PEM CO  data  values for each of the  712
individuals were  time  weighted to  produce hourly  CO values.  The CO
values were  converted  to ppm units by  using the slope and  intercept
values for the calibration curve.   Any  CO  level less than .05 ppm was
set equal to .05 ppm.   The hourly values were constructed only for those
hours for which  the PEM data indicated  coverage of the entire  hour.
This hourly data file contained from  18  to 26 hourly CO values,  depend-
ing upon the particular start and  stop times of the particular  sample
(or in some  cases,  the  time  at  which a monitor failure occurred).  The
number of samples,  by hour of day,  is shown in Table  5.4.1.  As these
results indicate,  the  hourly data  do not  fully cover a 24-hour time
period for  all  712 sample members.   Coverage was  especially  lacking
during the 6-9 p.m. time  period when sampling was begun or terminated.
The distributions of the  number of  hourly  CO values per sample  and  of
the day of sampling are shown, respectively, in Tables 5.4.2 and 5.4.3.
     After editing  of  the.routine-sample PEM data  and construction  of
the hourly CO values, several additional variables  were  constructed  and
                                                                                   ji.
augmented onto each record of the file.  These were the following:                 :|
                                                                                 -* ;!
     (1)  the mean hourly CO  concentration (ppm);
     (2)  the maximum hourly  CO concentration (ppm);
     (3)  the maximum 8-hour CO concentration (ppm); and                           ;
                                  -98-

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Table 5.4.1
Number of Routine Samples With Valid Hourly CO Values,
By Hour of Day
Hour (ending)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Day 1*
„
— .
__
—
—
—
—
—
—
—
—
—
—
—
—
- —
—
5
28
158
469
664
708
712
Day 2 Day si or Day 2
711 711
712 ! '712
712 712
712 712
712 , 712
712 712
712 712
712 712
711 711
712 712
712 712
712 712
712 712
712 712
708 708
707 707
702 : 702
666 670
548 570
284 426
85 540
9 668
708
712
   Day  1 is the day that .sampling began  (in the evening); day 2
   is the following day.            ...   '
                                  -99-

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Table 5.4.2   Distribution of the Number of Hourly CO Values Per Sample
                    Number of
                    Hourly CO
                    Values Per
                    Sample	

                        18
                        19
                        20
                        21
                        22
                        23
                        24
                        25
                        26
                    Total
                    No. of
                    Samples

                        4
                        3
                        6
                       27
                       96
                      374
                      170
                       23
                        9


                      712
Table 5.4.3   Distribution of Sampling Dates, by Month and Day of Week
Sampling Days   Nov. 1982   Dec. 1982   Jan. 1983   Feb. 1983   Total
Sun - Mon
Mon - Tues
Tues - Wed
Wed - Thurs
Thurs - Fri
Fri - Sat
Sat - Sun
26
36
13
12
13
 6
13
19
37
30
26
29
27
14
40
47
35
29
41
39
24
15
20
37
22
24
23
15
100
140
115
 89
107
 95
 66
                   119
           182
           255
           156
         712
                                 -100-

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     (4)  the beginning hour (index) of that 8-hour period for which the
          maximum 8-hour CO concentration occurred, i
     The mean (maximum) hourly CO concentration for a particular  sample
individual was based upon averaging  (maximizing) over all  of  the  hourly
CO values that were available.  The third variable was determined in the
following manner.  Let  f  and % denote the hour index of the  first  and
last hourly CO values available for  a  particular sample.   The following
8-hour averages were computed:
                        . a+7                        :
                   Y  -   £  3C.I./n    a-f.(f-H),  .'.., (4-7)
                    3L     r"*   X J-  3.               ;
                         i=a
                                                    i
                                                    i._
where I. =0 if the hourly CO value for hour index  i is missing
         = 1 otherwise;                             [
      X  = the hourly CO value in ppm for hour index i:, and

            a+7                                     |
      n  =  V" I.  = number of non-missing hourly  CO values in the
       a    *         8-hour interval beginning at  hour "a".
            i=a                                           '

The maximum 8-hour  CO  concentration was then determined as the maximum
Y  value for which  n  fi 6  (i.e., at least six hourly values were requir-
 a                  a                 -    .          | •
ed during a consecutive eight-hour  period in  order  for a Y  value to be
                                                    ! •      **
considered as  an  "8-hour  average").  The fourth variable  indicated  the
beginning hour index  of the maximum 8-hour CO  concentration period —
i.e., the value of  "a".
     The above four variables  were derived exclusively from the hourly
data.   In addition, variables  from other sources were incorporated into
the BAF.  These variables  included  the  following:
      (1)  the  set of variables described for  File D:(questionnaire data)
          in Section 5.4.1
      (2)  the  breath  CO level (averaged over the duplicate  readings in
          those cases where an individual provided  two breath  samples)
                                                    I
      (3)  a variable  indicating those dates for which fixed-site  moni-
          tors in the  DC  area showed high CO levels  ('based  on informa-
          tion furnished  by EPA),  and
                                  -101-

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      (4)  the pertinent sample design variables and adjusted sampling
          weights.
The  sample  design variables included the person-level weighting  class
indicator,  and  the  "analysis  stratum" and  "analysis  PSU" variables
described in Section 5.1.  Three sampling weights were constructed:
      (a)  the adjusted sampling weight  (see Section  5.1),  which is
          appropriate  for analyses in which  all 712  individuals provide
          data on the  relevant analysis variable(s);
      (b)  the diary-activity adjusted  sampling weight, which is appro-
          priate for analysis of diary activity data (available for only
          705 of the 712 sample members); and
      (c)  the breath-level  adjusted  sampling weight,  which is appro-
          priate  for analysis of  the breath  CO  concentration data
          (available for only 659 of the 712 sample members).
The  total of the adjusted sampling weight for the person-level weighting
class was also included  on the file so that additional weight  adjust-
ments could be readily made.  Such adjustments are needed, for instance,
when  estimating the  mean CO•level for some  specific hours of the day
since not all 712 individuals furnished such data (see Table 5.4.1).
     Exhibit 5.4.4 shows the contents of the Basic Analysis File.
          5.4.2.2   Creation of the Activity Analysis File (AAF)
                    The  creation  of  the  AAF first required  that an
extensive amount of editing be performed on File B  (see Section 5.4.1).
This involved the following:
      (1)  deletion of  all activity segments associated with  nonrespond-
          ents — defined as those sample members not  among  the 712  who
          furnished  sufficiently  complete and  valid  PEM data (205
          individuals  and 3345 activity segments — recall that monitor
          failure caused a substantial amount of CO data to be lost from
          sample members);
      (2)  deletion of  all activity segments  for seven  additional  indi-
          viduals — namely those having obviously incomplete diaries (7
          individuals with a total of 28 activity segments);
      (3)  deletion of  specific activity segments — duplicate segments,
          segments with  missing/invalid times, activities,  etc.   (50
          segments);
                                 -102-

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Exhibit 5.4.4   Contents of Basic Analysis File
  f        Variable       Label       	,	-,

 43       APSU           Analysis PSU
 44       ASTRATUM       Analysis stratum
  7       AVC18          CO concentration for day 1, hour 17-18
  8       AVC19          CO concentration for day ls hour 18-19
  9       AVC20          CO concentration for day 1, hour 19-20
 10       AVC21          CO concentration for day I, hour 20-21
 11       AVC22          CO concentration for day 1, hour 21-22
 12       AVC23          CO concentration for day 1, hour 22-23
 13       AVC24          CO concentration for day 1, hour 23-24
 14       AVC25          CO concentration for day 2, hour 00-01
 15       AVC26          CO concentration for day 2, hour 01-02
 16       AVG27          CO concentration for day 2, hour 02-03
 17       AVC28          CO concentration for day 2, hour 03-04
 18       AVC29          CO concentration for day 2, hour 04-05
 19       AVC30          CO concentration for day 2, hour 05-06
 20       AVC31          CO concentration for day 2, hour 06-07
 21       AVC32          CO concentration for day \2S hour 07-08
 22       AVC33          CO concentration for day \2, hour 08-09
 23       AVC34          CO concentration for day 2, hour 09-10
 24       AVC35          CO concentration for day 2, hour 10-11
 25       AVC36          CO concentration for day 2, hour 11-12
  26       AVC37          CO concentration for day |2S hour 12-13
  27       AVC38          CO concentration for day 2, hour 13-14
  28       AVC39          CO concentration for day 2, hour  14-15
  29       AVC40          CO concentration for day  2, hour  15-16
  30      AVC41          CO  concentration  for day  2, hour  16-17
  31       AVC42         CO  concentration  for day|2, hour  17-18
  32       AVC43          CO  concentration  for day  2, hour  18-19
  33       AVC44          CO  concentration  for  day;2, hour  19-20
  34       AVC45          CO  concentration for  day 2,  hour  20-21
  35       AVC46          CO concentration for day 2,  hour 21-22
  45       BRCO           Breath CO concentration
  48       BWEIGHT        Breath analysis weight  !
  55       CMUTXHRS       Variable derived from Qll and Q17
  52       COMMUT3X       Qll Commute work,  school*  etc., 3X/week
  56       DAYOFWK        Day of week             '
  47       DWEIGHT        Diary analysis weight
  46       FWEIGHT        Field data analysis weight
  49       FWTT           Total of FWEIGHT within PWTCLASS
  51       GASRANGE       Q4D gas cookstove used in living quarters
   6       HICODAY        High CO day indicator
  50       KINDWORK       Q29A Occupation         |
  37       MAXHRC         Maximum hourly CO concentration
  39       MAX8HC         Maximum 8-hour CO concentration
  38       MEANHRC        Mean hourly CO concentration
  36       NHRC           Number of hourly CO valu'es
  53       PASSGHRS       Q17 Passenger for how ma.ny hours weekly
                                   -103-

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Exhibit 5.4.4 (continued)

  1       PID            Check Digit: ID
 42       PWTCLASS       Person-level weight class
  2       SAMPDATE       Date of sample (day 1,  mmddyy)
 57       TIMEWEEK       Weekday, weekend indicator
  4       TSTART         Start time for sample (from diary)
  5       TSTOP          Stop time for sample (from diary)
 54       TYPEXPOS       Type of exposure
 40       T8HSTRAT       First hour of 8-hour maximum CO
  3       VALCODE        Validity code for claibration data
 41       WTCLASS2       Final weighting class
                                 -104-

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     (4)   corrections of sampling dates (15 individuals);
     (5)   corrections of start or stop times  of  the sampling period (4
          individuals);                            [
     (6)   revisions in activity codes (282 segments);
     (7)   revisions in location codes (77 segments;); and
     (8)   revisions  in  activity start times  originally appearing  as
          missing, partially  missing,  out-of-range  or  out-of-sequence
          (90 segments).                          !
With the exception of item (1), all of the above items required at least
some manual examination of the  data,  including iri some cases review of
the actual hard-copy diary data and/or of the PEM time values.  This
process took considerable staff time and lasted for  several weeks.
     The need for the manual  examination of the  data was largely  due to
potential inconsistencies in  the location and activity codes.  Some of
these  inconsistencies were  resolved on  a  case-by-case basis, whereas
some were resolved by establishing  (and  subsequently programming)  a set
of "consistency rules".  In both cases, the location codes were general-
ly regarded as  being more accurate than the  activity codes,  since the
                                                  I
activity codes were  developed from  a  totally  open-ended question  (i.e.,
apart  from  instructions given  to the study  participants,  they were
permitted to provide activity descriptions in th«ir own words and  from
their  own perspective — see Appendix C,  Figures; 4  and  5).   A major
                                                  I
exception to  this was  when  both the  activity  ccide  and  the  address
information indicated that the  activity was "in  transit".  The programmed
"consistency rules", which in some  cases made use of the address  informa-
tion provided in  the diary, are shown below:
                                  -105-

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               Original Codes*
                                         Revised Codes**

Activity
5
5
all
all
90-92
90-92
7
1
4,16
5
7
15
16

Location
700
800-889
694-698
100
200-669
700-889
missing
all
883
300
200
700
881
Address
Indicators***
all
all
all
#(1,0,0)
all
all
(1,0,0)
(0,1,1)
all
all
all
all
all

Activity
6
6
U
1
16
18
U
U
U
U
U
18
U

Location
U
U
668
U
U
U
400
100
668
668
668-
U
661
     *  See Exhibit 5.4.2 for definitions of activity and location
        codes.
    **  U - unchanged (i.e., same as original code).
   ***  As illustrated in Figures 4 and 5 of Appendix C, the first
        address field should have been completed only for non-transit
        activities.  Both the second and third address fields should
        have been completed if the activity was "in transit".  The three
        address indicators are defined as (X, ,X_,X») where X=0 if
              **
the i
                address is blank, and as X. = l, otherwise.
     A second major reason  for  needing a manual examination of a large
portion of the diary  information was the recognition of the fact  that
participants' omissions of  diary entries (i.e., changes in activities)
could potentially  lead  to serious biases in  the  study results.   That
such situations  actually  occurred in  the raw diary data are  clearly
illustrated  by  the fact  that only 463 of  the  705 diary-respondents
entered "eating, drinking"  as an activity during their sampling period
(at least  18 hours) .   Based upon the manual examination of  a large
number of individuals' diary data, it was clear that many of these types
of data anomalies occurred due  to  the  open-ended nature of  the activity
descriptions  (i.e., respondents were simply allowed to describe  their
activities) .  Some respondents  provided detailed  activity descriptions
whereas others  furnished  vague  or general  descriptions that  may have
encompassed  several  "activities"  (e.g.,  for  some respondents,   the
"eating, drinking" activity may have been subsumed under the  activity
"inside house - miscellaneous")  .
                                  -106-

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     At the  data  editing/processing stage,  little could be  done  to
circumvent or ameliorate the problem indicated  in the paragraph above.
However, those individuals exhibiting  extremely "long" activities  were
scrutinized  in more detail.   ("Long"  depends,   of  course,  upon the
particular activity.)  This  detailed manual examination  of  the diary
data led to  (a) the decision to delete all data  segments for those seven
individuals who had been extremely vague  in  providing activity descrip-
tions  or  who had  been extremely negligent  in  providing a  complete
activity  pattern  (i.e., those  with major omissions  in  their diary
information); and  (b)  the decision  that all  activity  segments that were
likely  to have included a sleep period should be r&coded  to reflect this
"fact".   (It should be noted that some of the descriptions of  activities
in  the  diary actually  included  such multiple activities — e.g., "studied
and slept.")                                       \
     The  receding of  those  activities containing  a  suspected  sleep
period  was made possible by the fact that  sleeping is  generally a
long-duration  activity that occurs at roughly  the same time  for  most
individuals.  Such duration and  regularity  does not  occur  for other
activities (e.g.,  eating) so that additional recedings of this type were
not feasible.                                      ;
     At the beginning  of  this subsection it was indicated  that  282
activity  recedes  had been made;  of these,  167  arose from the manual
recedes and activity/location  consistency checks previously  described,
and 115 were the  result of  recodings of activities! to include suspected
 sleep  periods.  It should be  emphasized  that the  latter receding was
 carried out in such a manner that identification qf  the  original  activ-
 ity code was still possible.  In particular, if AJrepresents  the  origi-
 nal activity codes (see Exhibit 5.4..2), then the receded value, A*, was
 determined as
                A* = A + 20,   if 1 S A S 19
                A* = 77        if A = 87.
                                                   I
 This permitted these segments to be utilized  in various ways  during the
 analysis phase.
                                   -107-

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     At this point, the AAF contained  13,398 activity  segments  (for  705
sample members).  The  next step in creating the  final AAF involved a
machine comparison of the activity times entered in the diaries with the
times entered on the PEMs.  The following results were obtained:
     (a)  Of the  13,398 segments,  exact matches between the diary and
          PEM times were found for 11,356 segments.
     (b)  Of the remaining 2042 segments, a near match  in  the two times
          (within 2 minutes) was found for 1022 segments.
     (c)  Of the remaining 1020 segments, 214 cases were found for which
          the same number  of  PEM and diary entries occurred within  an
          hour, even though no PEM time  could be found  that matched  the
          diary time (within 2 minutes).
     (d)  Of the  remaining 806 non-matched cases, 68  occurred  due  to
          lack of PEM data during the period of interest.
     Based upon the above  comparisons  between  the  PEM and diary times,
two rules were  adopted and implemented for updating  the diary activity
times.  These rules were:
     1.   If the diary and PEM data indicated the  same  number of activ-
          ities within a given hour, then the times from the diary were
          replaced by the times from the CO monitor.
     2.   If rule 1 did  not apply, but  a  diary time and  a  PEM time
          matched within  2 minutes,  then the diary  time was replaced
          with the time from the monitor.
The results  of  the above-described updating  of the diary times  are
summarized in  the table below,  which shows the  number of  activity
segments falling into various categories:
                                 -108-

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Character-
istic of
Activity
Start
Time
Titne
Match
Exact -
No Need
to Update
Total
No. of
Segments
11,356

Degen-
erate
Time
Interval
650
Segme
No
CO Data
Available
0
nt Chara.cte
Partial
CO Data
Available
32 :
rxstic
Full
CO Data
Available
10,674

Partial
or Full
CO Data
Available
10,706
Time          1,022
Match w/in
2 min. -
Time Updated
(Rule 2)

Time Not        214
Matched
w/in 2 min. -
Time Updated
(Rule 1)

Time Not        806
Matched
w/in 2 min. -
Time Not
Updated      	
 50
                       970
                                                                     972
                                 210
                                  211
          68
           12
            717
              729
              13,398
712*
68
47
12,571
12,618
      *  Time  intervals  of  0 minutes  duration;   607  of  the  712  cases
        represent  "start-diary"  or "end-diary"  activities  (i.e.,
        activity codes  87  or  88).                 '

 The last  column in the  above  table indicates  those  activity segments  for
 which a corresponding CO concentration level could be  constructed  from

 the PEM data.
      The  final step in  creating  the  AAF was to  determine these CO levels

 and to augment them onto the file.   These were computed by time-weight-

 ing the PEM  CO measurements  over the time period  associated  with  the
 given activity segment  (or,  in the  47 cases having  only partial CO data,
 over that portion of the  activity time interval  for  which the CO data

 were present).
      The final AAF, unlike the BAF  described in the previous subsection,
 cannot be used directly for most statistical analyses — i.e., additional

 processing prior  to the  analysis  is required (in order to  augment
                                  -109-

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sampling weights, revise codes, aggregate over an individual's segments,
etc.).  Since  the  additional data processing on the AAF  that must "be
carried out  prior  to statistical analysis depends upon the  particular
analysis, this processing  is considered  a part of the analysis and  is
therefore not discussed further in this subsection.
          5.4.2.3   Creation of the Duplicate Measurement File (DMF)
                    File A,  as described  in  Section 5.4.1, provided  the
source data for the DMF.  The 60 data records in this file corresponding
to the  duplicate  samples  (from interviewers with  multiple  PEMs)  were
first extracted.  A printout of these data  was  produced  and manually
screened for timing errors.  Several of the  readings were discarded  and
several time  corrections were made.  The CO values were then time-
weighted to produce hourly CO values.   A file containing these hourly
values — the DMF — was then  created; a  record  was  generated for each
hour and PEM.  The file contained information on the following variables:
     PID            sample ID number (identifies person and PEM)
     HOUR           hour index
     CONG           hourly CO concentration
     PERSON         code identifying interviewer/sample date
     REP            =*! for first PEM; =2 for second PEM; etc.
     The DMF contained a total of 1539 hourly CO values which covered 28
interview-"days" and a total of 724 unique interviewer-hours.  At  least
two hourly "readings" were available for 689 of the 724 hours.
                                 -110-

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                      6.   RESULTS AND DISCUSSION
6.1  Survey Design Results
     6.1.1  Household Screener Statistical Analysis
            Gas household appliances and certain sources of home heating
are considered  producers of carbon monoxide.   The1 following  related
questions of interest were asked of a knowledgable 'household member, and
analyzed for each household:
     Is there
               a.   a fire place which is used?
               b.   a wood stove?
               c.   a gas furnace?                 \
                                                   I
               d.   a gas cooking stove?
               e.   a gas hot water heater?        ;
               f.   a gas clothes dryer?           '
               g.   a gas or kerosene space heater?j
               h.   any other gas appliances?
               i.   an  attached garage,  or  a shared,  multi-family
                    garage?                        !   .  .
     Estimates  from  these items are presented in Tables  6.1.1 through
6.1.8.   These  results are  based  on successful interviews  from 4394
households  in  the Washington,  D.C. metropolitan area,  and  2128 house-
                                                   I
holds from  the  Denver metropolitan area.  The population estimate  for
the number  of  households in the two sites for the time the survey  was
conducted is 953,714  for  Washington and  345,163 for Denver. Due to the
fact that no item-level nonresponse adjustments or 'item imputations were
                                                   I
made, these estimates are underestimates of the true  total  (i.e., in the
tables  there  is  a  "Not Known"  category).   However,   the  difference
between  the estimates and the true totals are believed  to be small.
     For each data  item,  a separate category (namely, "not known") was
created  to  represent those households for which  the  respondent  or
                                                   I
interviewer was  uncertain whether  a particular appliance,  etc. existed.
                                  -Ill-

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As an example,  the study determined that there  are an estimated 467
households in Washington,  B.C.  (Table 6.1.1) for which  the screening
questionnaire did not ascertain whether a fireplace was being used.
     In terms of home heating,  about  33  percent  of  the Washington area
households have fireplaces in use  and  roughly  67 percent do not (Table
6.1.1).   Fewer  than 30 percent of  Denver households have  fireplaces
(Table 6.1.1).
     As expected, there are fewer homes utilizing wood stoves - an esti-
mated 4 percent for the Washington  area  and  6 percent  for Denver  (Table
6.1.2).   Among  the four means  of home  heating,  the gas furnace is
clearly the  most  common heating source.  This  is indicated in Table
6.1.3:  56 percent  or 532,347 households use gas furnaces in the Wash-
ington area and 71 percent or 245,902 households use gas furnaces in the
Denver area.  The  percent of households using  gas or kerosene space
heaters is  similar to those using wood  stoves,  about 3 percent  for
Washington and 5 percent for Denver (Table 6.1.4).
     Statistical results for the usage of gas  appliances are presented
in Tables 6.1.5 through 6.1.8.   An estimated 64 percent  or 609,029
households in Washington,  DC,  and  25  percent  or 85,542 households in
Denver use  gas  cooking stoves  (Table  6.1.5).   Gas hot  water  heaters
serve 542,855 or 57 percent and 269,810  or 78 percent  of households from
the respective sites, Washington and Denver  (Table 6.1.6).  An estimated
191,803 households  or 20 percent and 57,402 households or 17 percent use
gas clothes  dryers in  their  homes (Table 6.1.7).  Other gas appliances
are seldom used.   This  is evident in Table  6.1.8:   approximately 2
percent  and 0.2 percent  of  Washington  and  Denver metropolitan area
households use other gas appliances, respectively.
     According  to  Table 6.1.9, a  combined  estimate of  207,719 or  22
percent of Washington area households  have an attached garage or share a
multi-family garage.  This compares to a combined estimate  of  120,460 or
35 percent for Denver area households.
     6.1.2   Personal Item  Statistical  Analysis
             As with most studies  which involve a sample of households,
there  is  some interest  in specific attributes  of the household members.
In the CO Study a respondent was requested to answer  several  questions
                                  -112-

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Table 6.1.1   Estimated Number of Households Using 21 Fireplace
Yes
Standard Error
No
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
Washington, DC
Metropolitan Area
Total
316,925
29,538
636,322
59,462
467
193
953,714
4,394
Proportion
Denver
Metropolitan Area
Total
0.3323 i03,211
0.0301 16,030
0.6672 241,629
0.0302 • 18, 608
0.0004
0.0002
227
141
Proportion
0.2991
0.0362
0.7002
0.0361
0.0006
0.0004
,345,068

2,128

 Table 6.1.2   Estimated Number of Households  Using a Wood Stove

Washington
Metropolitan
, DC Denver
Area Metropolitan
Area
Total Proportion Total Proportion
Yes
Standard Error
No .
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
37,721
6,858
915,382
64,623
611
378
953,714
4,394
0.0395 20,314
0.0075 2,841
0.9598 324,453
0.0075 24,594
0.0006 396
0.0003 184
325,163
2,128
0.0588
0.0089
0.9400
0.0089
0.0011
0.0005


                                   -113-

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Table 6.1.3   Estimated Number of Households Using a Gas Furnace

Washington
Metropolitan
, DC
Area
Total Proportion
Yes
Standard Error
No
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
532,347
40,943
391,130
52,169
30,237
13,517
953,714
4,394
0.5581
0.0355
0.4101
0.0365
0.0317
0.0146


Denver
Metropolitan
Area
Total Proportion
245,902
22,231
94,964
14,608
4,297
1,246
345,163
2,128
0.7124
0.0379
0.2751
0.0376
0.0124
0.0036


Table 6.1.4   Estimated Number of Households Using a Gas or Kerosene
              Space Heater

Washington
Metropolitan
, DC
Area
Total Proportion
Yes
Standard Error
No
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
30,530
5,621
921,536
61,817
1,649
444
953,714
4,394
0.0320
0.0050
0.9662
0.0050
0.0017
0.0004


Denver
Metropolitan
Area
Total Proportion1
18,352
4,480
326,152
22,301
659
265
345,163
2,128
0.0531
0.0111
0.9449
0.0111
0.0019
0.0007


                                  -114-

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Table 6.1.5   Estimated Number of Households Using a Gas Cooking Stove

Washington,
Metropolitan
DC
Area
Total Proportion
Yes
Standard Error
No
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
609,029
49,353
344,329
41,033
357
213
953,714
4,394
0.6385
0.0329
0.3610
0.0329
0.0003
0.0002



Denver
Metropolitan
Area
Total Proportion
85,542
7,308
259,365
24,195
256
160
345,068
2,128
0.2478
0.0245
0.7514
0.0245
0.0007
0.0004



 Table 6.1.6   Estimated Number of  Households  Using  a  Gas  Hot  Water
               Heater

Washington
Metropolitan
, DC
Area
Total Proportion
Yes
Standard Error
No
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
542,855
37,564
361,036
50,113
49,823
13,628
953,714
4,394
0.5692
0.0308
0.3785
0.0346
0.0522
0.0152


Denver
Metropolitan
Area
Total Proportion
269,810
20,930
67,425
13,256
7,928
1,175
345,163
2,128
0.7816
0.0332
0.1953
0.0331
0.0229
0.0037


                                  -115-

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Table 6.1.7   Estimated Number of Households Using a Gas Clothes Dryer

Washington
Metropolitan
, DC
Area
Total Proportion
Yes
Standard Error
No
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
191,803
17,316
737,472
64,529
24,284
13,259
953,560
4,393
0.2011
0.0195
0.7733
0.0217
0.0254
0.0142


Denver
Metropolitan
Total Prc
57,402
8,018
285,830
20,381
1,931
724
345,163
2,128
Area
^portion
0.1663
0.0179
0.8281
0.0178
0.0055
0.0021


Table 6.1.8   Estimated Number of Households Using Other Gas Appliances

Washington
Metropolitan
, DC
Area
Total Proportion
Yes
Standard Error
No
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
16,036
3,362
934,713
64,821
2,966
704
953,714 '
4,394
0.0168
0.0037
0.9800
0.0038
0.0031
0.0007


Denver
Metropolitan
Area
Total Proportion
782
293
344,019
24,659
362
172
345,163
2,128
0.0022
0.0008
0.9966
0.0009
0.0010
0.0005


                                 -116-

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Table 6.1.9
Estimated Number of Households Having an Attached Garage
or Sharing a Multi-Family Garage
Attached Garage
  Standard Error

Multi-Family Garage
  Standard Error
                             Washington, DC
                           Metropolitan Area
                           Total
            165,919
             22,525

             41,800
             13,845
Proportion   _;

   0.1740
   0.0191

   0.0438
   0.0153
                                           Denver
                                      Metropolitan Area
                                      Total     Proportion
108,934
 11,188

 11,526
  3,919
0.3156
0.0284

0.0333
0.0099
Neither
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
744,976
58,749
862
426
953,557
4,393
0.7812
0.0250
0.0009
0.0004


222,199
18,870
2,504
2,469
345,163
2,128
0.6437
0.0298
0.0072
0.0070


                                  -111-

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on behalf  of each individual living  in  the household.  Below is  the
information asked for each individual:
     a.   sex
     b.   age
     c.   individual's relationship to head of household
     d.   whether individual  presently smokes or uses  tobacco  in any
          form                                                                       "i,
     e.   whether individual is employed either full or part time                     '
     f.   whether individual  travels  to  and.from work, school, or  any
          other place at least 3 times a week                                         '
     g.   amount of time spent traveling one way when going any place at
          least 3 times per week.
     Statistical results to follow are based on varying sample sizes due
to missing  data for individual  questionnaire items.   The  number of
responses was highest for  the sex  item:   11,545 for Washington, DC,and
5,142 for Denver.  No item-level nonresponse  adjustments or  imputations               •„
were made for two reasons.  First,  the item response rate was high for
most items.  Second, analysis of the screening data was considered to be
less important  than analysis of monitoring data.  Instead  of weight
adjustments or  imputations,  the  category "not known"  is  presented to
                                                            .
represent those individuals for whom the respondent or  interviewer could
not determine a correct entry for any individual's attributes.  Included            ;
in this category is a population estimate for the data  item of interest.
The statistical results  of all  personal item data  are presented in                 '
Tables 6.1.10 through 6.1.16.
     According  to Table 6.1.10,  an  estimated  1.29 million people or 48               ;T
percent  of  the Washington metropolitan population  are male.  This
compares to  the 1980 Census which  reports  1.33 million males  or 48                 '
percent in the  same area  (Table  6.1.11).  Also,  1.38 million females or
52 percent are  estimated  from the  CO  Study  results versus 1.44 million             w ;
females or 52 percent from the 1980 Census.  Neither of these statistics              ;
are expected  to be exactly equal,  primarily  because of a  population               * :
change from  1980 to  1983  and  sampling variability.   They are, however,
approximately the same.  When sex  is  disregarded, the  CO Study results
estimate the 1983 Washington metropolitan population to be  2.67 million
                                 -118-

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Table 6.1.10   Estimated Sex Distribution
                             Washington, DC
                           Metropolitan Area
Male
  Standard Error

Female
  Standard Error

Not Known
  Standard Error

Grand Total

Sample Size
                           Total
1,286,056
  133,431

1,379,812
  116,697

    1,329
      483

2,667,197

   11,545
Proportion

   0.4821
   0.0094

   0.5173
   0.0094

   0.0004
   0.0001
                                Denver
                           Metropolitan Area
                           Total     Proportion
!  415,730
'   30,762
    . .

  460,836
   39,728

i      556
      402

!  877,122

;    5,142
   0.4739
   0.0091

   0.5253
   0.0091

   0.0006
   0.0004
Table 6.1.11   The Sex Distribution According to the 1980 Census
Male

Female

Population Total
                             Washington, DC
                           Metropolitan Area
  Total

1,327,797

1,435,308

2,763,105
Proportion

   0.4805

   0.5195
                                Denver
                           Metropolitan Area
  Total

  380,479

  401,305

  781,784
Proportion

   0.4867

   0.5133
                                  -119-

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Table 6.1.12   Estimated Age Distribution - Categorized According to the
               1980 Census Definitions
Under 18 Years
  Standard Error

Between 18 to 64 Years
  Standard Error

65 Years and Older
  Standard Error

Not Known
  Standard Error

Grand Total

Sample Size
                             Washington, DC
                           Metropolitan Area
  Total

  699,556
  108,889

1,720,330
  139,452

  153,628
   10,816

   39,405
    7,320

2,612,919

   11,188
Proportion

   0.2677
   0.0197

   0.6583
   0.0150

   0.0587
   0.0055

   0.0150
   0.0024
                                Denver
                           Metropolitan Area
                                                    Total
227,112
 27,009

564,554
 46,137

 67,091
  5,959

  5,939
    822

864,695

  5,015
Proportion

   0.2626
   0.0155

   0.6528
   0.0142

   0.0775
   0.0092

   0.0068
   0.0010
                                   -120-

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Washington
Metropolitan
, DC
Area
Total Proportion
Under 18 Years
Between 18 to 64 Years
65 Years and Older
Population Total
721,170^
1,826~^12-/
215, 523-^
2,763,105
0.261
0.661
0.077

Denver
Metropolitan Area
Total Proportion
197, 17 l-( 0.2522-/
506 ,955^ 0.6484-'
77,658^ 0.0994-/
781,784-/
\J   Estimated from proportions published in the 1980 General Population
     Characteristics for District of Columbia.

2j   Estimated from proportions published in the 1980 General Population
     Characteristics for Colorado.                i
                                 -121-

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Table 6.1.14   Estimated Distribution of Relationship to Head of
               Household

Washington
Metropolitan
, DC
Area
Total Proportion
Head of Household
Standard Error
Spouse
Standard Error
Child of Head
Standard Error
Other Relation
Standard Error
No Relation
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
949,796
63,594
554,922
49,274
891,611
151,940
126,729
20,789
147,567
26,472
5,069
2,533
2,675,694
11,543
0.3549
0.0126
0.2073
0.0180
0.3332
0.0293
0.0473
0.0088
0.0551
0.0078
0.0018
0.0009


Denver
Metropolitan
Area
Total Proportion
346,637
24,712
191,165
14,866
229,522
16,388
30,882
3,969
41,584
8,666
36,991
21,100
876,781
5,138
0.3953
0.0099
0.2180
0.0105
0.2617
0.0144
0.0352
0.0053
0.0474
0.0087
0.0421
0.0214


                                  -122-

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Table 6.1.15   Estimated Distribution of Persons 13 Tears and Older Who
               Smoke or Use Tobacco in Any Form
Yes
  Standard Error

No
  Standard Error

Not Known
  Standard Error

Grand Total

Sample  Size
                             Washington, DC
                           Metropolitan Area
  Total

  639,739
   69,002

1,287,619
   85,016

      633
      324

1,927,991

    8,791
0.3318
0.0180

0.6678
0.0180

0.0003
0.0001
                                Denver
                          IMetropolitan Area
                                     Proportion   	
            Total
244,884
'29,266
i
400,079
! 23,164

    254
i    124

lU5,217
I

i  3,953
Proportion

   0.3795
   0.0234

   0.6200
   0.0234

   0.0003
   0.0001
                                   -123-

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versus 2.76 million for the 1980 Census.  Denver metropolitan statistics
by sex  can be seen in Tables 6.1.10  and  6.1.11.   The proportions are
quite comparable; CO study estimates are 47 percent males and 53 percent
females compared  to  1980  Census statistics of 49 percent males and  51
percent females.
     Ages have been grouped for the sake  of  complying with  Census  group
definitions.  These age groups are:
     (1)  under 18 year of age
     (2)  between 18 and 64 years of age, and
     (3)  age 65 and older.
Estimated age group totals and proportions for both sites, compare quite
well with  Census  statistics.  Also,  the age distributions for the two
sites are nearly  identical.  CO Study estimates  for the age groups are
presented in Table 6.1.12  and corresponding  1980 Census results  are in
Table 6.1.13.   As can be  seen, the  percent of  individuals  under 18
years, between  18 and  64  years, are  respectively, about 26 percent and
65 percent  (ignoring  site and reference  source).   The  comparison for
persons 65 years  and  older is not quite as good.  Census data are not
available for other items of interest.
     The CO Study results for relationships of  the  respondent  to the
head of the household screened are categorized  in Table 6.1.14.  As
anticipated, more head of  households were  screened  than any other
category,  35 percent  and  40 percent  for  Washington  and Denver  metro-
politan areas.
     For the remaining person-level data items, statistical analysis was
conducted only for those individuals  age  13  and  older.   Also, estimated
totals from data  items to  follow  are  far more affected by bias due  to
item nonresponse than previous data items.  The nonresponse is indicated
by a reduction  in sample size.   The  point  should be emphasized  that
these proportions are probably reliable, since  proportions  are  not
affected as much by nonresponse bias  (i.e., if the likelihood of obtain-
ing a response  is a random variable).   The Washington and Denver study
site findings indicate an estimated 33 percent and  38  percent  of the
respective populations smoke or use tobacco in some form (Table 6.1.15).
Between 70 percent and 72 percent of the individuals in these sites work
                                 -124-

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either full or part time (Table 6.1.16).  Persons who travel anywhere at
least 3  times  per week are  estimated to be  between 82 percent and
84 percent (Table 6.1.17)  for the study sites.  The* majority of persons
                                                   I
traveling (anywhere at  least  3  times per week) ares  estimated  to  take
short trips, with most trips actually taking less than. 15 minutes (Table
6.1.18).  This is true for both sites.
     6.1.3  Introduction to Sample Design Results  ,
            The sample design for the CO monitoring project incorporated
three methodology studies:
     ,(1)  The use of telephone  directory  listings  classified by Census
          geographic variables  in association with standard  area house-
          hold sampling techniques to identify sample housing units.
     (2)  The use  of  a lead letter mailed  to  sample subjects stating
                                                   j'
          that they  will  be  called  to schedule  an  appointment for
          monitoring.                              j
     (3)  Sampling person-days  for  monitoring,  rather  than  simply
          selecting persons and letting each  person  choose a day to be
          monitored.                                i
The purpose of the remainder of Section 6.1'is to  report the results  of
                                                   i      .
these methodological studies.
            :             '              '            'i
     6.1.4  Use of Geographically Classified Telephone Directory
            Listings in Association with Standard Area Household
            Sampling Techniques       '.            ,
            As discussed  in  Section  5.1,  the sample design  for the CO
study was a stratified, three stage design.  The EPA purposively select-
ed the  metropolitan  areas surrounding  Washington,  B.C.,  and  Denver,
Colorado, as the  study sites.   Area sample segments defined by Census
block groups were  selected at  the  first stage of sampling.  A computer
tape  listing  the selected block  .groups was  then  jsent  to Donnelley
Marketing Corporation.  The tape was returned with 'computerized listings
                                                   !,
of names,  addresses,  and  telephone numbers  for  the selected  block
groups.  A  sample  of  listings was then selected for each first stage
sampling unit  to  identify  the  sample housing units.   The screening
interviews were  conducted by telephone for all sample listings with  a
telephone number.  Since the target population included  households  other
than  those  with  listed telephone numbers,  field screening  interviews
                                  -125-

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Table 6.1.16   Estimated Distribution of Persons 13 Years or Older Who
               Work Either Full or Part Time
Washington, DC
Metropolitan Area
Yes
Standard Error
No
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
Total
1,333,061
96,555
561,831
42,112
4,435
1,055
1,899,327
8,778
Proportion
0.7018
0.0140
0.2958
0.0139
0.0023
0.0005


Denver
Metropolitan Area
Total
464,960
38,133
179,528
13,535
602
258
645,090
3,951
Proportion
0.7207
0.0159
0.2783
0.0158
0.0009
0.0004


Table 6.1.17   Estimated Distribution of Persons 13 Years or Older Who
               Travel Anywhere at Least 3 Times Per Week
Washington, DC
Metropolitan Area
Yes
Standard Error
No
Standard Error
Not Known
Standard Error .
Grand Total
Sample Size
Total
1,606,757
110,928
297,010
28,404
7,639
2,785
1,911,406
8,787
Proportion
0.8406
0.0085
0.1553
0.0084
0.0039
0.0015


Denver
Metropolitan Area
Total
530,420
41,049
110,533
9,833
4,189
2,571
645 , 143
3,952
Proportion
0.8221
0.0130
0.1713
0.0127
0.0064
0.0039


                                  -126-

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Table 6.1.18  Estimated Distribution of Amount of Time Spent Traveling
              One Way at Least 3 Times Per Week for Persons 13 Years or
              Older                               '  ;       /
Washington, DC Denver
Metropolitan Area Metropolitan Area
Total Proportion Total
Less Than 15 Minutes
Standard Error
16-30 Minutes
Standard Error
31-45 Minutes
Standard Error
Above 45 Minutes
Standard Error
Not Known
Standard Error
Grand Total
Sample Size
1,002,041
84,829
686,847
66,360
216,547
21,000
186,342
22,119
18,380
2,015
2,110,157
9,268
0.4748 357,480
0.0119 20,647
0.3254 257,484
0.0121 29,920
0.1026
0.0056
0.0883
0.0067
0.0087
0.0011
28,013
4,445
33,724
7,775
7,314
3,433
Proportion
0.5226
0.0239
0.3764
0.0228
0.0409
0.0066
0.0493
0.0097
0.0106
0.0051
684,014


4,152


                                  -127-

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were also necessary.  A subsample of the listings for which  a  telephone
interview was  not  possible (see Table  5.1.1)  was  selected for  field
screening.  Also,  a subsample of listings was  selected for a missed
housing unit (missed HU) check.
     The missed HU subsample  consisted  of  150 listings for Denver and
300 listings for Washington.   In each  case,  the FSUs which had  listed
1980 Census occupied housing units 50 percent or more greater  in number
than those  listed  by the commercial listings were  deliberately  over-
sampled.  The  missed HU  check was implemented by using standard field
listing protocol to produce a unique geographic ordering on  Census maps
for each FSU.  Each listing in the  missed  HU sample was located  in the
field.  The interviewer then proceeded  to  the next housing unit  as
identified by  the  geographic ordering and checked to see if that  housing
unit was  on the commercial list for the FSU.   If  not, a screening
interview was  attempted and the  check was continued  at  the next  housing
unit.  When the next housing unit was  found to be  on  the commercial
list,  the missed  HU  check was  complete.   Technically, a screening
interview should not have  been conducted if the missed HU was on  the
complete frame of  commercial  listings and was  simply misclassified with
regard to Census block group.  Interviews were  conducted for all missed
HUs, regarding them as  not simply misclassified, partly to  check  the
completeness of the listings.  In most cases,  missed HUs  occurred in
groups of one  or two.  In one instance, an entire block face of five HUs
was missed  (See Table 6.1.19).   These five missed HUs  were regarded as
misclassified, and their data were  disregarded for  analyses  and  selec-
tion of participants for CO monitoring.
     The  results  of the missed  housing unit  checks for Denver and
Washington  are summarized in Table 6.1.19.   For each study site,  approxi
                                              .
mately two  percent of the  listings were  found  to not belong  to the FSU,
or area segment, to which they had been classified by Donnelley Corpora-
tion.  Although  a  unique  geographic ordering  was  not possible for
listings  outside  the assigned area  segment, a missed  HU  check was
attempted for  these listings.  The  purpose  of  this  check was mainly to
investigate the completeness of  the commercial listings.  The results in
Table  6.1.19  for   start addresses outside  the  segment  would seem  to
                                 -128-

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Table 6.1.19   Results of Missed HU Checks
&estllt
A.  Start Address Inside Area Segment

    1. Completed missed HU check and
       found no missed HUs

    2. Completed missed HU check and
       found one or more missed HUs

    3. Invalid start address

    4. Could not locate start address due
       to incomplete Donnelley listing

    5. Could not identify the apartment
       at which to begin the missed HU
       check

    6. Found one or more missed HUs but
       not  able to complete missed HU
       check  (unable to match names in
       the  Donnelley listings to apart-
       ment numbers)

    7. Start address and next address
       were both office complexes;
       missed HU check was aborted

    8. Start address was inside  an old
       age  or convalescent home; missed
       HU check aborted as group quarters
       were ineligible
                               continued
  Denver
No.    i 1.
 12
          I/
      Washington
      No.      %
108    72.0   203    67.7


 18    \L2.0    22     7.3
'

  8    ' 5o3     2     0.7

  0     0,,0     1     0.3
8,.0    39    13.0
        0,7
         0.0      8
              1.3
              2.7
   0 .     0.0    16      5.3
                                   -129-

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Table 6.1.19 (continued)
Result
B.  Start Address Outside Area Segment

    1. Completed missed HU check and
       found no missed HUs

    2. Completed missed HU check and
       found exactly one missed HU

    3. Could not identify apartment at
       which to begin the missed HU
       check

    4. Aborted missed HU check after
       traveling one mile, to first
       corner, or listing nine missed
       HUs
TOTAL
     21            I/
  Denver      Washington
No.     %     No.     %
  0     0.0
  0     0.0
        0.7     0
0.7
0.3
0.0
         4/            47
  2     1.3     2     0.7
150   100.0   300   100.0
\J   Field work done by Research Triangle Institute.

2/   Field work done by PEDCo Environmental, Inc. under a separate
     contract.

3j   In one case an entire block face of five HUs was missed.  The data
     for these five HUs was disregarded.  These missed HUs were regarded
     as misclassified.

tjj   The data for these missed HUs was disregarded.  These missed HUs
     were regarded as misclassified.
                                  -130-

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Indicate that clusters of HUs, e.g., block faces, tend to be tnisclassi-
fled occassionally and that  random  misclassification of  individual HUs
also occurrs.                                      i
     When the missed HU  start  address was  inside an apartment complex,
implementation of the missed HU check was sometimels quite  difficult.
Table 6.1.19 shows that  it  was not possible to  complete the missed HU
check in  apartment  complexes  for  about 15  percent:  of the listings
selected for the missed  HU check.   Since the listings  did not  generally
include apartment numbers,  it was necessary to  get  apartment numbers
from mail boxes, apartment managers, or apartment residents.   Sometimes
these sources proved fruitless.  Many of the instances in which a missed
HU  check  could  not  be begun occurred in restricted-access  apartments.
Missed HUs seemed to  occur  more frequently in  apartment complexes than
in  other areas when the  check could be  implemented.   This may be due  to
the more  transient  nature of  apartment dwellers.   Only  one missed HU
check identified an entire block face (of five HUs)  that had been missed
                                                   i
by  the  commercial listings  within  the selected area segments.  The
general impression was  that the commercial listings provided  a  reason-
ably complete listing of housing units.
     Most of the listings were found  to be correctly classified accord-
ing to  block group.   Donnelley Corporation  claims  that  their listings
are about 95 percent  complete.  Our experience is not inconsistent with
 this claim.  However, we found that the undercoverage does not  seem  to
occur at  random.   Instead,  there were small geographic areas  for which
 there were no  listings whatsoever.   The telephone directories for these
 areas  simply had not been  used in compiling  the  listings.  Standard
 field procedures were used  to list  all  housing units and select clusters
 of  sample housing units  for these block groups.
     The  major problem  encountered in  using the listings  to  identify
 sample  housing units was  that it  was  often difficult to  locate  the
 housing units  corresponding to the sample listings)  in the field.  The
 addresses generally  came from telephone directory listings.  Hence, most
                                                   P
 residents of apartment  complexes all had  the  same  address, namely the
 street  address of the apartment  complex.   This presented some problem
 for location of the  sample housing units.  But, more importantly,  it
                                  -131-

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made  the  check for missed housing  units very difficult to  implement
correctly.  Because  of  these problems and other  more subtle problems
with  the operational definition of  missed housing units, there  seems  to
bfe  no completely satisfactory way  to perform  the  check for missed
housing units for a sample from the commercial listings.
      Based upon  RTI's  cited  experience using geographically-classified
telephone directory listings, it  appears that the best way to use such
listings is to select  two  independent samples.   Standard area sampling
procedures are used  for one sample,  and commercial  listings are used
with  the other sample.  In particular:
      (1)  One  sample  is a standard area sample with  sample  clusters
          identified from  field  listings of all  housing units  in the
          selected area segments.
      (2)  The  other  sample uses  the  commercial listings to  identify
          sample clusters in the  selected area segments.
It  is recommended  that  the commercial listing sample  be used only to
generate telephone interviews based upon the telephone directory list-
ings.  Using this methodology, the  standard area frame sample is used to
compensate for the bias resulting from the telephone interviews generat-
ed by the commercial listing sample.   In order to compensate for  this
bias,  it is necessary to determine  whether or not each household in the
standard area frame sample is included on the commercial listing frame.
This  is easily done for commercial  listings  that  come directly  from the
current telephone directory.  A single questionnaire  item can determine
whether or not the household is served by a residential telephone number
that  is listed in the current telephone directory.  It is not so easy to
determine telephone coverage with respect  to commercial listings based
upon  vehicle registrations.  .Hence,  it is  recommended that  the  vehicle
registration records be disregarded.   See Whitmore,  et al.  [1983a] for
further discussion of these design recommendations.
     Use of only the telephone directory listings for the  commercial
listing sample makes implementation of the  dual frame methodology very
straightforward.   States with and without  vehicle registration records
in the commercial  listings are  handled in exactly the same  way.  For
every  sample household, one  or  two  questionnaire items can be used to
                                 -132-

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determine the number  of  residential telephone numbetrs  listed in the
current telephone  directory  for the household.   This information is
sufficient to facilitate unbiased estimation for linear statistics using
either'multiple frame multiplicity  estimators,  such; as those discussed
by Casady and Sirken  [1980],  or difference estimators,,  such as those
discussed by Konijn [1973].  The difference estimators may be preferable
since they address the bias correction more directly.
     The CO  study found that  there were some area  segments with no
commercial listings whatsoever.  Hence,  a determination of  whether  or
not telephone directory  listings are available  is needed for,each area
segment in the  standard  area  household sample.   If telephone directory
listings are not  available for some area segments in the standard area
household sample,  the households in these  area segments  must be treated
for estimation  as not represented  in the frame  of  telephone directory
listings.  Otherwise, all  households with a currently listed telephone
                                                    I
number are treated as being present on the frame of telephone directory
listings.                                           i
     For monitoring  studies,  such as  the  CO  study, . it is recommended
                                                    |
that half of the  screening interviews  be generated by the standard area
frame sample, and half by  using the commercial  listings  sample whenever
this procedure  is less  costly than obtaining the same number of  inter-
views  from  a standard area frame  sample alone.   Some savings will  be
achieved by using the commercial lists instead of  lists  of housing units
                                                    i
produced by  field staff to identify sample clusters.  The use  of tele-
phone interviews  instead of field  interviews may produce some  additional
savings.  These cost savings will  more  than compensate for the  costs
associated  with  selecting and  analyzing two independent  samples for
studies  that require  a  large  number of screening interviews.
                                                    i
     This dual  frame  approach (utilizing two  independent samples) could,
of course,  also be used for  a field half-sample and1 a random-digit-dial
 (HDD)  telephone half-sample.   Some  advantages of  using  the geographi-
cally-classified telephone directory  listings instead  of random digit
dialing  for  one-half  sample are the following:      \
      (1)  Census geographic variables  can be used to oversample subpopu-
           lations of  interest at the first stage.   i
                                  -133-

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     (2)  The proportion of  telephone  numbers called that are working
          residential numbers will  be much higher  for  the telephone
          directory sample.
     (3)  When- field  follow-up  interviews are necessary, such  as  for
          personal monitoring studies,  the geographic clustering will
          reduce subsequent field interview costs.
Of course, there is some loss in precision due to clustering and due to
use of  the  incomplete telephone directory frame.   These losses will
generally be compensated by decreased cost for the sample survey.   Thus,
the proposed  design  is  expected to  be  cost  effective for monitoring
studies.
     6.1.5  Lead Letter Results
            The sample design for Washington  incorporated a lead letter
methodology study, as described  in  Section 5.1.4.  A random sample of
596 of the individuals selected  for monitoring was  sent a lead letter.
The purpose of this lead letter was to inform the sample subject that he
or she had been selected for monitoring and that an interviewer would be
calling to schedule an appointment  for  monitoring.   The individual was
thanked for participating  and the importance  of  the  study was  stressed.
The lead  letters  appear  to have had  a  positive  effect upon response
rate.  The  overall response rate  for individuals  selected  into  the
Washington sample  was about 58  percent, but the response rate for
individuals in  the lead letter  sample  was approximately 63 percent.
(These response rates are  calculated as the number of  individuals who
agreed to schedule a  monitoring appointment  divided  by the  number of
individuals selected.)  Hence, a person-level response  rate of  about  65
percent may  be possible for future studies  of  this  type  using lead
letters for all individuals selected for monitoring.
     6.1.6  Sampling Person-Days
            Individual exposure to  carbon monoxide  is heavily  dependent
upon both weather  patterns and personal  activity patterns, as  discussed
in Section 5.1.4.   Since weather is such  an  important  factor,  it  was
necessary to  field as large  a sample as  possible on each day during  the
study period.  Otherwise,  there  would be no  one monitored on  the  days
with weather  patterns producing  the highest  CO  levels.   Since personal
                                  -134-

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activity patterns are important,  the  sample participants could not be
allowed complete freedom of choice  in selecting  a day to be monitored.
The sample subjects could introduce a bias by selecting mostly days when
they plan to be inactive or stay at home.  The strong influences of both
weather patterns and  personal  activity patterns  upon CO  exposure  sug-
gest that a specific day should be randomly selected for each individual
to be monitored.  However, such a procedure is totally impractical. . The
response rate would surely be so poor  as to invalidate the study if only
one day was offered for  each sample subject to participate.   Hence,  the
sample for Washington was randomly  allocated to non-overlapping three-day
interview periods.  This procedure  had a greater negative impact  on the
response  rate than was  at first anticipated.    Some sample members
indicated  that they were willing to participate, btlt not  within the
selected  time period.   These  individuals  were  given one  additional
opportunity  to participate by  randomly reallocating them  to  one new
three-day period.   A total of 550  individuals were  reallocated in this
manner for  the Washington  sample.
      The methodology for person-day sampling used fo'r the Washington CO
 study is somewhat awkward.  The  reassignment  to a new 3-day interview
 period required constant  interaction between  field jstaff and sampling
 staff during data collection.   It  also required continual updating of
 sampling files.  Hence, the sampling task was much more expensive than
 that of a typical sample survey.   A  better procedure needs to be found
 for future air monitoring  studies.   The procedure must control alloca-
 tion of persons to days and  still  be somewhat flexible with regard  to
 the  allocation to days.  A methodology study to  explore  alternative
 methods of person-day sampling  for studies monitoring  personal exposure
 to airborne pollutants may be needed.
      One methodology for  person-day  sampling could! be the following.
 Suppose six days were randomly  selected within  the  skudy period  for each
 person  selected  for  monitoring.   These could be three consecutive days
 in  one  week and the same three days  in the next week.   Suppose  further
 that  priorities  from one  to  six were assigned to the days  selected for
 each person.   Each person selected  for monitoring icould then be told
  something  like the  following:
                                   -135-

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      You recently  participated  in  an EPA-sponsored  study by
      responding  to a  short  questionnaire.  You were told that
      someone might be calling on you to participate in a per-
      sonal monitoring follow-up study.  You have been selected
      for participation in the follow-up study.  Due to the in-
      fluence on  exposure by weather patterns and personal ac-
      tivity patterns,  it is necessary to monitor a  representa-
      tive sample of people  of each day in the study period.
      Hence, I have an ordered list of six days that have been
      selected for  you.  You are asked to choose the first of
      these days  on which you can possibly participatedOther-
      wise, your  data  may be discounted in the analyses and not
      have as much  impact as it  would if you had participated on
      the first available day.   Hence, would it be possible for
      you to participate on  (Day 1)?

If  the person could  not  participate  on Day  1,  the interview  would

proceed  to Day 2,.  etc.  A short reminder that the person needs to choose

the  first day  on which participation is possible might be  appropriate
between  offering Day  1 and  Day  2.

      Some type  of  weight adjustment procedure  could  then be used  to

compensate for the bias  due to  self-selection of days.   For example, a
weight standardization could be performed  using  a covariance  model.
This  type of procedure could be used to adjust each day's sample  to a
standardized population,  based, for example, on  age,  race, sex,  and

occupation.  This  might require a  fairly  large  sample,  e.g.,  enough to
produce more than  25 respondents each day.
6.2   Field Survey Activities

      6.2.1  Survey Post-Field Activities

            When the  field  interviewer returned  to the respondent's

residence at the end of the 24-hour monitoring period, they began a long

chain  of post-field  activities.   These activities included  editing

documents, providing  numeric codes for  certain alphanumeric fields,
entering  the data  into the computer, and preparing the data for  the
final step which was the analysis.

     As each interviewer retrieved a set of documents  from a respondent,
the documents were quickly  reviewed for completeness and  legibility.
Any obvious problems  were  to be addressed  and  resolved while at  the

respondent's home.   Documents were then returned  to the field lab  and
logged in on the case control  card.   All materials for each case were
                                 -136-

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maintained separately  and  material was returned  to  RTI on a regular
basis, transported  by  the returning members  of the field  laboratory
staff.
     When the documents were received  at  RTI,  each case was handled by
opening the storage envelope,  logging-in  on the control card all mate-  .
rials found, and  then  separating  the  four documents for the case.  All
control cards were  filed  in chronological  order.   All consent form/-
incentive-receipts were batched by wave and hand delivered to the survey
task  leader for secure storage.   The  study questionnaires and activity
diaries were put  into  batches  (maximum size of 30)  for further process-
ing.  Batch header sheets  (Figure 6.2.1) were  created  for use in tracing
the progress of any batch  through the  data  processing  activities.
      Batches were first given to editors and  coders who were told to
review all  documents  for  completeness, to  attempt  to  resolve apparent
discrepancies,  to attempt to decipher  illegible  entries,  and to code
alphanumeric  fields,  using pre-prepared_code  specifications.   Batches
were  quality-controlled by the data preparation supervisor who reviewed
 100%  of  the  first two  batches  of each editor/coder -, and then 10% of all
 subsequent batches.  Discovery of any systematic errors led to retrain-
 ing.
      After  batches were completely edited  and  coded,  they were  sent to
 data  entry.   Using RTI's  mini-computer system, the ;documents were keyed.
 A 100% rekey  provided  complete verification of all data.  Any discrepan-
 cies  between the two  keyings caused  the keyboard at  the  data  entry
 station  to lock  up and required  problem resolution before proceeding.
 Data tapes were  prepared  on a regular basis with output files checked
 against  hard copy to  assure the  correctness  of the files.  Outputs of
 the mini-computer data entry system were used  to create the data tapes,
 which were then available to the statisticians for use in analysis.
      During the  first phase of  analysis,  unusual] values, unexpected
 values,  and  outliers  were identified.   These data points  were  then
 checked against  the hard  copy of the  data  (see Section 5.4).  After the
 problems were resolved, the original hard copy of the data was boxed and
 stored in data vaults.
                                  -137-

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Type of Document
Study Questionnaire
Activity Diary
Field Data Sheet

Action Taken
      Figure 6.2.1
      Project 2390
Carbon Monoxide Exposure
   BATCH HEADER SHEET
          Quantity
SOC Scan Edit ....
Edit and Code
SOC •»• Data Entry  .
Data Entry 	
Data Entry •>• SRDC
Stored  	
Batch Information *
Batch No.     	
Batched By    	
Date Batched
     By Whom
Date
                    Study Numbers of Enclosed Documents
*  Xerox copy of Batch Header Sheet to H. Zelon, 300 Park as soon as created.
                                      -138-

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     6.2.2  Post Data Collection Discussions
            After the  field  data had been  collected,  two additional
interviews took place.  One was a validation of a sample of respondents.
Several key data  points  were reviewed and an  attempt was  made  by the
supervisor conducting the interview to ascertain data on the performance
of  the  interviewers.'  All  data points  checked yielded appropriate
responses.  Interviewers were given uniformly  good comments  in  terms  of
being personable, well prepared, and helpful  to the1respondents.   All
interviewers  were said  to  have explained  the study thoroughly  and
appropriately.   One question  was  asked  about the  incentive.   Many
respondents sampled  stated that  they would have participated without any
compensation,  but most were pleased to have received  it.   Respondents
were  also asked if  carrying the monitor  affected  th|eir  daily routine.
The general response was that  people maintained  their normal schedule  of
activities.
      Each of  the field interviewers was also sent a !brief questionnaire
which collected data on the interviewers experiences during this study.
Responses were  received and  tabulated.   In  general,  the responses
received were useful only to provide written  documentation  of  comments
already provided by the field staff.   Several of  the  comments  from the
 field staff were useful and are integrated into the study  recommenda-
 tions .
      In  particular,  fifteen responses were received  from  the field
 interviewers who were sent the Post-Fieldwork Questionnaire  (Appendix
 L).  These responses are representative of those interviewers who worked
 on the  study for the major portion of the effort.  The answers  to the
 questions are summarized in the following paragraphs.
      Question One  asked the interviewers about  problems  the respondents
 had understanding  the operation of the PEM.   The only problems mentioned
 by the  interviewers involved  the  size  and  "hassle"  !of carrying the PEM,
 confusion with the "on-off" button,  and definition of an activity.   No
 one mentioned  actual operating  problems.            i
      Question Two  dealt with  the  reluctance of  some respondents  to carry,
  the monitor.  Several interviewers reported refusals  directly  related to
  the PEM.  Some interviewers reported reluctance,  later  overcome,  related
                                   -139-

-------
 to size  and  potential job  conflicts,  possibly related  to  dangerous
 situations.
      Question Three  discussed the  incentive  payment.  The  comments
 returned yielded no clear consensus.  The only common fact was  that less
 than 40% of the respondents stated that they would have participated if
 there was no  incentive.  The remaining comments covered the spectrum of
 larger,  the same, and smaller incentives working equally  as well.   The
 single comment that.a larger incentive, if big enough, can convert most
 refusals is a well-known concept  but in general  is  only anecdotally
 documented.
      Question Four involved respondents'  difficulties in completing the
 questionnaire and diary.   Problems  reported  included  the difficulty
 defining and  documenting leisure activities,  the  inconvenience of the
 diary,  some  problems with the diary  layout, some  problems with multi-
 part  questions,  the  tediousness  of  maintaining  the diary,  and the
 reluctance to record  activities.   In most  cases,  good  interviewers
 removed  difficulties with good explanations  and reviews of data require-
 ments .
     Question Five asked what additional information could be  given  to
 the respondents  by phone to reduce  fieldwork.   Comments included a need
 for better explanation of the size of  the PEM, reduced replication of
 questions, a  need to stress the necessity of  the  availability of  the
 respondent for two appointments  with the interviewer, further  explana-
 tion of how the  respondent was selected,  a need to  allow  respondents to
 refuse  - no  oversell  by phone,  and  a  stated  problem  of  inadequate
 screening  since  some smokers were selected.
     Questions Six discussed problems interviewers had in  collecting the
breath  samples.   The only  problems  mentioned were  the sample  bags
 leaking, a few concerns  over sterility/disposability  of  the stems, a
need to tell  respondents  about the breath sampling at an earlier point
in the  study, and a single  problem  of collecting the  sample  from a
respondent with only one  lung.
     Question Seven was  a branch point  to allow those interviewers who
had the new H-P unit to continue.
                                 -140-

-------
     Question Eight discussed respondent  reactions  to  the new monitor.
Problems included the existence of too many buttons with  poorly defined
activities and the lack of reliability of the monitor.  One interviewer
reported a situation where one family member used the initial PEM and a
second member  got  to use the new version.   The new unit was highly
"preferred".           .                              j      '
     Question .Nine asked if, after the new model was made more reliable,
it could be integrated into this type of study, and if, by thus removing
the  Activity  Diary burden,  the response rate  would increase.  The
reactions were  that  the unit would  be  useful,  but needs to  be made
smaller with  larger buttons.   The interviewers felt:  that the Diary
should be maintained as part of  the  study.   It  serves  as a reminder to
the  interviewer  to be  sure the respondent understands the study.   The
diary is also more easily corrected than the PEM.
6•3  Field Measurements and Quality Assurance        ,
     6.3.1  Field Measurement Activities             |
,  ,          Field measurement activities took place between June 1,  1982
                                                     I
and  April  1,  1983  with the actual acquisition  of field  data  occurring
between November 7, 1982  and February  24,  1983.  These activities
included  preparation of the standard procedures for the analysis  of
breath and  ambient CO  levels; acquisition, verification,  and  calibration
of field  standards and equipment;  acquisition  of actual  field data; and
validation, reduction,  and preliminary analysis of  said data.
            6.3.1.1  Personal Exposure Sampling
                     As .mentioned previously,   ambient  sampling was
conducted  in  seven sampling  waves between November  8,  1982 and February
25,  1983.   Each wave lasted  2-3 weeks.   The target  sampling rate varied
by wave, with a rate of 10 per day proposed for Wave 1:,   15 per day for
wave 2,  and 20 per day for  Waves 3-6.   However, because  of  not being
able to schedule enough appointments,  sample cancellation, rescheduling
at the  request of  respondents,  and COED-1 monitor malfunctions,  the rate
of successful completion averaged between 8.9 and 12.3 for Waves  1-6.
      Since this lower  sampling rate  lowered the total number of samples
acquired  to an unacceptable level,  sampling Wave 7 was  instituted to
recover some  of  those samples  lost  to  scheduling problems,  monitor
                                  -141-

-------
malfunctions,  etc.  The  rate  of  successful  sample completion during this
wave was  10.3  per day.
     Some statistics  for the sampling waves are presented in Table
6.3.1.  The percentages  for samples completed,  cancelled, and lost are
based  on  the number of samples attempted.   The  percentages for validity
code data and  for the last  3  rows of the table  are  based on the numbers
of  samples  completed.  It should be  noted that an average  sample contain-
ed  approximately 50 time/value pairs.  Therefore, the number of mistakes
detected  represented  only a  small "portion  of the  total data reviewed
(approximately 0.1 percent).   Duplicate, colocated samples were collect-
ed  by  lab personnel for  the purpose  of characterizing monitor precision.
The duplicate  sampling  was discontinued in Waves 2 and 3 due  to  the
shortage  of monitors  created  by the reliability problems  coupled  with
the increased  daily sampling rate.  Duplicate sampling  was  diminished
during Waves 5 and 6  for the  same reasons.
     Data in the Table 6.3.1  column  marked  "Total"  represent  the  status
as  of  the end  of the field monitoring phase of  the project.   At that
time,  1051  samples had been attempted in the field  (i.e., a field inter-
viewer had  left  the laboratory with an operating,  calibrated monitor).
Of  those  attempted, 814  samples had been completed  (i.e.,  the  monitor
had been  returned to the  laboratory in  an operating condition  and
containing  apparently valid ambient  data).   Samples which were cancelled
or  rescheduled at the request  of  the respondent accounted for 107 of the
1051 attempted.  The remaining 130 samples were lost to monitor malfunc-
tions during the sampling period (i.e.,  the monitor was  returned  to the
laboratory  in a nonfunctioning or malfunctioning condition).  During the
data validation phase and prior  to entry of  the data into the study data
base,  40  of the 814  completed samples were invalidated for reasons
related to  the quality  of  the ambient CO  data.  Twenty-two samples
having a  validity  code  of 4  we.re invalidated  because of  differences
between pre-  and post-sample  slopes or  intercepts of  more than  20
percent or  more  than  2.5 ppm, respectively.  An additional  18  samples
having validity codes of 1  -  3 were invalidated due  to unreasonable
anomalies in the data.   Examples  of  such anomalies  include large blocks
of  missing  time  and/or average data within  a sample  and gross,  unre-
                                 -142-

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solvable  differences  between activity diary  and ambient sample  data
point times.   Invalidation  of  these 40 samples left 774 valid  ambient
samples available for  inclusion  in  the data base.   As  has already been
described in  Section  5.4.2.1,  during the creation of the ambient  data
file, the remaining 41 samples having  a validity code of  4 were invali-
dated along  with 21 other  samples  eliminated for  reasons wholly or
partially relating  to monitor malfunction.   This  brought the  total
number of samples lost due  to  monitor  malfunction  to 232. This repre-
sented an overall monitor malfunction  rate of 22 percent, considerably
greater than  the 10 percent rate  targeted at the  beginning of  the
project.  Of  these failures, approximately  73  percent were attributable
to outright failure while 27 percent were attributable to instability in
monitor calibration.
     The frequency data listed for  the occurrence  of each of the  four
validity codes in Table 6.3.1 indicate that these monitors were general-
ly stable over a 24-28 hour sampling period.  Across the entire project,
post-sample monitor  performance  was within  ±5 percent of pre-sample
performance for  the slope of the calibration curve  (and within  ±1 ppm
for the intercept) 72 percent of the time.  The slope and intercept were
within ±10 percent and ±1.5 ppm,  respectively, 86 percent of  the time.
            6.3.1.2  Analysis of CO Levels in Respondent Breath Samples
                     Samples of respondent alveolar air (breath samples)
were collected  throughout  the  field monitoring phase of  the project.
Field interviewers  collected the samples at  the  conclusion of  the
24-hour ambient sampling period.   The samples were analyzed in the field
laboratory within 24  hours  of collection.   Table  6.3.2 presents  the
results of the  breath  analysis by ambient sampling wave.   Successfully
completed samples averaged  5.4 ppm  (v/v)  with a standard deviation of
5.2 ppm.  The geometric mean was 4.4 ppm.  Sample values ranged from 1.2
to 54.7 ppm.  Successfully  completed samples  numbered  870.   The number
of breath samples with valid exposure data was 659.
            6.3.1.3  Fixed Site CO Data
                     During the period of the field study, from November
8, 1982 through February 25, 1983,  EPA collected CO data at eleven fixed
sites in the  Washington, D.C.  area.  These data were used to classify
                                 -144-

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days as low CO days  and  high CO days for later analysis.  Table 6.3.3
describes the site  characteristics  of these monitors and Figure 6.3.1
shows the approximate location of each site on a map of  the Washington,
D.C. area.
     Table 6.3.4 summarizes  the results  of an analysis  of  the hourly
average values during the  period of interest.  In this  and succeeding
tables, the "composite site" data were created by taking the  hour-by-
hour mean of the hourly values reported by the eleven fixed sites.   None
of the sites reported hourly average values exceeding the standard of 35
ppm.  Table 6.3.5 lists the  date  and  time of  the maximum value reported
at each site.  Eight of the eleven maximum values occurred during either
the morning or the  evening high traffic periods.  Three days  (Nov.  8,
1982, Feb. 15, 1983, and Feb. 22, 1983)  account  for  all  but one of the
maximum values.   The maximum value at the composite site was 8.6 ppm and
occurred at 18:00 on Feb. 15, 1983.
     A file was  also created containing the  daily maximum  1-hour  and
8-hour CO values.  Tables  6.3-6 and 6.3.7  summarize the results of  an
analysis of this data.  As indicated in Table 6.3.7, two sites had daily
maximum 8-hour values exceeding 9 ppm.   Site  090020023102  reported one
exceedance; site 210220001F01 reported five exceedances.  None of  the
sites had daily maximum 8-hour values exceeding 15 ppm.
     6.3.2  Problems With Monitor^
            COED-1 monitors  were used throughout the field monitoring
phase of this project.  GE/HP units were field-evaluated during sampling
Wave 7  from February 15  through February  24,  1983.  The  following
problems were noted with each type.   It  is  estimated that approximately
1/4 -  1/3 of the field  man-power effort was  expended  on  corrective
maintenance and repair activities for the monitors.
            6.3.2.1  The COED-1  (GE/Magus)  Monitor
                     A total of  49 COED-1 monitors were  employed in the
field sampling in Washington.   Of these, 6  to 15 monitors  were out-of-
service on a  daily  basis for corrective maintenance or  repair.  This
out-of-service rate is attributed to three main causes — (1)  failure of
the bias  battery mounting system,  (2)  failure of the nickel-cadmium
(Ni-Cd) batteries, and (3)  failure of the sample pump.'
                                 -146-

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Table 6.3.5  Date and Time of Maximum Hourly Average
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Date
11-08-82
02-15-83
11-08-82
02-22-83
02-22-83
02-15-83
02-22-83
02-22-83
12-08-82
021-15-83
11-08-82

Time
20:00
19:00
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7:00
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                         -151-

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     The Magus data unit used in the COED-1 monitor was supplied origi-
nally with  two  "hearing aid" type batteries  strapped to the circuit
boards.  These  batteries  provided  bias voltage to various  electronic
components within the data unit circuitry.  The batteries were strapped
into their respective circuits utilizing two,  spring steel straps — one
soldered to the circuit board and the other screwed to the board.  Even
before the field monitoring phase was initiated, it became obvious that
the battery mounting system was not  reliable.   If  the screws retaining
the battery were  tightened too greatly,  the  solder  joint(s) on the
second strap  would  break.  If the screws  were not tightened enough,
proper electrical contact between the battery and the circuit could not
be maintained.  Loss of the  bias  voltage could produce any  of several
unpredictable effects.   However, the two main effects noted were "lock-
up" of the  data system logic and rapid discharge of monitor main bat-
teries.
     Beginning  in November and continuing throughout January,  COED-1
units were returned to Magus in California in 6 unit  batches for retro-
fitting of  the  bias battery  system.   The battery-and-strap  system was
replaced with an "active" voltage  supply system operating on the main
battery package for the data system.   This retrofitting  eliminated  the
bias battery problem.  However, problems involving a  defective batch  of
integrated circuit  chips,  erroneous installation of circuit  components,
erronous wiring of  circuit grounds,  and the susceptibility  of  the data
unit  to  static discharge  under  conditions of  low ambient  humidity
emerged.  Magus continued to provide excellent support in monitor repair
and problem resolution  throughout  the  field monitoring.   However,  some
of the electric problems with the data  unit, particularly the suscepti-
bility to static discharge, were never resolved.
     As the number  of monitor  failures  due to the bias battery  system
and to general electronic defects began to decrease, failures due to the
power  supply  batteries  and the sample  pump began  to increase.  This
resulted in a relatively constant rate of monitor failures  throughout
the project.  The decrease in the reliability of the  Ni-Cd main  battery
packs was first noted  in late December.  The packs used to  power both
the monitoring subsection and  the  data  acquisition subsection  began to
                                 -154-

-------
exhibit increased resistance to accepting a full  charge.  Additionally,
the incidence of failure of single cells within a battery pack  increas-
ed.  This behavior  developed dispite a regular program of  completely
discharging all  battery  packs  once every  seven  days.  Although  this
problem encompassed  the  batteries powering both  the  subsections, the
decreased battery  performance  seemed to  be more critical  with  the
                                                  i
monitoring subsection..
     The reliability of  the  GE unit sample pump  also  decreased during
the project.  The decrease in performance was caused  by several factors
including:                                        i
     (1)  wear of the pump bearing surfaces;      i
                                                  I
     (2)  loss of resilience in the pump diaphragmi? and flapper valves;
     (3)  mechanical failure of the pump diaphragms; and
     (4)  increased  deposition  of Purafil® (the  prescrubber  material)
          fines in the pump chambers and passages.
The wear  of the bearing surfaces, diaphragms, and valves  could  be
attributed to pump aging and could have been corrected by replacement of
pumps  or  diaphragms and valves had  replacement  parts  been  available
on-site.  A question that must be addressed, however»  is whether or not
such aging is to be  expected after a usage periodiof approximately 900
hours.  It may be prudent to seek a pump with  a greater life expectancy'
for use in these monitors.                                        ••>  -
     The increased deposition of  Purafil®  in the  piump could  probably be
attributed to aging of the prescrubber material  aind  filters.  As the
active ingredient of the Purafil® (potassium permstnganate) was  consumed
in the prescrubbing process, manganese dioxide was produced as a by-
product.  Manganese dioxide was  released  as  fines from the  scrubber
support material by the  pulsations inherent in the sample flow stream
and by the  vibrations produced by physical movement of the  monitor.
These  fines eventually broke through the filters  between the  prescrubber
and the  pump and were  deposited  in the pump  chambers and  passages,
thereby blocking the passages and interfering with  the effective opera-
tion of  the  valves.  One method  of  retarding  the deposition process,
which was used successfully during field sampling,!  was  substitution of a
glass  wool plug  for the  two foam rubber pads located at the  downstream
                                 -155-

-------
 end of the prescrubber  cartridge.   However,  frequent (once per week)
 cleaning of the pump and filters coupled with frequent  (once every  two
 weeks)  changing of the prescrubber material proved to be the only sure
 way of  resolving the deposition problem.
      Other,  less significant, factors contributing to monitor  failure
 were broken solder  joints,  disconnection of the  data unit from the              *
 monitoring unit, switching  off  of the pump  by  the respondent, etc.              "
 Broken  solder  joints and other connections were not considered a major            *
 problem in these monitors.   The occurrance was rare and such a failure            |
 was easily repaired  on-site.   In at least two cases,  spot welds holding
 portions  of  the monitor's  framework together  broke.   Again, this  seemed
 to  be a minor  occurrance, however,  it was not easily remedied in the             I
 field.  The  accidental switching off of  the .sample pump  by the  respond-
 ent occurred several times near the beginning of the project.   This
 occurred  when  the respondent mistook the pump on/off button for  the
 activity  button.  The problem was  solved by making  the pump switch
 inaccessible from outside  the monitor's  case.  This,  however, may have             '
 contributed  to  the problems with  the monitoring  unit's  battery life.
Defeat of  this  switch resulted in an operating mode in which the  sample
pump had to run  from the time the monitor left the laboratory on the way
to  the respondent until  the  time it was  returned  approximately one day-
later .  Operating  in this  mode placed a  non-sampling pump  load of as
many as four hours on the monitor's batteries.
     The  recommendations for  improving  the  COED-1 monitor are the
following:
     (1)  It is  recommended that the electronic problems with the Magus
          data unit  be  resolved before  this  monitor  is  utilized  in
          another study.   The problems which must, be address are "lock-
          up",  "mode shift", and susceptatility to static discharge.
     (2)  It is  recommended that  alkaline  batteries be considered  as a
          substitute for the nickel-cadmiun (Ni-Cd) batteries presently
          powering the unit.  Many  of  the  battery-related monitor             '  ' '.'
          failures can be attributed to charging difficulties and other
          reliability problems with the Ni-Cd batteries.   The field               J
          staff briefly investigated the  feasibility of  using  alkaline            !
                                -156-

-------
     batteries  in these monitors during the project.   Our  experi-
     ence indicated that six  alkaline batteries would power  the
     data unit for  up  to seven  24-hour  sampling periods before
     replacement  was necessary.   Additionally,  4 alkaline batteries
     adequately powered  the  GE-CO unit for  up to four  24^-hour
     periods.
(3)   It is recommended  that  the availability  of  a more durable
     sample pump, which is  still compatible with monitor  specifica-
     tions, be researched.   Field experience demonstrated that the
     service life of the currently utilized pump may be  as  low as
     900 hours.
(4)   It is recommended that the  configuration  of  the sample flow
     path be modified  such  that  the flow through the  prescrubber is
     up with respect to  gravity.  If this is  not possible, the
     scrubber should be  oriented in a horizontal  configuration.
     This change  will  eliminate or, at least, minimize the deposi-
     tion of prescrubber material fines in the pump.  An efficient
     filter between the  prescrubber cartridge and the pump may
     resolve the problem satisfactorily.   However,  such a filter
     must be easily replaceable because experience has shown  that
     it will be contaminated  quickly.          '
(5)   It is recommended  that the  unit be equipped with a sample pump
     on/off switch which is  inaccessible  to the  respondent,  but
     available to the  interviewer.  Availability of  such a switch
     will allow  the sample pump  to be turned  off  during periods
     other than  those  of actual sampling.  This  will,  in turn,
     reduce the load on the monitoring unit batteries.
(6)   It is recommended  that the  electrical connection to  the sample
     pump be modified  to facilitate removal and replacement of the
     pump.  The connection is presently made Iby  soldering  a piece
     of printed circuit tape  to  the pump motor| terminals.  In light
     of the requirement  for frequent  pump removal (for  cleaning,
     repair,  or  replacement)  discovered during this  project, the
     present system is  cumbersome and time-consuming.
                           -157-

-------
                                                                                    I'*-"
            6.3.2.2  The GE/HP Monitor                                              i!
                     During the  seventh  sampling wave, the field  team
evaluated 10 units of a new version of the CO monitor.  This new version
utilized the GE CO-3 CO monitor  as  the COED-1 had.   However,  the Magus
data unit had been replaced by an HP-41CV programmable calculator and an            !'
HP-IL interface loop and converter acting as the data acquisition unit.            J
     Several problems, with  both the HP-41C  program and the  monitor,              ^
itself, prevented the acquisition of  valid  field data from these moni-           >
tors.  The unit was designed and assembled by Rockwell, who also design-
ed  the  original program for  the HP-41CV calculator.   This original
program, while performing  the data  acquisition and monitor controlling
tasks admirably, performed numerous data analysis  tasks in the routine
acquisition loops.  Because of these tasks, the logic in the acquisition
loop required approximately 8 seconds to execute.   Since  the  loop  was              L
                                                                                    j"
programmed to  execute  every  10  seconds, only 2 seconds  in ten were
available for respondent activity initiation.  This  length of time was              •
deemed  inadequate  by both EPA and  RTI.   Therefore,  the  program was                i
completely rewritten by EPA personnel.   While the  rewrite remedied the             -
loop timing problem, it also deleted certain essential logic controlling
monitor power-up  and power-down.   Without this  logic, the  monitor
remained 100 percent powered-up  at  all times  resulting in depletion of             ;•:
the monitor's batteries after only 8 hours.  Additionally, the rewritten
logic did not  handle seldom  arising  situations  such as a respondent                :
initiating an activity exactly on the hour.  The program was written for
a third time  by RTI field personnel  just prior  to the initiation  of
sampling Wave 7.  The acquisition loop logic was shortened and  the  loop
was programmed to execute  once every  15  seconds.   The final configura-
tion allowed for from 8 to 12 seconds per loop for activity initiation             [!».
depending on the characteristics of the  individual HP microprocessors.             |
The power-up/power-down logic was refined and included provisions  for            *
putting the monitor  "to  sleep"  (i.e., putting the monitor in program               "
controlled standby mode for battery conservation)  whenever the  sample           *
pump was turned off.  Logic was  also included to shut  down the  entire              ^
                                                                                  •  is
data system  if main battery  failure occurred.  This provision was
designed to protect any previously accumulated data  from being  lost due
                                 -158-

-------
to the battery  failure.   This program performed  the acquisition and
control tasks as well as the original program, while holding the acqui-
sition loop execution time to a minimum.
     Unfortunately, the monitor problems which  developed following the
preparation of the program prevented the acquisition of  any significant
amount of  ambient data.   Rockwell provided  EPA with a  main  battery
charging rig to charge the lead-acid gel  cells  used by these monitors.
Field personnel began charging batteries  immediately after the arrival
of the monitor  on-site  in preparation for the initiation  of  sampling.
However, the charging rig was defective, producing an excessive charging
rate which destroyed the charger  and  partially damaged most  of the
cells.  The damage prevented  the batteries from accepting  a full charge
and, thus, substantially reduced the capacity of  tihe cell. The reduced
capacity proved  insufficient to operate the monitors for  the  required
24-28 hour sampling period.                                             .
     The battery  charging problem  was  discussed with Rockwell personnel
who  suggested  several possible field repairs to  keep the monitors in
operation.  One repair, not  available to the field  team, was the replace-
ment  of  the damaged  batteries.   The battery manufacturer could not
supply replacements rapidly  enough to be of any use  to the project.  The
EPA Project Officer was informed of the problems  and repair options were
discussed.   It  was decided to attempt  reasonable  field repairs with the
objective  of obtaining, at least,  some performance  data  on the monitors.
A new battery charging rig  was assembled in an  effort  to adequately
charge  any batteries which were not damaged.  Discharge curve experi-
ments were undertaken to  determine the extent of battery damage.  These
                                                   j
efforts  did allow sampling  to begin with the new monitors.   However,
several  new problems  developed during  the  sampling  periods which usually
resulted in the loss of most  or all of the  sample1 data.  The problems
                                                   i
included:
      (1)  refusal of a monitor to "wake  up"  when  the  intereviewers
           started the sample pump,                |
                                                   i
      (2)  destruction of  1C chip  U16 resulting in  loss  of sample pump
                                                   I
           speed control,  and
      (3)  spontaneous "going to sleep" by the monitor while  the sample
           pump continued  to  run.                   ;
                                  -159-

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When the same monitors  that  had  demonstrated the above described fail-
ures were  operated  in the laboratory on a  maintenance charger, valid
24-hour samples were  obtained without  difficulty.   These results indi-
cated that the problems were battery related  rather  than monitor  design
or program design related.   Sampling attempts continued throughout the
10 days of Wave 7 at a rate of 4-5 per day.  However, only one complete,
valid sample was obtained.  Three additional  1/2 -  3/4 complete samples
were obtained.
     Recommendations for improving the GE/HP monitor are:
     (1)  It is recommended  that  the electronic design of this monitor
          be carefully reexamined and modified as necessary to eliminate
          the various logic faults experienced during this project.
     (2)  It is recommended that the compatibility of  the .lead-acid gel
          cell batteries with  this  unit be examined carefully.   There
          are indications  that the batteries  may  not  be  capable of
          powering  the  current design for  the 28-32 hours  generally
          required.
     (3)  It is recommended that, after the battery capacity question is
          settled,  clear  and complete  instructions  for charging said
          batteries be  written and that charger/charging  circuits of
          appropriate capacity  be assembled  and supplied  to  future
          users.
     (4)  It is recommended that the packaging  of the  unit  be  redesign-
          ed.  The two-component package with its interconnecting wiring
          is cumbersome  and  represents a reliability  problem due to
          broken and disconnected leads.
     (5)  It is recommended  that,  if  the batteries  are to  be removed
          from the monitor for charging, they should be made more easily
          accessible and easier  to  remove.   Additionally,  the  battery
          connections should be polarized to prevent accidental reversal
          of polarity.
     (6)  It is recommended that these monitors be thoroughly evaluated,
          both in the laboratory and in the field,  before being employed
          in another sampling project.
                                 -160-

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     6.3.3  Quality Assurance Activities
            6.3.3.1  Quality Assurance Project Plan
                     The Quality Assurance  Project Plan was  prepared
during the months of June and  July,  1982.   A copy of the approved plan
is contained in Appendix I.
                                                                      .
            6.3.3.2  External (EPA-Conducted) QA Systems Audits
                     In November/December 1982 and in January  1983,  EPA
conducted external  QA  systems audits of the field laboratory.  These
audits examined the opacity system and determined the performance of the
PEMs and the breath analyses.  They also examined the general operation,
record keeping, data reporting, data custody, and QC activities of the
laboratory.  Both audits found that the analyses were within the project-
ed  ±10  percent tolerances,  that  the COED-1  monitors  did  not suffer
sensitivity decreases with  time generally,  and that  the output from the
monitors exhibited  excellent linearity  from zero  to  full range.
            6.3.3.3 Internal  (RTI-Conducted)  QC  Audit
                     On January 20  an internal quality control systems
                                                   j
audit of  the  field laboratory was performed by  the  B.TI QA coordinator
for the project.   The  audit revealed that  the field  operation was being
conducted in  accordance with the  project QA plan and good QA  practice.
.However,  one  deficiency was noted.   Duplicates  of the field  sampling
data sheets were  not being  maintained either in the field laboratory or
at  RTI.   This  deficiency  was remedied immediately  by  initiating a
program  of  data sheet duplication  in the  field  laboratory before  the
sheets were transferred to  RTI.   This was  deemed appropriate  even though
all data sheets were  being hand-carried from the laboratory to RTI.
Once the  sheets reached RTI, they were duplicated ifor a second time and
 the originals stored in a  safe file  in sealed packages.   Additionally,
 all data  that had been transferred to RTI  prior to the audit  was immedi-
 ately duplicated and the  originals were placed in the. safe files.
             6.3.3.4 Multipoint Calibrations to Assess Monitor Linearity
                      In early January  (between Waves 3 and 4) and  again
 in early March (following  Wave 7),  all COED-1 monitors currently  in
 operating condition were subjected to a multipoint; calibration to assess
 response linearity.  Prior to delivering  any monitors to RTI, EPA had
                                  -161-

-------
 completed such a calibration and  reported  that all monitors displayed
 good linearity.  These calibrations were based on  monitor response to
 atmospheres defining  six  upscale  concentrations (3.5  - 200 ppm)  of
 carbon monoxide as well as  monitor  responses to a  zero  concentration
 matrix.   The data from the  calibrations were reduced according to the
 technique of  least-squares  linear  regression using  the atmosphere
 concentrations as  the independent  variable and monitor responses as the
 dependent variable.   Within  the  two  calibrations, a total of  78  monitors
 were calibrated.  The slopes of  the  regression lines ranged from 0.64  to
 1.20 with an average of 0.98 and  a  standard  deviation of 0.10;  inter-
 cepts ranged from 0.14 to 4.08  with a mean and standard  deviation of
 1.63 and 0.93, respectively.  No  zero or  less-than-zero  values were
 expected for  the intercepts of these  lines  due to  the  practice of
 setting  the monitor zero level  at a nominal value  of  1.0 ppm.   This
 value was chosen to  avoid  the  likelihood  of negative  responses to
 near-zero concentration levels due to monitor drift.   This was necessary
 because  the Magus  data  acquisition system interpreted all  incoming
 negative data  as the  absolute of the data.   The coefficient  of determi-
 nation (r2) was computed to  describe the linear relationship  between the
 calibration  atmospheres  and the monitor responses.   It  ranged  from
 0.9993 to 0.9999  with an average  of 0.9997.   This  indicated that the
 linearity of response for all  analyzers was  well  within acceptable
 limits.
            6.3.3.5  Monitor Stability Over the  Course of  the Study
                      In order to characterize the  stability/variability
 of the monitors with  time  in general,  a series  of  five  control  charts
was maintained for each of the 49  COED-1 monitors used during the course
 of the study.   Another objective of  the control chart  series was that
 they were useful  as a tool  for  predicting  when degrading monitor per-
 formance would become  unacceptable.  An example  of  each  of these charts
 is presented in Figures 6.3.2 through  6.3.4.   Figure 6.3.2 depicts the
variability in  the  differences  between pre- and post-calibration zero
and  span  response over the  course  of the study.  The  event numbers on
the abscissae refers to the  sequential number  of times  that the  monitor
was  selected for  assignment  to  a  sample.   Event numbers  with missing
                                 -162-

-------
                       |.y;::..:4=2stf
                        '&.'.: . .  "Jkx""^^
                       .. .  .  '.   i-@^-—=:
          Event  Number
Figure 6.3.2.  Response Levels
                 -163-

-------
                                            Battery Voltage
                                            COED-1 #   if
                                            Block *> Data Umt
                                            Sed ** Monitor
                      15         20
                      Event Number
Figure 6.3.3.   Monitor Battery Voltages  (volts)

                         -164-

-------
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Figure 6.3.4.  Flow Rate
         -165-

-------
values indicate times that the monitor was assigned  to  a  sample  and was
returned to  the laboratory in a  nonfunctioning  or malfunctioning condi-
tion.  Figure  6.3.3 displays pre-  and post-sample voltage levels of the
monitors main  battery packs.  The upper  sequence  of points at  about
eight volts  refers  to the data unit battery  pack;  the lower sequence
refers  to  the CO  analyzer  battery pack.  In point pairs joined  by
vertical lines, the upper point is the  pre-sample  voltage;  the lower
point is the post-sample voltage.  Figure 6.3.4 depicts the  variability
in sample flow rate.  Again, in  point pairs  joined  by a vertical line,
the upper  point represents the  pre-sample  flow rate.  Points within
double circles represent samples where the post-sample flow was the same
as the pre-sample flow.  In some cases the flow rate actually was higher
after the  sample  than before it, although no  such  cases  are depicted
here.
             6.3.3.6  Assessment of Measurement Precision and Accuracy  &
                     During the  field monitoring phase of the project,
certain procedures were undertaken to  assess the precision  and,  where
possible, the  accuracy of  the measurement process  for both  breath and
ambient CO levels.
     Precision of PEM Values.  The assessment of the precision  of the
ambient measurement was performed by having  a  member of the project
field staff  carry two or  more  randomly assigned COED-1 monitors  for a
24-hour period.  The  staff member  was instructed to carry the monitors
with him, wherever he went, throughout his daily activities.  Thus, the
monitors were  exposed  to  typical sampling conditions of  changing  tem-
perature, humidity, elevation,  etc.  as  well as  to  the vibrations and
physical shocks inherent in transporting the  instruments.  Each  instru-
ment was calibrated before and after the  sampling  period just  as it
would have been had  it been  assigned to a regular  sample.   The  field
staff member made no attempt to define activities during the sample,  nor
did he keep an activity diary.   If he did activate the  activity  button,
he was instructed to do so on a random basis and to activate the buttons
for all monitors assigned to him simultaneously.   Twenty-eight  24-hour
samples were obtained.  After  the sampling period,  the acquired data
were off-loaded from  each monitor  separately  following the same  proce-
                                 -166-

-------
dures used for routine samples.  The data were transferred to  the  study
data base,  validated,  and  analyzed for variations  among replicate
samples.  The description and results of this analysis are presented  in
Section 6.4.4 of this report.
     Accuracy of PEM Values.  The  accuracy  of the ambient measurement
was evaluated  in two ways  during  the project —  (1)  EPA-conducted,
independent performance  audits  and (2) colocation of  COED-1 monitors
with EPA-designated  reference analyzers operated by  the District  of
Columbia air pollution agency.   As has been previously mentioned,  two,
independent, EPA audits  found that  the ambient analyses were within the
projected ±10 percent tolerances.  Accuracy was also assessed by coloca-
tion of COED-1 monitors  with District  of  Columbia fixed site monitors.
Eleven, 22-hour samples were acquired  in this way from two different  DC
fixed site stations ~ the West End Library site (SAROAD NO 090020017101)
and the C&P Telephone Building site (SAROAD NO 090020023102).
                                                                       j«>
     The COED-1 monitors which were randomly assigned to these colocated
samples, were  calibrated,  maintained,  and utilized | as they  would  have
been for routine samples.   At  the  conclusion of  a sampling period, the
acquired data  were  off-loaded  from the colocated  monitors  as  with
regular, ambient samples.   The COED-1  data were  compared with  the  fixed
site data  by obtaining  the difference produced whan  the  fixed site
average for a  particular hour  at a particular site jwas subtracted from
                                                   I
the  COED-1  datum for the  same hour and site.   The  mean of the 242
differences  so obtained  was -0.515 ± 0.0557 ppm a:t  the 95 percent
confidence  level  (i.e.,  the fixed  site was,  on  the  average, larger).
The differences ranged from -1.72  to  +0.33  ppm;  concentrations  observed
at the  fixed sites  during  the comparison ranged from 0.10 to 8.60 ppm.
The distribution of  the  differences obtained during the comparison is
presented in Figure  6.3,5.  The  figure clearly indicates that in general
the diff(PEM-FSM) was negative.                    I
     The hourly averages determined by the COED-1 monitors were regress-
ed against  the corresponding  averages  obtained frpm  the  fixed site
monitors.   The regression  analysis yielded a slope,  intercept, and
coefficient of determination of  0.947  ±  0.034 ppm,  -0.411  ± 0.084 ppm,
and 0.927,  respectively.  A plot of the COED-1 averages versus the fixed
                                 -167-

-------
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site averages is presented  in  Figure 6.3.6.   The comparison data were
examined by site to  determine  if the observed  differences  were site-
dependent.  No significant  difference between the two sites was noted
(Library site mean:  -0.528 ± 0.058 ppm; C&P  site m€>.an::  -0.499 ± 0.101
ppm; £(240) = 0.50, not significant).  Plots and frequency distributions
of the comparison data by site are presented in Appendix M.
     Examination of Figure  6.3.6  revealed  that  a substantial number of
zero responses were  obtained from the  COED-1 units when fixed-site-
determined concentrations ranged  from 0.1  to 1.4 ppm.  Further exami-
nation of the comparison data on  a sample-by-sample» COED-1 monitor-by-
monitor basis  indicated that  the minimum sensitivity of  the COED-1
monitors varied on a monitor-by-monitor basis and ranged from approxi-
mately  0.2  ppm to approximately  2.0 ppm.   Figures  6.3.7  and  6.3.8
present examples of  this variability in minimum sensitivity for two
representative COED-1  monitors.   Plots  of  COED-1-determined concentra-
tion versus fixed site monitor-determined  concentration for the remain-
ing nine samples are presented in Appendix M.
     The  comparison  data were  examined at  or  above fixed site/PEM
concentrations of  1.0  ppm  to determine  whether or not the  poor sensi-
tivity near zero concentration had unduly influenced the mean difference
between the COED-1 and fixed site monitors.   No significant difference
was noted  (mean difference  for data above  1.0 ppm:  -0,472  ± 0.091 ppm).
A  plot  and a frequency  distribution of the  data above 1.0  ppm  are
presented in Appendix M.                            !
     The  relationship  between  the PEM-determined concentrations  at  or
above 1.0  ppm and  fixed site-determined concentrations at  or above 1.0
ppm was examined another way utilizing  the statistic:
               ( (PEM-FSM)  / FSM  ) * 100,           |
                                                    I
where:  PEM = the PEM-determined  concentration  (ppm), and
        FSM = the fixed site monitor-determined concentration (ppm) .
This statistic produces  a  concentration-normalized  difference expressed
                                                    i
as  a percentage of the, fixed site concentration at  which the difference
was observed.  The mean normalized difference so obtained  was  -15.0  ±
2.76 percent  at  the 95  percent  confidence level.  The  interval  into
which the  "next observed value" of this statistic ±s expected to fall 95
                                 -169-

-------
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percent of the time (i.e., the 95 percent  prediction  limit)  is -15.0 ±
30.2 percent.  A  frequency distribution for this  statistic  over this
comparison is presented in Figure 6.3.9.
     Three conclusions can be drawn from the analysis of  the  comparison
data from COED-1 and fixed site monitors.  First,  there appears  to be  a
consistent -0.5 ppm bias  in  the COED-1 data with  respect to  the fixed
site data.  This bias is neither site-dependent nor absolute  concentra-
tion dependent within  the constraints of this analysis.  Second,  this
analysis indicates that PEM-determined concentrations will be within ±30
percent of the  fixed  site monitor-determined concentrations 95  percent '
                                                   I
of the time,  once  any  consistant bias between the methods (-15  percent
in  this  analysis)  is taken  into  consideration.    Finally, the COED-1
monitors appear to exhibit varying minimum detectable sensitivities that
vary from monitor-to-monitor and range from 0.2 to 2.0 ppm.
     Precision of  Breath Values.  The data derived to assess the preci-
sion of the  respondent  breath analyses were based on duplicate  samples
obtained  from respondents by having  them  inflate two separate  breath
sample bags.  The  mean  difference between  duplicates  analyzed  during  the
project was  0.11 ± 0.13 ppm  at the 95 percent confidence  level.   Results
of  paired  difference  tests performed on the duplicate analysis  data  at
the  95  percent  confidence level indicated that the|mean  difference was
                                                   i
not  statistically different  from  zero.   Additional  statistical tests
performed  on the  results  of analysis of  laboratory  and field  blank
breath  samples  indicated that the blanks were not significantly diffe-
rent  from zero nor were they significantly  different from each other.
Results of analyses  of control samples at levels  of 3.5, 10, and 40 ppm
 indicated that the controls generally did not vary;  from their  nominal
value  a statistically  significant  amount.   When  the variation  became
 statistically significant, it was due to  small standard  deviations  and
was not of practical significance.   Additionally, Ifield  and laboratory
 control analyses  were  not significantly different from each other.
      Accuracy of  Breath  Values.   A straightforward  assessment  of  the
 accuracy  of the breath analyses procedure was not possible  since there
 was no "reference value" with which  to  compare  them.   However,  results
 of EPA-conducted  audits  of the breath analysis  procedure  indicated
                                  -173-

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attainment of an accuracy  level  within ±10 percentiof nominal.  Addi-
tionally, since relatively extensive ruggedness testing was performed on
the method during its development phase and since  that  testing revealed
no significant interference under normally encountered sampling condi-
tions, a measure of  accuracy  may be  inferred  from  the analyses  of
control  and blank samples.  After allowing time  for  conditioning of new
sampling bags, the  ability of  the method  to correctly analyze standard
atmospheres varied  from ±0.3  ppm at 3.6 ppm  to ±1,0 at 40 ppm.   The
method analyzed  zero-level samples  to within ±0.1  ppm.   During the
conditioning of the bags,  the variation in the analysis of standards was
somewhat greater.                                  j
6.4  Results of Statistical Analysis
     Using the computer data  files  described  in Section 5.4,  a detailed
analysis of  the data was  undertaken.   Results  of 'this analysis  are
presented here.  The  population  of  inference  - adult non-smokers in the
B.C.  area - is  estimated  to  include  about 1.22 million, individuals.
Unless specifically noted otherwise, all  results  shown in this  section
apply  to this  population or  to some specified subgroup of this  popula-
tion.  The results  also apply only  to  the  winter of  1982-83,  as  this  was
the  period of  data  collection.
      Subgroups of  the  population deemed to be of particular relevance
that are used in the analyses of subsections 6.4.1,  6.4.2,  and 6.4.3
were described in  Section 5.4.  These relate to three potential sources
of carbon monoxide exposure  - occupational exposure, exposure through
 travel/commuting,  and exposure through gas cooking.   Some of  the results
 in this  section are also shown by type of day —  days of high potential
 CO exposure versus  other days; and  weekdays versusiweekend days (actual-
 ly ,  Friday evening through Sunday evening).       !
      Subsections 6.4.1 and  6.4.2 present the results of statistical
 analyses of  the BAF file.   Subsection 6.4.1  provides results from
 analyses of  the exposure levels from PEMs as indicated by  hourly CO
 concentrations, by mean and  maximum hourly  CO  concentrations,  arid by
 maximum 8-hour concentrations.  Subsection 6.4.2  presents the results of
 the analysis of breath CO levels.  Subsection 6.4.3 provides the analyt-
 ical  results  relating  to individuals' activities land environments  and
                                  -175-

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their associated CO exposures.  Finally,  subsection  6.4.4  investigates
the measurement variability of hourly CO  exposures  through analyses  of
the duplicate-sample CO data.
     Except for the duplicate sample analyses, all of the  estimates are
representative of the population (or subpopulations) of adult non-smok-
ers in  the Washington area,  since weighted analyses were performed.
Standard errors  of  estimates  were produced by using SESUDAAN,  a SAS
(Statistical Analysis System)  procedure developed by RTI for analysis of
data from complex sample surveys (see Shah, [1981]).
     It should  be  recognized  that time periods  over which data were
available  for  different  sample individuals are  different  in two re-
spects:
     (1)  Different days  are  involved,  since only  a single sampling
          "day" was utilized  for each person.   (From a purely  statist-
          ical standpoint, a much longer sampling period ,  e.g., several
          weeks, would have been used if data throughout such an extend-
          ed period could have been  anticipated, and if a much  larger
          number of PEMs had been available for the study).
     (2)  Some variations  in  the starting  times  and  lengths  of  sampling
          periods occur,  due  partly  to variations in the times  at which
           interviewer/respondent contacts  could be made, and due partly
           to monitor malfunctions.
A principal impact of  the first point  is  that estimates for subsets of
days are unreliable unless a  large number of  days are involved.  Hence,
the results shown in this section apply to an "average" winter  "day" in
1982-83  (or  to an "average day" within some  specified subset  of days
involving  a large number  of samples  — e.g.,  weekdays or weekend days).
No  attempt was made to  adjust for  the unequal  sampling  weights and
sample  sizes  occurring for different types of days  (e.g.,  in order  to
achieve  equal representation  of the days  of  the week or  the relative
representation  of the  number  of days within months  — see  Table 5.4.3).
This  approach was taken  not  only because  of the  types of  estimated
parameters deemed  to  be  of most  importance,  but also  because  of  the
problems  that would be encountered  in making such adjustments, given
point  (2)  above.  That is, with only 18 to 26 hours  of  monitoring/activ-
                                 -176-

-------
ity information available for individuals, over varying sampling periods,
it was not  really  feasible to construct  such  day-specific variables.
The activity  "sleep",  for .instance, overlaps  types  of days for most
individuals.                                       j
     The net  result  of  the above problems/decisions;  is that analytical
results labeled  and  described in terms of  a specific subset of days
                                                   !     • . •  -
(e.g., "weekend  days")  are actually estimated  from the data of indivi-
duals who were  sampled  on specific days.  For example,  "estimates  for
weekend days" is more precisely  stated as "estimates for persons whose
monitoring periods began on Friday or Saturday evenings, assuming that a
census of the inference population had been  conducted in the same manner
as actually employed (on a sample basis)  in this  study".   True  coverage
of both the person and  time dimensions of the inference population was
not practical because of the  small number of available monitors per day;
the reliability  of the  monitors; and the degree of nonresponse experi-
enced due to  individuals'  unavilability for, or unwillingness to partic-
ipate in, the various  phases of  the study.  Becausfe of the emphasis  of
the study —  namely,  information on personal activities,  environments,
and associated  CO exposure  levels  —  the person  ddmension was given
priority over the time dimension in the  study design and during  the
development of nonresponse adjustment  strategies.
     With regard to point  (2) above — that  durations and  starting  times
of  individuals'  sampling  periods  vary —  several potential impacts
should be noted.  First,  in conjunction with the  time-inference issues
                                       '-      '      l
and  concomitant nonresponse adjustment  decisions described in  the
previous paragraph,  it  is  clear  that certain biases  in the estimates  may
be  present  relative  to the  time dimension.   (Potential biases in  the
person dimension can also occur  whenever nonresponse is present.   This
was addressed in Sections 5.1 and  6.1).   For  example,  in estimating a
diurnal pattern  for  "weekend days",  the timing of  tihe  sampling  intervals
 (see Table  5.4.1)  suggests that  Friday hours will  lie ssomewhat overrepre-
sented relative  to Sunday  hours  for some  hours of  the  day  (and  vice-versa
for certain other  hours of the day).               j
     Secondly,  it is apparent that  similar types of biases may occur
with  regard  to  estimates  of time  durations and  of CO  exposures  of
                                  -177-

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particular activities and environments.  In terms of the available data,
for instance, certain activities may have been curtailed when an  inter-
viewer arrived at the respondent's home to either start or conclude the
data  collection.   Hence, estimates  of time durations  of  activities
frequently occurring at  times  near the termination (or initiation) of
the sampling period  (usually early evening)  may  be underestimated.  To
the extent  that  the study induced  respondents  to be at home  at  the
prescribed starting  or  ending  time of the sampling period, such  esti-
mates may also suffer from so-called Hawthorne effects.
     The above-described limitations  (related  to the time dimension of
the inferences) need to be considered carefully when interpreting  the
results presented  later in this section.   However, as previously indi-
cated, the  emphasis  of  the study relates to the person dimension, so
that  they should  not be considered as severe limitations on the  study
nor as severe reservations  concerning the basic  inferences and conclu-
sions of the study.  It  should be emphasized, for instance, that many of
the potential biases described  above  are  indirectly reflected  (e.g.,  in
standard error estimates) as a part of the person dimension, in that the
sampling error includes  day-to-day variation as well as person-to-person
variation.
      6.4.1  Analysis of  Hourly CO Exposure Data
            Diurnal Patterns.   Table  6.4.1  shows  the mean  diurnal
patterns of CO exposures estimated  for the Washington area population of
inference.  These (weighted)  estimates,  and their  approximate standard
errors, are given for  all days, for weekdays and weekend days, and for
days  of low and high CO levels  (as  indicated by  fixed site monitors).
      The pattern  for weekdays (and, hence,  for  all days)  exhibits the
well-known  effect of commuting traffic, with  dramatic  increases  in CO
levels between  7-9 a.m. and 4-7 p.m.  'The  lowest levels  occur between
4-6  a.m.  For weekend days,  the increase in CO level during the morning
is much  less pronounced  than that  for weekdays.  The p.m. peak  is of
about the same magnitude, however.   The  late  night and early morning
hours also  appear to have higher  CO levels on weekend days,  although
this  difference cannot  be declared as statistically significant.   Figure
6.4.1 shows the estimated mean diurnal exposure patterns  for weekdays
and for  all days.
                                  -178-

-------




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                                      -179-

-------
          Figure 6.4.1   Average CO Exposure .Levels,  By Hour of Day
Avg.
CO
Level
(ppm)
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                                       -180-

-------
     The days designated as high CO days generally exhibited higher PEM
exposures, as 20 of  the  24 hourly values were highesr.  The difference
between the  hourly  exposures on high  and  low CO  days was greatest
                   v                                 I         .
between 8 and 10 a.m. and between 9 p.m. and 1 a.m. j
     Maximum Hourly  Concentrations.   The  maximum q'f  the hourly CO
                               ~" ..... '                 I
concentrations for each  individual (over 18 to  26 hourly values)  was
                                                    I
determined for the 712  respondents.   The analysis o,f this variable is
shown in Table 6.4.2.  For each of several subgroups, this table shows
the sample size, the  estimated  number  of individuals in the population
                                                   . i
subgroup, the estimated  percentage of  the  total population represented
by the subgroup, the  average maximum hourly CO concentration estimated
for the subgroup, and the  approximate  standard error of this estimated
                                .
mean.  The table also characterizes the population distribution of the
maximum hourly CO values by providing estimates of the percentage of the
population  (subgroup) having maximum  hourly CO  values that  exceed
certain specified levels (1 ppm, 2 ppm, 4 ppm,  9  ppm,  25 ppm, and 35
     For the overall population,  the  mean of the maximum hourly values
was estimated to be 6.74 ppm  (during  the  winter  1982-83  data collection
period).  As indicated in Table 6.4.2, this mean level varied by type of
day, with  higher maximum hourly  CO values,  on average,  occurring  on
weekdays  (7.35  ppm).   The mean level also varied,  in accordance with
a priori  expectations, depending  on individuals'  occupational  and
traveling characteristics.  Persons working .outside the home, especially
those in occupations with  potentially high exposures, exhibited higher
maximum hourly  CO concentrations, on average, than those persons not
working outside  the home.   In fact,  in the  high-exposure occupational
category  (an  estimated 4.63%  of  the overall  population) ,  about 24%
exhibited a level  above  the one hour standard for  carbon monoxide  (35
ppm), and  over  half of this subgroup was estimated to have hourly CO
exposures  over  9 ppm.  Figure 6.4.2  illustrates the differences in
maximum hourly  CO levels for  the 3  occupational groups  examined  and
Figure 6.4.3 illustrates the differences  for weekdays and weekend  days.
As  shown  in Figure  6.4.4, commuters,  especially those  with  longer
traveling times,  also  showed higher  CO exposures (based  on their  one-
                                 -181-

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                                            -185-

-------
hour maximum values)  than non-commuters.  Those  commuters  indicating
total travel of more than  15 hours  per week,  for instance,  had a mean             '
estimated maximum hourly concentration of 12.01 ppm, as compared to 4.94           f
ppm for non-commuters.  Persons having  unvented  gas stoves  also showed
slightly higher means  than those persons  not having  gas stoves  (an
average maximum hourly concentration of 7.05 ppm versus 6.82 ppm).
     Maximum 8-Hour Concentrations.   Table 6.4.3 shows the results of
the analysis of this exposure measure.  For the overall population, the           «
                                                                                   I
estimated mean 8-hour CO  concentration was 2.79 ppm;  it was estimated             i
that about 4% of the overall population had levels  exceeding 9  ppm, the
8-hour standard.  These were primarily  persons in high-exposure occupa-            i
                                                                                   I
tions and/or persons with extensive amounts of motor  vehicle  travel.
The maximum 8-hour mean for the  group with high occupational exposures
was 7.51 ppm; for commuters with  16 or more hours of  total travel per
week, the mean was estimated to be 3.80 ppm.  Persons with gas  stoves in
                                                                                   "
their homes also appeared to have higher 8-hour levels, on average, than
persons without such  stoves.   In general,  the only subgroup  with a              •
                                                                                   ! I*. •
relatively large  percentage over the 8-hour standard was, the high               L
occupational exposure group (28.1%  over 9  ppm).   Figures 6.4.5, 6.4.6,            i
and 6.4.7 present the percent of the  populations with  maximum  8-hour  CO            ;
levels greater than specified levels for various groups.
     Tests Between  Exposure Groups.   Approximate pairwise  tests  of
                            —
significance were  conducted to  determine  if the various population
subgroups were different  in regard  to their average maximum hourly and
average maximum 8-hour CO exposures.  The results, shown below, indicate
no significant differences between  low and high  CO  days or  between the            |
various categories of stove type.  The non-significance between high and           !
low CO days, as arbitrarily defined in this report  (see Table 6.4.2), is           |
                                                                                   i •
not surprising  considering that the winter of  1982-83 in Washington,
D.C. was very warm and had only six days where any of  the fixed stations          ~
had a  maximum 8-hour  average  greater  than  the 9  ppm CO standard.
Significant results are indicated for several other groups:   persons not
working outside the home versus those that do; persons with low occupa-
tional exposure versus those with high occupational exposure;  commuters
versus non-commuters;  and commuters with  less  than 6 hours of total
                                 -186-

-------
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-------
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travel per week versus commuters with 6 or more  hours  per week.   Week-
days versus weekend days  are  significantly  different only for the one
                                                    i
hour maximum.  The tests  are  only approximate;  the asterisks  indicate
statistical significance at the 5%  level  and  no  asterisk indicates the
test was not significant at the .05 level.          !
Population Subgroup
Low CO days
High CO days
Weekdays
Weekend days
Gas stove at residence-vented
Gas stove at residence-unvented
Gas stove at residence-unvented
No gas stove at residence
Persons not working outside home
Persons working outside home
Persons with low occupational exposure
Persons with high occupational exposure
Non-commuters (less than 3 times /week)
Commuters
Commuters — all travel =0-5 hrs/wk
Commuters — all travel = 6+ hrs/wk
Average of
Maximum
1-Hour CO
Cone (ppra)
6.71
6.82
7.35*
5.30
6.40
7.0!J
7.0!5
6.82
5 . 22
7.38*
6 . 34
22.11*
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4.94
7.06*
5.04
7.90*
Average of
Maximum
8-Hour CO
Cone (ppm)
2.72
3.03
2.94
2.43
2.99
3.03
3.03
2.55
2, 35
2.98*
2.66
7.51*
2.30
2.88*
2.35
3.09*
     Mean Hourly Concentrations.  Table  6.4.4  presents the results for
the mean hourly  concentrations  (over all available hours) in  the  same
                                                    i
format as for the previous two variables.  The overall average was 1.61
                                                    i      - -  •
ppm.  The patterns  exhibited  for the various  subgroups are  similar  to
those evidenced  for the maximum one-hour and  maximum  eight-hour vari-
ables.  Again, the  high-exposure occupation  subgroup stood out as the
                                                    !
group with highest overall levels.
                                 -191-

-------
































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     6.4.2  Analysis of CO Breath Measurements
            Breath samples taken  at  the  end  of eachiindividuals'  moni-
toring period (late afternoon or  early evening) were analyzed to  deter-
mine CO  concentrations.   These  measurements were  available  for  659
sample members.   The results of the analysis of these data are  shown  in
Table 6.4.5.  The overall mean  CO concentration for the population was
estimated to be 5.12 ppm (with a  standard error of  .07  ppm).  Among  the
subgroup categories shown in  the table,  little variation in this mean
level is  evidenced.   About 95%  of the  overall  population exhibited
breath CO levels  in  the  range from 1 to  10  ppm.   The  lack of extreme
variation is perhaps  due  to the fact that (almost)  all of the breath
measurements were made in the same type  of  environment (i.e.,  in the
respondents' homes rather than  while commuting or on-the-job).  Higher .
mean levels were, nevertheless,  observed for persons1, with high  exposure
occupations and with large amounts of travel.
     6.4.3  Analysis of Activities and Associated CO Exposures
            As indicated  in Section 5.4.2.2,  analysis  of  the  Activity
Analysis File (AAF) data  required additional processing prior to  analy-
sis.  Based upon  frequency  counts of the various activity and  location
codes (see Exhibit 5.4.2), a set  of five major and  sixteen minor  environ-
ments were developed.  These were the following:     '
                                  -193-

-------
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                                    -194-

-------
Major Environments	Minor Environment!?
In transit                         walking, jogging, bicycling
                                   car
                                   other travel      \
Indoors - at residence             sleeping          '
                                   cooking - gas stove
                                   cooking - other or unknown
                                   all other activities
Indoors - not at residence         office
                                   store             ,
                                   restaurant   •     j
                                   parking garage    i
                                   other
Outdoors                           near road, constniiction site
                                        or service station
                                   parking area
                                   other             ;
Unknown                                              ;
The  time  spent  in each of these environments was  determined  by adding
times  over  the  activity segments in  the  AAF for each  sample member.
Similarly,  by time-weighting  the  activity segments,  the average CO
exposure  level for each individual was determined for each environment.
     In addition  to  the environments, times and CO  jlevels by activity
                                                     i
type were determined in a  similar  manner.  The "sleep"  activity was
separated from the "suspected  sleep"  activity  in this  case, whereas  for
the  environments  shown  above,  these two types of segments were  treated
as one.
     Section  6.4.3.1 below  examines the activity patterns and  environ-
ments  in  terms  of time durations.   The next subsection then  deals with
the  associated CO exposure  levels.                   '
            6.4.3.1   Activity  and Location Patterns  J
                      Table  6.4.6 characterizes  the activity  patterns of
the  adult non-smoking population in  the  B.C.  area  for the winter of
1982-83.  The table  shows  the estimated number of individuals who were
involved  in a particular activity (i.e.,  the number of persons  exposed
to  CO  through the given activity).   Then, for  this  exposed population,
the  amount  of time involved in the  activity  is  then  characterized by the
mean time duration  (and its standard  error), and by  selected  percentiles
                                 -195-

-------
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— namely the  10th,  25th,  50th (median), 75th,  and  90th percentiles.
The table indicates, for instance, that  about  40%  of>the total popula-
tion engaged in the activity "indoor chores".  For these;  481,602  (est.)
individuals, the mean amount of time in this activity was 2.18 hours and
the median time duration was 1.65 hours.  The remaining 60% of the total
population did not engage in this activity (i.e., had a time duration.of
zero hours).  The table  shows  that  the average time spent in "transit,
travel" was 2.07 hours (among those persons with this! activity during an
18-26 monitoring period),  that "workers" averaged 6.63 hours  at  work,
                                                     i
etc.
     Table 6.4.7 shows,  in  a similar format,  the time  duration analysis
with  respect  to the  five  major environments  and  the sixteen  minor
environments.  This table indicates that the average /time indoors at  the
residence was  17.63 hours.  The mean time in a parking garage  (for those
so exposed) was 48 minutes; however, the median  time was  only  11 minutes.
This  indicates, as might be expected,  a highly skewed distribution.
            6.4.3.2  Carbon Monoxide Exposures
                     Table  6.4.8  shows  estimates  of' the CO  exposure
levels  for  the various  activity'types.   The estimates  apply  only  to
                                                     i
those persons  actually involved in the particular activity.  The table
shows the mean CO exposure  level and its estimated standard error, along
with  estimates of  the proportions of  the exposed  population  having CO
exposure levels above specified levels  (1,  2,  4,  9, 25, and  35  ppm).
Note  that 28.2% of  the  population exposed to  CO  in parking  garages
experienced CO levels  above 9  ppm while in  that  environment.
      Some of  the key information  in this table was extracted and refor-
matted  to produce  Table 6.4.9; in Table 6.4.9, the activities have been
reordered in  accordance with the  estimated mean CC levels (from highest
to lowest).   Table 6.4.9 also furnishes population pjercentile estimates
for the 10th,  25th,  50th (median),  75,th, and 90th  percentile  points.
      Two general  observations  concerning the results of  Table 6.4.9  that
deserve mentioning are:
      (1) The ranking of activities,  with  minor exceptions,  is as  one
                                                     i
          would expect (e.g.,  in parking garage and in transit have, by
           far, the highest averages).  There is considerable overlap in
                                   -197-

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-------
          the definitions  of  activities, as  described  previously in
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          by respondents' omissions of  activities  from their diaries,
          probably accounts  for the  exceptions.  The  most notable
                                                   i
          exceptions  are the higher than expected ranking for "doctor or
          dentist office" and the  lower-than-expected  ranking  of "out-
          side house  - chores".
     (2)   The distributions of CO  exposures appear  to  be skewed to the
          right for all  activities; this is  indicated not only  by the
          estimated percentiles, but  also by  the  fact that the  mean
          levels exceed the median levels.
     Tables 6.4.10 and 6.4.11 provide  summaries  of  the analysis of the
CO exposure  levels by type of environment.   Because the environments
were derived  principally from the location codes 
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Table 6.4.11
          Percentile Estimates of the Exposed Population CO
          Levels  (ppm) , By Type of Environment
Percentile Point
Environment
In Transit
walk, jog, bicycle
car
other
Indoors - At Residence
sleep *
cook - gas stove
cook - other/unknown
other
Indoors-Not At Residence
office
store
restaurant
parking garage
other
Outdoors
near road, gas station,
construction site
parking area
other
10
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1.19
0.51
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0.31
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0.16
0.07
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0.24
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25
2.16
0.81
2.46
0.90
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1.25
0.10
0.33
0.54
0.53
0.69
0.50
1.81
0.20
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0.21
0.41
0.05
50
3.49
1.80
3.72
2.69
0.82
0.44
2.23
0.61
1.04
1
1.11
1.23
1.78
1.40
4.80
0.88
1.04
• i.
1.30
1.51
0.07
"
75".
6.20
3.43
6.42
4.79.
1.62
1 .29
3.56
1.85
2.01
2.47
2.09
3.29
2.71
13.52
1.75
2.89

3.10
3.37
0.78
90
8.42
4.62
9.81
8.65
2.68
1.95
4.93
4.21
3.54
4.04
3.69
4.77
4.04
23.28
4.43
6.19

6.03
17 .77
2.68
Estimates may be biased due to inclusion of other activities  for
some sample members.                         '  j
                             -203-

-------
                                        Average CO Level (ppm)
     (1) indoors - at residence                  1.19
     (2) indoors - not at residence              2.04
     (3) outdoors                                2.62
     (4) in transit                              4.51
The average CO  exposure  level for the first of these environments was
significantly lower  than that of  the latter  three,  and the  fourth
environment was significantly higher  than  any  of  the first three envi-
ronments.  The approximate tests utilized a 5% level of significance.
     The results shown in this subsection  apply to  the  "average  day"  of
the data collection period.   Additional  results —  for  high and low CO
exposure days — are shown in Appendix J.
     6.4.4  Analysis of Measurement Variability
            The Duplicate Measurement File described in Section  5.4.2.3
was utilized  for  assessing variation in PEM measurements  under field
conditions.   Hourly  observations;  from two or more  PEMs were  available
for 689 hours.  It was noted  that  an  extreme deviation  occurred  between
a pair of PEMs at one hour.
     After this outlier  was  removed,  there were 688 hours  with  two  or
more CO  exposure  measurements.  Consequently, 688  standard deviations
were computed.  A plot  of  the 688 standard deviations  (STDCONC) versus
their  corresponding  means  (MEANCONC)  is given in Figure 6.4.8.   Al-
though there  is some indication that the  standard  deviations increase
with increasing mean levels,  this  tendency is not especially  strong.
     The distribution of the  688  standard  deviations is shown in Figure
6.4.9.  It should be noted  that the vertical  axis of this  plot is given
in  terms of  interval midpoints.   The  median of the  standard  deviations
is  .25 ppm,  and their average is  .39  ppm.   A corresponding distribution
of  the  688 coefficients  of  variation  (CVs) had a median of 16.3% and a
mean of 30.6  %.
     In order to  compare the measurement component of  variability with
person and hourly variations,  a variance components model  of  the follow-
ing form was  estimated:
                                  (i)
                                 -204-

-------
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*
*
*******

oo
O


*
*
*

cr»
O

*
*******
****

O rH
rH T~I


*
*
*


-------
where X  ,  = observed hourly CO concentration for the k*  PEM, j
                        fli
             hour, and i   interviewer
                                                    i  -
         U = overall mean        .          ,         I
        P. = effect of i   person (interviewer)
                        th                   i-h
     H  ,^ - effect of j   hour (within the i   interviewer)
    ek(ii) = effect of ttie k   PEM for person i at hour k.  (The
             variation associated with this component represents
             the measurement variation, under field conditions.)
The results of this analysis is shown in Table .6.4.12.
     These results indicate  that  about 5 to 6% of the  total variation
among the hourly readings is due  to  deviations  in  the measurements made
by the  two  (or more)  PEMs at the same hour  for the same person.  The
pooled estimate of the measurement variance is  .292.
                                 -207-

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Table 6.4.12   Analysis of Replicate Hourly CO Concentrations
Variance
Source
Total
Person
Hour
Error

Pnof^M,
Sum of
D.F. Squares
1537 8495.76
27 3562.01
696 4695.90
814 237.86

pni-. of Variation .
Mean
Squares
5.528
131.926
6.747
0.292
2.35
0.54
, . 0.23
Variance
Component
5.615
2.284
3.039
0.292


Percent
100.00
40.67
54.12
5.20


                                                                                   c -
                                                                                   is:
                                                                                    l
                                  -208-

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                            7.   REFERENCES
1.    Casady,  Robert J.  and Sirken,  Monroe G.  [1980].   A Multiplicity
     Estimator for Multiple Frame Sampling.*  Proceedings of the American
     Statistical Association Section on Survey Research Methods, 601-605.

2.    Chromy,  James R.  [1979].   Sequential Sample Selection Methods.
     Proceedings of the American Statistical  Association Section on
     Survey Research Methods,  401-406.

3.    Cochran, W.G. [1963].  Sampling Techniques. 2ud_ed._, John Wiley and
     Sons, New York, pp. 327-353.
                                                  i
4.    Jones, S.M. and J.R. Chromy [1982].  Improve Variance Estimators.
     Using Weighting Class Adjustments  for Sample Survey Nonresponse.
     American Statistical Association 1982 Proceedings of the Section on
     Survey Research Methods,  pp. 105-110.        !

5.    Konijn,  H.S. [1973],  Statistical  Theory of Sample Survey Design
     and Analysis.  American Elsevier Publishing Company, New York,
     126-132.                                     i
                                                  I
6.    McCarthy, Philip  J. [1966],  Replication;  An Approach to the
     Analysis of Data  From Complex Surveys^ (NCHS Vital and Health
     Statistics Series 2 Number 14). Public  Health Service, Washington,
     B.C.

7.    McCarthy, Philip  J. [1969].  Pseudoreplicatiou;   Further Evaluation
     and Application of the Balanced.Half-Sample Technique (Vital and
     Health Statistics Series 2 Number  31).  Public Health Service,
     Washington, D.C.
                                                  i
8.    Raj, Des [1968].   Sampling Theory.  McGraw-Hill, New York, pp.
     139-163.
                                                  i

9.    Shah, B.V. [1981].  SESUDAAN:   Standard  Errors Program for
     Computing of Standardized Rates From Sample Survey Data.  Research
     Triangle Institute, Research Triangle Park, N,,C.

10.  U.S. Department of Commerce, Bureau of the Census.  [1978].  The
     Current Population Survey:  Design and Methodology.  Technical
     Paper No-. 40.  U.S. Government Printing  Office,  Washington, D.C.

11,  Wallace, L.A. and W.R. Ott.  "Personal Monitors:  A State-of-the-
     Art Survey," JAPCA, Vol.  32, 601.

12.  Whitmore, R.W,, Jones, S.M., and Rosenzweig, M.S. [1983a],  Final
     Sampling Report for the Study of Personal CO Exposure.  Prepared
     for U.S. Environmental Protection  Agency.  Research Triangle
     Institute, Research Triangle Park, N.C.       |
                                 -209-

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References (cont'd)
13.  Whitmore, R.W., Mason, R.E., Hartwell, T.D., and M.S. Rosenzweig
     [1983b].  Use of Geographically Classified Telephone Directory
     Listings in Multi-Mode Surveys.  To appear in:  Proceedings of the
     American Statistical Association, Survey Research Methods Section.

14.  Williams, Rick L. and Chromy, James R. [1980].  SAS Sample Selec-
     tion Macros.  Proceedings of the Fifth Annual SAS Users Group
     International Conference.
                                                                                   tf"
                                   -210-

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