EPA600/AP-93/001C
                                July 1993
Urban Soil Lead Abatement
   Demonstration Project

          Volume III.  Part 1
          Baltimore Report
    Environmental Criteria and Assessment Office
   Office of Health and Environmental Assessment
       Office of Research and Development
      U.S. Environmental Protection Agency
       Research Triangle Park, NC 27711
                                Printed on Recycled Pacer

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                               DISCLAIMER
      This document is an internal draft for review purposes only and does not
constitute U.S. Environmental Protection Agency policy. Mention of trade, names or
commercial products does not constitute endorsement or recommendation for use;
                                    11

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                           TABLE OF CONTENTS

                                                                     Page

LIST OF TABLES	      vi
LIST OF FIGURES	 . .	      viii
ACKNOWLEDGEMENTS	 .      xi
1.   EXECUTIVE SUMMARY	       1-1
    1.1    STUDY DESIGN	       1-1
    1.2    ENVIRONMENTAL MEASURES	       1-2
    1.3    DEMOGRAPHIC AND BEHAVIORAL QUESTIONNAIRE ...       1-3
    1.4    BIOLOGIC MEASURES	       1-3
    1.5    INTERVENTIONS	       1-3
    1.6    ANALYSIS	       1-4
          1.6.1   Results	       1-6
    1.7    CONCLUSIONS  .	       1-8
    1.8    IMPLICATIONS	       1-8

2.   INTRODUCTION	V .......       2-1
    2.1    HEALTH EFFECTS	       2-1
    2.2    BIOLOGICAL FATE AND METABOLISM OF LEAD	       2-1
    2.3    SOIL AND DUST LEAD AND THEIR RELATIONSHIP
          TO BLOOD LEAD	       2-2
    2.4    BALTIMORE AS A STUDY SITE	 .       2-3

3.   METHODOLOGY	       3-1
    3.1    PROTOCOL FOR STUDIES INVOLVING HUMAN
          SUBJECTS	       3-1
          3.1.1   Confidentiality	       3-1
          3.1.2   Informed Consent . . . .	       3-2
          3.1.3   Ethical Considerations .  . . .	       3-2
    3.2    STUDY DESIGN	       3-2
          3.2.1   Site Selection	       3-3
          3.2.2   Rationale for Study Site Criteria	       3-5
          3.2.3   Pre-study Data Gathering	       3-6
          3.2.4   Comparison of Study Communities .............       3-6
          3.2.5   Study  Population	 .	       3-8
          3.2.6   Rationale for Study Subject Criteria	       3-8
          3.2.7   Sample Size Calculation	       3-9
          3.2.8   Comparison of Final Study Population  	       3-9
          3.2.9   Attrition and Retention	       3-10

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                        TABLE OF CONTENTS (cont'd)

                                                               I
                                                                   ?age
          3.2.10  Community Outreach/Public Relations  	     \  3-13
          3.2.11  Public Relations Officer  .	       3-13
          3.2.12  Community Outreach Coordinator	 .       3-14

4.  INTERVENTIONS  	       4-1
    4.1    ENVIRONMENTAL MEASUREMENTS AND ANALYSIS '. . .       4-1
          4.1.1   Son	       4-1
          4.1.2   Dust	 . . ....       4-3
          4.1.3   Water	: . ;      4-4
          4.1.4   Exterior Paint	       4-4
          4.1.5   Interior Paint	       4-4
          4.1.6   Quality Assurance for Soil and Dust Sampling and
                 Analysis	       4-5
    4.2    DEMOGRAPHIC AND BEHAVIORAL QUESTIONNAIRE ...       4-5
    4.3    BIOLOGICAL SAMPLING AND MEASURES	   v    4-6
          4.3.1   Blood  	   ;    4-7
          4.3.2   Hand Lead Determinations	 .   l    4-7
          4.3.3   Quality Assurance and Control for Blood Lead           ;
                 Measurements	;......       4-8
    4.4    DETAILED DESCRIPTION OF THE INTERVENTIONS  .....       4-9
          4.4.1   Exterior Paint Stabilization  	:.;.....       4-9
          4.4.2   Soil Abatement	       4-10
          4.4.3   Abatement Costs	       4-10

5.  ANALYSIS	       51
    5.1    DATA COLLECTION AND MANAGEMENT	       5-1
    5.2    RESULTS	       5-2
          5.2.1   Effect of Soil Abatement	. . . .	       5-2
          5.2.2   Relationship to Blood Lead Level		       5-2

6.  DATA ANALYSIS	       6-1
    6.1    VARIABLE SELECTION	       6-1
    6.2    BIOLOGIC VARIABLES AND VARIABLES FROM THE
          QUESTIONNAIRE	       6-1
          6.2.1   Blood Lead	       6-1
          6.2.2   Hand Lead	       6-1
          6.2.3   Age	       6-8
          6.2.4   Socioeconomic Status ......................       6-8
          6.2.5   Season	       6-8
          6.2.6   Mouthing Behavior	       6-15
    6.3    ENVIRONMENTAL VARIABLES	   i'    6-16
          6.3.1   Abatement	, . , . ,	       6-16
          6.3.2   Soil Lead	      6-16

                                   iv

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                       TABLE OF CONTENTS (cont'd)
                                                                   'age
         6.3.3   Dust Lead	      6-17
         6.3.4   Exterior Paint	 . .      6-20
         6.3.5   Interior Paint .	,	      6-20

7.   STATISTICAL ANALYSIS	      7-1
    7.1   STATISTICAL ANALYSIS OF ENVIRONMENTAL
         VARIABLES	      7-1
    7.2   STATISTICAL MODELS FOR BLOOD LEAD AND
         HAND LEAD	 .      7.5
    7.3   INTERPRETATION OF REGRESSION COEFFICIENTS .....       7-10
    7.4   RESULTS OF STATISTICAL ANALYSIS	       7-11
         7.4.1   Model 1	.."....	      7-11
         7.4.2   Model 2 .	      7-12
         7.4.3   Model 3	 .      7-23
         7.4.4   Model 4	      7-30
         7.4.5   Model 5	      7-30
    7.5   IMPLICATIONS OF FINDINGS	       7-46
    7.6   CALL FOR FURTHER RESEARCH	       7-50

8.   REFERENCES	      8-1

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LIST OF TABLES
Number
3-1

3-2

3-3

4-1
4-2
7-1
7-2
7-3
7-4

7-5

7-6

7-7

7-8

7-9

7-10

7-11

7-12


Characteristics of Study and Control Sites at Time of
Enrollment into Study 	
Characteristics of Final Study Population Based on Round 3
Study Data 	
Attrition and Recruitment Rounds 1 Through 6 	 	

Baltimore Paint Stabilization . 	 	
Baltimore Soil Abatement 	
Soil Statistics Before Intervention 	
Dust Statistics Before Intervention 	
Pre- and Post-intervention Soil Statistics 	
Dust Statistics for Control Group Before and After Soil
Abatement 	 	
Dust Statistics for Treatment Group Before and After
Soil Abatement 	
Dust Statistics for Properties with and Without Lead-based
Paint 	
Regression Coefficient for Direct Effect of Abatement on
Blood Lead Model 1 	 	
Regression Coefficient for Adjusted Effect of Abatement on
Blood Lead Model 2 	
Regression Coefficient for Effect of Age on Blood Lead
Model 2 	
Regression Coefficient for Effect of SES on Blood Lead
Model 2 	
Regression Coefficient for Effect of Season on Blood Lead
Model 2 	
Regression Coefficient for Effect of Log Hand Lead on
Blood Lead Model 2 	 	
Pag(

3-7

3-10
3-12
i
4-13
4-14
7-2
7-2
7-3

7-4

7-4

7-7
I
7-13

7-16

7-19

7-21

7-23

7-25
      VI

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                             LIST OF TABLES (cont'd)
Number

7-13     Regression Coefficients for Effect of Abatement on Hand
         Lead Model 3 .	".	       7-27

7-14     Regression Coefficients for Adjusted Effect of Abatement on
         Blood Lead Model 2	       7-31

7-15     Regression Coefficients for Effect of Age on Hand Lead
         Model 4	       7-34

7-16     Regression Coefficients for Effect of Female Gender on Hand
         Lead Model 4	       7-36

7-17     Regression Coefficients for Effect of Season on Hand Lead
         Model 4	       7-38

7-18     Regression Coefficients for Effect of Dust on Hand Lead
         Model 4	       7-40

7-19     Regression Coefficients for Effect of Gender on Hand Lead
         Model 5  .	       7-42

7-20     Regression Coefficients for Effect of Age on Hand Lead
         Model 5	       7-44

7-21     Regression Coefficients for Effect of Season on Hand Lead
         Model 5  	       7-46

7-22      Regression Coefficients for Effect of Dust on Hand Lead
         Model 5	       7-48

7-23      Regression Coefficients for Effect of Soil Lead on Hand Lead
          Model 5	       7-50

7-24      R-Squared Coefficient and Mean Square Error for Models with Log
          (Blood Lead) as the Response Variable  	       7-52
                                        Vll

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LIST OF FIGURES
Number
3-1
3-2
4-1
4-2
6-1

6-2

6-3

6-4

6-5

6-6

6-7

6-8

6-9

6-10

6-11

6-12


Baltimore study design 	
Recruitment and retention of participants 	 , . . . ,
Schedule of project activites 	
Typical property diagram 	 	
Normal and log-transformed distributions for blood lead,
Round 1 	 	 	
Normal and log-transformed distributions for blood lead,
Round 2 	 	 	 	 	
Normal and log-transformed distributions for blood lead,
Round 3 	 	 	
Normal and log-transformed distributions for blood lead,
Round 4 	 	 , 	 	
Normal and log-transformed distributions for blood lead,
Round 5 	 	
Normal and log-transformed distributions for blood lead,
Round 6 	 	 	 	
Normal and log-transformed distributions for band lead,
Round 1 	 	 	
Normal and log-transformed distributions for hand lead,
Round 2 	 	 	 	 	 	
Normal and log-transformed distributions for hand lead,
Round 3 	 	 	 ,
Normal and log-transformed distributions for hand lead,
Round 4 	
Normal and log-transformed distributions for hand lead,
Round 5 	 	 	 .
Normal and log-transformed distributions for hand lead,
Round 6 	 	
Page
• 3-4
3-12
4-2
4-11
|
6-2

6-3

6-4

6-5

6-6

6-7

6-9

6-10

6-11

6-12

6-13

6-14
      vni

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                              LIST OF FIGURES (cont'd)
Number

6-13      Distribution of SES scores using Hollingshead Index	        6-15

6-14      Tri-mean of pre- and postabatement soil lead concentrations
          for control group	       6-18

6-15      Tri-mean of pre- and postabatement soil lead concentrations
          for treatment group   	. .	       6-19

6-16      Pre- and postabatement dust lead load for control group,
          all properties	       6-21

6-17      Pre- and postabatement dust lead load for treatment group,
          all properties		       6-22

6-18      Pre- and postabatement dust lead load for control group	        6-23

6-19      Pre- and postabatement dust lead load for treatment group	        6-24

7-1       Correlation matrix of environmental variables	        7-6

7-2       Model 1 results of effect of soil abatement on blood lead,
          log transformed		       7-14

7-3       Model 1 results of effect of soil abatement on blood lead	        7-15

7-4       Model 2 results of effect of soil abatement on blood lead,
          log transformed	       7-17

7-5       Model 2 results of effect of soil abatement on blood lead	        7-18

7-6       Model 2 results of effect of age on blood lead, log transformed  .  .        7-20

7-7       Model 2 results of effect of socioeconomic status on blood lead,
          log transformed	.'	       7-22

7-8       Model 2 results of effect of season on blood lead, log
          transformed	       7-24

7-9       Model 2 results of effect of hand lead on blood lead, log
          transformed	       7-26

7-10      Model 3 results of effect of soil abatement on hand lead, log
          transformed	       7-28
                                          IX

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                              LIST OF FIGURES (cont'd)
Number
7-11
7-12
7-13
7-14
7-15
7-16
7-17
7-18
7-19
7-20
Model 3 results of effect of soil abatement on hand lead 	
Model 4 results of effect of soil abatement on hand lead, log
transformed 	
Model 4 results of effect of soil abatement on hand lead 	
Model 4 results of effect of age on hand lead, log transformed . . .
Model 4 results of femal gender effect on hand lead, log
transformed 	 	
Model 4 results of effect of season on hand lead, log
transformed 	 	
Model 4 results of effect of dust lead on hand lead, log
transformed 	 	 	
Model 5 results of effect of gender on hand lead, log
transformed 	
Model 5 results of effect of age on hand lead, log transformed ...
Model 5 results of effect of season on hand lead, log
Page
7-29
7-32
7-33
7-35
I
7-37
7-39
7-41
7-43
7-45

          transformed	  . .  .       7-47

7-21      Model 5 results of effect of dust lead on hand lead, log
          transformed	. ,	       7-49

7-22      Model 5 results of effect of soil lead on hand lead, log
          transformed	       7-51

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                              ACKNOWLEDC
                                                                                     «

     The Baltimore Soil Lead Abatement Demonstration Project was managed by the
Maryland Department of the Environment (MDE) and drew upon the technical and
epidemiological resources of the State's Lead Poisoning Prevention and the Environmental
Health Programs.  Laboratory support was provided by an interagency agreement with the
Department of Health and Mental Hygiene Laboratories Administration.
     The Principal Investigator, Katherine P. Farrell, M.D., M.P.H., was Assistant
Secretary for Toxics, Environmental Science and Health Administration TESH for the initial
two years of the project and worked as Director of Community Health Services at the Anne
Arundel County Department of Health for the final year.  J. Julian Chisolm, Jr., M.D.,
Co-investigator, is the Director of the Lead Program at the John F. Kennedy Institute and an
Associate Professor of Pediatrics at The Johns Hopkins Medical Institutions.  Charles A.
Rohde, Ph.D., Professor and Chairman Department of Biostatistics at The Johns Hopkins
University  School of Hygiene and Public Health, and Boon P. Lim, M.D., M.P.H., MDE
Administrator for the Environmental Health Program, joined the team as  Co-investigators
during the  data preparation and analysis phase of the study.
     The Project Manager was Merrill Brophy, M.S.N., R.N. Warren Strauss performed the
statistical analysis for the study.
     Reginald Harris was an invaluable player during the development of the study design
and protocols.  Dr. Richard Brunker, Region UJ of the Environmental Protection Agency
supplied technical guidance and support for the  project too.
     The goals of the project would not have been met without the dedication and
cooperation of the following:  Denise Stanley, Outreach Coordinator;  Rebecca Fahey,
Environmental  Coordinator; and Laura Coleson, Biological Coordinator.  Without their
enthusiastic and constant efforts, the project would not have succeeded.
     The project received cooperation and assistance from the City of Baltimore, the
Property Owners Association, and the Park Heights and Walbrook Junction Community
Organizations.  Special thanks are due the Liberty Medical Center who contributed clinic
space free  of charge.
                                          XI

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      Above all we thank the children and their families who participated in the study.
*                                                                             ;
 Although the information in this document has been funded wholly or in part by the United
 States Environmental Protection Agency under assistance agreement V-003409-01 to the
 Maryland Department of the Environment, it may not necessarily reflect the views  of the
 Agency and no official endorsement is inferred.
                                           Xll

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                      1.  EXECUTIVE SUMMARY
     Over the last 20 years, it has become increasingly clear that the health effects of
elevated blood lead levels in children are long term, if not permanent.  Public health
programs have focused on lead paint as the most significant source of exposure.  However,
other sources of lead exposure (air, water, and soil) continue to be of concern.
     The importance of soil contamination, although recognized by the preventive
community, has never been quantitatively studied in terms of its impact.  The 1986
Superfund Amendments and Reauthorization Act (SARA) provided funds for a national multi-
city study of the impact of abating residential lead contaminated soil on the blood lead levels
of children. Baltimore was one of three cities selected as a study site.
1.1   STUDY DESIGN
     This study was designed to investigate the effect of soil abatement on children's blood
lead levels as a preventive strategy. The hypothesis to be tested was that a reduction in soil
lead levels would result in a statistically significant decrease in children's blood lead levels.
     Neighborhoods to be used as study sites were selected based upon their having areas of
exposed soil around the house, a moderate risk for lead poisoning, a sufficient number of
participants to test the hypothesis, pre-1950 central city housing, comparable demographic
indicators, and primarily residential housing.
     Although census tract data was an important factor, neighborhoods were selected to
permit the inclusion and exclusion of portions of census tracts that did not meet the study site
criteria. The communities of Lower Park Heights and Walbrook Junction were selected for
the project sites.  Following the collection of baseline environmental and biological data,
Lower Park Heights was selected as the study area and Walbrook Junction as the control area
by randomization.
      Subjects were enrolled by door to door recruitment based upon the following criteria:
 (1) living in one of selected areas, (2) living in same house for at least 3 continuous months
 and with no plans to  move in the immediate future; and (3) between 6 mo and 6 years of

                                           1-1

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age. Sample size calculations indicated that at least 88 children were needed in the control
area and 44 in the study area.  To allow for attrition it was decided to enroll 400 children.
     All environmental and biological sampling occurred after the child was enrolled in the
project.  All laboratory analyses were conducted by the Maryland Department of Health and
Mental Hygiene Laboratories Administration.                                    ;
1.2  ENVIRONMENTAL MEASURES
     Soil sampling was done to characterize the potential exposure of participant children to
lead from soil and to document the effectiveness of abatement in reducing soil lead levels.
The soil sampling and analysis protocols were developed in conjunction with the EPA and
the demonstration project teams from Boston and Cincinnati.  Using detailed property
diagrams and 15 cm soil coring apparatus, an average of nine composite surface (top 2 cm)
and nine deep (bottom 2 cm) core samples were taken at specified sites on the property.
     Interior vacuum dust sampling was conducted to characterize the potential exposure of
children to lead from dust and to document whether there was any increase in interior dust
levels following paint stabilization and soil abatement.  The dust sampling protocol was
developed by Dr. Thomas Spittler of EPA Region I. An average of 3 dust samples were
collected from the floors of the entry area(s)  and two of the child's primary play areas.
Because of the small size of the dust samples, it was decided to analyze each sample both by
laboratory x-ray fluorescence (XRF) and by wet digestion atomic absorption
spectrophotometry (AAS).
     Household first draw  water samples from all faucets in the household were collected to
characterize the potential exposure of children from drinking water.  Standard EPA water
sampling and analysis protocols were used.
     Exterior paint samples were collected at the time of the first environmental visit to
examine the contribution of exterior paint to  soil lead.  Paint chip samples were collected
from painted surfaces and analyzed by XRF (Kevex). After the last biological testing
session, interior paint was analyzed for lead using portable XRF analyzers (Princeton Gamma
Tech XK3).  Measurements were taken in the child's bedroom, kitchen, and living room on
                                          1-2

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a painted wall surface and a painted wood surface (window, door).  The sites of
measurement were indicated on a diagram of the room.
1.3   DEMOGRAPHIC AND BEHAVIORAL QUESTIONNAIRE
     Within 1 week of enrollment, each child was scheduled for baseline biological testing
and interview data collection.  The Biological Coordinator and staff administered a
questionnaire to the parent/guardian or primary caretaker to collect demographic data and
assess behaviors and other factors which influence the child's contact with various sources
of lead. Follow-up interviews were conducted with each round of biological testing.
1.4   BIOLOGIC MEASURES
     Blood samples for blood lead level (whole blood), free erythrocyte protoporphyrin
(FEP), ferritin, and total iron binding capacity (TEBC) were collected 6 times throughout the
study.  Blood lead levels were determined using graphite furnace atomic absorption and FEP
levels were determined by Chisolm's double extraction method.  Quality control was
maintained by a strict internal quality control program and participation in the CDC quality
control system.  The soil abatement intervention was conducted between rounds 3 and 4.
     Hand wipes were obtained to determine lead dust levels on the child's hands at the time
of each blood collection. The protocols for sampling and analysis were developed by the
University of Cincinnati. Damage to the laboratory exhaust system, required a change from
the nitric acid/perchloric acid method of analysis to the hot nitric acid methodology after
round 2.
1.5   INTERVENTIONS
     Houses with exterior leaded paint in both the study and control areas received exterior
paint stabilization the summer and fall of 1990.  Paint stabilization consisted of wet scraping
the chipping, peeling paint followed by HEPA vacuuming the area. A primer and two coats
of latex paint were applied to all painted surfaces.  The purpose of paint stabilization was to

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remove or encapsulate any chipping, peeling paint to prevent re-contamination of the abated
soil.
     Soil was abated only in the study area during the summer/fall of 1990, within 1 week
of paint stabilization. Areas located within the property boundaries with a soil lead level
greater than 500 ppm lead were abated. Abatement consisted of removal of the top 6 in. of
soil and replacement with clean soil (less than 50 ppm lead), the area was then sodded or
seeded depending upon characteristics of the site.
     During the exterior paint stabilization and soil abatement, household members were not
allowed on the property. Space was provided at a local community center for the families
during the work.
1.6  ANALYSIS
     The purpose of the statistical analysis was to investigate the relationship between
children's blood lead levels and the measurable sources of lead to which, they was exposed.
Several models were selected to determine whether or not the intervention of removing lead
contaminated soil had any impact on the child's blood lead level.
     A correlation analysis was performed on the four environmental variables (soil, dust,
exterior paint, and interior paint).  This analysis demonstrated a strong relationship between
exterior paint and lead in soil, and between interior paint interior dust lead level.  The
remaining correlation coefficients were not significant.  The data analysis was  conducted
using both SAS and GUM statistical software.
     The natural log transformation was applied to the response variable (blood lead and
hand lead) to meet the assumption of normality necessary for linear regression. The
following models were performed on two different populations within the study: (1) children
who participated in all 6 rounds and (2) all children sampled.
     The first model measures the direct effect of group assignment on the log of blood lead
in each round:
                                   ij = boj Ti + by C£ + By
                                          1-4

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           where for the ith child in round j,
           LPbBjj = Log of blood lead
           Ti     = 1 if in treatment group, otherwise 0
           C{     = 1 if in control group, else 0
           e^     = error term


This model computes a geometric mean and a standard error for each group.  These can be

transformed back to the original scale of blood lead and the groups compared through use of

a two sample t-test.

     The second multiple linear regression model uses the log of blood lead as the response

variable with group assignment, age, season, socio-economic status, and the interaction

between mouthing behavior and log of hand lead as covariates:
     LPhBy  =   bojTi + bjjCi + bjyAgeg  b3jSESi + b^Seasmiij +
           where for the ith child in round j,
           LPbBjj   = Log of blood lead
           TI       = 1 if in treatment group, else 0
           C£       = 1 if in control group, else 0
           Age^    = Age
           SBSi    = Socio-economic status of family
           Season^  = 1 if sampled in summer, else 0
           LPBHly = log hand lead if he/she exhibits weak mouthing behavior, else 0
           LPbH2jj  = log hand lead if he/she exhibits strong mouthing behavior, else 0
           e        = error term
Similar to the first model, a geometric mean and associated standard error for blood lead are

produced that are comparable through use of t=tests.

     The third model evaluates the effects of group assignment on the log of hand lead:
           where for the ith child in round j,
           LPbHy  = Log of hand lead
           Tj      = 1 if in treatment group, otherwise 0
           Cj[      = 1 if in control group, else 0
           e       = error term
                                          1-5

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     The fourth model has log of hand lead as the response variable with group assignment,
age, season, gender, and interior dust as the covariates:
             =  bojTi + by-q + b2jAgeij b3jSexi + b^Season^ + b^-Dus^ + ey.

           where for the ith child in round j,
           LPbHy-  = Log of hand lead
           T£       = 1 if in treatment group, else 0
           Cj       = 1 if in control group, else 0
           AgCy-    = Age
           Sexj     = Socio-economic status of family
           Season^ = 1 if sampled in summer, else 0
           Dusty   = log hand lead if he/she exhibits weak mouthing behavior, else 0
           ey-       = error term


The final model describes the association between the lead found on the hands of a child and

the sources of lead exposure measured within the child's home environment:
                      + by-FemalCi + b2jAgeij  b3jSeasoni + b4jDusty + b6jSoili +

           where for the ith child in round j,
           LPbHy-  = Log of hand lead
           Matej   = 1 if male,  else 0
           Fematei = 1 if female, else 0
           Agey-    = Age
           Seasonj  = 1 if sampled in summer, else 0
           Dusty   = Measure of dust lead in home
           Soily-    = Measure of soil lead in home
           e   "     = error term
1.6.1   Results

     The statistical models were applied to the two populations to evaluate the potential bias
introduced by participant dropout.  The regression coefficients were virtually identical
between the two populations for demographic, biological and environmental parameters,
indicating that the effect of participant dropout on the statistical models was negligible.
     Although soil  abatement in Baltimore did not result in the expected decrease of
1,000 ppm lead in soil, the average decrease in soil lead levels was 550 ppm (using the tri
mean measure).  Based on the literature, the expected decrease in blood lead levels related to

                                          1-6

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this magnitude of soil decrease would be 1 to 3 jug/dl. In round 4, 3 mo following
intervention, the blood lead levels of children in the study area decreased 1.5 /ig/dl and in
the control group decreased 1 /Kg/dl. This round of testing was in the winter months of
January through March, 1990. In round 5, May 22 through July 17, 1990, the blood lead in
the study group returned to the pre-abatement level and remained at that level in round 6.
However, the control group remained below the pre-abatement level throughout rounds
5 and 6. Due to the longitudinal aspect of this study, it is difficult to interpret these results,
however there does not seem to be any clinically significant reduction in children's blood
lead levels resulting from  the  soil abatement.
     The effect of soil abatement on hand lead was also hard to interpret due to the
longitudinal aspect of the  study.  In the pre-intervention sampling rounds there was no
significant difference in hand lead levels between the treatment and control groups. In the
sampling round immediately following intervention, hand lead levels of children in the
control group were slightly less than those in the group which received soil abatement.  This
round of sampling occurred during the winter months, when children are not outdoors much,
making it difficult to conclude if  soil abatement had anything to do with this observation.
In the final two sampling  rounds, which occurred during the spring and summer months, the
hand lead levels sharply increased in both groups.  The hand lead concentration of children
in the abated group was lower than those of children in the control group for both of these
rounds. Although not statistically significant, this temporal trend may indicate a slight effect
of soil abatement on children's hand lead levels.
     The regression coefficients of mouthing behavior as an effect modifier for hand lead in
the blood lead models indicated that children who exhibit stronger mouthing behavior will
have higher blood lead levels.  This trend was apparent in all six sampling rounds. The use
of age as a continuous variable is questionable because the effect of age on blood lead may
not be linear.  There seemed to be a negative effect of socio-economic  status (as determined
by the HoUiagshead Four Factor  Index) on blood lead levels throughout the study.
                                           1-7

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1.7   CONCLUSIONS
     Statistical analysis of the data from the Baltimore Lead in Soil Project provides ho
evidence that the soil abatement has a direct impact on the blood lead level of children in the
study.  The statistical analyses to date have consisted of adjusted and unadjusted analysis for
selected covariates.  It should be pointed out that the Baltimore study areas, both abated and
control, had lead based paint. Thus the conclusion might be more precisely stated as "in the
presence of lead based paint in the children's homes, abatement of soil lead alone provides
no direct impact on the blood lead levels of children".
1.8   IMPLICATIONS
     The findings of this study might help avoid costly abatements of soil in cities, like
Baltimore, where the principal sources of lead exposure for children is lead in paint and lead
in household dust.  Soil abatement for cities like Baltimore does not appear to be a cost
effective preventive strategy used alone, but it may well be an adjunct, in selected cases, to
the overall environmental management of children who become lead poisoned.
                                           1-8

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                          2.0  INTRODUCTION
2.1   HEALTH EFFECTS
     There has been a tremendous explosion in knowledge of the health effects of lead over
the past 20 years which has led to a progressive lowering of the blood lead levels considered
to be of concern.  The Surgeon General Statement established an action level 40 /tg/dl in
1970. The Centers for Disease Control (CDC) lowered it to 30 jig/dl in 1975, to 25 jt*g/dl in
1985 and to 10 /tg/dl in  1991.  The basis for these changes  was findings of adverse effects at
lower and lower blood lead levels.  It is now apparent that the blood lead threshold for
adverse neuro-developmental effect on the fetus and young children is 10 y^g/dl.
Furthermore, experimental evidence indicates that these effects are long lasting, if not
permanent (Air Criteria, ATSDR).
     National Health and Nutrition Education  Survey H (NHANES H) from 1976 to 1980
measured  the distribution of blood lead concentrations in the United States population.  The
mean blood lead level across the U.S. population in 1976, just prior to the decrease in leaded
gasoline, was found to be 15.9 /*g/dl. By 1980, with the continued decrease in the use of
leaded gasoline, the mean blood lead concentration had dropped to 9.6 jtg/dl (Annest, 1983).
Although urban poor minority children were found to have the highest risk of lead poisoning,
elevated blood lead levels were found across all social, geographic and racial groups.
2.2   BIOLOGICAL FATE AND METABOLISM OF LEAD
     Absorption of ingested lead in children is more efficient than in adults.  Absorption
rates are influenced by particle size (Barltrop and Meek, 1979) and nutritional factors
(Barltrop, 1974, 1975; Rosen, 1980).
     Rabinowitz (1980) studied adults fed solutions of lead with and without food to
investigate the influence of food on lead absorption.  He demonstrated that lead absorption
was reduced from  15 to 50% without food to 8 to 13  % with food.  Bio-availability appears
to differ according to source and form of lead and is poorly understood.
                                         2-1

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     Dietary lead intake in excess of 5 /*g/ Kg of body weight/day in infants from birth to
2 years of age results in positive lead balance (Ziegler, et al., 1978).  They also found an
inverse relationship between the amount of calcium in the diet and the absorption of lead.
     Once absorbed, lead is distributed throughout the soft tissue and bone.  There is a
continuous active process of absorption, tissue deposition and excretion.  Deficiencies in
iron, calcium, and phosphorus are directly correlated with  increased blood lead levels in
humans and experimental animals (Mahaffey, 1981; Mahaffey et al., 1980).
     Under normal circumstances, the excretion of lead occurs 50-50 between the kidneys
and bowel (IRabinowitz, 1976).
2.3   SOEL AND DUST LEAD AND THEIR RELATIONSHIP TO
       BLOOD LEAD
     Whereas, air and food were significant sources of lead through the 1970's,  these major
sources have been substantially reduced by reductions in lead gasoline and food.  This led the
ADSTR to conclude in 1988, that as "persistent sources for childhood lead poisoning in the   .
U.S., lead in paint and lead in dust and soil will continue as major problems into the
foreseeable future".
     Lead poisoning in children was first reported in Australia by Gibson, et al. (1892).
Through experimentation and observation, Gibson concluded in 1904, "I believe and advance
a very strong plea for painted walls and railings as the source of the lead, and for the biting
of fingernails or sucking of fingers, as in a majority of cases, the means of conveyance of
the lead to the patient".  Gibson's observation lay fallow for 70 years until Sayre, et al.
(1974) demonstrated an association between house dust and hand dust and blood lead in  a
study of inner city and suburban homes.
     Most studies in children during the last past 20 years have been around smelters and
mines.  Roels, et al. (1980),  in a study of school children who live near a  smelter, reported
partial correlations between blood lead, hand lead, and air lead indicated that in the smelter
area the quantitative contribution of air lead to the children's blood lead levels is negligible
compared to hand lead.  This relationship was found after air emissions from the smelter had
                                         2-2

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been substantially decreased. These and other studies are extensively reviewed in the EPA
Air Quality Criteria for Lead (1986).
     Ter Haar (1974) demonstrated a gradient in lead contamination between houses and the
nearest roadway suggesting that the house itself is also a source of lead in the soil.  It is
generally believed that the major contributors to  soil lead in cities are automobile exhaust and
exterior paint.  Rabinowitz (1980) and Yaffe (1979) investigated sources of lead in blood by
use of stable isotope ratios distinguishing lead sources from paint and gasoline in a variety of
media, such as dust, soil, and blood.  Whereas adult's blood lead resembled the isotope ratio
in airborne lead,  the stable isotope ratios in children resembled interior household dust, in
some cases, and, in other cases, exterior paint and soil.
     The EPA published a biokinetic model for lead (U.S. Environmental Protection
Agency, 1990). In this approach, amounts of lead in food, water, air and soil are calculated
from available data together with absorption factors for each.  From this, total intake of lead
can be estimated  and lead concentrations associated with various levels of intake can be
projected and  modeled.  Data from Binder, et al. (1986), in a  study carried out in E. Helena,
Montana, appeared to validate this model.  In these studies,  the data suggested that children
might ingest 50 to 500 mg of soil per day.
     Duggan and Inskip (1985) reviewed studies related to blood lead-soil lead ratio, or the
amount of increase in blood lead that can be attributed to a soil lead increase of 1,000 ppm.
They reported that this ratio is very variable between studies (range 1 to 9 >g pb/dl/blood
per 1,000 /*g pb/g soil).  The ratio tended to be higher for younger children and lower for
older children. These data strongly suggest there may also be differences in the
bioavailability of lead from different environmental sources.  Most of the studies they
reviewed were related to exposure to lead oxide dust among children living in the vicinity of
lead smelters.   By contrast, there have been few  studies of residential lead soils, away from
smelters (Stark, etal.,  1982, Shellshear, 1975).,
2.4    BALTIMORE AS A STUDY SITE
     Baltimore was one of the cities selected by an extensive review in 1987 to carry out one
of three linked studies on the issue of lead in soil and its impact on children's health.
                                          2-3

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Baltimore City has a serious lead poisoning problem, which was first recognized in the
1930's as a result of an epidemic of lead poisoning related to burning battery casings for heat
during the depression (Williams, 1933). Following removal  of wooden lead acid battery
casings from the market, lead poisoning cases continued to occur and it became apparent,
that among children, lead poisoning due to the ingestion of leaded paint was a serious
problem.  The Baltimore City Health Department established a laboratory in 1935 ito provide
free diagnostic blood lead testing.  This policy has continued through the years with a formal
screening program under CDC  sponsorship being established in 1975.
     Nearly  all these children receive their excessive exposure through contact with lead
paint, contaminated indoor dust and possibly contaminated outdoor soil (Mielke, 1983).
Other sources of exposure in Baltimore are uncommon.  The water supply is non-corrosive
and there are no uncontrolled emissions of the magnitude of some mining and smelting
towns.  Few occupations involve lead exposure,  principally auto body and radiatoi; repair and
the construction industry. As in other cities, occasional poisonings occur due to lead glazed
ceramics, fishing weights, and  other unusual sources.  But the most serious threat is the
continuing legacy of lead paint on older housing that becomes increasingly more available to
children as it ages, deteriorates, or during renovations.
     Public  health programs have focused on lead paint as the most significant source of
exposure and will continue to do so.  The impracticality of widespread safe and permanent
abatements of the inside and outside of houses make it incumbent on us to consider what are
appropriate components of community based or individual approaches to reducing exposure
to lead.
     The importance of soil contamination is of concern to preventive programs but has
never been quantitatively studied hi terms of its  impact. Before launching into major
spending to  abate lead in soil it is appropriate that we have an accurate picture of its impact
on prevention.
     It is important to  recognize that the impact of lead in soil may be quite different for
high risk children than it is for the general population of children. This study is designed to
examine only the impact of soil abatement as a preventive strategy.  The study design does
 not answer the next obvious question, which is whether soil abatement combined with paint
                                           2-4

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abatement might be more effective than paint abatement alone in the management of poisoned
children.
                                         2-5

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                            3.  METHODOLOGY
 3.1   PROTOCOL FOR STUDIES INVOLVING HUMAN SUBJECTS
      The Human Volunteers Committee Institutional Review Board (1KB) of the Department
 of Health and Mental Hygiene reviewed the proposal submitted to the Environmental
 Protection Agency along with all study protocols, the questionnaires and the consent forms.
 Full approval was granted by the IRE in September, 1988. In addition, since Dr.  J. Julian
 Chisolm is a co-investigator and is on faculty at Johns Hopkins University, the proposal and
 related materials were submitted for ERB review at Johns Hopkins.  Full approval  of this
 group was granted in March, 1988, along with annual approval in 1989, 1990, and 1991.

 3.1.1   Confidentiality
      Particular attention was paid to the collection and handling of all personal, health
 related or medical information.  All such information was treated as confidential.  Personal
 identifiers were removed prior to processing the data and replaced with codes  utilizing a
 simple three digit sequential numbering system.  Only coded information was entered into the
 data base.  Code keys were considered confidential. All confidential material  was  retained
 under direct control of the investigation team.
      Confidential medical information was accessible only to the members of the
 investigation team and the subjects themselves or their physicians on receipt of a release of
 information form signed by the subject specifying to whom the information should  be
 released.
     Unless otherwise indicated (e.g., need for long term follow-up) confidential material
will be disposed of by shredding hard copies and deleting electronic data after  a period of
5 years.
                                         3-1

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3.1.2   Informed Consent
     Informed consent was obtained prior to any procedure and participation was voluntary
throughout the project. No minor (under 18 years) was included in the project unless
informed consent was obtained from the parent or guardian.                      >
     Information, provided to study subjects was in language likely to be understood by the
subject and was explained orally as well as in a written statement. There was an opportunity
to ask information of individuals familiar with the study and competent to address any related
issues and questions.  No coercion was used by the investigation team when enrolling
subjects into the study.

3.1.3   Ethical Considerations
     All procedures and interventions were reviewed for determination of safety to the
participant and community.  No procedures were allowed which exposed human subjects to
risks. Because of the medical and developmental ramifications of elevated blood lead levels,
the parent or guardian of all children who had blood lead levels £: 25 /xg/dl (1985 CDC
action level) were notified. Information concerning the health and development effects of
lead poisoning was  given to the parent/guardian and they were encouraged to seek medical
care. Upon informing the parents/guardians, the project  informed the Baltimore City Health
Department Lead Poisoning Prevention Program of all elevated blood lead levels per
Maryland Regulations.
     The children with elevated blood lead levels were not dropped from the study :but were
retained to monitor their lead levels.
 3.2   STUDY DESIGN
      The purpose of this project was to investigate the effects of removal and/or abatement
 of lead contaminated soil with respect to childhood lead exposure.  The hypothesis as stated
 in the nuU was:
      1. A significant reduction of lead (> 1,000 ppm) in residential soil accessible to
         children will not result in a significant decrease (3 to 6 /*g/dl) in their blopd lead
         levels.                                                             i
                                          3-2

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     Garden soil samples collected in Baltimore prior to the study and previous research
(Mielke, Chaney, 1982) suggested that soil lead levels could be decreased by 1,000 ppm
following abatement.  However, soil samples collected during the study indicated lead
contamination was less than previous  expected.  Of the 204 properties tested for the study,
only 110 (54%) had soil lead levels above 1,000 ppm. For the remaining houses, abatement
would not achieve 1,000 ppm decrease in soil lead levels.  In order to make use of the
voluminous amount of data collected in this project, the null hypothesis has been restated as
follows:
     la  A significant reduction of lead in residential soil accessible to children will not
         result in a statistically significant decrease in their blood lead levels.
     The final study design is illustrated in Figure 3-1.  If soil abatement was found to be
associated with significant reduction in blood lead, similar treatment was planned for the
control area.

3.2.1   Site Selection
     The sites for the project were selected based on the following criteria:
     1.  Identification as  a moderate  risk area for lead poisoning as  determined by number
         of hospitalizations  for lead toxicity, lead screening results and/or predictions based
         on the existence of risk factors.
     2.  Sufficient number of potential participants to test the hypothesis, based on birth
         rates, power analysis and predicted recruitment and attrition rates.
     3.  Areas of exposed soil thought to be contaminated with lead at high concentrations
         and accessible to children.
     4.  Pre-1950 central city houses in comparable condition as determined by drive-by
         exterior inspections and housing census  data.
     5.  Low livelihood of  concurrent lead paint abatement projects performed with other
         funding mechanisms.
     6.  Comparable socioeconomic class and other demographic indicators, as determined
         by census data.
     7.  Areas should be non-contiguous.
     8.  Areas should be residential,  single family housing and not near highways..
                                           3-3

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    Study Area
              Recruitment
     Biological
   Sampling X 3
 Blood Pb
   FEP
 Ferritin
Handwipe
                             Plant
                          Stabilization
 Soil Abatament
 (Onlyifsoil-Pb
  >- 500 ppm)
          Biological
        Sampling X 3
      Blood Pb
        FEP
     Ferritin
    Handwipe
                         Data Analysis
    Control Area
                                   Environmental
                                     Sampling
   Ext. Paint
    Water
     Dust
     Soil
                               Environmental
                                 Sampling
Soil
   Dust
Interior Paint
                                (If abatement is effective)
      Report
                                   Soil Abatement
                                                (Only if soil-Pb
                                                 >s 500 ppm)
                                                  Report
Figure 3-1. Baltimore study design.
                              3-4

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     Selection criteria applied to both the study and control areas.
     During the initial phase of development of this project an intensive effort went into the
development of area profiles for site selection. Census tract data and information on lead
poisoning cases (also by census tract) formed the basis for initial site identification. Field
data based on drive through evaluations of the candidate areas helped narrow the field based
on accessibility of soil, confounding lead sources and similarities between study sites in terms
of layout and housing type.
     Once the study sites had been identified, the boundaries of census tracts seemed
arbitrary and a decision was made to redraw the study neighborhoods based on homogeneity
and numbers of potential participants rather than the census tract borders.  This permitted the
inclusion and exclusion of portions of census tracts based on their actual identification with a
neighborhood. The use of neighborhoods avoided having to exclude families simply because
they lived on one side of the street outside the census tract.  It similarly avoided having to
include large areas with few children or little exposed soil.

3.2.2    Rationale for Study Site  Criteria
     Areas which were known to have no more than a moderate incidence of childhood lead
poisoning were desired to avoid the chance that other interventions would  influence the
child's blood lead level during the period of the study.  State of Maryland regulations require
an environmental evaluation and case management by the community health nurse,  in concert
with the primary care provider, for blood lead levels ^25 /ig/dl, the 1985 Centers for
Disease Control (CDC) action level for lead poisoning.  In addition,  the primary care
provider is required to  perform a thorough medical and nutritional evaluation.  Thus, medical
and environmental interventions act as confounding variables.  For the same reason, areas
that were expected to have lead paint abatement performed by other funding sources were
excluded from site consideration.
     Communities in which the residences had accessible yards with at least some exposed
soil were considered because the children would have an opportunity for exposure to
contaminated soil.  Single family housing with front and back enclosed yards were  desired
because of increased likelihood of children playing in the immediate vicinity of their home.
Although most housing of this type in Baltimore is row  or town houses, some communities
                                          3-5

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have a mixture of row housing and semi- or detached housing.  Houses built prior to 1950
tend to have the highest risk because of deterioration of lead paint over the years. !Such
properties are likely to be surrounded by soil contaminated with lead paint chips and dust
from deterioration of existing paint and from previous removal or renovation efforts.
     A further consideration in selecting study and control areas is that they should be non-
contiguous communities. This avoids confounding results from crossover with children
moving from one area to another. Baltimore neighborhoods tend to be close knit ;
communities with extended families frequently residing within a few blocks of each other.
Care of children is often shared with grandparents or other relatives living close by.
Although families of low income rental units move frequently, they seldom move more than
a few blocks away.
     Socioeconomic status and other demographics have been associated with blood lead
levels. Residential areas were selected to avoid the influence of heavy vehicular traffic and
heavy industry.

3.2.3    Prestudy Data Gathering
     In order to select suitable study and control areas, the project drew upon previous
studies and data sources and performed soil sampling from candidate sites in Baltimore City.
Since Baltimore had been the site of an extensive soil study in the past, (Chaney and Mielke,
1982) the results of this study were  used in the initial identification of possible sites.
     Baltimore City, like many older urban centers, has a large number of housing units
painted with lead paint.  A large body of information on patterns of lead poisoning in the city
from screening results, number of hospitalizations and previous studies were available in the
site selection process.  In addition, data sources on risk factors  such as socioeconomic status,
race, age, and housing were utilized.

3.2.4   Comparison of Study  Communities
     Based on the above information, the communities of Lower Park Heights and Walbrook
Junction were selected for the project sites.
     The comparability of these two neighborhoods was borne  out by baseline environmental
and biological data gathered in the course of the study.  Mean soil lead levels were slightly

                                          3-6

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higher for Walbrook Junction than for Lower Park Heights, but the difference was not
statistically significant (p = 0.08, two sample t test). All houses in both areas had lead-
based paint on the exterior.  The remaining variables of interior dust and water were
comparable for the two areas.  A comparison of community characteristics is found in
Table 3-1.
       TABLE 3-1. CHARACTERISTICS OF STUDY AND CONTROL SITES
                    AT TIME OF ENROLLMENT INTO STUDY
Lower Park
Heights
(study area)
Soil Lead Level
(Tri mean PPM, XRF
Analysis)
Dust Lead Level
Floors**
(XRF Analysis)
Exterior Paint
(Mean mg/crn)
Water - First Draw
(Mean /tg/1)
% Owner Occupied
Premises ***
Mean
S.D.
N*
Mean
S.D.
N
Mean
S.D.
N
Mean
S.D.
N
33.5

= 546
= 326
= 112
= 778
= 1287
= 115
= 4.71
= 3.95
= 109
= 7.83
= 15.85
= 133


Walbrook Junction
(control area)
660
384
92
775
985
97
5.01
6.15
94
5.66
9.89
112
45.9

Total
598
357
204
777
1156
212
4.95
5.08
203
6.84
13.5
245
38.7

 *N  =  Number of housing units
 **   =  Total dust per area sampled (4 feer)
 ***  =  At time of intervention
       Random allocation of the areas to study or control status was made, by the toss of a
 com, after the collection of baseline environmental and biological data to avoid selection
 bias.  Lower Park Heights was selected, in January 1990, as the study site where soil
 abatement was to be carried out.
                                         3-7

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3.2.5   Study Population
      Door to door recruitment in the areas was done to enroll study subjects.  Criteria for
participation in the project was based upon the following child characteristics:
      1.    Child must live in one of the selected sites.                                ,
      2.    Child must have lived in the same house for at least 3 continuous, months and
            the family had no plans to move in the next year:
      3.    Child must have been between 6 mo and 6 years of age at the time: of
            enrollment in the study.  Special emphasis was placed on recruiting children
            under 3 years of age.
3.2.6   Rationale for Study Subject Criteria
      Three month residency at the current address was requked to ensure that the child's
baseline blood lead levels reflect the current residence's environment. Intention to remain in
current residence was selected to minimize attrition following enrollment in the study.
Children were not excluded if they attended day care or were enrolled in pre-kindergarten
programs.
      Because of their increased vulnerability to the effects of lead, children between 6 mo
and 6 years were recruited.  There was a special interest to identify and recruit children
under the age of 3 years, because these children will be in the population at risk throughout
the study and still have a high degree of hand-to-mouth activity.  Children in this age group
also spend  more time in the home environment.
      During the enrollment phase of the study, no attempt was made to limit the number of
children recruited per housing unit.  Some of the housing units  contain 2 to 3 single mothers
with 1 to 2 children each.  There were also some parents  with several children and some
multi-generational families in which grand-mother and mother would each have a child in the
study. Throughout the study (rounds 1 through 6), the percent  of housing units with more
than one child remained consistent around 60 % and the number of housing units with up to
3 children averaged 93%.
                                          3-8

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3.2.7   Sample Size Calculation
      Sample size calculations were based upon the following assumptions:
      - the lead abatement intervention is the only change in the two populations
      - at least one-half of the properties would have soil concentrations high enough to
        warrant abatement,  so that the effect of abatement would be felt by at least half of
        the study area population (Ns)
      - a = 0.05 (one tail test)
      - 1-B  = 0.80 (power of test)
      - a « 42 (variance)  S.D. = 6.5 /tg/dl
                 = 3/tg/dl  (protocol)
      The sample size formula for control population is:
      Nc = (Za+ZK)2  a  (K+D/K
      Thus, in the control group Nc = 88 and in the study group Ns = 44.  It was hoped
that the study would have at least 200 participants in the study, 100 from each area.
To allow for 20% attrition each year over the three years of the study, it was decided to
enroll 400 participants at the beginning of the study.  (See actual attrition rates in section on
final study population.)

3.2.8    Comparison of Final Study Population
      At the time of enrollment into the study, children in Walbrook Junction were slightly
older than those in Lower Park Heights.  However,  at the time of round 3 blood screening,
immediately prior to the intervention, and for children who remained in the study for its
duration, the two groups were  similar in age.  There was no significant difference in the ages
between those that stayed in the study versus those that dropped before round 3 testing.
      The mean blood lead levels and ferritin levels were similar for the two populations
both at time of enrollment and at the time of round 3 testing.
      Socioeconomic level according to the  Holliiigshead Four Factor Index varied from the
time of enrollment into the study and round  3 of testing.  At the time of enrollment into the
study there was no statistical difference in the two groups socioeconomic level. However by
round 3, the socioeconomic level for Walbrook Junction was higher than that for Lower Park
Heights. Those  who dropped from the study in Lower Park Heights had a higher level of
                                         3-9

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maternal education than those who remained in the study.  This education difference in the
drop out group did not occur in Walbrook Junction.
      The characteristics of the final study population are presented in Table 3-2.
        TABLE 3-2. CHARACTERISTICS OF FINAL STUDY POPULATION
                        BASED ON ROUND 3 STUDY DATA
Lower Park
Heights
(study group)
Age in Months
Blood Lead Level
(pg/dl)
Ferritin Level
% Male**
% Black
% Class 5, SES***
Mean
S.D.
N*
Mean
S.D.
N
Mean
S.D.
N
N


= 47.2
= 22.3
= 154
= 11.1
= 6.5
= 154
= 23.5
= 18.7
= 148
52.6
= 152
100
49.8
Walbrook Junction
(control group)
50.1
18.8
116
10.2
5.4
116
22.9
14.7
107
40.4
114
100
51.9
Total
48.4
20.9
270
1.0.7
6.1
.270
23.3
17.1
255
47.4
255
100
50.8
*   N = Number of children enrolled in round 3.
**  p = 0.047.
*** According to Hollingshead Four Factor Index of Socio-economic Status.
3.2.9  Attrition and Retention
      In the first round of biological sampling held between August 22, 1999 and
December 2,  1988, 408 children were recruited into the study (212 in Park Heights or the
study area and 196 in Walbrook Junction or the control area). By round 2 held February 2,
1989 and August 15, 1989, 100 (24.5 %) children were lost to the project because of lack of
interest/refusal to participate or moving out of the study area. During round 2, 14 additional
children were enrolled in the study.
                                        3-10

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      Because of the time lag in implementing the paint stabilization and soil abatement, an
additional round of biological testing was conducted from January 22, 1990 to August 13,
1990, and prior to the interventions occurring.  At this time, 270 children were tested, a loss
of an additional 102  (31.6%) children. Once more, this loss was due primarily to moving
out of the area and refusal to participate or be tested.  An additional 50 children were
enrolled in the study during this time.  No new recruitment or enrollment occurred after this
round.
      At the beginning of round 3 and continuing throughout the study,  an intensive program
to retain study participants was conducted by the Outreach Coordinator and her assistant.
The focus of their campaign was to increase the participant's interest and commitment to the
project. This was achieved by increased personal contact with the participants and their
landlords (see section on Community Outreach).
      Interventions,  paint stabilization in study and control areas and soil abatement in study
area,  took place from April 27, 1990 through December 10, 1990. Round 4 biological
testing took place three months after the interventions between January 2, 1991 and
March 26, 1991.  Despite the above intensive efforts, 73 children (27%) were lost to the
study primarily because of refusal of the landlord to participate in the study.  An added
benefit to the increased contact and outreach activities was the shorter time period necessary
for each biological clinic because of less missed appointments.
      Round 5 biological testing occurred between May 22, 1991 and July  19, 1991.
One-hundred-ninety-three children were seen, an attrition rate of only 4% (8 children). Four
children who were tested in round 3 but were unable to come to round 4 were also seen.
      The final round of testing occurred from August 19,  1991 to September 30,  1991.
For this round 185 children were tested, with an attrition rate of 5.7% (11 children).  Once
more, 3 children who had been seen in rounds 3 and 4 but not round 5 were tested.
      The overall attrition rate for the project with an initial enrollment  of 408 children,
a loss of 294 children and an addition of 71 children was 54.6% (see Table 3-3 and
Figure 3-2).
                                          3-11

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     TABLE 3-3. ATTRITION AND RECRUITMENT ROUNDS 1 THROUGH 6
ROUND
1
2
3
TOTAL SEEN
408
322
270
ATTRITION
0
100
102
% LOSS
0
24.5
31,6
GAIN

14
50
  INTERVENTION
4
5
6
197
193
185
73
8
11
27.0
4.0
5.7
0
4
3
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                   BiHifii
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                       2
         Fall '88     Winter '89


 • 1991 Maryland DepL of tha Environment
   3
Winter '90
   4
Winter'91
   5           6
Spring '91    Summer '91
    Number of Children
Figure 3-2.  Recruitment and retention of participants.
                                       3-12

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3.2.10  Community Outreach/Public Relations
      The success of this project depended upon good relationships between the project and
the participants, as well as the maintenance of a positive image for the project in the eyes of
the communities directly impacted by the project.  This image depended not only on what
was done, but on how it was presented.  Public Relations and Community Outreach positions
were developed to create an awareness of lead hazards and the measures that reduce lead
exposure in general and the specific activities being undertaken as part of the project in
particular.

3.2.11  Public  Relations Officer
      The Public Relations Officer was responsible for marketing the project to the public,
especially the populations that directly contributed to the success of the project.
      Prior to the start of the project, The Maryland Department of the Environment began
to increase efforts in the public relations and awareness areas in order to lay the groundwork
for the project itself.  These activities included an opening ceremony press conference to
announce the award of the grant; the declaration by the Governor of Maryland designating
May 15 through 22,  1988, as Lead Poisoning Prevention Week, creating a forum for a
variety of publicity/education efforts; and the creation of a logo and slogan to increase name
recognition of the project.
      Once the study neighborhoods were selected, interaction with the neighborhood groups
escalated. Meetings were held with community organizations, political leaders and church
groups to enroll participants and with community and coalition groups to enlist support for
the project.
      Staff training in community relations was done to assure that the project maintained a
positive image in the community.  Tee shirts, jackets and caps with the project logo were
worn by all staff  in the field to increase project visibility.
      The Public Relations  Officer also made arrangements for media coverage  of the
project.  Television stations were contacted and arrangements  made for visits to  the
environmental and biological testing sites.  Continuing stories  on the project were  done by
two television stations in the area. A series of newspaper articles on lead hazards included a
section on the project.

                                         3-13        •       ,  '

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       Television and radio public service spot announcements were produced with the
 cooperation of a local community college's tele-communication students.  They were aired by
 the television and radio stations during the initial recruitment and enrollment period of the
 study.
       Some Baltimore landlords were hesitant to allow their rental properties to be in the
 study out of concern that participation in the study would leave them vulnerable to law  suits
 related to the possibility of lead poisoning.  The project solicited the cooperation of the
 Baltimore Property Owners Association (POA) to support the project among its members..
 Meetings were held with reluctant landlords both in groups and individually to explain the
 project and to decrease concerns related to liability.  The Project Manager spoke at POA
 training sessions concerning lead abatement of properties.  Letters were also sent to  all
 property owners with property in the study explaining the project and answering legal
 questions that had been raised.

 3.2.12 Community Outreach. Coordinator
      The Community Outreach Coordinator worked with the Public Relations Officer and
 the Environmental Health Aides in the recruitment and retention of participants in the study.
 The coordinator acted as a liaison between the communities in the study and the project.
 The Outreach Coordinator conducted training sessions with all project staff in outreach
 techniques and worked with them on how to handle difficult situations.  The Outreach
 Coordinator, Environmental Health Aides and other staff were then assigned to door-to-door
 recruitment at alternate hours (evenings and weekends) in addition to normal business hours.
 Every house in each community was contacted by someone in the study. If the mother of an
 eligible child was not at home on the first visit, literature on the project was left and a return
 visit was scheduled.  Within 3 mo, 408 children were enrolled into the  study.      !
      The Outreach Coordinator also met individually with landlords who were reluctant to
participate in the study to explain the project and the  benefits to the property owner.   Photos
 of before and after paint  stabilization were used to help convince rental  property owners of
 the benefits  of participation.  Of the properties enrolled in the study, 75% were as a direct
 result of this intensive person to person campaign.
                                         3-14

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       Once the subjects were enrolled, emphasis was placed upon keeping clinic
appointments and retention in the study. The Outreach Coordinator placed emphasis on the
positive aspects of the mother's concern for her child's present and future health.
       Additional recruitment took place prior to abatement in the study area because attrition
had been a problem, mainly due to families moving away.  Pre-abatement data (biological
and environmental) was collected on the new participants.
       In order to encourage the attendance by the participants at scheduled clinics, an
incentive plan was developed.  Children who had blood tests performed received a tee-shirt
and sticker with the project's logo. A variety of incentives were offered to the
parents/guardians for bringing their children to the clinic and included the following:
      •      One month passes on the Metro Transportation System for all mothers who
             brought their children in during a particular month.
      •      Food coupons to local grocery stores for mothers who brought their children in
             during a particular clinic.
      •      Coupons to be redeemed for turkeys at a local super market for all participants
             for Thanksgiving, 1989.
      •      Shoe coupons for children's shoes for children who attended a particular clinic
             session.
      •      Educational toys and books for all children who attended a particular clinic
             session.
      •      Social events (parties and skating events with refreshments and entertainment)
             for all participants and their family members who remained in the study.
      •      Drawings for prizes to family if child attended clinic on first scheduled visit.
      The Outreach Coordinator also worked with families to prevent eviction from houses
in which paint stabilization and soil abatement had been performed but biological monitoring
had not yet been completed.  She worked with landlords, social agencies and
church/community support groups to obtain assistance for the families in meeting their rent
and electricity obligations.  It was necessary to offer rent assistance to ten families in the
study area who were notified of eviction intent by their landlords.  This was a one time

                                          3-15

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payment and required attendance at a budget planning session conducted by the Outreach
Coordinator.
      At the completion of the study, vacuum cleaners were given to all households that
participated in the entire study.
                                          3-16

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                          4.  INTERVENTIONS
     Project Timeline presented in Figure 4-1.

4.1   ENVIRONMENTAL MEASUREMENTS AND ANALYSIS
4.1.1   SoH
     Soil sampling was conducted to characterize the potential exposure of participant
children to lead from the soil and to document the reduction in  soil lead levels following soil
abatement.  Initial soil sampling was started August, 1988. However, because of a drought
that year in the Baltimore area, the soil sampling was postponed until after the initial
enrollment and blood testing of participant children. Soil sampling resumed November,
1988, and continued through February, 1989, because of the unusually mild winter.  Follow-
up sampling was conducted within 1 week of soil abatement to  document the decrease in soil
lead levels.
     The soil  sampling and analysis protocol was developed in conjunction with the EPA and
the demonstration project teams from Boston and Cincinnati (see Appendix A).  A decision
was made to use X-Ray Fluorescence (XRF) for soil analysis following participation in the
Round Robin Study to evaluate the effectiveness of XRF analysis versus wet digestion
Atomic Absorption Spectrometry (AAS).
     The soil  sampling process is summarized below. The protocols for soil sampling and
soil analysis by XRF are  in Appendix A.  After a child  was enrolled into the study, a
detailed drawing was made of the property that showed  the boundary of the lot, the buildings
on the lot, the position of sidewalks and other paved areas, and the position of play areas,
if known.
     Using  the diagrams, composited soil samples were taken throughout the property.  The
large area pattern of soil  testing was utilized on most of the properties in the study. A  line
20 in. from the base of the foundation into the soil area and running the length of the
foundation was measured and marked with stakes. One composite sample was collected
along this foundation line and one was collected along the boundary if the yard was less than
 10 ft. wide.  If the property was more than 16 ft. wide, an additional composite sample was
                                         4-1

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               1988
                             1989
.1990
                                                                 1991
                                                                                1992
  Soil
  Sampling
  Paint
  Sampling
  Dust
  Sampling
  Wator
  Sampling
  Biological
  Sampling
  Paint
  Stabilization
  Son
  Abatement
                            I - Initial
     -Adjusted
- Control area
 if indicated
Figure 4-1.  Schedule of project activites.


collected midway between the foundation line and the boundary.  Ten randomly selected
15 cm. (6 in.) long core samples were collected on each line.
     From each core sample, the top 2 cm. and the bottom 2 cm. were put into separate
bags labeled "top" and "bottom".  The tops/bottoms from each line were composited and
identified as  a single sample.  All soil samples were transported to the State Of Maryland
Department of Health  and Mental Hygiene (DHMH) Laboratories Administration and
analyzed by XRF.
     Following soil abatement,  composite soil samples were taken from at least three sites
(foundation,  mid-yard and boundary) hi the abated areas of each property using the above
method.
                                           4-2

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4.1.2  Dust
     Household dust sampling was conducted to characterize the potential exposure of
children to lead from dust and to document whether there was any increase in interior dust
lead levels following paint stabilization and soil abatement.  The dust sampling was carried
out at the time of the initial environmental visit and within 1 week following soil abatement
in the study area.  In the control area,  second dust samples were collected after  stabilization
but with no time limit.
      The dust sampling protocol was developed by Dr. Thomas Spittler of Region I of the
Environmental Protection Agency. Based on the  recommendation of Dr. Spittler and the
results of the Round Robin Study, the study initially planned on analyzing all dust samples by
XRF. Because of difficulty with analysis of the small sample size (<50 mg.), it was
decided to analyze each sample first  by XRF and then by wet digestion AAS.  The dust
sampling protocol and each method of dust analysis is in Appendk A .
      For this study, the household dust samples were defined as the samples that represent
dust most likely to impact on a child's hands during indoor activity. During the
environmental visit, a sketch of the approximate layout of the residence was made and
 sampling sites were selected and indicated on the diagram. The areas targeted for dust
 sampling were the main entrance to  the household and the two areas most frequently used for
 play activities of the child or children.  Additional areas for sampling that could be selected
 include secondary entrances to the household, additional areas of activity frequented by the
 children, and sources  of accumulation of dust within the household (rugs and upholstered
 furniture).
      The Sirchee-Spittler Hand Held Dust Vacuum unit, which is a dust buster that had been
 modified to catch the dust sample in a fine mesh stainless steel screen, was used to obtain the
 samples.  At each sample site, a 4 x  4 foot sample area was measured and marked with
 masking tape.  The dust  sample was taken from the marked area.  The sample was
 transported in an upright sealed paper envelope to the DHMH Laboratory Administration for
 analysis.
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4.1.3   Water
     Household water samples were collected to characterize the potential exposure of
children to lead in drinking water.  First draw water samples were collected from all
drinking water faucets in the household by Environmental Health Aides.  Health Aides
visually inspected the sink area for indications of prior water use.  If water had been used
that morning, another appointment was made for water sample collection. If unable to obtain
a first draw water sample after two tries, a non-first draw sample was collected. This was
indicated on the sample sheet and in the data file. The samples were transported to DHMH
Laboratories Administration for analysis.  The water collection and analysis protocols are in
Appendix A.

4.1.4  Exterior Paint
     Exterior paint samples were collected to determine the contribution of exterior paint to
the soil lead level at the time of the first environmental visit.  Sample locations of painted
surfaces that were peeling, chipped or cracked were identified. A sample approximately
2.0 in. in diameter of all paint down to the substrate was obtained from each exterior surface
that was chipping or peeling.  This sample was taken to DHMH Laboratories Administration
for analysis by XRF. The exterior paint sampling and analysis protocols are in Appendix A.

4.1.5  Interior Paint
     At the end of the biological sampling, portable XRF analyzers were used to identify
interior lead paint to characterize the exposure to ulterior leaded paint.  Measurements were
taken in the child's bedroom, kitchen and living room or other area identified by the parent
as a primary child play area.  One measurement was taken in each room on a painted wall
surface and one on a painted  wood surface (window, door frame).  The sites of measurement
were indicated on a sketch of the room. The interior paint sampling protocol is in
Appendix A.  Information on interior lead paint was shared with the Baltimore City Health
Department LPPP.
                                          4-4

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4.1.6   Quality Assurance for Soil and Dust Sampling and Analysis
     A quality assurance plan for the sampling and analysis of environmental samples was
developed by the Baltimore Soil Lead Abatement Demonstration Project and the State of
Maryland Department of Health and Mental Hygiene Laboratories Administration.  (See
Appendix A) It includes a description of the proper procedures for sampling, sample custody,
equipment calibration and analysis,  internal quality control checks and corrective actions.
     The laboratory also participated in an external quality control plan for soil and dust
analysis that was supervised by Dr. Harold Vincent of EPA/EMSL Las Vegas.  Audit
samples for soil and dust were developed by EMSL and inserted in the analysis stream by the
Environmental Coordinator (Appendix B).  The project is awaiting final biweight
distributions for the soil and dust audit samples from EMSL to determine fraction of results
outside of the analytical acceptance windows at the 95 % prediction interval.  The windows
are to be derived by EMSL using a modification of the EPA's biweight program.  These
windows will apply to the XRF and AAS determination of lead.   Lead values outside the
given ranges for the audit sample will affect assignment of a flag for data obtained for the
related sample group.
4.2   DEMOGRAPHIC AND BEHAVIORAL QUESTIONNAIRE
     Within 1 week of enrollment, each child was scheduled for baseline blood testing and
data collection. These were performed at space donated by The Liberty Medical Center for
the Lead in Soil Clinic.  The Biological Coordinator and staff (all Registered Nurses with
public health experience) administered a questionnaire to the child's parent/guardian or
primary care giver.  The questionnaire was designed to (1) collect demographic information
to characterize the study population and (2) assess behaviors and other factors that influenced
the child's contact with various sources of lead.  Drs. Katherine Farrell and Julian Chisolm
initiated the development of the questionnaire. Dr. Edmund Maes of the Centers for Disease
Control reviewed the questionnaire and his comments were incorporated into the final copy.
Copies of the questionnaire are included in Appendix E.
     Two questionnaires were utilized in the course of the study. The first questionnaire
obtained data on the child's previous health status. It was felt that this information would

                                          4-5       .

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not change over time and the data was not .gathered on subsequent visits to the clinic. The
follow-up questionnaire was administered at all remaining blood collecting sessions to verify
demographic data and to identify behavioral changes over time.
     The interviewing staff was supervised by the Biological Coordinator. Each interviewer
was observed during the first few interviews and at regular intervals throughout each
screening session.  Immediate feedback was given.  The Biological Coordinator was  available
for guidance and interpretation  of questions/responses throughout each screening session.
The original Biological Coordinator remained with the study for its  duration.
4.3   BIOLOGICAL SAMPLING AND MEASURES
     Blood samples for blood lead level (whole blood), free erythrocyte protoporphyrin
(FEP), ferritin and total iron binding capacity (TIBC) and hand wipes for lead were collected
6 times throughout the study. The FEP, ferritin, and TIBC were collected as nutritional
status indicators.  All biological sampling took place at the clinic site donated by Liberty
Medical Center. The sampling schedule for blood and handwipes was the same for the study
and control groups and was as follows:
     ROUND                DATES OF SAMPLING SESSIONS/INTERVENTIONS
     Pre-abatement
       1                     August 22, 1988 to December 2, 1988
       2                     February 2, 1989 to August 15, 1989
       3                     January 22, 1990 to August 13, 1990
     Interventions
     Paint stabilization  in study and control areas
                              April 27,  1990 to November 10, 1990
     Soil abatement in study area
                              September 4, 1990 to December 10, 1990
     Post-abatement
       4                January 3, 1991 to March 26, 1991
       5                May 22, 1991 to July 19, 1991
       6                August 19, 1991 to September 30, 1991
                                         4-6

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4.3.1   Blood
     During the blood sampling, approximately 5 ml of blood was drawn from the
antecubital vein by a trained pediatric phlebotomist.  Two ml of blood were utilized for
blood lead level and FEP analysis.  The remaining blood was centrifuged in the clinic and
the plasma extracted for ferritin and TIBC analysis.  All blood samples were cooled at
collection and were transported to the State of Maryland Department of Health and Mental
Hygiene Laboratories Administration (DHMH) Laboratories Administration within 24 h of
collection.
     All laboratory results were reviewed within one day of receipt from the laboratory and
health care providers were notified of the results.  If the blood lead level was 25 /^g/dl or
higher, the child was referred to the Baltimore City Health Department Lead Poisoning
Prevention Program and followed according to Maryland state law.  During the course of the
study, no  environmental or medical interventions were reported by the parent/guardian.
     All blood analysis was performed by the DHMH Laboratories Administration
personnel. The laboratory meets stringent performance criteria including experience in
performing biologic analysis for health  studies, participation in proficiency testing programs,
continuous OSHA certification and a detection  limit of 1  /*g/dl for blood lead.
     DHMH Laboratories determine blood lead levels using graphite furnace atomic
absorption (Pruszkowski, Cornick,  and Slavin,  1983) and FEP using double extraction
method (Chisolm and Brown, 1975). Ferritin was determined by Abbott's Ferricyme
Enzyme Immunoassay (Forman and Parker, 1980) and TIBC by Radioactive Energy
Attenuation (REA) using Abbott TDX analyzer (Shaffar and Stroupe, 1983).

4.3.2   Hand Lead Determinations
     Hand wipe samples were obtained each time blood samples were collected. Health
Aides were trained and supervised  by the Biological Coordinator in the proper hand wipe
collection protocol (see Appendix A).  To assess the extent of any contamination during
sampling, six wipes from each container opened were handled to simulate wiping the child's
hands.  These were analyzed to determine background wet wipe lead levels.
     Each set of hand wipes was transported to DHMH Laboratories Administration for
analysis.  The Cincinnati perchloric acid analysis of hand wipes protocol was utilized for

                                          4-7

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rounds 1 and 2 of screening.  However, damage to the laboratory exhaust system by the
acid, precluded further analysis using this methodology, therefore, starting with round 3 and
continuing for subsequent rounds, 1M hot HNO3 was used in analysis (see Appendix A).
The total quantity of lead was reported in /*g per pair of hands.
     In order to address concerns that some parents  might wash children's hands before
bringing them to  the clinic, elbow wipes were collected for comparison in round  1.  This
decision was based on the premise that mothers might wash the child's hands but not wash
the whole arm up to the elbow.  The resulting analysis found no indication that children's
hands had been recently washed.  Elbow wipes were not used in subsequent rounds.

4.3.3   Quality Assurance and  Control for Blood Lead Measurements
     The State of Maryland DHMH Laboratories Administration maintained strict internal
quality control for their blood lead analysis. Calibration curves are composed of a minimum
of a blank and three standards.  A calibration curve is made every hour of continuous sample
analysis.  A minimum of one blank per sample batch was analyzed to determine if
contamination or any memory effects  were occurring.  Check standards  were analyzed after
every 15 samples.   One duplicate sample was run for every  10 samples. A duplicate sample
is a sample brought through the whole sample preparation process.  Spiked samples or
standard reference materials were periodically employed to ensure the correct procedures
were followed and that all equipment was operating correctly.
      The laboratory also participated in the external quality control system for blood analysis
developed and overseen by Dr. Daniel Paschal of the Centers for Disease Control.  The
project followed the guidelines of the CDC quality assurance standards (Appendix B).
Analysis of Baltimore's bench and blind data by Dr. Paschal indicated that there were no
statistically significant trends with time and that the laboratory  detection limits were
appropriate and precise (see Appendix B).
      The protocol also includes the results of the initial characterization of the four whole
blood pools used in this project.  Each laboratory was individually compared as to within-run
precision, among runs precision and total precision.  The laboratory detection limits, using
 the definition of the limit of detection as 3 SD (wr) developed  by Winefordner, were also
 compared.  The conclusions stated by CDC were that:  (1) comparable  values were obtained

                                           4-8

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 in all laboratories, (2) laboratory data for blood lead were produced from analytical systems
 in statistical control  (as defined by Shewhart); and (3) no statistically significant time trends
 were observed in the data (i.e., the difference in pre- and post-abatement blood lead values
 are real and not the  product of unstable analytical systems) (Centers for Disease Control,
 1991).
 4.4  DETAILED DESCRIPTION OF THE INTERVENTIONS
 4.4.1   Exterior Paint Stabilization
      Houses with exterior leaded paint in both the study and control area received exterior
 paint stabilization during the summer and fall of 1990.  Paint stabilization consisted of wet
 scraping the chipping, peeling lead paint followed by HEPA (High Efficiency Particle
 Accumulator)-vacuuming the area to capture the leaded paint chips and dust. Paint scrapings
 and debris were sealed in plastic bags at least 6 mils thick and disposed of in a municipal
 landfill according to the regulations in COMAR 26.02.07.07.  A primer and 2 coats of latex
 paint were applied to all painted surfaces within 48 hours of the scraping and vacuuming.
 The purpose of the paint stabilization was to safely remove or encapsulate any chipping,
 peeling paint to prevent re-contamination of the abated soil.
        Precautions were taken to avoid contamination of surrounding areas by covering the
 immediate ground and neighboring porches and yards with protective plastic; taping all
 windows and doors of the house, and strict worker safety guidelines.  Occupants of
 neighboring properties were contacted, given an explanation of the activities and requested to
  stay out of the work area and to keep their doors and windows closed. These activities were
  monitored by project staff to ensure the safety of the participating family, neighborhood
  residents, and workers.
       Residents were encouraged not to be on site during this process.  To provide the
* "families with somewhere to go during the paint stabilization process, space was obtained at a
  local community center for the duration of the interventions.  Families were transported to
  and from the center in project vans, were provided age appropriate activities throughout the
  day and were fed a snack or lunch, depending upon the time frame, while there.
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4.4.2   Soil Abatement
     Soil was abated in the study group during the summer/fall of 1990, within 1 week after
the paint stabilization of the house.  Detailed diagrams were made of each property (see
Figure 4-2) with fixed boundaries such as fences, hedges, sidewalks  and house foundation
indicated.  These boundaries defined areas which were identified as area A, B, C,  etc.  Each
area was treated as a unit in the soil abatement process.  If the area/unit had soil sample
results of greater than 500 ppm lead, the entire area was abated.  Separate areas of the
property which had sample results less than 500 ppm were not abated.  Thus, if area A as
defined by the house, 2 sidewalks, and side fence was the front yard and had one or more
soil lead levels greater than 500 ppm, the entire area was abated.
      The purpose of the soil abatement was to remove lead contaminated soil on the study
properties and to provide a barrier between lead contaminated soil and the child.  Abatement
was performed by removal of the top 6 in. of ground coverings and soil.  This soil was
replaced with previously tested soil containing less than 50 ppm lead.  The replacement soil
was analyzed for the contractor for lead and other metals by an independent laboratory
(Business Industrial Safety Supplies [BISS] in Baltimore, Maryland)  using wet digestion
AAS.
      The area was then sodded or seeded depending upon characteristics of the site.
Families were given printed material on how to care for their newly abated lawns.  Areas of
bare soil with lead levels less  than 500 ppm were prepped and seeded to provide ground
cover.  If the properly did not have exterior water access, the sites were watered weekly by a
private contractor during the summer dry spells.
      Residents were discouraged from being on site during the soil  abatement process.  The
temporary relocation to a community center described above was utilized.
                                                                             j
4.4.3   Abatement Costs
      The costs of paint stabilization and soil abatement activities are included primarily as  an
indication of feasibility for other investigators and for public health  interventions.  It should
be stressed,  however,  that costs are likely to vary greatly between areas and from project to
project based on local factors, constraints on purchasing and procurement, and the size of the
proposed abatement.
                                                                             ii
                                          4-10

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                       20'-0n
                      CONCRETE WALK
     g
2572 DRUID PARK DRIVE
(2 STORY ROW HOUSb)
J
     CURB
 DESCRIPTION
 ABATEMENT METHOD : REMOVE AND DISPOSE OF TOP 6 INCHES OF SOIL,
                      REFILL WITH "CLEAN" MATERIAL AS SPECIFIED.
 AREA:"A" = 336SF
        "B"= 67 SF
        "Cn = 414SF

 COVER: COVER AREAS "A"
          THRU "C" WITH SOD
Figure 4-2.  Typical property diagram.
                     STATE OF MARYLAND

               DEPARTMENT OF THE ENVIRONMENT
               LEAD PAINT STABILIZATION PROJECT

                      IN BALTIMORE CITY
                             4-11

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      Costs can be broken down into those for exterior paint stabilization and those for soil
abatement.  Further breakdown indicates costs related to sampling, analysis,
stabilization/abatement and replacement of soil with landscaping.  These costs reflect the
unique conditions under which the abatements were conducted for the study.
      The study incurred a variety of costs that may or may not be applicable to other
projects.  These included costs related to mowing grass and removing debris before work
could start ($10,010.00), watering newly sodded or seeded yards  during 1990 summer
drought ($6,000.00), alternate housing during the paint stabilization and soil abatement phase
($2,388.33) and food for participants and families while in alternate housing ($205.00).
Many of these expenses would not be applicable to  the activities taken as part of the
environmental management of a child with elevated blood lead levels.           ;
      Four contracts were ultimately developed for the purpose of the exterior paint
stabilization in both areas and soil abatement in the study area.  Because of the lack of
experience within the project with contract development related to these activities, contracts
1, 2, and 3 were developed by the Beavin Company Architectural/Engineering (A/E) firm  for
$39,715.38.  The firm reviewed contract 4 for the project for $411.33.  The total cost for
the development of the four contracts was $40,126.71.  Based upon experience in this area,
this cost may  not be applicable in future soil abatements in this or other communities.
      For the exterior paint stabilization of 125 houses in the study and control houses the
average cost per house was $3166.41 with a range of $366.00 to $5178.00.  The total cost
for exterior paint stabilization was $248,087.29.  Table 4-1 presents a detailed cost
breakdown for paint stabilization.  (See Appendix H for bid schedule of units covered in
contract.) Force account work for repair, removal  or replacement of painted surfaces  such
as porches or  steps cost an additional $6,858.43.                           ;         '
     The average cost per house of soil abatement in the study areas was $2163.39 with a
range of $600.00 to $4891.33.  For the 63 houses in the study area, the total cost of soil
abatement was $136,293.62.  Table 4-2 presents a detailed cost breakdown for soil
abatement. Additional costs of $2516.74 covered force account work such as removal and
replacement of fences.
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               TABLE 4-1.  BALTIMORE PAINT STABILIZATION
1.    Paint Sampling and Analysis

     Labor, Sampling 125 properties                            $ 2,820.00
     Sample Collection Knives                                     160.03
     Sample Collection Envelopes                                    72.98
     Miscellaneous Supplies                                        200.00
     Analysis of approximately 858 exterior samples                 8580.00

     Total Paint Sampling and Analysis                           11,833.01

2.    Contract Development and Supervision

     Engineering Design and Supervision                        $20,063.36

     Salaries
     Administrative Contract Specialist (6 mo)                     12,000.00
     4 Enviornmental Health Aides (6 mo)                        29.800.00

     Total Contract Development and Supervision                  61,863.36

3.    Stabilization Contracts

     Mobilization                                              65,018.00
     125 Properties @ $1,984.70 Each                          248.087.29

     Total Stabilization Contracts                               313,105.29

4.    Miscellaneous Extra Costs
     Pre-Stabilization Yard Cleaning
     Total Miscellaneous  Extra Costs                             9.000.00

     BALTIMORE PAINT STABILIZATION GRAND TOTAL   $395,801.66

     Total Stabilization Contract Work 125 Properties            $248,087.29
     Average Cost Per Property                                 $3,166.41
     Average Cost for Windows Per Property                       $511.00
     Average Cost for Doors Per Property                          $ 89.00
     Average Cost for Other Exterior Work                       $1,055.86
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             TABLE 4-2. BALTIMORE SOIL ABATEMENT
Soil Sampling and Analysis

Labor, Sampling 70 properties
4 Core Sampling Tubes @ $507.08 each
4 Core Sampling Tubes @ $57.87 each
1200 Polyethylene Bags @ $646.80 per 1000
Miscellaneous Supplies
Analysis of 4330 samples
EPTOX Analysis 70 properties

Total Soil Sampling and Analysis

Contract Development and Supervision

Engineering Design and Specification

Salaries
Environmental Coordinator (6 mo)
2 Environmental Health Aids (6 mo)

Total Contract Development and Supervision

Abatement Contract

Delineation 70 © $600.00 each
63 Properties @ $1,478.43 each
70 Properties (<500 ppm) Landscape Work

Total Abatement Contract

Miscellaneous Extra Costs

Pre-Abatement Yard Cleaning
Vehicle Storage During Abatement
Hoses and Sprinklers
Post-Abatement Yard Maintenance

Total Miscellaneous Extra Costs
             $ 1,656.00
               2,028.30
                231.48
                776.16
                211.71
              43,300.00
               9.520.00

              57,723.65
             20,063.36
             16,000.00
             16.000.00

             52,126.71
             42,0(30.00
             93,141.09
             14.394.29

            149,535,38
              1,010.00
                490.00
                 50.00
              6.000.00

              7,550.00
BALTIMORE SOIL ABATEMENT GRAND TOTAL
           .$245,222-41
Total Abatement Contract Cost for 63 Properties

Average Abatement Contract Cost for 63 Properties

Average Total Cost Per Property (63)

Total Cubic Yards Soil Abated

Cost Per Cubic Yard of Soil Abated

Total Cubic Yard Soil Replaced
           $136,293.62

             $2,163.39

            $ 3,892.42
902.04 CY
964.78 CY
              $ 341.93
                                     4-14

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                                5.  ANALYSIS
5.1  DATA COLLECTION AND MANAGEMENT
     Within the project, data were generated and maintained in distinct groups:
environmental (pre-abatement soil, dust, exterior paint, and water analysis and post-
abatement soil and interior paint analysis), biological (blood and hand lead analysis), and
questionnaire data.  Two of the three data groups, biological and questionnaire, were
repeated every time blood was  drawn.  Each blood sampling is referred to as a round.  There
were six rounds in the study.  Within the environmental data set, soil and dust samples  were
obtained before and after abatement. Interior and exterior paint, and water samples were
obtained once through-out the study prior to abatement.
     Data from the laboratories and the questionnaire were coded onto data entry forms.
The original report sheets and questionnaires were stored in separate files.
     Quality control and assurance measures included checking all completed questionnaires
and forms manually for accuracy  and completeness.   Standard data entry validation tools
(double entry, range checks,  etc.) were used for all data sets  created through data entry.
Any problems were resolved on an ongoing  basis. Data was backed up daily and archived
weekly in an off-site location.
     The study data base consists of data files that were created by data entry using the
dBase M database management system.  All dBase HI files were converted into Statistical
Analysis System (SAS) data sets for data management and analysis.
     Information can be combined from various files by the use of the key fields of PROPID
and ID. PROPID is the unique seven digit identifier for a property in the study and ID is the
unique three digit identifier for each child.  All  the Environmental  databases contain the
PROPID and all Biological databases contain the ID  fields. The Questionnaire database
contains both the PROPID and  the ID fields  and is, therefore, the link between the Biological
and Environmental data files.  All files can be merged through the  Questionnaire files.
     A more detailed description  of the data management plan is included in Appendix C.
                                         5-1

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5.2   RESULTS
5.2.1    Effect of Soil Abatement
     Soil abatement in Baltimore, while effective in reducing surface lead levels to, 0 to
50 ppm, did not achieve the desired decrease in soil lead levels of 1,000 ppm.  This is
because of the lower soil lead levels encountered prior to abatement. The average decrease
in soil lead levels was 550 ppm (using tri mean measure).  Based on the literature, the
expected decrease in blood lead levels related to this magnitude of soil lead decrease might
have been in the 1 to 3 /tg/dl range.  However, even prior to abatement, a relationship
between soil lead levels and blood lead levels for the children in the study was not found.
This may be because the soil contamination in Baltimore was clearly related to proximity to
lead painted surfaces of houses and was not uniform as it would be in cities  where the source
of lead was air deposition from a stationary point source, such as, a smelter.
     The soil lead concentrations decreased with distance from the house. These areas might
have been preferred as play areas for some children.  Although the study included data on
                                                                             f'
time spent outdoors and/or at other properties,  insufficient information was available to
distinguish between time spent playing within 2 ft. of the house or farther away.
     The abatements were carried out on the immediate property included in the project.
Most abatements were of single properties in an area with few abatements carried out  on
several contiguous properties.  Very few (1 or 2) children used public playgrounds!for play.
These tended to be older children and the play areas were surfaced with concrete rather than
soil.
     The properties in the project generally had enclosed yards.  This allowed for little
crossover to "next-door" yards for play. The front yards were more likely to be open, but
children usually played in enclosed areas.  Even the open yards tended to have clearly
demarcated property markers (i.e., hedges and small fences between properties).

5.2.2    Relationship to  Blood Lead Level
     Statistical analysis of the data from the Baltimore Lead in Soil Project provides no
evidence that the soil abatement has a direct impact on the blood lead level of the children in
the study.  The analysis to date has consisted of an unadjusted analysis and analysis adjusting
for selected covariates.  Both analyses indicate no  significant difference between the abated

                                          5-2

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area and the control area insofar as blood lead levels are concerned.  The principal reason
for this finding appears to be the low levels of soil lead found in the area under study.
                                           5-3

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                          6.  DATA ANALYSIS
6.1   VARIABLE SELECTION
     The purpose of the statistical analysis was to investigate the relationship between a
child's blood lead concentration, and the measurable sources of lead that the child was
exposed to during each round of sampling.  These models were then used to determine
whether or not the experimental treatment of removing contaminated soil had any impact on
the blood lead concentration of the children involved in the study.  The models that were
selected for presentation in this paper excluded many of the variables that were measured
throughout the experiment.  A list of all the variables measured during the experiment can be
found in the Data Management Plan in Appendix C.  Following is a rationale and brief
description for the variables that were used  in the analysis.
6.2   BIOLOGIC VARIABLES AND VARIABLES FROM THE
      QUESTIONNAIRE
6.2.1   Blood Lead
     Blood lead concentration, as measured in micrograms of lead per deciliter, was
designated as the response variable in the multiple linear regression models. The distribution
of blood lead concentration was skewed to high values in each of the sampling rounds
throughout the experiment.  This made it necessary to pursue an appropriate transformation
of the blood lead data to make its distribution appear more normal.  The natural log
transformation was selected, thus inferences from the regression models can be interpreted in
terms of the geometric mean of the blood lead. The distribution of the original and log
transformed blood lead concentration for each round is presented in Figures 6-1 to 6-6.

6.2.2   Hand Lead
     Similar to the distribution of blood lead, hand lead measured  in micrograms of lead per
hand wipe sample had a distribution that was skewed to high values in each sampling round.
                                        6-1

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    25 -
    20 -
          1   35   7   9 11  13 15 17 19 21  23 25 27 29 31  33  35 37 39 41  43  45 47 49




                                Blood Lead (ng/dl)
          25 -I
               0.1  0.3 0.5 0.7 0.9  1.1 1.3  1.5 1.7 1.9 2.1 2.3  2.5 2.7 2.9 3.1 3.3 3.5 3J7 3.9
                                Log Blood Lead (ng/dl)




Figure 6-1.  Normal and log-transformed distributions for blood lead, Round 1.
                                         6-2

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           1  3  5   7   9  11  13 15  17  19  21 23  25  27 29  31  33 35  37  39  41  43  45  47  49
                                      Blood Lead (ng/dl)
           25 H
               0.1 0.3 0.5  0.7 0.9  1.1  1.3  1.5  1.7 1.9  2.1  2.3 2£  2.7  2.9 3.1  3.3 3.5 3.7 3.9
                                    Log Blood Lead (ng/dl)

Figure 6-2.  Normal and log-transformed distributions for blood lead, Round 2.
                                             6-3

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         1  3   5  7  9  11  13  15 17 19  21  23  25 27  29  31 33 35  37  39  41  43 45 47 49



                                    Blood Lead (ng/dl)
   CD


   I
    Q
   o.
25 H





20




15





10-





 5 -
              0.1 0.3  0.5 0.7 0.9 1.1  1.3 1.5 1.7  1.9  2.1  2.3 2.5  2.7  2.9 3.1  3.3  3.5  3.7 3.9
                                    Log Blood Lead (jig/dl)


Figure 6-3.  Normal and log-transformed distributions for blood lead, Round 3.
                                             6-4

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           1357
11  13  15  17  19  21 23  25 27 29  31  33 35  37 39  41  43 45 47 49
                                     Blood Level (ng/dl)
         25 H
             0.1  0.3 0.5  0.7  0.9  1.1  1.3  1.5  1.7 1.9  2.1   2.3 2.5  2.7  2.9  3.1  3.3  3.5  3.7 3.9




                                 Log Blood Level (ng/dl)






Figure 6-4.  Normal and log-transformed distributions for blood lead, Round 4.
                                             6-5

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         25.1
              1   3  5  7   9   11  13  15 17 19  21  23  25 27 29  31  33  35  37  39  41  43 45 47 49

                                       Blood Level (ng/dl)
             25 1
       I
       Q>
       EL
                  0.1  0.3 0.5  0.7  0.9  1.1  1.3  1.5 1.7 1.9  2.1  2.3 2.5  2.7  2.9 3.1  3.3  3.5 3.7 3.9
                                   Log Blood Level (ng/dl)
Figure 6-5. Normal and log-transformed distributions for blood lead, Round 5;
                                              6-6

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           1   3  5  7   9  11  13 15  17  19  21 23  25 27 29  31  33 35  37 39  41  43 46 47 49


                                     Blood Level (ng/dl)
    
    CO
    §
    
-------
The natural log transformation was once again selected for this variable. The distribution of
the original and log transformed hand lead is presented in Figures 6-7 to 6-12.

6.2.3   Age
     The age of each child was measured in years to the nearest decile for use as a covariate
in the multiple regression models.  The distribution of age seemed approximately uniform
throughout the experiment. Age is known to have an effect on both blood lead and hand
lead, although this effect may not be functionally linear.  Age was therefore broken into four
groups [(0-1), (1-2), (2-3), and (3+)] for use as covariates in the regression models.
Dichotomous indicator variables were fit in the regression models for the first three age
groups, and a linear term for age was included in the models  for those children who were
older than three years.

6.2.4   Socioeconomic Status
     SES as measured by  the Hollingshead Four Factor Index (Appendix F) was computed
for the family of each child in each round of sampling based on questions from the parental
interview.  The measure of SES was then averaged for use as a covariate.  The distribution
of SES is presented in Figure 6-13.

6.2.5   Season
     Season is a dichotomous variable indicating whether or not the blood sample was drawn
between the months of November and March. This variable was included in the regression
models because children in Baltimore do not typically spend much time outside during the
winter months, thus the lead exposure sources may change with season.  It has also been
                                                                             I
documented that the blood lead concentration of children is usually higher in the summer
months.  Another approach to adjusting for seasonal variation within regression models is to
include a fourier transformation of the sample date.  This approach would be useful in a
longitudinal analysis of the data set, but there is not enough seasonal variation within each
                                                                            . !
round of sampling to justify this approach in the cross sectional models.
                                          6-8

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             0   5  10  15  20  25  30 35  40  45  50  55  60 65  70  75  80  85 90  95  100
                                          Hand Lead (jig)
 0>
       25
      20
       15 -
 0-    10 -
       5  -
           0.1 0.3 0.6 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9
                                    Log Hand Lead
Figure 6-7. Normal and log-transformed distributions for hand lead, Round 1.
                                              6-9

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    CD
    en
    .2



    I
    £
              0  5  10  15  20 25  30 35  40  45  50  55  60 65  70  75  80 85  90  95  100


                                        Hand Lead (jig)
          0.1 03 0.5 0.7 0.9 1.1 1.3 IS 1.7 1.9 2.1  2.3 2.5 2.7 2.9 3.1 33 3.5 3.7 &9 4.1 43  4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9



                                    Log  Hand Lead (p.g)
Figure 6-8. Normal and log-transformed distributions for hand lead, Round 2.
                                            6-10

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1

1

-------
              0  S  10  15  20  25  30  35 40  45  50 55  60 65  70   75  80  85  90 95  100


                                            Hand Lead
      25 -,
 CD
 PJ






 I
           0.1  03 O.G 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3J5 3.7 33 4.1 45  4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9



                                           Log Hand Lead
Figure 6-10. Normal and log-transformed distributions for hand lead, Round 4.
                                             6-12

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                5  10  15  20  25  30  35 40  45  50  55  60  65  70  75   80  85 90  95  100
                                            Hand Lead
 O)
      25  1
      20
      15  H
      10  -
           0.1  0.3  0.5 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1  4.3 4.54.74.9 5.1 5.3 5.5 5.7 5.9
                                           Log Hand Lead (pg)
Figure 6-11. Normal and log-transformed distributions for hand lead, Round 5.
                                             6-13

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             0  5   10152025303540455055606570  75  80859095  100
                                         Hand Lead
      25 -


      20 -

 f   15 -I

 1
 CL   10 '

       5 -
           0.1  03 0.6 0.7 05 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 55 5.5 5.7 5.9
                                          Log Hand Lead
Figure 6-12. Normal and log-transformed distributions for hand lead, Round 6.
                                            6-14

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      0)
      9
      g
      (D
     Q_
            25
            20
15
10
             5
                  0   5   10  15  20  25   30  35  40   45  50   55   60   65
                              SES - Hollingshead Index
Figure 6-13. Distribution of SES scores using Hollingshead Index.
6.2.6   Mouthing Behavior

     Mouthing behavior is a dichotomous variable created by combining the parental
response from the following two questions in the questionnaire:


401. How often does the child put her/his fingers in her/his mouth?

     1  = a lot             } SOME
     2  = just once in a while}
     3  = almost never       } NEVER
                                     6-15

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402. How often does the child put toys and things that are not food into her/his mouth?
     1 = a lot              } SOME
     2 = just once in a while}
     3 =» almost never       } NEVER                                      :

                                                    ^	FINGER 401
                        TOYS         SOME
 Mouthing Behavior =?   402           NEVER
STRONG
WEAK
WEAK
WEAK
     This variable was designed to be used as an effect modifier in the regression model.  It
allows the differences in the effect of hand wipes on blood lead according to mouthing
behavior to be seen.
6.3   ENVTRONMENTAL VARIABLES
6.3.1  Abatement
     This is a dichotomous variable which indicates whether or not the property received the
experimental treatment of soil abatement following the third round of biological sampling.

6.3.2  Soil Lead
     Many top-soil samples were taken from each property and analyzed for lead content by
the method of X-ray fluorescence in units  of micrograms of lead per gram of soil.  The XRF
analysis result was multiplied by the constant derived for Baltimore from the IntercaUbration
Study conducted by the EPA and cities involved in the study (Appendix G).
     Combining the measurements of these samples into a single soil exposure variable for
each property was necessary for use as a covariate in the statistical models.  The number of
                                                                           i
soil samples collected differed from property to property, based both on the  size of each
yard, and the number of defined areas in the yard available for sampling.
     Summary statistics of the lead concentration measurements of surface soil were
produced for each property. They are as follows:
                                       6-16

-------
 1) Mean         4) Upper Quartile        7) Foundation Median
 2) Median       5) Lower Quartile        8) Foundation Maximum
 3) Maximum     6) Foundation Mean
These summary statistics were used as variables in a principal components analysis, to find
which ones characterize most of the variability of soil within a property. This analysis led to
the selection of the tri-mean of soil lead concentration as a covariate for the regression
models where,

     Tri-Mean = (Lower Quartile + 2*Median + Upper Quartile) / 4

     The distribution of soil lead concentration for both treatment and  control groups is
displayed in Figures 6-14 and 6-15.

6.3.3   Dust Lead
     Interior dust samples were collected from several different rooms in each child's home.
Each dust sample was weighed in units of milligrams per surface area sample (16 ft2), then
analyzed for lead concentration by method of X-ray Fluorescence (ppm) and then later
measured by Atomic Absorption Spectrometry (ppm).  The dust results were also multiplied
by the appropriate constant for Baltimore derived from the Intercalibration Study
(Appendix G).
     Once again, the problem of combining these samples into one variable which indexes
lead content in interior dust of a given property arose. The mass of dust collected in each
sample was highly variable, making it difficult to directly compare measurements in units of
parts per million. It was decided to select a measurement for dust lead that represented the
average amount of lead in dust per surface area sampled in each property.  The dust variable
was  computed as a weighted average of the dust lead concentration measurements, each
measurement weighted by the mass of sample collected.  The XRF measurements, were
selected because they correlated slightly better with blood lead than did the AAS
measurements.
                                        6-17

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          0   100200300400600*00700800900  1000 1100 1200 1300 1400 1500  1600 1700  1800 1900 2000

                                       Preabatement Soil Lead (ppm)
     25 H
          0   100200S00400600«00700800900  1000  1100 1200  1300  1400 1500  1600  1700  1800  1900  2000
                                      Post Abatement Soil Lead (ppm)
Figure 6-14.  Tri-mean of pre- and postabatement soil lead concentrations for control
               group.
                                             6-18

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     25 1
         0  10020030040050060070)800800 1000 1100 1200  1300  1400 1500 1600 1700 1800 1000  2000
                                    Preabatement Soil Lead (ppm)
      25 H
          0   10  20  30  40  50  60  70 80  90  100 110 120 130 140 150 160 170 180 190  200

                                     Post Abatement Soil Lead (ppm)
Figure 6-15.  Tri-mean of pre- and postabatement soil lead concentrations for treatment
              group.
                                          6-19

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     DUST = N'E; _,  fXRR-') (WEIGHT^)  i = l,.. ,# OF PROPERTIES
                 	j	i—j	y         j
                       Cj = 1 (WEIGHTj)  j==l,..,N
Mix
                                         !> =#-OF DUST SAMPLES
                                         COLLECTED FROM PROPERTY

     The distribution of dust lead concentrations per unit area sampled is displayed in
Figures 6-16 to 6-19.

6.3.4   Exterior Paint
     Paint Chips were collected from the e cterior of each home prior to paint stabilization,
and were analyzed by XRF in units of ppm.  The tri-mean of the exterior paint
measurements was selected as a covariate through use of principal components analysis.

6.3.5   Interior Paint
     Measurements of micrograms of lead per centimeter squared were taken from painted
surfaces inside each home using a portable X-ray fluorometer.  The maximum reading was
used to indicate whether or not a property contained interior lead based paint.  A maximum
measurement of 1.5 milligrams per centimeter square or greater thus indicates that there is
some lead based interior paint within the property.  The cut-off point of 1.5 mg/cm2 was
used to dichotomize interior paint for i.ome of the statistical analyses. Interior paint
measurements were not taken from evjry property involved in the study because of an
                                                                            ' j..
inability to access the house during the interior paint lead analysis tune period.
                                         6-20

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       25 -i
           0   100200300400600600700800800  1000 1100 1200  1300  MOO 1500  1600 1700 1800 1900 2000
                                 Preabatement Dust Lead (ng Pb/m2)
   
-------
      25
      20 4
          0  100200300400600900700800800 1000 1100 1200  1300  1400 1500 1600 1700  1800  1900  2000
                                Preabatement Dust Lead (ng Pb/m2)
           0  100200300400600600700800900 1000 1100 1200  1300  14001500  1600 1700 1800 1900 2000



                                   Postabatement Dust Lead (jig Pb/m2)






Figure 6-17. Pre- and postabatement dust lead load for treatment group, all properties.
                                             6-22

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              100  200  300  «»  500  800  700  800  900  1000 1100  1200  1300  1400 1600 1600 1700 1800 1900 2000
Preabatement Dust Lead
                                                              Pb/m2)
          0   100200300400500600700800900 1000 1100 1200  13OO  1400 1500 1600 1700 1800 1900 2000
                                Postabatement Dust Lead (ng Pb/m2)
Figure 6-18.  Pre- and postabatement dust lead load for control group.  Data are for
              those properties that were sampled both before and after intervention.
                                           6-23

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       25
           0   100200300400500600700800900  1000 1100 1200  1300  1400 1500 1600 1700 1800 1900 2000
                                 Preabatement Dust Lead (\ig Pb/m2)
      25 H
          O   100200300400500600700800800 1000 1100 1200  1300  1400 1500  1600 1700 1800 1900  2000
                                Postabatement Dust Lead (ng Pb/m2)

Figure 6-19.  Pre- and postabatement dust lead load for treatment group. Data are for
              those properties that were sampled both before and after intervention.
                                           6-24

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                    7.   STATISTICAL ANALYSIS
     The intention of the statistical models was to evaluate the effects of soil abatement on
blood lead while still taking into consideration the pathway through which a child is likely to
develop lead poisoning:
                      DETERIORATION
                            1
             Interior Paint = = = > Dust
             Exterior Paint = = = > Soil
                            t
                         EROSION
         AGE AND SEASON
Hand Lead = = = = > Blood Lead
     Iff
  GENDER  MOUTHING    SES
           BEHAVIOR
This pathway suggests that environmental lead exposure sources influence blood lead through
the hand to mouth activity of the child.  The lead found on the hands of a child results from
contact with lead contaminated dust and/or soil. The pathway also indicates that the erosion
of interior and exterior paint contribute to the lead contained in dust and soil.
7.1   STATISTICAL ANALYSIS OF ENVIRONMENTAL VARIABLES
     The proposed pathway for lead poisoning in children indicates that dust lead and soil
lead are the primary exposure sources in a child's environment. It is therefore important to
show that the dust lead and soil lead levels were comparable between the treatment and
control groups prior to intervention.
Question 1  -  Were the soil lead levels comparable in the treatment and control groups prior
             to intervention?
                                        7-1

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A two sample t-test yields a t-statistic of 0.049 with 202 degrees of freedom, indicating that
there is no difference in soil lead between the treatment and control groups (Table 7-1) prior
to intervention.

             TABLE 7-1.  SOIL STATISTICS BEFORE INTERVENTION
                                                     .
 Group                       N	Mean	se     j
 Treatment                     57                503.6                268.2
 Control                      147                501.3                312.1
Question 2 - Were the dust lead levels comparable in the treatment and control groups prior
             to intervention?
                                                                              •
A two sample t-test yields a t-statistic of 0.851 with 210 degrees of freedom, indicating that
there is no difference in dust lead between the treatment and control groups (Table 7-2) prior
to intervention. The distributions of pre intervention soil and dust lead for treatment and
                                                                             I; ,
control groups are presented in Figures 6-14 to 6-19.

	TABLE 7-2.  DUST STATISTICS BEFORE INTERVENTION
 Group                       N                  Mean                 se
 Treatment                     57               2,869.4               380.1
 Control                      155               1,902.8               152.8  '.
     Following intervention, properties which received the experimental treatment of soil
abatement were re-sampled for quality control reasons. These measurements of post
intervention soil lead can be used to demonstrate whether or not the project achieved a
significant reduction in soil lead in the treatment properties.
                                         7-2

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Question 3  -  Was there a significant reduction in soil lead in the properties that received the
              experimental treatment of soil removal?
A one sample t-test on the difference yields a t-statistic of 13.15 with 56 degrees of freedom,
indicating that there is a statistically significant difference in pre-intervention and post
intervention soil lead levels (Table 7-3) in the treatment group.

	TABLE 7-3. PRE- AND POST-INTERVENTION SOIL STATISTICS	
 Group                        N                  Mean                   se
 Pre Intervention               57                  503.6                  268.2
 Post Intervention              57                   33.6                  34.9
 Difference                    57                  470.1                  269.8
     The distribution of post intervention soil lead for the treatment groups is presented in
Figure 6-15.
     Data for evaluating whether soil recontamination has occurred in the abated properties
has not been collected.  Post intervention soil samples were not taken from control properties
under the assumption that the soil lead concentration in these areas would remain stable.
     The experimental treatment of soil abatement may have an impact on the interior dust
lead levels.  Interior dust samples were collected following intervention in several properties
in both the treatment and control groups in an effort to address this issue.
Question 4  -  Was there a significant reduction in ulterior dust lead in properties that
              received soil abatement?
A one sample t-test on the difference yields a t-statistic of 1.32 with 39 degrees of freedom,
indicating that there is no significant difference in pre intervention and post intervention dust
lead levels (Table 7-4) in the treatment properties.
                                          7-3

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             TABLE 7-4. DUST STATISTICS FOR CONTROL GROUP
                    BEFORE AND AFTER SOIL ABATEMENT
 Group
N
 Mean
                                                                       se
 Pre Intervention
 Post Intervention
 Difference
40
40
40
1,751.4
1,108.7
  642.7
3,169.1
1,480.7
3,089.2
Question.! - Was there a significant reduction in interior dust lead in the control
             properties?

A one sample t-test on the difference yields a t-statistic of 2.25 with 32 degrees of freedom,
indicating that there is a statistically significant difference in pre intervention and post
intervention dust lead levels (Table 7-5) in the control properties.
       TABLE 7-5. DUST STATISTICS FOR TREATMENT GROUP BEFORE
                          AND AFTER SOIL ABATEMENT
Group
Pre Intervention
Post Intervention
Difference
N
33
33
33
Mean
1,784.9
976.0
808.8
se
2,340.9
928.9
2,068.8
     The Distributions of pre and post intervention dust lead for both treatment and control
properties that were sampled following abatement is presented in Figures 6-16 and 6-19.
     A correlation analysis was performed on the four environmental variables (soil, dust,
                                                                           I
exterior paint and interior paint) to evaluate the first part of the proposed pathway.  The
correlation coefficient between  soil and exterior paint was  +0.18 (p-value 0.0134), and the
correlation coefficient between  dust and interior paint was  +0.22 (p-value 0.0240). The
remaining correlation coefficients were not significant at the alpha=0.05 level. This analysis
confirmed the belief that erosion of exterior paint contributes to lead in soil, while
                                         7-4

-------
deteriorating interior paint is positively associated with lead in interior dust.  The correlation
matrix is presented in Figure 7-1.
     The measurement for interior paint was easily dichotomized into an indicator of
whether or not the property had lead based paint on interior surfaces  (a measurement of
                                   >j
interior paint greater than 1.5 mg/cnar was taken as a positive result). If the proposed
pathway is to be upheld, one would expect higher interior dust lead levels in the houses that
tested positive for interior lead paint.

Question 6  - Is the interior dust lead concentration higher in those properties that tested
              positive for interior lead based paint?

A one sample t-test on the difference  yields a t-statistic of 2.76 with 103 degrees of freedom,
indicating that there is a statistically significant difference in dust lead concentration between
properties that test positive and properties that test negative for interior lead based paint
(Table 7-6).
7.2    STATISTICAL MODELS FOR BLOOD LEAD AND HAND LEAD
     The experimental treatment in the Baltimore Study was designed to eliminate the bottom
half of the pathway through exterior paint stabilization and soil abatement. The following
statistical models evaluate the effect that this treatment had on both hand lead and blood lead
of children participating in the study.  Both response variables for these models, blood lead
and hand lead, appear to be distributed log-normal as mentioned earlier. This leaves two
logical statistical approaches for modeling these data:
       1)  Apply a natural log transformation to the response variable and model the
           data through multiple linear regression with additive errors.
       2)  Use the untransformed response variable in a multivariate normal
           generalized linear model with a log link function.
     The errors associated with this model are multiplicative.  The main difference between
these two statistical approaches is in the interpretation of the regression coefficients.   The
                                           7-5

-------
                                 CORRELATION ANALYSIS:
                    Four  Variables: Soil
                                   Exterior Paint
                            Dust
                            Interior Paint
        Variable              N

        SOIL                204
        DUST               212
        INTERIOR PAINT     106
        EXTERIOR PAINT    203
                 Simple Statistics

                     Mean      Std. Dev.
                 597.80991
                 776.90932
                  5.37013
                  4.85391
                357.11916
                     1156
                  4.02194
                  5.07530
                     Sum

                   121953
                   164705
                 569.23333
                 985.34388
           Pearson Correlation Coefficients
           Prob. > |R| under Ho: Rho=0
           Number of Observations
        SOIL
        DUST
        INTERIOR
        PAINT
        EXTERIOR
        PAINT
   SOIL

1.00000
0.0
    204

0.08666
0.2236
    199

0.17189
0.0856
    101

0.17724
0.0134
    194
  DUST

0.08666
0.2236
    199

1.00000
0.0
    212

0.22203
0.0228
    105

0.05334
0.4566
    197
INTERIOR
   PAINT

  0.17189
  0.0856
      101

  0.22203
  0.0228
      105

  1.00000
  0.0
      106

  -0.02332
  0.8152
      103
EXTERIOR
    PAINT

  0.17724
  0.0134
      194

  0.05334
   0.4566
       197

  -0.02332
  0.8152
      103

  1.00000
  0.0
      203
Figure 7-1. Correlation matrix of environmental variables.
                                     7-6

-------
                 TABLE 7-6.  DUST STATISTICS FOR PROPERTIES
                    WITH AND WITHOUT LEAD-BASED PAINT
Group
Positive
Negative
N
65
40
Mean
1,432.0
627.7
se
2,136.7
754.9
first approach was selected for presentation in this report, although the statistical results for
both approaches is presented in Appendix I.
     The following cross sectional models were performed on two different populations from
within the study; the first consisting only of children who consistently participated in all six
rounds of the study, and the second consisting of all children sampled throughout the
experiment. This helped to evaluate the sensitivity of the statistical models to participant
dropout.
     The first model measures the direct effect of group assignment (treatment or control) on
the log of the blood lead in each round:  LPbBy = b0jTj + byCj + ey where for the ith
child, in round j,
             =  Log of blood lead of child(i) in round j
     T|      =  1 if child(i) is in treatment group, else 0
     Cj      =  1 if child(i) is in control group, else 0
     ey      =  error term for child(i) in round j.
Essentially, this model computes a geometric mean and standard error for each group.  These
can be transformed back to the original scale of blood lead, and the two experimental groups
can be compared through use of a two sample t-test.
     Next is a multiple linear regression model which uses the log of blood lead as the
response variable with group assignment, age, season, socio economic status,  and the
interaction between mouthing behavior and log of hand lead as covariates.  LPbBy = bQjTj
+ bjjCi + b2jAgeOij + b3j Agel^  + b4j Age2£j + b5j Age3jj + b6j SESj  + b?j Season^
+ bgj LPbHly + b9j LPbH2ij  + e^  where for the ith child in round j,
                                         7-7

-------
     LPbBj:   =  Log of blood lead of child© in round j
     Tj       =  1 if child© is in treatment group, 0 else
     C:       =  1 if child(i) is in control group, 0 else
     AgeOj:   =  1 if child© is age(O-l) in round j, 0 else
     Ageljj   =  1 if child© is age(l-2) in round j, 0 else
     Age2j|   =  1 if child© is age(2-3) in round j, 0 else
     AgeS-j   =  (Age-3) if child© is age(3+) in round j, 0 else
     SESj     =  Socio economic status of child©'s family
     Season::  =  1 if child© was sampled in the summer of round j, 0 else
     LPbHlj:  =  Log hand lead for child© in Round j, if he/she exhibits weak mouthing
                 behavior, 0 else
     LPbH2j:  =  Log hand lead for child© in Round j, if he/she exhibits strong mouthing
                 behavior, 0 else
     e..       =  error term for child© in round j

** Note - Season was only included as a covariate in the first two rounds.

                                                                             li.
     This model allows the assessment of the effects of soil abatement after adjusting for

covariates described in the pathway that may influence a child's blood lead concentration.

Similar to the  first model, a geometric mean and associated standard error for blood lead are

produced which are comparable through the use of t-tests.
     The third model evaluates the effects of group assignment on the log of hand lead.

This model is  identical to  the first model except for the change in response variable:


     LPbHj:  =  b0: Tj  + by Cj  + e^  where for the ith child, in round j,
     LPbHjj  =  Log of hand lead of child© in round j
     Tj       =  1 if child© is in treatment group, else 0
     C|       =  1 if child© is in control group, else 0
     ej:       =  error term for child© in round j.

                                                                             \-
     The fourth model has log of hand lead as the response variable with group assignment,

age, season, gender, and interior dust as covariates:  LPbHy = bqjTj + bjjCj + b^j

AgeOjj + b3j  Agely + b4j Age2ij + b5j  AgeS^ + b6j SeXi + b7j Season^ + bgj Dustj +

ej: where for the ith child in round j,


     LPbHj:   =  Log of hand lead of child© in round j
     Tj        =  1 if child© is in treatment group, 0 else
     C|        =  1 if child© is in control group, 0 else
     AgeOy    =  1 if child© is age(0-l) in round j, 0 else

                                          7-8           -

-------
     Agely   = 1 if child(i) is age(l-2) in round j, 0 else
     Age2tj   = 1 if child(i) is age(2-3) in round j, 0 else
     AgeSy   = (Age-3) if child© is age(3+) in round j, 0 else
     Sexj     = 1 if child(i) is female, 0 else
     Season^ = 1 if child(i) was sampled in the summer of round j, 0 else
     Dustj    = Measure of dust lead in child(i)'s home
     e^j       = error term for child(i) in round j

** Note - Season was only included as a covariate in the first 2 rounds. Rounds 3 through 6
had no seasonal variation among the participants.
This model allows us to evaluate the effects of soil abatement after adjusting for the

covariates described in the pathway that are thought to influence a child's hand lead

concentration.

     The final model presented has log of hand lead as the response variable with gender,

age, season, interior dust lead, and soil lead as covariates.  LPbHjj = bQ: Malej + b^

Femalej + b2j AgeO^ + b3j Ageljj + b4j Age2jj + b5j AgeSy + bgj Season^ + b7j Dustj

+ bgj Soilj + ey where for the  ith child in round j,


     LPbHy  = Log of hand lead of child(i) in round j
     Malej    = 1 if child(i) is male, 0 else
     Female^ = 1 if child(i) is female,  0 else
     AgeOy   = 1 if child(i) is age(0-l) in round j, 0 else
     Agely   = 1 if child(i) is age(l-2) in round j, 0 else
     Age2y   = 1 if child(i) is age(2-3) in round j, 0 else
     Age3jj   = (Age-3) if child(i) is age(3+) in round j, 0 else
     Season^ == 1 if child(i) was sampled in the summer of round j, 0 else
     Dust|    = Measure of dust lead in child(i)'s home
     Soilj;    = Measure of soil lead in child(i)*s home in round j
     e^       = error term for Child(i) in Round j

** Note - Season was only included as a covariate in the first two rounds, Rounds 3 through
6 had no seasonal variation among the participants.

     The measure of soil lead changes in round 4 for properties which received soil
abatement.

     This model describes the association between the lead found on the hands of a child,

and the sources of lead exposure measured  within that child's home environment.
                                          7-9

-------
     Regression coefficients and their corresponding confidence intervals from these models
are presented and discussed in the Results section.  These models contain only those
covariates which were consistently statistically significant in each of the rounds.  Models that
included other potential confounders which were measured throughout the study were
explored at great length. The data analysis was conducted using both SAS and GLIM
statistical software. The methods used (correlation analysis, multiple linear regression, two
sample t-tests, and confidence intervals) are described in standard statistical text books.
7.3   INTERPRETATION OF REGRESSION COEFFICIENTS
     The above cross sectional statistical models used the log transform of either blood or
head lead measurements as the response variable in a multiple linear regression model.  The
regression coefficients derived from these models have additive effects on the log
transformed response variable.  When the estimates are converted back to the original unit of
measure, these parameter estimates are interpreted as having multiplicative effects:  log(Yj) =
E B:'Xj + GJ, where i =  1 to n (sample size) and j = 0 to p  (number of parameters)
       t = exp (S B4 >Xi)*exp(ei)
         = exp (B*0 Xi0)*exp(B*1 Xn)* ...  *exp(B*p Xip)*exp(ei)
                            *                                                 !
The regression coefficients (B ) for this multiplicative model are computed by exponentiating
the regression coefficients from the additive model on the log scale.               I

     B*J  =exp(Bj)

The associated standard errors for regression coefficients from the multiplicative model are
calculated by using the delta method:
     se(B*j ) = exp(Bj) * a * {X'Xy}-1/2
                                          7-10

-------
 Models for Comparison with Boston and Cincinnati Projects
      A second set of statistical models were explored and evaluated for the purpose of
 comparing and contrasting the findings of the Baltimore study with the results of the Boston
 and Cincinnati projects. These models use post intervention log blood lead as a response
 variable, and a summary of the pre intervention log blood lead along with group assignment
 as covariates. These models were fit cross sectionally for each post intervention round of
 sampling, and similar models  were also fit for log hand lead.
 7.4   RESULTS OF STATISTICAL ANALYSIS
      Regression coefficients and their associated standard errors for both the additive and
 multiplicative interpretations of the statistical models are presented in Tables 7-7 through
 7-23.  The regression coefficients computed in each round for each covariate were also
 graphically displayed in the form of 95% Confidence Intervals across the time line of the
 experiment.  The vertical line in the center of these graphs represents the time at which soil
 abatement occurred during the experiment.  When appropriate, a zero line is drawn to help
 ascertain whether or not the corresponding regression coefficients are statistically different
 from zero at the a = 0.05 significance level.
      The statistical models were applied to two different populations within the experiment
 to evaluate the potential bias introduced from participant dropout.  The graphs of the
 regression coefficients  were virtually identical between these two populations, indicating that
 the effect of participant dropout on the statistical models was negligible. These graphs are
presented in Figures 7-2 through 7-22.

 7.4.1    Model 1
      Geometric means of blood lead and their associated standard errors were calculated in
each round for children for both the treatment and  control  groups in this model.  This
measures the direct effect of group assignment on blood lead.  The geometric means of the
two groups seem almost identical to each other in the first  three rounds, thus there is no
statistical difference between the treatment and control groups prior to intervention.  This is
evidence that the two groups were comparable from the start of the study.  Following the
                                         7-11

-------
intervention procedure of soil abatement, there is no significant difference between the abated
group and the control group as measured by this model.  Contrary to the hypothesis  of
interest, it seems as if children in the control group have slightly lower blood lead
concentration in the rounds following intervention, although this pattern is not statistically
significant.  The regression coefficients, associated standard errors and confidence intervals
from model 1 are presented in Table 7-7 and Figures 7-2 and 7-3.

7.4.2    Model 2
      This model calculates the geometric means and associated standard errors for group
assignment after adjusting for variables that are thought to influence a child's blood lead
concentration.  The regression coefficients for the effect of group assignment in this  model
are similar to those found in the first model.  There is no detectable difference in group
assignment in the rounds prior to and following intervention (Table 7-8 and Figures 7-4 and
7-5).
      The effect of age on blood lead was determined by creating  3 indicator variables for the
age groups (0-1), (1-2) and (2-3), and including a linear term for  children over the age of 3.
The intercept for the (0-1) age group was significantly negative through the rounds of
sampling that included these very young children.  This can be explained by the fact that
infants demand constant supervision from their caretakers.  The (1-2) and (2-3) age groups
were positive in some rounds and negative in others. The linear term attached to children
over the age of 3 was consistently negative and significant in the latter part of the
experiment, indicating that blood lead decreases with age after a child is 3 years old
(Table 7-9 and Figure 7-6).
      Socioeconomic status consistently has  a statistically significant negative effect on the
blood lead of children participating in our study.  Thus the blood lead of a child is inversely
related to the level of education and profession of the parent(s) (Table 7-10 and Figure 7-7).
      Season was added as a covariate in the first 2 rounds, as these sampling rounds took
place over a change of season.  The literature suggests  that blood lead concentration  is
typically higher in the months when children actively play outdoors.  The effect of season on
blood lead is statistically significant only in the first round of the  study (Table 7-11 and
Figure 7-8).
                                           7-12

-------
TABLE 7-7. REGRESSION COEFFICIENT FOR DIRECT EFFECT
OF ABATEMENT ON BLOOD LEAD MODEL 1
Children Present In All Six Rounds of Sampling
Log (Blood Lead)
Round
1
2
3

4
5
6

Group
Treatment
Control
Treatment
Control
Treatment
Control
INTERVENTION
Treatment
Control
Treatment
Control
Treatment
Control
All
EST
2.473
2.428
2.383
2.327
2.245
2.228

2.117
2.028
2.179
2.088
2.234
2.123
Children Sampled
SE
0.06491
0.05300
0.06220
0.04971
0.06584
0.05638

0.06830
0.05825
0.06743
0.05903
0.06549
0.06120
Throughout Experiment
Blood Lead
EST
11.8580
11.3362
10.8374
10.2472
• 9.4404
9.2813

8.3062
7.5989
8.8375
8.0688
9.3371
8.3562

Log (Blood Lead)
Round
1
2
3

4
5
6
Group
Treatment
Control
Treatment
Control
Treatment
Control
INTERVENTION
Treatment
Control
Treatment
Control
Treatment
Control
EST
2.405
2.361
2.338
2.313
2.257
2.254

2.169
2.036
2.259
2.106
2.305
2.134
" SE
0.06001
0.03592
0.05857
0.03355
0.05313
0.04314

0.05309
0.05339
0.05682
0.05584
0.05360
0.05423
EST
11.0784
10.6015
10.3605
10.1047
9.5544
9.5258

8.7495
7.6599
9.5735
8.2153
10.0242
8.4486
SE
0.76970
0.60082
0.67408
0.50939
0.62156
0.52328

0.56731
0.44263
0.59591
0.47630
0.61149
0.51140

Blood Lead
SE
0.66482
0.38081
0.60681
0.33901
0.50762
0.41094

0.46451
0.40896
0.54397
0.45874
0.53730
0.45817
7-13

-------
1
 3.0
>


 2.5


 2.0



'1.5
               Children Who Participated in all Six Rounds
                                Intervention
               1        2       3       4        56
                             Round of Sampling
              All Children  Sampled Throughout the Study
                                Intervention
I3'0 '
I
§2.5 •
&
1
12.0
Regression (
bi

*• ** „

i
** ^ **'

1 23 4 5 6
Round of Sampling
O = Abate
D = Control
Figure 7-2. Model 1 results of effect of soil abatement on blood lead, log transformed.
          Bars show 95% confidence interval on regression coefficient.
                                 7-14

-------
  213
  111
  110
  75
  5= Q
  S
  ^ 8
  J>6
             Children Who Participated in all Six Rounds
                              Intervention
                    2        3      4       5
                        Round of Sampling
                                                       6
  I14
£12

111
Ho
75
  9
  8
  o
  O
    6
             All Children  Sampled Throughout the Study
                              Intervention
                     O
                              345
                           Round of Sampling
                                                    6
                              O - Abate
                              n = Control
Figure 7-3. Model 1 results of effect of soil abatement on blood lead.  Bars show 95%
         confidence interval on regression coefficient.
                                7-15

-------
TABLE 7-8.  REGRESSION COEFFICIENT FOR ADJUSTED EFFECT
        OF ABATEMENT ON BLOOD LEAD MODEL 2
Children Present In All Six Rounds of Sampling
Round
1
2
3

4
5
6

Round
1
2
3

4
5
6
Group
Treatment
Control
Treatment
Control
Treatment
Control
INTERVENTION
Treatment
Control
Treatment
Control
Treatment
Control
All
Group
Treatment
Control
Treatment
Control
Treatment
Control
INTERVENTION
Treatment
Control
Treatment
Control
Treatment
Control
Log
EST
2.319
2.341
2.388
2.361
2.069
2.073

1.977
1.998
1.710
1.549
1.956
1.854
(Blood Lead)
SE
0.1947
0.1832
0.1562
0.1590
0.1728
0.1712

0.1669
0.1623
0.1743
0.1879
0.2066
0.2186
Blood Lead
EST
10.1655
10.3916
10.8917
10.6015
7.9169
7.9486

7.2210
7.3743
5.5290
4.7068
7.0710
6.3853
SE
1.97922
1.90375
1.70128
1.68565
1.36804
1.36081
l'

1.20519
1.19685
0.96370
0.88440
1.46087
1.39583
Children Sampled Throughout Experiment
Log
EST
2.333
2.327
2.441
2.431
2.202
2.213

2.094
2.094
1.874
1.665
2.095
1.954
(Blood Lead)
SE
0.1306
0.1265
0.1209
0.1197
0.1378
0.1349

0.1304
0.1283
0.1512
0.1662
0.1631
0.1736

EST
10.3088
10.2472
11.4845
11.3702
9.0431
9.1431

8.1173
8.1173
6.5143
5.2857
8.1254
7.0569
Blood Lead
SE
1.34633 ,
1.29626
1.38848
1.36102
1.24614
1.23340

1.05850
1.04145
0.98496
0.87848
1.32526
1.22507
                        7-16

-------
              Children Who Participated in all Six Rounds
                               Intervention
TJ
O
s3.0 i
s
I 2.5
c •
12.0
1
I1-5
§1-0



c

_ i—
5 C

i C-
3 <-




CC I
1



^) r
J L




1
2



-J
I
L (


) E


]






T T T

T ^ E]
I" ^
--
I I I 1
3 456
                            Round of Sampling
 §3.0
 m
 12.5
 - c

 12.0
   1.5
  '1.0
             All Children Sampled Throughout the Study
                              Intervention
                               3       4
                           Round of Sampling
6
                               O = Abate
                               D = Control
Figure 7-4.  Model 2 results of effect of soil abatement on blood lead, log transformed.
          Bars show 95% confidence interval on regression coefficient.
                                 7-17

-------
  I 15-
  ? 14-
  1 13
  1 12
  5 11
  I 10
  i  § 1
     ^«r
     fi
             Children Who Participated in ail Six Rounds
                              Intervention
  DC
                       2345
                           Round of Sampling
             All Children Sampled Throughout the Study
                              Intervention
                       i	1	—i	
                       2       3      4
                            Round of Sampling
                               O- Abate

                               D = Control
Figure 7-5. Model 2 results of effect of soil abatement on blood lead. Bars show 95%
          confidence interval on regression coefficient.
                                 7-18

-------
TABLE 7-9. REGRESSION COEFFICIENT FOR EFFECT
       OF AGE ON BLOOD LEAD MODEL 2
Children Present In All Six Rounds of Sampling
Log (Blood Lead)
Round
1
2
3

4
5
6

Group
AgeO
Agel
Age 2
Age 3
Agel
Age 2
Age 3
Agel
Age 2
Age 3
INTERVENTION
Age 2
Age 3
Age 3
Age 3
All
EST
-0.46810
0.11890
0.13090
0.02635
0.00754
0.21740
0.02353
-0.49180
0.03714
-0.04629

-0.13210
-0.05259
-0.04856
-0.04667
SB
0.17720
0.13280
0.12460
0.05892
0.13890
0.12720
0.05385
0.46130
0.13620
0.04060

0.34310
0.02992
0.02675
0.02956
Blood Lead
EST
0.62619
1.12626
1.13985
1.02670
1.00757
1.24284
1.02381
0.61152
1.03784
0.95477

0.87625
0.94877
0.95260
0.95440
SE
0.11096
0.14957
0.14203
0.06049
0.13995
0.15809
0.05513
0.28210
0.14135
0.03876

0.30064
0.02839
0.02548
0.02821
Children Sampled Throughout Experiment
Log (Blood Lead)
Round
1
2
3

4
5
6
Group
AgeO
Agel
Age 2
Age 3
AgeO
Agel
Age 2
Age 3
AgeO
Agel
Age 2
Age 3
INTERVENTION
Agel
Age 2
Age 3
Agel
Age 2
Age 3
Age 2
Age 3
EST
-0.65580
-0.01758
0.03895
-0.04762
-0.51210
-0.14680
0.05951
-0.03420
-0.18430
0.07009
0.12180
-0.04249

0.02029
-0.06191
-0.07006
-0.02518
0.08798
-0.06385
-0.10740
-0.06745
SE
0.12450
0.09485
0.09171
0.03830
0.26700
0.10140
0.09507
0.03748
0.17720
0.13960
0.10790
0.03370

0.21100
0.15040
0.02446
0.26480
0.15340
0.02378
0.15940
0.02294
Blood
EST
0.51903
0.98257
1.03972
0.95350
0.59924
0.86347
1.06132
0.96638
0.83169
1.07260
1.12953
0.95840

1.02050
0.93997
0.93234
0.97513
1.09197
0.93815
0.89817
0.93477
Lead
SE
0.06462
0.09320
0.09535
0.03652
0.16000
0.08756
0.10090
0.03622
0.14737
0.14974
0.12188
0.03230

0.21532
0.14137
0.02280
0.25822
0.16751
0.02231
0.14317
0.02144
                    7-19

-------
              Children Who Participated in all Six Rounds
                               Intervention
I O.Si
? 0.4
i 0.2-
fn n
U.U
JB -°-2
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                        234
                            Round of Sampling
             All Children  Sampled Throughout the Study
                               Intervention
8 0.5 1
S 0.4
§ °-3
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                       234
                            Round of Sampling
                          0 = AgeO

                          1=Age1
2-Age2

3 = Age3
Figure 7-6. Model 2 results of effect of age on blood lead, log transformed. Bars show
          95% confidence interval on regression coefficient.
                                 7-20

-------
             TABLE 7-10. REGRESSION COEFFICIENT FOR EFFECT
                        OF SES ON BLOOD LEAD MODEL 2


Round
1
2
3
DSTTERVENTTON
4
5
6
Children Present In All Six Rounds
Log (Blood Lead)
EST SE
-0.009112 .003973
-0.009250 .004070
-0.006410 .004198

-0.007688 0.004291
-0.004526 0.003968
-0.012690 0.004315
of Sampling
Blood
EST
0.99093
0.99079
0.99361

0.99234
0.99548
0.98739

Lead
SE
.0039370
.0040325
.0041712

.0042581
.0039501
.0042606
All Children Sampled Throughout Experiment

Round
1
2
3
INTERVENTION
4
5
6
Log (Blood Lead)
EST SE
-0.009923 .002417
-0.010820 .002662
-0.007053 .003221

-0.008668 .003405
-0.007217 .003319
-0.012290 .003347
Blood
EST
0.99013
0.98924
0.99297

0.99137
0.99281
0.98779
Lead
SE
.0023931
.0026334
.0031984

.0033756
.0032951
.0033061
     Hand lead is positively associated with blood lead, as indicated by this model.
Mouthing behavior acts as an effect modifier for hand lead in this model, so that the effect of
hand lead is calculated separately for the two types of mouthing behavior.  Although there is
no significant difference between these types of behavior, it is comforting to observe that the
effect of hand lead on blood lead is consistently higher for those children who exhibit strong
mouthing behavior (Table 7-12 and Figure 7-9).
                                        7-21

-------
             Children Who Participated in all Six Rounds

                              Intervention
1 0.0051
CQ
A f\f\f\
0.000
| -0.005
f-0.010
1 -0.01 5
g -0.020
& -0.025





























r !"
is


                1       23456
                            Round of Sampling
             AH Children Sampled Throughout the Study

                              Intervention
| 0.005
•3 n nnr\
C U.UUU
1-0.005
1-0.010
1 -0.01 5
1-0.020
f-0.025











1









2









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i
                           Round of Sampling
Figure 7-7. Model 2 results of effect of socioeconomic status on blood lead, log

          transformed. Bars show 95% confidence intervals on regression coefficient.
                                                               I"


                                 7-22

-------
TABLE 7-11. REGRESSION COEFFICIENT FOR EFFECT
OF SEASON ON BLOOD LEAD MODEL 2
Children Present In All Six Rounds of Sampling
Round
1
2
Log
EST
0.13700
0.03492
(Blood Lead)
SE
0.08284
0.07738
All Children Sampled Throughout
Round
1
2
Log
EST
0.13910
0.00414
(Blood Lead)
SE
0.05343
0.05630
Blood
EST
1.14683
1.03554
Experiment
Blood
EST
1.14924
1.00415
Lead
SE
0.095003
0.080130

Lead
SE
0.061404
0.056534
7.4.3   Model 3
     As in the first model, Geometric means of hand lead and their associated standard
errors are calculated in each round for both the treatment and control groups in this model.
This measures the direct effect of group assignment on hand lead.  The geometric means of
the two groups seemed to be almost identical to each other in the first 3 rounds, indicating
that there is no detectable difference between the two groups in hand lead measure prior to
intervention. In round four, the children in the control group on average had slightly lower
hand lead concentration than children in the treatment group.  This difference is not
statistically valid, and the hand lead measurements in round four were taken between the
months  of January and February, when children have little exposure to soil in the city of
Baltimore.  Rounds five and six took place during the summer.  Although the difference is
not statistically valid, the hand lead measurements of children in the abated group are lower
on average in the last two rounds of sampling (Table 7-13 and Figures 7-10 and 7-11).
                                         7-23

-------
             Children Who Participated in all Six Rounds
                              Intervention
1 0.31
f 0.26
I °'21
g 0.16
€ 0.11
| 0.06
f 0.01
| -0.04
1 -0.09
g -0.14






1

i
I
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E
i
i i i i i :•
23456
                           Round of Sampling
             All Children Sampled Throughout the Study
                              Intervention
1 0.28
I 0.23
J 0.18
| 0.13
1 0.08
1 0.03
f-0-02
|-0.07
Jt-0.1?
cc **• ••-'






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2






! 3




i

i i . i
45 6
                           Round of Sampling
Kgure 7-8. Model 2 results of effect of season on blood lead, log transformed. Bars
          show 95% confidence interval on regression coefficient.
                                                             I
                                 7-24

-------
TABLE 7-12. REGRESSION COEFFICIENT FOR EFFECT
  OF LOG HAND LEAD ON BLOOD LEAD MODEL 2
Children Present In All Six Rounds of Sampling
Log (Blood Lead)
Round
1
2
3

4
5
6

Round
1
2
3

4
5
6
Group
Weak
Strong
Weak
Strong
Weak
Strong
INTERVENTION
Weak
Strong
Weak
Strong
Weak
Strong
All
Group
Weak
Strong
Weak
Strong
Weak
Strong
INTERVENTION
Weak
Strong
Weak
Strong
Weak
Strong
EST
0.06375
0.14500
0.02039
0.07505
0.15650
0.23520

0.19030
0.28240
0.25380
0.38870
0.26090
0.35800
SB
0.06111
0.05798
0.04701
0.04542
0.05300
0.05273

0.05733
0.05888
0.04902
0.05584
0.06144
0.07089
Blood Lead
EST
1.06583
1.15604
1.02060
1.07794
1.16941
1.26516

1.20961
1.32631
1.28891
1.47506
1.29810
1.43047
SE
0.06513
0.06703
0.04798
0.04896
0.06198
0.06671

0.06935
0.07809
0.06318
0.08237
0.07976
0.10141
Children Sampled Throughout Experiment
Log
EST
0.11390
0.16500
0.06129
0.10270
0.08384
0.18150

0.16470
0.27190
0.24530
0.37150
0.24120
0.33010
(Blood Lead)
SE
0.04152
0.03896
0.03494
0.03445
0.04169
0.04068

0.04659
0.04401
0.04527
0.05017
0.04998
0.05402

EST
1.12064
1.17939
1.06321
1.10816
1.08745
1.19901

1.17904
1.31246
1.27800
1.44991
1.27278
1.39111
Blood Lead
SE
0.04653
0.04595
0.03715
0.03818
0.04534
0.04878

0.05493
0.05776
0.05786
0.07274
0.06361
0.07515
                    7-25

-------
 I 0.5-
 m
 | 0.4

 I 0.3

 I 0.2-

 § 0.1
 o
 | 0.0
 I -0.1
              Children Who Participated in all Six Rounds
                               Intervention
I E
               1        2345
                            Round of Sampling
                                           6
              All Children  Sampled Throughout the Study
                                Intervention
0.48
0.43
0.38
0.33
0.28
0.23
0.18
0.13
0.08
0.03
-0.0?






c







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G -L '
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1


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4 5 6
of Sampling
O = Weak Mouthing
Behavior
D = Strong Mouthing
Behavior
Figure 7-9. Model 2 results of effect of hand lead on blood lead, log transformed.  Bars
          show 95% confidence interval on regression coefficient.
                                  7-26

-------
TABLE 7-13. REGRESSION COEFFICIENTS FOR EFFECT
     OF ABATEMENT ON HAND LEAD MODEL 3
Children Present In All Six Rounds of Sampling
Round
1
2
3

4
5
6

Round
1
2
3

4
5
6
Group
Treatment
Control
Treatment
Control
Treatment
Control
INTERYENTION
Treatment
Control
Treatment
Control
Treatment
Control
All
Group
Treatment
Control
Treatment
Control
Treatment
Control
INTERVENTION
Treatment
Control
Treatment
Control
Treatment
Control
Log (Hand Lead)
EST SE
2.198 0.09658
2.136 0.07886
2.187 0.12480
2.191 0.09972
2.053 0.10970
2.021 0.09397

1.878 0.10300
1.565 0.08781
2.387 0.10210
2.616 . 0.08934
2.352 0.08260
2.451 0.07719
Children Sampled Throughout Experiment
Log (Hand Lead)
Hand Lead
EST
9.0070
8.4655
8.9084
8.9442
7.7912
7.5459

6.5404
4.7827
10.8808
13.6809
10.5066
11.5999


EST SE EST
2.095 0.09132
2.090 0.05466
2.157 0.11280
2.278 0.06462
1.899 0.08919
1.958 0.07243

1.859 0.08674
1.544 0.08724
2.347 0.08131
2.627 0.07992
2.374 0.07138
2.448 0.07222
8.1254
8.0849
8.6452
9.7571
6.6792
7.0851

6.4173
4.6833
10.4542
13.8322
10.7403
11.5652
SE
0.86989
0.66759
1.11177
0.89191
0.85470
0.70909

0.67366
0.41997
1.11093
1.22225
0.86784
0.89540

Hand Lead
SE
0.74202
0.44192
0.97517
0.63051
0.59572
0.51318

0.55664
0.40857
0.85003
1.10547
0.76664
0.83524
                    7-27

-------
  I  3.0
  3
  «  2.5
  I  2.0
     1.5


     1.0
              Children Who Participated in all Six Rounds
                               Intervention
                        2345
                            Round of Sampling
    3.0
    2.5
    2.0
  EC
              All Children Sampled Throughout the Study
                               Intervention
                                      	1	'	T~
                                3       4        5
                            Round of Sampling
                              O - Abate
                              D = Control
-T~
 6
Figure 7-10. Model 3 results of effect of soil abatement on hand lead, log transformed.
           Bars show 95% confidence interval on regression coefficient.
                                  7-28

-------
  I  M
  •5  15
  J3  14
  5  13
  £  12
     14
              Children Who Participated in all Six Rounds
                               Intervention
                                             0
                           	1	1	T
                                345
                            Round of Sampling
i  16
i  15
E  14
S  13
S  12
=  11
i  10^
i   9
I   8

    6
    5
    4
    3
             All Children  Sampled Throughout the Study
                              Intervention
                                              e
                               I	
                               34
                           Round of Sampling
                              O = Abate

                              D - Control
Figure 7-11.  Model 3 results of effect of soil abatement on hand lead. Bars show 95%

           confidence interval on regression coefficient;
                                 7-29

-------
7.4.4   Model 4
     This model is similar to the second model, in that it computed geometric means and
associated standard errors for group assignment after adjusting for variables that are thought
to be influence a child's hand lead concentration.  The regression coefficients for the effect
of group assignment in this model are similar to those found in the third model, although the
associated standard errors are somewhat larger. There  is no detectable difference between
the two groups in the rounds prior to intervention.  The differences observed in the effect of
group assignment on hand lead following soil abatement were not statistically significant
(Table 7-14 and Figures 7-12 and 7-13).
      There was a positive association between age and  hand lead measurements in the
sampling rounds of the experiment prior to intervention.  Although this effect was not
statistically valid, one interpretation of this result is that as children are more active and are
supervised less as they grow older (Table 7-15 and Figure 7-14).
      Gender was added as a covariate for hand lead, because it was observed that; the female
participants seemed to have better personal hygiene.  The regression coefficient for female
gender in this model was consistently negative as expected (Table 7-16 and Figure 7-15).
      Hand lead was measured over a change in season for the first 2 rounds, therefore a
covariate which indicates this seasonal change was included in the model.  This covariate
was not significant in either round for this model (Table 7-17 and Figure 7-16).
      A measure of interior dust lead concentration was added as a covariate in this model.
The effect of dust lead on hand lead is consistently positive throughout the experiment.  This
effect seems weaker in those rounds that took place over the summer, indicating that the
children probably  spend  less time inside their houses in these rounds  (Table 7-18  and
                                                                            I
Figure 7-17).

7.4.5  ModelS
      The final model attempts to measure the effect of both soil and dust lead concentration
on hand lead measures independent of the effect of group assignment. Soil concentrations
measured before intervention were used as covariates in rounds 1 through 3 in the abated
properties. Following intervention, soil  samples from  the abated properties were collected
and analyzed for use as the soil covariate in the abated properties for the remaining 3 rounds.

                                          7-30

-------
TABLE 7-14. REGRESSION COEFFICIENTS FOR ADJUSTED EFFECT
         OF ABATEMENT ON BLOOD LEAD MODEL 2
Children Present In
Round
1
2
3

4
5
6

Round
1
2
3

4
5
6
Group
Treatment
Control
Treatment
Control
Treatment
Control
INTERVENTION
Treatment
Control
Treatment
Control
Treatment
Control
All
Group
Treatment
Control
Treatment
Control
Treatment
Control
INTERVENTION
Treatment
Control
Treatment
Control
Treatment
Control
Log
EST
2.498
2.394
1.933
1.979
2.239
2.267

1.789
1.531
2.192
2.456
2.422
2.556
All Six Rounds of Sampling
(Hand Lead)
SE
0.1937
0.1739
0.2311
0.2214
0.1974
0.1870

0.1752
0.1692
0.1764
0.1704
0.1567
0.1557
Hand Lead
EST
12.1582
10.9572
6.9102
7.2355
9.3839
9.6504

5.9835
4.6228
8.9531
11.6581
11.2684
12.8842
SE
2.35503
1.90546
1.59695
1.60194
1.85239
1.80463

1.04830
0.78218
1.57933
1.98654
1.76575
2.00607
Children Sampled Throughout Experiment
Log
EST
2.298
2.259
1.794
1.902
2.141
2.187

1.691
1.444
2.232
2.521
2.402
2.505
(Hand Lead)
SE
0.1451
0.1313
0.1794
0.1611
0.1643
0.1516

0.1560
0.1574
0.1428
0.1464
0.1313
0.1362

EST
9.9543
9.5753
6.0135
6.6993
8.5079
8.9084

5.4249
4.2376
9.3185
12.4410
11.0452
12.2436
Hand Lead
SE
1.44436
1.25700
1.07881
1.07925
1,39785
1.35052

0.84628
0.66700
1.33068
1.82137
1.45024
1.66757
                         7-31

-------
             Children Who Participated in all Six Rounds
                              Intervention
                               3        4
                           Round of Sampling
             All Children Sampled Throughout the Study
                              Intervention
                               3       4
                            Round of Sampling
                              O = Abate
                              D = Control
Figure 7-12. Model 4 results of effect of soil abatement on hand lead, log transformed.
           Bars show 95% confidence interval on regression coefficient.
                                 7-32

-------
  §  20
 i  18
 I  16
 5  14
 |  12
 1  10
 |  8
 o  6
 I  4
  i  2
  CD  f.
  »  0
             Children Who Participated in all Six Rounds
                              Intervention
                       234       5       6
                           Round of Sampling
             All Children Sampled Throughout the Study
                              Intervention
£ 20 1
e
5 18
1 16
1 14
s 12
1 10
tss CJ
ft O '
o 6
I 4
OS ^^
CO ^
5 0
DC v





















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j









j
T
T ^ O ^
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1 1 1
4 5 6
                           Round of Sampling
                              O = Abate
                              D = Control
Figure 7-13. Model 4 results of effect of soil abatement on hand lead. Bars show 95%
          confidence interval on regression coefficient.
                                 7-33

-------
TABLE 7-15. REGRESSION COEFFICIENTS FOR EFFECT
        OF AGE ON HAND LEAD MODEL 4
Children Present In All Six Rounds of Sampling
Log (Hand Lead)
Round
1
2
3

4
5
6

Round
1
2
3

4
5
6
Group
AgeO
Agel
Age 2
Age 3
Agel
Age 2
AgeS
Agel
Age 2
Age 3
INTERVENTION
Age 2
Age 3
Age 3
Age 3
All
Group
AgeO
Agel
Age 2
Age3
AgeO
Agel
Age 2
AgeS
AgeO
Agel
Age 2
AgeS
EtflERVENTION
Agel
Age 2
AgeS
Agel
Age 2
AgeS
Age 2
AgeS
EST
-1.10200
-0.33540
0.00674
-0.03076
-0.15050
0.16700
0.20380
-0.79020
•0.31750
-O.00479

-0.13830
0.04095
0.08735
0.03363
SB
0.25130
0.19940
0.19320
0.09023
0.26730
0.24980
0.10150
0.79460
0.23140
0.06893

0.55240
0.04757
0.04513
0.03881
Hand
EST
0.33221
0.71505
1.00676
0.96971
0.86028
1.18175
1.22605
0.45375
0.72797
0.99522

0.87084
1.04180
1.09128
1.03420
Lead
SE
0.08348
0.14258
0.19451
0.08750
0.22995
0.29520
0.12444
0.36055
0.16845
0.06860

0.48105
0.04956
0.04925
0.04014
Children Sampled Throughout Experiment
Log
EST
-1.21400
-0.41660
-0.07236
0.01890
-0.72620
-0.11540
0.06398
0.21540
-0.68540
-0.45940
-0.21580
0.01716

0.83000
0.35360
0.04633
0.87800
0.01320
0.06734
0.39450
0.03421
(Hand Lead)
SE
0.18400
0.14850
0.14810
0.06098
0.50740
0.19240
0.18190
0.06869
0.29330
0.22920
0.17980
0,05653

0.37990
0.27510
0.04440
0.43680
0.25880
0.03758
0.24260
0.00335
Hand
EST
0.29701
0.65928
0.93020
1.01908
0.48374
0.89101
1.06607
1.24036
0.50389
0.63166
0.80590
1.01731

2.29332
1.42419
1.04742
2.40608
1.01329
1.06966
1.48364
1.03480
Lead
SE: • ;;-
0.05465
0.09790
0.13776
0.06214
0.24545
0.17143
0.19392
0.0$520
0.14779
0.14478
0.14490
0.05751
1
0.87123
0.39179
0.04651
1.05098
0.26224
0.04020
0.35993
0.03451
                    7-34

-------
              Children Who Participated in all Six Rounds
                                 Intervention
1 1
3
•5
| 0

_c
i -1
«|
o ^
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1- "
ST -3
|- .

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	 . . T!T- - - - "J 	 T I.
ft .. o T
-•io 13 --3
T 23 12 •
-1 1 2
- -
0

1

T


f-i- -r

_


2
s. , ; ' . . " •



(g- - I.I 1 1
1.2 3 45 6
Round of Sampling
All Children Sampled Throughout the Study
| Intervention
1 2|
at
5
I 1
"c .
1
| -1
"55
i
o> O •
tn ^^«


	 U. Till ...j...
T13 fl3 T il
23 ..^2 ..-I3
I1 I1
0 h
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-- - -•
^3 1{3 23
2



£C -I' III
123456
Round of Sampling
0 = AgeO 2 = Age2
1=Age1 3 = AgeS
Figure 7-14.  Model 4 results of effect of age on hand lead, log transformed. Bars show
            95% confidence interval on regression coefficient.

                                    7-35

-------
          TABLE 7-16. REGRESSION COEFFICIENTS FOR EFFECT OF
                  FEMALE GENDER ON HAND LEAD MODEL 4
Children Present In All Six Rounds of Sampling

Round
1
2
3
INTERVENTION
4
5
6
Log (Hand Lead)
EST SE
-0.1454 0.11490
-0.3607 0.14870
-0.4888 0.13740

-0.2887 0.13180
-0.3327 0.13110
-0.4055 0.10930
Hand
EST
0.86468
0.69719
0.61336

0.74924
0.71699
0.66664
Lead \
SE
0.09935
0.10367
0,08428

0,09875
0.09400
0.07286
All Children Sampled Throughout Experiment

Round
1
2
3
INTERVENTION
4
5
6
Log (Hand Lead)
EST SE
-0.1462 0.08502
-0.1378 0.10600
-0.4666 0.10530

-0.1999 0.12200
-0.2834 0.11110
-0.3392 0.09927 ,
Hand
EST
0.86398
0.87127
0.62713

0.81881
0.75322
0.71234
Lead
SE
0.07346
0^09235
0:06604 >i

0:09990
0:08368
0107071
The measure of soil lead concentration for properties in the control group remained the same
for all six rounds of the experiment.  This model also adjusts for covariates that are thought
to influence hand lead.
     The effect of gender on hand lead in this model is similar to that found in the previous
model; hand lead is higher on average for the male participants (Table 7-19 and
Figure 7-18).
                                       7-36

-------
             Children Who Participated in all Six Rounds
                              Intervention
S 1.0O
I 0.75
| 0.50
1 °-25
c f) rin

| 1.00
f 0.75
1 0.50
| 0.25
1 o.oo
TS
1 -0.25
o
1 -0.50
i -0.75
1-1.00






.





• - ^^ if
Intervention








T

--









-•

-1-


               1        23       4       5       6
                           Round of Sampling
Figure 7-15.  Model 4 results of femal gender effect on hand lead, log transformed.
           Bars show 95% confidence interval on regression coefficient.

                                 7-37

-------
TABLE 7-17. REGRESSION COEFFICIENTS FOR EFFECT
OF SEASON ON HAND LEAD MODEL 4
Children Present In All Six Rounds of Sampling
Round
1
2
Log (Hand Lead) Hand Lead
EST SE EST
-0.11910 0.12610 0.88772 JO.
0.05406 0.14940 1.05555 0.

SE
11194
15770
All Children Sampled Throughout Experiment
Round
1
2
Log (Hand Lead) Hand Lead
EST SE EST
0.02264 0.08617 1.02290 0.
0.12090 0.10570 1.12851 0.

SE
08814
11928
     Age is positively associated with hand lead (Table 7-20 and Figure 7-19).  Change in
season has no an effect on the hand lead concentration of children in the study (Table 7-21
and Figure 7-20).
     The effect of dust lead concentration on hand lead was consistently positive throughout
                                                   .
the experiment.  This effect is markedly higher in the sampling rounds that took place during
the winter months (Table 7-22 and Figure 7-21).
     The effect of soil lead concentration on hand lead was inconsistent throughout the
experiment.  The inconsistency could not be attributed to season in the same way that the
effect of dust lead was explained (Table 7-23 and Figure 7-22).
     The R-squared coefficient and estimated mean square error from these 5 models are
presented in Table 7-24.
     The results of the models applied to the Baltimore data for the purpose of comparison
to the Boston and Cincinnati results revealed no statistical difference between treatment and
control groups in any of the rounds following intervention.  The statistical output from these
models are in Appendix I.
     The reader will notice that there are different numbers of children included in each of
the cross sectional models, even in the population which consisted of children who were
                                          7-38

-------
"8
Children Who Participated in all Six Rounds
                 Intervention
1 0.41
o>
3 0.3
1 0.2
1 0.1-
^ f\ f\
§ 0.0
1 -0.1
3 -0.2
1 -0.3
2
S* -04
c u-^

















i




«
i ii
              1       2      345       6
                          ftound of Sampling
            All Children Sampled Throughout the Study
                             Intervention
| 0.351
g> 0.30
^ 0.25
| 0.20
= 0.15
I 0.10
1 0.05
5? /\ f\f\
§ O.OQ
§ -0.05
§ -0.10
1* _n i c-
































                               3456
                           Round of Sampling
Figure 7-16.  Model 4 results of effect of season on hand lead, log transformed. Bars
           show 95% confidence interval on regression coefficient.

                                 7-39

-------
TABLE 7-18. REGRESSION COEFFICIENTS FOR EFFECT OF
           DUST ON HAND LEAD MODEL 4
Children Present In All Six Rounds of Sampling

Round
1
2
3
BSTTERVENTION

4
5
6
Log (Hand Lead)
EST SE
.00000710 .00003667
.00014850 .00004625
.00008436 .00004288


.00008650 .00004040
.00007582 .00004064
.00000500 .00003345
Hand
EST
1,00000710
1.00014851
1.00008436


1.00008650
L00007582
1.00000500
•
Lead
' SE.
.000036670
.000046257
.000042884


.000040403
.000040643
.000033450
All Children Sampled Throughout Experiment

Round
1
2
3
INTERVENTION
4
5
6
Log (Hand Lead)
EST SE
.00003876 .00003166
.00015090 .00003866
.00008175 .00003749

.00008103 .00003922
.00006544 .00003703
.00001513 .00003226
Hand
EST ;
1.00003876
1.00015091
1.00008175

1.00008103
1.00006544
1.00001513
Lead
SE
.000031661
.000038666
.000037493

.000039223
.000037032
.000032260
                      7-40

-------
1 0.00025
   0.00020

   0.00015

   0.00010

   0.00005
   0.00000

  -0.00005
                Children Who Participated in all Six Rounds
                                 Intervention
                  1        2       3        4       5  ;     6
                              Round of Sampling
                All Children Sampled Throughout the Study
                                 Intervention
1 0.00025
f 0.0002C
To
I 0.00015
| 0.0001 C
S 0.00005
1 O.OOOOC
to
s.
£ -0.00005





























                  1       234       56
                               Round of Sampling
Figure 7-17.  Model 4 results of effect of dust lead on hand lead, log transformed. Bars
           show 95% confidence interval on regression coefficient.
                                 7-41

-------
TABLE 7-19. REGRESSION COEFFICIENTS FOR EFFECT
       OF GENDER ON HAND LEAD MODEL 5
Children Present In All Six Rounds of Sampling
Round
1
2
3

4
5
6

Round
1
2
3

4
5
6
Group
Male
Female
Male
Female
Male
Female
INTERVENTION
Male
Female
Male
Female
Treatment
Control
All
Group
Male
Female
Male
Female
Male
Female
INTERVENTION
Male
Female
Male
Female
Male
Female
Log (Hand Lead)
EST SE
2.424 0.1928
2.277 0.1889
1.792 0.2417
1.441 0.2434
2.224 0.2230
1.741 0.2160

1.672 0.1716
1.360 0.1835
2.293 0.1729
1.969 0.1903
2.414 0.1527
1.997 0.1657
Children Sampled Throughout Experiment
Log (Hand Lead)
EST SE
2.281 0.1372
2.135 0.1370
1.762 0.1717
1.626 0.1750
2.199 0.1782
1.730 0.1648

1.609 0.1539
1.399 0.1595
2.316 0.1425
2.037 0.1489
2.400 0.1283
2.053 0.1344
Hand Lead
EST
11.2909
9.7474
6.0014
4.2249
9.2442
5.7030

5.3228
3.8962
9.9046
7.1635
11.1786
7.3669


EST
9.7865
8.4570
5.8241
5.0835
9.0160
5.6407

4.9978
4.0511
10.1351
7.6676
11.0232
7.7912
SE
2.17689
1.84128,
1.45055
1.02835
; 2.06146
;- 1.23186
-. . 1
0.91339
0.71495
1.71251
1.36322
1.70697
1.22070

Hand ] Lead
1 SE
, 1.34270
, , 1.15862
0.99999
6.88961
.1,60665
0.92958

0.76916
; 0.64616
.' • ; • 1.44425
1.14170
1.41427
; 1.04714
                    7-42

-------
  I 3.0

  ^ 2.5
  1
  2 2.0
    1.5
    0.5

    0.0
              Children Who Participated in all Six Rounds
                               Intervention
                1        2       34       5        6
                            Round of Sampling
13
3

I 3.0

•5 2-5
1 2.0

| 1.5

1 1.0
 I 0.5
 I 0.0
             All Children  Sampled Throughout the Study
                               Intervention
                                3       4
                            Round of Sampling
                                                        (
                                                        6
                               O  =Male
                               a  = Female
Figure 7-18. Model 5 results of effect of gender on hand lead, log transformed.  Bars
           show 95% confidence interval on regression coefficient.
                                  7-43

-------
TABLE 7-20. REGRESSION COEFFICIENTS FOR EFFECT
         OF AGE ON HAND LEAD MODEL 5
Children Present In All Six Rounds of Sampling
Round
1
2
3

4
5
6

Round
1
2
3

4
5
6
Group
AgeO
Agel
Age 2
Age 3
Agel
Age 2
Age3
Agel
Age 2
Age 3
INTERVENTION
Age 2
Age 3
Age3
Age 3
All
Group
AgeO
Agel
Age 2
Age 3
AgeO
Agel
Age 2
AgeS
AgeO
Agel
Age 2
Age 3
INTERVENTION
Agel
Age 2
Age 3
Agel
Age 2
Age 3
Age 2
Age3
Log (Hand Lead)
EST SE
-1.10600 0.25210:
-0.33970 0.20150
-0.01190 0.19250
-0.03152 0.09115
-0.19250 0.26700
0.14940 0.24820
0.18480 0.10160
-0.77470 0,79260
-O.31930 0.23090
-0.00567 0.06877

-0.22040 0.55860
0.04482 0.4817
0.08537 0.04570
0.03344 , 0.03862,
Children: Sampled Throughout Experiment
Log: (Hand Lead)
EST SE
-1.21200 Oi.18500.
-0.41590 0.14950
-0.07558 0,14800
0.01779 0.06142
-0.72440: 0:50570
-0.12660 0,19190
0.06258 0,18100
0.20830 0.06867
-0.69160 0.29410
-0.47870 0:22670
-0:21700 0.17990
0.01706 0.05657

0.87800 0:38380
,0,41440. Oi27630
0.04575 0,04488
0.86730 0.44460
-0.01182 0.26340
0.07011 0.03820
0.39450 0.24150
0.03247 0.03332
Hand
EST
0.33088
0.71198
0.98817
0.96897
0.82489
1,16114
1.20298
0.46084
0.72666
0.99434

0.80220
1.04584
1.08912
1.03401

Hand
EST
0.29760
0,65975
0,92721
1.01795
0.48462
0188109
1,06458
1.23158
0.50077
0.61959
0.80493
1.01721

2.40608
E51346
1.04681
2.38047
0.98825
1.07263
1.48364
1.03300
Lead
SE
0.08341
0,14346
0.19022
0.08832
0.22025
0.288195
0,12222,
0.36526.
0.16779
0.06838
1
0,44811
0.05038
; , 0.04977
Or.03993

Lead!
SE
0.05506
0.09863
0.13723
0,06252
0.24507
0,16908
0.19i69
0.08457
0,14728
0:14046
0,14481
0.05754

0.92345^
' 0.41817
0.04698.
1.05836
0.26030
0.04097
0.35830
0.03442
                     7-44

-------
             Children Who Participated in all Six Rounds
                              Intervention
* 1 1
0)
«• n
yj ^j
"c
c
I -1
«|
0 .0
c "
_o
i
& -3






(







•







T
-l| •
I2 :








t
• t







-£
L3
)








T^
| 3
2



i






/•






-r j
3 3 1

i




               1        2       3       4       5       6
                            Round of Sampling
             All Children Sampled Throughout the Study
                              Intervention
1 2 \
5?
3
•
C
1 o
 _£



	 |f|---
ji
J
0 ]
FlI1
Tl3"""i
J-2
1
i


i i
12













rT-i—
i3
2






.-...^l........^! ^..._._...
2



iiit
3456
                           Round of Sampling
                           0 = AgeO
                           1 = Age1
2 = Age2
3 = Age3|
Figure 7-19.  Model 5 results of effect of age on hand lead, log transformed.  Bars show
           95% confidence interval on regression coefficient.
                                 7-45

-------
             TABLE 7-21.  REGRESSION COEFFICIENTS FOR EFFECT
                      OF SEASON ON HAND LEAD MODEL 5
1
Children Present In All Six Rounds of Sampling
Round
1
2
Log
EST
-0.08192
0.08260
(Hand Lead)
SE
0.11830
0.14960
All Children Sampled Throughout
Round
1
2
Log
EST
0.02684
0.13030
(Hand Lead)
SE
0.08542
0.10560
Hand
EST
0.92135
1.08611
Experiment
Hand
EST
1.02720
1.13917
Lead
SE
0.16900
0.16248

Lead
SE
0.08774
0.12030
present in all six rounds of sampling.  This is largely a result of missing or unavailable data
for the models (mostly destroyed or inadequate samples).
7.5   IMPLICATIONS OF FINDINGS
   If it can be assumed that the dose response relationship between soil lead and blood lead
is sigmoidal in shape, it would be expected that the reductions achieved at the low levels in
this study would not result in statistically significant reductions in blood lead levels.
   The findings of this project may help avoid costly abatements of soil in cities where, like
Baltimore, the principal source of lead exposure for children is paint in and around their
houses along with the resulting house dust. There may be individual children, however, who
are more likely to benefit from soil abatement; i.e., those who have unusually strong
                                                                           I
mouthing behavior or pica. For these children, however, environmental controls, while
important, must be supplemented with attention to hygiene, nutrition, and any underlying
behavioral or medical problems.  Abatement of lead paint problems and of lead dust levels in
                                        7-46

-------
             Children Who Participated in all Six Rounds
0?
3 Intervention
1 OA]
5?
3 0.3
I 0.2
1 0.1
1 0.0
1 -0.1
f -0.2
| -0.3
i? -0.4




















               1       2       3       45       6
                           Round of Sampling
             All Children Sampled Throughout the Study
                              Intervention
| 0.351
g> 0.30
•s 0.25
| 0.20
= 0.15
1 0.10
1 0.05
§ n nn.
Q U.UU
I -0.05
1 -0.10
















               1       23456
                           Round of Sampling
Figure 7-20.  Model 5 results of effect of season on hand lead, log transformed. Bars
           show 95% confidence interval on regression coefficient.


                                 7-47

-------
          TABLE 7-22.  REGRESSION COEFFICIENTS FOR EFFECT OF
                        DUST ON HAND LEAD MODEL 5
Children Present In All Six Rounds of Sampling

Round
1
2
3
INTERVENTION
4
5
6
Log (Hand Lead)
EST SE
.00000730 .00003677
.00014840 .00004587
.00008422 .00004286

.00008800 .00004094
.00007411 .00004116
.00000390 .00003329
Hand
EST
1.00000730
1.00014841
1.00008422

1.00008800
1.00007411
1.00000390
Lead
SE '
.000036770
i
.000045877
.000042864

.000040944
.000041163
.000033290
^,— All Children Sampled Throughout Experiment
• •
Round
1
2
3
I^^mVENTION
4
5
6
Log (Hand Lead)
EST SE
.00004023 .00003176
.00014350 .00003862
.00008190 .00003760

.00008444 .00003958
.00006301 .00003762
.00001454 .00003216
Hand
EST
1.00004023
1.00014351
1.00008190

1.00008444
1.00006301
1.00001454
Lead
SE
.000031761
.000038626
.000037603

.000039583
.000037622
.000032160.
their houses would probably take priority over soil abatement, which might be limited to
areas of obvious contamination where the child is known to spend time.
     Soil abatement for cities like Baltimore does not appear to be a cost effective preventive
strategy used alone, but it may weE be an adjunct, in selected cases, to the overall
environmental management of children who become lead poisoned.
                                       7-48

-------
 I  0.0002£i
 3  0.0002(1
 •5
 I  0.0001 fi
 1  O.OOOKi
 I  o.oooof;
 3  0.0000(r
 1 -0.00
 £ -0.0001
                Children Who Participated in all Six Rounds
                                 Intervention
                  1       23456
                               Round of Sampling
 | 0.0002£
 f 0.0002C
 S 0.0001 £
 1 0.0001 c
 I O.OOOOf
 I o.ooooc
 f-0.00006
 I -0.0001 C[
                All Children  Sampled Throughout the Study
                                  Intervention
                  123456
                               Round of Sampling
Figure 7-21. Model 5 results of effect of dust lead on hand lead, log transformed.  Bars
           show 95% confidence interval on regression coefficient.
                                  7-49

-------
          TABLE 7-23.  REGRESSION COEFFICIENTS FOR EFFECT OF
                    SOIL LEAD ON HAND LEAD MODEL 5


Round
1
2
3
INTERVENTION
4
5

6


Round
1
2
3
INTERVENTION
4
5
6
Children Present In All Six Rounds
Log (Hand Lead)
EST SE
-0.00000500 ,00002036
0.00036780 .00002507
0.00006254 .00002586

-0.00010790 .00002379
0.00019070 .00002413

0.00033070 .00001967
All Children Sampled Throughout
Log (Hand Lead)
EST SE
-0.00002800 .00001307
0.00024190 .00001573
0.00005640 .00002096

-0.00017300 .00002306
0.00024000 .00002168
0.00025980 .00001899
of Sampling
Hand
EST
0.99999500
1.00036787
1.00006254

0.99989211
1.00019072

1.00033075
Experiment
Hand
EST
0.99997200
1.00024193
0.99994360

0.99982701
1.00024003
1.00025983

Lead i
SE
.00020360
.00025709
.00025862
! ,'
.00013070
.00015734
i1
.00020959

Lead
SE
.00023787
.00024135
.00019677
; r - •
.00023056
.00021685
.00018995
7.6   CALL FOR FURTHER RESEARCH
                                 •
    The models that were applied to the Baltimore data were cross sectional by sampling
round, and do not combine all the data from the study into one model. One of the
assumptions of linear regression models is that each response is independent and identically
distributed from a known distribution.  The multiple measurements taken on each child
throughout the experiment violates the assumption of independence. Some of the children in
                                     7-50

-------
  I 0.00100
  J* 0.00075
  I 0.00050
  = 0.0002
  •§
    O.OOOOC
    -0.00025
    -0.00053
    -0.0007
   '-0.001 OQ
                Children Who Participated in all Six Rounds
                                 Intervention
i 0.001 OG
j? 0.00075
1 0.0005G
5 0.0002E
~ OOOOOC
I -0.0002E
0-0.0005C
|-aooo7s
I-0.0010C























I 	 ^











„



:


                  1       2       3       4       5        6
                              Round of Sampling
                All Children Sampled Throughout the Study
                                 Intervention
                  123456
                              Round of Sampling
Figure 7-22.  Model 5 results of effect of soil lead on hand lead, log transformed. Bars
           show 95% confidence interval on regression coefficient.
                                 7-51

-------
 TABLE 7-24. R-SQUARED COEFFICIENT AND MEAN SQUARE ERROR
FOR MODELS WITH LOG (BLOOD LEAD) AS THE RESPONSE VARIABLE
Model 1 - Population 1
Round
1
2
3
4
5
6
N
140
136
130
133
136
133
DF
138
134
128
131
134
131
R-Sguare
0.002
0.003
0.000
0.008
0.008
0.012
Variance
0,2359
0.2051
0.2384
0.2612
0;2683
0.2659
Model 1 - Population 2 -.'.'.••
Round
1
2
3
4
5
6
N
273 "
255
229
175
173
170
DF
271
253
227
173
171
168
R-Square
0.001
0.000
0.000
0.018
0.021
0.029
Variance
0.2593
0.2162
0.2569
0.2480
0.2744
,'
0.2471
Model 2 - Population 1
Round
1
2
3
4
5
6
N
140
136
130
133
136
133
DF
130
127
122
126
130
127
R-Square
0.230
0.105
0.193
0.204
0.324
0.251
Variance
0.1931
0,1943
0.2020
. 0.2179 .
0.1885
0.2080 . "' .
                           7-52

-------
TABLE 7-24 (cont'd). R-SQUARED COEFFICIENT AND MEAN SQUARE ERROR
  FOR MODELS WITH LOG (BLOOD LEAD) AS THE RESPONSE VARIABLE
Model 2 - Population 2
Round
1
2
3
4
5
6
N
273
255
229
175
173
170
DF
263
245
220
167
165
163
R-Square
0.296
0.133
0.162
0.279
0.359
0.325
Variance
0.1883
0.1936
0.2222
0.1886
0.1863
0.1771
Model 3 - Population 1
Round
1
2
3
4
5
6
N
140
136
130
133
136
133
DF
138
134
128
131
134
131
R-Square
0.002
0.000
0.000
0.039
0.021
0.006
Variance
0.5224
0.8253
0.6623
0.5937
0.6146
0.4230
Model 3 - Population 2
Round
1
2
3
4
5
6
N
273
255
229
175
173
170
DF
271
253
227
173
171
168
R-Square
0.000
0.003
0.001
0.036
0.034
0.003
Variance
0.6005
0.8017
0.7239
0.6621
0.5620
0.4381
                              7-53

-------
TABLE 7-24 (cont'd). R-SQUARED COEFFICIENT AND MEAN SQUARE ERROR
  FOR MODELS WITH LOG (BLOOD LEAD) AS THE RESPONSE VARIABLE
Model 4 - Population 1
Round
1
2
3
4
5
6
N
140
136
130
133
136
133
DF
131
128
123
127
131
128
R-Square
0.176
0.153
0.132
0.111
0.107
0.104
Variance
0.4544
0.7319
0.5983
0.5668
0.5732
0.3902
Model 4 - Population 2
Round
1
2
3
4
5
6
N
273
255
229
175
173
170
DF
264
246
221
168
166
164
R-Square
0.211
0.157
0.160
0.100
0.117
0.080
Variance
0.4862
0.6978
0.6256
0.6368
0.5294
0.4141
Model 5 - Population 1
Round
1
2
3
4
5
6
N
140
136
130
133
136
133
DF
131
128
123
127
131
128
R-Square
0.171
0.166
0.132
O.087
0.084
0.113
Variance
0.4568
0.7209
0.5983
0.5822
0,5881
0.3863
Model 5 - Population 2
Round
1
2
3
4

5
6
N
273
255
229
175

173
170
DF
264
246
221
168

166
164
R-Square
0.211
0.162
0.159
0.082

0.088
0.085
Variance
0.4864
0.6934
0.6260
0.6496
\
0.5467
0.4121
                             7-54

-------
the Baltimore study also reside in the same household, and are likely to be correlated as well
(Figure 6).  While combining the data from all six rounds of sampling, these correlation
structures must be taken into consideration.  Another statistical issue is that the time of
sampling was not consistent throughout the experiment. There were also children who were
present in most of the rounds of sampling but may have missed 1 or 2 rounds (Figure 6).
The data from measurements on these children may provide additional information for
explaining the effects of soil abatement.  Research is now being conducted in an effort to
combine the data longitudinally while addressing these issues.
                                          7-55

-------

-------
                                   8.   REFERENCES
Agency for Toxic Substances and Disease Registry: The Nature and Extent of Lead Poisoning in Children. U.S.
       Public Health Service,  U.S. Department of Health and Human Services 1988

Annest JL, Pirlde JL, Makuc D, Neese JW, Bayse DD, Kovar MG: Chronological Trend in Blood Lead Levels
       between 1976-1980. New England Journal of Medicine 1983;308:1373-1377

Barltrop D, Khoo HE: The influence of Nutritional Factors on Lead Absorption. Postgraduate Medical Journal
       1975;51:795-800

Barltrop D, Meek F: Effect of Particle Size on Lead Absorption from the Gut. Archives of Environmental Health
       1979:34:280-285

Barltrop D, Strehlow CD, Thorton I, Webb JS: Significance of High Soil Lead Concentrations for Childhood
       Lead Burdens. Environmental Health Perspectives 1974;7:75-82

Binder S, Sokal D, Maughan D: Estimating Soil Ingestion: The use of tracer elements in estimating the amount
       of soil ingestion by young children. Archives of Environmental Health 1986;41:341-345

Centers of Disease Control: External Quality Assurance/Quality Control. May, 1991.

Chisolm JJ, Jr, Brown DH: Micro-scale photofluorometric determination of "free erythrocyte porphyrin"
       (protoporphyrin TX). Clinical Chemistry 1975; 21:1669-1682

Duggan MJ, Inskip MJ: Childhood Exposure to Lead in Surface Dust and Soil: A Community Health Problem.
       Public Health Review 1985;13:l-54

Environmental Protection Agency: Air Quality Criteria for Lead. Pub. No. 600/8-83/028bf. Research Triangle
       NC: EPA 1986:1-4

Forman DT, Parker SL: The measurement  and interpretation of Serum Ferritin. Annals of Clinical and
       Laboratory Science 1980;10: 345-350

Gibson JL, Love W, Hardine D, Bancroft P, Turner AJ: Notes on Lead Poisoning as observed among children in
       Brisbane. 1892; Transcription of the 3rd Intercolonial Medical Congress:76-83

Mahaffey KR: Nutritional Factors in Lead Poisoning. Nutrition Reviews 1981;39:353-362

Mahaffey KR, Rader JI: Metabolic Interactions: Lead, Calcium, and Iron. Annals of the N.Y. Academy of Science
       1980;355:285-297

Mielke HW, Anderson JC, Berry KJ, Mielke PW, Chaney RL, Leech M: Lead Concentrations in Inner-City
       Soils as a Factor in the Child Lead  Problem. American Journal of Public Health 1983;73,12:1366-1369

Pruszkowski E, Cornick GR, Slavin W: Blood lead determination with the platform furnace technique. Atomic
       Spectroscopy 1983;4:59-61

Rabinowitz MB,  Kopple JD, Wetherill GW: Effects of Food intake and fasting on Gastrointestinal lead
       absorption in humans.  American Journal of Clinical Nutrition, 1980;33:1784-1788
                                                 8-1

-------
Rabinowitz MB, Wetherill GW, Kopple ID: Kinetic Analysis of Lead Metabolism in Healthy Humans. The
       Journal of Clinical Investigation 1976;58:260-270

Rods HA, Buchet J-P, Lauwerys R, Bruaux P, Claeys-Thoreau F Lafontaine A, Verduyn G: Exposure to Lead
       by the Oral and the Pulmonary Routes of Children Living in the Vicinity of a Primary Lead Smelter.
       Environmental Research 1980;22:81-94
                                                                                        I .
Rosen JF, Chesney RW, Hamstra A, DeLuca HF, Mahaffey KR: Reduction hi 1,25-DihydroxyvitaminD hi
       Children with Increased Lead Absorption. New England Journal of Medicine 1980;302:1128-1131

Sayre JW, Chamey E, Jaroslav V, Pless IB: House and Hand Dust as a Potential Source of Childhood Lead
       Exposure. American Journal of Disease in Children 1974;127:167-170

Shaffar M, Stroupe SD: A general method for routine clinical chemistry on the Abbott TDx analyzer.  Clinical
       Chemistry 1983;129:1251 (abstract)

Shcllshear ED, Jordan LD, Hogan DJ, Shannon FT: Environmental Lead Exposure in Christchurch Children: Soil
       Lead a Potential Hazard. New Zealand Medical Journal 1975;81:382-386                 \

Stark AD, Quah RF, Meigs JW, DeLouise ER: The Relationship of Environmental Lead to Blood-Lead Levels hi
       Children. Environmental Research 1982;27:372-383

Ter Haar, G.  and Aronow, R: New  information on Lead hi Dirt and Dust as related to the Childhood Lead
       Problem. Environmental Health Perspective 1974;7:83-89

USEPA: Uptake/BioMnetic Model. ECAO/CIN/September  1, 1990.
                                                                                        I
Williams H, Schulze WH, Rothchild HB,  Brown AS, Smith FR, Jr.: Lead Poisoning from the Burning of Battery
       Casings.  Journal of the American Medical Association 1933;100:1485-1489

Zicglcr EE, Edwards BB, Jensen RL, Mahaffey KR, Fomon SJ: Absorption and Retention of Lead by Infants.
       Pediatric Research 1978;12:29-34
                                                  8-2

-------
    APPENDICES
   Baltimore Soil Lead Abatement
       Demonstation Project
          Final Report
     Submitted April 20, 1992
              to
The Environmental Protection Agency
              by
  Katherine P. Parrel I, M.D., M.P.H.
      J. Julian Chisolm, M.D.
     Charles A. Rohde, Ph.D.
     Boon P. Urn, M.D,, M.P.H.
   Merrill C. Brophy, M.S.N., R.N.
             and
      Warren J. Strauss, B.S.

-------
                            Appendix A

                            Protocols

                                                            PAGE
Blood Sampling	•,	• • «A-1
Blood Analysis, Graphite Furnace AAS	 .A-3
Handwipe Sampling	««-A-16
Handwipe Analysis, Nitric Acid/Perchloric Acid Digestion....A-17
Handwipe Analysis. Nitric Acid Digestion	—A-21
Soil Sampling	•	:• • -A-25
Soil Analysis, XRF Protocol			A-28
Soil Quality Assusrance Plan	 • A-32
Household Dust Sampling	,• • .A-34
Household Dust Analysis, XRF Protocol	 . A-35
Household Dust Analysis, Wet Digestion AAS	.A-38
Dust Quality Assurance Plan.	 . . A-42
Paint Chip  Sampling	A-44
Paint Chip  Analysis		.. • A-45
Paint Chip  Quality Assurance Plan	 .A-:48
Drinking Water Sampling	 -A-50
Drinking Water Analysis	:	•. -A-51
Drinking Water Quality Assurance Plan	 .A-53
Lead Paint  Stabilization	.A-58
Soil Abatement	«	1 • • .A-61

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                  BLOOD LEAD, TIBC, AND FERRITIN

             RT.OOn PnT.T.RCTION AND PROCESSING PROTOCOL

A. COLLECTION PROCEDURE

     1. Materials needed per participant

          - Gauze sponges, sterile, individually wrapped  2X2"  (2)
          - Alcohol wipe (2)
          - Bandaid
          - 3 mL lavender top vacutainer
          - 5 mL red top vacutainer
          - 21 or 23 gauge butterfly (used for children in place
            of needle)
          - 5 cc syringe
          - Tourniquet
          - 3 cc plastic screw top tube
          - Pipette
          - Pre-printed labels
          - Refrigerator or cooler for holding blood
          - Latex gloves

     2. Venipuncture procedure

          - Locate a suitable table for blood drawing and lay out
          blood collection supplies. Put on gloves.

          - Locate the puncture  site.  Hold with 2  fingers on one
          side of the "alcohol wipe" so that only one side touches
          the puncture site.  Wipe the area in  a  circular motion
          beginning with a narrow radius and moving outward so as
          to not cross over the area already cleaned. Repeat with
          a second alcohol wipe.

          - Locate vein and cleanse in manner previously described,
          then apply the tourniquet. If it is necessary to  feel the
          vein again, do so; but after you  feel it, cleanse with
          alcohol wipe again.

          - Fix the  vein  by pressing down on the  vein  about 1/2
          inch below the proposed point of entry into the skin.

          - Approach the vein in the  same direction  the  vein is
          running, holding the needle  so that it makes a 45 degree
          angle with the examinee's arm.

          - Push  the needle,  with bevel facing  up, firmly and
          deliberately into the vein. If the  needle  is  in the vein,
          blood will flow freely into the butterfly tubing. If .no
          blood enters the tubing, probe for the vein until entry
          is indicated by blood flowing freely into the tubing.

                               A - 1

-------
          - For collection, loosen the tourniquet immediately after
          blood flow is established and release entirely when the
          syringe is filled.

          -  Completely fill  the syringe  and then  withdraw the
          needle with  a slow but firm motion. When the needle is
          out of the arm, press gauze firmly on the puncture. Heavy
          pressure  as  the  needle is  being  withdrawn -should be
          avoided  because  it may cause the  sharp point  of the
          needle to cut the vein.

          -  Have  the  examinee  raise his  arm (not  bend  it) and
          continue  to hold the  gauze  in place  for  three (3)
          minutes. This will help prevent  hematomas.

          - Insert butterfly needle into purple top tube and allow
          to fill. To ensure accurate results, a minimum of  1.75 mL
          of blood must be drawn  into the 3 mL lavender top  tube to
          provide  the  proper  ratio  of  anticoagulant  to  blood.
          Invert  the lavender top  tube several  times  to ensure
          proper mixing.

          -  Insert needle into  red  top tube with examinee's ID
          number written on it and allow rest  of  blood to flow in.
          Allow  red top tube to  "cool"  at  room temperature 10
          minutes.  Spin  red top  tube 15  minutes in centrifuge.
          Pipette sera to plastic screw top tube.  Discard  red top
          tube, butterfly needle, and syringe  in  safety container.

          -  Label  lavender top  tubes  with  pre-printed  labels
          provided,  and use a  ballpoint  pen to add the  date
          collected  and your initials to the label.  The lavender
          top  tube should  be affixed with the label showing the
          participant's ID number  (e.g. 88002B1)  identified  "Lead
          in Soil Blood Lead". The red top tube should be  labeled
          with the  participants  ID number. The plastic screw top
          tube should have  participant's  ID number  written in
          indelible  ink.

          - Place a  bandaid  on the participant's  arm.

B. PROCESSING=

          - Place the lavender top tubes and the plastic screw top
          tube upright in  a rack in the  cooler  or  refrigerator
          within 30 minutes after being drawn. Log in the specimens
          and  keep cool until transported to lab. For the lavender
          top  tube,  note  on the  log  sheet if a full draw is not
          obtained ( minimum blood volume is 1.75 mL)  or if the
          blood was  not refrigerated  within 30 minutes.


                               A -  2

-------
                ANALYTICAL METHOD FOR BLOOD LEAD

                       GRAPHITE FURNACE AAS

A. GLASSWARE, SUPPLIES. AND EQUIPMENT:

     1.   Pipettes, 5 mL Mohr, graduated in 1/10 mL

     2.   Pipettes, Class A,  Volumetric:  5.0 mL, 10.0 mL, 15.0 mL,
          and 25.0 mL

     3.   Flasks.90Clm£s A, Volumetric:  100 mL, 200 mL,  500 mL,

     4.   Eppendorf Pipettes:  20 jiL and 500 nL

     5.   Eppendorf Pipette Tips: 20 jiL clear tips and 500 jiL  blue
          tips

     6.   Falcon Tubes (Falcon 2063):  12 x 75 mm, polypropylene,
          round - bottom tube with cap

     7.   Disposable Sampling Cups:  1.5 mL polystyrene  or
          polyethylene

     8.   Analytical Balance

     9.   Pyrolytically Coated Graphite Tube (Perkin-Elmer, part
          number  B010-9322)

     10.  Pyrolytic  Graphite L'vov Platform  (Perkin-Elmer,  part
          number B010-9324)

     11.  Lead Hollow Cathode Lamp (Perkin-Elmer, part number
          0303-6039)

     12.  Micromedic Automatic Pipette with 1 mL and 50 nL Sampling
          Pumps and 1 mL and 200 jiL Dispensing Pumps

     13.  Rotator-Labindustries Labquake Shaker

     14.  Vbzrtex-Genie Mixer

     15.  Sonifier Cell Disrupter

     16.  Hydro-Ultrapure Water System

     17.  Perkin-Elmer  Zeeman/5000  System  (Model   5000 Atomic
          Absorption Spectrometer, Zeeman Graphite Furnace, HGA-400
          Furnace  Programmer,  AS-40   Autosampler).    System is
          interfaced to  a PC with printer  (IMS  286  Computer, CM
          4531 EGA Monitor, Epson LX 810 Printer).


                               A - 3

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     18.  Argon  Gas,   99.996%  Purity   (as  per   Perkih-Elmer
          recommendation)

B.   MATRIX MODIFIER

     (0.2% NH4H2P04 and 0.05% Mg (N03) 2. 4H20 or 0.05% Mg(NO3)2. 6H2O in
     1% HNO3 ULTREX:

     1.   Reagents Required;

          a.    Ammonium  Phosphate, Monobasic
                (NH4H2P04) ULTREX Ultrapure
                Reagent,  J.T.Baker Chemical Co.

          b.    Magnesium Nitrate  Mg(NO3)2.4H20,  or  Mg(NO3)2.6H20,
                Johnson  Mathey  Chemicals  Limited  (distributed by
                Alfa  Products)                              i

          c.    Nitric Acid  (HN03), ULTREX, J.T. Baker Chemical Co.

     2.   Preparation of Matrix Modifier:
                                                           i-
          a.    0.05% .Mg(NO3)2:   weigh  0.3716  grams   if  using
                Mg(N03)2.4H2O
                or  0.4331   grams   if  using  Mg(NO3)2.6H2O  on  an
                analytical  balance. Transfer to 500  raL volumetric
                flask.

          b.    0.2%   NH4H2PO4:   weigh   1.000  gram  NH4H2PO4  on  an
                analytical   balance.    Transfer  to  same  500  mL
                volumetric  flask.

          c.    Add approx.  250 mL 1% HNO3 ULTREX to flask; stopper;
                swirl contents to  dissolve salts.

          d.-    After salts are in solution, qs to 500 mL with 1%
                HNO3  ULTREX.

          e,.    Stopper  and mix thoroughly.

C.   PREPARATION OF LEAD STANDARDS:

     CAUTION*    All  glassware  must  be  "lead-free."    Clean all
     pipettes  by soaking at  least 24 hours  in  30-50% HNO3, then
     rinsing  thoroughly with  deionized  water;  oven  dry.   Fill
     volumetric flasks  with  30-50%  HNO3.   Let stand  at least 24
     hours.  Rinse thoroughly with deionized water; air dry.

     1.   Aqueous Stock  Standard  (10  ppm Lead):  prepare from 1000
          ppm  Lead Standard  (Alfa Products,  Ventron Division, or
          Varian, Sunnyvale CA).   Into a Class A volumetric flask,
          pipette 5  mL of 1000 ppm Lead Standard, using a 5 mL Mohr

                                A - 4

-------
          TD pipette  or a 5 mL Class A volumetric pipette. QS  to
          500 mL with 1%  HN03 ULTREX; stopper; mix.

     2.   Aqueous Working Standards  (prepare weekly):
Working
jig/L

250
500
1000
1250
1500
     3.
Standard
ppm or jig/mL

  0.25
  0.50
  1.0
  1.25
  1.5
Stock
(mL of  10 ppm)

      5
      5
     10
     25
     15
Total Volume  (mL)
(qs with deionized water)

           200
           100
           100
           200
           100
     Label, date, and initial all solutions.

Blood Lead Standards:

a.   Preparation of Base Blood (1/10 Dilution of a  "Low
     Lead" Blood): Using a Micromedic Automatic Pipette,
     dispense 300  jiL  of a  child's non-hemolyzed, EDTA-
     preserved blood, with  a lead concentration of 4-6
     jig Pb/dL) into a labeled Falcon tube.  Add 2700 jiL
     Triton  X-100  in three  900 jiL  portions.  Mix by
     swirling  gently;  cap  tube; vortex  (lowsetting) .
     Prepare  a  week's  supply  of base  bloods.   Dilute
     each  patient's  blood  separately  (DO  NOT   POOL
     BLOOD); refrigerate.  3 mL base blood is needed for
     a  six point calibration curve.   All standards in
     one run must be prepared from the  SAME base blood.

b.   Preparation  of  Blood  Lead Standards  (method of
     Standard Additions).  Prepare fresh daily:

     1)    With  an Eppendorf pipette transfer  20 jiL of
           each  aqueous  standard  (250,  500, 1000, 1250,
           and 1500  U9/L) into one of five Falcon tubes,
           labeled  Stds  1,2,3,4,5.

     2)    With  an Eppendorf pipette add  500 jjiL of  base
           blood  (from Step 3a),  to each tube.   Mix by
           swirling; cap tube.  The remaining base blood
           in  the tube  is the  Zero  Calibrator unspiked
           blood).

     The actual concentration of Pb (ng/L) in each Blood
     Standard is:   Std  #1 =  9.615; Std  #2 = 19.231;
     Std #3 = 38.462; Std f4 = 48.077;  Std #5.-=  57.692.
                                A - 5

-------
D.   QUALITY CONTROL

     1.    Source  of Controls:

           a.    CDC  and  CAP   Proficiency  Test   Bloods.     These
                specimens  are  used as  controls, after  the  test
                values  have  been established by CDC  or  CAP.

           b.    Ciba-Corning. BLD Tox  I,  II  (Bi-Level Whole  Blood
                Assayed Toxicology Controls),  Product  Code  9660.
                The DHMH Laboratory establishes a mean  and if ollows
                CDC guidelines  to determine the acceptable range (±
                4  jig/dL, or 10%, whichever is greater) for  these
                controls.

     2.    Three Controls  (low 10. ng/dL, middle  30  (ig/dL  and high
           40-60 |ig/dL)  are  analyzed in  a run.

     3.    Maintaining  QC  Records:  All QC results must be plotted
           daily by the analyst on charts specifically reserved for
           the instrument  used  in the  analyses.

E.   OPERATION OF ZEEMAN/5000  SYSTEM:

     1.    TURN ON ARGON TANK  (tank pressure 350  kPa, 41 psi).

     2.    TURN ON H2O  (faucet  at sink - water flow not too  fast;
           optimum Flow Rate 2.5  L/min).

     3.    TURN ON AUTOSAMPLER  (AS-40).   Power Sequence takes 60
           seconds; it then goes into STANDBY (sampling arm is  above
           overflow vessel) .  ALWAYS TURN AS-40 AUTOSAMPLER ON BEFORE
           THE  HGA-400  PROGRAMMER AND
          AA  5000.

     4.   TURN FURNACE  GAS  CONTROL ON (there are three positions:
          ON,  OFF,  OPEN) .  TURN POWER  ON.   E-45  error  message
          appears on digital display and a warning alarm sounds, if
          the  power is  turned  on
          before the gas. Use  CE (CLEAR ENTRY) to turn off alarm.
          Make sure GAS CONTROL FLOW is ON.

     5.   TURN AA 5000 POWER ON.
          TURN RUN SWITCH ON.
          Turn optical interface  (located top, right   in  lamp
          compartment) to ZAA position.

     6.   TURN COMPUTER,  MONITOR AND PRINTER  ON (see  Analytical
          Instrument Software  Operator's Manual).
                               A - 6

-------
SET AA 500.0 PARAMETERS:

a.   Install  lamp  with lamp  window facing  the Zeeman
     Furnace  Module (active  lamp position  is  in the
     front).

b.   Note the ZAA lamp  position number and plug the lamp
     into   the   receptacle   in   the   turret   hub,
     corresponding to that number.

c.   Turn  Accessory   Switch   ON  (on   Zeeman  Furnace
     Module).

d.   Select ZAA above Accessory Switch).

e.   Press Lamp  #  (1-6),  corresponding  to  position of
     lamp location.

f.   Select the proper current (Pb  Lamp  10  ma).  Never
     use higher  than  the  specified current.   Press 10
     and LAMP MA.

g.   Select proper SLIT-LOW for the element  (Pb 0.7 ma).

h.   Press  correct wavelength  number  (Pb  283.3)  on
     keyboard.  Press \ PEAK.

ADJUST LAMP after at least 5 minutes warm-up time.

a.   Press SET UP.  The main display will show a value
     of approximately 50.   If upper  limit of  SET UP (99)
     is displayed,  press  GAIN to bring display down to
     50.

b.   Adjust  lamp with two adjustment  screws  (located
     front-bottom of lead lamp on lamp mount) and slide
     lamp  forward  or backward in   the  mount,  until a
     maximum reading is achieved.  If an overrange (99)
     is  obtained,   press  GAIN  and  continue adjusting
     lamp.

c.   Press SET UP again to cancel SET UP Mode.

d.   To check PM (photomultiplier)  VOLTAGE  press CHECK
     and GAIN; record PM Voltage and Lamp Energy on Lab
     Chart.

SET  ADDITIONAL  AA PARAMETERS  AFTER  LAMP  ADJUSTMENT
(FOLLOW THIS ORDER):

a.   PRESS 5.0 t (time must match Atomization Time).


                     A - 7

-------
     b.   CHOOSE PEAK AREA on AA 5000.

     c.   PRESS NUMBER AVG (omit this step if  not averaging 2
          or more readings).

     d.   PRESS PRINT.

     e.   PRESS 1 STO (to store AA Parameters).

10.  PROGRAM THE HGA-400 PROGRAMMER:

     Furnace Conditions for Pb Determination

                         1    2    34    5

                         100  130  650

                         5    5

                         10
STEP

TEMP(°C)

RAMP TIME *(s)

HOLD TIME (s)

RECORDER

READ

BASELINE

INT GAS (MINI FLOW) mL/min

EXT.ALT (STOP FLOW)**
10
5

45
20

1

4

 48
     6    7

1800 2600 20

0    11

5    5    10

 REG  REC

     READ

 0
                                                  STOP
                                                  FLOW
*    When RAMP TIME is zero (Max.  Power Heating), Temperature
     Control requires calibration.

**   If STOP FLOW does not work, press 0 MINI FLOW.

Note:     Adjustment  of  Furnace Conditions must be made as
          needed.   Graphics and  physical  observations must
          also yield  favorable results.

11.  'CAliIBRATE  OPTICAL   TEMPERATURE  SENSOR  (the  pptimal
     temperature sensor  is only used when  operating in the
     Maximum Power Heating Mode):

     a.   First purge line of  air by entering 120 TEMP on
          Furnace Programmer.  Press MANUAL  TEMP key and hold
          for 5 seconds.

     b.   Set Range Selector on the Furnace Assembly to the
          correct   range  for   the  required   atomization
          temperature  for  lead   (1800°C);  Range  Selector
                          A - 8

-------
          >1500°C.    If  unable to achievecalibration  of the
          optical sensor at this setting,  use < 1500°C.

     c.    Press RECORDER MANUAL (to turn  the  electromagnet
          on) .                     •

     d.    Enter the Atomization  Temperature (1800°C) for lead
          and press  and hold  MANUAL TEMP key.   Hold  entire
          time while  adjusting calibration control .(for 15-20
          seconds when atomization  temperature  is  <. 2000°C;
          for  5  seconds when atomization  temperature  is  >
          2000°C).    Wait  briefly and  then adjust  the CAL
          control  fairly  rapidly to obtain  balance  of the
          indicator lights (red/green).

     e.    Release MANUAL TEMP  key.

     f.    Press REG MAN (to turn electromagnet off).
          It is important NOT  TO OVERHEAT THE MAGNET.
          Repeat Steps llc-llg  several times to get correct
          balance.

12.  PRELIMINARIES FOR AS-40 AUTOSAMPLER:

     a.    The AS-40 has been in  STANDBY (the arm is up in the
          air)  . Keep the  flushing  liquid reservoir  filled
          with  0.05%  Triton  X-100.    Empty  Waste  Bottle
          regularly.

     b.    While in STANDBY:

     NOTE:  The sampling arm can only be moved manually when
            the Autosampler is in STANDBY Mode.

          1)   Check  that  the   pipette  tip  is  positioned
               correctly,  by  checking  the  tip  as  it  enters
               the  entry  hole  in  the graphite  tube  (use
               flashlight or lamp to look into the entry hole
               of the graphite tube).

          2)   Check  the  tip  in  relation  to  the  L'vov
               Platform (with  a dental mirror,  positioned to
               the right of the  right window assembly, of the
               furnace assembly).

          3)   Adjustments   can    be   made    to   improve
               positioning:

     a)    The  whole   sample  carriage  can  be   realigned  to
          center the tip as it enters furnace.  Release Table
          LOCK Control  (on right front of  table; turn
          counterclockwise).

                          A -  9

-------
          (1)  To  adjust  left-right movement:  turn LATERAL
               Control Knob on left side of the table.

          (2)  To  adjust  forward-backward  movement:  turn
               HORIZONTAL Control Knob on front of table, to
               left of the LOCK/RELEASE Control Knob..  After
               adjustment, tighten table LOCK/RELEASE Control
               Knob.

     b)   Knob to right of sampling arm (closest to Furnace)
          adjusts immersion depth of tip into the solution in
          sample cup.  Directly in front of this knob is the
          knob  to  adjust  penetration depth   of  tip  into
          graphite, tube.

13.  PROGRAM AS-40 AUTOSAMPLER:

     a.   Press STANDBY to take it out of STANDBY.

     b.   If there are  less than 35 cups  being used, enter
          the LAST SAMPLE location number.

     c.   Press 10 (jiL), SAMPLE VOLUME.

     d.   Press 5  (flL), ALT VOLUME.

     e.   Press 1, INST PROG (if 1 STO already programmed on
          AA 5000  (Step 9e).

     f.   Press 1  HGA PROG {HGA 400 Programmer cannot store
          program).

14.  PROGRAM  COMPUTER:  see  Analytical Instrument  Software
     Operator Manual,  pp.  3-16; also, DHMH Lead Laboratory
     Computer Guide for Zeeman 5000 AA, pp. 1-17.

15.  PRELIMINARIES TO BLOOD LEAD ANALYSIS:

     a. Blank Furnace

          1)  "Enter 120 TEMP on Furnace Programmer.

          2)   Press MANUAL TEMP  key and  hold for 5 seconds
               to purge line of air.

          3)   Press .START  on  Furnace   Programmer.    When
               operation  is complete, the  absorbance value
               appears on the AA 5000 display.

          4)   Press AZ (Automatic  Zero)  on Model  5000 to
               make Furnace read 0.
                          A -  10

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5)   Repeat  Steps  15a(3)   and  15a(4)  to  ensure
     Furnace is blanked (0.001 or better).

Check the deionized water  to determine quality of
H20, the Triton X-100 with matrix  modifier  (referred
to  as Sample  Blank)  and  the  highest  Blood  Pb
Standard  (to check  that   the  absorbance of  this
standard  will  give  an acceptable  Characteristic
Mass of 12 ± 20%.

A good technique for checking the proper  set-up of
the instrument is by  running the highest Blood Pb
Standard, the calculation of its Characteristic.

Mass, and the comparison  of this value  with the
accepted value (12 ± 20%).

1)   Place cup containing  1% HNO3, in position  #1 of
     AS-40 Method Tray.

2)   Place deionized H2O in cup #2.

3)   Place Triton'X-100 in cup #3.

4)   Place highest Blood Pb  Standard in cup #4.

5)   Press 1, MANUAL, START  on the Autosampler.

6)   Note Absorbance of each sample on the Digital
     Display.    Record  Absorbance  of  H20 on Lab
     Chart.

7)   If  Absorbance reading of  deionized  H20  or
     Triton  X-100 is  not  acceptable  (must  be ±
     0.002 or better), re-run using a fresh aliquot
     in another cup.

     a)   Press  STANDBY  at Step   6  of  Furnace
          Program (to stop Autosampler),  otherwise
          the sample  tray  will rotate  to the next
          position in the Autosampler.

     b)   Press STANDBY to take the Autosampler out
          of STANDBY.

     c)   Press  the Cup Position # desired.

     d)   Press  MANUAL, START.

     e)   Note Absorbance  on Digital Display.
                A  -  11

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          c. Calculate the CHARACTERISTIC'MASS (CM) pg/0.0044 A-s:

     CM - Sample Volume X Std Cone X 0.0044  (1% Absorption)
                  Abs Blood Std - Abs Base Blood
       Example:

    CM  «  10 'uL x 57.692 ua/L'x 0.0044  =   11.81 pg/0.0044 A-s
                 .215 (.235 - .020)

         Enter CM value on Lab Chart.  Ideal  CM value for Pb is
         12 ± 20%.

G. SPECIMEN PREPARATION:

     1.   Write up worksheets with patients' names,  allowing two
          cups for each patient.  Computer generated worksheets may
          be used. • Specimen position # on worksheet corresponds to
          cup position #  on Autosampler.   Cups # 1-7 are for the
          Blank (0.5% Triton X-100) and six  Blood Lead Standards,
          including Base Blood Blank.  Three  Blood Lead Standards
          (run as check standards) and 3 Controls are included in
          each run: one of each at the beginning, in the middle,
          and at the end.

     2.   Mix  specimen .by  rotating.   If  specimen  is  clotted,
          sonification is necessary.

     3.   Micromedic Automatic Pipette Parameters:

          a.   Set 50 jiL Sampling Pump at 0600.

          b.   Set 200 }iL Dispensing Pump (for 0.5% Triton X-100)
               at 0450.

     4.   With the Micromedic Pipette, aspirate 30 (iL specimen into
          the delivery tip.  Dispense the sample, with 90 uL 0.5%
          Triton X-100  diluent,  into  the  bottom of a  properly
          labeled Falcon tube.

     5.   Aspirate air into the delivery tip  and dispense 90 (iL
          of 0.5% Triton X-100 into the same  tube, as in S1iep 4.

     6.   Repeat "Step 5.

     7.   Cap tube; mix contents of tube by  swirling, or, Vortex
          (low setting).

     8.   Before pipetting next specimen,  wipe tip with tissue and
          rinse tip, by aspirating air and dispensing 0.5% Triton
          X-100 into the  waste  beaker.   Wipe off tip with tissue
          and proceed to next specimen, repeating Steps G(4-7).


                               A - 12

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          Pipette each patient's specimen in duplicate.

H. SPECIMEN ANALYSIS:

     1.   Zeeman/5000 System:

          a.   Screen   on   Computer   Monitor  displays    "Data
               Collection -  Tray Position Pointer".  Note:  Refer
               to Step E14 for Programming Computer.

          THE CURSOR MUST BE ON  "AUTO ZERO".  .

          b.   Place cup containing Matrix Modifier into position
               ZERO (to the  left of the sampling tray).

          c.   Place  0.5%   Triton   X-100  in  sampling  cup  in
               positions AZ  (Auto Zero) and 1.

          d.   Place  standards  in sampling cups,  positions 2-7.
               Replace cover.

          e.   Press STANDBY to take Autosampler out of STANDBY.

          f.   Press RESET and START.

          g.   While  the Triton  X-100,  in the AZ  position,  is
               being delivered into  the graphite tube, check tip
               position for proper delivery, using  a dental mirror
               placed to the right of the window assembly.   If it
               is delivering properly,  press Fl on the computer
               keyboard.   If  it is  not, press  STANDBY  on the
               Autosampler to stop it.   Manually adjust the tip,
               according to  "Preliminaries for AS-40 Autosampler"
               (Step E12).   Wait until all steps  in the Furnace
               Program  have  been  completed.    Press  STANDBY.
               Repeat Steps  G5-6.

          h.   While  standards   are  running,  start  to  load
               specimens and controls onto sampling tray.

          i.   After  all standards have  been run,  check slope,
               intercept and correlation coefficient, to determine
               acceptability   of   curve.       R   (correlation
               coefficient) must be 0.999.

          j.   Continue to load  samples onto  sampling tray.  The
               last specimen should  always be a freshly pipetted
               control.     Cover  sampling   tray   to  minimize
               evaporation.

          k.   When the analysis  of the  last specimen is complete,
               a buzzer in the AS-40 Autosampler Programmer sounds

                               A - 13

-------
               briefly.  This completes the  first  tray.   At this
               point,  additional  specimens  may  be  run.    One
               standard  curve is  used  for  approximately  20-25
               specimens, in duplicate.                   ;

          1.   Results are calculated by the computer.

          m.   Repeat the analysis, if the following occurs:

               1)   The Absorbance Reading of a specimen is higher
                    than  the Absorbance  Reading of  the  highest
                    standard:  With an Eppendorf pipette, make a
                    1:2  dilution  of  patient's  blood with 0.5%
                    Triton X-100 prior, to repeat analysis.

               2)   The initial Pb result is >35 jig/dL.

               3)   The initial Pb result is <2 jig/dL.

I. INSTRUMENT SHUT DOWN:

     1. Zeeman/5000 AA:

          a. Temporary Shut  Down:

               1)   Gas Switch OFF on HGA-400.

               2)   E45  displays  on  HGA-400  and  alarm  sounds.
                    Press CLEAR ENTRY to turn alarm off.

          b.   Complete Shut Down:

               1)   Computer, Monitor,  Printer:  TURN OFF, as per
                    computer instructions in DHMH  Lead Laboratory
                    Computer Guide, pp.19-20.

               2)   Turn  Argon  gas  tank OFF.    Dials   on tank
                    regulator must be  at ZERO.

               3)   Turn H2O OFF (faucet at sink).

               4)   HGA-400  Programmer:

          c)   Turn Gas Switch OFF.

          d)   E45 displays  and buzzer alarm sounds; press CLEAR
               ENTRY  to turn alarm off.

          e)   Press  OFF  on  Furnace Programmer..

     5)   Zeeraan 5000: Turn  ACCESSORY  Switch OFF.
       *                                     '             i

                               A - 14

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     6)   AA 5000:

          a)   Press POWER OFF.

          b)   Press STANDBY.

          c)   Close lamp compartment cover, if open.

     7)   AS-40 Autosamplers  Press  POWER OFF.   This module must
          ALWAYS BE TURNED OFF LAST.

J. REFERENCES:

Pruszkowska,   E.,   Carnrick,   G.R.,  Slavin,  W.:   "Blood  Lead
     Determination with the  Platform Furnace Technique."  Atomic
     Spectroscopy 1983; Vol. 4, No.  1: 59-61.

Pascal, D.:  "Calibration Procedure for Graphite Furnace Blood
     Lead".  Centers for Disease Control, Atlanta, GA 30333: Feb,
     1986.  Perkin-Elmer Model 5000 Atomic Absorption Spectrometer;
     Zeeman/5000  System;   AS-40  Autosampler Sequencer  Version;
     HGA-400  Graphite  Furnace  Instruction Manuals.    Norwalk,
     Connecticut, 1984.

Perkin-Elmer Zeeman/3030 Atomic Absorption Spectrometer Operator's
     Manual (Publications B385).  Norwalk,  Connecticut.

Analytical  Instrument  Software, Inc.:     "Auto-AA  on  Line  QC
     Software" Operator's Manual, 1989.
     Micromedic  Systems   Automatic   Pipette.  Operating  Manual.
     Horsham, Pennsylvania.

DHMH Lead Laboratory Computer Guide for Zeeman/5000 AA, Sept. 1991.
     DHMH Lead Laboratory Computer Guide for  Zeeman '  030 AA, Sept.
     1991.
                               A - 15

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       BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

              HAND WIPE PROTOCOL FOR LEAD DETECTION

Purpose        The purpose of the testing is to detect  lead  levels
               on  children's hands.   Sampling occurs  during the
               clinic visit.   During the summer sampling period,
               samples  are  obtained from the  hand  area.   During
               the winter sampling, samples are obtained only from
               the  hand area.   Elbow wipes  were  also obtained
               during  the initial  summer  sampling  to  eliminate
               false negatives due  to  hand  washing.
Materials
Procedure
- wipes
- disposable gloves
- plastic bags
- labels

At the opening of each box of gloves or Wash-a-bye
baby  Wipes,  a  blank  control  is  obtained.    The
investigator  wears  disposable   gloves.     The
investigators wipe all surfaces of  their own gloved
hands using three-wipes per hand.  These six wipes
are placed in a  plastic bag with the sample surface
folded inward and labeled as blank with the test
date.

For  each child  to be  sampled,  the  investigator
identifies the child and obtains the ID number that
the child has been assigned and dons a new pair of
gloves.

For hand levels, the investigator wipes the child's
hand  on  all surfaces using three  wipes  per hand.
Each  wipe  is applied to  all hand  surfaces,  up to
and including the wrist.  A total  of six wipes are
used  per child per  sampling.   The six  wipes are
then  be  placed in  a single plastic bag with the
subject's ID number as  follows:
          88	C  _
Sampling  of the  elbow  area  also requires  three
wipes per  elbow.   Each wipe is  be applied to the
entire posterior  elbow and two inches up and down
the  arm.   All  six wipes  are  placed  in a single
plastic  bag  and  labeled  as  follows   using  the
subject's ID number:
          88	E  _
At  the end  of  the  sampling  period,  all  bags of
samples are collected and transported to the state
laboratory administration for analysis.
                                A - 16

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                    LEAD ANALYSIS OF HANDWIPES

              Nitric Acid/Perchloric Acid Digestion

          (Used in .Cleaning Children's Hands and Elbows)

A.   GLASSWARE, SUPPLIES AND EQUIPMENT:

     1.   Beakers:  Griffin, Pyrex brand/ graduated, 800 mL

     2.   Flasks, volumetric, Class A:  100 mL,  200 mL and  1 Liter

     3.   Test tubes:  polypropylene, round bottom with caps,  17 x
          100 mm  (Falcon #2059)

     4.   Watch glasses, Pyrex brand, 75 mm diameter

     5.   Pipettes, volumetric, Class A:  2.0 mL,  5.0 mL, 10.0 mL,
          15.0 mL and 20.0 mL

     6.   Pipette, graduated:  10 mL

     7.   Cylinders, Pyrex brand, graduated:  10 mL with stopper;
          100 mL and 250 mL without stopper

     8.   Baby Wipes:   commercial, alcohol  free  baby  wipes  (ex:
          Wash a-Bye Baby)

     9.   Hotplates

     10.  Atomic Absorption Flame Spectrophotometer, Varian Model
          AA5 with Background corrector and IM 6 Indicating Module

     11.  Atomic Absorption Flame Spectrometer,  Perkin Elmer 3030B

     12.  Deionized water:  Hydro Service Ultrapure Water  System

     13.  Perchloric Acid Fume Hood

B.   REAGENTS 8

     1.   Nitric  Acid,  10.0%  (prepared  from   'Baker  Analyzed'
          Reagent)

     2.   Nitric Acid/Perchloric Acid  (Ratio  5:4)

          Nitric Acid:   'Baker Analyzed' Reagent

          Perchloric Acid,  60%:  G.  Frederick Smith
                               A -  17

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c.
STANDARDS :

1.   "Stock" Standard  (100 ppm Lead):

     20 ml/ of Varian Techtron Lead Standard (1000 ppm) diluted
     to 200 mL with 10.0% HN03

2.   "Working Standards":
Working Standard
ppm
2.0
5.0
. 10.0
15.0
20.0
mL of Stock
(100 ppm)
2.0
5.0
10.0
15.0
20.0
Total Volume i(mL)
qs with 10.0% HN03 |
100
100
100
100
100
D.
     A 0.6  "working"  standard is  prepared with 6 mL of 10.0
     ppm standard, diluted to 100 m: with 10.0% HNO3.

3.   Label, date and  initial all solutions.

SAMPLES;
Samples are received from the  "Lead in Soil Project" for AAS
analyses.  Twelve wipes per child are received; 3 wipes per
hand in one baggie and 3 wipes per elbow in a second baggie.
E.
CONTROLS and BLANKS:
Four Controls  (2.0, 5.0,  10.0 and 20.0 ppm working standards
added to wipes) and two Total Reagent Blanks are included in
every group of 40 samples.

F.   PROCEDURE!

     1.   Preparation of  Samples for Acid Digestion:    ,

          a.   Acid washing of glassware:  All glassware must be
               acid washed prior to use.   Soak  for 24 hours in 30%
               v/v nitric acid/deionized water; rinse with
               deionized  water.  Glassware must be oven-dried and
               cooled to  room temperature prior to use/.

          b.   Label each beaker with the sample number.

          c.   Transfer,  with a minimum of contact, all handwipes
               from the child's hands to a labeled, acid washed
               800 mL beaker.  To a second 800  mL beaker transfer
               all wipes  from the child's  elbows.  Partially cover
               each beaker with a watch glass.
                               A  -  18

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          d.   Air dry overnight prior to addition of acid.

     2.   Hot Nitric Acid/Perchloric Acid Digestion:

          a.   To each beaker, add 100 mL of the acid mixture (5:4
               ratio nitric acid/perchloric acid).

          b.   Cover the beakers with watch glasses and place the
               beakers .on hot plate in a  perchloric acid fumehood.

               Adjust the setting to the hotplate to achieve low
               boil or simmer.  The handwipe material will
               dissolve in the acid at this temperature.  Swirl
               the beakers frequently to prevent material from
               sticking to the sides of the beakers.

          c.   After the material is dissolved, continue heating
               until the sample is evaporated  just .to dryness.  DO
               NOT BAKE.

          d.   Add 5 mL of 10.0% nitric acid to each beaker.  Heat
               the sample at a low boil or simmer on a hot plate
               .to redissolve lead; swirl beaker.

          e.   Transfer the solution into a labeled, acid washed
               10 mL graduated cylinder with stopper or to a new
               labeled graduated Falcon tube.   Rinse beaker and
               watch glass with a very small amount (±1.5 mL) of
               10.0% nitric acid and transfer to the same
               graduated cylinder or Falcon tube.  .

          f.   Repeat rinse procedure three times.

          g.   Allow solution to come to room temperature.

          h.   Dilute to 10 mL volume with 10.0% nitric acid.
               Stopper cylinder or cap tube and mix well.  Allow
               contents to settle to avoid necessity of filtering.
               The samples are ready for AA analyses.

YARIAN AA5 FLAME PARAMETERSs
AA settings used:
Resonance line 2833 A°
Slit Width 100+ microns
Lead Lamp:  Source Current 4-5 mamps
Fuel acetylene 3.0
Oxidant air 7.0       -
Support Pressure 21-22
Recorder Varian Model 9176, Span 2 mv/FS, Speed 2mm/min
                               A - 19

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     PERKIN ELMER 3030B FLAME PARAMETERS:

     ELEMENT:  Pb        WAVELENGTH  (NM):  283.3       SLIT (NM):  0.7

     FLAME:  AIR-ACETYLENE, OXIDIZING  (LEAN, BLUE)

     CHAR CONG:  0.45    SENS CHECK  (MG/L) :  20.0      LINEAR   TO  (MG/L) :
     20.0

     1.  TECHNIQUE:  AA                  2.  LAMP CURRENT (MA):  10
     3.  SIGNAL PROCESSING:  HOLD        4.  CALIBRATION:  LINEAR
     5.  NOMINAL WEIGHT:   1.0            6.  STATISTICS:  SINGLE READING
     7.  TIME  (SECOND):  5.0             8.  READ DELAY (SECONDS):  0.0
     9.  SCREEN FORMAT:  BASIC DATA      10. PRINTER:  OFF
     11. RECORDER SIGNAL:  0.2 CONT ABS  .12. RECORDER EXP:  1000

     13.  SI:  20.0           14.  S2:   15.0      15.  S3:  10.0
     16.  S4:  5.0            17.  S5:   2.0      18.  S6:   0.6
     19.  S7:                 20.  S8:            21.  RSLP:

     Computer  IMS  286  used in  conjunction with  the Perkin  Elmer  3030B.
     Results are obtained  in ug Pb.

REFERENCES

University of Cincinnati Medical Center, Lead Program Project, "Institute of
     Environmental Health.   "7.4.2.   Digestion of Handwipes Samples,  "  p.
     100 (received August,  1988).

Perkin Elmer Model  303B Atomic  Absorption Spectrometer Instruction Manual.
     Norwalk, Connecticut, J.987.

Varian Techtron Model  AA-5 Atomic Absorption Spectrophotometer instruction
     Manual.  Melbourne, Victoria, Australia, January, 1971.
     Analytical Instrument Software, Inc.:  "Auto-AA on  Line QC Software"
     Operators Manual, 1989.
                                    A -  20

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                         LEAD ANALYSIS OF HANDWIPES

                        Nitric Acid  (1M) Extraction

                    (Used in Cleaning Children's Hands)

A.   GLASSWARE, SUPPLIES AND EQUIPMENT:

     1.   Beakers:  Griffin, Pyrex brand, graduated, 50 mL, 250 mL,
          and 800 mL

     2.   Flasks, volumetric. Class A:  100 mL, 200 mL, and 2 liter.

     3.   Watch glasses, Pyrex brand, 75 mm diameter

     4.   Test tubes:  polypropylene, round bottom with caps, 17 x
          100 mm  (Falcon #2059)

     5.   Filter paper:  Whatman #40, 9.0 cm diameter

     6.   Pipettes, volumetric, Class A:  2.0 mL, 5.0 mL, 10.0 mL,
          15.0 mL, and 20.0 mL

     7.   Pipette, graduated:  10 mL

     8.   Cylinders, Pyrex brand, graduated:  50 mL, 100 mL and 250
         . mL

     9.   Hotplates

     10.  Atomic Absorption Flame Spectrometer, Perkin Elmer 3030B

     11.  Deionized water:  Hydro Service Ultrapure Water System

     12.  Fume Hood

B.   REAGENT:

     1.   Nitric Acid, 1M (prepared from Baker Analyzed Reagent)

C.   STANDARDS:

     1.   "Stock" Standard (100 ppm Lead):

          20 mL of Varian Techtron Lead Standard (1000 ppm) diluted
          to 200 mL with 1.0 M HNO3
                                    A - 21

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     2.
"Working Standards":
Working Standard
ppm
2.0
5.0
10.0
15.0
20.0
mL of Stock
(100 ppm)
2.0
5.0
10.0
15.0
20.0
Total Volume (mL)
qs with 1.0 M HN03
100
100
100
100
100
A 0.6 "working" standard is prepared with 6 mL of 1
     standard, diluted to 100 mL with 1.0 M HN03.

     3.   Label, date and initial all solutions'.

D.   SAMPLES

     Samples are received from the  "Lead in Soil Project" for AAs
     analyses.  Six wipes per child are received; three wipes per
     hand in one baggie.

E.   CONTROLS AND BLANKS:

     Four Controls (2.0, 5.0, 10.0 and 20.0 ppm working standards
     added to wipes and two Total Reagent Blanks are included in
     every group of 42 samples.

F.   PROCEDURES:

     1.   Preparation of Samples for Acid Digestion:

          a.   Acid washing of glassware:  All glassware must be
               acid washed prior to use.  soak for 24 hours in 30%
               v/v nitric acid/deionized water; rinse with deionized water.
               Glassware must be oven-dried  and cooled to room temperature
               prior to -use.

          b.   Label each beaker with the sample number.

          c.   Transfer, with a minimum of contact, all handwipes
               from the child's hands to a labeled, acid washed
               800 mL beaker.  Partially cover the beaker with a
               watch glass.

          d.   Air dry overnight prior to addition of acid.
                                    A - 22

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Nitric Acid Digestion:

a.   Add 100 mL 1 M HN03 to each beaker.

b.   Swirl beaker:for 10 seconds.

c.   Cover beaker with a watch glass and allow acid to
     extract at room temperature for 2 hours.

d.   Decant the acid solution from the beaker containing
     handwipes into a labeled, acid washed 250.mL beaker.

e.   Add 50 mL 1 M HN03 to the handwipes in the 800 mL beaker.

f.   Swirl the beaker for  10 seconds.

g.   Decant  the acid  solution into  the same  250 mL  beaker  to
     composite the acid rinses.

h.   Repeat Steps e,  f  and g to achieve a total acid solution of
     approximately 200 mL.

i.   Cover each 250 mL beaker with a watch glass  and place beakers
     on a  hotplate.   Adjust setting  so  that  contents of beakers
     simmer (low boil) for two hours.

j.   Evaporate the samples to dryness. DO NOT BAKE.

k.   Add approximately 3-5 mL 1 M HN03, rinsing the watch
     glass and the sides of the beaker.

1.   Heat beakers on a hotplate to redissolve the lead.
     Adjust the setting to achieve a low boil or simmer.

m.   Filter to remove undissolved material into  a 50 mL
     labeled, acid washed  beaker.  Make .several  rinsings
     of the 250 mL beaker  and the filter paper with ±1.5
     mL 1 M HNO3.

n.   Place the 50 mL beakers on a hotplate.  Heat at a low boil or
     simmer to reduce volume to approximately 5.0 mL.

o.   Transfer the solution into a new  labeled, graduated
     Falcon tube.

p.   Rinse the beaker with a very small amount (±1.5 mL)
     of 1 M HNO3 and transfer to the same Falcon tube.

q.   Repeat rinse procedure three times.

r.   Allow solution to come to room  temperature.


                           A - 23

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          s.   Dilute to  10 mL volume with  1.0  M HN03.   Cap tube  and mix
               well.    Allow  contents  to  settle  to avoid  necessity  of
               filtering.  The samples are ready for AA analyses.

PERKIN ELMER 30SOB FLAME PARAMETER:

ELEMENTS  Pb   WAVELENGTH  (NM):    283.3     SLIT (NM):     0.7

FLAME:    AIR-ACETYLENE, OXIDIZING (LEAN, BLUE)

CHAR CONG:  0.45    SENS CHECK (MG/L) :  20.0      LINEAR TO .(MG/L) :  20.0

1.   TECHNIQUE:  AA                     2.   LAMP CURRENT (MA):  10
3.   SIGNAL PROCESSING:  HOLD           4.   CALIBRATION:  LINEAR
5.   NOMINAL WEIGHT:  1.0               6.   STATISTICS:  SINGLE READING
7.   TIME (SECOND):  5.0                8.'   READ DELAY (SECONDS):  0.0
9.   SCREEN'FORMAT:  BASIC DATA         10.  PRINTER:  OFF
11.  RECORDER SIGNAL:   0.2 CONT ABS     12.  RECORDER EXP:  1000

13.  Sis  20.0                 14.  S2:  15.0           15.  S3:  10.0
16.  S4:    5.0                 17.  S5:    2.0        '   18.  S6:   0.6
19.  S7:                       20.  S8:                 21.  RSLP:

Computer IMS 286 used in conjunction  with the Perkin Elmer 3030B.
Results obtained are in u'g Pb.                                     ,

REFERENCESs

University  of Cincinnati Medical Center,  Lead Program Project, Institute of
     Environmental Health  "Acid Digestion of Handwipe Samples, Method  B:  1
     M Nitric Acid Extraction" pp  41  & 42 (received May,  1990) .

Perkin Elmer Model 3030B Atomic Absorption Spectrometer Instruction Manual.
     Norwalk, Connecticut,  1987.

Analytical  Instrument  Software,  Inc.:    "Auto-AA  on  Line QC Software"
     Operators Manual,  1989.
                                     A -  24

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            BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                          SOIL SAMPLING PROTOCOL

I.   Site Description

     For each location,  a detailed drawing  should  be made that  shows  the
     boundary of the lot,  the  position of the main building  and  any other
     buildings  such  as  storage  sheds or  garages,  the position of  the
     sidewalks,  driveways, and other paved areas, the  position of the play
     areas if obvious,  and  the position of the areas  with  exposed  soil
     (grassy or  bare),  also, showing roof rain  spouts  and general drainage
     patterns.

     In addition to the diagram, briefly describe the location, including the
     following information:

          Type of  building construction
          Condition of  main building
          Condition  of   property  (debris,   standing   water,   vegetation
              cover)
          Nature of adjacent property
          Presence and type of fence
          Animals  on property
          Apparent use  of yard (toys,  sandbox, children present)
          Underground utilities

II.  Soil Area Description

     For each soil area (i.e. front patch,  front  yard, back yard, side yards)
     identified  on the  general  diagram,  draw  a full page diagram showing the
     approximate dimensions and position relative .to the building foundation.
     Indicate vegetation "and bare soil areas,  as  well  as  obvious traffic
     patterns.  Identify the category of land use, such as roadside, property
     boundary, adjacent to foundation,  play area.   Mark the sample location
     on the diagram.

III. Sampling Schemes

     Measure the soil  area to determine  the sampling scheme.   Select  the
     sample  scheme  for each  soil area which adequately characterize  the
     potential  exposure  of children to lead in the  dust from this  soil.
     Identify the suspected areas of high lead concentrations and the assumed
     general distribution pattern of lead concentrations at the soil surface.

     Small Area Pattern.   Measure and  mark off an area  20  inches from the
     base of the foundation into the soil area.   Repeat measuring and marking
     at the  boundaries.   The area inside the marked pattern  indicates  the
     sampling collection area.   If the  sampling collection area is less than
     two meters  in each dimension,  a single composite sample may be taken if
     it appears  that  such a sample  would adequately represent the soil area.
     (Collect two sample bags,  mark one bag top and the other bag bottom.)

                                    A - 25

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Large Area  Pattern.   Measure and mark off  an  area  20  inches from the
base of the foundation into the soil area.  Repeat measuring and marking
at the  boundaries.   The area inside  the marked pattern indicates the
sampling  collection  area.    Collect  one  composite   sample  at  the
foundation and one composite sample at the boundary of the yard if the
area is  less than 10  feet wide.  (Collect  fqur  sample  bags, two bags
marked top and two bags marked bottom.)  Collect an additional composite
sample at an imaginary sample line between the foundation and boundary
sample areas  if  the yard  is  larger  than 16 feet wide.   (Collect six
sample bags, three bags marked top and three bags marked bottom.)

Very Large Area  Pattern.   Measure and mark off an area 20 inches from
the base of  the  foundation into the  soil  area.   Repeat measuring and
marking at  the boundaries.  If a yard is  wider  than  16 feet and more
than 20  feet long  then divide the  yard  into  a vertical half  and  a
horizontal half.  Collect one composite sample  at the from each section
of the yard.  (Collect twelve sample  bags,  six  bags  marked top and six
bags marked bottom.)

Sample Collection

Clean and decontaminate the corer after each sample collection.  Remove
vegetation and debris from the corer  at the point of insertion into the
soil, but do not remove any soil or decayed litter.  Drive the corer in
to the  ground  to a depth  of  15  cm (6 in.).   If this  depth cannot be
reached, the corer should be  extracted and cleaned, and another attempt
made nearby.  If repeated attempts do not permit  a 15 cm core, take the
sample as deep as possible, and record the  maximum penetration depth on
the sample record sheet.

Collect ten randomly selected  core  samples from within  the sampling
area.  The cores make a composite sample  identified as a single sample.
Record composite information on the sample sheet.           1

Combine the top two inch segment of each  core into one composite sample
and  combine the  bottom two  inch segment of   each  core  into  second
composite  sample.   Assemble   composite  soil  core  segments in  clean
previously unused plastic bags suitable for prevention of contamination
and loss of the sample. Remove debris and leafy vegetation from the top
sample material.   Do  not remove  soil  or decomposed litter from the
sample material.  This is the most critical part  of the  soil  sample and
is likely to be the highest in lead concentration.

Record the sample identification number on the bag and the sample record
sheet.   Store the composite soil  sample at ambient temperature until
submitted to the laboratory  for analysis.

Clean the corer after collecting each sample composite by reinsertion of
the corer into the soil of the next sampling area. Draw  field blanks for
each  soil  area  by inserting  the core  borer  into randomly selected
locations within the  sample  area.   These blanks  are  drawn prior to
sample collection and at the conclusion  of  sampling.

                               A  - 26

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V.   Sample Handling and Storage

     Seal the sample bags to prevent  loss or contamination of the sample and
     storage samples in a cool, dry location.

     Record-keeping and Sample Custody

     Initiate  soil  sample records  for each  location  which consists  of  a
     location diagram and description,  a plot  diagram for each distinct soil
     plot, and sample record sheet for each sample in a plot.

     Sequentially number  samples  bags.  Record sample  numbers  on location
     diagram, soil area description, and sample record sheet.

     Deliver the  sample to  the  laboratory and release the sample  to the
     laboratory personnel for analysis.
                                    A - 27

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            BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                        SOIL ANALYSIS (XSF)  PROTOCOL

A.   SAMPLE PREPARATION

     1.   Identify  sample  information to be logged in on  the Lead in Soil
          Processing Sheets.  Record the contract number, sample information,
          date, time and total sample number on the processing sheet.

          Example:

          Date received:  03/30/89
          Time:  12:30 p.m.
          Total Number of Samples Received from: 41 from Ms.   Merrill Brophy
          Sample Identification Number:  #590312565
          Site address:  2092 W. Preston Street
          Area:  Front yard

     2.   Record the soil sample information on the XRF Run Sheets.  Assign
          sequential analysis identification number to the sample.

          Example:

          The last  Fine Soil  Fraction sample number was 0436, then the next
          sample would be a Total Soil Fraction sample numbered 0437.

     3.   Specimen  containers and XRF sample cups are to be prepared before
          soil samples can be processed.
                                                              j-
          a.   Label  specimen containers.   Include the date, the analysis
               number, the sample's  identification number,  and the particular
               soil fraction  - Fine or Total.                 ;

          b.   Label XRF sample cups.  Include only the analysis (cup) number.

     4.   Air  dry  samples overnight  at  room temperature.   Use disposable
          weigh boat or Kraft paper to  air  dry sample.   Wear gloves during
          this process.

          a.   Label weigh boat. Include the sample's identification number,
               .and  the sample's analysis number (cup number).

          b.   Place weigh paper  (glassine) on disposable weigh boat.

          c.   Transfer sample onto weigh boat to air dry.

          d.   Return samples to corresponding bags after air drying.

     5.   Sieving process must be done under the hood.  Gloves and dust mist
          respirators must be worn throughout this process.


                                    A -  28

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          a.    Sift pulverized sample in a 2 mm 9.0  mesh sieve by using the
               back of a gloved hand to crush larger particles.

          b.    Place the sample that passed through the sieve into a specimen
               container labeled "Total Soil Fraction".

     6.    Run  samples  through  an  Open Pan  Riffle Sampler  to  obtain  a
          homogenous sample.

     7.    Place the homogenized Total Soil Fraction sample into the open pan
          and riffle once.   This will divide the sample  into two parts.

     8.    Then take one  part  of the sample and  put into the open' pan  and
          riffle to yield a quarter sample.   The remaining three-fourths of
          the sample .should be placed into a  specimen container labeled Total
          Soil Fraction.

     9.    Pass the  quartered  sample in a  250  urn 60.0  mesh  sieve.    This
          represents the Fine  Soil Fraction.  Discard particles that  cannot
          pass through the 250 urn sieve.

     10.   If  the quartered sample  does  not  seem to be at  least  two  grams,
          then take the Total  Soil Fraction from its specimen  container and
          repeat steps  5 --8.    After  enough  "Fine  Soil  Fraction has  been
          collected, remember  to take the soil that did not pass through the
          250 um and replace  it back  into  the specimen  container  labeled
          Total Soil Fraction.

     11.   Clean sieves  by tapping on  a hard surface  to remove  residual
          particles.  This must be done between sample processing.

     12.   After steps  4-10 are  completed,  the  Total  Soil and Fine  Soil
          Fraction  of  a  sample  should be  placed  in  XRF  sample  cups
          respectively. Use a  spoon or spatula to place the  sample  into a
          labeled XRF sample cup.

     13.   Seal XRF sample cup with mylar film and a ring.

Samples are now ready to be analyzed by Kevex X-ray Fluorescence Spectroscopy
(XRF).  List  samples according to their analysis number that corresponds with
the sample's  identification number.

B.    XRF  ANALYSIS

     1.   Approximately  2 g  of Total Soil Fraction or  Fine  Soil  Fraction
          sample are  poured  into  sample  cups (Somar Labs, Inc.,  Cat.  No.
          340), fitted with windows of 1/4 mil thick X-ray polypropylene film
          (Chemplex Industries, Inc., Cat. No. 425).  The sample cup should
          be  at least half full.

     2.   The sample cup is sealed with a sheet  of  micropourous film (Spex
          Industries,  Inc., Cat.  No.  352A)  held in place by  the  snap-on
          sample cup cap.  The exact weight of the sample is not important,
          but should be in the range of 2-6 g.


                                    A - 29

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The instrument  configuration for the Kevex  Delta Analyst Energy
Dispersive X-ray spectrometer is:
a.   Kevex Analyst 770/8000 Excitation/Detection Subsystem:
     1)   X-ray tube:  Kevex high output rhodium anode
     2)   Power supply:  Kevex 60 KV, 3.3 mA.
     3)   Detector/cryostat:   Kevex  Quantum  - UTW  lithium,
          drifted silicon.
b.   Kevex Delta Analyzer:
     1)   Computer mainframe: Digital Equipment Corp, PDF 11/73
     2)   Computer software: • Kevex XRF Toolbox II, Version 4.14
     3)   Disk drives: Iomega Bernoulli box, dual drives, 10 MB
     4)   Pulse processor:  Kevex 4^60
     5)   Energy to digital converterr  Kevex 5230
c.   Operating conditions:
     1) Excitation mode:  Mo secondary target with 4 mil thick Mb
     filter                                          .
     2) Excitation conditions:  30 kV, 0.4 MA
     3) Acquisition timer  100 livetime seconds
     4) Shaping time constant:  7.5 microseconds
     5) Sample chamber atmosphere:  air                      .
     6) Detector collimator:  TA
d.   Analytical conditions:
     1) Escape  peaks,  and background should be removed from all
     spectra.
     2) The intensity ratio, defined as the integral of counts in
     the Pb  (I»A) window divided  by the integral of the counts in
     the Mo (KA) Compton scatter window, should be determined for
     each spectrum.
     3) The intensity  ratios for the standards should be used to
     determine a linear least squares calibration curve.
                          A - 30

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At the time  of  the analysis, there was no  established  detection limit for
this type of analytical method. However, the laboratory employed a standard
calibration  range  from 78 to  4,000 ppm lead.  The lab worked  within this
linear range for all analysis.  SRM 1645 (714 ± 28 ppm Pb) was used as part
of quality control.
                                    A -  31

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                           QUALITY ASSURANCE PLAN
                                     SOIL

                 MARYLAND STATE LABORATORIES ADMINISTRATION

 I.         INTRODUCTION

           This  quality assurance  document  sets  forth  the  Division of
           Environmental Chemistry Multi-Element Analysis Laboratory  (MEAL)
           policies and procedures that  maximize the quality of  laboratory
           performance.   The goal of the laboratory is to provide  a quality
           service  of elemental analysis.

           It   is  the  policy  of  MEAL  to  maintain   an   active quality
           assurance/quality control  (QA/QC)  program to provide  analytical
           data  of  known  and  supportable  quality  and   ensure a   high
           professional  standard in analytical data generated in  support of
           projects undertaken for the public  by state  and  federal agencies.

 II.        SAMPLE COLLECTION         .           '    s

           Soil samples  are collected  by  the  Maryland Department  of the
           Environment (MDE) personnel for a variety of programs and projects.
           All  collectors are  trained  in  sampling procedures.

           Soil samples  that are to be  analyzed  for metals are collected and
           stored in clean previously  unused polystyrene  bags.

 III.       SAMPLE ACCEPTANCE,  PRESERVATION,  AND  STORAGE

           All  incoming  samples are delivered to the Soil Laboratory.  As the
           samples  are accepted, they are assigned a laboratory sample number
           and  the  submission  form is dated  with the current  date.
                                                              i
           The  quantity  of sample submitted must be  adequate  for  all analyses
           requested.

 IV.        METHODOLOGY

           Lead is  quantified via  the Kevex  XRF  analyzer.

           Ten  percent of the samples are  replicated.   Certified SRM are
           included throughout each tray run.

V.        A.    Requirements

           1.    Perform  routine preventive maintenance on the Kevex unit.

           2.    A NBS standard should be analyzed once per tray of samples for
                lead.  The measured value should be  within the control limits
                established by NBS.

           3.    At  least one replicate  sample should be run every 10 samples,
                or with each set of samples to verify precision of the method.


                                    A - 32

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VI.       DATA REDUCTION, VALIDATION, AND REPORTING

          An  important  element  In the  quality  control  program  is  the
          validation  of  data  by  the  use  of  accuracy  and  precision
          determinations.   .Precision  describes the  degree to  which data
          generated  from replicate  measurements  differ  from  one another.
          Accuracy refers to the correctness of the data.  Replicate  samples
          are analyzed  periodically.   Analysis and replicated data  is also
          graphically  illustrated  by  plotting  the   numerical   difference
          between replicates  versus sample number.   The  mean and standard
          deviation are calculated  for  sample  data.

          Blind samples of  known values are inserted  into the sample stream
          for analysis by the  sample collectors.

VII.      INSTRUMENT RECORDS AND LOGBOOKS

          Maintain  instrument  records and  logbooks  for  each   instrument
          including the following:

          .1.   Operations   manuals  with  updates  as   provided  by  the
               manufacturers

          2.   Service  manuals  and  schedules of recommended   preventive
               maintenance

          3.   Maintenance  logbooks   containing   entries  describing  all
               maintenance  performed on the instrument both  by  the multi-
               element  laboratory  personnel,   as well  as  qualified  service
               engineers

          4.   Sample logbooks containing a  record of all samples analyzed
               listed by date of analysis.  These logbooks contain pertinent
               information,  such   as   sample  identification,    instrument
               conditions,  and analyst.  Any special  modifications made to
               either the instrument or to the analytical protocol are also
               noted.

VIII.     GENERAL LABORATORY PRACTICES

          The  purchase  of standard   (or   reference) material  must  be
          accompanied by a certification or assay of  composition.
                                    A - 33

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         BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                        HOUSEHOLD DUST PROTOCOL

     Household dust sampling  should be  carried out at the time of the
environmental visit to the home of  the study participant.

     For this  study,  the  household dust  samples  are defined  as the
samples that represent  dust most likely to impact on a child's hands
during indoor activity.  This would include dust on window sills, and
furniture,  as  well as  dust  on  toys and  other objects likely  to  be
handled by children.   A minimum of three areas should be sampled: at the
main entrance to the  household, and two areas most frequently used for
play activities  by the  child or children.   Additional areas  may  be
selected that represent:  1) secondary entrances to the household  (back
or side doors); 2), sources  or accumulation of dust  within the household
(paint, rugs, upholstered furniture); 3)  additional play areas or other
areas of activity frequented by the children.

     The sample  has two components  that are important to interpreting
lead exposure, the concentration of lead in the dust and the amount of
dust, or  loading,  on the surface.   The  concentration of  lead in dust
appears to be closely related to the amount of lead on children's hands,
whereas the amount of  dust on  surfaces is an indicator of the importance
of this route of human exposure.   At least 10%  of the samples should be
over a defined area to determine the household  loading factor.

     Sketch  the approximate  layout  of  the residence and  select  to
sampling.   Bear in mind that some areas, such as foyer,  may reflect
outdoor dust to  a greater degree than others.

     The, sampling apparatus  is  the  Sirchee-Spittler Hand  Held Dust
Vacuum unit which is  attached to a  'Dustbuster'  hand  held type vacuum.
Prior to  the sample  collection  the sample collection screen; must  be
clean.

     For  some  samples,  both the  weight of  the dust  and  the lead
concentration  of the dust will  be measured.   In  this  case,  it  is
necessary to sample a defined area,  so that the results may be expressed
in ng Pb/m .   Mark the  4'  x 4' sample area with tape.  The surface of
the sample area is vacuumed with back and forth strokes about  1-2 inches
in width.  The vacuum is most efficient if the  head is held parallel to
the ground at  a 45 degree  angle.   A single pass across the surface of
the sample area is sufficient to collect adequate sample amounts.  After
dust sampling,  the vacuum unit is kept in an upright position until the
sample screen  is ready  to  be removed.  Turn the vacuum off and remove
the  sample screen.   Empty the contents  of the sample  screen into a
labeled-reinforced paper envelope.  Seal the envelope with scotch  tape.
The sample amount required for analysis  is  equal to 2 grams of dust.  If
the  sample amount from  the area is  not  sufficient additional sample
material may be  collected  from another 4'x 4'  sample  area and ;added to
the  initial sample.   Record  sample data  on the appropriate chain  of
custody form.   Transport the  sample  to  the  laboratory in a manner to
ensure upright envelope delivery.


                                  A - 34

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     BALTIMORE  SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                DUST ANALYSIS (XRF) PROTOCOIi

Identify sample  information to  be logged in on the  Lead in Dust
Processing Sheets.  Record the contract number, sample information/
date, time and total sample number on the processing sheet.

Example:
     Date received:  06/30/90
     Time:  12:30 p.m.
     Total Number of Samples Received from: 41 from Ms.   Merrill
     Brophy
     Sample Identification Number: #590312565
     Site address:  2092 W. Preston Street
     Area:  Front door area
     Area Collected (square feet): 4

Record the dust sample information on the XRF Run Sheets.  Assign
analysis identification number to the sample.
Example:

     The last  dust  sample  .number was 0436,  then the next sample
     would be numbered 0437.

XRF sample cups (Somar Labs, Inc., Cat. No. 340)  are to be prepared
before dust samples can be processed.

     A. Assemble XRF cup for weighing.

          1) Place the 26 mm ring,  with rounded  surface down, on a
          flat surface

          2) Cover with a 3 X 3 inch piece of mylar film (Spex
          Industries, Inc., Cat. No.352A)

          3) Snap/fit the 24 mm ring over the mylar film and inner
          ring

     B. Label  XRF  sample  cups.  Include  only the analysis (cup)
     number.

Transfer dust from envelope, as  quantitatively as possible, onto a
60.0 mesh, 250  um, 3 inch wide stainless steel sieve with a pan and
cover.

     A; Discard  particles  that  cannot pass through the 60 mesh
     sieve.

     B.  Clean  sieves  by  tapping on  a   hard  surface  to  remove
     residual  particles.    This  must  be   done between  sample
     processing.

Balance scale to nearest mg. and weigh empty XRF  sample cup. Record
the weight  (e.g.  28 mg). '

                             A - 35

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5.   Using a pyrex  funnel  tripod,  transfer dust into center of sample
     cup.
          A. Weigh  and  record  weight of  dust  samples.    The minimum
          acceptable sample is 20 mg.
          B. Seal XRF cup,  containing dust sample, with another piece of
          mylar file. Snap/fit 21 mm ring over this assembly.
          C. Record lab accession number on outer ring  of cup and on
          side rim  at finger grip cover.
          D. Clean  glass funnel with compressed air.
6.   Remove cover of cup containing dust sample  and  place cup in the
     Kevex XRF 7700/8000 for analysis.
          A. The instrument reading in ppm is obtained.
          B. Calculation:
                    sample weight = mg/sq. ft.; ppm
                    no. sq. ft.
               Example: if sample weight  = 28 mg; XRF reading = 200 ppm;
               area sampled = 4 sg. ft.
                      28 mg    = 7 mg./sq. ft.; 200 ppm.
                     4 sq. ft.
XRF ANALYSIS
The  instrument  configuration  for  the  Kevex  Delta  Analyst  Energy
Dispersive X-ray spectrometer is:                          .   '
     A. Kevex Analyst 770/8000 Excitation/Detection Subsystem:
          1) X-ray  tube:  Kevex high output rhodium anode
          2) Power  supply:  Kevex 60 xC, 3.3 mA.
          3) Detector/cryostat:  Kevex Quantum - UTW lithium, .drifted
             silicon.
     B.   Kevex Delta Analyzer:
          1) Computer mainframe: Digital Equipment Corp, PDF  11/73
          2) Computer software:  Kevex XRF Toolbox II, Version 4.14
          3) Disk drives:  Iomega Bernoulli box, dual drives,  10 MB
          4) Pulse  processor:  Kevex 4460
                                  A - 36

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5) Energy to digital converter:  Kevex 5230
Operating conditions:
1) Excitation mode:  Mo secondary target with 4 mil thick Mo
filter.
2) Excitation conditions:  30 keV, 0.40 - 0.60 mA
3) Acquisition time: 100 livetime seconds
4) Shaping time constant:  7.5 microseconds
5) Sample chamber atmosphere:  air
6) Detector collimator:  TA
Analytical conditions:
1) Escape  peaks,  and background  should  be  removed from all
spectra.
2) The intensity ratio, defined as the integral of counts in
the Pb  (LA) window divided by the integral of the counts in
the Mo  (KA) Compton scatter window, should be determined for
each  spectrum.
3) The  intensity  ratios for the standards should be used to
determine a linear  least squares  calibration curve.
                        A - 37

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                     LEAD ANALYSIS OF SURFACE DUST
A.   GLASSWARE, SUPPLIES AND EQUIPMENT:
     1.   Beakers:  Griffin, Pyrex brand, graduated, 100 mL
     2.   Flasks, volumetric, Class A:  25 mL, 50  mL, 100 mL, 200 mL, 1
          liter and 2 liter
                                                            I
     3.   Funnels, micro,  polypropylene,  24 mm top  I.D.,  4.5  mm stem
          diameter (Bel-Art #14685-0024)
     4.   Test tubes:  polypropylene, round bottom with caps, 17 x 100
          mm  (Falcon #2059)
     5.   Watch glasses, Pyrex brand, 75 mm diameter
     5.   Filter paper, Whatman #42,  5.5 cm diameter
     '.   Pipettes, volumetric, Class A:  2.0 mL, 5.0 mL, 6:0 mL, 10,0
          mL, 15.0 mL and  20.0 mL
     8.   Pipettes, graduated:  2mL  and 5 mL
     9,   Cylinders, Pyrex brand,  graduated:  25 mL, 100 mL and 500 mL
     10.  Analytical Balance, 4-place, Mettler AE240
     11.  Hotplates
     12.  Atomic Absorption Flame Spectrophotometer,  Perkin Elmer 3030B
     13.  Deionized water:  Hydro Service Ultrapure Water System
     14.  Fume Hood
B.   REAGENTSs
     1.   Nitric Acid, 7 M (prepared from 'Baker Analyzed' Reagent)
     2.   Nitric Acid, 1 M (prepared from 'Baker Analyzed' Reagent)
C.   STANDARDS:
     1.   "Stock" Standard (100 ppm  Lead):
          20  mL of Varian  Techtron Lead Standard  (1000 ppm) diluted to
          200 mL with 1M HNO3
                                  A - 38

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   2.    "Working"  Standards:
Working Standard
ppm
2.0
5.0
10.0
15.0
20.0
— 	
mL of Stock
(100 ppm)
2.0
5.0
10.0
15.0
20.0
Total Volume (mL)
| qs with 1M HNO3
100
100
100
100
100
     A 0.6  ppm "working" standard  is  prepared with 6 mL  of 10.0 ppm
     standard, diluted to 100 mL with 1 M HN03.

3.   Label, date and initial all solutions.

SAMPLES:

Dust samples received from the "Lead in Soil Project" for AAS analysis
are in XRF Cups (Somar),  covered with mylar film.  They were previously
analyzed by XRF  700/8000.  For  the most part, sample weight is well
below 100 mg.

CONTROLS AND BLANKS:

Duplicate NBS  #1579  (11.87% Pb)  Controls  and two  Total Reagent Blanks
are included in every group of 25 samples.

PROCEDURE:

1.   Preparation of Samples for Acid Digestion:

     a.   Acid washing of glassware: All glassware must be acid washed
          prior  to  use.   Soak  for  24   hours  in  30%  v/v  nitric
          acid/deionized water; rinse with deionized water.
          Glassware must be oven-dried and cooled to room temperature
          prior to use.

     b.   Label a 100 mL beaker with sample number.   Tare  beaker on a
          calibrated 4-place analytical balance.

     c.   Transfer dust sample from XRF cup into tared beaker.

          1)   Small quantity dust  sample  (25 mg or  less):   Transfer
               dust as completely as possible.  Some dust adhers to the
               mylar film and cannot be transferred.
                               A - 39

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     2)   Large quantity dust sample  (50 mg or more):  Transfer a
          minimum  of  50 mg dust.   If quantity is 100 mg or more,
          analyze  in  duplicate for precision check.

d.   Weigh   sample  and  record  weight  on   form  provided  by
     Environmental Chemistry Division.
     One run constitutes approximately 25 samples.

Hot Nitric Acid Digestion:

a.   To each sample  in the beaker,  add 25  mL 7  M nitric acid,
     washing down  the dust  from the sides of the beaker.

b.   Cover each beaker with a watch  glass  and place beakers on a
     hotplate.  Adjust setting so that contents of beakers simmer
     (low boil) for two hours.-

c.   Remove beakers from hotplate and allow to cool.

d.   For samples weighing 25 mg or less:

     1)   Transfer digested sample to  a  25  mL Class A volumetric
          flask.

     2)   Rinse beaker and watch glass with  5 mL of 1M nitric acid
          and transfer to same flask.
          Repeat rinse procedure at least three times.

     3)   Dilute to volume with 1M nitric acid.

     4)   Stopper  flask and mix well.

     5)   Filter   through  Whatman  #42  filter  paper,  using  a
          polypropylene micro  funnel,  into a  new labeled.Falcon
          tube.    Cap the  tube.    The  sample is  ready  for  AA
          analysis. '

e.   For samples weighing 50 mg or greater:

     1)   Filter   the digested  sample  into   a   50  mL  Class  A
          volumetric  flask, rinsing the lOOmL beaker, watch glass
          and filter  paper with 5 mL of 1M nitric acid.

     2)   Repeat rinse procedure at least three times.

     3)   Dilute to volume with 1M nitric acid.

     4)   Stopper  flask and mix well.

     5)   Pour contents  of volumetric flask  into a  new labeled
          Falcon tube.  Cap the tube.  The sample is ready for AA
          analysis.
                          A - 40

-------
PERKIN ELMER  3030B  FLAME  PARAMETERS:

ELEMENT:  PB        WAVELENGTH (NM):   283.3       SLIT  (NM):   0.7

FLAME:  AIR-ACETYLENE,  OXIDIZING (LEAN, BLUE)

CHAR CONG: 0.45     SENS  CHECK (MG/L) :  20.0      LINEAR TO  (MG/L):  20.0
1.
3.
5.
7.
9.
11.
13.
16.
19.
TECHNIQUE: AA
SIGNAL PROCESSING: HOLD
NOMINAL WEIGHT 1.0
TIME (SECOND): 5.0
SCREEN FORMAT: BASIC DATA
RECORDER SIGNAL: 0.2 CONT ABS
SI: 20.0 14. S2: 15.0
S4: 5.0 17. S5: 2.0
S7: 20. S8:
2.
4.
6.
8 .
10.
12.



LAMP CURRENT (MA) r
10
CALIBRATION: LINEAR
STATISTICS : SINGLE
READ DELAY (SECONDS)
PRINTER: OFF
RECORDER EXP: 1000
15. S3: 10.0
18. S6: 0.6
21. RSLP:
READING
: 0.0




Computer IMS 286 used  in conjunction with the Perkin Elmer 3030B.  Results
obtained in percent;  then converted to ppm.   Results  are reported in both
units.


REFERENCES;

University of Cincinnati Medical Center, Lead Program Project,
     Institute of Environmental Health.   "Surface Dust Analysis Protcol"
     pp 11-13 (received 12/90).

Perkin Elmer Model 3030B Atomic Absorption Spectrophotometer Instruction
     Manual.  Norwalk, Connecticut, 1987.

Analytical Instrument Software, Inc.:  "Auto-AA on Line QC
     Software"Operators Manual,1989.

National Bureau of Standards Report 10674, "Experimental Evaluation
     of Analytical Methods  for ' Determining  Lead  in  Paint and Building
     Materials".  U.S. Department of Commerce National Bureau of Standards,
     Jan.  6, 1972.
                                    A - 41

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                 QUALITY ASSURANCE PLAN

                          DUST

                STATE LABORATORIES ADMINISTRATION

INTRODUCTION

This  quality  assurance  document  sets  forth  the  Division  of
Environmental  Chemistry Multi-Element Analysis Laboratory  (MEAL)
policies  and procedures that maximize  the quality of laboratory
performance.   The goal of the laboratory is to provide a quality
service of elemental analysis.

It  is  the  policy  of  MEAL  to  maintain  an  active  quality
assurance/quality control (QA/QC)•program  to  provide analytical
data  of  known   and  supportable  quality  and  ensure  a  high
professional standard  in analytical  data generated in support of
projects undertaken for the public by state and federal agencies.

SAMPLE COLLECTION

Dust  samples  are collected  by the Maryland  Department of  the
Environment (MDE) personnel for  a variety of programs ancl projects.
All collectors are trained in sampling procedures.

Dust samples that are to be analyzed for metals are collected and
stored in clean previously unused paper envelopes.

SAMPLE ACCEPTANCE, PRESERVATION, AND STORAGE

All incoming samples are delivered to the Multi-Elements Analysis
Laboratory.   As  the  samples are accepted,  they are  assigned  a
laboratory sample number and the submission form is dated with the
current date.

The quantity of sample submitted must be adequate  for all .analyses
requested.

METHODOLOGY
                                                       j
Lead is quantified via the Kevex XRF  analyzer.  Ten percent of the
samples are replicated.  Certified SRM is included each tray run.

QUALITY CONTROL

A.   Requirements

1.   Perform routine preventive maintenance on the Kevex unit.

2.   A NBS standard should be analyzed once per tray of samples for
     lead.  The measured value should be within the control limits
     established  by NBS.
                          A - 42

-------
                                   samples Kofverify    .       of the method.


VI.       DATA REDUCTION, VALIDATION, AND REPORTING

          An  important  element  in the  quality  control  program  is  the
          validation  of  data   by  the  use  of  accuracy  and  precision
          determinations.   Precision  describes the  degree to  which data
          generated  from replicate  measurements  differ  from  one another.
          Accuracy refers to the correctness of the data.  Replicate samples
          are analyzed periodically.   Analysis and replicated data is also
          graphically  illustrated  by  plotting the  numerical  difference
          between replicates  versus sample number.   The  mean and standard
          deviation are calculated  for sample data.

VII.      INSTRUMENT RECORDS AND LOGBOOKS

          Maintain  instrument  records and  logbooks  for  each  instrument
          including the following:

          1.   Operations   manuals  with  updates   as  provided   by  the
               manufacturers

          2.   Service  manuals  and schedules of  recommended  preventive
               maintenance

          3,   Maintenance  logbooks   containing   entries  describing  all
               maintenance  performed on the instrument both by the multi-
               element laboratory  personnel,  as well as  qualified service
               engineers

          4.   Sample logbooks  containing a  record of all samples analyzed
               listed by date of analysis.  These logbooks contain pertinent
               information,  such   as   sample  identification,  instrument
               conditions,  and  analyst.  Any special  modifications made to
               either the instrument or to the analytical protocol are also
               noted.

VIII.     GENERAL LABORATORY PRACTICES

          The  purchase  of  standard   (or   reference)   material  must  be
          accompanied by a  certification or assay of composition.
                                    A - 43

-------
            BMiTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                        PAINT CHIP SAMPLING PROTOCOL

1,   Visually evaluate the residence for evidence of peeled, chipped, cracked
     paint on all surfaces.

2.   Identify sample locations of painted surfaces that are peeling/ chipped
     or cracked.

3.   Collect paint  samples  using the  sharp edge of a small  knife  blade  to
     scrape all layers  of the suspect material  down to  the substrate.  The
     area sampled will equal a diameter of 2.0 inches.

4.   Place  the sampled material  in  a  previously unused  sampling  paper
     envelope and seal all edges of the envelope.

5.   Mark the sample envelope with the property identification number, sample
     code and sample number.

6.   Return samples to the office.

7 *   Record sample informa'tion on index card file.

8.   Deliver samples to lab for analysis.

9.   Report sample results to Lead In Soil personnel using the modem.

10.  Samples which  contain 0.06%  lead  will  be  positive  for lead  in  this
     study.

11.  Lead In Soil personnel record sample results on main property file.

12.  Residences which  do  not reflect sample  results of 0.06% lead in the
     paint chips sampled will not be scheduled for paint stabilization.
                                    A - 44

-------
            BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                        PAINT CHIP ANALYSIS  PROTOCOL

A.   Using the Mortar & Pestle Method;

     1.   Paint chips delivered to the Lab.

     2.   Samples must be logged  in  on the  Lead in Soil Processing Sheets.
          The date,  the time, the total  number of samples  brought  by the
          collector, and all the information listed on the sample bag should
          be written on this  sheet.  The information listed on the sample bag
          will include  the  sample identification  number, the  address and
          particular area from which  the sample was  taken needs to be written
          on the Lead in Soil Processing Sheet.  Example:

               Date received:  3/22/89

               Time:  12:30 p.m.

               Total Number  of Samples Received  From:  135  from Ms. Merrill
               Brophy

               Sample Identification Number:  #590316535

               Address:  2092 W. Preston Street

               Area:  Side of Front Door

     3.   The paint samples then need to be written  up on the XRF Run Sheets.
          Identification number is assigned.   The  sample  is then  given  an
          analysis number by the analyst.  The number given to the sample  is
          used only as  a means to  identify a particular sample for analysis.
          The samples should be written in consecutive  sequence.   Example:

               The last sample analyzed was number 0439, then the next paint
               chips sample should be numbered 0440.

     4.    Specimen Containers and XRF Sample Cups are to be prepared  before
          samples can be processed.

          a.    Label Specimen Containers -  Include the date, the  analysis
               number,  and the Samples's  Identification Number.

          b.    Label XRF Sample  Cups  - Include only the analysis  (i.e.  cup)
               number only.

     5.    Mortar  & Pestle  should always be clean.

     6.    Place paint chips  into  mortar and  use the pestle to crush the
          sample.   Continue  to crush  the  sample until a homogeneous mixture
          is  attained.   Gloves and respirators  must be worn.

     7.    Use a spoon or spatula to place the sample into a  corresponding XRF
          sample  cup, then seal  the cup with mylar  film and a ring.

                                   A - 45

-------
8.   Before  next sample is  crushed,  the mortar and  pestle should be
     wiped clean.  Wipe the mortar and pestle  with  a clean paper towel,
     then wash them with distilled water  and dry them with a  clean paper
     towel.  This process  should  be done after each sample.

9.   Once all  samples  have completed  steps  1-7,  the samples are now
     ready for analysis.

10.  Analyzed sample results are recorded onto XRF Run Sheets in ppm's..

I?s ing Electric Mill Method

1.   Paint chips delivered to the lab.

2.   Samples must be  logged in  on the Lead in Soil Processing Sheets.
     The date,  the time,  the total  number of samples  brought  by the
     collector, and all the information listed on the  sample bag should
     be written on this sheet.   The information listed on the sample bag
     will include the  sample's  identification number, the site address
     and particular are from which the  sample was taken needs  to be
     written on the Lead in  Soil  Processing Sheet.  Example:

          Date received:   3/30/89

          Time:  12:30 p.m.

          Total number of  Samples Received From:   135 from  Ms. Merrill
          Brophy

          Sample Identification Number:  #590316521

          Address:  2092 W.  Preston Street

          Area:  Side  of Front  Door

3.   The paint chip samples  identification numbers are recorded on the
     XRF Run Sheets.  The sample is then  assigned an analysis number by
     the analyst.  The number given to the sample by the  analyst is used
     only as a means to identify a particular  sample for  analysis.  The
     samples should be written  in consecutive sequence.

Example:
     The last  sample  analyzed  was number 0439,  then the  paint  chip
     sample should be  numbered  0440.

4.   Specimen containers and XRF  sample cups are to be prepared before
     sample can be processed.

     a.   Label Specimen containers  - Include the date,  the .analysis
          number, and  the  sample's identification number.

     b.   Label XRF Sample Cups - Include analysis number only.

5.   Electric Mill should  always  be clean.

                               A  - 46

-------
6.   Electrical grinding must always be done under the hood.  Gloves and
     respirators must be worn.

     a.   Place paint chip samples into the Electric Mill.

     b.   Turn Electric Mill oh for approximately 3 minutes.

     c.   Turn grinder off after 3 minutes, wait for the dust to settle,
          remove  lid and check to see if  a homogeneous mixture  was
          attained.

7.   Use a spoon or spatula to place the sample into a corresponding XRF
     sample cup, then seal the. cup with mylar film and a ring.

8.   Before the next sample can be processed, the Electric Mill should
     be cleaned.  Wipe the Electric Mill with a clean paper towel inside
     and out, dampen another paper towel and clean the mill very well,
     and then dry  the Electric Mill with another  clean, dry paper towel.
     This process should be done between each sample.

9.   Once all samples have completed steps  1-7,  the samples are  now
     ready for analysis.

10.  Analyzed sample results are recorded  onto XRF Run Sheets in ppm's.
                               A - 47

-------
                           QUALITY ASSURANCE PLAN

                                 PAINT CHIPS

                 MARYLAND STATE LABORATORIES ADMINISTRATION

I.        INTRODUCTION

          This  quality  assurance  document:  sets  forth  the Division  of
          Environmental  Chemistry Multi-Element Analysis Laboratory  (MEAL)
          policies  and  procedures that maximize  the  quality of laboratory
          performance.   The  goal of the laboratory is to provide a quality
          service of elemental' analysis.

          It  is  the   policy  of  MEAL  to  maintain  an  active  quality
          assurance/quality  control (QA/QC) program  to  provide analytical
          data  of  known  and  supportable  quality  and  ensure  a  high
          professional  standard  in analytical  data generated in support of
          projects undertaken  for the public by state and federal agencies.

II.       SAMPLE COLLECTION

          Paint chip samples are collected by the  Maryland Department of the
          Environment (MDE) personnel for a variety of programs and projects.
          All collectors are trained in sampling procedures.

          Paint chip samples  that are to be analyzed for metals are collected
          and stored in clean  previously unused paper envelopes.

III.      SAMPLE ACCEPTANCE, PRESERVATION, AND STORAGE

          All incoming samples are delivered to the Multi-Elements Analysis
          Laboratory.   As the samples are  accepted,  they are  assigned a
          laboratory sample number and the submission form  is  dated with the
          current date.

          The quantity of sample submitted must be adequate  for all analyses
          requested.

IV.       METHODOLOGY

          Lead is quantified via the Kevex XRF analyzer.

V.        QUALITY CONTROL

          A.   Requirements

          1.   Perform routine preventive maintenance on the  Kevex unit.

          2.   By NBS standard should be analyzed once per  tray for the lead
               measured.   The measured value should  be  within  the control
               limits established by NBS.

          3.   At least one replicate sample should be run  every  10 samples,
               or with each set of samples to verify precision of  the method.

                                    A - 48

-------
VI.       DATA REDUCTION, VALIDATION, AND REPORTING

          An  important  element in  the  quality  control program  is  the
          validation  of  data  by   the   use  of  accuracy  and  precision
          determinations.   Precision  describes  the degree  to which  data
          generated  from replicate  measurements  differ  from  one another.
          Accuracy refers to the correctness of the data.  Replicate samples
          are analyzed periodically.  . Analysis and replicated data is also
          graphically  illustrated  by plotting   the  numerical  difference
          between replicates  versus  sample number.  The  mean and standard
          deviation are calculated for sample data.

VII.      INSTRUMENT RECORDS AND LOGBOOKS

          Maintain  instrument  records and  logbooks  for each  instrument
          including the following:

          1.   Operations   manuals   with  updates   as  provided  by   the
               manufacturers

          2.   Service  manuals  and  schedules  of recommended  preventive
               maintenance

          3.   Maintenance,  logbooks   containing  entries  describing  all
               maintenance  performed on  the instrument both  by  the  multi-
               element laboratory personnel, as  well as  qualified service
               engineers

          4.   Sample logbooks  containing  a  record of  all samples analyzed
               listed by date of analysis.  These  logbooks contain pertinent
               information,  such  as  sample  identification,  instrument
               conditions,  and  analyst.   Any special modifications made to
               either the instrument or to the analytical protocol are also
               noted.


VIII.     GENERAL LABORATORY PRACTICES

          The  purchase  of  standard  (or  reference)   material  must  be
          accompanied by a  certification or assay of composition.
                                    A -.49

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       BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                 DRINKING WATER SAMPLING PROTOCOL

Residents are  notified  that water must not be turned  on prior to the
Environmental Health Aide sampling the system on the sampling day.

Do not  shut off  water  flow  valve to  the  sink fixture  (which would
prevent use  of the system prior to first draw)  as  this may introduce
lead corrosion products  into the sample.

Morning first draw is collected from a cold water tap which had not been
used  for 8-18  hours.    Determine . if  water was  used  prior  to sample
collection.   If water was  used,  state the use  in  the 'remarks on the
sample collection  form.

Water  samples  are collected  from each  household  faucet  in  250  ml
cubitainers.

Water samples are preserved on site with 5 ml of  nitric "acid per liter.

Water tap is closed after filling each sample container to prevent loss
of product and to  ensure representative collections.

Keep samples cool  (4 degrees C) after collection prior to analysis.
                               A  -  50

-------
                           BALTIMORE LEAD IN SOIL

                          WATER ANALYSIS PROTOCOL

                                    LEAD

Reference;  Method 239.2 (Atomic  Absorption, furnace technique)  EPA - 600/4-
79-020

Optimum Concentration Range:  5-100 fig/L                  .

Detection Limit:  1 jig/L

Application;

Tests for lead are carried out using the graphite furnace atomic absorption
technique as described herein. Samples, blanks,  quality control, replicate,
and spike test solutions  are  prepared as described and placed  in trays for
automatic sampling (see Quality Assurance Plan).  This  instrument setup and
analysis steps are performed using the  parameters defined.

                      Preparation of Standard Solution

1.   Stock lead solution: ,Commercially available containing 1000 mg/L  (1000
     ppm) of lead.

2.   Matrix  modifier -  Ammonium monobasic Phosphate  +  Magnesium Nitrate
     Solution:  Transfer 4 grams of NH4H2PO* monobasic Ultrex reagent and 0.2
     grams of Mg  (NO3)2,  Suprapure,  to a 100-mL volumetric  flask and makeup
     to mark with deionized distilled water (DW)  containing 0.5% (v.v)  HNO3.

3.   Working lead solution:  Dilute the stock solution  to the ratios needed
     as  calibration  standards .at the  time of  analysis.   The calibration
     standards and reagent blank must be prepared with  the  same acid,  i.e.,
     0.5% (v/v)  HNO3.  The reagent blank (RB) used in all  subsequent dilutions
     is prepared by diluting 5 mL cone.  HNO3 to 1 L with DW.  A 1-ppm solution
     is prepared by dilution of the  1000-ppm stock solution with RB.  This 1-
     ppm solution is  used to  obtain calibration  standards of 0, 5, 10, 25,
     50, and  100  ppb lead.   To  obtain the calibration standards, withdraw
     appropriate aliquots of the  1-ppm solution and dilute to 100 mL with RB.

Sample Preparation

All samples  solutions for  analysis are acidified  in the  field or  in the
laboratory and contain 0.5% (v/v) cone. HNO3.


Instrument Parameters for Lead Analysis

1.   Drying Time and Temp:  40 sec. -  120 degrees C

2.   Charring Time and Temp:  40  sec -  1000 degrees  C

3.   Atomizing Time and Temp:  5  sec -  1800 degrees  C


                                    A  - 51

-------
4.   Cleaning Time and Temp:  5 sec - 2600 degrees C
5.   Cooling Time and Temp: 20 sec - 25 degrees C
6.   Purge Gas Atmosphere:  Argon
7.   Wavelength:  283.3 nm
8.   Slit:  0.7 nm
9.   Tub/site: Pyro coated tube with L'vbv platform
10.  Matrix Modifier Setting:  5 fil
11.  Sample and Standard Quantity Setting:  20 jiL
12.  Max power: 30
13.  Background correction mode:  on
14.  Lamp:  electrodeless discharge lamp (EDL)
Notes     Parameters 1, 2, 4, and 5 use 1 sec. ramp time.   Parameter 3  uses
          0 sec. ramp time and gas stop flow,
Instruments Used
1*   Perkin-Elmer model 3030 Atomic Absorption Spectrophotometer with p2 Arc
     Background Corrector
2.   Perkin-Elmer PR-100 printer
3.   HGA-300 graphite furnace
4.   AS-40 Auto Sampler
                                    A - 52

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                           QUALITY ASSURANCE  PLAN

                                   WATER

                   1YLAND

I.        INTRODUCTION

          This  quality  assurance  document   sets  forth  the  Division  of
          Environmental Chemistry Multi-Element  Analysis  Laboratory (MEAL)
          policies and procedures that maximize  the  quality of  laboratory
          performance.  The goal  of  the  laboratory is  to  provide a quality
          service of elemental analysis.

          It  is  the  policy  of MEAL   to   maintain   an  active  quality
          assurance/quality control  (QA/QC)  program to provide  analytical
          data  of  known  and  supportable   quality  and  ensure  a  high
          professional standard in analytical data generated in  support of
          projects undertaken for the public by state and federal agencies.

II.       SAMPLE COLLECTION

          Water samples  are collected by the Maryland  Department  of  the
          Environment (MDE) personnel for a variety of programs and projects.
          All collectors are trained in sampling procedures and approved by
          the Division of Water Supply of the MDE.

          Water samples that  are to be analyzed for metals are collected and
          stored  in  clean polyethylene  or  polypropylene containers  with
          teflon-lined lids.

III.      SAMPLE ACCEPTANCE,  PRESERVATION, AND STORAGE

          All incoming samples are delivered to the Water Laboratory.  As the
          samples are accepted, they are assigned a laboratory sample number
          and the submission form is dated with the current date.

          To ensure that  samples are not degraded and  that their integrity is
          maintained,  all  samples  for metal analysis  must be  kept at  4
          degrees C until receipt, and must be received by the laboratory no
          later than  one day after  collection.    Water  samples  for total
          metals analysis should  be  preserved with analytical  grade nitric
          acid at a pH of  2 or less  (typically 0.5%  v/v) .   The quantity of
          sample submitted must be adequate for all analyses requested.

IV.       METHODOLOGY

          The following elements  (arsenic, cadmium,  chromium,  lead, silver
          and selenium) are quantified via graphite  furnace atomic absorption
          spectrophotometer.

          Samples are  analyzed after a blank and  three different standard
          calibration concentrations are completed.  The characteristic mass
          or  sensitivity of the  analyte  is  calculated  for  any of  three
          standards using the following equation:

                                    A - 53

-------
            (mL sample > x  (cone, of standard in ppb) x  (0.0044)
                                peak area  (abs.)

          The  first sample • in each tray of 35 positions  is  always an EPA
          water supply quality control sample and is followed by a  standard
          equivalent to one half of the maximum contaminant level (MCL) .  Ten
          percent of  the  samples  are replicated.   One  hundred percent are
          spiked.   Blanks  and different  concentrations of  standards  are
          included throughout each tray  run.

V.        QUALITY CONTROL

          A.   Minimum Requirements

               1.   All  quality  control  data  should   be  maintained  and
                    available for easy reference or inspection.

               2.   An unknown performance evaluation sample must be  analyzed
                    once per year for the metals measured.  Results must be
                    within the control limit established by EPA.  If  problems
                    arise,  they  should be  corrected,  and  a  follow-up
                    performance sample should be analyzed.

               3.   Minimum Daily Control

                    a.   After a calibration curve composed of a minimum of
                         a  reagent  blank  and  three   standards  has  been
                         prepared,  subsequent calibration  curves  must  be
                         verified by use of at least a reagent blank and one
                         standard  at or  near the MCL.   Daily checks must be
                         within +  10 percent of original curve.

                    b.   If  20 or more  samples  per day  are  analyzed,  the
                         working standard  curve must be verified by running
                         an additional standard at or near-the MCL  every 20
                         samples'.  Checks must be within + 10  percent of the
                         original  curve.

          B.   Optional Requirements

               1.   Routine preventive maintenance on balances and the atomic
                    absorption spectrophotometer.

               2.   Class  S weights  should  be available  to  make  periodic
                    checks on balances.

               3.   Chemicals  should  be  dated upon receipt of shipment and
                    replaced as needed or before shelf life has been exceed.

               4.   A known  reference sample (NBS)  should be analyzed once
                    per quarter for the metals measured.  The measured value
                    should be within the control limits established by NBS.


                                    A -  54

-------
               5.   At  least  one duplicate  sample  should be  run every 10
                    samples, or with each set of  samples, to verify precision
                    of the method.  Checks should be within the  control limit
                    established by EPA.

               6 .   Standard deviation should be  obtained  and documented for
                    all measurements being conducted.

               7 .   Quality  control charts  or  a tabulation  of mean  and
                    standard deviation should be used to document validity of
                    data  on  a daily basis.   See Attachments  2  and  3  for
                    accuracy  Quality  Control chart  sheets  and  precision
                    Quality Control chart sheets, respectively.

VI.       DATA REDUCTION, VALIDATION, AND REPORTING

          An  important  element in  the  quality  control program  is  the
          validation  of  data  by   the   use  of  accuracy  and  precision
          determinations .   Precision  describes  the  degree  to which  data
          generated  from replicate measurements  differ  from  one another.
          Accuracy refers to  the  correctness of the data.   In an analysis
          run,  a  replicate  and  spike   are run  periodically.    Percent
          recoveries are  calculated on spike sample data  and accepted when
          recoveries are  between  85% and 115%.   If  recoveries are outside
          this range,  samples are  re-poured and re-spiked  for additional
          determinations.  Percent recovery data  is transferred onto graphs.
          Replicated data is  also graphically illustrated by  plotting the
          numerical difference between replicates versus sample number.   An
          upper  warning  limit  and upper  control  limit  is calculated  by
          multiplying the mean by 2.51  and 3.27 respectively.   These quality
          control charts are very useful in determining if a system is in a
          state  of statistical control.   These charts  are   also used  to
          visualize and monitor the relative  variability of repetitive data.
          ( See Attachment 2).  the formula  to  calculate the mean  of  the
          precision data  is as follows:
                               R =  (  d±     .
          di = the difference btween replicate  results
          N = number of samples

          The  mean and  standard  deviation are  calculated for  the spiked
          sample data.

          The percent recovery is calculated using the following formula:
                           % R =  (SSR -  SR^  x 100
                                      SA
          SSR = spiked sample result
          SR = sample result
          SA = spike added

          In addition to  replicates and spikes,  the analytical sample runs
          include numerous calibration checks.  A reagent blank and standard
          are run periodically.  EPA water supply quality control samples and
          NBS  trace elements  standards,  and  various  other  commercially
          prepared standards are also analyzed during each run.

                                    A - 55

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VII.    .  INSTRUMENT RECORDS AND LOGBOOKS
          Instrument records and logbooks are maintained for each instrument.
           These records include the following:
          1.   Operations   manuals  with  updates   as  provided   by  the
               manufacturers.
          2.   Service  manuals  and  schedules  of  recommended  preventive
               maintenance.
          3.   Maintenance   logbooks   containing  entries   describing  all
               maintenance  performed  on the instrument both  by the multi-
               element laboratory, as well as by qualified service engineers.
          4.   Sample logbooks  containing  a  record of all samples analyzed
               listed by date of analysis.  These logbooks contain pertinent
               information,  such   as   sample  identification,  instrument
               conditions,  and  analyst.  Any special modifications made to
               either the instrument or to the analytical protocol are also
               noted.
VIII.     GENERAL LABORATORY PRACTICES
          A.   Laboratory Water
               Laboratory pure water is supplied by a  reverse  osmosis, mixed
               bed ion exchange system.  Effluent water passes through a 0.5
               um filter and the resistance of the outlet water is monitored
               with an in-line  conductivity probe (18 megohms).
          B.   Analytical Reagent
               Analytical  reagent  grade  chemicals are purchased  for  all
               analyses and the following requirements  are maintained:
               1.   All chemicals  and standards are dated upon receipt and
                    the expiration date is also  posted  on the container.
               2.   Stock   and  working   standards    are   labeled   with
                    concentration, date prepared and'expiration date and with
                    the initials of the preparer.
          C.   Analytical  Glassware
               All  volumetric  glassware  used in  chemical analysis  is
               certified to be  Class A Grade.   ,
               Disposable  plastic  tubes are used to minimize  contamination.
          D.   Preparation of Standard Solutions
               1.   All standard  solutions are  made by  one of the  following
                    techniques:

                                    A  - 56

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          (a)  Dilution of  a primary  standard grade reagent  to
               volume using Class A volumetric glassware.

          (b)  Dilution of  a known  standard solution to  volume
               using Class A volumetric glassware (serial standard
               method).

     2.   Shelf life  of  standard solution is  dependent  upon the
          stability of  reagent  used and the  frequency of  use.
          Standard solutions are labeled with date of preparation
          and expiration, and the initials of the person who made
          them.

     3.   The purchase of  any standard (or reference) solution must
          be   accompanied  by   a   certification  or  assay  of
          composition.  Without such certification, said standard
          will not be used.

E.   Standardization Procedures

     Any  solution that will be used  as a  standard is  checked
     against a primary standard unless otherwise certified.

F.   Hollow  Cathode Lamp  (HCL)  and  Electrodeless  Discharge  Lamp
     (EDL) Documentation

     1.   All HCL and EDL lamps are dated upon arrival.

     2.   The intensity  of  each lamp  is check upon  arrival and
          recorded with each use.    The  lamp is replaced  if the
          intensity goes below 75% of its original value.
                          A - 57

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      BALTIMORE SOIL IN LEAD ABATEMENT DEMONSTRATION PROJECT

                LEAD PAINT STABILIZATION PROTOCOL

The work included in this portion of the contract includes:

A.   Before-preparation practices

     1.   Prior  to  preparation, occupants  shall be  notified of
          starting  date and  expected  date  of completion.   They
          shall be  instructed to remove all movable objects from
          the work area and be informed about the proper method of
          entrance to and egress from the property.   Signs of heavy
          cardboard shall be posted at each property, in a location
          clearly visible to  passersby, at least seven days prior
          to the start of work.

     2.   Windows and doors in the work area  shall be taped using
          duct tape or equivalent water proof tape to seal out dust
          for  the  duration of the  work.   Six mil  thick plastic
          should  be  installed  on  vertical  surfaces where  wet
          scraping occurs.

     3.   All workers will be required to change into appropriate
          work  clothes, including shoes,  upon arrival at the work
          site.   Remove work clothing  before leaving work site.
          Each  worker will be required to wear a  half-mask air
          purifying  respirator equipped  with  high  efficiency
          filters while in the work area.   Smoking,  eating,  and
          drinking will not be permitted in  the work area.   The
          contractor will provide water, a dressing room, washroom
          and toilet facilities for use of his employees.

     4.   Blood will be taken from the workers and tested prior to
          starting the project, at two months and at the conclusion
          of the project.

B.   Complete preparation of exterior surfaces containing cracking,
     chipping,  peeling  or chalking  lead  based  paint  includes
     removal of deteriorated paint, High Efficiency Particulate Air
     (HEPA) vacuum cleaning',  washing and rinsing.

     1.   Methods of removal  are limited to wet scraping in which
          the surface being worked on is kept constantly wet using
          a water spray.

     2.   Removal includes complete collection and disposal of all
          resulting debris and dust.

     3.   Cleanup shall include HEPA vacuuming of all surfaces to
          remove dust; if this is not feasible, wet methods may be
          used, including wet sweeping, or shovelling.
                               A - 58

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     4.   Debris, including used sealing tape,  used drop cloths,
          filters, and  disposable  clothing shall be  disposed of
          according to hazardous waste regulations.  Waste shall be
          recorded by type, quantity, and disposal site.

C.   Minimum preparation, washing and rinsing to  remove dust and
     dirt, of  surfaces  adjacent  to those treated above shall be
     done as necessary,  to match those surfaces.

D.   Repainting can  begin after  the site has been  inspected and
     approved  and shall begin within 48  hours  of  completion of
     surface preparation. The contractor shall provide all labor,
     materials, equipment, and services necessary for satisfactory
     application of field painting.

     1.   All  caulking  shall  be  done as directed by the Project
          Manager.  Caulk shall be  a one part 100% liquid polymer,
          acrylic base compound, non-sagging, non-staining, and of
          gum consistency.

     2.   All paint shall be applied using a brush or roller.  All
          surfaces being repainted shall receive one  coat of primer
          and  two finish coats.   Paint  shall  be  unscarred  and
          completely . integral.   Sufficient  drying  time must .be
          allowed  between  coats  to  satisfy the  manufacturer's
          requirements.  Paint shall be a high quality latex based
          system composed of a primer and an exterior finish, and
          shall have a lead content of not more than 0.06%.

     3.   Upon completion of  the  work,  all paint spots shall be
          removed  from  walls,  glass and  other  surfaces.   All
          rubbish and accumulated materials  shall be removed and
          area must  be  left  in  a  clean, orderly and acceptable
          condition.

E.   The  contractor  may, with approval  of the project manager,
     choose to cover such items as window frames,  porch eaves and
     door frames with 0.032 inch thick, alloy 3004  -  H 134 aluminum
     sheets as an alternate to scraping and repainting them.

     1.   Prior  to  starting work,   all windows  and doors  of the
          affected structure shall be taped to seal out any dust.

     2.   Covering shall  be  formed on  site  to produce a close
          fitting cover with smooth bends,  close  joints,  and  a
          generally neat appearance.

     3.   Fasteners  shall  be spaced  in  accordance  with  good
          practice, hidden where possible.

     4.   Joints  at  corners  and  at edges  where aluminum abuts
          masonry  shall  be  neatly made  and  neatly  and  fully
          caulked. Caulk  shall be  one part  100%  liquid polymer,
          acrylic base  compound,  non-sagging,  non-staining,  gum
          consistency.

                               A -  59

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5.   After completion of work and at the end of the day, all
     resulting debris and dust shall be removed using a HEPA
     vacuum cleaner and disposed of according to regulations.
                          A -  60

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      BALTIMORE SOIL IN LEAD ABATEMENT DEMOSTRATION PROJECT

                     SOIL ABATEMENT PROTOCOL

Background:  Removal of soil to a depth of 6 inches and replacement
of  the  soil  with topsoil  and sod  is  based  on the  results  of
analysis for  lead  levels in the  soil.   If the lead levels in the
soil were equal to or greater than 500 ppm; the study property will.
be scheduled  for removal of the  soil.   If the lead levels in the
soil are less than 500 ppm; bare spots of the study property were
reseeded to reduce dust levels.

     Work included in this part of the contract includes:

A.   Before preparation practices

     1..  Prior  to preparation  residents shall  be notified  of
          starting date  and  estimated date of completion.   They
          shall be instructed to  remove  all  movable objects from
          the work area and the contractor will control access to
          the work area.  Signs of heavy cardboard shall be posted
          at  each property  in  a  location   clearly  visible  to
          passersby at least seven days before work begins.

     2.    Blood will be taken from the workers and tested prior to
          starting  the  project,  at  two months,  and  at  the
          conclusion of the project.
        \

     3.    Windows  and  doors  adjacent to  the work area  shall  be
          taped with duct tape or equivalent waterproof tape.  The
          contractor shall use a  light water spray.to eliminate or
          capture any dust produced by the abatement procedures.

     4.    Workers  will  be  required to change  into  work clothes,
          including shoes, upon arrival at the site.  Remove work
          clothes before leaving the work site.  Each worker will
          be required to wear a half-mask  air purifying respirator
          equipped with high efficiency filters while  working.
          Eating,  drinking, and  smoking will  not be permitted in
          the  work area.  The contractor will provide  water,  a
          dressing room, washroom and toilet facilities  for the use
          of his employees.

B.   Preparation  of  the  designated  area  includes  physically
     locating and marking the limits  of the area using stakes  and
     tape or some other approved  method, removing and disposing of
     any trash within the work area limits, and carefully removing
     any existing shrubs, plants, or ground cover other than grass
     to an adequate storage place.  Fencing shall also be removed
     and stored.

C.   Excavation of the soil  to a depth of six inches.   Mist the
     area  to be  excavated with  water to  control dust levels.
     Dispose  of  the  excavated  soil  in  an  appropriate  manner
     depending on the toxicity or lack thereof.

                               A - 61

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D.   Placing  and  compaction  of  "clean"  soil  (earth  material
     obtained off site, which shall have been previously tested  (at
     least 5 days  prior)  for lead and found to have less than 50
     ppra).

E.   After the refill has  been acceptably compacted, the area shall
     be  covered with two  inches of  clean topsoil  and sodded.
     Shrubs, plants, and/or ground cover shall be replanted.  In an
     area close to a work area where there is an established stand
     of grass, the contractor may be required to seed existing bare
     areas.   Seeding  shall  consist of  loosening the existing soil
     to a  depth of two inches  ;  removal  of all clods, stone and
     other  foreign materials larger  than  three  inches in  any
     dimension, application of a 5-10-10  fertilizer at  a rate of 5
     pounds  per 100  square feet and seed mix No.  2 at a rate of
     0.25 pounds per  100  square feet,  raking fertilizer and seed
     into the prepared bed to a depth of not more than 1/4 inch,
     compaction using an approved lawn roller,  and application of
     an approved mulch.   All existing fencing removed during the
     course  of soil lead abatement work shall be re-erected.

F.   At the  end of each workday cleanup  shall include vacuuming,
     with a High Efficiency Particulate Air  (HEPA) vacuum cleaner,
     all surfaces  adjacent to the work area to remove all  dust.
     After  complete  removal and  cleanup,  the  site is ready  for
     inspection.

G.   All  lead contaminated debris  including  soil,  filters  and
     disposable clothing shall be disposed  of  in  accordance  with
     hazardous or solid waste regulations.
                               A - 62

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                            Appendix B

                     Quality Assurance Plans


                                                            PAGE
Program .Quality Assurance Plan	-.-	B-l
CDC Quality Assurance for Blood Lead Analyses. .......	B-83
QA/QC for Soil, Dust, and Handwipes	B-92

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                      QUALITY ASSURANCE PLAN

PROJECT TITLE:   BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT
                 (LIS)

EPA PROJECT MANAGER:  RICHARD BRUNKER,  Ph.D.

LIS PROJECT MANAGER:  MERRILL BROPHY, R.N., M.S.N.

PERFORMING ORGANIZATION:  MARYLAND  DEPARTMENT OF THE ENVIRONMENT,
TOXICS, ENVIRONMENTAL SCIENCE &  HEALTH

APPROVALS:

PROJECT MANAGER:
                            (MERRILL BROPHY,  R.N.,  M.S.N.)
QA MONITOR:
PROGRAM ADMINISTRATOR:.


PRIMARY INVESTIGATOR:
EPA PROJECT MANAGER:
                            (ELI REINHARZ)
(BARBARA CONRAD, R.N., M.P.H. )
                            (KATHERINE FARRELL,  M.D.,  M.P.H)
                            (RICHARD BRUNKER,  Ph.  D.)
                               B  -  1

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                                             Section   1.0
                                             Revision  1.0
                                             Date:     March 90
                                             Page:     1 of 37
                      QUALITY ASSURANCE PLAN


 Section No.
 1.0  Table of Contents

 2.0  Project General Overview
      2.1   Statement of Decision
      2.2.  Purpose of the Study
      2.3   Description of the Project
      2.4   Anticipated Results
      2.5   Consequences of Incorrect Decisions or Conclusions
      2.6   Project Measurements .
      2.7   Application of Environmental Findings
      2.8   Sampling Summary Table
      2.9   Project Time Line
     2.10   Project Flow Chart
     2.11   Organizational Chart
     2.12   Contractor and Subcontractor Geographical Locations
     2.13   Procedure for Monitoring Contractors and Subcontractors
     2.14   Description of Contractor and Subcontractor
             Communications with MDE and EPA

3.0   Quality Assurance Plan Description
      3.1  Introduction
      3.2  Quality Assurance Plan Summary
           3.2.1  Quality Assurance Plan Background
           3.2.2  Demonstration Project
      3.3  Quality Assurance Plan Objectives
           3.3.1  Major Task Summary

 4.0  Quality Assurance Objectives
      4.1  General
      4.2  Representativeness
      4.3  Precision and Accuracy
      4.4  Completeness
      4.5  Comparatibility

 5.0  Responsibility for Quality Assurance Plan
      5.1  LIS Project Manager
      5.2  LIS Environmental Coordinator
      5.3  LIS Environmental Health Aides

 6.0  Sampling Procedures
      6.1  General
      6.2  Equipment List
      6.3  Record Keeping


                               B - 2

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                                             Section   1.0
                                             Revision  1.0
                                             Date:      March  90
                                             Page:      2  of 37
 7.0  Soil Sampling
      7.1  Detailed Soil Sampling
           7.1.1  Sampling Schemes
           7.1.2  Handling of Samples

      7.2  TOXICITY Soil Sampling
           7.2.1  EP TOX Sampling Schemes
           7.2.2  TCLP Sampling Schemes

      7.3  Post Stabilization. Soil Sampling
           7i3.1  Sampling Schemes
           7.3.2  Handling of Samples

      7.4  QA objectives for soil sampling

8.0  Paint Sampling
     8.1  Exterior Paint Sampling
          8.1..1  Sampling Schemes
          8.1.2  Handling of Samples

     8.2 Interior Paint Sampling
          8.2.1  Sampling Schemes
          8.2.2  Handling of Samples
          8.2.3  Equipment Calibration

     8.3   QA for paint sampling

9.0  Dust Sampling
     9.1  Pre-Stabilization
          9.1.1  Sampling Schemes
          9.1.2  Handling of Samples

     9.2  Post-Stabilization
          9.2.1  Sampling Schemes
          9.2.2  Handling of Samples

     9.3  QA for dust sampling

10.0  Water Sampling
      10.1  Sampling Schemes
      10.2  Handling of Samples
      10.3  QA for water sampling

11.0  Chain-of-Custody
      11.1  General
      11.2  Sample Receipt
      11.3  Sample Storage

12.0  Quality .Assurance Plan - Soil Analysis
     12.1 Introduction
     12.2  Sample Collection

                               B - 3

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                                             Section
                                             Revision
                                             Date:
                                             Page:
     12.3   Sample Acceptance, Preservation and Storage
     12.4   Methodology
     12.5   Quality  Control Minimum Requirements
     12.6   Data Reduction, Validation and Reporting
     12.7   Instrument  Records and Logbooks
     12.8   General  Laboratory Practices

13.0 Quality Assurance Plan - Water Analysis
     13.1 Introduction
     13.2   Sample Collection
     13.3   Sample Acceptance, Preservation and Storage
     13.4   Methodology
     13.5   Quality  Control Minimum Requirements
     13.6   Data Reduction, Validation and Reporting
     13.7   Instrument  Records and Logbooks
     13.8   General  Laboratory Practices
                                                        1.0
                                                        1.0
                                                        March  90
                                                        3  of 37
14.0
      Quality Assurance  Plan  -  Dust Analysis
      14.1  Introduction
      14.2-  Sample  Collection
            Sample  Acceptance, Preservation and Storage
            Methodology
            Quality Control Minimum Requirements
            Data Reduction, Validation and Reporting
            Instrument  Records and Logbooks
            General Laboratory Practices
            Atomic  Absorption Spectrometry
     14.3
     14.4
     14.5
     14.6
     14.7
     14.8
     14.9
15.0
      Quality Assurance Plan - Paint Chips
      15.1  Introduction
      15.2  Sample Collection
      15.3  Sample Acceptance, Preservation and Storage
      15.4  Methodology
      15.5 • Quality Control Minimum Requirements
      15.6  Data Reduction, Validation and Reporting
      15.7  Instrument Records and Logbooks
      15.8.  General Laboratory Practices

16.0  Data Assessment
      16.1  General
      16.2  Precision and Accuracy
      16.3  Completeness
      16.4  Corrective Action

17.0  Appendices
                               B - 4

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                                             Section   2.0
                                             Revision  1.0
                                             Date:     March 90
                                             Page:     4 of 37
2.0  General Project Overview

     2.1  Project Details

Project Title:  Baltimore Lead In Soil Demonstration Project

EPA Project .Managers     Richard Drunker, Ph.D.

LIS Investigators:  Dr. Katherine Farrell, M.P.H.
                    Dr. J. Julian Chisolm, Jr.
                    Dr. Boon Lim, M.P.H.
                    *Charles Rodhe, Ph.D.
MDE Project Manager:

Project QA Monitor:


Project Category:

Project Duration:

Type of Project:

Project Address:




Project Phone No:
Merrill Brophy, R.N.,  M.S.N.

Alice Zeiger, Toxicologist 89-90
Eli Reinharz, Ecological Assessment 90-92

Type II

3 years

Superfund    Urban    Soil     Abatement
Demonstration Project
Maryland Department  of the  Environment
TESH/LIS
2500 Broening Hwy
Baltimore,  MD 21224'

410-631-3820
                               B - 5

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                                        Section   2.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     5 of 37
2.2.  Statement of Decision

Study the correlation between removal of  soil lead hazards
from child's environment at home and blood lead levels.

2.3   Purpose of the Study

Observe  effects  of  soil abatement on  children's  blood lead
levels.

2.4  Description of the Project

Project  will study two  areas  in  Baltimore  City which are of
pre-1978  construction and typical  of  lead  containing type
houses in the urban area.  A control group will be established
and will receive all testing and treatment as study group
except the soil abatement.   Blood lead  levels will be studied
over the course of the project beginning with baseline levels
and at regularly scheduled times.  Soil, dust, water and paint
samples  will be  collected at all project  houses.    Paint
stabilization  will  be  conducted at all  project houses  to
reduce likelihood of  recqntamination of house  soils.   Soil
abatement for areas of  the  houses with lead results  of >500
ppm will be conducted on study area houses.

2.5  Anticipated Results

Hypothesis stated a reduction  of 1000 ppm of soil lead would
result in a reduction of 3 - 6 ng/dl blood lead level.


2.6  Consequences of Incorrect Decisions

The consequences of  incorrect decisions would be the wrongful
assumption of soil lead levels influencing children's  blood
lead levels.

2.7  List of Project Measurements
     Table 2.7.1
                          B - 6

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                                        Section   2.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     6 of 37
2.8  Application of Environmental Findings

     These findings will be used by EPA in determining future
     actions/protocols for management of soil lead.

2.9  Sampling Summary Table
     Table 2.9.1

2.10 Project Time Line
     Figure 2.10.1

2.11 Project Flow Chart
     Figure 2.11.1
       *
2.12 Organizational Chart
     Figure 2.11,1

2.13 Contractor and Subcontractor Geographical Locations
     Contractor:                                           .
     Maryland Department of the Environment
     Toxics, Environmental Science and Health
     2500 Broening Hwy     -                .
     Baltimore, MD 21224

     Subcontractor:
     State of Maryland Department of Health and Mental Hygiene
     Laboratories Administration
     301 W. Preston St.
     Baltimore, MD 21204

2.14 Procedure for Monitoring Contractors and Subcontractors

     The procedure for EPA monitoring of  MDE will be through
     quarterly reports and site visits.

     The procedure for MDE monitoring of subcontractors of the
     project will include blind audits and site visits.

2.15 Description    of    Contractor   and    Subcontractor
     Communications with EPA or MDE

     Quarterly reports to be submitted to Region  III  EPA by
     MDE.  Interim report will be submitted to EPA.  Financial
     Status  Reports will  be  submitted  annually  to  EPA.
     Regularly  scheduled  meetings  to be  conducted by  EPA
     Region III Oversite Coordinator.

     Laboratories Administration communicates with MDE through
     laboratory  analysis  results.    Regularly   scheduled
     meetings   to  be  conducted  by MDE   with  Laboratory
     Administration personnel.  A Memorandum of Understanding
     is  to  be developed  between MBE  and the  Laboratories
     Administration.
                          B -

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                                             Section   3.0
                                             Revision  1.0
                                             Date:     March 90
                                             Page:     7 of 37
3.0  Quality Assurance Plan Description

     3.1  Introduction

     The  purpose of  the Quality  Assurance Plan (QAP)  for  the
     Baltimore Lead-in-Soil Demonstration  Project is to indicate
     prime responsibilities and prescribe requirements for assuring
     that  the  project  is  planned  and  executed   in  a  manner
     consistent with  defined  quality assurance  objectives.   This
     QAP provides guidance and specifications to assure that:

          1.  All field sampling, methodologies and documentation,
          sample  preparation,  handling and  transportation  are
          conducted   consistently   according   to   established
          procedures;

          2.  All laboratory determinations and analytical results
          are valid through preventative maintenance, instrument
          calibration, and analytical protocols;
                                                          i
          3.  Samples are identified and controlled through sample
          tracking systems and chain-of-custody protocols;

          4.  Records are retained as documentary evidence of the
          sample integrity,  applied processes, equipment used, and
          analytical results;  and

          5.    Generated  data  is  validated  and  its  use  in
          calculations documented.

     3.2  Quality Assurance Plan Summary

     Information  provided within  this  document summarizes  the
     specific tasks  required for  the project  as well as  other
     pertinent information.                           .

     3.2.1  Quality Assurance Plan Background

     Data  collected  from Baltimore's  Childhood Lead  Poisoning
     Prevention Program,  coupled with  the  CDC report, led to the
     following conclusion:

          a.    Children playing  in  the area  of exposed,  lead
          contaminated soil may ingest lead in the course of their
          normal hand-to-mouth activities.

          b.  Direct contact with lead contaminated soil may result
          in increased body burden of  lead.
                               B - 8

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                                   Section   3.0
                                   Revision  1.0
                                   Date:     March 90
                                   Page:     8 of 37
c.   Exposure  of  humans to  lead through  ingestion or
inhalation  can result in  toxic  effects in  the brain,
central  and  peripheral nervous system,  kidney,  and
hematopoietic system.  Anemia is an early manifestation
of lead  poisoning.   Peripheral  neuropathy also results
from lead poisoning.  Young children under the age of six
are especially prone  to the most profound and deleterious
effects of lead exposure.  Chronic exposure to low levels
of  lead  can  cause  permanent learning  disabilities in
children.

3.2.2  Demonstration Project

The Baltimore Soil Lead Abatement Demonstration Project
shall  involve  sampling   approximately  400  selected
children  from two urban neighborhoods  (Park Heights -
study area, Walbrook Junction - control area) for blood
lead levels to determine base line data, sampling their
yards to establish soil lead levels,  and their residences
to determine dust  lead levels, removing contaminated soil
in the study  area, re-sampling the  children during the
following  year to   observe  the  effects  of the  soil
removal.   Property  owner  consent  is required  for the
houses to be enrolled in the project.  This QAP addresses
the soil, dust, water and paint collection and analysis.

The environmental staff will consist of one industrial
hygienist,  as the Environmental Coordinator,   and  six
Environmental Health Aides.   The Environmental Health
Aides will  conduct  environmental  sampling  at  project
properties  according to  the  attached  protocols.  The
Environmental  Coordinator  schedules  the  sampling  and
supervises the sampling and documentation of samples

Detailed environmental sampling will be conducted, during
1988 and 1989, as necessary, at the selected children's
properties.    Environmental   sampling includes:  soil,
interior  dust, water,  and   exterior paint.    Common
environmental characteristics of the  study and control
area properties include:

a.  exterior paint positive for lead
b.  soil areas included in the property
                     B - 9

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                                            Section   4.0
                                            Revision  1.0
                                            Date:     March 90
                                            Page:     9 of 37
4.0  Quality Assurance Objectives

    4.1  General

    The quality of environmental sampling made during this study
    will  be   determined  by  the   following  characteristics:
    accuracy,  precision,  representativeness,  completeness,  and
    comparability.

    4.2  Represenativeness

    Sampling  procedures will  be used to  assure that  samples
    collected  are representative of  the media.  Sample handling
    protocols  protect the  representativeness of  the  collected
    sample.  Proper documentation will ensure that protocols have
    been followed and that sample identification and integrity are
    assured.
                               B  -  10

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                                             Section   5.0
                                             Revision  1.0
                                             Date:      March 90
                                             Page:      10 of 37
5.0  Responsibility for Quality Assurance

     5.1  Lead-in-Soil Project Manager

     The project manager is responsible for:

          -approving,  maintaining and  implementing the  Quality
          Assurance Plan for this project,

          -indicating the types of quality assurance records to be
          maintained for this project and,

          -approving sampling procedures and  operating systems.

     5.2  Lead-in-Soil Environmental Coordinator

     The environmental coordinator is responsible for:

          -developing sampling protocols for soil, dust, water and
          paint,

          -training other LIS personnel  in the  implementation of
          environmental protocols,

          -scheduling environmental sample  collection,

          -reviewing  sample  collection information, results  and
          data,

          -periodically  checking  the   sampling   equipment  for
          cleanliness and condition

          -informing the project manager of sampling issues and,

          -randomly  checking  the data entry  forms  of  sample
          analysis results for accuracy against the original sample
          results form submitted by the laboratory.

     5.3  Lead-in-Soil Environmental Health Aides

     The environmental health aides are responsible for:

          -collecting environmental samples  from project properties
          as scheduled.

          -collecting  environmental  samples according  to project
          protocols.

          -submitting samples and appropriate paperwork to the lab
          for sample analysis.

          -transcribing sample analysis results  to the data entry
          forms.
                               B - 11

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          -checking data entry forms for accuracy before submitting
          them to the environmental coordinator.

                                             Section   6.0
                                            , Revision  1.0
                                             Date:      March 90
                                             Page:      11  of 37
6.0  Sampling Procedures

     6.1  General

     Sampling protocols will be followed as closely  as possible
     allowing however  in the  inherent differences between  each
     project property.   Deviation from sampling protocols  will be
     clearly documented on diagrams or forms.

     6.2  Equipment List

     Standard sampling equipment is provided for the  project.  A
     complete listing of equipment is located in Appendix  M.

     6.3  Record Keeping

     All environmental  materials,  forms,  equipment and supplies
     which have been used for this project  are maintained by the
     Environmental Coordinator.
                               B - 12

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                                             Section   7.0
                                             Revision  1.0
                                             Date:      March 90
                                             Page:      12 of 37
7.0  Soil Sampling

     7.1  Detailed Soil Sampling

     7.1.1  Sampling Schemes

     After properties  are  selected and enrolled in  the  project,
     they undergo detailed  soil sampling.  Top soil samples will be
     collected by soil  corer at the surface to a depth of 2 inches.
     Bottom soil samples will be collected from the soil  corer at
     a depth of 4-6 inches  by the  project  staff  according to the
     attached protocols.  The soil sample will  be collected using
     one of the defined pattern: line source, targeted area, small
     area, or grid pattern.  Pattern selection  will be based upon
     the layout of the  subject property  at  the discretion of the
     Environmental  Coordinator.    Sketches  indicating  property
     details and  sample locations  will be made  by Environmental
     Health Aides.                           .

     7.1.2  Handling of Samples

     Soil samples are collected  in polyproplyene  plastic  bags and
     labeled at the time of collection.  Samples are recorded on a
     chain-of-custody form and submitted to the  laboratory by the
     Environmental  Coordinator.    Laboratory  personnel   receive
     samples and  issue a  sample  receipt for  the  project  file.
     Analysis results are recorded on Soil  Processing  Sheets  and
     returned to the Environmental  Coordinator.

     7.2  Toxicity Soil Testing

     7.2.1  EP Toxicity Soil Testing Sampling Scheme  (EPTOX)

     Soil samples from study area properties will be analyzed by
     EPTOX prior to the  soil stabilization phase of  the project to
     determine disposal requirements of  the soil removed  during
     stabilization.  Top soil samples  will  be  collected by  soil
     corer at the  surface  to  a  depth of 2 inches from locations
     within each area to be stabilized.  Randomly selected sites
     within the  area to be stabilized  will be sampled in  the
     following manner:

     One sample from an  area 20 inches from foundation,  one sample
     from the middle of the area and  one  sample from 20  inches
     inside the area will be composited for  EPTOX testing.

     Soil samples are collected  in  polyproplyene  plastic  bags  and
     labeled at the time of collection.  Samples are recorded on a
     chain-of-custody form  and submitted  to  the laboratory by the
     Environmental Coordinator.   Laboratory  personnel receive


                              B  -  13

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                                             Section   7.0
                                             Revision  1.0
                                             Date:     March 90
                                             Page:     13 of 37
     samples  and issue  a  sample receipt  for  the  project  file.
     Analysis results are recorded on Sample Processing Sheets and
     submitted to the -Environmental Coordinator.

     7.2.2  Toxicity Characteristics Leaching Procedure (TCLP)

     Soil samples from control area properties will be analyzed by
     TCLP to determine disposal requirements of the soil.  Top soil
     samples will be  collected by soil  corer at the surface to a
     depth  of 2  inches  from  locations  within  each  area  to be
     stabilized.  Randomly selected sites within the  area  to be
     stabilized will be sampled in the following manner:

     One sample from an area 20 inches from foundation, one sample
     from the  middle of the  area and  one sample  from 20 inches
     inside the area will be composited for EP Toxicity testing.

     Soil samples are collected in polyproplyene plastic bags and
     labeled at the time of collection.  Samples  are recorded on a
     chain-of-custody form and submitted to the laboratory by the
     Environmental  Coordinator.    Laboratory  personnel  receive
     samples  and issue  a  sample receipt  for  the  project  file.
     Analysis results are recorded on Sample Processing Sheets and
     returned to the Environmental Coordinator.


7.3  Handling of Samples

     7 .3  Post Stabilization Soil Sampling

     7.3.1  Sampling Schemes

     Post stabilization  soil sampling  is conducted after  paint
     stabilization and soil abatement.  The primary purpose of this
     sampling  is . to document the effectiveness  of stabilization
     activities.  Soil abatement contracts  require replacement soil
     to contain  less  than  SOppm lead.   Top soil  samples  will be
     collected by soil corer at the surface to a depth of 2 inches.
     Bottom soil samples will be collected from the soil corer at
     a depth of 4-6  inches  by the project staff  according to the
     attached protocols.  The soil sample will  be collected  using
     one of the defined pattern:  line source, targeted area,  small
     area, or grid pattern.  Pattern selection will be based upon
     the layout of the subject property at the  discretion of the
     environmental  coordinator.    Sketches  indicating  property
     details and  sample  locations will be made  by environmental
     health aides.
                               B - 14

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                                        Section   7.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     14  of 37
7.3.2  Handling of Samples
                                          «
Soil samples are collected in polyproplyene plastic bags and
labeled at the time of collection.  Samples are recorded on a
chain-of-custody form and submitted to the laboratory by the
Environmental  Coordinator.    Laboratory  personnel  receive
samples  and issue a  sample receipt  for  the project  file.
Analysis results are  recorded on Sample Processing Sheets and
submitted to the Environmental Coordinator.
                          B -  15

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                                             Section   8.0
                                             Revision  1.0
                                             Date:     March 90
                                             Page:     15  of 37
8.0  Paint Sampling

     8.1  Exterior Paint Sampling

     8.1.1  Sampling Schemes

     Properties selected for the project will be sampled for lead
     content  of  exterior  painted  -surfaces of  all  structures.
     Representative samples of chipped, cracked, flaking or peeling
     paint chips will be collected for analysis.
                                   will  be stored in  reinforced
                                    at the time  of  collection.
                                    a  chain-of-custody form  and
                                   the Environmental Coordinator.
                                    samples and issue  a  sample
                                       Analysis  results  will  be
                                    Sheets and  submitted to  the
8.1.2  Handling of Samples

Paint  chip samples collected
paper  envelopes  and  labeled
Samples  will be  recorded  on
submitted to the laboratory by
Laboratory  personnel  receive
receipt  for the  project  file
recorded  on Paint  Processing
Environmental Coordinator.

8.2  Interior Paint Sampling

8.2.1  Sampling Schemes

Properties selected for the project will be sampled for lead
content of  two  interior surfaces of three  rooms  within the
house.  Record sample identification numbers, codes, condition
of surface tested and results on Lead-in-Soil LBP Inspection
Forms.  A sample copy of the LBP Inspection Form is located in
Appendix F.

PGT XRF Calibration
Calibration  of  the  PGT XRF  Lead  Based  Paint  Analyzer  is
required  at  the beginning and end  of  each  interior survey.
Calibration checks against three paint  standards is required.
Each check is recorded in the calibration record and the page
where it is recorded is indicated on the LBP Inspection Form.
Each calibration check must fall within the acceptable range
as indicated on the standards.
                               B - 16

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                                             Section   9.0
                                             Revision  1.0
                                             Date:      March 90
                                             Page:      16 of 37
9.0  Dust Sampling

     9.1  Pre-Stabilization -  •

     9.1.1  Sampling Schemes

     Properties selected for the project will be sampled for lead
     content of dust on interior surfaces within the house.

     9.1.2  Handling of Samples

     Dust samples  collected will be  stored in reinforced  paper
     envelopes and labeled at the time of collection.  Samples will
     be recorded on a chain-of-custody  form and submitted to the
     laboratory  by the  Environmental  Coordinator.    Laboratory
     personnel receive samples and issue a sample  receipt for the
     project file.   Analysis results will  be recorded  on  Paint
     Processing  Sheets   and  submitted  to  the   Environmental
     Coordinator.

     9.2  Post-Stabilization

     9.2.1  Sampling Schemes

     Properties selected for the project will be sampled for lead
     content of dust on interior surfaces within the house.

     9.2.2  Handling of Samples

     Dust samples  collected will be  stored in reinforced  paper
     envelopes and labeled at the time of collection.  Samples will
     be recorded on a chain-of-custody  form and submitted to the
     laboratory  by the  Environmental  Coordinator.    Laboratory
     personnel receive samples and issue a sample  receipt for the
     project file.   Analysis results will  be recorded  on  Paint
     Processing  Sheets   and  submitted  to  the   Environmental
     Coordinator.
                               B - 17

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10.0  Water Sampling

     10.1  Sampling Schemes
                                             Section   10.0
                                             Revision  1.6
                                             Date:      March 90
                                             Page:      17 of 37
     Properties selected for the project will be sampled for lead
     content of drinking water sources within the house.  Annotate
     on the Water Analysis Form those samples .collected that will
     not  be first  draw  (from pipes  not  used for  8-18  hours
     previously) .


     10.2  Handling of Samples

     A  vial of  1M  nitric  acid  was   added  to  labeled  sample
     collection containers prior to collection of the water sample.
     Record water samples on  a Water Analysis Form, store on ice
     and submit to the laboratory at the end of  the day.
                               B - 18

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                                             Section   11.0
                                             Revision  1.0
                                             Date:      March 90
                                             Page:      18 of 37
11.0  Chain-of-Custody

   ,  11.1  General

     EPA has established a program of sample chain—of-custody that
     is followed during  sample handling activities  in  both field
     and laboratory operations.

     Chain-of-custody procedures document the sample history and
     constitute a crucial part of sampling and analysis programs.
     Chain-of-custody documentation verifies the identification and
     history  of  a  sample  from  collection through  the time  of
     analysis.

     The objective of sample custody identification and control is
     to ensure that:

          -all samples scheduled for collection, as appropriate for
          the data required,  will be uniquely identified;

          -the collection samples will be analyzed and traceable to
          specific analysis records,

          -important sample characteristics will  be preserved;

          -samples will be protected from loss or damage;

          -an   alteration    of   samples    (e.g.,    filtration,
          preservation)  is documented;

          -a record  of  sample integrity is  established for legal
          and technical purposes; and

     The chain-of-custody record is used to:

          -document  sample handling procedures,  including sample
          location, and sample number; and

          -describe the chain-of-custody process.

     The chain-of-custody description section requires:

          -the sample number;

          -the name(s) of the sampler(s)  and the person shipping
          the samples;

          -the date  and  time  that the  samples were  delivered for
          shipping; and

                                             Section   11.0

                               B - 19

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                                        Revision   1.0
                                        Date:      March 90
                                        Page:      19 of 37
     -the names of those responsible for receiving the samples
     at the  laboratory.

Samples of a chain-of-custody record for soil, paint, and dust
samples are shown in Appendix F.  A sample of the water sample
analysis form  is shown  in Appendix F.

As samples are collected, entries will be made on  the chain-
of-custody form.  Data  to be  noted includes:

     -date and time,
     -sampler(s) name,
     -type of  sample,
     -sample identification number,
     -project  name,
     -name of  person to receive results,
     -property identification number and street address.

Soil, dust,  water  and paint  chip sample  containers  will  be
labelled  by  an   indelible   marker   with  the  appropriate
information  necessary  to  match the sample  container  to  the
chain-of-custody record.

When samples are received at the laboratory, the laboratory
technician will verify each and every sample against  the
chain-of-custody, note any discrepancies or losses of samples,
and then  sign for  receipt of the samples.   The  laboratory
technician  may  also  contact  filed  personnel  to  resolve
deficiencies,  irregularities, discrepancies,  etc., prior  to
accepting the samples.   Samples  will remain under the control
of the  laboratory  technician until  samples  are  ultimately
disposed.

     A sample  is considered to be in custody if it:

     -is in the physical possession of the responsible party;

     -is in view of the responsible party;

     -is  secured   by   the  responsible  party  to  prevent
     tampering; or

     -is secured  by the  responsible  party in  a  restricted
     area.
                          B - 20

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                                        Section   11.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     20 of 37
Chain-of-Custody is initiated at the time of sample collection
and follows the sample through to the laboratory where it is
replaced by a Laboratory Processing Sheet.  Sample information
and results  will be  recorded  on the  Laboratory Processing
Sheet and returned to the Environmental Coordinator.

11.2  Sample,Receipt

All samples will be delivered to the laboratory by a member of
the LIS  field  sampling team.  Upon receipt chain-of-custody
and  sample  integrity will be  checked  and  any  problems
recorded.   Samples  will then  be  logged  in  by laboratory
personnel  who  will  accept  and  sign  the  chain-of-custody
record.

Each sample received by  the laboratory is  assigned  a unique
sequential  Laboratory   Identification  number  which  will
identify  the  sample in  the laboratory's internal  tracking
system.

11.3  Sample Storage

Samples not destroyed by the analysis process will be returned
to the Environmental Coordinator  for inventory and storage at
the secured facility for the duration of the project.
                          B - 21

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                                             Section   12.0
                                             Revision  1.0
                                             Date:     March 90
                                             Page:     21 of 37
12.0  Quality Assurance Plan Soil Analysis

     12.1.  Introduction

     This quality assurance document sets forth laboratory policies
     and  procedures  that maximize  the  quality  of  laboratory
     performance.   The laboratory goal  is  to provide  a quality
     service of elemental analysis.

     Soil  samples  submitted  for  analysis   for  metals  will  be
     collected and  stored in  clean previously unused polystyrene
     bags.

     12.2  Sample Acceptance,  Preservation,  and  Storage

     All incoming samples will be delivered to the Soil Laboratory.
     As  the  samples  are accepted,  they  will  be  assigned  a
     laboratory sample number and the submission form is dated with
     the current date.

     The quantity of sample submitted must  be  adequate  for  all
     analyses requested.

     12.3  Methodology

     Lead will  be quantified via  the  Kevex XRF  analyzer.    Ten
     percent of  the samples  will  be replicated.   Certified  NBS
     Standards will be included each  tray run.

     12.4  Quality Assurance

     All  quality assurance data will be maintained and  available
     for  easy  reference  or inspection.   An unknown performance
     evaluation sample must  be analyzed  once  per year for  the
     metals measured.  If problems arise, they should be corrected,
     and  a follow-up performance sample  should be analyzed.
                              B  -  22

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                                        Section   12.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     22 of 37

Perform routine preventive maintenance on the Kevex unit.

A NBS standard should be analyzed once every tray run for lead
measured.   The measured value should be  within the control
limits established by NBS.

At least one replicate sample should be run  every 10 samples,
or with each set of samples to verify precision of the method.

12.5  Data Reduction, Validation, and Reporting

An  important element in the quality control  program is the
validation  of data  by the  use of  accuracy and  precision
determinations.  Precision describes  the degree to which data
generated from replicate measurements differ from one another.
Accuracy refers  to  the correctness of the  data.   Replicate
samples  will  be  analyzed   periodically.     Analysis  and
replicated data  is  also graphically  illustrated by plotting
the  numerical difference  between  replicates versus  sample
number.  The mean and standard deviation will be calculated
for  sample  data.    Blind  samples  of  known values will be
inserted into the sample* stream for analysis by the sample
collectors.

12.6  Instrument  Records and Logbooks

Maintain instrument  records and logbooks for each instrument
including the following:

Operations   manuals  with  updates   as   provided   by  the
manufacturers.  Service  manuals and schedules of recommended
preventive   maintenance,   maintenance   logbooks  containing
entries describing all maintenance performed on the instrument
both  by the multi-element laboratory personnel, as  well as
qualified service engineers,  and Sample logbooks containing a
record  of  all samples analyzed listed by  date  of  analysis.
These logbooks contain pertinent information, such as sample
identification,  instrument conditions,  and  analyst.    Any
special modifications made to either  the instrument or to the
analytical protocol  will also  noted.

12.7 General Laboratory Practices

The  purchase of  standard (or reference)  material must be
accompanied  by a  certification or assay of composition.
                          B - 23

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                                             Section   13.0
                                             Revision  1.0
                                             Date:     March 90
                                             Page:     23 of 37
13.0  Quality Assurance Plan Water Analysis

     13.1.  Introduction

     This quality assurance document sets forth laboratory policies
     and  procedures that  maximize the quality  of   laboratory
     performance.   The laboratory goal  is to provide  a quality
     service of elemental analysis for the project.

     It is the laboratories policy to  maintain  an active quality
     assurance program to provide analytical data of  known  and
     supportable quality and ensure a high professional standard in
     analytical data generated in support of the project undertaken
     for the public by state and federal agencies.

     13.2 Sample Collection

     Water samples for this project will be  collected  by trained
     sampling collectors who are approved by the Division of Water
     Supply of the MDE.

     Water samples to be analyzed  for metals will be collected and
     stored in clean polyethylene  or polypropylene containers with
     teflon-lined lids.

     13.3  Sample Acceptance,  Preservation and Storage

     All  incoming   samples  will  be   delivered   to   the  Water
     Laboratory.  As the samples are accepted, they are assigned a
     laboratory sample  number and the submission  form is dated with
     the current date.

     To avoid sample degradation, all  samples for metal analysis •
     must be  kept  at  4  degrees  C until  receipt, and must  be
     received  by the  laboratory no  later  than  one  day  after
     collection.  Water samples for total metals analysis should be
     preserved with analytical grade nitric acid  at a pH  of 2  or
     less (typically 0.5%  v/v).   The quantity of sample submitted
     must be adequate for all  analyses  requested.

     13.4  Methodology

     Arsenic,  cadmium,  chromium, lead, silver and selenium will  be
     quantified   via   graphite   furnace   atomic    absorption
     spectrophotometer. Samples will be analyzed after a blank and
     three different standard calibration concentrations  will  be
     completed.   The first sample  in each tray of  35 positions  is
     always  an  EPA water supply  quality control  sample and  is
     followed  by a standard equivalent to one half of the maximum
                               B  -  24

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                                        Section   13.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     24 of 37
contaminant  level  (MCL).    Ten percent  of the  samples  are
replicated.  One hundred percent will be spiked.  Blanks and
different  concentrations  of  standards  will  be  included
throughout each tray run.         .

13.5  Quality Control Minimum Requirements

All quality control data will be maintained and available for
easy  reference  or  inspection.    An  unknown  performance
evaluation  sample  must be  analyzed once  per year  for  the
metals measured.   Results must be within  the control limit
established  by EPA.    If problems  arise,  they should  be
corrected,  and a  follow-up -performance  sample should  be
analyzed.

Prepare a calibration curve composed of a minimum of a reagent
blank  and  three  standards, verify subsequent  calibration
curves by use of at least  a reagent blank and one standard at
or near the MCL.  Daily checks must be within ± 10 percent .of
original curve.  If 20 or more samples per day are analyzed,
the working standard curve must  be verified by running  an
additional  standard  at or  near the  MCL every  20  samples.
Checks must be within + 10 percent of the original curve.

Routine  preventive maintenance on  balances  and  the atomic
absorption  spectrophotometer.    Class S weights should  be
available to make periodic checks on balances.

Chemicals  should-  be  dated  upon  receipt of shipment  and
replaced as  needed or  before shelf  life  has  been exceed.   A
known  reference sample  (NBS)  should  be analyzed once  per
quarter for the metals  measured.  The measured value should be
within the  control limits established  by NBS.  At least one
duplicate sample should be run  every 10 samples,  or with each
set of  samples to verify precision of  the method.   Checks
should be within the control limit established by EPA.

Standard deviation should be obtained and documented for all
measurements  being conducted.   Quality  control  charts  or a
tabulation  of  mean and standard deviation should be used to
document validity  of data on a daily basis.

13.6  Data  Reduction,  Validation and Reporting

An  important element in the quality  control  program is the
validation  of  data  by the  use  of  accuracy  and precision
determinations.  Precision describes the degree to which data
generated from replicate measurements differ from one another.
                          B  - 25

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                                        Section   13.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     25 of 37
Accuracy  refers  to  the  correctness  of  the data.    In  an
analysis run, a replicate and spike will be run periodically.
Percent recoveries will be calculated on.spike sample data and
accepted  when  recoveries are  between  85%  and  115%.   if
recoveries are outside  this range,  samples will be re-poured
and re-spiked for additional determinations.  Percent recovery
data  is  transferred onto graphs.   Replicated  data is also
graphically illustrated by plotting the numerical difference
between replicates versus sample  number.  An upper warning
limit and upper control limit is calculated by multiplying the
mean by 2.51  and 3.27  respectively.  Quality control charts
will be very useful in  determining if a system is in a state
of statistical  control  and will be used to visually monitor
the relative variability of repetitive data.

13.7  Instrument  Records and Logbooks

     Instrument records and  logbooks  will be maintained for
     each instrument.   These records include the following:

     1.   Operations manuals with  updates as provided by the
          manufacturers.   Service manuals and  schedules  of
          recommended preventive maintenance.
                                                    i

     2.   Maintenance logbooks containing entries describing
          all maintenance performed on the instrument both by
          the  multi-element  laboratory,  as   well  as  by
          qualified service engineers.

     3.   Sample  logbooks containing a record of all samples
          analyzed  listed  by  date  of  analysis.     These
          logbooks  contain  pertinent  information,  such  as
          sample  identification,  instrument  conditions,  and
          analyst.  Any special modifications made to either
          the instrument or to  the analytical  protocol will
          be also noted.

13.8 General Laboratory Practices

     13.8.1  Laboratory Water

     Laboratory pure water is supplied by a reverse osmosis,
     mixed bed  ion exchange  system.  Effluent  water  passes
     through filter and the resistance of  the outlet water is
     monitored  with  an  in-line   conductivity  probe  (18
     megohms).
                          B - 26

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                                        Section   13.0
                                        Revision  1.0
                                        Date:      March 90
                                        Page:      26 of 37
     13.8.2  Analytical Reagent

     Analytical reagent grade chemicals will be purchased for
     all analyses  and  the  following  requirements  will be
     maintained.  All chemicals and standards  will be  dated
     upon receipt and the expiration date is  also posted on
     the container.    Stock  and working  standards  will be
     labeled with concentration, date prepared and expiration
     date and with the initials of the  preparer.

     13.8.3  Analytical Glassware

     All volumetric  glassware  used in chemical  analysis is
     certified to be  Class A Grade.  Disposable plastic  tubes
     will be used to  minimize contamination.

     13.8.4  Preparation of Standard Solutions

     All standard solutions will be made by  diluting primary
     standard grade reagent to volume using Class A volumetric
     glassware,  or diluting  a known  standard  solution to
     volume  using Class  A  volumetric  glassware   (serial
     standard method).

     Shelf life  of standard  solution is dependent upon the
     stability  of  reagent used  and the  frequency  of  use.
     Standard  solutions  will  be  labeled   with date of
     preparation and expiration,  and  the  initials  of  the
     person who made  them.

     The purchase of any standard (or reference) solution must
     be  accompanied   by  a   certification   or  assay of
     composition.  Without such certification, said  standard
     will not be used.

     13.8.5  Standardization Procedures

     Any solution that will be used as  a standard is checked
     against a primary standard unless  otherwise certified.

13.9  Hollow Cathode Lamp  (HCL)  and Electrodeless Discharge
           Lamp (EDL) Documentation

     1.   All HCL and EDL lamps will be dated upon arrival.

     2.   The intensity  of each  lamp is check upon arrival
          and recorded with each use.   The  lamp is  replaced
          if the  intensity goes below  75%  of  its  original
          value.
                          B - 27

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14.0  Quality Assurance Plan Dust Analysis

     14.1  Introduction
                                             Section   14,0
                                             Revision  1.0
                                             Date:     March 90
                                             Page:     27 of 37
     This quality assurance document sets  forth laboratory policies
     and  procedures  that maximize  the  quality  of  laboratory
     performance.   The goal  of  the laboratory  is  to provide  a
     quality service of elemental analysis for the project.

     The quality assurance program uses  analytical  data  of  known
     and supportable quality to ensure a high professional standard
     in analytical data generated in support of projects undertaken
     for the public by state and federal  agencies.

     14.2  Sample Collection

     Dust samples will be  collected by trained .sampling collectors
     for this project. All collectors will be trained in sampling
     procedures.  Dust samples to be analyzed for metals will be
     collected  and  stored  in  clean  previously  unused   paper
     envelopes and recorded on the chain-of-custody.

     14.3  Sample Acceptance,  Preservation and Storage

     All incoming samples  will be delivered to the laboratory.  As
     the samples are accepted, they will  be  assigned a laboratory
     sample  number  and the  submission  form  is dated with the
     current  date.    The  quantity of  sample submitted  must be
     adequate for all analyses requested.

     14.4  Methodology

     Lead will  be  quantified via  the  Kevex XRF  analyzer.   Ten
     percent of  the samples  will be replicated.   Certified NBS
     standards will be included each tray run.
                              B -  28

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                                        Section   14.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     28 of 37
14.5  Quality Control

Perform routine preventive maintenance on the Kevex unit.

A NBS standard should be analyzed once per tray for lead.  The
measured value should be within the control limits established
by NBS.  At least one replicate sample  should be run every 10
samples, or with  each set  of samples to verify precision of
the method.

14.6  Data Reduction, Validation and Reporting

An  important  element in the quality control program is the
validation  of data  by the  use  of  accuracy  and precision
determinations.  Precision describes  the degree to which data
generated from replicate measurements differ from one another.
Accuracy refers  to the correctness of  the  data.   Replicate
samples  will  be  analyzed  periodically.     Analysis  and
replicated data  is also  graphically illustrated by plotting
the. numerical difference  between replicates  versus sample
number.  The  mean and standard deviation will be calculated
for sample data.
                           B - 29

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14. 7  Instrument Records and Logbooks
                                        Section   14.0
                                        Revision  1.0
                                        Date:     March 90
                                        Page:     29 of 37
Maintain instrument records and logbooks for each instrument
including the following:

     1.   Operations manuals with updates as provided by the
          manufacturers.   Service manuals  and schedules of
          recommended preventive maintenance

     2.   Maintenance logbooks containing entries describing
          all maintenance performed on the instrument both by
          the multi-element laboratory personnel, as well as
          qualified service engineers

     3.   Sample logbooks containing a record of all samples
          analyzed  listed  by  date  of  analysis.    These
          logbooks  contain pertinent  information,  such  as
          sample identification,  instrument conditions, and
          analyst.  Any special modifications made to either
          the instrument or to  .the analytical protocol will
          be also noted.

14.8  General Laboratory Practices

The  purchase of  standard  (or  reference)  material must  be
accompanied by a certification or assay of composition.
                          B - 30

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                                             Section   15.0
                                             Revision  1.0
                                             Date:      March 90
                                             Page:      30 of 37
15.0  Quality Assurance Plan -  Paint Chips

     15.1  Introduction

     This quality  assurance document  sets forth the  laboratory
     policies  and  procedures  which  maximize  the  quality  of
     laboratory performance.   The goal  of the laboratory  is  to
     provide a quality service of elemental analysis.

     It  is  the policy  of  the laboratory  to maintain an active
     quality  assurance program to provide analytical data of known
     and  supportable  quality and  ensure a  high  professional
     standard  in  analytical  data generated  in support of  the
     project.

     15.2  Sample Collection

     Paint  chip  samples will  be collected  by trained  sampling
     collectors  and  stored  in   clean  previously  unused  paper
     envelopes.

     15.3   Sample Acceptance, Preservation and Storage

     All incoming  samples  will be delivered to the laboratory,
     assigned a laboratory sample number and the submission form is
     dated with the current date.

     The quantity  of sample submitted must  be adequate  for  all
     analyses requested.   -   •                              -

     15.4  Methodology

     Lead will be quantified via the Kevex  XRF  analyzer.   Ten
     percent of the  samples  will  be  replicated.  Blanks  will  be
     included each tray run.
                               B - 31

-------
                                        Section   15.0
                                        Revision  .1.0
                                        Date:     March 90
                                        Page:     31 of 37
15.5  Quality Control

Perform routine preventive maintenance on the Kevex unit.

A NBS standard should be analyzed once per tray for lead.  The
measured value should be within the control limits established
by NBS.  At least one replicate sample should be run every 10
samples, or with  each set of samples to verify precision of
the method.

15.6   Data Reduction,  Validation and Reporting

An  important  element in the quality control program is the
validation  of data  by the  use  of  accuracy  and precision
determinations.  Precision describes  the degree to which data
generated from replicate measurements differ from one another.
Accuracy refers  to the correctness of  the  data.   Replicate
samples  will  be  analyzed  periodically.     Analysis  and
replicated data  is also graphically  illustrated by plotting
the  numerical difference  between replicates  versus sample
number.  The  mean and standard deviation will be calculated
for sample data.

15.7   Instrument  Records  and Logbooks

Maintain instrument  records  and logbooks  for each instrument
including the  following:

Operations   manuals  with   updates   as  provided   by  the
manufacturers

Service  manuals   and  schedules  of  recommended  preventive
maintenance
                           B  -  32

-------
                                        Section   15.0
                                        Revision  1.0
                                        Date:  March 90
                                        Page:   32 of 37
Maintenance  logbooks  containing  entries  describing  all
maintenance performed  on the instrument both by the  multi-
element  laboratory  personnel,  as well as qualified service
engineers

Sample logbooks containing a record of  all  samples analyzed
listed by date of analysis.  These logbooks contain pertinent
information,   such   as  sample   identification,   instrument
conditions, and analyst.  Any special modifications made to
either the  instrument  or to  the  analytical  protocol will be
also noted.

15.8  General Laboratory Practices

The  purchase  of  standard (or reference) material must  be
accompanied by a certification or assay of composition.
                          B - 33

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                                             Section   16.0
                                             Revision  1.0
                                             Date:  March 90
                                             Page:  33 of 37
16.0  Data Assessment

     16.1  General

     The purpose of data quality assessment is to assure that data
     generated under the program will  be  accurate  and consistent
     with   project  objectives.   The quality  of  data will  be
     assessed based on the precision, accuracy,  consistency, and
     completeness of the data that area measured or generated.

     Data quality assessment will be conducted in three phases:

     Phase I
     Prior to data collection, sampling,  and analysis, procedures
     will be evaluated in regard to their ability to generate the
     appropriate, technically acceptable  information required  to
     achieve  project  objectives.     This  QA  plan  meets  this
     requirement by establishing project objectives defined in the
     terms of required sampling analysis  protocols.

     Phase 2
     During data collection,  results will be assessed  to assure
     that the selected procedures are efficient  and effective and
     the data generated provided sufficient information to achieve
     project objectives.   Precision and accuracy  of measurement
     systems will also  be  evaluated.  In general,  evaluation  of
     data will be based on performance audits, results of duplicate
     and  reference  sample analyses,  and  review of  completeness
     objectives.

     Phase 3
     Throughout the data collection  activities,  an assessment  of
     the  adequacy  of  the  data base  generated  in  regard  to
     completing   project    objectives   will    be   undertaken.
     Recommendations  for   improved  quality  control  will   be
     developed,  if appropriate.  In  the event that data gaps are
     identified, the Project Manager may recommend the collection
     of additional raw data to fully support the project's findings
     and recommendations.

     Documentation may include:

     -number of duplicate and reference samples  analyzed;

     -identification of statistical techniques, if used, to measure
     central tendency, dispersion,  or testing for outlier;

     -use of historical data and its reference;  and

     -i'dentification of analytical method.


                               B - 34

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                                        Section   16.0
                                        Revision  1.0
                                        Date: March 90
                                        Page: 34 of 37
16.2  Precision and Accuracy

Assessment of  precision and accuracy of  analytical  data is
accomplished via review of duplicate analyses (precision) and
reference standard (accuracy) in soil. Precision is generally
expressed as the relative percent difference (RPD).  Accuracy
is expressed as percent recovery.  Precision must be assessed
for each  matrix,  since distribution of  contaminants  may be
non-homogeneous, especially in soil.  Precision  in samples
must  be  reviews with  knowledge  of  the matrix  and  level of
analyte  present.    Corrective  action or  documentation of
substandard  precision  is  the laboratory's responsibility.
Accuracy  is  also  impacted  by matrix  interferences.   Each
method  which  provides  quality  control  requirements  and
acceptance criteria also specifies  the method of generating
the   data  to  be  reviewed.     It  is   the  laboratory's
responsibility  to   attempt  to  identify   the  source  of
substandard recoveries  and  either take corrective action or
document the cause.

Precision control requirements  and acceptance criteria
also  specify  the method of generating the  data  to be
reviewed.   It  is the laboratory's responsibility  to
attempt to identify the source of  substandard recoveries
and either take corrective action or document the cause.

16.3  Completeness

Completeness is  generally  assessed as a  percentage  of data
intended to be generated, and is most often  utilized in Phase
3 of the data assessment process.  Assessment of completeness
will be undertaken by the Project  Manager  in cooperation with
the LIS staff.
                          B -  35

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                                        Section   16.0
                                        Revision  1.0
                                        Date: March 90
                                        Page: 35 of 37
16.4  Corrective Action

Corrective or preventative action is required when potential
or existing conditions are identified that may have an adverse
impact on data quantity or quality.  Corrective action could
be  immediate or long-term.   In general, any member  of the
program staff who  identifies a condition adversely affecting
quality can initiate corrective action by notifying in writing
his or her  supervisor and the Project Manager.   The written
communication will identify the condition and explain how it
may affect data quality or quantity.

An analysis  or analytical system is considered to be out-of-
control when it does  not conform to the conditions specified
by the method  or standard operating procedures which apply.
To  confirm  that  an  analysis  or  analytical  system is  in
control,   the   laboratory  routinely   performs  instrument
calibration  checks, analysis of method blanks and method blank
spikes.   These results will  be compared to  the  results of
quality  control  samples  to  laboratory  control  charts  or
analytical protocol criteria  (e. g., U. S. EPA-CLP).

A Corrective Action Documentation  Form,  Appendix  F is to be
completed  for  each out-of-control situation.   The analyst,
working  with  his  or  her supervisor  or task  leader,  will
attempt  to  determine the  cause of  the  problem  and  take
appropriate  corrective action.  Analysis  may not resume until
the problem  has been  corrected and it is determined that the
analysis is back in control.  Demonstration of  the restoration
of  analytical  control  will  normally  be  accomplished  by
generating satisfactory calibration and or quality assurance
sample  data.   This documentation will  be attached  to the
corrective  action  documentation  form to  be  placed  in the
project files.

16.5  Immediate Corrective Action

Immediate corrective  action is  applied to spontaneous,  non-
,recurring problems, such  as an instrument malfunction.   The
individual   who  detects  or  suspects  non-conformace  will
immediately  notify his or her supervisor.  . The supervisor and
the appropriate task  leader will then investigate the extent
of the problem and take the necessary corrective steps.  If a
large  quantity of data  is affected,  the task leader  must
prepare a memorandum  to the Project Manager.  The individual
will collectively  decide  how  to proceed.   If the problem is
limited  in  scope,  the  task  leader  will  decide  on  the
corrective   action measure,   document  the  solution  in  the
appropriate  workbook,  and notify the Project Manager.
                           B  -  36

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                                        Section   16.0
                                        Revision  1.0
                                        Date: March 90
                                        Page: 36 of 37
16.5  Long-Term Corrective Action

Long term  corrective  action procedures will be  devised and
implemented to prevent the recurrence of a potentially serious
problem.  The Project  Manager will be notified of the problem
and will conduct  an investigation to  determine the severity
and extent of the  problem.  The Project Manager will then file
a corrective action request with the appropriate supervisory
personnel.
                          B - 37

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List of Appendices

     Appendix A
     Appendix B
     Appendix C
     Appendix D
     Appendix E
     Appendix F
     Appendix G
     Appendix H
     Appendix- I
     Appendix J
     Appendix K
     Appendix M
                                             Section   17.0
                                             Revision  1.0
                                             Date: March 90
                                             Page: 37 of 37
XRF Analyzer Calibration Procedure
Demonstration Project Flow Chart
Contract Abatement Diagram Example
Baltimore Project Vicinity Map
Protocols
Sample Forms
Glossaries
Method Detection Limits
Flow Chart of Data Handling
Environmental Sampling Statistics
LIS Project Personnel Flow Chart
Equipment List
                               B - 38

-------
            Appendix A
XRF Analyzer Calibration Procedure

-------

-------
            Baltimore Lead In Soil Demonstration Project
                     GUIDANCE DOCUMENT FOR X-RF


 Definition:   The  field X-Ray  fluorescence  (XRF)  analyzer  is  a
 direct reading  insturment  which determines lead concentration on
 painted  surfaces.    The advantages of  the XRF analyzer  are the
 integrity of the surface is not disturbed and results are available
 immediately.  XRF reading represents the concentration of lead in
 mg/cm2.

      Analysis of  paint  chips  is also  used to identify  lead in
 painted  surfaces.    Obtaining  paint  chips  samples   breaks  the
 integrity  of the surface  and the chips  must be  submitted  to  a
 laboratory  for  wet  chemistry  analysis.   Readings represent the
 percentage of lead  in the paint by volume, or percentage.

       Although  both XRF and paint chip analysis should be fairly
 consistent  with each other,  the  results  of one  testing method
 cannot be converted to  the other.

 Standard Procedures:  Follow standard procedures to  obtain reliable
 results when using these analyzers.  Factors that may interfer with
 the XRF  analyzers,  include:

      *    Substrate material

      *    Temperature extremes  (eg. below  35F or above 95F)

      *    Zero  drift                        .

      *    Zinc

      *    Radio waves

      *    Vibration


 Three XRF readings within a 1.7 range are recorded  and  the mean is
' reported as  the lead concentration of a surface.   If the readings
 are  not within a  1.7   range  repeat the  process  of  collecting
 readings within the acceptable range.   If the  readings remain
 greater  than the  1.7 range,  do not use  this analyzer  on  this
 substrate.    Possible  solution:   Recalibrate  the analyzer  and
 resample.
                                  B - 39

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The basic technique for reducing the variability of XRF readings is
to  take repeated  measurements at the same point.    Statistical
theory  shows the variablity of the average  of  a set of repeated
measurements  is  less   than  the  variabiltiy  of  individual
measurements.  The greater the  number of repeated measurements, the
greater  the reduction  in variability.   Use paint  chip samples
analysis  to back  up XRF  readings as  explained  further in this
document.

Analyst Qualifications:   The operator must have  adequate training
and experience  using the equipment.   All XRF operators in TESH's
Lead Programs have the  following qualifications:

     *    Trained  in  radiation  health  and  safety,   including
          knowledge   of  Federal,   state  and   local  laws  and
          regulations  governing  the   licensing  and   use  of
          radioactive devices.

     *    Listed by name on the license for the XRF equipment used,
          issued by  MDE Center for Radiological  Health.

     *    Assigned ring badge  for monitoring exposure.

     *    Attended  classroom  training in use   of  XRF analyzer,
          principles of  operation  and  calibration.    Content
          considered to be essential includes:

          1~   Required number of readings per surface tested.

          2.    Factors  that affect XRF analysis.;

          3.    Need  for back up paint  scrapings  (when, where).

          4.    Knowledge of how to take paint scrapings.

          5.    On-the-Job  training   with   other    experienced
                inspector/tester.

          6.   .Knowledge of building construction.

Field work Guideliness   Inspectors using XRF  analyzer should use a
logbook  assigned  fo the  analyzer.   All  reading taken  must be
recorded as well as operation, maintenance and repair  information.


     *    Charge the batteries continually when  the instunnent is
          not in use and 12 hours before use in  the field.
                                  B - 4O

-------
     *    Calibrate the insturment on site before a survey is done.
          Follow the manufactures instructions for calibration as
          summarized below:

              • Turn on the analyzer, allow the analyzer to warmed
               up  for  at  least  ten minutes  then take seven to
               eight calibration readings using both the lead and
               non-lead standards.  Record the calibrations in the
               notebook and indicate the  calibration page on the
               survey form.

     *    Compare warm up  reading to post-warm  up readings.   The
          differences  between these readings may indicated low
          battery problems, etc.

     *    Take a minimum of three readings per surface tested.  If
          the first  two readings are  very  high, e.g., over 6.0
          mg/cm2 it is not required to take the third reading.

     *    At levels where the XRF readings are questionable,
          (0.5  -  2.5  mg/cm2)  results must  be  verified  by
          paint scrapings.   A representative sample  of  the
          surface in question should be taken.  For example,
          if all wood trim in  the living room appears similar
          and all readings are  1.5  mg/cm2,  one  paint sample
          would be adequate to verify these readings.

     *    Check for zero standard after a  reading of 10.0mg/cm2 or
          after. a  series  of  5.0 mg/cm2 or higher and record all
          these readings on the test form.

     *    Use the analyzers only on surfaces that are flat and as
          wide as the face  of the analyzer. Paint scrapings should
          be taken if surface is narrow or irregular.

     *    Use back-up paint scrapings on metal,  concrete or brick
          surfaces and components that  contain air spaces, such as
          hollow core doors.

     *    If the analyzer moves while taking a reading start
          over with that reading.

Collection of Paint Scrapings:  Collect samples in an uniform and
consistent manner.  Samples should contain all paint layers but not
the substrate material.
                                 B - 41

-------
Surfaces that should be tested: All painted interior and exterior
surfaces should be tested, including:

     *all walls within each room,

     *all  parts  of  windows  including  sash,  frames, wells,  and
     sills,

     *all  parts  of  stairs  including risers,  treads,  balusters,
     baseboards, and newel posts.

     *all parts of porches including railings, balusters, columns,
     ceilings * and floors.

Make a  sketch  of the dwelling and indicate  the  north direction.
Identify all rooms by a code number.  Identify each sample by using
the  sample identification  number and  appropriate  code  number.
Sample diagram attached.

Interpretation ,of results:  XRF  readings  in  excess  of 2.5 mg/cm2
can  be  considered  positive  without  additional testing.    XRF
readings of 0.5  -  2.5 mg/cm2  should  be confirmed with paint chip
analysis.   Results  of  paint  scrapings  at  0.5 or higher  are
considered to  be positive.   Some results fall into Vgrey areas"
that  require  additional professional  assessment  to  make  a
determination.   In cases  such as this,  contact the Environmental
Coordinator for assistance.
                                 B - 42

-------
           Appendix B



Demonstration Project Flow Chart

-------
                         Figure 2.11.1
                Demonstration Project Row Chart


                Preliminary surface  soil sampling
                               I
                      Analyze soil with  XRF

                           Data to LIS
                   [Pb] > 500 ppm in soil areas
     where  children  reside and LBP on exterior of residence
              NO
1.    Property  scheduled  for
paint stabilization.

2.  Property not scheduled for
soil stabilization.

3.  Analyze soil, dust,  paint,
and water for lead.

4.  Data to LIS
          YES

1.     Property  scheduled  for
paint stabilization.

2.     Property  scheduled  for
soil stabilization.

3.    Excavate  soil to a depth
of 6  inches  and  remove soil.
Fill excavated area with clean
fill;  re-sample  abated areas
to  determine  post   abatement
soil lead levels.

4.   Data to LIS
                               B - 43

-------
                           Appendix C

                        Management Plans


                                                            PAGE
Data Management Plan	C-l
Safety Guidelines	C-39
Public Relations Plan.	 .C-42

-------

-------
                 Appendix C
Baltimore Contract Abatement Diagram Example

-------
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ABATEMENT METHOD: RE NAOVE AMD D\SPOaS OF TOP
                         <& IWCHSS OF SOIU, REFILL. WITH
                         'CL.EANJ* MATERUAL.AS SPECIFIED.
WO A6ATEMEJJT
                                                 SPECIFIED.
        *D* - /OS
         E » 60
                SF
COVHR: COVER AREAS  "c"
         THRU "F'WITH SOD
         AS DIRECTED BY THE
         ARCHITECT.
                  •EAVTN COMPANY
                    STATE OF MARYLAND

              DEPARTMENT OF THE ENVIRONMENT
             LEAD PAINT STABILIZATION PROJECT
                     IN BALTIMORE CITY	
                  LEAD IN SOIL ABATEMENT
              CONTRACT WO.   MOE-88-OOI-TESH-l
                     CONT R ACT * 4,._	

-------
          Appendix D
Baltimore Project Viciinity Map

-------
BALTIMORE CITY
 Bark Heights Area
 Wall brook Junction Area
                Patapsco
                       River
VICINITY MAP
    No  Scale

-------
    Appendix E
     Protocols
Sampling Collection
 Sample Analysis QA

-------
       BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                     SOIL SAMPLING PROTOCOL

I.   Site Description . -

     For each location,  a detailed  drawing should be  made that
     shows  the boundary  of  the  lot,  the  position of  the main
     building  and  any other buildings  such as storage sheds  or
     garages, the position of the sidewalks, driveways, and other
     paved 'areas, the position  of the  play areas  if obvious, and
     the position of the areas with exposed soil (grassy or bare),
     also, showing roof rain spouts and general drainage  patterns.

     In addition to the diagram, briefly  describe  the location,
     including the following information:

          Type of building construction
          Condition of main building
          Condition of property  (debris, standing water, vegetation
               cover)
          Nature of adjacent property
          Presence and type of fence                           .
          Animals on property
          Apparent use of yard  (toys, sandbox, children present)
          Underground utilities

XI.  Soil Area Description

     For each soil area (i.e. front patch, front yard, back yard,
     side yards) identified  on the general diagram,  draw a full
     page diagram showing the approximate dimensions and position
     relative to the building foundation.   Indicate vegetation and
     bare  soil  areas,   as well  as  obvious  traffic  patterns.
     Identify the category of land use,  such as roadside,, property
     boundary, adjacent to foundation,  play area.  Mark the sample
     location" on the diagram.

III. Sampling Schemes

     Measure, the soil .area to determine the sampling scheme.
     Select ;-the sample scheme for each soil area which adequately
     characterize the potential  exposure of children to lead  in the
     dust from this soil.  Identify the  suspected  areas of high
     lead  concentrations  and  the  assumed general  distribution
     pattern of lead concentrations at the soil surface.

     Small Area Pattern.   Measure and  mark off an area 20 inches
     from the base  of the foundation into the soil  area.  Repeat
     measuring and marking at the boundaries.   The area  inside the
     marked pattern indicates the sampling collection area.  If the
     sampling  collection area  is less than  two  meters  in each
     dimension,  a   single  composite sample  may be  taken  if  it
     appears that such a sample would adequately represent the soil
                                   B - 46

-------
     area.  (Collect two sample bags,  one  bag marked top and the
     other bag marked bottom.)

     Large Area Pattern.  Measure and  mark off an area 20 inches
     from the base of the foundation into  the soil area.  Repeat
     measuring and marking at the boundaries.   The area inside the
     marked  pattern  indicates  the  sampling  collection  area.
     Collect  one  composite   sample  at  the  foundation  and  one
     composite sample at the  boundary  of the  yard if the .area is
     less than 10  feet wide.  (Collect  four sample bags,  two bags
     marked top and two bags marked bottom.) Collect an additional
     composite sample  at an imaginary sample line  between  the
     foundation and boundary sample areas  if  the  yard is larger
     than  16  feet wide.   (Collect six  sample bags,  three bags
     marked top and three bags marked bottom.)

     Very Large  Area  Pattern.  Measure and mark off  an area 20
     inches from  the base of the foundation  into  the soil area.
     Repeat measuring and marking at the boundaries.   If a yard is
     wider than 16 feet  and more than 20 feet  long then divide the
     yard into a  vertical half and a horizontal-half.  Collect one
     composite sample  at  the from each  section of the  yard.
     (Collect twelve sample bags, six bags marked top and six bags
     marked bottom.)

IV.  Sample Collection .  .     •• -

     Collect ten  randomly selected core samples  from within the
     sampling area.  The cores make a composite sample identified
     as  a single  sample.   Record  composite  .information  on  the
     sample sheet.

     Clean  and   decontaminate  the  corer   after  each  sample
     collection.    Remove vegetation and debris from  the  corer at
     the point of  insertion  into the soil,  but do not remove any
     soil or decayed litter.   Drive the corer  in to the ground to
     a depth of  15 cm (6 in.).  If  this  depth cannot be reached,
     the corer should be extracted and cleaned, and another attempt
     made nearby.  If repeated attempts do not permit  a 15 cm core,
     take the sample as  deep as possible,  and record the maximum
     penetration depth on the sample record sheet.

     Combine  the  top  two inch  segment of  each  core  into  one
     composite sample and combine the  bottom two inch segment of
     each  core into second  composite  sample.   Remove debris and
     leafy vegetation from the top  sample material.  Do not remove
     soil or decomposed litter from the sample material.  This is
     the most critical part of the  soil sample and is  likely to be
     the highest  in lead concentration.

     Assemble  composite soil  core  segments  in  clean previously
     unused plastic bags suitable for prevention of contamination
     of the sample. Record the sample identification number on the
                                    B - 47

-------
     bag and  the  sample record sheet.   Store  the  composite soil
     sample   at   ambient   temperature  until   submitted  to  the
     laboratory for analysis.

     Clean the  corer after  collecting each sample  composite  by
     reinsertion of the corer  into  the soil of the next sampling
     area.

     Draw field blanks  for each soil  area  by  inserting the core
     borer into randomly selected locations within the sample area.
     These blanks are drawn prior to sample collection and at the
     conclusion of sampling.

V.   Sample Handling and Storage

     Seal the sample bags to prevent loss or contamination of the
     sample and storage samples in a cool, dry location.

     Record-keeping and Sample Custody

     Initiate s.oil sample records  for each location which consists
     of a location diagram and description, a plot diagram for each
     distinct soil plot, and sample record sheet for each sample in
     a plot.

     Sequentially number  samples bags.   Record sample  numbers  on
     location diagram,  soil  area description,  and sample record
     sheet.

     Deliver the sample to the laboratory and release  the sample to
     the laboratory personnel for analysis.
                                    B - 48

-------
                      QUALITY ASSURANCE  PLAN
                     FOR SOIL SCORER SAMPLE >
I.         INTRODUCTION
          This quality assurance document sets forth the Baltimore
          Lead-in-Soil Project's (LIS) policies and procedures that
          maximize the quality of sample collection and laboratory
          performance.   The goal of  the  sample  collector  is to
          provide  a  representative sample of the surface  to be
          tested according to the appropriate protocol.  The goal
          of the  laboratory is  to  provide a quality  service of
          elemental analysis.

          It is the  policy of LIS to maintain  an active quality
          assurance  (QA)  program to  provide analytical  data of
          known  and   supportable quality  and  ensure  a  high
          professional  standard in analytical  data  generated in
          support  of  projects  undertaken for the public by state
          and federal agencies.

II.       SAMPLE COLLECTION

          Soil  samples are collected by  LIS personnel  for this
          project.    All  collectors  are  trained  in  sampling
          procedures.

          Soil samples for metals analysis are collected and stored
          in clean previously unused polystyrene bags. Sample bags
          are labeled with  a unique sample identification number
          and sample code which reflects the location of the sample
          site. A corresponding chain-of-custody form is completed
          at the time of  sample  collection.

III.      SAMPLE ACCEPTANCE, PRESERVATION, AND  STORAGE

          All   incoming  samples  are  delivered  to  Maryland's
          Department  of  Health  and  Mental  Hygiene " (DHMH)  for
          analysis.  As the  samples are accepted, they are assigned
          a  laboratory number and the  chain-of-custody is dated
          wit,h the current date.
             '••"'.
          The quantity of sample submitted must be adequate for all
          analyses requested.
                                  B - 49

-------
IV.
SAMPLE RESULTS

Following DHMH analysis, the results  are reported to the
IiIS  Environmental  Coordinator  (EC).    Excess  sample
material and DHMH sample cups are returned  to the LIS
project for  storage  at  a secured facility.   The LIS EC
reviews the  data results and  assigns  preliminary data
processing tasks to  the Environmental Health  Aides  I
(EHA), who transfers the sample number and  results to
data entry  forms.   Each set  of data entry forms are
double checked by level  II EHA personnel.

Upon completion of the data information transfer the data
entry sheets are surrendered to data  entry personnel for
double entry into the data base.
V.
DATA REVIEW

A review of all raw data and data base soil files is to
be conducted prior to the end of the study.
                                   B - 5O

-------
       BALTIMORE  SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                   PAINT CHIP ANALYSIS PROTOCOL


A.   Using the Mortar & Pestle Methods

     1.   Paint chips delivered to the Lab.

     2.   Samples must be logged in on the Lead in Soil Processing
          Sheets.  The date, the time, the total number of samples
          brought by the collector, and all the information listed
          on the  sample bag should be written  on this  sheet.  The
          information listed  on the  sample  bag will  include the
          sample identification number, the address and particular
          area from which the sample was taken needs to be written
          on the  Lead in Soil Processing Sheet.   Example:

               Date received:  3/22/89

               Time:  12:30 p.m.

               Total Number of Samples Received From:  135  from Ms.
               Merrill Brophy

               Sample Identification Number:   #590316535

               Address:  2092 W. Preston Street

               Area:  Side of Front  Door

     3.   The paint samples then need to be written up on the XRF
          Run  Sheets.    Identification  number  is assigned.  The
          sample  is then given an analysis number by the  analyst.
          The number given to the sample  is used only as a means to
          identify a particular sample for analysis.  The  samples
          should  be written in consecutive sequence.  Example:

               The last sample analyzed  was number 0439,  then the
               next paint chips sample should  be numbered 0440.
     4.   SjISjcimen Containers  and  XRF  Sample  Cups  are  to be
          prepared before  samples  can be  processed.

          a.   Label  Specimen Containers  - Include the date, the
               analysis  number,  and the  Samples's Identification
               Number.

          b.   Label  XRF Sample  Cups - Include, only the analysis
               (i.e.  cup)  number only.

     5.•  Mortar  & Pestle  should always be clean.
                                  B - 51

-------
     6.
     7.
     8.
     9. ,


     10.
Place paint chips into mortar and use the pestle to crush
the  sample.   Continue  to crush the  sample until  a
homogeneous mixture is attained.   Gloves  and respirators
must be worn.

Use  a spoon  or  spatula to  place the  sample  into  a
corresponding  XRF sample cup, then seal the  cup  with
mylar film and a ring.

Before next sample is  crushed,  the mortar  and  pestle
should be wiped clean.  Wipe the mortar  and pestle with
a clean paper towel, then wash them with  distilled water
and dry  them with  a  clean paper  towel.   This  process
should be done after each sample-

Once all samples have completed steps 1 - 7, the samples
are now ready for analysis.

Analyzed sample results are recorded onto XRF Run Sheets
in ppm's..                           '
B.   UsingElectric Mill Method

     1.   Paint chips delivered to the lab:.

     2.   Samples must be logged in on the Lead in Soil Processing;
          Sheets.  The date, the time, the total number of samples
          brought by the collector, and all the information listed
          on the sample bag should be written "on this sheet.   The
          information listed  on the sample bag will  include the
          sample's  identification number, the  site  address  and
          particular are from which the sample was taken needs to
          be  written" on  the  Lead  in  Soil  Processing  Sheet.
          Example:           *      -

               Date received:  3/30/89

               Time:  12:30 p.m..

               Total number of Samples Received From:   135  from
               Ms.  Merrill Brophy

               Sample Identification Number:  #590316521

               Address:  2092 W. Preston Street

               Area:  Side of Front Door
                                  B - 52

-------
3.   The  paint  chip  samples  identification  numbers  are
     recorded  on. the XRF  Run Sheets.   The sample  is  then
     assigned an analysis number by the analyst.  The number
     given to  the sample by  the  analyst is used only  as a
     means to identify a particular sample for analysis.  The
     samples  should  be written   in  consecutive  sequence.
     Example:
                                      »

          The last sample analyzed was number 0439, then the
          paint chip sample should be numbered 0440.

4.   Specimen  containers  and XRF  sample  cups  are to  .be
     prepared before sample can be processed.

     a.   Label Specimen containers - Include  the date, the
          analysis  number,  and the sample's identification
          number.

     b.   Label  XRF Sample Cups  - Include  analysis number
          only.

5.   Electric Mill should always be clean.

6.   Electrical grinding must always be done under the hood.
     Gloves and respirators must be worn.

     a.   Place paint chip samples into the Electric Mill.

     b.   Turn Electric Mill on for approximately 3 minutes.

     c.   Turn grinder off after 3 minutes, wait for the dust
          to  settle,  remove  lid and  check  to  see  if  a
          homogeneous mixture was attained.

7.   Use  a spoon or  spatula to  place the  sample into  a
     corresponding  XRF sample cup, then seal the  cup  with
     mylar film and a ring.

8.   Before the  next sample can  be processed,  the Electric
     Mill should  be  cleaned.  Wipe the Electric Mill with a
     clean paper  towel inside and out,  dampen another paper
     towel and clean the mill  very well, and  then dry the
     Electric Mill with another clean, dry paper towel.  This
     process should be done between each sample.

9.   Once all samples have completed steps 1  -  7, the samples
     are now ready  for analysis.

10.  Analyzed sample results are recorded onto  XRF Run Sheets
     in ppm' s.
                             B - 53

-------
                      QUALITY ASSURANCE PLAN
                      FOR PAINT CHIP SAMPLES
I.        INTRODUCTION
          This quality assurance document sets forth the Baltimore
          Lead-in-Soil Demonstration Project's  (LIS) policies and
          procedures that maximize the quality of sample.collection
          and  laboratory performance.   The  goal  of  the sample
          collector is to provide a representative sample of the
          surface  to  be  tested  according  to  the appropriate
          protocol.   The goal of the  laboratory is to provide a
          quality service of elemental analysis.

          It is  the  policy of LIS  to  maintain an active quality
          assurance  (QA) program to  provide  analytical  data of
          known  and  supportable  quality  and  ensure  a  high
          professional standard in analytical  data generated in
          support of  projects  undertaken for the public by state
          and federal agencies.

II.       SAMPLE COLLECTION

          Paint  chip  samples  are collected by LIS personnel for
          this project.   All collectors are  trained in sampling
          procedures.

          Paint chip samples for metals analysis are collected and
          stored  in  clean previously  unused  paper  envelopes.
          Sample  envelopes  are  labeled  with  a  unique  sample
          identification number and sample  code which reflects the
          location of the sample site.  A corresponding chain-of-
          custody  form  -is  completed  at  the  time  of  sample
          collection.

III.      SAMPLE ACCEPTANCE, PRESERVATION, AND  STORAGE

          All  incoming   samples  are   delivered  to  Maryland's
          Department  of   Health and  Mental  Hygiene  (DHMH)  for
          analysis.  As the samples are accepted, they are assigned
          arj^aboratory sample number and  the chain-of-custody form
          is*dated with the current date.
            .v'.,r"
          The quantity of sample submitted must be adequate for all
          analyses requested.
                                  B - 54

-------
IV.       SAMPLE RESULTS
          Following DHMH analysis,  the results are reported to the
          LIS  Environmental  Coordinator  (EC).    Excess  sample
          material and  DHMH sample cups are returned  to the LIS
          project for storage at a secured facility.   The LIS EC
          reviews the data results and  assigns  preliminary data
          processing work to  the   environmental  health  aides  I
          (EHA), who transfer the sample number and results to data
          entry  forms.   Each set of data  entry  forms  are double
          checked by  level II EHA personnel.

          Upon completion of the data information transfer the data
          entry sheets are surrendered to data entry personnel for
          double entry into the data base.
V.        DATA REVIEW
          A review of all raw data and data base paint chip files
          is to be conducted at the prior to the end of the study.
                                  B - 55

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       BALTIMORE SOU. TVRAD ABATEMENT DEMONSTRATION PROJECT


                 DRINKING WATER SAMPLING PROTOCOL
1.   Residents are notified that water must not be turned on prior
     to the Environmental Health Aide sampling  the system on the
     sampling day.

2.   Do not shut  off water  flow valve to the sink fixture (which
     would prevent use of the system prior to first draw) as this
     may introduce lead corrosion products into the sample.

3. " . Morning first draw is  collected  from a  cold water tap which
     had not been used for 8-18 hours.  Determine if water was used
     prior to sample collection.  If water was used, state the use
     in the remarks on the sample collection form.

4.   Water samples are collected from each household faucet in 250
     ml cubitainers.

5.   Water samples are preserved on site with 5 ml of nitric acid
     per liter.

6.   Water tap  is closed after  filling  each sample  container to
     prevent  loss  of  product  and  to  ensure  representative
     collections.

7.   Keep samples cool  (4 degrees  C) after collection prior to
     analysis.
                                  B - 56

-------
                      QUALITY ASSURANCE PLAN
                    FOR DRINKING WATER SAMPLE
I.        INTRODUCTION

          This quality.assurance document  sets forth the Baltimore
          Lead-in-Soil Demonstration Project's (LIS) policies and
          procedures that maximize the quality of sample collection
          and  laboratory performance.   The goal of the sample
          collector  is  to  provide a represenative  sample of the
          surface  to  be  tested according to   the  appropriate
          protocol.   The  goal  of the  laboratory is to provide
          quality service of elemental analysis.

          It is  the  policy of LIS to maintain  an active quality
          assurance  (QA)  program to  provide analytical  data of
          known  and supportable  quality  and  ensure  a  high
          professional  standard in  analytical . data  generated in
          support of projects undertaken  for the public by state
          and  federal agencies.

II.       SAMPLE COLLECTION

          Water samples are collected by LIS for this project. All
          collectors  are  trained  in  sampling  procedures  and
          approved by the Maryland Department of the Environment' s
          Division of Water Supply.

          Water  samples analyzed  for metals  are  collected and
          stored in clean polyethylene or polypropylene cubitainers
          with teflon-lined  lids.   A premeasured vial  of nitric
          acid is added to the container prior to  the water sample
          collection.   The cubitainers  are labeled with a unique
          sample  identification  number  and .sample  code  which
          reflects  the  location of  the   sample  site.    A  cor-
          resposnding chain-of-custody  form is completed at the
          time of sample collection.   Cubitainers are stored in a
          small  cooler  partially filled  with  ice.    Sample  con-
          taining cubitainers should not be allowed to freeze.
           tfe"
III.      SAMPLE ACCEPTANCE, PRESERVATION, AND STORAGE

          All  incoming samples are  delivered  to  Maryland's
          Department of Health  and  Mental Hygiene  (DHMH)  Water
          Laboratory.    As the  samples are  accepted,   they are
          assigned a laboratory sample number and  the  chain-of-
          custody form  is  dated with the current  date.
                                   B - 57

-------
VI.
To ensure that  samples  are  not degraded and that their
integrity is maintained, all samples for metal analysis
must be received by the  laboratory no later than one day
after collection.

The quantity of  sample submitted must be adequate for all
analyses requested.

SAMPLE RESULTS

Following DHMH analysis, the results are reported to the
LIS Environmental Coordinator (EC) who  reviews trhe data
results and assigns preliminary data processing work to
the Environmental Health Aides I (EHA)  who transfers the
sample number and results to data entry forms.  Each set
of data entry forms  are double checked by level II EHA
personnel.  .

Upon completion of the data information transfer the data
entry sheets are surrendered to data processing personnel
for double entry into the data base.

DATA REVIEW

A review of all raw data and data base  water files is to
be conducted prior to the end of  the study.
                        B - 58

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       BALTIMORE SOIL LEAD ABATEMENT DEMONSTRATION PROJECT

                     HOUSEHOLD DUST PROTOCOL

     Household dust sampling should be carried out at the time of
the environmental visit to the home of the study participant.

     For this study, the household dust samples are defined as the
samples that  represent dust most  likely to impact  on  a child's
hands during  indoor  activity.   This would include dust on window
sills, and  furniture,  as well as dust  on toys  and other objects
likely to be handled by children.  A minimum of three areas should
be sampled: at  the main entrance to the household, and two areas
most frequently used for play activities by the child or children.
Additional  areas may be  selected that represent:   1)  secondary
entrances to  the household  (back  or side doors);  2)  sources or
accumulation of dust within the household (paint, rugs, upholstered
furniture); 3)  additional play areas or  other  areas of activity
frequented by the children.                      • .

     The  sample has   two  components  that  are  important  to
interpreting  lead exposure, the jconcentration of lead in the dust
and  the  amount  of  dust,  or  loading,  on  the   surface.    The
concentration of lead in dust appears to be closely related to the
amount of lead on children's hands, whereas the amount of dust on
surfaces is an indicator of the importance of this route of human
exposure.   At least 10% of the  samples  should be over a defined
area to determine the household loading factor.

     Sketch the  approximate layout of the residence and select to
sampling.   Bear in mi'nd  that  some areas, such as entryway,  may
reflect outdoor  dust to a greater degree than others.

     The sampling apparatus is the Sirchee-Spittler Hand Held Dust
Vacuum unit which is attached  to a  'Dustbuster'   hand  held type
vacuum. Prior to the  sample collection the sample collection screen
must be clean.

     For some samples,  both the weight of the dust  and the lead
concentration of the  dust  will  be measured.   In this case,  it is
necessary to  sample a defined  area,  so that the  results may be
expressed in  ug Pb/m .   Mark the  4'  x  4'  sample  area with tape.
The  surface of the  sample  area is vacuumed with  back  and forth
strokes about 1—2 inches in width.  The vacuum is most efficient if
the head is held parallel  to  the ground at a 45 degree angle.  A
single pass across the surface of the sample area is sufficient to
collect adequate sample amounts.  After dust sampling,  the vacuum
unit  is  kept  in an  upright position until the sample  screen is
ready  to be removed.  Turn the  vacuum  off and  remove the sample
screen.  Empty the  contents of the sample screen  into a labeled-
reinforced paper envelope.  Seal the envelope with scotch tape.
                                   B - 59

-------
The sample  amount required for  analysis  is equal to  2  grams of
dust.   If  the  sample  amount from  the  area  is  not  sufficient
additional  sample material may be collected from  another 4'x 4'
sample area and  added to the initial sample.

     Record sample data on the appropriate chain of custody form.

     Transport the sample to the laboratory in a manner to ensure
upright envelope delivery.
                                  B - 60

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                      QUALITY ASSURANCE PLAN
                     FOR DUST (VACUUM SAMPLED^
I.        INTRODUCTION
          This quality assurance document sets  forth the Baltimore
          Lead-in-Soil Demonstration Project's (LIS) policies and
          procedures that maximize the quality of  sample collection
          and  laboratory, performance.   The  goal of  the sample
          collector is to provide a representative sample of the
          surface  to  be tested according  to   the  appropriate
          protocol.   The goal of the laboratory is  to provide a
          quality service of elemental analysis.

          It is  the  policy  of LIS  to maintain an active quality
          assurance  (QA)  program to  provide  analytical  data of
          known  and  supportable  quality   and   ensure  a  high
          professional standard  in  analytical data  generated in
          support of  projects undertaken for the public by state
          and federal agencies.

II.       SAMPLE COLLECTION

          Dust samples  are  collected by LIS  personnel  for  this
          project.    All  collectors  are  trained  in  sampling
          procedures.

          Dust samples for metal  analysis are collected and stored
          in clean previously  unused paper  envelopes.   Sample
          envelopes are labeled with a unique sample identification
          number and sample code which reflects the location of the
          sample site.   A corresponding  chain-of-custody form is
          completed at the time of  sample collection.

III.      SAMPLE ACCEPTANCE, PRESERVATION, AND STORAGE

          All  incoming   samples  are delivered  to -Maryland's
          Department  of   Health   and  Mental  Hygiene   (DHMH)  for
          analysis. As the samples are accepted,  they are assigned
          a laboratory sample number and  the chain-of-custody form
          is? dated with the current date.

          The quantity of sample submitted must be adequate for all
          analyses requested.
                                  B -61

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IV.
V.
SAMPLE RESULTS

Following DHMH analysis, the results are reported to the
LIS Environmental Coordinator (EC) who reviews the data
results and assigns preliminary data processing tasks to
the Environmental Health Aides I  (EHA), who transfer to
sample number and results to data entry forms.  jEach set
of data entry  forms  are double  checked by level II EHA
personnel.

Upon completion of the data information transfer the data
entry sheets are surrendered to  the data entry personnel
for double entry into the data.base.

DATA REVIEW

A review of all raw data and data base dust files is to
be conducted prior to the end of the study.
                                   B - 62

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 Appendix F



Sample Forms

-------
 PRIORITY.

 Collector _
                      STATE OF MARYLAND
       DEPARTMENT OF HEALTH AND MENTAL HYGIENE
                    Laboratoriaa Administration
                       201 W. Preston St.
               P.O. Box 2355, Baltimore, Maryland 21203
                  J. Mahaan Joaaph. Ph.D., Director


              HAZARDOUS WASTE LABORATORY
                 Metals Analysis Report Form
                                                                            LAB NO.
                       Nama/Time/Date
 Sample ID No..

 Sample Alert _
 Specify Program:
 Circle Type of Analysis:

„ 1. EP Toxicity
                               Sample Source,
                               Preservative Used.
                                              NPDES:.
                                                          OTHER:
Chain of Custody Sample Possession:
Prom: To:
Narm/Time/Oata
Nama/Tima/Data

Name/Time/Data
Name/Tima/Date
       2. Priority Pollutant
                 a Total Metals
                    4. Dissolved Metals
 Indicate Type of Sample:

 Liquid	
                   Solid.
                                    Percent Solids.
       Element
















Antimony
Arsenic
Barium
Beryllium
Cadmium
Chromium
Cooper
Iron
Lead
Mercury
Nickel
Selenium
Silver
Thallium
Zinc
Chromium Cr+6
                                           Metals in ppm
        EP
Total
Element
















Aluminum
Calcium
Cobalt
Magnesium
Manganese
Potassium
Sodium
Vanadium








                                                                                 EP
Total
 Section Chief:,

  OHMHJKO" «i
 SELECT OTHER ELEMENTS FROM REVERSE SIDE OF THIS FORM

	   Date:	   Verified By:	   Authorized By:

-------
97494
PRESS HARD—BALL POINT PEN ONLY
                                         STATE OF MARYLAND
Bottle
Number:
Source of Sample:
Sample Drinking Wat
Types Landfill
(Circle): Stream
Other
Remarks:


County Plant No.
Field Data:
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Laboratories Administration
201 W. Preston St.
P.O. Box 2355, Baltimore. Maryland 21203
J. Mehsen Joseph. Ph.D.. Director
Name:

WATER ANALYSIS
Lao NO. uaie neceivea
Do not write above this line.
Data Category Code j j
Countv:
fVilloctnr
Street Town or City (include telephone Number
er Community (Public Treated) Source (Raw Water) Emergency
Non-Community (Pub. Untreated) Distribution (Treated) Routine
Private MCL ' Recheck
Other


Sampling
Station
Chlorine
Residual

are Required
niype or
. . Ac,d:
Date Collected • Time Iced Acid

. ,_. [___

i i !
                  PH*
                     Free
Total
                                                      Specific Conductance
**























ANALYSIS
PH-
Alkalinity (Total)
• pH*. Ca CO, SAT.
Alkalinity, Ca CO, SAT.
Hardness
Ammonia-N
Nitrate-Nitrate N
Nitrite N
MB AS
Chloride
Fluoride
Color*
Turbidity
Conductance*. SPEC
Sulfate
Total Solids
Dissolved Solids






CODE
00403
00410
70311
74023
00900
00608
00630
00615
38260
00940
00951
00081
00076
00095
00945
00500
70300






















































RES























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t















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V*








-














ANALYSIS
Arsenic
Barium
Cadmium
Chromium
Lead
Mercury
Selenium
Silver

Aluminum
Calcium
Copper
Iron
Magnesium
. Manganese
Nickel
Potassium
Sodium
Zinc




CODE
01002
01007
01027
01034
01051
71900
01147
01077

01105
00916
01042
01045
00927
01055
01067
00937
00929
01092







"




















RESULTS ;
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     •Results reported in units, all others in rriilligrams per liter ippm>

-------
          LEAD IN SOIL SAMPLE PROCESSING/XMET RUN SHEET



RECEIVED BY:	,	  ANALYSIS DATE:	
RECEIVED FROM:
                           SHEET #
ANALYSIST:
PROPERTY ADDRESS j SAMP ID NUMBER i PPM -1
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                                B - 65

-------
COUNTY CODE
            STATE OF MARYLAND
 DEPARTMENT OF HEALTH AND MENTAL HYGIENE
      LABORATORIES ADMINISTRATION
          201 W.  Preston Street
           Baltimore, MD 21203

        DUST EXAMINATION FOR LEAD    •

	•              DATE SUBMITTED
SAMPLES COLLECTED BY:
SCHOOL/DAY CARE IDENTIFICATION NUMBER:
SAMPLE TYPE:   DAYCARE DUST WIPE SURVEY   SCHOOL DUST WIPE SURVEY

PROGRAM:  MULTI MEDIA LEAD STUDY MDE  STATE CODE;        (DC ONLY)

REPORT RESULTS TO:
                    (NAME)       (PHONE NUMBER)  .
                  MDE/TESH 2500 BROENING HWY.  BALTIMORE, MD 21224
 NO.  Sample
      Code
      Location     Area in
      (sill, well,  Inches
       floor)	(Ixw)
    Laboratory
    Results
DO NOT COMPLETE - FOR LAB USE ONLY

SAMPLE RECE|VED BY:	

DATE RECEIVED:	

REMARKS:
              REPORTED
ANALYST
                    INTERPRETATION OF RESULTS
(Results reported in Micrograms Lead per Square Foot  (ug/ft2)
Threshold Limit:  Floor  200  Window Sill  500   Window Well  800
                                   B - 66

-------
                           ENVIRONMENTAL DATA ENTRY FORM
PROP
ID
SAMPLE
NUMBER
SAMPLE
CODE
                                                     RESULTS
WGT
MGM
XRF
PPM
WGT
AAS
PPM
FLAG
                                        B - 67

-------
                  DEPARTMENT OF THE ENVIRONMENT
                          TESH LEAD LAB
                      MULTI-MEDIA LEAD STUDY
                        XRF SAMPLE RECORD
FIELD STAFF SUBMITTING:,

SAMPLE DATE:	

PRIORITY:    ^_____^
SAMPLE LOCATION:.

SAMPLE TYPE:
SAMPLE ID NUMBER




WET WT




DRY WT

-


SAMP WT




RESULTS




SAMPLE RECEIVED  BY:.

DATE RECEIVED:
ANALYST ASSIGNED:

ANALYSIS DATE:;	

REVIEWED BY:
RESULTS REPORTED:
                                    B - 68

-------
              MARYLAND DEPARTMENT OF THE ENVIRONMENT
                             TESH/LIS
                        2500 BROENING HWY
                       BALTIMORE, MD 21224

                         CHAIN OF CUSTODY
SAMPLE TYPE



* *
SAMPLE LOCATION




SAMPLE NUMBER




PERSON RELEASING SAMPLES:
PERSON RECEIVING SAMPLES:.
PERSON RELEASING SAMPLES:.
PERSON RECEIVING: SAMPLES*
 DATE:.

 DATE:

 DATE:

DATE:
                                   B - 69

-------
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-------
               CORRECTIVE ACTION DOCUMENTATION FORM

        ?TQN QF PROBLEM and when identified:  ______
State cause of problem if known or suspected:
SEQUENCE OF CORRECTIVE ACTION:  (If no responsible person is
identified, bring this form directly to the QA Coordinator)
State date, person, and action planned:  	
CA Initially Approved By:
Date: •      ^	
Follow-up dates:
Description  of  follow-up:
Final  CA Approved By:
Date:          	

-------
            Appendix G

            Glossaries
Units of Measure and Abbreviations

-------
              GLOSSARY OF UNITS OF MEASURE
C — Celsius
M - Mole, a chemical unit of measure
megaohms - Ten6 ohms
mg/1 - milligrams per liter
ml.- milliliter
ppm - Parts Per Million
                              B - 74

-------
                GLOSSARY OF ABBREVIATIONS
AA  - Atomic  Adsorption
CDC -  Centers  for Disease Control
EC  - Environmental Coordinator
EDL -  Electrodeless Discharge Lamp
EHA -  Environmental Health Aid
EPA -  Environmental Protection Agency
EPTOX  - EP Toxicity Testing
HCL -  Hollow Cathode Lamp
LBP -  Lead Based Paint
LIS -  Lead-in-Soil Program
MCL -  Maximum  Contaminant Level
MDE -  Maryland Department of the Environment
MEAL - Multi-Element Analysis Laboratory
NBS -  National Bureau of Standards
Pb  - Lead
QA  - Quality Assurance
QAP -  Quality  Assurance Plan
QC  - Quality Control
RPD -  Relative Percent Differance
S - Classification of Weights
TCLP - Toxicity Characteristics Leaching Procedure
XRF -  X-Ray  Fluorescence
                              B - 75

-------

-------
       Appendix H
Method Detection Limits

-------
               DETECTION LIMITS
Blood Lead
FEP
Ferritin
Soil - XRF

Dust - XRF

Dust - AAS

Dust - Handwipes
Paint - XRF
1.6 jug/dl
6 /ng/dl
1.2 ng/dl
Calibrated
4,000 ppm
Calibrated



for 78
for 78
                       to
                       to
12,000 ppm
1,600 ppm (if sample
quantity is adequate)
1,8 /xg
Calibrated  for  1,000  to
18,000 ppm.
                        B - 76

-------
        Appendix I
Flow Chart of Data Handling

-------
        FLOW CHART OF DATA  HANDLING
1AB REPORT RECEIVED BY
   ENVIRONMENTAL
    COORDINATOR
  ERRORS BACK
     TOLAS
   TRANSCRIBED BY
ENVIRONMENTAL HEALTH
  ,  •   AIDEI
  ERRORS BACK
     TO LAB
    REVIEWED BY
ENVIRONMENTAL HEALTH
      AIDE ITS
  ERRORS BACK
 TO HEALTH AIDETS
RANDOM SPOT CHECKS BY
   ENVIRONMENTAL
    COORDINATOR
  ERRORS BACK
     TOLAS
   DATA ENTERED BY
    JOANNE SMITH
    MARKSCHERER
 ERRORS BACK TO
 ENVIRONMENTAL
  COORDINATOR
   DATA CHECKED BY
    URSULA PARKER
ERRORS CORRECTED
 FROM ORIGINAL
 SAMPLING RESULTS
   DATA PROVIDED TO
   PRO JECT MANAGER
                                    B - 77

-------
           Appendix J



Environmental Sampling Statistics

-------
     Table 2.9.1
Sampling Summary Table
ENVIRONMENTAL STATISTICS
LOCATION: AREA 1

Number of Observations
Sample Mean
Maximum Value
Minimum Value
Sample Median
Upper Quartile
Lower Quartile
Sample Unit of Measure
SOIL
1339
550
6800
22
348
607
206
ppra
WATER
294
9.9
420
0
2.2
6.1
.9
ppb
'PAINT
485
4.9
37.1
0
3.0
6.88
.91
ppm
DUST
333
1068
22600
2
418
935
180
ppra
POST
SOIL
153
60
619
1
22
54
13
ppra
POST
DUST
118
754
7300
13
430
929
235
ppm
ENVIRONMENTAL STATISTICS
LOCATION: AREA 2
•
Number of Observations
Sample Mean
Maximum Value
Minimum Value
Sample Median
Upper Quartile
Lower Quartile
Sample Unit of Measure
SOIL
826
596
7500
39
409
693
243
ppm
WATER
252
6.6
103
0
1.9
4.9
.4
ppb
PAINT
373
5.4
70
.02
2.4
7.11
.76
ppm
DUST
297
1077
21200
1
436
1100
187
ppm
POST
SOIL
N/A
N/A
N/A
N/A
N/A
N/A
N/A
ppm
POST
DUST
59
954
7000
5
438
926
159
ppm

-------
                  Appendix K



LIS Demonstration Project Personnel Flow Chart

-------
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-------
             Appendix L
LIS Demonstration Project Time Line

-------
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-------
  Appendix M
Equipment List

-------
ENVIRONMENTAL SURVEY CHECKLLIST
EQUIPMENT REQUIRED
CODE MANUAL
747-XRF ANALYZER
RING BADGE
TAPE MEASURE
ARCHITECT'S TEMPLATE
CLIP BOARD
LBP-FORMS
PERMANENT LAB MARKER
VACUUM
SIRCHEE ATTACHMENT
FILTERS
SAMPLE COLLECTION TUBES
LAB POLICEMAN
4'X 4' TEMPLATE
PAINT SCRAPPER
SAMPLE COLLECTION ENVELOPES
Y/N
















COMMENTS/ CONDITION






-









                 B - 81

-------
EQUIPMENT REQUIRED I Y/N 1 COMMENTS/CONDITION
SOIL PROBE
PROBE CLEANING TOOL
SAMPLE COLLECTION BAGS



























B - 82

-------
                                  LEAD IN SOIL PKOJECT

                   EXTERNAL QUALITY ASSURANCE/QUALITY CONTROL


  QUALITY ASSURANCE FOR BLOOD LEAD ANALYSIS (CENTERS FOR DISEASE CONTROL)


A. INTRODUCTION

The lead in soil demonstration project of its nature requires blood lead data of the highest quality.
Expected differences in blood lead levels from successful abatement are of the order of 2-4 lAg/dL, thus
placing unusually stringent requirements on long term laboratory precision.  The quality control issues
including establishment and maintenance of a high degree of precision over the entire duration of the
project. The key. function of-the quality assurance system is to ensure the absence of any "drift"
(downward or upward) with analytical values with time, such that any difference in blood lead values
over time cannot be attributed to with time, such that any difference in blood lead values over time
cannot be attributed to changes in the analytical system. Simply stated, this will help insure that
statistically speaking, observed changes in blood lead are real- that is, due to intervention and not
attributable to changes in the laboratory method over time. Since the CDC has extensive experience
in such activities from the National Health and Nutrition Examination Survey (NHANES) and other
long term studies, we were asked by the USEPA to provide assistance. The material following is a
summary of laboratory related issues that were included in the overall QC program.

B. ELEMENTS OF A QUALITY CONTROL SYSTEM

In order for any analytical measurements to be valid and interpretable, the sources of error for each
unique measurement system must be identified and minimized.  This, then, is the major function of
quality control. In the specific example of blood lead measurements, the following have been shown
from experience to be the major sources of error:

               1)      contamination of the specimen during collection, storage, or analysis

               2)      deterioration of the specimen by clotting, denaturation, or other processes

               3)      instability of the measurement  system, either over a short (within run/day) or
                      long time span

               4)      improper calibration for the measurement system

               5}      errors in data handling, storage, or reporting

Quality control therefore must include a number  of components, both within and external to the
laboratory: 1) collection of an uncontaminated specimen; 2) preservation and shipping (if needed)  of
the specimen under conditions that assure integrity, 3) monitoring of analytical method performance, to
include instrumental stability,-maintenance, and performance of the analyst(s); and 4) accuracy and
completeness of all data, to include  specimen identification, data reduction, and data interpretation.
Some critical components of each of these areas include:
                                            B-83

-------
1. Specimen Collection

Proper screening of all specimen collection equipment to define any detectable levels of the analyte,
and estimate variability of this contamination.

Written protocols for specimen collection which describe in detail all sampling equipment and its use,
precautions to avoid contamination, and other requirements (time of day, fasting/non-fasting state of
subject) which might- affect specimen integrity.

2. Specimen Preservation and Shipping

Proper packing, storage and shipping temperatures, suggested means of conveyance for timely receipt
of specimens.

Detailed shipping and specimen log forms to allow description of each specimen to record any variances
from collection or shipping protocols.

3. A"»lytical method Performance

Method selected must demonstrate precision and accuracy in the appropriate analytical range and
should be simple, rugged, rapid and cost-effective. Ideally, the detection limit should be ca. 2 ng/dL
with precision about 5 % at the 10 mg/dL level for the proposed study.

Instrumental stability, and by inference "method" stability, should be documented by analysis of control
materials, both "bench" and "blind".  It is desirable that materials  with certified values of the analyte of
interest be an analyzed regularly to demonstrate method accuracy. It is suggested that at least 1 10%
of the specimens be quality control pools.

4. Bench and Bwnd Quality Control
Blind quality control pools should be inserted at a rate of 5% by a source external to the laboratory.
These specimens should be in the same container type and labelled with pseudopatient numbers such
that they are indistinguishable from patient samples. It is suggested that the blind (and bench) pools
have two concentrations- one in the "expected" range of values for the majority of patient samples and
one at or near the "decision level" for undue exposure.  It is important that the blind materials be truly
blind to the analyst for ma-mmnm effectiveness in the detection of analytical system error. The
"pseudopatient" numbers used in labelling of the blinds will be decoded by the supervisor only, and that
analytical run evaluated on the basis of pre-established control limits.

Use of quality control charts for means (X bar) and ranges (R) is essential; it is suggested that 20 runs
be made for characterization of all quality, control materials, and that these data be analyzed by two-
way analysis of variance (ANOVA) to produce these charts.  These charts should be in use by the
analyst for each run for the evaluation of "bench"  or known blood controls (and by the supervisor for
blinds) by use of mean and range control limits, such that corrective actions needed may be made in a
timely way.

Criteria for repeat analytical runs (due to "out of control" condition as indicated by results from quality
control samples) are dependent on the number of pools in the quality control system.

Inclusion of blind splits (duplicate samples within run, with different identification number such that
identification by the analyst is prevented) is suggested at a 5% rate; some split specimens may be
submitted to an external laboratory for verification of accuracy or comparability.   If specimen collection

                                             B-84

-------
constraints allow, it is recommended that at least 10% of the specimens be split with an external
laboratory.

Criteria should be established as to "acceptable" agreement with the external laboratory.

5. Accuracy and Blanks

Blanks, consisting of samples in which ultrapure water is processed through the entire analytical
procedure, are a useful part of quality assurance.  The data from these determinations can be used to
evaluate potential contamination in the laboratory environment as well as estimate the  limit of
detection to the analytical method.

Establishment of accuracy through the regular analysis of reference materials or proficiency testing
pools is an essential part of good laboratory practice, and .will help establish the accuracy of the
method.  The pools used for this accuracy assessment should be as close to identical to  the survey
samples as possible.

6, Data Integrity

Data logging should be performed for each run in approved notebooks or other data forms as soon as
possible following each run.  Electronic data entry may be desirable either as an adjunct to or
replacement for "hard copy".  It is recommended, however, that instrumental data be collected on hard
copy in such a way that all data can be independently verified or reconstructed.

Data reduction should be standardized; all records of calculations should be secured and available for
review.

C.  DESCKgTION OF QUALITY CONTROL SYSTEM USED

From previous experience in "long-term" quality control, a system was established that is similar to that
used in the NHANES surveys. The cardinal features of such a system include written protocols for
specimen collection, shipping, and analysis, a systematic screening of all specimen collection equipment
and containers, establishment of statistical control limits by each individual laboratory, and supervision
of all QC activities by a local laboratory supervisor. Since the three laboratories already had QC
systems in place, there was a need to establish a common set of protocols and procedures for the entire
project.

1. Initial Activities

Each laboratory was provided with a description of the sample collection and shipping protocols
developed at CDC (1), as well as a reprint of our analytical method for blood lead (Appendix A).
Summary descriptions of the QC  system used in NHANES, as well as general descriptions of the
NHANES quality control system were distributed (Appendix B,C).

Four whole bovine blood pools were collected at CDC, evaluated for lead content, and aliquoted into 2
mTf Vacutainer brand whole blood collection containers (blind pools) or plastic screw-capped vials
(bench pools).  The Vacutainer specimen containers (as well as the plastic vials for the bench controls)
were screened by established protocol (1), and had been purchased in sufficient quantity to allow all
thee projects to use them as standard specimen containers. Pools such as these (whole bovine blood,
stabilized with 1.5 mg/mL disodium EDTA) have been shown to be stable at least two years at 4 C, the
recommended storage temperature.  Data from this screening are presented in Table 1. Aliquots of
these four-pools were distributed to the laboratories, and duplicate analysis of the four pools was

                                             B-85

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 performed over a series of twenty analytical runs. The data generated from these analyses were used
 to calculate the QC limits for both means (X bar) and ranges of duplicate measurements of these pools.
 The method of calculation is presented in Appendix D, using POOL "A" from Standard Reference
 Materials (SRM)  955 from the National Institutes of Standards and Technology (NIST). The
 calculations are based on two-way analysis of variance (ANOVA) as described by Shewhart (2,3).

 Results of the calculated limits for these four pools were sent to  the three laboratories to be used as
 part of the laboratory quality control program. Results of the calculation for the three laboratories, as
 well as GDC, are  presented in Table 2. The quality control limits could then be used in two ways:

        1)      the limits for the "blind" pools were used to evaluate the blind quality control pools,
               which were inserted into each analytical run by the supervisor; and

        2)      the limits for the "bench" pools could be used by  the analyst (along with those for any
               additional pools) to evaluate the degree, of statistical control for the analysis.

 Insertion of the "blind" pools was random, using a random numbering table numbering scheme
 presented by Taylor (4), with identical labels as study subject specimens  and identical Vacutainers (2
 mL liquid EDTA, lot # 8E014 EXP 5/90). An example of the labelling system is given in Table 3.  If
 names were provided on the sample labels, then fictitious names were provided for the "blinds" by the
 supervisor.  The source if banes could be random names from a metro phone book, or.any other
 appropriate source.

 2. Calibration

 Since three different analytical methods were  used hi the study,  the issue of calibration of the
 analytical systems was very important.  The CDC recommendation to all three laboratories was that
 either SRM 3128 (from NIST) or equivalent aqueous standards for lead be used.  In the case of the
 graphite furnace AAS methods (Boston and Baltimore), a version of the CDC published method was
 used for analysis, which includes "matrix matched" standards and lead nitrate aqueous standards.  The
 DPASV method used by Cincinnati. (5) includes standards analyzed by isotope dilution mass-
 spectroscopy (IDMS). In all three laboratories, the ultimate test of the accuracy of calibrations
 generation of accurate values for reference materials. As can be seen from Table 2, all three
 laboratories agreed well (within 5%) with each other, and generated comparable results on the four
 pools provided by CDC (Figure 1).

 3. Interpretation of Data

 The quality control system outlined here has multiple uses:

        1)      evaluation of "day-today" statistical control of the analytical system;

       2)      verification of analytical performance on "blinds" - known samples inserted in each
               analytical run to verify precision

       3)      evaluation of any "trends" hi the analytical performance of the method over time- either
               short term (days/week) or long term  (months^years)

With the use of common rules for the verification of statistical control (4), all the laboratories would
follow a statistically valid and proven method for data evaluation. Any problems not resolved at the
local level were presented to CDC for resolution.


                                            B-86

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D. RESULTS OF QUALITY CONTROL SYSTEMS

Data from the initial characterization for the four whole blood pools used in this project are presented
in Table 2. Each laboratory can be individually compared as to within-run precision, among runs
precision, and total precision. Using the definition of the limit of detection as 3 SD(wr) developed by
Winefordner (6), the laboratory detection limits may also be compared.

Of equal importance are the long-term quality control data, especially in terms of time trends.  The  .
Shewhart plots for the three laboratories are presented in Figure 2. As can can be readily seen, no
long-term trends in analytical values with time are evident.  Statistical tests of the null hypothesis
(that is, a "0" slope of X bar versus time) reveled no statistically significant trends with time.

The conclusions that can be drawn from these three systems are as follows:

        1)      comparable values were obtained on common quality control materials, which covered
               the analytical concentration range of interest;

        2)      laboratory data for blood lead were produced from analytical systems in statistical
               control (as defined by Shewhart); and

        3)      no statistically significant time trends were observed in the data- that is , the
               difference in pre- and post abatement blood lead values are real and not the product of
               unstable analytical systems.
                                              B-87

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                                Table 1 Data from Lead Screening


2 mL Vacutainers (B D lot #8E016 Exp. 5/90) Catalog # 6384

Analytical result N = 42 tubes;
soaked overnight (12 hr in 1% v/v nitric acid)

X = 0.0964 ug/dL lead (SD = 0596 ug/dL CV = 62%)

3 mL plastic vials (linear polyethylene) Falcon Catalog #

Analytical result N = 42 tubes;
soaked overnight (12 hr in 1% v/v nitric acid)

X = 0.51 ng/mL Equivalent to 0.025 mg/dL (SD = 0.36 ng/mL CV = 71%)

Capillary Collection Butterflies BD Catalog # 7251: 7253)

Analytical results; One mL 1% v/v nitric acid passed through each collector)
N = 5 results collectors each size

X = <0.1 ng/mL (cat 7251)
X = <0.1 ng/mL (cat 7253)
                                            B-88

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Table 2 quality Contol Limits- Means and Ranges
LAB
CDC

MD

CN

BOS

POOL
BLIND1
BENCH2
BENCH1
BLIND2
BLIND1
BENCH2
BBNCH1
BLMD2
BLEND1
BENCH2
BENCH1
BLIND2
BLEND1
BENCH2
BENCH1
BLIND2
MEAN
4.6
43.5
1.8
10.7
5.1
45.7.
2.0
11.1
3.5
43.3
2.4
8.9
4.0
47.0
0.2
10.6
95%
MEAN
3.0-6.2
38.2-48.8
1.0-2.5
8.5-12.9
4.2-5.9
43.9-47.6
1.45-2.63
9.6-12.6
1.9-5.1
40.5-46.1
0.9-4.0
7.1-10.7
2.4-5.6
42.9-51.2
-1.2-1.5
8.6-12.5
Conf T limits
RANGE
1.6
2.2
1.4
1.4
0.9
1.1
-0.6
1.0
3.2
2.2
2.0
3.1
0.8
2.9
0.8
1.3
99%
MEAN
2.5-6.7
36.5-50.5
0.8-2.7
7.8-13.6
4.0-6.2
43.3-48.2
1.27-2.8
9.2-13.1
1.4-5.6
39.6-46.9
0.4-4.5
6.5-11.2
1.9-6.1
41.6-52.6
-1.6-1.9
8.0-13.1
Conf Limits
RA*
2.1
2.9
1.9
1.8
1.1
1.5
0.8
1.4
4.2
2.9
2.6
4.1
1.0
3.8
1.1
1.7
                    B-89

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Table 3 Labelling System for Blinds
BUN NUMBER
1
2
3
4
5
6
' 7
8
9
10
11
12
13
14
15
16
17
18 .
SPECIMEN NUMBERS
1-25
26-50
51-75
76-100
101-125 .
126-150
151-175
176-200
201-225
226-250
251-275
276-300
301-325
326-350
351-375
376-400
401-425
426-450
BLIND SPECIMENS (L)
OR(H)
10 (L) 15(H)
26(L) 50(L)
51(H) 52(L)
84(L) 96(H)
107(H) 118(L)
136(L) 137(H)
158(L) 159(H)
185(H) 195CH)
204(L) 214(L)
232(L) 239(11)
264(L) 266(L)
286(L) 298(L)
301(H) 317(H)
328(L) 348(L)
374(L) 359(H)
394(L) 399(H)
404CL) 417(H)
427(H) 431CH)
             B-90

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E, REFERENCES:
       1)     "Lake Couer d' Alene Idaho Cadmium and Lead Study-Specimen Collection and
              Shipping Protocol" Division of Environmental Health Laboratory Sciences, Center for
              Environmental Health, Centers for Disease Control, Atlanta, GA 30333 8/6/86.

       2)     "Determination of Lead in Blood Using Electrothermal Atomization Atomic Absorption
              Spectrophotometry with a L'vov Platform and Matrix Modifier", D.T. Miller, D.C.
              Paschal, E.W. Gunter, P.E. Stroud, and J. D' Angelo, Analyst, 112, pp 1701-4 (1987).

       3)     "A Multi-Rule Shewhart Chart for Quality Control in Clinical Chemistry", J.O
              Westgaard, P.L. Barry, and M. R. Hunt, Clinical Cbpmiat.ryr 27, pp. 493-501 (1981).

       4)     "A Quality Assurance Program for Health and Environmental Chemistry", M.A.
              Gaultier and E.S. Gladney, Amproan Laboratory,  pp. 17-22, July 1987.

       5)     "Elements of Sequential Analysis'' Chapter in Biostatistics, A.E. Lewis, ed. Reinhold
              Publishing Corp., New York, 1966.

       6)     "Quality Assurance of Chemical Measurements^, John Taylor, Lewis Publishers,
              Cheslea, MI 1987.

       7)     "Anodic Stripping Voltammetry Procedure Modified for Improved Accuracy of Blood
              Lead Analysis", S.M. Roda, RJX Greenland, ILL. Bornschein, and P.B. Hammond,
              Clinical Chemistry. 34. pp. 563-7  (1988).

       8)     "Limit of Detection- A Closer Look at the IDPAC  Definition", G.L. Long and J.D.
              Winefordner, Analytical Chemistry, 55, pp 712A.-724A, (1983)
                                            B-91

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                                   LEAD IN SOIL PROJECT

                    QA/QC for Seal, Dust, and Handwipes (US BPA/EMSL/LV)

                                           Section 1

                               Preparation Laboratory Operations

1.1 Sample Receipt                                                             .   .

Three cities are involved in the superfund Lead Abatement Program; Baltimore, Boston, and
Cincinnati. EMSL-LV supplies the field samplers in each city with 30-gallon plastic barrels for soil
samples and 1-gallon metal containers for interior dust samples.  A minimum of two soil and two dust
samples are collected in each city and shipped to EMSL-LV. 'The preparation laboratory manager
records the arrival date of all samples received.

1.2 Sample Labeling

1.2.1  Soil and Dust

Each soil sample is labeled and identified by a unique sample code as described below.

              A EOS H 01 001 (example)
       digits 1 234 5 67 8-10


Digits                 Representation
 1 Sample type - "A" = audit "C" = calibration
2-4  City code - "BOS", "BAL", "GIN"
 5 Concentration - "H" = high, "M" = medium, "L" = low
6-7  2 kg sample - represents number of the 2 kg container in which soil was  subsampled. If sample
is dust the number would represent the lOOg container.
8-10 20 g aliquot - numbered aliquot from  soil 2 kg container or 2g aliquot from dust 100 g container.

Analytical laboratories at each city provide sample labels and containers to be used for that city. Prior
to shipping, the EMSL labels are removed and the city labels are affixed to the sample containers.
Also, the EMSL-LV codes and corresponding city codes are recorded in a log book for each sample.

1.2.2  Handwipes

Each handwipe sample is labeled and identified by a unique sample code as described below.


                                    A EOS H QQ1 (example)
                      digits         123456-8
              Digits                Representation
                1             Sample type - "A" = audit "C" = calibration
              2-4            City code - "BOS", "BAL", "CIN"
                5             Concentration - "H"  = high, "M"  = medium, "L" = low
              6-8            Internal ID - the last three numbers of the internal LESC ID.
                                            B-92

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Analytical laboratories at each city provide sample labels and containers to be used for that city. Prior
to shipping, the EMSL labels are removed and the city labels are affixed to the sample containers.
Also, the EMSL-LV codes and corresponding city codes are recorded in a log book for each sample.

1.8 Sample Tracking

1.3.1 Soil and Dust

The preparation laboratory manager tracks each sample as it progresses through the preparation
procedures and records progress in a logbook.

The following information is recorded on a daily basis.

        Sample Type - soil, interior dust

        City - Boston, Baltimore, Cincinnati

        Concentration - high, medium, low

        Dried - whether sample has been dried (yes/no)

        Crushed - whether sample has been crushed (yes/no)

        Bulk homogenization - Whether bulk sample has been homogenized (yes/no)

        Pulverized * whether sample baa been pulverized (yes/no)
        2 kg split - Whether bulk sample has been split into 2 Kg samples. If this step is partially
        complete, the number of aliquots prepared will be recorded.

        100 g split - Whether 2 kg soil aliquots have been split into 100 g aliquots or whether the bulk
        dust sample have been split into 100 g aliquots. If this step is partially complete, the number
        of aliquots prepared will be recorded.

        20 g split - Whether 100 g soil aliquots have been split into 20 g aliquots or 100 g dust aliquots
        have been split into 2 g aliquots. If this step is partially complete, the number of aliquots
        prepared will be recorded.  •

The appropriate types of information will be made available for dust and handwipe samples.  As
aliquots are sent to analytical laboratories, this information will also be recorded (see sample
shipment).

1.3.2 Handwipes

The appropriate types of information will be made available for dust and handwipe samples.  As
aliquots are sent to analytical laboratories, this information will also be recorded (see sample
shipment).

        . Sample Type - handwipe

        . City - Boston, Baltimore, Cincinnati
                                             B-93

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        . Concentration - high, medium, low

        . Spiked - whether sample has been spiked (yes/no)

The appropriate types of information will be made available for dust and handwipe samples. As
^aliquots are sent to analytical laboratories, this information will also be recorded (see sample
shipment) .-

1.4 Sample Custody

Custody is transferred from the field samplers to the preparation laboratory manager when the
samples are received.  The sample remain in the custody of the preparation laboratory manager until
they are shipped to the analytical laboratories.

1.5 Sample Storage

All samples are placed in cold storage upon receipt until there is room for them in the drying room.
After air drying, the samples are returned to cold storage until processing.

1.6 Sample Shipment

As samples are shipped a shipping form (Figure 1.1) is sent to both the laboratory manager and QA
manager.  The form sent to the laboratory manager contains only the types and numbers of samples
sent and the city sample code information for each sample.  The form sent to the QA manager contains
information as well as the EMSL sample code, which identifies the concentrations of each sample.
                                            B-94

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    LEAD ABATEMENT QA SAMPLE SHIPMENT FORM

LAB	   SAMPLE TYPE	
                BATCH   	
                DATE SHIPPED	
                NO OF SAMPLES
Sample
Number
1
2
3
4 •
6
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 '
21
22
23
24
Ciiy Sample Code







•







-








EMSL Sample Code







-







.








FIGURE 1.1 LEAD ABATEMENT SAMPLE SHIPMENT
                                       FORM
                                B-95

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                                          Section 2

                            Soil Audit Sample Preparation Procedures
2.1 Overview
Specific areas of the preparation laboratory are designated for sample processing.  Sample integrity
during processing is ensured by: (1) the use of detailed sample labels, (2) documenting the status of
each sample during the processing, (3) following the preparation documenting the status of each sample
during each processing step.

Bulk soil samples are processed as outlined in Figure 2.1 Each step is detailed in sections 2.2 -2.8.
                                    SOIL SAMPLE
                                       DRY


SIEVE . ; 1 DISCARD \
<20MM i > 20MM '.
FRACTION

-
CRUSH
<20MM
FRACTION
•

                                 PULVERIZE SAMPLE
                                     TO 0.25MM
                                  HOMOGENIZED &
                                  SUBSAMPLE 2000
                                  GRAM AUQUOTS
                                   HOMOGENIZE &
                                   SUBSAMPLE100
                                   GRAM AUQUOTS
                                   HOMOGENIZE &
                                   SUBSAMPLE 20
                                   GRAM AUQUOTS

                                    BATCHING &
                                     SHIPMENT
                       FIGURE 2.1 SOIL AUDIT SAMPLE PREPARATION FUJW

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2.2 Sample drying

2.2.1 Summary

Samples tables constructed of PVC and heavy nylon mesh are used to air dry the samples. Use of the
mesh enhances air circulation and increases the rate of sample drying.  These tables are located in a
dust free drying room.

Chemicals as well as food, drinks and smoking are prohibited in the drying area. A separate pair of
gloves is worn when handling each sample. Care is exercised during the cleaning operation to avoid
contamination of samples. Only one sample at a time is dried to avoid cross contamination. Weekly
vacuuming or sweeping is performed to clean the floors of the drying room.  Sweep EZ, a sweeping
compound) is used at least once a week to control dust accumulation in the drying area.,

2.2.2 Equipment:

       Drying tables with nylon mesh surface
       Exalt paper, 86 inch wide rolls
       Rubber gloves, unpowdered

25.3 Procedure

Label a bulk sample processing data form for each sample to be air dried. Place two fresh sheets of
kraft paper, approximately 1 square meter in area, on the drying table.  Wearing gloves, slowly spread
the sample on top of the  paper, firing care not to lose any soil off the paper or contaminate any
adjacent samples. Disaggregate any large peds.  Soils high in clay may harden nearly irreversibly if
allowed to dry without a preliminary disaggregation of medium and coarse peds. Place an additional
sheet of kraft paper loosely over the sample.  Daily stir the soil sample to facilitate drying. During the
first few days replace the bottom sheet of paper in order to alleviate excessive moisture accumulation.
Note any observations of fungal or algal growth on the data form.

Allow the sample to air dry for a minimum of four days.  Prior experience indicates that samples dry to
a constant moisture content (1-2.5%) within three days at the EMSL-LV preparation laboratory.

25.4 Quality Control

When samples are received, labels are checked and recorded. Wearing gloves, the samples are spread
out on kraft paper, which is an effective barrier separating the samples from the PVC mesh tables. A
cover sheet of kraft paper is used to reduce potential contamination. -When handling the samples,
gloves are always worn.

2.3 Tnitial Disaggregation and Sieving

2.3.1 Summary

When a bulk soil sample  is air dry, it is disaggregated and sieved in order to remove large rock
fragments and to prepare the sample for crushing, pulverization, homogenization and subsampling.
This procedure is accomplished in two steps:  (1) disaggregation and sieving through a 20-mm sieve
and, (2) onioning, pulverizing, and sieving through a 2-mm sieve.

2.35 Equipment:

        Pumehood
       Kraft paper
       Plastic bags
       Respirator
       rolling pin
       Rubber stopper
       Tyvek suit


                                             B - 97

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       2mm sieve
       20mm sieve

2.3.3 Procedure

Place a 1 m2 sheet of kraft paper on the sieving table under a vented fumehood.  Place a 60 cm2 sheet
of kraft papers on the larger piece of paper and spread a portion of one bulk sample within the
confines of the 60 cm2 sheet.  Carefully examine the nature of the rock fragments within the sample
and determine the amount of pressure necessary in order to disaggregate the soil peds without
fracturing or crushing the fragments.  Place another 60 cm2 sheet of kraft paper  over the sample and
gently roll the rolling pin across the sample.  Enough force should be applied to break up the peds, but
not so much that weathered rock fragments are crushed.  Place this crushed sample in the 20-mm
mesh sieve and push the soil through the sieve with a rubber stopper onto the kraft paper.  Attempt
to include any soil adhering to rock fragments. Place the sieved material in a clean container and
repeat the process until all of the soil of from one bulk sample is sieved. All rock fragments and other
material larger than 20-mm is placed in a plastic bag and properly discarded.

Crush the minus 20-mm fraction (The Crushing procedure is described in section 2.4) then passed
through a 2-mm sieve using .the procedure described above.

The sieves are cleaned after each sample by tapping the sieve on a hard surface and brushing out the
sieve  to expunge any remaining soil particles.

2.3.4 Quality Control

The disaggregation and sieving areas should be covered with kraft paper and cleaned after each sample
has been sieved. When sieving, gloves must be worn, as well as an appropriate mask and protective
clothing.  The laboratory manager will frequently check the sieving operation for proper equipment and
for adherence to protocol A member of the EMSL-LV QA staff will visit the preparation laboratory to
ensure adherence to protocol

2.4 Crushing

2.4.1 Summary

After soils are sieved through the 20-mm sieve, the < 20-mm material is passed through a rock
crusher.  The intent of .crushing is to further reduce the particle size to 2mm.

2.4.2 Equipment

       Brush                                  ,                              .
       Compressed air
       Crusher                                                                      .
       Gloves
       Mask
       Protective Clothing
       Plastic bags
       Scoop
       2-mm sieve

2.4.3  Procedure

With a scoop, place a portion of the mimiam soil fraction to the crusher opening.  Turn the crusher on.
The crusher deposits the resulting crushed material into a collection bin at the bottom of the machine.
After the first scoop is crushed, shut the machine off and sieve the crushed material through the 2-mm
sieve (described in Section 2.4).  If all the material passes through this sieve, the crushing plates are
sufficiently close enough to continue processing.  If not, adjust the plates and repeat the procedure on
the same sample until all the material passes through the 2-mm sieve.  Once the  collection bin is full
turn the machine off and deposit the material into a clean labeled plastic bag.  Repeat the operation


                         '         ..          B-98

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until all soil from one bulk sample is crushed. Thoroughly clean the machine with compressed air and
a brush between samples.

2.4.4 Quality Control

When crushing, gloves must be worn, as well as a mask and protective clothing.  The machine opening
should be tightly fastened to minimize dust.  The laboratory manager will frequently check processing
equipment for proper operations, for adherence to protocol including proper maintenance. A member
of the EMSL QA staff will visit the preparation laboratory to ensure adherence to protocol

2.5 Pulverizing

2.5.1 Summary

The routine soil samples that are analyzed by the cities are ground to a particle size of less than
0.25mm. Therefore, it is necessary to provide audit materials with the  same particle size fraction.  The
preparation laboratory pulverizes the minus  2-mm soil fraction to a particle size of less than 0.25mm.

2.5.2 Equipment

        Brush
        Compressed air
        Gloves
        Mask
        Plastic bags
        Protective Clothing
        Pulvenizer
        Scoop
        0.25mm sieve

2.6.3 Procedure

With a scoop, place a portion of the minus 2-mm soil fraction material into the pulverizer opening.
Turn the power on.  The pulverizer grinds the soil and deposits it into a collection bin at the bottom of
the machine. After the first scoop is pulverized, shut the machine off and sieve the material through
the 0.25-mm sieve. If all the material passes through this sieve, the grinding plates are sufficiently
close enough to continue pulverization. If not, adjust the plates and repeat the procedure on the same
sample until all the material passes through  the 0.25-mm sieve  (described in Section 3.6). Once the
collection bin is full, turn the machine off and deposit the pulverized material into a clean labeled
container.  Repeat the operation until all soil is pulverized. Thoroughly clean the machine with
compressed air and a brush.

2.5.4 Quality Control

When pulverizing, gloves must be worn, as well as a mask and protective clothing. The machine
opening should be tightly fastened to minimize dust,  the laboratory manager will frequently check the
processing equipment for proper operation, for adherence to  protocol including proper maintenance.  A
member of the EMSL QA staff will visit the  preparation laboratory to ensure adherence to protocol.

2.6 Final Sieving

2.6.1 Summary

To ensure that the pulverized audit sample has a particle size < 0.25mm it is resieved through
0.25mm sieve.

2.6.2 Equipment

        Fumehood'


                                             B-99

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        Kraft paper
        Paint Brush
        Plastic bags
        0.25-mm sieve
        3x5 card

 2.6.3 Procedure

- Place aim2 sheet of kraft paper on the sieving table under a vented fumehood. Place a 60 cm2 sheet
 of kraft paper on the larger piece of paper. Place a portion of the soil material in the 0.25-mm sieve
 and screen the material using a rocking motion. Use a paint brush or 3 x 5 card to gently push the
 material through. Place any material > 0.25mm into a separate pile. Continue this procedure until
 the complete sample is sieved.  Save the material not passing through the .25mm sieve for further
 pulverization.

 2.6.4 Quality Control

 When sieving, gloves must be worn, as well as a mask and protective clothing.  The laboratory manager
 will frequently check the sieving processing equipment for proper operation and for adherence to
 protocol  A member of the EMSL-LV QA staff will visit the preparation laboratory to ensure
 adherence to protocol.

 2.7 Homogenization and Subsampling to 2-kg Aliquots

 2.7.1 Summary

 Prior to splitting the 2 kg aliquots into 20 g aliquots, the bulk soil (minus 0.25mm fraction) is
 homogenized using a combination of three techniques; drum-rolling, cone and quartering, and riffle-
 splitting.  After homogenizing, the bulk sample is split into 2 kg aliquots using a riffle splitter.

 2.7.2 Equipment

        Drum homogenizer
        Gloves
        Kraft paper
        Labels
        Large riffle splitter
        Mask
        Protective clothing
        Shovel
        Top loading balance
        2-L sample bottles

2.7.3 Procedure

2.7.3.1 Drum homogenization/Cone and Quartering

Place all of the < 0.25mm fraction from one soil sample into the drum homogenizer.  Slower rotate the
drum for five minutes. Pour the entire sample onto a large piece of kraft paper so  that the sample
takes on the shape of a cone. Homogenize the cone by dividing the cone into four equal quarters by
lines going clockwise from 1 to 4.  Using a shovel, remove the first quarter to form  anew cone.  The
third, second and fourth quarters are piled sequentially over the first quarter.  The procedure is
performed seven  times in succession. Figure 2.2 illustrates the technique.

Figure 2.2 Top and side views of the soil cone
                                            B- 100

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2.7.3.2 Riffle splitting

Position the two collecting bins under the large riffle splitter (Figure 2.3).  Pour the entire sample
evenly across the baffles of the riffle splitter.  Transfer the soil from each collecting bin into the
distribution pan and replace the receiving pans under the riffle splitter.  Repeat this procedure five
times in succession.

2.7.8.8 Subsampling

After the homogenization, 2 kg aliquots are obtained. If the cone and quartering technique is used,
place a clean 2-L sample bottle at the bottom of the cone and, with an upward movement, collect a
sample weighing approximately 2000 grams (+/-20 grams).  If the riffle splitting technique is used,
place a clean 2-L sample bottle at one end of the collecting bin and moved to the other end to fill the
bottle. The sample is labeled using the procedure described in Section 2.2.  The first 2 kg aliquots for
each audit concentration's identified with "01" and subsequent aliquots numbered consecutively. The
other information within the sample code will ensure a unique sample identity.  Repeat this procedure
for the entire amount of homogenized audit sample. Store the audit samples in cold storage until
further processing.                                    .
                                             B-101

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Figure 2.3 Large Biffle Splitter

2.7.4 Quality Control

When homogenizing, gloves must be worn, as well as a mask and protective clothing: Prepare labels
for the 2 kg samples prior to the processing step in order to avoid mislabeling. the laboratory manager
will frequently check the homogenization operation for proper processing equipment and for adherence
to protocol A member of the EMSL-LV QA staff will visit the preparation laboratory to ensure
adherence to protocol.

2.8 Homogenization and Subsampling to 100 g and 20g Aliquots

2.8.1 Summary                               ,                                   ~

Each 2 kg aliquot prepared in section 2.7 is further homogenized in a medium sized riffle splitter and
split into 100 g aliquot, the 100 g aliquots are then homogenized in a small riffle splitter and  split into
20 g aliquots.  These two procedures are done simultaneously in order to avoid the use of intermediate
sample containers and the possibility of mislabeling.

2.8.2 Equipment

       Gloves
       Fumehood
       Laboratory containers (20 g samples)
       Open pan balance
       Plastic bags
       Riffle splitters, medium (24 chute 13-1/2" x 15-3/8") and small (32 chutes 6-W x 9")
       Scoop

2.8.3 Procedure

2.8.3.1 Homogenization and Subsampling to 100 grams                                   '

2.8.3.1.1 Initial Homogenization— Position the two receiving pans under the medium riffle splitter.
Pour the entire 2 kg sample evenly across the baffles of the riffle splitter. Transfer the soil from each
receiving pan into the distribution pans and replace the receiving pans under the riffle splitter. Repeat
this procedure five times in succession.

2.8.3.1.2 Splitting to 500 g Aliquots-- Pour the sample evenly across the baffles «nri place the soil from
one receiving pan aside. Transfer the soil in the other receiving pan to the distribution pan and split
once more. This should produce approximately a 500 g samples in each receiving pan.  Place these
samples on separate sheets of kraft paper.  Split the soil from the other receiving pan similarly. This
produces a total of four 500 g aliquots from each 2kg aliquot.

2.8.3.1.3 Splitting to 100 g aliquots- Pour the 500 g sample evenly across the baffles and place the soil
from one receiving pan into a plastic bag. Transfer the soil in the other receiving pan to the
distribution pan and continue splitting as necessary until approximately 100-g- of sol occupies one of
the receiving pans.  Place the entire contents of this pan into the distribution paa of the small riffle
splitter (see section below).  Repeat the procedure  until all of the 2 kg aliquot is spit into 100 g
aliquots.

2.8.3.2 Homogenization and Subsampling to 20 grams

2.8.3.2.1 Initial Homogenization—Position the two receiving pans under  tile small riffle splitter. Pour
the entire 100 g aliquot from the distribution pan evenly across the baffles of the riffle splitter.
Transfer the soil from each receiving pan into the distribution pan and replace the receiving pans
under the riffle splitter. Repeat this step five times in succession.
                                            B- 102

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2.8.3.2.2 Splitting into 20 g Aliquots-Pour a 100 g aliquots evenly across the baffles of the small riffle
splitter. Place the soil from one receiving pan into a plastic bag. Transfer the soil from other receiving
pans under the riffle splitter.  Repeat this step five times in succession.

2.8.3.2.2 Splitting into 20 g Aliquots- Pour a 100 g aliquots evenly across the baffles of the small riffle
splitter. Place the soil from one receiving pan into a plastic bag. Transfer the soil from other receiving
pan to the distribution pan and continue splitting as necessary until approximately 20 g of soil occupies
one of the receiving pans. Place the entire contents of the pan into the pre-labeled sample container
provided by the analytical laboratories.  Repeat the procedure until the entire 100 g sample is split into
five 20 g aliquots.

2.8.4 Quality Control                                                              .    .

When homogenizing and subsampling, gloves must be worn, as well as a  mask and protective clothing.
The laboratory manager will frequently check the operation for proper use of equipment and for
adherence to protocol. A member of the EMSL  QA staff will visit the preparation laboratory to ensure
adherence to protocol  As samples are characterized, precision estimates for each audit sample type will
be developed. If the pooled relative precision estimate (RSD) for an audit sample whose concentration
is above 10 times the detection limit (~100ppm) is greater than ten percent, the preparation
laboratory will combine all 20 g aliquots, rehomogenize, then resplit the sample.
                                             B-103

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3.1 Overview
                                          Section 3
                           Dust Audit Sample Preparation Procedures
Dust samples of different concentration will be supplied to EMSL-LV from each city. Prom these
samples, EMSL-LV will provide three audit samples with Pb at low, mid, and high concentration ranges
and three calibration standards at similar concentrations. The bulk samples are air dried, sieved,
homogenized and split into 2-gram aliquots as outlined in Figure 4.1. Participating laboratories supply
EMSL-LV with sample containers, labels, and the appropriate labeling techniques for the samples

A random subsample of the audit samples will be characterized by EMSL-LV. Fifty samples at each
concentration range will be analyzed for Pb by XRF. A subset of these samples will be analyzed by
ICPES after nitric acid extraction. Characterization data will be supplied to the Lead Abatement QA
manager.
                                   DUST SAMPLE
                                     AIR DRY
                                      SIEVE
                                     TO .25MM
                                  HOMOGENIZE &
                                  SUBSAMPLE 100
                                  GRAM AUQUOTS
                                  • HOMOGENIZE &   >
                                    SUBSAMPLE 2    i
                                  GRAM ALIQUOTS   j
                                    BATCHING &    j
                                     SHIPMENT     i
                       FIGURE 3J. DUST AUDIT SAMPLE PREPARATION FLOW
                                           B-104

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3.2 Sample drying

Interior dust audit samples will be sent from the participating cities of Boston, Baltimore and
Cincinnati in one gallon containers. Upon arrival, remove the lid of each container and allowed it to air
dry before further preparation. The samples are kept in the shipping container during air-drying to
prevent loss of sample.

3.3 Sieving to 0.25mm

3.8.1 Equipment

       Fumehood
       Kraft paper
       Paint brush
       0.25mm Sieve
       3x5 index cards

3.3.2 Procedure

Place a 1 m2 sheet of kraft paper onto the preparation table. On top of this sheet place a 60 cm2 sheet
of kraft paper.  Set a 0.25mm mesh sieve on top of the smaller sheet of kraft paper. Portions of the
dust sample are placed into the sieve and gently, pushed through with either a paint brush or a 3 x 5
card.  Material greater than 0.25m is placed in a plastic bag for proper disposal

3.4 Homogenization and Subsampling to 2 Gram Aliquots

3.4.1 Equipment

       Fumehood
       Gloves
       Laboratory containers (2 gram samples)
       Open, pan balance
       Plastic bags
       Eiffle spUtter, medium (24 chute 13-1/2" X125-3/8"
       Eiffle spUtter, mini (14 chutes, 2-1/16" X 3-3/4")"
       Scoop

8.4.2 Procedure

4.4.2.1 Homogenization and Subsampling to 100 grams

Position the two receiving pans under the small riffle spUtter. Pour the entire contents of the minus
0.25mm dust fraction evenly across the baffles of the riffle spUtter.  Transfer the dust from each
receiving pan into the distribution pan and replace the receiving pans under the riffle spUtter. Repeat
this step five tune* in succession with the material in each receiving pan.

Pour the sample evenly across the baffles and place the dust from one receiving pan into a plastic bag.
Transfer the soil in the other receiving pan to the distribution pan and continue splitting as necessary
until approximately 100 g of dust occupies one of the receiving pans. Place the entire contents of this
pan into the distribution pan of the mini riffle spUtter (see section below). Repeat the procedure until
all of the dust sample is split into 100 g aliquots.

3.4.2.2 Homogenization and Subsampling to 2 Grams

Position the two receiving pans under the mini riffle splitter. Pour the 100 g aUquot evenly across the
baffles of the riffle spUtter.  Transfer the dust from each  receiving pan into the distribution pan and
replace the receiving pans under the riffle spUtter.  Repeat this step five times in succession with the
material in each receiving pan.
                                             B-105

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Splitting to 25 g Aliquots—

Pour the 100 g aliquot evenly across the baffles and place the dust from one receiving pan aside.
Transfer the dust in the other receiving pan to the distribution pan and split once more.  This
produces a 25 g aliquot in each receiving pan. Place the 25 g aliquots on separate sheets of kraft
paper. Similarly split the remaining dust to produce an additional a total of two 5 g aliquots.

Splitting to 2 g Subsamples-

Pour the 25 g aliquot evenly across the baffles of the mini riffle splitter and place the soil from one
receiving pan into a plastic bag.  Transfer the soil in the other receiving pan to the distribution pan
and continue splitting as necessary until approximately 2 g of soil occupies one of the receiving pans.
Place the entire contents of the this pan into the pre-labeled sample container provided by the
analytical laboratories. Similarfy split the dust set aside in the plastic bag.  Repeat the procedure until
all of the 25g aliquots are split into 2 g samples.

3.4.3 Quality Control

When homogenizing and subsampling, gloves must be worn, as well as a mask and protective clothing.
The laboratory manager will frequently check the sieving operation for proper equipment and for
adherence to protocol A member of the EMSL QA staff will visit the preparation laboratory to ensure
adherence to protocol As samples are characterized, precision  estimates at each concentration will be
developed.  If the pooled precision estimate for an audit sample whose concentration is above 10 times
the detection limit (~100ppm) is greater then ten percent relative standard deviation, the preparation
laboratory will and resplit rehomogenize the sample.

3.4.2 Procedure

4.4.2.1 Homogenization and  Subsampling  to 100 grams

Position the two receiving pans under the small riffle splitter. Pour the entire contents of the minus
0.25mm dust fraction evenly across the baffles of the riffle splitter.  Transfer the dust from each
receiving pan into the distribution pan and replace the receiving pans under the riffle splitter. Repeat
this step five times in succession with the material in each receiving pan.

Pour the sample evenly across the baffles and place the dust from one receiving pan into a plastic bag.
Transfer the soil int  the other receiving pan to the  distribution  p[an and continue splitting as necessary
until approximately 100 g of dust occupies one of the receiving pans. Place the entire contents of this
pan into the distribution pan of the mini riffle splitter (see section below).  Repeat the procedure until
all of the dust sample is split into 100 g aliquots.

3.4.2.2 Homogenization and Subsampling to 2 Grams

Position the two receiving pans under the mini riffle splitter. Pour the 100 g dust aliquot evenfy across
the baffles of the riffle splitter.  Transfer the dust from  each receiving pan into the distribution pan
and replace the receiving pans under the riffle splitter.  Repeat this step five times in succession with
the material in each receiving pan.


Splitting to 25 g Aliquots-

Pour the 100 g aliquot evenly across the baffles and place the dust from one receiving pan aside.
Transfer the dust in  the other receiving pan to the  distribution pan and split once more.  This
produces a 25 g aliquot in each receiving pan.  Place the 25 g aliquots on separate sheets of kraft
paper. Similarly split the remaining dust  to produce an  additional a total of two 25 g aliquots.

Splitting to 2 g Subsamples--
                                            B-106

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Pour the 25 g aliquot evenly across the baffles of the mini riffle splitter and place the soil from one
receiving pan into a plastic bag. Transfer the soil in the other receiving pan to the distribution pan
and continue splitting as necessary until approximately 2 g of soil occupies one of the receiving pans.
Place the entire contents of the this pan into the pre-labeled sample container provided by the
analytical laboratories.  Similarly split the dust set aside in the plastic bag. Repeat the procedure until
all of the 25g aliquots are split into 2 g samples.

3.4.3 Quality Control

When homogenizing and subsampling, gloves must be worn, as well as a mask and protective clothing.
The laboratory manager will frequently check the sieving operation for proper equipment and for
adherence to protocol.  A member of the EMSL QA staff will visit the preparation laboratory to ensure
adherence to protocol As samples are characterized, precision estimates at each concentration will be
developed.  If the pooled precision estimate for an audit sample whose concentration is above 10 times
the detection limit (~100ppm) is greater than ten percent relative standard deviation, the preparation
laboratory will and resplit rehomogenize the sample.

                                           Section 4

                              Handwipe Audit Sample Preparation

4.1 Summary

As part of the Superfund Lead Abatement program, children's hands are swabbed with handwipes
which are then analyzed for lead.  As part of the quality control, handwipes audit samples are  included
with the unknown handwipe samples for analysis. Handwipe audit samples are spiked with lead at
three different levels; 5ug, 20ug, and 40ug lead.

4.2 Equipment

        Box of wet handwipes
        200 mg/L and 1000 mg/L solutions
        ml pipette
        Ziploc type plastic bags
        Plastic gloves

4.8 Procedure                                                                             .

4.3.1 Regents

        . 1000 mg/L Pb - Certified standard obtained commerciaDy.
        . 200 mg/L Pb - Dilute 1000 mg/L Pb solution 1:5 with reagent water.

4.8.2 Spiking Procedure

        . Unopened containers of wet-wipes are provided by the participating cities,
        . Working in laminar flow dean hood, wearing clean gloves, Pull out 6 wet wipes from  the
same container ^n^ place into a stack (Le., one on top of the other). Using a micropipet, add the spike
to the center of the wet wipe stack between the third and forth wipe). The spike volumes are given
below;


               - 5 ug spike - 25 uL of 200 mg/L Pb standard
               - 20 ug spike - 20 uL of 1000 mg/Pb standard
               - 40 ug spike - 40 uL of 1000 mg/L Pb standard

        . Fold and crumple the wet wipe stack and place into a zip-lock bag.  Seal and label the bag
with lab ID number. Record the lab ID and spike level into a lab      notebook.
                                            B-107

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                                          Section 5

                            Urban Soil, Urban Dust, And Wet-Wipe

                                Audit Sample Characterization

5.1 Sample Preparation

5.1.1 Reagents

              Concentrated nitric acid (ACS Reagent grade)
              Concentrated nitric acid (Double deionized)
              Hydrofluoric acid (48% high purity)
              Reagent water (ASTM type ID

5.1.2 Hot nitric Arid (HNO3) Extraction

Place 1 g sample (weighed to nearest 0.1 mg) or packet of wet wipes into a clean 100 mL beaker.  Add
50 mL 7N HNO3 to soil or dust samples.  Add 50 mL IN HNO3 to wet wipe samples. Push wet wipes
down with glass stirring rod to ensure complete coverage. Cover with a watch glass and heat gently at
95°C for 2 hours.  Maintain at least 25 mL volume in the beaker by adding 7N HNO3 (IN for wet wipe
samples) as necessary.  After digesting, cool and add 10 mL of water. Filter through Whatman No. 1
filter paper into a 100 mL volumetric flask.  Rinse beaker and filter with additional water.  Dilute to
volume with water.                                                 '

5.1.3 Total Digestion of Urban Soil and Dust Samples

        . Add 0.5g (weighed to nearest 0.1 mg) sample into a clean teflon microwave digestion vessel
Add 9 mL of concentrated HNO3, and 4 mL of 48% HF.  Cap and seal the vessels.  Weigh capped
vessel to the nearest .Olg and place in microwave oven.  A total of 12 vessels must be placed in oven.
Use blanks if extra spaces must be filled. Heat at 520 Watts for 30 minutes. Let the samples cool and
irradiate again at the same setting.

        . CooL Weigh capped vessels. Rinse condensate from cap and vessel walls into vessel
Transfer quantitatively to a 100 mL polypropylene volumetric flask.  Dilute with reagent water to the
Tnark.

        . If not determined previously, determine percent solids as in Section 6.2.

5.1.4 Preparation of Loose Powder Samples for XRF Analysis

        . Pour a 5g soil sample or 2 g dust sample into a powder cup and seal with 3.6 um mylar film.

5.2 Percent Solid Determination .

Determine the percent solids in the soil or dust samples by drying a 5g aliquot at 105°C for 24 hours.
Place a 5g sample (weighed to the nearest mg) in a tared aluminum weighing dish. Dry at 105°C for
24 hours.  Cool in a desiccator.  Reweigh to the nearest mg.                 .

Percent solids =  [100 (wet wt. - dry wt.) /wet wtJ.              .

5.3 Sample Analysis

5.3.1 Summary

Samples were analyzed by XRF to determine Pb concentrations and homogeneity.  The XRF soil audit
concentrations were verified by ICP or GFFAAS.  From the fifty aliquots of each soil analyzed by XRF,
a subset of 7 aliquots were analyzed by ICP or GFFAAS.
                                            B-108

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5.8.2 ICPAES and GFAAS Analysis

The acid digests are analyzed by either ICPAES or GFFAAS depending on the lead concentration in
the digestate. Solutions containing Pb concentrations greater than 10 times the ICPAES IDL are
analyzed by ICPAES ODL is about 50 ppb). Lower concentrations are measured by GFAAS.  The
instruments are calibrated and the digestates analyzed.  HF  resistant components are used for the
total digest solutions. Qualify control is described in Section 5.5.

5.3.3 XEF Analysis   •

Loose powder samples are analyzed by XRF. The analysis conditions for lead are; Ag secondary target,
X-ray tube voltage = 35 Kev, X-ray tube current = 3 mA, atmosphere = air, counting time = 200
sec. live time. The lead L-beta peak/ Ag compton peak ratio is calculated. The lead concentration is
determined from the ratio and the calibration curve (Ratio vs. Concentration).  Qualify control is
described in Section 6.5.

5.4 Instrument Calibration

5.4.1 ICPAES and GFFAAS Analysis

The instruments are calibrated following the manufacturer's guidelines. A series of calibration
standards are analyzed and a calibration line calculated using linear regression of intensity vs. standard
concentration.

5.4 3. XRF Analysis

The XRF is calibrated by acquiring spectra from a series of urban soil standards with known lead
concentrations. Acquisition conditions are given in Section 5.3.3.  The Pb L-beta peak and Ag compton
peak are measured from the spectra and the Pb LB peak/Ag Compton peak ratios are calculated. A
calibration line is calculated using linear regression of ratio vs. standard concentration.

5.5 Quality Control

5.5.1 Sample Related Quality Control

        The following QC are prepared for ICPEAS and GFAAS analysis

        . Matrix Spike Sample - one sample per 20 will be spiked with lead prior to    digestion.

        . Reagent Blank Sample - One reagent blank win be prepared per group of 20  samples.

group o£ l&barrqbfczy Control Sample (LCS) - One LCS sample will be prepared and    analyzed per

5.5.2 Analysis Related Quality Control

The following QC q*™p1»< are analyzed along with routine samples:

5.5.2.1 ICPAES and GFAAS Analyses

        Initial Calibration Verification (ICV) Standard - After calibration, the ICV is analyzed.  The
        percent recovery must be 90-110%. The ICV solution is a standard from a different source
        than the calibration standards.

        Initial Calibration Blank (ICB) - After = analysis of the ICV, the ICB is analyzed. The
        measured concentration must be less than 2  times the IDL.

        Interference Check Solution (ICS) - An ICS solution is analyzed after the ICV and ICB are
        analyzed.  The ICS contains 500 ppm of major interferents (Mg, Ca, Fe, Al) and a known Pb
        concentration. The  % recovery of Pb must be 75-125%.


                                            B-109

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        Detection. Limit Sample (DL) - A DL sample is analyzed after the ICS solution.  The
        concentration of the DL solution is twice the IDL.

     .  ^Continuing Calibration Verification Standard (CCV) - A CCV is analyzed every 10 sample and
        after the last sample. The CCV concentration is in the mid-calibration range. The % recovery
        must be 90-110%. If not, the instrument must be recalibrates and all samples up to the last
        acceptable CCV must be reanalyzed.

        Continuing Calibration Blank Sample (CCB) - A CCB is analyzed after every CCV.  The
        concentration must be less than twice the IDL.

 5.5.2.2 XKF Analyses

        Reference Monitor (KM)  - Prior to analysis, a reference monitor sample is measured.  The
        reference monitor intensity provides a standard measure of the x-ray flux that irradiates the
        samples being analyzed.  The reference monitor provides a method of standardizing and/or
        compensating for changes in the x-ray tube flux.                          •

        High Initial Calibration Verification Standard (ICVH) - An ICVH sample is analyzed after the
        KM and after the last sample in a run.  The concentration of Pb is at the high end of the range
        of interest.

        Low Initial Calibration Verification Sample (ICVL)  - an ICVL is analyzed after the ICVH. The
        concentration of Pb is at  low end of the range of interest.

                                           Section 6

                                Audit Sample Window Generation

 6.1 Soil, Dust, and Handwipe Audit Samples

 At least 50 aliquots from each soil and dust are analyzed by XRF, wet wipes are analyzed by ICPES.
"A biweight statistical procedure is used  to calculate audit windows. The biweight approach has an
 advantage over the  classical approach in that it identifies outliers and weights them in a manner that
 gives them less influence on the accuracy window.

 After analysis, enter the data into the program, which then generates three estimates of prediction
 intervals for single future observation from a univariate normal, population (Figure 7.1).

               (1) Classical - Based on  all data Reference:  Whitmore, G.A. "Prediction Limits for a
               Univariate Normal Observation", The American Statistician, VOL. 40, NO. 2, may
               1986, PP 141-143.

               (2) W/O Outliers - Outliers Removed by Grubbs' Test Reference: Barnett, V. and
               Lewis, T. "Outliers in Statistical Data", 2ND ED., John Wiley and Sons, New York,
               1984, P. 167.

               (8) Biweight - Robust Estimation Using Biweight Procedure Reference:  Kafadar, K "A
               Biweight Approach to the One Sample Problem", Journal of the American Statistical
               Association, VOL. 77, NO. 378, PP. 416-424.
                                            B-110

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                              PREDICTION INTERVAL SUMMARY REPORT
DATA FILE:
     or
gSTIHATOR
I or
DATA
CLASSICAL     50
M/0 OUTLIERS  SO
BIHBIGHT      50
  SAMPLE     SAMPLE     95%   INTERVAL   99%  INTERVAL
   HEAH     STD DEV    LOWER  UPPER    LOWER   UPPER

927.1480  41.4193'  843.0907 1011.2050 814.9757 1039.3200
927.1480  41.4193   843.0907 1011.2050 814.9757 1039.3200
923.4212  43.1311   835.8742 1010.9680 806.5920 1040.2500
      ii 7.1 Example of Audit Sample .Prediction Interval Summary Report                            _

      The program also performs the following;

             1) Tests for normality using the Kolmogorov-Smirnov and the Anderson-Darling statistic
             2) Presents a histogram of the data
             8) Lists the data and the biweight weighting factors

      The information is sent to the project QA manger for review before audit samples are sent to  *
      laboratories for inclusion in sample batches.

                                                 Section 7

                                                  Safely

      7.1 Laboratory Safety

      Environmental samples invariabfy involve undesirable if not hazardous materials and must be handled
      with respect. Special equipment and facilities are provided to prevent  cross contamination of space and
      other samples. Special training hi the use of the above may be needed (Section 1.3.3).

      Personnel engaged in handling hazardous samples undergo initial and periodic medical examinations to
      insure that they have not contracted medical problems related to the materials with which they are
      involved,   *

      7.1.1 Equipment and Supplies                                         .
             Dust
             Full face respirator
             Laboratory coat
             PVC gloves
             Tyveksuits

      7.1J2 Preparation Laboratory

      Dedicated equipment and special facilities are used during sample preparation.  The LESC warehouse
      has two rooms dedicated to sample drying, sieving, homogenization, riffle splitting, and sample
      aliquoting.  During each of the above procedures the following equipment is required: full face
      respirator,  tyvek suit, and PVC gloves.

      7.1.3 Characterization Laboratory

      The analytical laboratory requires personnel to: 1) work in a laminar hood and wear a dust mask while
      splitting samples, 2) wear PVC gloves while handling samples.
                                                   B - 111
                                               •>?-U.S. GOVERNMENT PRINTING OFFICE: 1993 - 750-068/60017

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