DATt:
               UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

            2 8 1S8Q
SUBJECT.  SurgesjLed^o A^^erse Response Level (SNARL) for Tetrachloroethylene
        y t*c&l  y • £<**+~^*+*
       Victor  J-^Kimin,  Deputy Assistant
  FROM:  Administrator for Drinking Water (WH-550)

       Regional  Administrators
    TO:
       The Office of Drinking Water (ODW), has completed a SNARL
       for tetrachloroethylene.   We develop SNARLs upon request and
       when sufficient  toxicological data are available for
       contaminants found in drinking water where no standard
       exists.   SNARLs  are not regulations, but are advisory guidance
       which should be  interpreted on a case-by-case basis as
       applied.

       In  developing this SNARL,, the Criteria and Standards Division,
       ODW, reviewed the current literature on the health effects
       of  tetrachloroethylene.  Both data from animal tests and
       some studies from high level exposure in humans were used as
       basis for extrapolating to levels in drinking water that
       would result in  negligible risks to the general human population.
       When considering toxicity that does not include the risk of
       cancer,  we generally use a child weighing  10 kg (22 pounds)
       and drinking one liter of water per day as the basis for
       calculations of  short exposure (acute) toxicity and longer
       exposure  (chronic) toxicity.  These levels are derived  using
       safety  factors from classical toxicology and a logic similar
       to  that  used by  the National Academy of Sciences in "Drinking
       Water and Health."  When considering the possible cancer
       risk, where it is assumed that there is some risk at any
       level of  exposure, and that the risk increases as the lifetime
       exposure  increases, we use the 70 kg (154  pounds) adult
       living  70 years  who drinks two liters of water as the base,
       and calculate the excess cancer risk above the normal background
       according to a mathematical model developed by the National
       Academy  of Sciences in "Drinking Water and Health," and
       based on animal  tests conducted by the National Cancer
       Institute.
       The drinking water levels that we have  calculated  providing
       a  margin of safety from likely toxic effects  in  humans
       {assuming that 100% of the exposure is  from  drinking water)

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were related to the length of time that water  is  being
consumed, and range from short-term emergency  levels  to
long-term chronic exposure.  We have  separately computed  the
potential additional cancer risk.

The computed drinking water guidance  levels  for effects
excluding cancer risks are as follows:

    Time                           Concentration

     1 day                         2.3 mg/1
    10 days                       175  ug/1
    Chronic (long-term)           20  ug/1

The computed excess lifetime cancer risks  from the HAS model
at various exposures assuming the 70  kg adult  drinking •two
liters of water per day for 70 years  at the  indicated concen-
tration are as follows:

    Concentration                  Excess  Risk

     3.5 ug/1                      one in  1,000,000
    35 ug/1                        one in  100,000
    20 ug/1                        approximately  six  in  1,000,000

The development of a SNARL for tetrachloroethylene does  not
condone its presence in drinking  water, but  rather provides
useful information to assist in setting control priorities
in cases where it is found as a contaminant.   The applicable
treatment technologies include aeration and  granular  activated
carbon.  Human exposure to contaminants in drinking water
such as tetrachloroethylene should be reduced  to  the  extent
feasible, to avoid the unnecessary risks from  their presence
as adulterants.

Attachments

cc:  Regional Water Supply Representatives
     Lowell Van Den Berg
     Alan Levin

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                          FEB  c 1980


                SNARL  for  Tetrachloroethylene
                  Office  of  Drinking Water                    —
            U.S.  Environmental  Protection Agency
                  Washington,  D.C.  20460

THE OFFICE OF  DRINKING  WATER "SNARLS" PROGRAM

The Office of  Drinking  Water provides advice on health
effects upon request, concerning unregulated contaminants
found in drinking' water supplies.  This information  suggests
the level of a  contaminant in drinking water at which  adverse
health effects  would  not  be  anticipated with a margin  of
safety; it is  called  a ""SNARL (suggested no adverse  response
level).  Normally values  are provided for one-day,  10-day
and longer-term exposure  periods where available  data  exists.
A SNARL does not condone  the presence of a contaminant  in
drinking water,  but rather provides useful information  to
assist in the  setting of  control priorities in cases when
they have been  found.

In the absence  of a formal drinking water standard .for
tetrachloroethylene,  the  Office of Drinking Water has  estimated
a suggested no  adverse  response level (SNARL) following the
state-of-the-art concepts in toxicology for non-carcinogenic
risk for short  and  long term exposures.  For carcinogenic
risk, a range  of risk estimates is p-rovided for  life-time
exposures using a model and computations from the NAS  Report
(1979) entitled "Toxicity of selected drinking water contami-
nants."  However, SNARLS  are given on a case-by-case basis
in emergency situations such as spills and accidents.   The
SNARL calculations  for  short-term and chronic exposures
ignore the possible carcinogenic risk that may result  from
those exposures.  In  addition,  SNARLS usually do  not consider
the health risk resulting from possible synergistic  effect
of other chemicals  in drinking water, food and air.

SNARLs are not  legally  enforceable standards; they  are not
issued as an official regulation, and they may or may  not
lead ultimately to  the  issuance of a national standard or
Maximum Contamination Level (MCL).  The- latter must  take
into account occurrence,  relative source contribution  factors,
treatment technology, monitoring capability, and  costs, in
addition to health  effects.   It is quite conceivable that
the concentration set for SNARL purposes might differ  from
an eventual MCL. The SNARLs raay also change as  additional
information becomes available.   In short SNARLs  are  offered
as advice to assist those that are dealing with  specific
contamination  situations  to protect public health.

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General Information  a_n_jd He a 1th Effects

Substantial quantities  of tetrachloroethy 1ene are
produced  (7CC  million  pounds in the U.S. in  1973).   Tetra-
chloroethylene (perchloroethylene)  is used as a  dry  cleaning
and degreasing solvent, heat-transfer medium, and  in the
manufacture of fluorocarbons.  This chemical is  sliohtly
soluble in water  (0.01% by volume).

Little work has  been done to delineate the uptake,  distri-
bution, metabolis-tn  and  excretion patterns following  oral
exposures to tetrachloroethylene.  For our purposes,  an
assumption is  being  made that 30% is absorbed via  respi-
ration and almost  100%  via the gastrointestinal  tract, as
has been  shown for  trichloroethylene.  Only  a small  fraction
of tetrachloroethylene  is metabolized to trichloroacetic
acid and/or trichloroethanol.  The urinary half-life of
tetrachloroethylene  is  markedly longer  (144  hours)  than  that
of trichloroethylene indicating some level of bioaccuraulation.

Tetrachloroethylene, like other halogenated  hydrocarbons  at
high doses, has  been reported to produce liver and .kidney
.damage and central  nervous system disturbances in  mammals,
including humans.   In  addition, tetrachloroethylene  has  been
demonstrated to  lower  the DNA and RNA content of several
organ  systems  of  rats.   High concentrations  of this  chemical
result in growth  inhibition and mortality as demonstrated in
animal inhalation  studies.

Investigations of  chronic toxicity of tetrachloroethylene in
animals have all  involve-.l inhalation exposure, with  the
exception of an  assessment of carcinogenesis which involved
oral dosing  (NCI,  1977).  The National Cancer Institute  has
reported  tetrachloroethy1ene-induced hepatoce1lular carcinomas
in male and female  mice, but not in male or  female rats.

Schwetz e_t a_l. (1975)  reported that tetrachloroethylene  was
not teratogenic  to  rats and Swiss Webster mice after in-
halation  exposures  of  300 ppm for seven hours per  day on
days six-15 of gestation.  Careful examination of  their
data,  however, indicate that there were a number of  modest
but statistically  significant deviations of  adverse  health
effect parameters  from control animals, including  increased
body maternal  weights,  decreased body weight of  mouse fetuses,
increased fetal  resorptions and increased incidence of split

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sternebrae,  subcutaneous  edema  and delayed ossification of
skull bones  in  mouse  fetuses.   Shuraacher et al. (1962)
exposed three week  old  mice  for eight hours/day, three days
each to 200, 400,  800 and 1600  ppm perchloroethylene.  The
exposures produced  significant  mortality and growth inhibition
i n survivors•

Tetrachlorgethy'qne  SNARL

Tetrachloroethylene  is  a  carcinogen in mice, and also causes
non-carcinogenic  bioeffects  at  high doses.  One-day,  10-day
and chronic  SNARL  values  based  on non-carcinogenic bioeffects
are computed incorporating appropriate factors of safety.
Estimates of concentrations  projected to increase the lifetime
cancer risk  by  one  in  100,000  and one in a 1,000,000  are
also provided using  the HAS  model.  The non-carcinogenic
SNARL recommendations are made  considering the child  and
other sensitive members of the  population.

A one-day SNARL of  2.3  mg/1  can be calculated using a study
by Kylin  (1963).   In  this study mice were exposed to  200 ppta
tetrachloroethylene  in  air for  a period of four hours.
Histological examinations of the liver demonstrated fatty
infiltration but  not  cellular  necrosis.  Even though  the
exposure  levels ranged  from  200 to 1600 ppm tetrachloro-
ethylene, the no-adverse-effect level was not established.

Using the method  by  Olsen and  Gehring (1976) whereby  the
lung/whole body ratios  for humans and animals are assuned  to
be roughly equivalent,  the total exposure of 200 ppni  (1358
mg/m ) for four hours via inhalation, could be used to
determine the one-day SNARL:

     .(1358 rag/m )(4  m3/day) (0.30 )	(J__)_    «    2.3 mg/1
     (1 l/day)(100  uncertainty  factor)(7)

Where:    1/7 = child/adult  body weight ratio
          0.30  -  absorption  factor
          1  I/day  •  child's  daily water consumption
          100 uncertainty factor because of animal experiment
          1358  mg/m   =  (200  ppm)(6.79 conversion factor)
          4m  « according -to Olsen and Gehring whereby the
             lung-whole  body  ratios for humans  (adults) and
             rats  (adults) are  assigned to be roughly
             equivalent

An uncertainty  factor of  100 was chosen rather than  1,000
even though  the SNARL  is  based  upon an animal experiment  in
which the no-observed-effect level was not identified.   It

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was felt that  the  i.-.dex  of toxicity, namely fatty infil-
tration of  the  liver,  is a delicate disorder in itself which
is reversible  and  not  life-threatening after a short exposure/
therefore an additional  margin of safety was not warranted.

The National Academy  of  Sciences (NAS, ,1979) has computed  a
one-day SNARL  of  172  mg/1 and 24.5 mg/]j for the seven-day
SNARL.  Calculations  used by the NAS to determine a one-day
SNARL were  based  on  hepatotoxicity at a dose level of  490
rag/kg body  weight  given  intraperitoneally to the animals.
The calculations  were  made for a 70 kg man and the drinking
water was considered  to  be the sole source of exposure.  The
seven-day NAS  SNARL  was  calculated by dividing the one-day
SNARL value by  the appropriate number of days.

The NAS chose  to  work  with data in animals given intra-
peritoneal  injections.   The Office of Drinking Water selected
an inhalation  study  in animals for extrapolation of its
SNARL and calculated  the SNARL for the 10 kg child.  Animal
studies and a  human  case history suggest that, in this case,
children appear to be  a  sensitive population which needs
to be protected from  the adverse health effects.

The Office  of  Drinking Water 10-day SNARL was calculated
using an inhalation  study by Savolainen, et al. (1977) in
which inhalation  exposures of adult male rats to 200 ppn of
tetrachloroethylene  six  hours daily for five days caused
diminished  brain  RNA  content.  The  10-day SNARL of  175 ug/1
was thus determined:

     (1353  mg/m ) (6  m3)(0.30)(1)(1)     «    175 4ig/l
     (1 l/day)(1000)          (7)(2)

Where:    1358  mg/m   = (200 ppm)(6.79 conversion factor)
          6m   =  according to Olsen and Gehring whereby  the
            lung-whole body ratio for humans (adults)  and  rats
            (adults)  are assumed to be roughly equivalent
          0.30  *  absorption factor
          1 I/day  «  Child's daily consumption of drinking
            water
          1000  =  uncertainty factor due to animal experi-
            ment  with  no-observed-effect level identified
          1/7 .» child/adult body weight ratio
          1/2  = factor to provide for equivalent toxicity  on
            day 10 as  noted on day  five

As a matter of  interest  "Medical World News" contained a
report of a six week  old baby with  jaundice and an enlarged
liver; the  baby was  breast fed by a mother who was frequently

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exposed tr  t e t r £ ch Icr ce thy le ne in a dry  clear.ing  establishment
(Anonymous,  1978).   The mother's milk contained -perchloroethylene
levels up to  one  mg %.   The child's symptoms  vanished  when
breast feeding  was  discontinued.

Lon ge r-Term SNARL:

A longer-term  SNARL of  20 ug/1 (rounded  from  the  compu-
tation) can be  estimated from a study by Navrotskii  et a 1.
(1971).  The  authors reported increased  urinary  urobilinogen
and pathological  changes in the parenchyma  of the liver and
kidneys of  rabbits  after inhalation exposure  to  100  mg/m
perchloroethylene for three to four hours/day for seven to
11 months.   The  calculations for a longer-term SNARL are:

     (100 mg/m3)(4  m3/day ) ( 0 . 30 )	( 1 )    -    0.017 mg/1
     (1 I/day) (1000 uncertainty factor)(7)

Where:     100  mg/m   « observed effect level
          4m  =  according to Olsen and  Gehring whereby the
             lung-whole  body ratio for humans  (adults)
             and  rats (adults) are assumed to  be  roughly equivalent
          0.30  =  absorption factor
           1 I/day = child's consumption  of  drinking water
           1/7  =  child/adult body weight  ratio
           1000  «  uncertainty factor due  to  animal study
             where health effect was observed

Since tetrachloroethylene is considered a carcinogen, at
least for mice,  and using the risk etimates generated by the
National Academy  of Sciences (NAS), it  is possible to identify
that range  of  tetrachloroethylene concentrations that would
increase fhe  risk of one excess cancer  per  10  or 10  people
exposed over  a  lifetime.  From the NAS  model  it is estimated
that consuming  2  I/day  over a lifetime  having a tetra ch l.or oethy lene
concentration  of  3.5 ug/1 or 35 ug/1 would  increase the  risk
by one excess  cancer/million exposed or one excess cancer/100,000
exposed, respectively.   This is the range of  risks where
raany EPA regulatory values for other carcinogens have been.

These risk  extrapolations were based on an  assumption that
there is no threshold effect level for  carcinogens.   The
state-of-the-art  at the present time is such  that no experimental
tools can accurately define the absolute numbers of excess
cancer deaths  attributable to tetrachloroethylene in drinking
water.  Due to  biological variability  and the number of
assumptions required, each of the risk  estimating procedures
leads to a  different value.  There is wide  variation between
these estimates  and also in their interpretation.  For  this

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reason we report  the  results  of the NAS risk computations,
which is a conservative  approach,  as a range of values from
one in 100,000  to  one  in 1,000,000 incremental risk (risk
above background)  for  a  carcinogen.  The NAS risk estimates
are based on  the  multistage  model  concept.  "At low dose,
the raultistage  model  is  often mathematically equivalent to
•the linear or single  hit model.  Therefore, its use for
extrapolation is  consistent  with the conservative linear
risk estimation.   If  the precj.se mechanism of carcinogenesis
is represented  by  a  threshold or log-normal dose response
relationship, the  multistage  model may considerably over
estimate the  risk  at  low dose levels.  However, this possibility
cannot be reasonably  quantified" (NAS-1979).

In summary, the one-day, ten-day and longer-term SNARL
values for tetrachloroethylene are 2300 ug/1, 175 ug/1 and
20 ug/1, respectively,  if drinking water is the only source
of exposure.  The  concentrations resulting in a lifetime
risk of  10    and  10    are 3.5 ug/1 and 35 ug/1, respectively,
if the contaminated  drinking water was consumed over a
lifetime.  The  longer-term SNARL of 20 ug/1 tetrachloro-
ethylene in drinking  water may result in excess cancer risk
of approximately  six  in  one  million, if the exposure was  for
a lifetime (70  years).

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