Statement of Basis and Purpose




                      for the




National Interim Primary Drinking Water Regulations




                   RftDIONUCLIDES  .




                   July 9, 1976
       U. S. Environmental Protection Agency.




           Office of Radiation Programs




          Criteria and Standards Division




              Washington,  D.  C. 20460

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                         TABLE OP CONTENTS                              '19710


 Introduction	1

• General Considerations	2

 Health Risk from Radionuclides in Drinking Water	7

 The Control of Radium in Public Water Systems	13

 National Cost for Radium Removal	15

 Impact of Maximum Contaminant Levels for Man-made Radionuclides	19

 Monitoring for Radioactivity in Community Water Systems	21

 Monitoring Costs for Radium and Alpha Particle  Activity	25

 Monitoring Costs for Man-made Radioactivity 	29


 Appendix I   -  Policy Statement,  "Relationship Between
                 Radiation Dose and Effect"	32

Appendix II -    Environmental Data on Radioactivity  in
               •  Community Water Systems  Systems	37

                 A.   Gross Beta,  Gross Alpha,  Strontium-90,
                     Radium-226 and Specific Gamma Activity	47
                                   .               v
                 B.   Tritium in Drinking  Water	59

Appendix III  -  Definitions used in the  Proposed Regulations	63

Appendix IV -   Cost and  Cost Effectiveness of  Radium Removal	66

Appendix V   -   Risk to Health from Internal  Emitters	72

                A.   The Dose  and Health  Risk  from
                     Radium  Ingestion	72

                B.   The Relative Health  Risk  of Radium-228
                     as Compared  to Radium-226	75

Appendix VI  -  Dosimetric Calculations  for
                Man-Made Radioactivity	80

                A.  Calculations Based on IffiS Handbook 69	80

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B.  The Dose from Tritium and Strontium-90 in
    Drinking Water	83

C.  Average Annual Concentrations Yielding 4 Millirem Per
    Year for Two Liter Daily Intake	86

    (Table VI-2}.."	87

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INTRODUCTION




     The Safe Drinking Water Act directs the Administrator to set




interim primary standards for drinking water that "shall protect




health to the extent feasible, using technology, treatment




techniques and other means, which the Administrator determines




are generally available  (taking costs into consideration)." The




cost considerations referred to are limited to treatment




techniques and other means which are under the control of the




water supplier.  The Agency believes that the establishment of




maximum contaminant levels for radioactivity(1) will protect




health to the extent feasible and aid achievement of the national




goal of safe drinking water.

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 General Considerations


      In determining maximum contaminant levels for radioactivity


 in drinking water the Agency has given consideration to several


 important factors including the diversity of sources causing


 radioactivity to be present in drinking water.  Radioactivity in


 public water systems may be broadly categorized as naturally


 occurring or man-made.  Radium-226 is the most important of the


 naturally occurring radionuclides likely to occur in public water


 systems.   Although radium may occassionally be found in surface


 water due to man's activities,  it is usually found only in ground


 water where it is the result of geological conditions,  not


 subject to control.   In contrast to radium,  man-made


 radioactivity is ubiquitous in  surface water because of fallout
                                       •          ,

 radioactivity from nuclear weapons  testing.   In some localities


 this  radioactivity is increased by  small  releases  from  nuclear


 facilities (such as nuclear power plants), hospitals, and


 scientific and  industrial  users of  radioactive  materials.  The


Agency  recognizes  that  for both man-made and naturally occurring


radioactivity a  wide  range of both  controllable and


uncontrollable sources can influence the concentration of


radioactivity in water served by public systems.


     Variability in the quality  of source waters is not unique
                                                      f

for radioactive  contaminants; other contaminants in drinking


water also differ widely in their occurrence.  What is unique, at


the present time/ is that, for radioactivity, limits to protect

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 public health can not be based on some proven harmless intake of

 radioactive material.  Rather/ maximum contaminant levels  for
        •

 radioactivity are based on the assumption that there is no

 harmless level of dose from ionizing radiation and that any

 detrimental effects on health produced by the radiation will  be

 proportional to the dose equivalent delivered by the

 radioactivity in drinking water.

      The Agency recognizes that for the low doses and dose rates

 expected from intakes of drinking water,  the risk to am

 individual  is small and that the  potential health effects
                                             *
 associated  with the risk are no different in the types of

 diseases manifested spontaneously,  representing in fact only

 small potential increases in the  normal incidences in these

 diseases.   The Agency also recognizes  that the number of health

 effects caused by ionizing radiation at very low doses  and dose

 rates is presently unknown and unlikely to be quantified more

 precisely in the immediate future.   Therefore,  the Environmental

 Protection  Agency has adopted a prudent policy which assumes that

 any dose of ionizing  radiation may produce  potential  harmful

 effects  to  human health  and that  the extent of such harm can be

 estimated from effects that have been observed at  higher doses

 and dose  rates  than are  likely  to be encountered from

 environmental  sources of radiation.  Acceptance of this policy by

 the Agency  cannot be based  solely on the scientific evidence but

must  include an operational  judgement,  for practical  reasons, in

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applying present knowledge to the establishment of standards.  A




more detailed statement of this policy on the the relationship



between radiation dose and effects is reprinted in Appendix I.




     Depending on the circumstances of the exposure/ risks from




ionizing radiation may or may not be accompanied by an offsetting



benefit.  In the case of radium contaminated ground water there



is no benefit per se from the geological processes causing the




radiocontamination.  On the other hand, man-made radioactivity in



public water supply systems may be deliberate due to man's use of




nuclear energy to produce electric power, or to his use of




radionuclides in the diagnosis and treatment of diseases or



research and industrial applications.  Balancing the risks and




benefits from these activities and specifying appropriate




controls for the resultant liquid effluent waste streams is



required by other Federal statutes.  The Administrator is limited




under the Safe Drinking Water Act to regulating the water




supplier.  However, the Interim Regulations for radioactivity



take full account of the fact that control regulations




established under authority of the Atomic Energy Act as amended




(PL 83-703) and Environmental Protection Standards proposed under




this Act by EPA (Radiation Protection for Nuclear Power Reactors,



40PR 23420, May 29, 1975) as well as Federal Radiation Council




Guides are intended to limit liquid radioactive discharges into




surface waters to the extent practicable.

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     In addition to man-made radioactivity in drinking water due

to effluents from nuclear facilities, surface waters may contain

radioactive materials from aerial effluent releases and from

nuclear weapons testing.  The residual radioactivity in surface

waters from fallout due to atmospheric nuclear weapons testing is

mainly strontium-90 and tritium/ the former being the more

important in health considerations.  Current data on the impact


of fallout strontium-90 on public water supplies is incomplete.

However, the available data  (Appendix II) indicate strontium-90

concentrations are about 1 pCi per liter, corresponding to a dose
 •
equivalent to bone marrow of less than 1/2 mrem annually.*

Tritium concentrations in surface water rarely exceed 1000 pCi

per liter, corresponding to a dose equivalent of less than 0.2

millirem per year.

     Unplanned releases of radioactive materials are another

source of possible contamination.  It is not anticipated that the

proposed maximum contaminant levels for radioactivity would apply

to transient situations such as might follow a major

contaminating event.  In accident situations' it is necessary to

balance, on a case-by-case basis, the potential risk from

radiation exposure against the practicality and consequences of

any remedial measures taken to ameliorate that risk.  In such

situations Federal guidance as•promulgated in the Federal
^Definitions of units and terms used in the proposed regulations
are given in Appendix III; dosimetry calculations in Appendix VI,

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Register Notices of August 22, 1964 and May 22, 1965 will apply



and the emergency plans of the States, as provided for in Section



1413 (A)(5) of the Safe Drinking Water Act should reflect this




Federal Guidance.



     Radium in drinking water is primarily a problem of the



smaller public water systems.  About 40 percent of the U. S.



population is served by 243 regional systems supplying large




metropolitan areas.  Yet, most of the nation's 40,000 cocsnunity




water systems serve less than 500 persons.  In general, the large



regional systems utilize surface water which on the whole



contains very low concentrations of radium.  Small supplies



commonly use ground water, water which in some cases may contain




radium.  Therefore, the impact of iMxiiman contaminant levels for



radium is more likely to fall on small supply systems which



generally have limited resources.  Although one of the intentions



of the Safe Drinking Water Act is to encourage the




regionalization of these small systems, the availability of local



resources for the control and monitoring of radioactivity has



been of concern to the Agency.  This concern 'is balanced by the




belief that the identification of an atypical radium




concentration and the introduction of its control is a direct



benefit to the user population.  This benefit is a reduction in




any health risks due to radium in drinking water.

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 Health Risks From Radionuclides  in Drinking Water

      Risk estimates  from total body  and to a  lesser extent

 partial body exposure  have been  made using data published in the

 NAS-BEIR Report  (National Academy of Sciences Report of the

 Advisory Committee on  the Biological Effects of Ionizing

 Radiation)(2).   Such estimates are based on the likely

 conservative/ but nevertheless prudent  assumption that the

 radiation effects are  linearly proportional to the dose* and that

 the number of cancers  per rem that have been observed at high

 doses  and dose rates is  a practical  predictor of the effects per

 rem at the low doses and dose rates  encountered from

 environmental sources  of radiation.  The degree of conservatism

 in such an approach  has  not been documented but it is likely to

 be less for  ingested alpha particle  emitting radionuclides than

 for those man-made sources of radioactivity which decay by beta

 and gamma ray emission.

     The  NAS-BEIR risk estimates-are for the U. S. population in

 the year  1967.  For  an exposed group having the same age

 distribution, the  individual risk of a  fatal cancer from a

 lifetime  total body  dose  rate* of 10 mrem per year ranges from

 about 1 to 5 x 10~6 per year depending on whether an absolute or

 relative  risk model  is used.**   The NAS-BEIR Committee does not
*For the purpose of this statement "dose" means "dose equivalent"
as defined in Appendix III.

**Absolute risk estimates are based on the reported number of
cancer deaths per rad; relative risk estimates, on the percentage
increase in cancer mortality per rad.

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choose between these two models but their "most likely estimates"



correspond to an average of the absolute and relative risk



estimate i.e., about twice the absolute risk.  For fatal cancer



induction an individual risk of 2 x 10~6 per year from a 10 mrem.



annual total body dose is believed to be a reasonable estimate of



risk.  The estimated total cancer impact from a life time total



body exposure exceeds that for fatal cancer alone.  The NAS-BEIR



Committee estimates that the total of both fatal and non-fatal



cancers would be a factor of two larger (2).  The incidence of



genetic effects is more difficult to estimate; but the increase,



expressed over several generations, would be comparable to the



increased incidence of fatal cancer (2).



     The estimated risks of a fatal cancer due to a lifetime



exposure of ionizing radiation can be compared to the risk



without additional radiation by normalizing the NAS-BEIR data for



the 1967 population in terms of a single individual's exposure



history.  Based on U. S. Vital Statistics, C 3) the probability



that an individual will die of cancer is about 0.19.  This



probability may be increased by 0.1% from a lifetime dose




equivalent rate of 15 mrem per year.  Maximum contaminant levels



for man-made beta and photon emitters limit the dose equivalent



from the drinking water pathway to 4 mrem per year, corresponding




to a lifetime risk increase of 0.025%.



     For partial body irradiation, which is not uncommon for




ingested radionuclides since the radioactivity may be largely

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concentrated in a particular organ or group of organs, the
estimated risk is somewhat less than for total body exposure
where all organs are irradiated.  For example, the estimated
thyroid cancer incidence rate from the thyroid gland receiving 10
mrem per year continuously ranges from about .5 to 1.3 per year
per million exposed persons (averaged over all age groups).
Fatality due to thyroid cancers varies with age, from nearly zero
for children and young adults to about 20 percent of the
incidence for persons well past middle age.  Although it is noted
that estimated fatalities from thyroid exposure are at least five
times less than that from whole body exposure, other factors
bearing on the health impact are significant.
     The incidence in thyroid tissue of non-cancerous neoplasm,
(benign nodules), following radiation exposures is much higher
than the incidence of thyroid cancers, particularly in the young
(2).  Since the most likely treatment for such nodules is severe,
              •
thyroidectomy, the medical consequences are underestimated by a
consideration of cancers only.  In addition, there is clinical
evidence that the young appear to be particularly susceptible to
radiation induced cancer of the thyroid, perhaps by as much as a
factor of 10  (2,3).  While'it is appropriate to calculate risks
due to the dose permitted by an ambient standard on the basis of
the average risk throughout life and not just childhood alone, as
in the Interim Regulations, the Agency recognizes a need  for some

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                                  10
conservatism where the major impact of the allowed radiation may



fall on a particular subgroup.



        Radium locates primarily in bone where 80 to 85 percent of



the ingested radium is deposited.  However/ other organs are also



irradiated to a lesser extent and the total health risk from



radium ingestion has been estimated by summing the dose and



resultant risk from all organs, Appendix V.  Risk estimates



derived from the BEIR Report  (2) indicate that continuous




consumption of drinking water containing radium-226 or radium-228




at the proposed maximum contaminant level may cause between 0.7



and 3 cancers per year per million exposed persons.  Almost all



of these cancers would probably be fatal.  Although the maximum




contaminant level for radium is much nearer Federal Radiation  .



Council guides than the limit for man-made radioactivity, see



below, the estimated risks from maximum contaminant levels for



radium and for man-made radioactivity are nearly the same.




        While it is incorrect to speak of safety factors in



radiation standards, since only in the complete absence of



radiation can any effects be avoided completely, some perspective



may be gained by comparing the dose due* to drinking water at




«mxJ|.Tm.'n" contaminant levels to dose levels established for




population groups by the Federal Radiation Council (4).  The



radiation protection guide for all sources of total body exposure




except radiation received for medical purposes and that due to

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                                11
 natural background is  170 millirem per year.  At this dose rate



 effects are  not expected to be necessarily non-existent but



 rather non-detectable,  except perhaps by rigorous statistical



 analysis  involving a large exposed population.  The annual dose



 allowed by the  proposed maximum contaminant levels for man-made



 radionuclides is over  forty times  smaller  (4 millirem vis-a-vis



 170 millirem) for  a single exposure pathway, drinking water.



 Similarly, in the  case  of radium-226, Federal Guides for total



 ingestion recommend that the daily intake not exceed to 20 pCi,*



 twice  that allowed by the maximum  contaminant level, 5 pCi/1 and



 an intake of 2  liters per day.



     In addition to the maximum contaminant level for radium-226



 and radium-228  of  5 pCi/1, the Interim Regulations specify a



 maximum contaminant level for gross alpha particle activity of 15



 pCi/1, including radium-226.*  A limit is placed on gross alpha



 particle  activity  rather than each alpha particle emitting -



 radionuclide individually since it is impractical at the present



 time to require  identification of all alpha particle emitting



 radionuclides because of analytical costs.



     The maximum contaminant level for gross alpha particle



 activity is based on a  consideration of the radiotoxicity of



other alpha particle emitting contaminants relative to radium.



The 15 pCi per liter gross alpha particle limit (which includes






 *0pper limit of Range II (5).



**Radium-228 is a beta particle emitter.

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                                 12
radium-226) is based on the conservative assumption that if the




radium concentration is 5 pCi/1 and the balance of the alpha




particle activity is due to the next cest radiotoxic alpha



particle emitting chain, starting with lead-210, the total dose




to bone would be equivalent to less than 6 pCi/1 of radium-226




(6).




     It should be noted that as stated in Section 141.15(b) in




the Interim Regulations* the maximum contaminant level for gross




alpha particle activity does not include any uranium or radon




that may be present in the sample.  The Agency may consider




proposing maximum contaminant levels for these radionuclides at a



later date after determining the national need for such




regulations, the .cost of water treatment to remove these




radionuclides and their dosimetry and potential for causing




adverse health effects.

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                              13





 The Control of Radium in Public Water Systems




      In contrast to man-made radioactivity,  for which the




 environmental impact is controlled by a number of regulatory



 agencies, the abatement of radium radioactivity in drinking water



 has received little attention.   Therefore,  radium contamination



 of drinking water is often of more concern  from a regulatory



 standpoint than that due to man-made radioactivity.   Radium-226



 is distributed widely in the U. S.,  and is  found frequently in



 ground water,  particularly in the midwestem and Rocky Mountain



 States.   (In a comparatively few cases  radium-228,  a  beta emitter



 having a chain of daughter radionuclides which decay  by  alpha



 particle emission, like radium-226,  is also present.)   Unlike the



 situation for ground water/  radium is infrequently  found in any



 appreciable  quantity in U.  S. surface waters.   In most of the



 public supply systems utilizing surface  water  the radium content



 is  extremely low,  less than  0.1 pCi per  liter.   In contrast to



 surface  waters  the concentration  of radium in  ground waters used




 by public  supply  systems can be appreciable, concentrations as



 large  as 50  pCi per liter  (7) have been  reported  and perhaps as



 many as  500  community water  systems supply water  that  exceeds 5



pCi per  liter.



     Several remedial measures  are applicable to  radium control.




 In some  instances  it  should be possible  to utilize surface  or



other ground water  sources containing less radium.  Dilution with




less radioactive waters is an acceptable abatement technique for

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                             14
complying with the interim regulations.  Depending on the quality




of the source water, such conation water treatment practice as




coagulation may remove about 25%  (7) of the radium.  However, in



some cases more rigorous treatments will be required to meet the



maximum contaminant level for radium-226 and radium-228.  Radium




removal by means of conventional technology is feasible.  A




number of public water systsms currently remove radium as part of




their water softening treatment processing.  The most efficient



and in many cases the most economical treatment method for radium




removal is based on the use of zeolite as an ion exchange medium.




In this process calcium and radium are exchanged for sodium.  The



Agency is aware that if the mineral content of the source water




is high, the exchange of calcium with sodium'could result in a




marked increase in the sodium content of the drinking water.




However, ingestion of sodium via drinking water in such cases




would still be lower than the normal dietary intake level.  Even



so, persons on low sodium diets should be informed of any




significant changes in sodium concentration.

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                              15
 National Cost For Radium Removal



      In order to estimate the  total  national  cost  to remove



 radium from all public water systems it  is necessary to know both



 the  local concentration of radium and the population served by



 each system.   Such complete information  is not available since



 the  majority of U.S.  systems have not been analyzed for radium.



 However,  many systems have been radioassayed, particularly in the



 Midwest where radium  contamination is encountered most often.



 The  estimated costs of radium  removal, given below, are based on




 a sample of public water systems  identified by Straub in his



 search of the relevant literature on radium contamination  (8).



 Straub listed 306  community water systems serving radium-226 at a



 concentration of 0.5  pCi/1 or  more.   While his list is probably




 representative of  the population  size of systems serving water at



 various radium concentrations, it is  not of course complete and



 contains  some bias since  radium assay has been extensive only in



 areas  known to have a potential for higher radium levels.  A



 second source  of bias  is  that  larger water systems are more



 likely to be  selected for  study by public health authorities than



 small community  systems serving only a few persons.  At best the



 sample of 306  systems  represents a minimum estimate of the total




number of impacted systems.  However, in view of the extent of



national monitoring that has occured in recent years,  it is



doubtful that the sample is low by an order of magnitude.  For



the purpose of this analysis,  EPA has estimated Straub's sample

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                             16
represents about 30% of the systems in the 0. S. having radium

concentrations greater than O.S pCi/1.  This nay underestimate

the number of supplies but probably overestimates the population

impacted because of the likely bias in the sample, as outlined  .

above.  Since costs for radium removal are directly related to

population, the estimate of national costs developed below may be

somewhat high.

     The cost of achieving various control levels and the

estimated health benefits are shown in Table 1.  It is seen that

the total national cost for radium removal increases rapidly with

decreasing concentrations of radium not only because of the

increased marginal cost for treatment at low concentrations

(Appendix IV) but also because both the number of supply systems
             •
impacted and the average population served becomes larger.  The

Administrator believes that because of the limited data on the

cost of radium removal and the extent of radium contamination in

coonunity water supplies currently available it would be unwise

to prescribe radiua removal at concentrations lover than 5 pCi

per liter.  It should be noted, however, that under the Safe

Drinking Water Act of 1974  (PL 93-523), States may set more

stringent standards if they so desire.

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                    Table 1

    Annual National Cost and Health Savings
      for Achieving Radium Control Limits

rol
t
1









5
Estimated
Number of
Systems
*
240
300
370
450
500
670
800
860
980
1100
Average
Size of
Systems
Population
4,200
5,400
5,000
7,450
8,800
9,500
12,000
12,100
18,400
20,800
Average
Cost Per
Systems
Thousands
dollars/yr.
6.0
8.0
9.2
. 12.4
17.5
21.3
30.4
41.6.
70.2
90.2
National Cost
to Achieve
Limit
Millions
dollars/yr.
1.4
2.4
3.4
5.6
8.8
14.
24.
36.
70.
100.
: Estimated Tots
Number of Liv«
Saved per yr.
*
0.6
1.1
1.6
2.5
3.7
5.5
8.2
LI
15
20
maximum contaminant level for radium.

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                              IS
      At the maxt""m contaminant level selected it is  estimated

 that as many as 500 community water systems  may need  to  remove
                                 •
 radium or utilize additional source waters containing a  lower

 radium concentration.   If ion exchange were  the method selected

 to lower radium concentrations the  average cost per supply would

 be $18,000 per year or about two dollars per person served.  The

 estimated cost effectiveness of radium removal to avoid  a

 potential fatal cancer is not high,  mainly because only  about

 one-half percent of the treated water is consumed as  drinking

 water.   In some cases  it may be possible to  minimize  costs by not

 treating water used only for commercial purposes.

      The methodology used to estimate the  marginal cost  of ion

 exchange to remove radium and the cost-effectiveness  of  radium

 removal  to prevent health effects is outlined  in Appendix IV.  It

 must be  understood that other abatement measures such as dilution

 will have lower costs  than those predicted in  Appendix VI and

 that the  effects of radium removal in terms  of reducing  the

predicted excess cancer incidence is  uncertain by  at  least a

 factor of four.  Therefore/  the  estimated  cost effectiveness of

 radium removal  should not be  given undue weight in evaluating the

proposed maytmun contaminant  levels.  However,  the cost estimates

are not affected by the uncertainty  in health  effect models and

have been used by EPA to project the national  cost of various

control limits considered by  the Agency in its  selection of a
                                        *
maximum contaminant  level  for radium.

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                              19
 Impact of Maximum Con^^nant Levels  for Man-cade Radionuclides



      Though man-made radioactivity in public water systems is



 sometimes a matter of concern it is important to recognize that



 unlike the case for radium, current ambient concentrations are



 less than the proposed limits because of regulatory concern for



 these radionuclides.  Drinking water is not a major pathway for



 exposure from nuclear power plants.  The Agency has reviewed all



 the Environmental Impact Statements for power reactors currently



 available.  Based on the design of these reactors the estimated



 total body doses due to drinking water served by public water




 systems from these facilities range from 0.00001 to 0.3 millirem



 per year with 90% of the expected doses less than .04 millirem




 per year.  The average  total body dose is 0.03 milliree per year.



 Thyroid doses are somewhat larger,  ranging from 0.0003 to 0.8




 millirem per  year, with an average  annual dose of 0.08 millirem



 per year.




      Data on  ambient  levels in public  water systems  (Appendix II)



 indicate  that almost  all of the  radioactivity  in the  aquatic




 environment is due to residual radioactivity from nuclear weapons



 testing.   The  historical trend of radioactivity in the Great



 Lakes and in other waterways shows this  source of radioactivity




 is *HMnifhin7 (9).



     The rM'riT"1'™' contaminant level for man-made  radionuclides is




expressed in terms of the annual dose rate  (millirea per year)




from continuous ingestion.  Specifying maximum contaminant levels

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                              20
 in terms  of radioactivity concentration  CpCi per liter) was



 considered  but  rejected in view of the short length of time such



 limits would be appropriate/  since presently available dose



 conversion  factors  for  ingested radioactivity are obsolescent and



 the ICBP  is  developing  new dose models.  When appropriate models



 for doses due to environmental  contamination become available,



 the Agency will  revise  the  Interim Regulations to permit the use



of newer data.   The concentrations yielding 4 millirem annually/



given in Appendix VI, are based on NBS Handbook 69 as required by
                                                 •


the Interim Regulations/ 41 PR 133, p. 28402/ July 9, 1976.  '

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                              21
 Honitorinc for Radioactivity in Community Water Systems



      The Agency has developed monitoring requirements for



 radioactivity with two ends in view.  Information snist be



 available to the supplier so he can control to the extent



 necessary the quality of the water he serves.  However,  the cost



 of the monitoring should not result in an undue economic burden



 in terms of other financial requirements for safe operation of



 the system.  To an extent these are conflicting requirements



 since more information can always be purchased for more  money.
                            •


 The Agency has tried to limit the monitoring to that which is



 essential for determining compliance with m«*<™** contaminant



 limits under most conditions.   As State capability for effective



 monitoring is augmented,  States are encouraged to introduce more

                                              •

 rigorous monitoring of particular supplies because of local



 Jcnowledge of  their potential  for radiocontamination .   In addition



 Federal  monitoring requirements for radioactivity are limited to



 community water systems as defined in Section 141.2 of the



 Interim  Regulations.*    Since  the proposed limits are based on



 lifetime  exposure,  any  radiation risk to transient populations is
     In general, the Interim Regulations call for quarterly


sampling.  In the case of naturally occurring radioactivity it is


often thought that a single sample can be used to determine the


average annual concentrations.  This is not the case for some
•See Appendix III.

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                             22
ground water sources where the annual discharge cycle of the


aquifers has a pronounced effect on radium concentration.  In


such cases/ a single yearly grab sample could show a low


concentration, resulting in the acceptance of water containing


more than a maximum contaminant level.  Conversely, an abnormally


high level  co old lead  to  the institution of expensive control


measures where the annual average concentration is really


acceptable.  Although sampling at monthly intervals might be


advisable in certain locations and situations (and should be

      •
required by the State where necessary) the Agency believes


quarterly sampling will be sufficient to determine the average


annual concentration in most cases.  Where the average annual


concentration has  been shown to be less than one-half the


relevant maximum contaminant level, a yearly sampling procedure


is permitted by the regulations.


     In order to reduce monitoring costs the Interim Regulations

allow composited samples to be radioassayed, usually at yearly


intervals.  In such cases care must be taken to prevent the loss


of activity by means of absorption on container walls.


Acidification with 1 milliliter of 16N HN03 per liter of sample


is a  method suggested in "Interim Radiochemical Methodology for


Drinking Water"(10).  In the case of iodine-131, hydrochloric


rather than nitric acid should be used for acidification and


sodium bisulfite should be added to the sample.  In some cases


State laboratories may prefer to count quarterly samples rather

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                             23
than keep track of quarterly aliquots.  If so, the estimated

costs given below will be exceeded.

     It should be noted  tha t from the definition of "maximum

contaminant level" in the Interim Regulations, section 141.2(c),*

samples should be collected from free-flowing outlets, not at the

source of supply water.  Since, in some cases, several sources

may contribute water to the system, samples should be taken at

representative points within the system so as to truly reflect

the maximum concentration of radioactivity received by users.  In

cases where more than one source is utilized, suppliers shall

monitor  s ource water, in addition to water from a free flowing

tap, when ordered by the State.

     Although monitoring a typical community water system is
                                  •
relatively inexpensive, less than five dollars per year, the

total national cost of monitoring for radium-226, radium-228, and

gross alpha particle activity is not trivial because of the large

number of supplies involved, 40,000.  In order to minimize cost,

the Agency is proposing that a water supplier initially obtain a

relatively low cost analysis of gross alpha particle activity.

In most cases this test will indicate that no significant

activity is present and additional tests will not be required.

However, when the gross alpha measurement indicates the alpha

particle activity may exceed 5 pCi per liter,, a further test for
*See Appendix III.

-------
                             24
radium-226 is required.




     Although not in the same decay chain/ radium-228 sometimes




accompanies radium-226.  Only rarely, however, does the radium-



228 concentration exceed that of radium-226.  Therefore, a



radium-228 analysis, which is relatively expensive, is only




required  when the radium-226 concentration exceeds 3 pCi per




liter.  In localities where  radium-228  may be present in drinking




water, it is recommended that the State require radium-226 and/or



radium-228 analyses when the gross alpha particle activity




exceeds 2 pCi/1.




     The Interim Regulations require sampling and measurement at



quarterly intervals where the limits are exceeded so that the




water supplier can follow the variation of .radium concentration




through the yearly cycle and thereby institute remedial measures,



such as additional dilution or treatment, during periods when



concentrations are unusually high.  Monitoring at quarterly



intervals shall be continued until the annual average




concentration no longer exceeds the maximum contaminant level or




until  a  monitoring schedule as a condition to a variance,



exemption or enforcement action shall become effective.

-------
                             25
Monitoring Costs for Radium and Alpha jParticle Activity




     Estimated monitoring costs are based on the assumption that



40,000 community water  systems will initially monitor for gross



alpha particle activity as required by the regulations.  If a



composite of quarterly collected samples is assayed to minimize



analytical expenses the cost for initial survey will be $400,000,




Table 2, which lists estimated monitoring costs.  The Agency




recognizes that the Interim Regulations impose a national program



to determine once and for all which community water systems




require further testing for  radium contamination.  In order to




ameliorate the financial impact of this requirement, the Interim



Regulations allow samples to be collected over a three year



interval and the substitution of measurements made one year.




previous to the effective date of the regulations.  The Agency




considered the possibility of using geological information in



selecting which systems should be tested for radium



contamination.  The poor  predi ctive value shown in the past by




such  information, however, indicates such a procedure could fail




to identify systems which exceed the maximum'contaminant levels.

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                          Table 2
   Estimated National costs for Monitoring Radioactivity

              in All Community Water Systems*

lie water systems serving more than
100,000 persons
Dimity systems potentially impacted
by nuclear facilities
ss alpha particle activity in all
community water systems
ium-226 and radium-228
Estimated totals
Initial
Survey
Dollars
15,000
20,000
400,000
133,000
568,000
Annual Cost
(succeeding years
Dollars per Year
4,000
20,000
100,000
60,000
184,000
Bed on an estimated 40,000 community water systems including an
imated 60 systems impacted by nuclear facilities.   The estimates
initial cost are high since States are permitted to substitute
        data.

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                             27
     Cost estimates for radium-226 and radium-228 analyses are



based on the assumption that/ nationally/ ten percent of the



approximately 35,000 systems using ground water will exceed the



screening level for gross alpha activity and therefore require



further  te sting.  The Agency recognizes that in some States a



much higher percentage of the systems will require radium



analyses and that these costs will be distributed very unevenly.



Of the  35 00 systems analyzing for radium it is assumed that about



700 will a Iso be required to  as say for radium-228, Taljle 1.



     After the initial survey, a subsequent gross alpha particle



analysis is required every four years both for those systems



utilizing surface water and for those using ground water.



Nationwide total annual cost in succeeding years is estimated as




$184,000, base'd on estimated assay costs of $10 for gross alpha



activity, $30 for radium-226, by the precipitation method and an



additional $15 if a subsequent radium-228 analysis is required.



     The annual cost for  radium assay in succeeding years is




difficult to estimate because it is highly dependent on the



findings of the initial survey.  For the present the Agency has



assumed that 500 systems will continue radium-226 monitoring on a



quarterly basis.  This is the number of systems thought to exceed



the maximum contaminant limit, Table 1.  The frequency at which



these 500 systems are monitoisd will be reduced as they come into



compliance with maximum contaminant levels.

-------
                             28
     The cost estimates shown in Table 2 do not make allowance




for the  cost saving that will be realized by those States which




use data already collected.

-------
                             29
Monitoring Costs for Man-made Radioactivity


     National monitoring costs for man-made radioactivity are


smaller than for natural radioactivity but costs for analysis of


individual samples are somewhat greater, Table 3.





                             Table 3





        Estimated Assay Costs for Man-made Radionuclides
            *




                                               $ Costs per sample


     Gross beta activity                             10


     Tritium,                                         20


     Strontium-90                                    30


     Iodine-131                                      60


     Strontium-89                                    30


     Cesium-134                                      30





     Except for community water systems directly impacted by


nuclear facilities, only an estimated 243 systems serving more


than 100,000 persons and utilizing surface water are required to


monitor for man-made radioactivity.  Since monitoring for gross


beta particle, tritium and strontium-90 activity is required, the


initial survey cost will be $15,000 and the annual cost for


resurvey every four years is $4,000.

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                             30
     The Administrator is allowing wide discretion to the States




in determining where quarterly monitoring in the vicinity of




nuclear facilities will be required.  Community water systems




near nuclear facilities other than power reactors and support




facilities for the Uranium Fuel Cycle may be monitored for man-




made radionuclides at the option of the State.  In some local




situations a State may want to consider monitoring for




contamination from waste storage areas, and large experimental




facilities and medical centers.  Monitoring is not expected at




all community water systems within an impacted water shed but



only in those systems most likely to be contaminated.




     At present about 40 nuclear power reactors have a potential



for introducing man-made radioactivity into community water




systems.  The estimated annual national cost for monitoring




potentially impacted community water systems is $20,000 based on



the assumption that 60 community water systems may require assay.




This cost will increase, of course, as the number of nuclear




facilities increases.  The annual cost to an impacted system is




estimated as $330 per year.

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                             31
                           REFERENCES
1.   "National Interim Primary Drinking Water Regulations -
Radioactivity," Federal Register.  41 FR 133, p. 28402, July 9,
1976.

2.   "The Effects on Populations of Exposure to Low Levels of
Ionizing Radiation," Division of Medical Sciences, National
Academy of Sciences, National Research Council, November 1972,
Washington, D. C.

3.   "The Evaluation of the Risks from Radiation," ICRP
Publication 8, Pergamon Press, New York, N. Y. 1966.

4.   "Radiation Protection Guides for Federal Agencies," Federal
Radiation Council, Federal Register, 26FR 9057, September 26,
1961.

5.   "Background Material for the Development of Radiation
Protection Standards," Federal Radiation Council, Report #2, U.
S. Department of Health, Education and Welfare, USPHS,
Washington, D. C., September 1961.

6.   "Maximum Permissible Body Burdens and Maximum Permissible
Concentrations of Radionuclides in Air and Water for Occupational
Exposure," NBS Handbook 69, Department of Commerce, revised 1963.

7.   "Costs of Radium Removal from Potable Water Supplies," to be
published.

8.   Report to U. S. Environmental Protection Agency, "Radium-226
and Water Supplies," by Conrad P. Straub, Ph.D., Director,
Environmental Health and Research Training Center, University of
Minnesotta.

9.   Health and Safety Laboratory Environmental Quarterly, HASL-
294, Energy Research and Development Administration, New York, N.
Y.

10.  "Interim Radiochemical Methodology for Drinking Water,"
EPA-600/4-75-008, Environmental Monitoring and Support
Laboratory, Office of Research and Development/ USEPA,
Cincinnati, Ohio, September 1975.

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                             32
                           APPENDIX I

                     EPA Policy Statement on
         Relationship'Between Radiation Dose and Effect
                          .March 3, 1975
     The actions taken by the Environmental Protection Agency to

protect public health and the environment require that the

impacts of contaminants in the environment or released into the

environment be prudently examined.  When these contaminants are

radioactive materials and ionizing radiation/ the most important

impacts are those ultimately affecting human health.  Therefore,

the Agency believes that the public interest is best served by

the Agency providing its best scientific estimates of such

impacts in terms of potential ill health.

     To provide such estimates, it is necessary that judgments be

made which relate the presence of ionizing radiation or

radioactive materials in the. environment, i.e., potential

exposure, to the intake of radioactive materials in the body, to

the absorption of energy from the ionizing radiation of different

qualities, and finally to the potential effects on human health.

In many situations the levels of ionizing radiation or

radioactive materials in the environment may be measured

directly, but the determination of resultant radiation doses to

humans and their susceptible tissues is generally derived from

pathway and metabolic models and calculations of energy absorbed.

It is also necessary to formulate the relationships between

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                             33
radiation dose and effects; relationships derived primarily from




tiuman epidemic logical studies but also reflective of extensive




research utilizing animals and other biological systems.



     Although much is known about radiation dose-effect




relationships at high levels of dose, a great deal of uncertainty



exists when high level dose-effect relationships are extrapolated




to lower levels of dose, particularly when given at low dose




rates.  These uncertainties in the relationships between dose




received and effect produced are recognized to relate, among many




factors, to differences in quality and type of radiation, total



dose, dose distribution, dose rate, and radiosensitivity,




including repair mechanisms, sex, variations in age, organ, and




state of health.  These factors involve complex mechanisms of




interaction among biological, chemical, and physical systems, the




study of which is part of the continuing endeavor to acquire new




scientific knowledge.




     Because of these many uncertainties, it is necessary to rely




upon the considered judgments of experts on the biological




effects of ionizing radiation.  These findings are well-



documented in publications by the United Nations Scientific




Committee on the Effects of Atomic Radiation (UNSCEAR),  the




National Academy of Sciences  (NAS), the International Commission




on Radiological Protection  (ICRP), and the National Council on



Radiation Protection and Measurements  (NCRP), and have been used

-------
                             34
by the Agency in formulating a policy on relationship between




radiation dose and effect.




     It is the present policy of the Environmental Protection




Agency to assume a linear, nonthreshold relationship between the




magnitude of the radiation dose received at environmental levels




of exposure and ill health produced as a means to estimate the




potential health impact of actions it takes in developing




radiation protection as expressed in criteria, guides or




standards.  This policy is adopted in conformity with the




generally accepted assumption that there is some potential ill



health attributable to any exposure to ionizing radiation and




that the magnitude of this potential ill health is directly




proportional to the magnitude of the dose received!




     In adopting this general policy, the Agency recognizes the




inherent uncertainties that exist in estimating health impact at



the low levels of exposure and exposure rates expected to be




present in the environment due to human activities, and that at




these levels the actual health impact will not be distinguishable




from natural occurrences of ill health, either statistically or




in the forms of ill health present.  Also, at these very low




levels/ meaningful epidemiological studies to prove or disprove




this relationship are difficult, if not practically impossible,




to conduct.  However, whenever new information is forthcoming,



this policy will be reviewed and updated as necessary.

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                             35
      It  is  to be emphasized  that this policy has been established




 for  the  purpose of  estimating the potential human health impact




 of Agency actions regarding  radiation protection, and that such




 estimates do not necessarily constitute identifiable health




 consequences.  Further, the  Agency implementation of this policy




 to estimate potential human  health effects presupposes the




 premise  that, for the same dose, potential radiation effects in




 other constituents  of the biosphere will be no greater.  It is




 generally accepted  that such constituents are no more



 radiosensitive than humans.  The Agency believes the policy to be



 a prudent one.




      In  estimating  potential health effects it is important to




'recognize that the  exposures to be usually experienced by the'



 public will be annual doses  that are small fractions of natural




 background  radiation to at most a few times this level.  Within



 the  U. S. the natural background radiation dose equivalent varies




 geographically between 40 to 300 mrem per year.  Over such a




 relatively  small range of dose, any deviations from dose-effect



 linearity would not be expected to significantly affect actions




 taken by the Agency, unless  a dose-effect threshold exists.




      While  the utilization of a linear, nonthreshold relationship




 is useful as a generally applicable policy for assessment of




 radiation effects,  it is also EPA's policy in specific situations




 to utilize  the best available detailed scientific knowledge in

-------
                             36
estimating health impact when such information is available for




specific types of radiation, conditions of exposure, and




recipients of the exposure.  In such situations, estimates may or




may not be based on the assumptions of linearity and a




nonthreshold dose.  In any case, the assumptions will be stated




explicitly in any EPA radiation protection actions *




     The linear hypothesis by itself precludes the development of




acceptable levels of risk based solely on health considerations.




Therefore, in establishing radiation protection positions, the




Agency will weigh not only the health impact, but also social,




economic and other considerations associated with the activities



addressed.

-------
                           37
                         APPENDIX II

             ENVIRONMENTAL DATA ON RADIOACTIVITY
                 IN COMMUNITY WATER SYSTEMS
A.  National Reconnassiance Survey of Drinking Water.Systems
                             and
                  Interstate Carrier Water
                   (January - March 1975)

           Gross Beta, Gross Alpha, Strontium-90,
           Radium-226 and Specific Gamma Activity

-------
                                                                  INTERSTATE CARRIER WATER

                                                                  Results of Water Analyses
                                                     Indicated Activity In PCi/l  (a)
Location
016532
Springfield, MA
121620
Melbourne, FL
126523
Wood River
Madison, IL
126525
Falrporc Harbor,
OH
126527
Ashcabula, OH
' 111040
Conneaut, Oil
Sample Code &
Date Collected
1H-23
1/2/75
IW-108
12/27/74 -
1/9/75
IU-150
1/9/75
IW-236
1/21/75
IU-237
1/22/75
IU-271
1/21/75
ffiR/1
96.0
132.2
.253.0
308.0
278.0
256.0
Cross Beta (c)
Date Counted
1.2 ± 361
1/10/75
4.9 ± 24*
1/29/75
2.1 ± 59Z
1/29/.75
3.3 ± 34t
2/3/75
2.6 1 48Z
2/3/75
2.1 2 56Z
2/3V75
Cross Alpha (b) '- •' • _ .
Date Counted ' "*Sr *"Ha
< 2.0
1/10/75
< 2.0
1/29/75
< 2.0
1/29/75
< 2.0
2/3/75
< 2.0
2/3/75
<'2.0
2/3/75
Specific
Gacxa Activity
(d)
(d)
(d)
i
i
(d)
(d)
(d)
                                                                                                                                                        03
(a) The error expressed is the percentaje relative 2-sigsa counting error.
(b) The siniaua detectable licit of gross alpha is 2.0 pCl/1.
(c) the ninlaur^ detectable llslr of gross b<-ta Is 1.0 pCi/1.
(d) Indicates specific gssata activity not detectable.
(e) Special scudy,.
(f) CooDunlcy Water Supply sacple.

-------
                                                                    INTERSTATE  CARRIER WATER

                                                                    Results of  Water Analyses
Location
126529
Loral n. OH
031157 (e)-(f)
Wami. FL
131113 (e) (£)
San Juan, PR
#16535
Springfield. HA
J3U84 (e) (f)
Chicago, IL
131161 (e) (E)
Jacksonville, FL
131129 (e) (f)
Sanple Code &
Date Collected
IW-272
1/24/75.
IH-290
1/20/75
IU-291
1/30/75
IW-344
1/30/75
IW-363
2/4/75
IW-364
2/3/75
IW-336
• 012/1
316.0
344.0
376.6
70.0
136.0
250.0
245.0
 Philadelphia.  PA  2/3/75

!K! Jl!6 T0/ exPre«ed ls the Percencace relative 2-slgna counting error
(b> The mininun, datec^ble limit of gross alpha is 2.0 pCl/1
(c) The cinicum detectable limit of gross beta is 1.0'pCl/l
(d) Indicates specific gaaaa activity not detectabla.
(e) Special study..
(f) CoBEuniCy Water Supply sample.
Cross Beta (c)
Date Counted
4.2 ± 31Z
2/3/75
1.7 I 63Z
2/6/75
4.3 t 33*
2/6/75
1.9 t 46Z
2/14/75
2.2 ± 55t
2/14/75
1.6 ± 61Z
2/14/75
2.9 t 38t
2/18/75
Gross Alpha (b)
	 Pate Counted
< 2.0
2/3/75
< 2.0
2/6/75
< 2.0
2/6/75
< 2.0
2/14/75
< 2.0
2/14/75
. < 2.0
2/14/75
< 2.0
2/18/75
' "Sr '
•
< 0.5
3/3/75
0.7 1 73Z
3/3/75

0.9 i 33Z
3/3/75
< 0.5
3/3/75
< 0.5
3/3/75 '
21«
• ' •
0.50 t 5Z
3/18/75
0.10 t 15Z
3/18/75

< 0.1.
'3/18/75
0.37 1 6Z
.3/18/75
0.13 ± 12Z
3/18/75
                                                                                                                                          Specific
                                                                                                                                          Gamma Activity

                                                                                                                                              (d)
                                                                                                                                              W).
                                                                                                                                              (d)          $
(d)


(d)

-------
                                                                    INTERSTATE CARRIER WATER

                                                                    Results .of Water Analyses
                   Sanple Code &
  ?3U39  (e)  (f)
  New Castle,  DE'

  #31142  (e)  (f)
  Stanton, DE

  *31179  (e)  (f)
 Clinton, IL

 J311S1 (e) (f)
 Mt.  Clemens, MI

 126212 (f)
 Baltimore,  MD

 031163 (e)  (f)
 Chattanooga,  TN
 IW-397             88.0
 2/5/75

 IW-388            397.0
 2/6/75

 IW-389            172.0
 2/5/75

 IW-390           226.0
 2/3/75

 ™-«ll            184.0
 2/3/75

 IW-419            192.0
2/1C/75
'31133  (e)  (f)     iu-420             202 0
Baltioore,  MD      2/11/75
                                                     */il//3
fhi Ts6 T?r eTeS'Sed l8 the P«centaSe relative  2-sig-a counting error
 b) The a-.lnlr.uir. detec:abla limit of  gross alpha  is  2.Q pCi/1
 c) The Clni=,u= detectable li=it of  gross beta is 1.0  ?Ci/l  '
W) Indicates specific gamna activity not detectable.
(e) Specitl study...
(f) Conmualty Uater Supply aaaple.
»::iscl:z£y
5.2 ± 22Z '
2/18/75
1.5 ± 712
2/14/75
3.6 ± 322
2/18/75
4.4 t 29Z
2/18/75
1.9 t 55Z
2/18/75
2.9 : 372
2/20/75
2.9 z 432
2/21/75
DateSc"ounSd(b>
< 2.0
' 2/18/75
< 2.0
2/14/75
< 2.0
2/18/75
< 2.0
2/14/75
< 2.0
2/14/75
< 2.0
2/21/75
< 2.0
2/21/75
"Sr '
< 0.5
3/3/75
1.3 ± 64Z
3/3/75
< 0.5
3/3/75
0.58 ± 892
3/3/75


< 0.5
3/3/75
< Q.5
3/3/75
"*Ra
0.61 ± 52
3/18/75
< 0.1
3/18/75
0.27 ± 72
3/18/75
0.14 ± 122
3/18/75


0.10 2 142
3/20/75
0.10 ± 122
3/20/75
Specific

Cd J *
*
c

(d)
u>
«)'

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                                                                    INTERSTATE CARRIER WATER

                                                                    Results of Tatar Analyses
                                                       Ir.jicatsd Activity in =Ci/l
Location
•^ 	
Baltimore, MD
#31131 (e) (f)
Annandale, VA
J2653S
Youngs town, OH
S31135 (e.) (f)
Washington, DC
"1191 (e) (f)
Youngs town, OH
131187 (e) (f)
Cincinnati, OH
«21165 (e) (f)
Atlanta, CA
(a) The error exp
s;r:pie Code i.
Dare Collected • n?/l
IW-421 218.0
2/6/75 .
IW-426 223.0
2/10/75
IW-427 578.0
2/12/75
IW-431 252 0
2/13/75
•IW-432 254.0
2/13/75
IW-433 54.0
2/11/75
IW-434 73.0
2/13/75
iressed is the percent-age rei
Cross Beta (c)-
Data Counted
1.7 i 61Z
2/21/75
3.9 ± 34Z
2/20/75
3.3 1 37Z
2/21/75
1.9 1 612
2/21/75 ,
3.9 ± 303;
2/21/75
22+ SI?
*• • *• — J L fa
2/21/75
t 3 * 105;
*- « J _ _> 7/«
2/21/75
latlve 2-S"lt»T A .-nt»nr- The nlnlnum detectable  liaic of gross  alpha is 2.0 ?Ci/l
(c) The Elnimua detectable  limit of gross  teca is  1.0 pCi/1
(d) Indicates specific gacaa activity not  detectable
(e) Special study..
(f) CoEBunity Water Supply  saople.

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                                                                  INTERSTATE CARRIER WATER

                                                                  Results of '..'atar Analyses
                                                     Indicated Activity in pCi/l (a)
Location
031115 (e) (£)
Tons River. NJ"
J26250 (e) (f)
Pittsburgh, PA
S262SO (e) (£)
Pittsburgh, PA
01167 (e) (£)
He-phis , TS
»31102 (e) (f)
Laurence, MA
131195 (e) (f)
St. Paul, MN
«U43 (e) (f)
Kuntington, UV
f \. _.
Sample Code &
Date Collected
IW-444
2/18/75
IW-445-A
2/17/75
IU-445-B
2/17/75
IW-451
2/20/75
IW-455
2/19/75
IW-458
2/21/75
IW-459
2/24/75
1
' KR/1
93.0
246.0

224.8

136.0
166.0
144.0
8.0
Gross Beta (c)
Data Counted 	
" 8.5 ± 172
2/24/75
3.2 ± 40Z
2/25/75
2.6 £ 4U
2/25/75
1.5 * 6U
3/5/75 .
2.1 ± 49Z
3/5/75
2.8 t 67Z
3/5/75
2.1 * 41Z
3/5/75
Cross Alpha (b)
Date Counted 	
5.5 i 25X
2/24/75
< 2.0
2/24/75
< 2.0
.2/24/75
< 2.0
3/5/75
< 2.0
3/5/75
< 2.0
3/4/75
< 2.0
3/4/75 .
"sr '
< 0.5
3/3/75




< 0.5
3/5/75
< 0.5
4/16/75
< 0.5
3/31/75
< 0..5
3/31/75
"«Ra 	
1.9 ± 2Z
3/26/75 -




0.32 ± 7Z
3/27/75 '
< 0.1
5/8/75
0.11 1 15Z
4/1/75
0.14 ± 10Z
4/1/75
Specific
(d)
/ _» \
(d)

(d)
*.
W) "
(d)
(d)
(d)
(a)  The error expressed is the percentage relative 2-sigsa counting error
(b)  The minicun detectable Unit of gross alpha Is 2.0 pCi/1."
(c)  The minimum detectable limit of gross beta is 1.0 pCi/l.
(d)  Indicates specific ga=za activity not detectable.
(e)  Special study.,
(f)  Community Water Supply sample.   •

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                                                                    INTERSTATE GASSIER WATER

                                                                    Sesults of Water Analyses
location
J311S7 (e) (f).
Indianapolis. IN
131104 (e) (f)
Boston. MA
IT (sheet torn
up)
Indian Hill. OH

J31199 (e) (f)
Whiting, IN
131146 (e) (f)
Wheeling. WV
131169 (e) (f)
Nashville, TN
(a) The error exoi
(o) The mlninuia de
(c) The ninicua de
(d) Indicates spec
Sample Code &
Date Collected eft/1 	
IW-481 300.0
2/25/75
IW-482 70 0
/ U*U
2/26/75
IW-483 472.0
2/19/75

IW-484 192.0
2/27/75
IW-510 286.0
2/25/75
IW-511 334.0
3/3/75
~ *
* Liic p
-------
                                                                   IHTERSTATE CASHIER WATER

                                                                   Results  of Water Analyses
Location
Little Falla. MJ
131201 (e) (f)
Colucbus. OH
131200 (e) (f)
Cleveland. OH
131148 (e) (f)
Pittsburgh, PA
I3U71 (e) (f)
Ouensboro, KY
131106 (e) (f)
Newport. RI
J31214 (e) (f)
Milwaukee. UI
Saaple Code I
Dace Collecred
IW-546
3/4/75 .
IW-559
3/3/75
IW-560
3/5/75
IW-581
3/4/75
1W-582
3/10/75
IW-589
3/11/75
IW-600
3/11/75
=-/!
190.0
284.0
176.0
266.0
1514.0
374.0
182.0
Cross Beta (c)-
	 Date Counted 	
1.8 i 50Z
3/10/75
4.0 * 30Z
3/14/75
2.7 ± 38Z
3/14/75 .
2.4 * 47Z
3/14/75
2.4 ± 44Z
.3/18/75
5.8 1 24Z
3/18/75
3.6 ± 33*
3/21/75
Cross Alpha (b)
Date Counted 	
< 2.0
3/10/75
< 2.0
3/14/75
< 2.0
3/14/75
< 2.0
3/14/75
< 2.0
3/18/75
< 2.0
3/18/75
< 2.0
3/21/75
"Sr
0.8 ± 52Z
5/21/75
< 0.5
3/31/75
0.6 i 27Z
4/16/75
< 0.5
4/16/75
<'0.5
4/16/75
0.6 ± 27Z
4/16/75
0.9 + 36Z
4/16/75
22.
1.3 t 3Z
6/3/75 '
0.13 I 12Z
4/14/75
0.14 £ 12Z
4/14/75
0.11 1 14Z
4/14/75
0.19 t 8Z
4/14/75
0.10 £ 16Z
4/14/75 '
0.10 t 16Z
4/14/75
Specific
(d)
(d) •
(d)
(d)
(d)
(d)
(d)
(a)  Th«j error expressed is the percentage relative 2-slg=a counting error
(b)  The alniaiua detectable Holt of gross alpha is 2.0 pCi/1.
(c)  The nlnlmua detectable limit of gross beta is 1.0 pCi/1.
(d)  Indicates specific gamaa activity not detectable.
(e)  Special study..
(f)  Cooau<y Water Supply

-------
                                                                   INTESTATE CARRIER WATER

                                                                   Results of. "ater Analyses
Location
031212 (e) (f)
Oshlcosh, WI
#31149 (e) (f)
Strasbury. PA
131173 (e) (f)
Greenville, MS
(31120 (e) (f)
Buffalo. NY
126542
Marietta, OH
#3UOa (e) (f)
Uaterbury, CT
131205 (e) (f)
Plgua, OH
/ _ \ ™-«
Saople Code &
Dare Collected
IW-607
3/12/75
IW-611
3/11/75
IW-615
3/17/75
IU-616
3/18/75
IU-624
3/17/75
IW-625
3/18/75
IW-626
3/18/75
SB/1
262.0
94.0
220.0
232.0
350.8
56.0
82.0
. Cross Beta (c)
Pace Counted 	
2.1 ± 50Z
3/21/75
3.5 ± 28Z
3/21/75
1.7 z 52Z
3/21/75
2.8 t 39Z
3/26/75
2.4 ± 46Z
3/26/75
1.6 ± 55Z
3/26/75
1.9 i 44Z
3/26/75
Gross Alpha (b)
Data Counted 	
< 2.0
3/21/75
< 2.0
3/21/75
< 2.0
3/21/75
< 2.0
3/26/75
< 2.0
3/26/75
< 2.0
3/26/75
< 2.0
3/26/75
*°Sr
0.8 x 53*
4/21/75
< 0.5
4/21/75
< 0.5
4/21/75
1.4 I 29Z
4/21/75
•
1.0 t 49Z
4/21/75
.< 0.5
4/21/75
*i«
0.19 * 10X
4/14/75
0.92 ± 4Z
4/14/75
< 0.1
4/14/75
0.13 t 13Z
4/17/75
•
< 0.1
5/8/75
0.10 ± 16Z
5/8/75
Specific
(d)
(d)
(d)
(d) <•"
(d).
(d)
(d)
(a) The error expressed Is the percentage relative 2-slgaa  counting  error
(b) The t-lnlnun detectable llaic of gross alpha Is 2.0 pCl/1.
(c) The tainiauai detectable Halt of gross beta is 1.0 pCi/1.
(<0 Indicates specific ga=a activity not detectable.
.(e) Special study,.
(fj Con=unlty Water Supply sanple.  .

-------
                                                                  INTERSTATE CARRIER WATER

                                                                  Results of Water Analyses


                                                     Indicated Activity in pCl/1 (a)
Location
imzoa (e) (f).
Dayton. OH
#31122 (e) (f)
KMnebeek, MY
J<31203
Coluttbus. OH
#31125 (e) (f)
Tarreytoun, HY
J31175 (e) (f)
Charleston. SC
#31209 (e) (f)
Detroit, MI
131137
llopeuell, VA
Ssr.ple Cede 4
D;te Collectsi
IU-627
3/19/75
IW-638
3/25/75
IW-639
No date
IU-640
3/26/75
IW-641
3/27/75
IW-713
3/25/75
IV- 1004
4/28/75
=2/1
550.0
. 356.0
340.0
228.0
90.0
318.0
94.0
Cross Bata (c)
Data Counted
2.9 = 442
4/11/75
8.1 * 372
4/22/75
1.8 i 692
4/22/75
3.0 ± 412
4/22/75 . '
1.1 ± 732
4/21/75
2.4 1 512
4/22/75
1.3 i 522
5/12/75
Cross Alpha, (b)
Dare Cour.ted
<,2.0
4/10/75
< 2.0
4/22/75
< 2.0
4/22/75
< 2.0
4/22/75
< 2.0
4/22/75
< 2.0
4/22/75
< 2.0
5/9/75
»«Sr
0.6 i 812
4/21/75
< 0.5
5/19/75

0.5 ± 652
5/14/75
1.4 ± 502
4/21/75
1.0 ± 312
4/21/75
0.6. ± 442
5/19/75
"«Ra "'
0.20 t 10X
5/8/75
0.10 £ 13%
5/8/75

< 0.1
5/8/75
0.28 i 72
5/8/75
<. 0.1
5/8/75
0.10 ± 12Z
6/5/75
Specific
(d)
(d)
(d)
(d)
M
(d)
(d)
(a)  The error expressed is the percentage relative 2-slg=a counting error.
(b)  The cinlaun detectable Unit of «ross alpha is 2.0 pCi/1.
(c)  The nlnliLun detectable licit of gross beta is 1.0 pCl/1.
(d)  Indicates specific gaaaa activity not detectable.
(e)  Special etudy^.
(f)  Comtunlty Water Supply sample.

-------
                     47
                  APPENDIX II-A

     Gross Beta, Gross Alpha, Strontium-90,
     Radium-226 and Specific Gamma Activity
         Environmental Protection Agency
Environmental Radiation Ambient Monitoring System

-------
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-------
                                        RAdlULOSICAL MESULTS
••- V.'-Ll
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-------
                                                                       MVl[l._OlilCl.l HfSULTS
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                                                         •4A010COGIO.L HESULIS
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-------
             59
          APPENDIX II-B




Tritium in Drinking Water  (1974)

-------
                              60
Table 1.  CRAMS Drinking Water Component:, 1974
    Location
                             Tritium concentration1* (nCi/liter +_ ?o)
                          Jan-Mar
Apri 1 -June
July-Sept
net-Dec
Ala:      Gothan	   0
          Montgomery	   0
          Muscle Shoals—   0
Alaska:  Anchorage	   NS
         Fairbanks	     -5
Ark:     Little Rock	   0
Calif:   Berkeley	     -2
         Los Angeles	   0
C.Z:     Ancon	     -5
Colo:    Denver	     -5
         Platteville-	9
Conn:    Hartford	   0
Del:     Vlilmington	     .3
D.C:     Washington	   0
 Fla:     Miami---	   0
         Tampa	   0
 Ga:      Baxley	   NS
          Savannah	   3.1  +_ 0.3
 Hawaii:  Honolulu	    0
 Idaho:   Boise	      ••*
          Idaho Falls-	3
 111:     Chicago	    1-0
          Morris	    0
 Iowa:    Cedar Rapids	    NS
 Kans:    Topeka	    0

 Maine:   Augusta	—-     «2
 Md:      Baltimore	    0
          Conowingo	    0
 Mass:    Lawrence	    ®^
          Rowe	     -3
 Mich:    Detroit	4
          Grand Rapids—-     -3
                                      0
                                        .2
                                        .3
                                      0
                                        .5
                                      0
                                        .2
                                      0
                                      0
                                        .5
                                       1.0
                                       0
                                       0
                                        .2
                                       0
                                       0
                                       0
                                       6.8
                                       0
                                       0
                                        ,3
                                        .6
                                       0
                                       NS
                                       0
                                       0
                                       0
                                       NS
                                        0
                                       '  .2
                                        0
                                         .4
                                        0
       '0.3
   0
   0
    .3
    .5
    .5
   0
    .2
   0
   0
    .4
    .9
    .2
     .3
   0  .
   0
   0
   NS
   3.0
   0
    NS
      .6
    0
    0
      .3
      .3
      .3
    0
      .3
      .3
      .2
    NS
      .4
      .3
  0
  0
    .2
    .4
    .3
  0
  0
  0
  0
  •  .6
    .6
    .2
    .3
  0
  0
  0
  0
  2.9
  0
    .2
    .3
    .2
   0
    .5
   0
    .3
    .2
    .5
    .3
    0
    ,4
    .2
    .2

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                                61
  Teible 1.   ERAMS Drinkinrj Water Component, 1974--continued
      Location
Minn:   Minneapolis	     .4
        Red Wing	    0
Miss:   Jackson	    0
Mo:     Jefferson City--    0
Mont:   Helena	     -3
Nebr:   Lincoln	     .2
Nev:    Las Vegas	     .8
N.H:    Concord	    0
N.J:    Trenton	    0
        Waretown	    0
fl.Mex:  Santa Fe	5
N.Y:    Albany		    0
        Buffalo-	3
        New York	3
        Syracuse	     .6
N.C:    Charlotte	    0
        Wilmington	    0
N.Dak:  Bismarck	'     .5
Ohio:   Cincinnati	    0
        East  Liverpool--     -4
        Painesville	    0
        Toledo	    NS
Okla:   Oklahoma City-—    0
Oreg:   Portland	—    0
Pa:     Columbia	    0
        Harrisburg	    0
        Pittsburgh—	4
 P.R:   San  Juan	    0
 R.I:   Providence	      .2
 S.C:   Anderson	      -3
        Columbia	    0
        Hartsville	    °
         Seneca	      -2
   Tritium concentration3
Jan-Mar
                                                      (nCi/liter * 2a)1
                                        April-June
             .3
            0
            0
             .4
             .5
             .2
             .7
             .2
            MS
            MS
            NS
             '.3
             :2
            NS
             .6
             .7
            0
             .5
             .3
             .3
             .3
            MS
            0
            0
            0
             .2
             .2
            0
            0
             .2
            0
            o-
             .4
July-Sept
    .5
   0
   0
   0
    .4
    .2
    .6
    .2
    .2
   0
    .5
   0
    .2
    .3
    .5
    .3
    .2
    .7
    .2
    .4
    .3
   NS
    .2
   0
    .2
    .3
    .3
   0 .
   0
    .3
    .4
   0
    .3
Oct-Dec
  0
 .5
)
 .2
)
 .4
)
 .7
 .3
0
0
0
 .3
 .5
0
 .7
 .2
 .2
 .4
 .2
 .3
 .5
NS
0
 .3
 .7
 .3
 .3
0
0
 .4
 .3
0
 .3

-------
                               62
  Table  1.   GRAMS .Drinking Water Component,  1974--continued
      Location
                               Tritium concentration3 (nCi/1 i ter +_ 2o)
                            Jan-Mar
            Apri 1-June
               July-Sept
                                                                     Oct-Pec
Tenn:  Chattanooga	     .5
       Knoxville	     .4
Tex:   Austin	    0
Va:    Doswell	    0
       Lynchburg	    0
       Norfolk	     .2
Wash:  Richland	    NS
                             .2
Wise:  Genoa	    0
       Madison--	    0
                                         .6
                                         .4
                                        0
                                        0
                                         .2
                                         .5
                                        0
                                        0
                                        0
                               .4
                              0
                              0
                              0
                               .2
                              0
                               .4
                              0
                              NS
                              0
                               0
                               0
                               0
                                .2
                                .2
                                .2
                                .5
                                .4
                               0
                               0
Average
0.2
0.3
                                                          0.3
0.2
      The minimum detection limit for all  samples was 0.20 nCi/liter.   All
values equal to of less than 0.20 nCi/liter before rounding have been  reported
as zero.
      The 2o error for all samples is 0.20 nCi/liter unless otherwise  noted.
     NS,  no sample.

-------
                            63
                          APPENDIX III
                           DEFINITIONS

 Prom Section 141.2 of 40 CFR Part 141 (Primary Drinking Water Regulations)



     As used in this subpart the term:

     (a)   "Act" means the Public Health Service Act, as amended
by the Safe Drinking Water Act, Pub. L. 93-523

     (b)   "Contaminant" means any physical, chemical,
biological, or radiological substance or matter in water.
                        •
     (c)   "Maximum contaminant level" means the maximum
permissible level of contaminant in water which is delivered to
the free flowing outlet of the ultimate user of a public water
system, except in the case of turbidity where the maximum
permissible level is measured at the point of entry to the
distribution system.  Contaminants added to the water under
circumstances controlled by the user, except those resulting from
corrosion of piping and plumbing caused by water quality, are
excluded from this definition.

     (d)   "Person" means an individual, corporation, company,
association, partnership, State, municipality, or Federal agency.

     (e)   "Public water system" means a system for the provision
to the public of piped water for human consumption, if such
system has at least fifteen service connections or regularly
serves an average of at least twenty-five individuals daily at
least 60 days out of the year.  Such term includes (1} any
collection, treatment, storage and distribution facilities under
control of the operator of such system and used primarily in
connection with such system, and (2) any collection or
pretreatment storage facilities not under such control which are
used primarily in connection with such system.  A public water
system is either a "community water system" or a "non-community
water system."

     (i)   "Community water system" means a public water system
which serves at least 15 service connections used by year-round
residents or regularly serves at least 25 year-round residents.

-------
                             64
      (ii)  "Non-community water system" means a public water
system that is not a community water system.

      
-------
                               65
     (o)   "Gross beta particle activity" means the total
radioactivity due to beta particle emission as inferred from
measurements on a dry sample.

-------
                             66
                           APPENDIX IV




The Cost and Cost-Effectiveness of Radium Removal




     The United States Environmental Protection Agency planning




guide for water use provides estimates of the amount of water




used per day by various population groups(1).  Per capita water



consumption increases with community size because of industrial



and commercial usage.  In this cost analysis a water use of 100




gallons per person day is assumed.  This may be somewhat high




since mainly small community systems, serving less than 10/000




persons, would be impacted by the proposed regulations.



     "Selecting a Softening Process," by Frank 0. Wood, has




served as the-Agency's primary reference for assessing the cost




of zeolite treatment to remove radium(2).  Wood surveyed a




representative sample of community water systems to determine



their construction and operating costs for water softening in




order to compare the economics of lime-soda ash softening with




treatment by ion exchange.  Zeolite ion exchange was the lower




cost operation for public water systems serving fewer than about




50,000 persons and therefore is applicable to all systems which



may require radium abatement.




     Wood's report shows that while the cost per 1000 gallons




increases slightly with system capacity, 8$ per 1000 gallons is a




conservative average value for systems supplying less than 1



million gallons per day.  Because plants examined by Wood had




been built over a period of several years,  he normalized costs in

-------
                              67
terms of the 1967 wholesale price index to place them on an equal

chronology basis.  For this analysis Wood's estimates have been

updated to 1975 by means of the "Sewage Treatment Plant

Construction Cost Index," prepared by the United States

Environmental Protection Agency Office of Water Programs

Operations.  Prom 1967 to January 1975 the index increased by

about 90%.  Therefore, for the cost analysis for radium removal

the Agency has assumed a treatment cost of 154 per 1000 gallons.

It should be noted that these costs include amortization of
                                 •

capital costs over a 20 year period as well as chemical costs for

regeneration of the zeolite system.  Labor costs for equipment

operation are not included since these costs were too small to be

included in Wood's analysis; the equipment is essentially

automatic.*

     Usually only a fraction of the supply water need be treated

since the mixing of treated and untreated water is an acceptable

abatement procedure.  The fraction of water treated, F, to

achieve a given, radium concentration is calculated as follows:

           F - 1 - Ca/Cu
                    e
*Recently completed studies indicate that addition of labor costs
would increase the treatment cost by about 24 per 1000 gallons
(3).

-------
                             68
where Cu is the radium concentration in untreated water,

      Ca is the average radium concentration in treated

           and untreated waters

  and e is the efficiency of radium removal.

     The efficiency at which radium is removed from water by a

zeolite ion exchange column is very high, approaching 99% for a

newly charged column and falling to around 90% just before

breakthrough in a spent column.  The results listed below are

based on an estimated overall removal efficiency of 97 percent.
            •
     The volume of water that must be treated per person year to

reduce the radium concentration from (n) pCi/1 to (n-1) pCi/1 is

shown in Table IV-1 along with the annual marginal cost per pCi/1

removed to treat this volume of water.  Costs are based on 15 £

per 1000 gallons, as outlined above.  For concentrations greater

than'5 pCi/1 the annual per capita cost ranges from about 60

cents to 90 cents per pCi/1 removed depending on the initial

concentration.

     Each decrement of the average annual concentration of radium

by 1 pCi/1, corresponds to an.estimated health savings of

approximately 3 x 10~6 excess cancers averted per year, Appendix

IV-A.  Dividing this number by the annual expenditure required to

obtain a given concentration yields the estimated marginal costs .

per cancer averted shown in Table IV-1.  The marginal cost

increases slowly as the radium concentration is decreased until

at about 2-3 pCi per liter the cost per estimated excess cancer

-------
                              69
averted increases more rapidly due to the larger fraction of the



water needing treatment to achieve smaller concentrations.

-------
                            70
                        Table IV-1

    The Marginal Cost-Effectiveness of Radium Removal*
•tial
lium
'centration
Volume of Water
Treated Per Person
Year
Annual Cost
Per Person to
Remove One
pci per liter
Marginal Cost to
Prevent One
cancer
/I
10
9
3
7
6
5
4
3
2
1
(1000 gallons)
3.8
4.2
4.7
5.2
6.3
7.5
9.4
12.6
18.9
36.5
(dollars)
0.57
0.63
0.71
0.78
0.94
1.13
1.41
1.88
2.82
5.48
(millions of dollar
1.83
2.09
2.35
2.61
3.14
3.77
4.71
6.28
9.41
18.83
 zeolite ion  exchange

-------
                               71
                           REFERENCES
1.   Manual of Individual Water Supply Systems,  EPA-430-9-74-007,
U. S. Environmental Protection Agency, 1974,  Superintendent of
Documents, U. S. Government Printing Office,  Washington,  D. C.
20402.

2.   Wood, Frank 0., "Selecting a Softening Process," Journal
AWWA pp. 820-824, December 1972.

3.   "Costs of Radium Removal from Potable Water Supplies," to be
published.

-------
                             72
                           Appendix V


              Risk to Health from Internal Emitters





A.   The Dose and Health Risk from Radium Ingestion


     The Federal Radiation Council has also recommended radium-


226 ingestion limits for the general population and stated that


such limits should be based on environmental studies not the


models used to establish occupational dose limits(1).  The FRC


ingestion limit is based on the assumption that the skeletal
                     •

radium-226 burden does not exceed 50 times the daily radium


intake.  This assumed relationship between ingestion and body


burden agrees quite well with the measurements of skeletal body


burdens and radium ingestion data reported by the U. N.


Scientific Committee on the Effects of Atomic Radiation (2).  By


comparing Tables 9 and 10 in reference (2) it is seen that the


skeletal burden is about forty times the estimated daily radium-


226 intake.


     The FRC limit on radium ingestion is 20 pCi per day.* After


continuous ingestion at this limit the skeletal body burden is


1000 pCi.  Ingestion of 2 liters of drinking water per day


containing radium-226 at a maximum contaminant level of 5 pCi per


liter would result in a skeletal burden of 500. pCi.


     In order to estimate potential health effects from radium
*Range II, averaged over a suitable sample (1).

-------
                             73
ingestion, it is necessary to express the dose equivalent from




this body burden in terms of the ICRP dose model which was used




in the dose estimates made in the NAS BEIR Report.(3)  The ICRP




model predicts an average dose to bone of about 30 rem per year .




from a body burden of 100,000 pCi(2).  A body burden of 500 pCi




would therefore cause an average dose of 150 mrem per year.




     The NAS BEIR Report (Table 3-2) gives the  rate of absolute




risk from bone cancer as four percent of all non leukemia type




cancers (3).  For a lifetime risk plateau and continuous lifetime




exposure  (Table 3-1 in reference 3) the number of bone cancers




per year is 3 per 105 man-rem per year, estimated on the basis of




absolute risk.




     Relative risk, the number of cancers expected on the basis




of their percent increase in an irradiated population, is also




estimated in the BEIR for total body exposure, Table 3-1.  The




NAS-BEIR committee risk report does not give a breakdown by




cancer site of the relative risk per rem.  Assuming that bone




cancers are four percent of the relative risk from total body




exposure, excluding leukemia as before, the relative risk of bone




cancer is about 17 per year per 10^ man-rem per year.




     Bone cancer is not the only risk from radium ingestion.




About 15 percent of the radium is deposited in soft tissue where




bone marrow is the primary tissue at risk.  Doses to soft tissue




relative to those in bone from ingested radium have been




calculated in reference 2, Table 9.  The risk to these tissues

-------
                               74
from radium ingestion has been calculated by weighing the risk




estimates for leukemia  (and other cancers) given in the NAS-BEIR




Report, by the appropriate organ dose.  The total absolute risk




due to bone and soft tissue cancers is 60 percent larger than




that from bone cancer alone; the relative risk, 16 percent




greater.  Therefore, the annual rate of total cancers from




ingesting radium ranges from 4.8 (3 x 1.6) to 20 (17 x 1.16) per




million man-rem/year depending on whether an absolute or relative




risk model is used.




     Combining these estimates of the annual risk of total cancer




with the ICRP .dose to bone, 0.15 rem per year, from the ingestion




of 10 pCi of radium-226 per day'yields the range of estimated




health effects from radium ingestion, 0.7 to 3. cancers per year,




per million exposed persons.  Almost all of any induced cancers




would be fatal.  Bone cancer fatality is estimated at nearly 90




percent, that for leukemia is much higher.




     Given the assumption that radiation damage occurs at




incremental doses greater than those due to external background




radiation, the total health impact from a public water supply




system can be estimated on the basis of the total dose received




by the population it serves.  This aggregate dose can be




calculated by multiplying the number of persons served by the




average dose received by a reference man consuming two liters of




drinking water per day.  Based on the geometric mean of the




individual risk discussed above,  a radium concentration of 5 pCi

-------
                             75
per liter in a water system serving 1,000,000 persons could




result in an estimated health impact of 1.5 fatalities per year




or about 3 x 10~7 per person per year for each pCi per liter of




radium-226 or radium-228 in the drinking water.




As is shown in Appendix VI, this number can be used to estimate




the marginal cost effectiveness of radium control in public water




system to prevent cancer.  However, it must be kept in mind that




the risk estimates are uncertain by a factor of four or more.




B.   The Relative Health Risk of Radium-228 as Compared to




Radium-226




     Unfortunately, guidance on the body burden from chronic




radium-228' ingestion was not provided by the Federal Radiation




Council in their discussion of radium-226 limits.  Because




Handbook 69, which is based on 1959 ICRP dose models(4), gives a




maximum permissible concentration in water for radium-228 that is




three times greater than for radium-226, many persons have




concluded that these two isotopes are not equally toxic.




However, more recent data  (particularly that in the 1972 UNSCEAR




report(2) and the 1972 ICRP Report (4)  on alkaline earth




metabolism) indicates that radium-228 is at least as toxic as




radium-226.




     There are two major difficulties with the old ICRP model.



It assumes for radium-226 an effective half-life in bone of 1.6 x




104 days (44 years) and because of the shorter physical half-life




of radium-228 an effective half-life of 2.1 x 103.days (5.8

-------
                             76
years) for radium-228.  Therefore, using the old ICRP model, on

the basis of effective half-life the body burden due radium-226

would be 7.6 times greater than that calculated for radium-228

for equal  daily intakes of each.

     The recent report from the ICBP Committee II task group on

alkaline earth metabolism shows that the old ICRP bone model

overestimated the effective half-life of radium-226 and that 17.1

years, not 44, is currently the best estimate of the half-time

for radium retention  (5).*   On this basis the effective half-

life of radium-228  (physical half-life 5.75 years)(5) is 4.3

years, assuming the half-time of radium-226 retention is a

reasonable estimate of the biological half-life of radium.  In

light of this new information, the body burden from phrenic

radium-226 ingestion  is about four times greater than that from

radium-228, not 7.6 times greater as predicted by the old ICRP

model.

     The old ICRP model also underestimates the effective energy

delivered to bone from a given body burden.  The old ICRP model

assumes that 50 percent of the radon-220 (physical half-life 55

sees)  produced in the radium-228 decay chain escapes from bone as

compared to an assumed 70 percent escape of the radon-222

(physical half-life 3.8 days)  produced in the radium-226 decay
*n.b. that since the old ICRP model was used to calculate both
radium doses and health effects this change does not change the
risk estimates given in IV-A.

-------
                               77
chain.  Speculation on this point is unnecessary.  The MIT




Radioactivity Center has measured the escape of this short half-




life radon-220 from bone and found it to be about one to two




percent (6).




     Since almost all of the radon-220 decay products are




retained in bone, the effective energy per disintegration of




radium-228 in bone is about 330 MEV, not 190 MEV as given by the




old ICRP #2 model.  The effective energy for radium-226 in the




old ICRP model is 110 MEV, a factor of three less than that for




radium-228.




     The average dose to bone due to continuous radium ingestion




(based on an expontential retention function) is proportional to




the effective half-life and effective energy;




     for radium-226 this product is 17.1 years x 110 MEV  •




1880.




     for radium-223 this product is 4.3 years x 330 MEV  »  1420.




which indicates that even on the basis of a single exponential




retention model, as used in reference (4) these two radionuclides




give approximately the same dose per unit activity ingested.




     Actually, a simple exponential retention model is not a very




good approximation of radium retention in man and the more




sophisticated model based on studies in humans that were not




available in 1959 (5) is currently being considered by ICRP




Committee II.

-------
                             78






     This new ICKP model on alkaline earth metabolism, indicates




that for equal intakes the 50 year dose to bone surfaces from




radium-228 is significantly greater than that from radium-226.




Experimental data given in the 1972 UNSCEAR report supports this




viewpoint(2).  In the United States the average daily ingestion




of radium-226 and radium-228 is about equal, Table 10 in




reference 2.  Table 9 in reference 2 shows that the dose to bone




surfaces, calculated on the basis of measured skeletal body




burdens of radium-226 and radium-228, is greater for radium-228




than for radium-226.




     Since radium carcinogenity is associated with the dose to




bone surfaces(7}, it is likely that radium-228 is more of a




health risk than radium-226.  Experimental findings in dogs bear




this out.  The measured relative biological effectiveness of




radium-228 is over twice as great as radium-226 when death by




osteosarcomas is used as an end point(8).  Though the




carcinogencity of radium-228 relative to radium-226 may not be as




great in man as in dogs, it is prudent to assume chronically




ingested radium-228 is at least as dangerous as radium-226.

-------
                             79
                           REFERENCES
1.   "Background Material for the Development of Radiation
Protection Standards," Federal Radiation Council, Report #2, U.
S. Department of Health, Education and Welfare, USPHS,
Washington, D. C., September 1961.

2.   "Ionizing Radiation Levels and Effects," Vol. I, United
Nations Publication E.72.IX.17, 1972, New York, N. Y.

3.   "The Effects on Populations of Exposure to Low Levels of
Ionizing Radiation," Division of Medical Sciences, National
Academy of Sciences, National Research Council, November 1972,
Washington, D. C.

4.   Report of Committee II on Permissible Dose for Internal
Radiation, ICRP Publication 2  (1959), Pergamon Press, New York,
N. Y.

5.   "Alkaline Earth Metabolism in Adult Man," ICRP Publication
20, 1972, Pergamon Press, New York, N. Y.

6.   Evans,. R. D., "Radium and Mesothorium Poisoning and
Dosimetry and Instrumentation Techniques in Applied
Radioactivity," MIT-952-3, 1966, Division of Technical
Information, ORNL, Oak Ridge, Tennessee.

7.   "A Review of the Radiosensitivity of the Tissues in Bone,"
ICRP Publication 11, 1968, Pergamon Press, New York, N. Y.

8.   Dougherty, T. F. and Mays, C. W., "Bone Cancer Induced by
Internally Deposited Emitters in Beagles," Radiation Induced
Cancer, IAEA-SM-118/3, 1969, International Atomic Energy Agency,
Vienna, Austria.

-------
                             80
                           APPENDIX VI

       Dosimetric Calculations for Man-made Radioactivity



     A.    Calculations Based on^ NBS Handbook 69_

     The dose rate from radioactivity in drinking water is

calculated on the basis of a 2 liter daily* intake.  Except for

tritium and strontium-90, see below, the 'concentrations of man-

made radionuclides causing 4 millirem per year have been

calculated using the data in NBS Handbook 69(1) and are tabulated

in Table VI-2.  The dose models used in preparing Handbook 69 are

outlined in reference 2.  Maximum Contaminant Levels are defined

in terms of the annual dose equivalent to the total body or any

internal organ.  Handbook 69 lists the critical organ for each

radionuclide.  Often the total body is listed as the critical

organ.  The 163 hour maximum permissible concentrations for

ingestion in Handbook 69 are not calculated on the basis of the

same annual dose to each critical organ as in the Interim

Regulations, rather different organ doses are permitted by

occupational radiation protection limits (ORL), Table  VI-1.
*The recent ICRP publication #23, "Report of the Task Group on
Reference Man,"(3) gives the total daily water intake as 3
liters, 1.95 liters by fluid intake, the balance by food and food
oxidation.  Almost all of the fluid intake is from tap water and
water based drinks (Page 360).

-------
                             81
                           Table VI-1

                  Occupational Radiation Limits

                              (ORL)


           Critical Organ     '     ORL (reins)

           Total body                  5

           Gonads                      5

           Thyroid                    30

           Bone                       29.1  (a)

           Other Organs               15

     (a) Based on the alpha energy deposited in bone by 0.1 uCi

         of radium-226.


     The maximum permissible concentrations for a 168 hour week,

MFC, in Handbook 69, assume ingestion at 2.2 liter per day and

are in units of uCi per cc.  The various numerical factors can be

combined to find C^  , the concentration causing 4 mrem per year

from 2 liters daily ingestion of drinking water as follows:

           C4     -  4.4 x 106 X    MFC ....'.pCi per liter  .
                                    ORL
     Critical, organs are identified by boldface type in Handbook

69 so that an appropriate ORL can be selected from Table VI-1.

-------
                             32
     To illustrate, a sample calculation, taken from page 24 of

Handbook 69 is given:

     Radionuclide

        Beryllium-7   MPC(168 hours) =0.02 uCi/on?

     Listed critical organ       GI(LLI) gastrointestional tract

                                    (lower large intestine)

     C4   - 4.4 x 106 x 0.02  pCi/1  =»  5867 pCi/1
                         15
                                   -  6000 pCi/1


Rounding is appropriate since the values in Handbook 69 are given

to one significant figure.

     Calculation of the dose resulting from the ingestion of

drinking water containing a known mixture of radionuclides is

straightforward.  Let A, B,... be the concentrations, in pCi per

liter, of isotopes a, b, — in the water and let C^(X) be the

average annual concentrations 'of isotope A yielding 4 millirem

per year to organ X, d? (X) the same quantity for B, etc.  The

total annual dose to organ X in one year is, then
B    -h ...
                             x 4 millirem
Therefore, the 4 millirem limit is not exceeded if
f  *
I  cftxT
                 B
      •4 CX>     -4
            < 1.0
     It should be noted that although limits for the various

radionuclides may be based on, different critical organs, the

resultant dose is additive with respect to a specific organ when

-------
                                S3
the total body is the designated critical organ for one of the
radionuclides.  For example, consider drinking water which has on
an annual basis a strontiuxn-90 concentration of 4 pCi/1 and a
tritium concentration of 15,000 pCi/1.  The annual dose to bone
marrow from the strontium-90 is 2 mrem.  The total body dose from
the tritium is 3 mrem annually.  Even though the annual
concentration of each contaminant alone is permissible, the total
dose to bone marrow is 5 mrem annually and therefore the MCL is
exceeded.  Tabular values for C. for photon and beta emitters are
listed in Table VI-2 below.
        B.    The Dose from Tritium and Strontium-90 in. Drinking
Water
        For the majority of 'radionuclides, the models given in
Handbook 69 to estimate doses to occupationally exposed workers
are also appropriate for environmental contaminants.  They are
                                                »
not, however, appropriate for all man-made radionuclides,
particularly tritium and strontium-90.  Concentrations yielding 4
millirem annually for these radionuclides are given in Table A of
the Interim Regulations and listed in Table VI-2.
        Some radionuclides are isotopes of elements which are
incorporated into organic molecules within the body so that the
single exponential excretion models assumed in the development of
Handbook 69 underestimate the dose.  An example is tritium where
two or three exponentials may be needed to describe the dose-time
relationship of ingested tritium (4).  Some investigators have

-------
                             84
estimated that following chronic ingestion organically bound



tritium may increase the dose by a factor of 1.4 to 1.5 over that



predicted by Handbook 69 (5).  Such estimates are too high



because organically bound tritium irradiates the total body mass,



and not just the mass of body water, as assumed in the model used



in Handbook 69(2).




     Consideration of the daily intake of hydrogen and water



shows that the tritium concentration (specific activity) in any



organ is no greater than 120% of the tritium concentration in



body water.  The concentration of tritium in body water following




chronic ingestion is T/3 where T is daily intake of tritium in



pCi and the total water intake, including that in food, is 3



liters per day(3).  Water content by weight of any organ does not




exceed 80 percent(4).  Therefore, equilibrium concentration of



tritium' in any organ due to its water content, therefore can not



exceed 0.8  T/3 - .267 T pCiAg«'



     Because of organically bound hydrogen an organ's hydrogen



(and tritium) content is greater than that due to water alone.



The daily hydrogen intake is .35 kg per day(3) and, since no



organ contains more than 11 percent hydrogen by weight(4), the



maximum tritium concentration in any organ following chronic



ingestion is .11 T/.35 - .314 T pCiAg.  The specific activity of



tritium in any organ due to bound and unbound hydrogen exceeds



that due to its water content alone by the ratio




.314/.267 » 1.18.  Therefore, the dose to any organ due to

-------
                                85
organically bound tritium, exceeds the dose to body water, given

in Handbook 69, by no more than about twenty percent.

     The Agency is aware that the ICPP is developing new tritium

dose models more suitable for environmental sources of tritium

exposure than the model used in Handbook 69.  Until these models

are published and recommended by the Agency, the maximum

contaminant level for tritium is calculated on the basis of SO

percent of the value calculated using NBS Handbook 69.* For

tritium in drinking water:

     C4 -  0.8 x 4.4 x 10s x 0.03  »  21,120 pCi/1
                               5
                                   -  20,000 pCi/1

     The maximum contaminant level for strontium-90 in the

Interim Regulations is based on the dose model used by the

Federal Radiation Council (FRC) to predict the dose to bone

marrow(6).  According to the FRC model a continuous daily intake

of 200 pCi per day of strontium-90 will result 'in a body burden

of 50 pCi per gram of calcium in bone.  The annual dose rate to

bone marrow from this body burden would be 50 mrem per year (7).

Therefore, continuous ingestion of 16 pCi per day would result in

4 mrem per year, the limit for man-made radionuclides in drinking

water.  For two liters ingestion of water per day
*n.b.  In accordance with current guidance to Federal agencies, a
quality factor of 1.7, as in Handbook 69, is used in this
calculation.

-------
                               86
     C4 - 16 pCi  - 8 pCi/1
             2

     C.    Concentrations yielding an Annual Dose of 4 Millirem

     Table VI-2 gives C4 the annual average concentrations for

man-made radionuclides which are assumed to yield an annual dose

of 4 millirem to the indicated organ.  Ingestion at a rate of 2.0

liters per day is assumed.  The values shown were calculated from,

the Maximum Permissible Concentrations listed in Handbook 69 (1)

as outlined above.

-------
                              87


                      Table VI-2



   Annual Average concentrations Yielding  4  Millirem

         per Year for a Two Liter Daily  Intake
Radionuclide and
Type Dec.	

Tritium
I5p32


1&S33


17C136


17C138
2oca*5


zoca*7


21SC**


21SC*7


21SC*8


2 3V* 8
Critical Organ


Total Body

GI (LLI)

Tat

GI (SI)

Total Body

GI(S)

Bone

Testis

Total Body

GI(S)

GI(S)

Bone

Bone

GI(LLI)

GI (LLI)

GI(LLI)

GI (LLI)
 (pCi/1)

20,000

 6,000

 2,000

 2,000

   UOO

 3,000

    30

   500

   700

 1,000

   900

    10

    80

 lrOOO

   300

    80

    90

-------
                               88
2SMnS2
26J'e33
27CQS7




    iSani
28NJ.63
J°Zn69Itl
33AS74





33AS76
GI (LLI)




GI (LLI)



GI (LLI)




GI (LLI)




Spleen




GI (LL ()



GI (LLI)




GI (LLI)




GI (LLI)



GI (LLI)



Bone



Bone




GI(LLI)



GI (LLI)




Liver



GI (LLI)




GI(S)




GI (LLI)



GI (LLI)



GI (LLI)



GI(LLI)




GI(LLI)




GI(LLI)



Kidney




GI (LLI)
6,000



   90



  300



  300



2,000



  200



1,000



9,000



  300



  100



  300



   50



  300



  900



  300



  200



6rOOO



  100



6,000



1,000



  100



   60



  200



  900



  100

-------
                             89
3 a sr 8 ^
3 8 sr 9 O
39Y90





3 9Y9 l
39^93
      m
 3Tc97
Total Body



Pancreas



GI (SI)



Total Body



Bone



Bone Marrow  (FUG)



Bone Marrow  (FRC)



GI (LLI)



GI (ULI)



GI (LLI)



GI(SI)



GI (LLI)



GI (ULI)



GI(LLI)



G± (LLI)



GI (LLI)



GI (LLI)



GI(LLI)



GI(LLI)



GI (ULI)



Kidney



GI (LLI)



GI (LLI)



GI (LLI)



GI (LLI)
   600



   300



21,000



   900



    20



    80



     8



   200



   200



    60



 9,000



    90



   200



    90



 2,000



   200



    60



 1,000



   300



 3,000



   600



30,000



   300



 1,000



 6,000

-------
90
t 3ff* 99 HI
^ 3^n/^ 9 9
* 4 J^jj 9 7
4 4 Jftj 103
**RU105
* *Rtl 106
*SRhi03m
* 5Rh* 0 S
,6pd103
* * Pd i o q
* *A<7 l ° s
*7Aqiio m
* 7 Aq 111
*8CdK>*
* 8Cd1 1 s ra
.acdiis
»9Inll3in
»9inii* m
* 9 r j^ 113
Tn. * *
s osn ^ i 3
s o Sn i 2 '
siSbt22
sisb124
sisb125
GI (ULI)
GI (LLI)
GI (LLI)
GI(LLI) -
GI (ULI)
GI (LLI)
GI(S)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (ULI)
GI (LLI)
GI (ULI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
20,000
900
1,000
200
300
30
30,000
300
900
-300
300
90
100
600
90
90
3,000
60
1,000
300
300
60
90
60
300

-------
                             91
                        Kidney                     600
                        Kidney                     200
     27                 GI(LLI)                    900
                        GI(LLI)                     90
                        GI(S)                    2,000
                        GI(LLI)                    200
                        GI(LLI)                     90
   ; 12 a                  Thyroid                      3
s3i129                  Thyroid                      1
s3ii3i                  Thyroid                      3
S3J132                  Thyroid                     90
531133                  Thyroid                     10
S3I134IQ                 Thyroid                    100
53H35                  Thyroid                     30
sacs*3*                 Total Body              20,000
sscs*34                 GI (S)                   20,000
S5Csi3*                 Total Body                  80
sscs135                 Total body                 900
sscs*3*                 Total Body                 800
sscsi37                 Total Body                 200
                        GI(LLI)                    600
                        GI(LLI)                     90
37La**°                 GI(LLI)                     60
                        GI(LLI)                   -300
                        GI(LLI)                    100

-------
92
58Ce14*
3«Pr *42
5 6 pr 1*3
*'°Nd149
6ipn149
62Smi3i
62SmiS3
63EU1S2
63Eu15if
63EU15S
6*G<3iS3
**Gd159
6STb160
66Dy16S
6*Dy 1 66
srgo166
68Er169
S3 Eri7l
57 Tml70
6 'Tm * 7 J
roYb173
7iLui77
72Hf 181
73Taifl2
74^71 at
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI).
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (ULI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI) '
GI (LLI)
30
90
100
900
100
1,000
200
200
60
600
600
200
100
1,000
iao
90
300
300
100
1,000
300
300
200
100
1,000

-------
93
7+yi as
74^187
7SRe183
r
7SRe186
7SRe187
73RQ188
76QS18S
76Qsl91m
7 6Qg 191
76QS193
77Irl90
77Ir192
77Ir194
7apti*i
7 8 pt I 9 3m
7apti93
7 apt 197m
7Sp-tl97
79AU19«
T 9AU l 9 a
81T1202
a ii"i2O4
B2pb203
83Bi20*
83Bi207
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
Kidney
GI (ULI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
GI (LLI)
300
200
2,000
300
9,000
200
200
9,000
600
200
600
100
90
300
3,000
3,000
3,000
300
600
100
300
300
1,000
100
200

-------
                              94
9ipaz33                  GI (LLI)                     300

-------
                           REFERENCES

1.   "Maximum Permissible Body Burdens and Maximum Permissible
Concentrations of Radionuclides in Air and Water for Occupational
Exposure," NBS Handbook 69, Department of Commerce, revised 1963.
                         •
2.   Report of Committee II on Permissible Dose for Internal
Radiation, ICRP Publication 2 (1959), Pergamon Press, New York,
N. Y.

3.   Report of the Task Group on Reference Man, ICRP Publication
23, 1975, Pergamon Press, New York, N. Y.

4.   Snyder, W. S., Fish, B. R., Bernard, S. R., Ford, M. R. and
Muir, J. R., "Urinary Excretion of Tritium Following Exposure of
Man to HTO-A Two-Exponential Model," Physics in Medicine and
Biology, Vol. 13, p.547, 1968.

5.   Evans, A. G., "Hew Dose Estimates from Chronic Tritium
Exposures," Health Physics, Vol. 16, pp 57-63, 1969.

6.   "Background Material for the Development of Radiation
Protection Standards," Federal Radiation Council, Report #2, U.S.
Department of Health, Education and Welfare, USPHS, Washington,
D. C., September 1961.
7.   "Estimates and Evaluation of Fallout in the United States
from Nuclear Weapons Testing Conducted through 1962", Federal
Radiation Council, Report §4, U.S. Department of Health,
Education and Welfare, USPHS, Washington, D. C., May 1963.

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