United States    EPA Science Advisory    EPA-SAB-RAC-ADV-01-003
        Environmental    Board (1400A)           June 2001
        Protection Agency  Washington DC        www.epa.gov/sab

&EPA  RADIONUCLIDES IN

        SEWAGE SLUDGE: AN

        SAB ADVISORY
        REVIEW OF THE INTERAGENCY
        STEERING COMMITTEE ON
        RADIATION STANDARDS
        (ISCORS) SEWAGE SLUDGE
        SUBCOMMITTEE REPORT,
        RADIONUCLIDES IN SEWAGE
        SLUDGE: DOSE ASSESSMENT,
        DOSE MODELING REPORT

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                          UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
                                       WASHINGTON, D.C.  20460
    PRO*
                                      June 27, 2001
                                                                   OFFICE OF THE ADMINISTRATOR
                                                                    SCIENCE ADVISORY BOARD
EPA-SAB-ADV-01-003

The Honorable Christine Todd Whitman
Administrator
U.S. Environmental Protection Agency
1200 Pennsylvania Avenue, NW
Washington, DC 20460

       Re:   Review of the Interagency Steering Committee on Radiation Standards (ISCORS)
             Sewage Sludge Subcommittee report, Radionuclides in Sewage Sludge: Dose
             Assessment, Dose Modeling Report
Dear Governor Whitman:
       The enclosed report was developed by the Radionuclides in Sewage Sludge Subcommittee
(RSSS) of the Radiation Advisory Committee (RAC) of the Science Advisory Board (SAB) in response
to a request from the Office of Radiation and Indoor Air (ORIA) to review technical aspects of the
Radionuclides in Sewage Sludge: Dose Assessment, Dose Modeling Report that was developed by
the Interagency Steering Committee on Radiation Standards (ISCORS) Sewage Sludge Subcommittee
(SSS).  The RAC's report is designated an "Advisory," since the ISCORS document is considered to
still be a "work in progress," rather than a final document. The RAC expects that ISCORS will seek
additional peer review before their document is finalized.

       The RSSS held a public meeting in Washington, DC on December 12, 13, and 14, 2000, at
which it was briefed by, and had technical discussions with, the members of the ISCORS SSS, Dose
Modeling Workgroup and received comments from members of the public. Additional writing/editing
sessions were held by teleconference.

       The enclosed report is organized around three primary Charge questions, and, in addition,
provides some further advice to the Agency concerning several issues beyond the Charge.

       The first element of the Charge asked if the overall dose modeling methodology, including model
selection, is adequate. The RSSS accepts the ISCORS SSS decision to address radiation exposure
from sewage sludge and ash with RESRAD (this model, as with many others referred to in this report, is
denoted by an assigned name rather than an abbreviation or acronym), a model that is readily available,
widely used, and employs a probabilistic approach for quantifying both dose,and the uncertainty
associated with the dose modeling results.  The RSSS also supports strongly the use of other radiation
dose models (e.g., PRESTO, GENII, and MICROSfflELD) to benchmark RESRAD as it is used for

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sewage sludge dose modeling.  We also encourages the ISCORS SSS to verify and document the
capability of the RESRAD family of codes to employ probabilistic input parameter values for the various
exposure scenarios.

       The RSSS also accepts the ISCORS SSS proposal to characterize the impact of radionuclides
in sewage sludge in terms of "total effective dose equivalent" (TEDE) rather than attempting to go
directly from radionuclide intake and direct radiation exposure to "risk." In this particular application,
TEDE is appropriate for use in comparing the modeling results with existing standards and background
values. The dose calculations were based on dose conversion factors given in Federal Guidance Report
11 (FGR-11) that were derived using the 1977 International Commission on Radiological Protection
(ICRP) approach. Revised ICRP dose coefficients for members of the public that incorporate age
differences have since been published and the RAC recommends that ICRP 72  (ICRP 1996) be used or
that the influence of age on dose, especially as received by infants and children, be considered in the
assessment.

       The second Charge question asked if the dose modeling scenarios were reasonable, if they are
they sufficiently representative of the major exposure situations, and if the document adequately explains
them.  The  RSSS commends the ISCORS SSS for its identification and description of a range of
plausible radiation exposure scenarios affecting both workers and members of the general public.
Although each of these scenarios is reasonable, potentially critcal exposure pathways have not been fully
examined.  Onsite and landfill exposure scenarios failed to completely account for important site-specific
heterogeneities such as fracture flow that could result in rapid and long-range transport of radionuclides.
The RSSS recommends that the SSS consider the possibility of both soluble and colloidal transport of
radionuclides associated with runoff from fields receiving sewage sludge applications.  The SSS should
evaluate the impact of the POTW sludge dewatering operations on the transport and bioavailability of
radionuclides in land-applied sewage sludge. Although the RAC recognizes that the SSS dose modeling
effort was restricted to sewage sludge per se, the final  document should also discuss the potentially
important contributions to dose of liquid effluents, either from discharge to waters used for drinking
water or from use for irrigation.

       The RSSS urges the ISCORS SSS to explicitly incorporate the 40 CFR Part 503 guidelines
(and other applicable requirements) that limit the design and operation of sewage sludge land application,
incineration, and surface disposal sites into the exposure scenarios. The RAC also encourages the SSS
to incorporate existing and validated methodologies for determining reasonable parameter values and
recommends full characterization of the sludge and ash to include analysis for all radionuclides of
concern.

       The last Charge question addressed the the approaches to obtaining modeling parameters and
distributions, asking if they were scientifically defensible, and if the  methodology's approach for
characterizing uncertainty was appropriate.  The RSSS found that the  description of the sensitivity and
uncertainty  analysis in the current draft is inadequate for judging whether or not it is appropriate.  The
SSS should provide better documentation for the selection of parameters and their distributions.

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       The RSSS identified several additional issues calling for comment.  The Subcommittee noted that
the SSS considered only the radiation exposure from sewage sludge, raising the possibility of
underestimating the doses received by persons coming into contact with both the sludge and associated
effluent. The radionuclides contained in the liquid effluent from the POTW may contribute to the total
dose experienced by people living near or working at POTWs. Additionally, liquid effluent can be used
for irrigation of sites to which sludge has been applied, resulting in concentrations of radionuclides in soils
higher than the assumed values in the source term for RESRAD.  At a minimum, these issues should be
discussed in the final dose assessment document.

       Also, the RSSS understands the EPA is considering revision of FGR-11 to reflect ICRP
Publication 72 values. If the revised FGR-11 becomes available in time for incorporation into this
Sewage Sludge Dose Modeling report, it would be desirable to do so, both because of the improved
dosimetry models used and the added ability to consider intakes by subjects of different ages.

       The RSSS appreciates the opportunity to provide this report to you and to the ISCORS SSS
and we hope that it will be helpful. We look forward to the response of the Assistant Administrator for
Air and Radiation to the our comments and recommendations.

                                   Sincerely,

                                          /S/

                                   Dr. William Glaze, Chair
                                   EPA Science Advisory Board

                                          /S/

                                   Dr. Janet Johnson, Chair
                                   Radiation Advisory Committee
                                   EPA Science Advisory Board

                                          /S/

                                   Dr. Jill Lipoti, Chair
                                   Radionuclides in Sewage Sludge Subcommittee
                                   Radiation Advisory Committee
                                   EPA Science Advisory Board

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                                         NOTICE
       This report has been written as part of the activities of the EPA Science Advisory Board, a
public advisory group providing extramural scientific information and advice to the Administrator and
other officials of the Environmental Protection Agency. The Board is structured to provide balanced,
expert assessment of scientific matters related to problems facing the Agency.  This report has not been
reviewed for approval by the Agency and, hence, the contents of this report do not necessarily represent
the views and policies of the Environmental Protection Agency, nor of other agencies in the Executive
Branch of the Federal government, nor does mention of trade names or commercial products constitute
a recommendation for use.
Distribution and Availability: This EPA Science Advisory Board report is provided to the EPA
Administrator, senior Agency management, appropriate program staff, interested members of the public,
and is posted on the SAB website (www.epa.gov/sab). Information on its availability is also provided in
the SAB's monthly newsletter (Happenings at the Science Advisory Board). Additional copies and
further information are available from the SAB Staff [US EPA Science Advisory Board (1400A), 1200
Pennsylvania Avenue, NW, Washington, DC 20460-0001; 202-564-4546].

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                                       ABSTRACT
       On December 12-14, 2000, the Radionuclides in Sewage Sludge Subcommittee (RSSS) of the
Radiation Advisory Committee (RAC) reviewed the dose modeling report of the Interagency Steering
Committee on Radiation Standards, Sewage Sludge Subcommittee (ISSS). This included advice on
dose modeling methodology, model selection, scenarios, approaches to obtaining modeling parameters
and distributions, and approaches for uncertainty.

       The RSSS accepted the ISSS's decision to use the model RESRAD, but supported the use of
other radiation dose models for bench marking RESRAD's application to sewage sludge dose modeling.
The RSSS also accepted ISSS's use of radiation dose quantities, rather than risk, to express the impact
of radionuclides in sewage sludge. The RSSS recommended that the revised dose coefficients published
in ICRP 72 be used if feasible or, at a minimum, the possible effects of age on dose be considered.
While commending the ISSS for identifying a range of plausible radiation exposure scenarios, the RSSS
identified several exposure pathways that were not considered and recommended that regulatory
requirements concerning sludge disposition be integrated into the modeling effort to prevent use of
unrealistic scenarios or parameters. The RSSS recommended that the selection  of parameters and their
distributions, as well as the sensitivity and uncertainty analyses, be better described and that a two-
dimensional uncertainty  analysis, addressing both variability and uncertainty, be considered. The RSSS
made recommendations beyond the charge to consider exposure to liquid effluent from POTWs, and to
use SI units.  The RSSS made a general recommendation to update FGR-11 to reflect values in ICRP
Publication 72.

KEY WORDS:  sewage sludge, ash, dose modeling, RESRAD, dose coefficients, effects of age on
dose, radiation exposure scenarios for the POTW  worker, radiation exposure scenarios for the general
public, critical exposure  pathways, land application of sewage sludge, land reclamation with sewage
sludge, bioavailability of radionuclides in sewage sludge, solubility of radionuclides in sewage sludge,
model validation

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                   U.S. ENVIRONMENTAL PROTECTION AGENCY
                         EPA SCIENCE ADVISORY BOARD
             RADIONUCLIDES IN SEWAGE SLUDGE SUBCOMMITTEE
                   OF THE RADIATION ADVISORY COMMITTEE

                                December 12-14, 2000

CHAIR
Dr. Janet A. Johnson, Shepherd Miller, Inc., Ft. Collins, CO

SEWAGE SLUDGE SUBCOMMITTEE CHAIR
Dr. Jill A. Lipoti, New Jersey Dept. Of Environmental Protection, Trenton, NJ

MEMBERS
Dr. Lynn R. Anspaugh, University of Utah, Salt Lake City, UT

Dr. Bruce B. Boecker, Lovelace Respiratory Research Institute, Albuquerque, NM

Dr. Gilles Y. Bussod, Los Alamos National Laboratory, Los Alamos, NM

Dr. Thomas F. Gesell, Idaho State University, Pocatello, ID 83209

Dr. Richard W. Hornung, Institute for Health Policy and Health Services Research, University of
       Cincinnati, Cincinnati, OH

Dr. Genevieve S. Roessler, Radiation Consultant, Elysian, MN

CONSULTANTS
Dr. Vicki M. Bier, University of Wisconsin, Madison, WI1

Dr. Stephen L. Brown, R2C2 Risks of Radiation & Chemical Compounds, Oakland, CA

Dr. Michael J. McFarland, Dept.  of Civil and Environmental Engineering, Utah State University,
       Logan, UT

Dr. Bobby R. Scott, Lovelace Respiratory Research Institute, Albuquerque, NM2

SCIENCE ADVISORY BOARD STAFF
Ms. Melanie Medina-Metzger, Designated Federal Officer, US EPA Science Advisory Board
       (1400A), US EPA, 1200 Pennsylvania Avenue, NW, Washington, D.C. 20460
      Did not attend meeting of December 12-14,2000, but participated in the review
                                          111

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Mr. Samuel Rondberg, Designated Federal Officer, US EPA Science Advisory Board (1400A), US
      EPA,  1200 Pennsylvania Avenue, NW, Washington, D.C. 20460

Ms. Diana L. Pozun, Management Assistant, US EPA Science Advisory Board (1400A), US EPA,
      1200 Pennsylvania Avenue, NW, Washington, DC 20460

Ms. Dorothy Clark, Management Assistant, US EPA Science Advisory Board (1400A), US EPA,
      1200 Pennsylvania Avenue, NW, Washington, DC 20460
                                          IV

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                            TABLE OF CONTENTS
1. EXECUTIVE SUMMARY 	  1

2. INTRODUCTION	  5
      2.1 Background 	  5
      2.2 Charge to the SAB	  5

3. DETAILED FINDINGS AND RECOMMENDATIONS  	  7
            3.1.1.  Model Selection	  7
            3.1.2.  Dose Modeling Methodology  	  8
      3.2 Dose Modeling Scenarios	  9
            3.3.1.  Model Parameters and Distributions  	  11
            3.3.2.  Uncertainty	  12
      3.4 Issues Beyond The Charge  	  13
            3.4.1.  Terminology 	  13
            3.4.2.  Consideration of The Audience	  14
            3.4.3.  Technical Accuracy	  14
            3.4.4.  Comments Related to The Appendices  	  15

APPENDIX A - GLOSSARY OF TERMS AND ACRONYMS	 A-2

REFERENCES	 R-l
                                       v

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                             1. EXECUTIVE SUMMARY
       The Office of Radiation and Indoor Air (ORIA), in cooperation with other federal agencies
comprising the Sewage Sludge Subcommittee (SSS) of the Interagency Steering Committee on
Radiation Standards (ISCORS), is developing guidance to inform Publicly Owned Treatment Works
(POTW) authorities of the possibility for radioactive materials to concentrate in sewage sludge and
incinerator ash. A second purpose is to help the POTW authorities determine what actions may be
considered depending on the concentration of radioactive materials present in their sewage sludge or
ash.  As part of the effort by the SSS, a report on dose modeling for radionuclides in sewage sludge and
ash was prepared. The Radiation Advisory Committee (RAC) was asked to review the dose modeling
report and formed the Radionuclides in Sewage Sludge Subcommittee (RSSS) to undertake this task.
The RAC's report is designated an "Advisory," since the ISCORS document is considered to still be a
"work in progress," rather than a final document.  The RAC expects that ISCORS will seek additional
peer review before their document is finalized.

       The following report is organized around three primary Charge questions (see  section 2.2 for the
detailed Charge), and, in addition, provides some further advice to the Agency concerning several issues
beyond the Charge.

       The first element of the Charge asked if the overall dose modeling methodology, including model
selection, is adequate.  The RSSS accepts the ISCORS SSS decision to address radiation exposure
from sewage sludge and ash with RESRAD, a model that is readily available, widely used, and
according to information supplied to the Subcommittee,  has been modified to allow the use of a
probabilistic approach for quantifying dose, as well as the uncertainty associated with the dose modeling
results.  However, to achieve greater transparency, the RSSS recommends that a discussion of the
conceptual framework for the model be presented in terms of the possible applications envisioned by
ISCORS for the dose modeling effort.

       The RSSS strongly supports the use of other radiation dose models (e.g., PRESTO, GENII,
and MICROStflELD) for bench marking RESRAD. Any validation of the RESRAD  model for which
appropriate data are available, specific to its use in sewage sludge  dose assessment, would enhance the
credibility of the predicted values. The RSSS also encourages the ISCORS SSS to verify and
document the capability of the RESRAD family of codes to employ probabilistic input parameter values
for the various exposure scenarios. Finally, the RSSS recommends that the ISCORS  SSS explore
options for including model modifications to the RESRAD family of codes that will be  necessary to
faithfully capture some important site-specific characteristics.

       The RSSS accepts the ISCORS SSS proposal to characterize the impact of radionuclides in
sewage sludge in terms of "dose." In this particular application, "dose" is appropriate for use in
comparing the results with existing standards and background values. However, the ISCORS SSS is
cautioned about the use of the "dose" terminology and a glossary of appropriate dose terms is provided.

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       The RSSS was informed by members of the ISCORS SSS that "dose" as used in its dose
assessment document means "Total Effective Dose Equivalent." The dose calculations were based on
dose conversion factors given in Federal Guidance Report (FGR) 11.  The values in FGR-11 were
based in the ICRP approach defined for adult workers in ICRP Publications 26 (ICRP 1976) and 30
(ICRP 1977-1988). Revised ICRP dose coefficients for members of the public for ingestion and
inhalation have been published and the RSSS recommends that ICRP Publication 72 (ICRP  1996) and
the associated CD-ROM published in ICRP 1998 be used. Even if the ICRP Publication 72
approaches cannot be used in this report, it is important that the possible effects of age on dose,
especially as received by infants and children, be considered in the assessment.

       The ISCORS SSS should clarify the specific circumstances for which the total effective dose
equivalent values are being calculated. The impact of possible changes in exposure conditions from year
to year should be included in the uncertainty analyses.

       The ISCORS SSS has estimated the source term for many of the scenarios by assuming that
100 years of sludge application is mixed with the surface layer of soil.  That procedure will overestimate
the actual concentration because of losses during the period of application.  The losses would occur not
only from radioactive decay, but from erosion by wind and precipitation, by leaching to the groundwater,
and by uptake and removal with crops.  A better approach is to apply an effective half-life derived for
the removal processes using radioactive decay constants, the universal soil-loss equation, and loss rates
consistent with the assumptions about movement to groundwater and uptake in plants.

       The second Charge question asked if the dose modeling scenarios were reasonable, if they are
they sufficiently representative of the major exposure situations, and if the document  adequately explains
them?  The ISCORS SSS is commended for its identification  and description of a range of plausible
radiation exposure scenarios affecting both the POTW workers as well as the general public. The
exposure scenarios included a) nearby towns, b) onsite residents, c) landfill neighbors, d) incineration
neighbors, e) recreational area use, f) agricultural application workers, g) low-exposure POTW workers
(belt filter press operators) and h) high- exposure POTW workers (bagging of dewatered sludge).

       Although each of these scenarios is reasonable, the ISCORS SSS has not fully examined
potentially critical exposure pathways in some cases. Onsite and landfill exposure scenarios failed to
completely account for important site-specific heterogeneities  such as fracture flow that could result in
rapid and long-range transport of radionuclides. The scenario descriptions do not mention the possibility
of both soluble and colloidal transport of radionuclides associated with runoff from fields receiving
sewage sludge applications.  Additionally, as stated in Section 3.4, (Issues Beyond the Charge), the
discharge of aqueous effluent from the POTW is not considered. A critical omission in the ISCORS
SSS dose modeling report is an evaluation of the impact of the POTW sludge dewatering operations on
the transport and bioavailability of radionuclides in land -applied sewage sludge.

       In general, the dose modeling report adequately captures the major exposure situations affecting
the general public.  The RSSS endorses the ISCORS SSS development and implementation  of a
transparent screening process that permits the relative ranking of exposure scenarios, which is critical for

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determining for which scenarios further refinement is justified. The RSSS encourages the development
of a similar transparent screening tool for objectively identifying POTW worker situations which
represent major sources of radiation exposures. The RSSS recommends that the ISCORS SSS explore
methods for obtaining appropriate data to better characterize the distribution of exposure durations for
typical land application operations and to critically evaluate and appropriately document its assumptions.

        Although the radiation exposure scenarios described in the dose modeling report are appropriate
for capturing the range of likely opportunities for radiation exposure from sewage sludge, it is not clear
that the scenarios incorporated the specific regulatory requirements that currently limit how sludge may
be used or disposed. The RSSS encourages the ISCORS SSS to explicitly incorporate the 40 CFR
Part 503 guidelines (and other applicable requirements) that limit the design and operation of sewage
sludge land application, incineration, and surface disposal sites.  The RSSS also encourages the
ISCORS SSS to incorporate existing and validated methodologies for defining reasonable parameter
values.

        In many land reclamation projects, the quantity of land-applied sludge is considerably greater
than what is allowable under the agricultural production scenario. Under these circumstances, the extent
of soil mixing is generally minimal, particularly at those land reclamation  sites which contain little or no
topsoil. The RSSS recommends that the ISCORS SSS provide scientific justification for assigning
specific dilution factors to the source terms.

        The RSSS recommends full characterization of the sludge and ash to include analysis for all
radionuclides of concern. Further, all radionuclides that are identified through the analysis of the sludge
and ash should be included in the radionuclide libraries of the models. It appears that a potentially
important radionuclide ("mTc) was omitted.

        The last Charge question addressed the the approaches to obtaining modeling parameters and
distributions, asking if they were scientifically defensible, and if the methodology's approach for
characterizing uncertainty was appropriate.  In general, the selection of parameters and their distributions
was not well described in the ISCORS SSS draft dose modeling report provided to the RSSS.
However, in the oral presentations, the Subcommittee members indicated that future drafts would be
much improved and the RSSS supports such improvements.

        The use of one Kd for each radionuclide without consideration of speciation and other factors
that cause Kds,  solubilities, and bioavailabilities to vary across POTWs and land applications is not
appropriate. This could be handled by assigning these parameter values by species and application
scenario or by widening the variability distributions for each radionuclide, as well as including an
additional degree of uncertainty. The RSSS recommends that outside advice be obtained on how to
treat the mobility of radionuclides in a soil-sludge mixture.

        The description of the sensitivity and uncertainty analysis in the current draft is inadequate for
judging whether or not it is appropriate. A more informative uncertainty analysis would be two-
dimensional, addressing both variability and uncertainty, and would examine not only parameter

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uncertainty, but also uncertainties introduced by the selection of models and assumptions.  ISCORS
SSS should, at a minimum, acknowledge the difference between variability and uncertainty and provide
an indication for each source, whether the distributions reflect variability, uncertainty, or a combination of
both.  The Subcommittee should address other sources of variability and uncertainty, such as dose
conversion factors (including particle size distributions). The uncertainty analysis should recognize
correlations among parameters.

       A full description of the particular Latin Hypercube method employed should be provided and
the number(s) of realizations for the Monte Carlo runs should be justified.

       In the sensitivity analysis, the statements regarding non-linearity should have some  technical or
physical basis.

       Finally, the RSSS identified, and commented on, some issues not delineated in the Charge. The
RSSS understands that the ISCORS SSS  is limited to assessing doses from disposition of sewage
sludge per se and did not intend to assess doses from discharges of liquid effluents from POTWs to
nearby waters. However, the fraction of soluble radioactive material contained in the liquid effluent from
the POTW may, under some site-specific  conditions, contribute significantly to the total dose
experienced by people living near or working at POTWs.  Additionally, liquid effluent  can be used for
irrigation of sites to which sludge has been applied, rather than water form other sources.  Therefore
concentrations of radionuclides in soils may be higher than assumed in the source term  for RESRAD and
there may be additional occupational routes of exposure or an additional airborne  source term. At a
minimum, these issues should be discussed in the final dose assessment document.

       The RSSS understands that the ISCORS SSS is under a time constraint to provide the dose
model as a tool to help interpret the results from the analysis of sludge and ash from 300 POTWs
nationwide. These results will be available in a few months and it is important to assist POTWs with
assessment. The EPA is considering revision of FGR-11  to reflect ICRP Publication 72 values. If the
revised FGR-11 were available in time for incorporation into this Sewage Sludge Dose Modeling report,
it would be desirable to do so, both because of the improved dosimetry models used and  the added
ability to consider intakes by subjects of different ages.

       Conventional units are used throughout the document.  The RSSS recommends the use of SI
units.  The RSSS has also provided a glossary of terms which the ISCORS SSS should use to clarify the
document. The RSSS further recommends that Appendix A be revised to provide more complete
information in a more consistent manner for all radionuclides of interest, and that Appendix B be
modified or eliminated.

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                                 2.  INTRODUCTION
2.1 Background

       During the process of treating sewage, radionuclides can become reconcentrated in the residual
solids, known as sewage sludge. The radionuclides can come from discharges of man-made radioactive
material by licensed users or from naturally occurring radioactive materials. In a 1994 report, the
General Accounting Office (GAO, 1994) described nine cases where contamination found in sewage
sludge or ash or the wastewater collection system resulted in considerable cleanup expense to the
POTW authority or the specific industrial discharger of the wastewater. These incidents have been
investigated and documented, but these investigations did not indicate the prevalence of radionuclides in
POTW sludge and ash around the country.  These incidents also do not indicate  whether levels actually
measured pose a threat to human health and the environment.

       This review was carried out in response to  a request from EPA's Office of Radiation and Indoor
Air (ORIA). The ORIA requested that the RAC review technical aspects of the Radionuclides in
Sewage Sludge: Dose Assessment, Dose Modeling Report, that was developed by the Sewage Sludge
Subcommittee (SSS) of the Interagency  Steering Committee for Radiation Standards (ISCORS). The
SSS of the ISCORS comprises representatives from the EPA, NRC, Department of Energy,
Department of Defense, State of New Jersey, City  of Cleveland, and the county of Middlesex, New
Jersey.

       The RAC formed the Radionuclides in Sewage Sludge Subcommittee (RSSS) to conduct the
review.  The RSSS met in Washington,  DC on December 12-14, 2000, and was briefed by members of
the ISCORS Sewage Sludge Subcommittee's Dose Assessment Workgroup. In addition, the RSSS
conducted a publically noticed teleconference on November 27, 2000, and two writing/editing sessions
by teleconference on December 21, 2000, and January 5, 2001.

2.2 Charge to the SAB

       The draft Sewage Sludge Dose Modeling Report provided the methodology for the concerned
agencies to use to assess potential radiation doses to workers and the public from various sewage sludge
handling and disposal practices. The dose estimates would then be included in the final Guidance
Document to help operators of POTW understand and interpret radionuclide  data associated with
sewage sludge and ash analyses. The Charge questions were:

       a)     Is the overall dose modeling methodology, including model selection, adequate?

       b)     Are the dose modeling scenarios reasonable?  Are they sufficiently representative of the
              major exposure situations?  Does the document adequately explain them?

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c)     Are the approaches to obtaining modeling parameters and distributions scientifically
       defensible? Is the methodology's approach for characterizing uncertainty appropriate?

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             3.  DETAILED FINDINGS AND RECOMMENDATIONS


3.1 Dose Modeling Methodology, Including Model Selection

  3.1.1. Model Selection

       The RSSS accepts the ISCORS SSS decision to address radiation exposure from sewage
sludge and ash with RESRAD, a model that is readily available, widely used, and, according to
information supplied to the Subcommittee, has been modified to allow the use of a probabilistic
approach for quantifying dose, as well as the uncertainty associated with the dose modeling results.  The
RESRAD family of codes has considerable flexibility in allowing the user to input site-specific values and
evaluating the potential dose to an on-site personnel. However, the limitations of RESRAD should be
explicitly identified and discussed in the dose modeling report.

       To achieve greater transparency, the RSSS recommends that a discussion of the conceptual
framework for the model be presented in terms of the possible applications envisioned by ISCORS for
this dose modeling effort. Although the basic framework, in which the dose assessment methodology
has been developed, is fundamentally sound, the descriptions of many of the principal components of the
process are inadequate.  In particular, the ISCORS report section on "Model Selection" (i.e., Chapter
4) is incomplete and preliminary at this time, although the RSSS understands that the limitations of the
RESRAD family of codes will be identified along with their consequences on dose calculations. Given
that RESRAD is the model of choice, Chapter 4 of the dose modeling report should be restructured to
provide adequate information to support this choice.

       The current Table 4.1 indicates that several pathways  are not included by RESRAD 5.95 and
the RSSS is not certain whether they are addressed by RESRAD 6.0. These pathways are a) ingestion
of drinking water from a contaminated river, b) ingestion of fish, and c) surface water run-off. These
pathways should be included.

       The RSSS strongly supports the use of other radiation dose models (e.g, PRESTO, GENII, and
MICROSHIELD) for bench marking RESRAD in its specific  use in the sewage sludge dose modeling.
Bench marking may be particularly useful  with respect to the inclusion of CAP-88 as the air dispersion
model for RESRAD-Offsite. Moreover, any validation of RESRAD specific to its use in sewage sludge
dose assessment would enhance the credibility of its predictions. For example,  concentrations of
radionuclides in soil at a  known old sewage sludge application site could be compared with the
radionuclide concentration assumptions of RESRAD if the history of sludge application, including
concentration data for the applied sludge, was available.  Validation of any other modules of RESRAD
for which appropriate data are available would also enhance the credibility of its predicted values.

       Supporting quality control/quality assurance documentation for RESRAD was not made
available to the RSSS, leading to a concern that there could be a problem in using RESRAD for the
implementation of the probabilistic assessment of dose. It is unclear whether RESRAD was, in fact,

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developed with the expectation that probabilistic methods would eventually be employed for assigning
input parameter values. If the model was initially developed without consideration of its possible use for
probabilistic analysis, the inclusion of "probabilistic distributions" rather than "deterministic" values could
lead to extrapolations beyond the range of applicability of the model. Secondly, the use of a
probabilistic approach for assigning input values to a deterministic model can result in a singularity in the
model, caused by a division by zero or some other nonphysical result. Although future documentation of
the models  may resolve these concerns, the RSSS encourages the ISCORS SSS to verify and
document the capability of the RESRAD family of codes to employ probabilistic input parameter values
for the various exposure scenarios.

       Finally, the RSSS recommends that the ISCORS SSS explore options for including model
modifications to the RESRAD family of codes that will be necessary to faithfully capture some important
site-specific characteristics. For instance, fracture vs. matrix groundwater flow, indoor contamination
and near-field air dispersion characteristics, dose coefficients, exposure factors, and other age
dependence factors should be captured by RESRAD as it is used in this application.

  3.1.2. Dose Modeling Methodology

       The RSSS accepts the ISCORS Subcommittee proposal to characterize the impact of
radionuclides in sewage sludge in terms of "dose." In this particular application, "dose" is appropriate
for use in comparing the results with existing standards and background values. However, the choice of
dose vs. risk and the decision to use Federal Guidance Report (FOR) 11 and 12, rather than FGR-13,
should be explicitly discussed for clarity.

       The ISCORS SSS should be careful in the use of "dose" terminology.  The unmodified term
"dose" is not defined in the conventional health physics literature and should be defined in the document
in which it is used. Definitions of appropriate dose terms are provided in the glossary of this advisory.

       The RSSS was informed by members of the ISCORS SSS that "dose," as used in its dose
assessment  document, means "Total Effective Dose Equivalent," but this should be clarified in the
document.  Apparently, the dose calculations are based on the Dose Conversion Factors given in FGR-
11. The values in FGR-11 are, in turn, based on the ICRP approach defined for adult workers in ICRP
Publications 26 (ICRP 1976) and 30 (ICRP 1977-1988).

       Revised ICRP dose coefficients for members of the public for ingestion and inhalation have been
published since the publication of FGR-11.  These dose coefficients incorporate the tissue weighting
factors given in ICRP Publication 60 (ICRP  1991) and a number of revised metabolic models described
in ICRP Publications 56 (ICRP 1989), 67 (ICRP 1994), 69  (ICRP 1995a), and 71 (ICRP 1995b).
Committed effective dose coefficients are computed for several different age groups (3 months, 1, 5, 10,
and 15 years and adult). Results of these calculations for intakes of a broad range of radionuclides by
ingestion or inhalation are given in ICRP Publication 72 (ICRP 1996) and the  associated CD-ROM
published in ICRP 1998.  The ICRP Publication 72 dose coefficients are, in some cases, different by as

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much as an order of magnitude from the FGR-11 dose coefficients. The RSSS recommends that ICRP
Publication 72 methods be used in place of FGR-11, if time permits.

       Even if ICRP Publication 72 approaches cannot be used in this report, it is important that the
possible effects of age on dose, especially as received by infants and children, be considered in the
assessment.  In some of the scenarios proposed by the ISCORS Sewage Sludge Subcommittee,
exposures can continue over an entire lifetime. Perhaps simple bounding calculations could be
performed for some important radionuclides that would indicate the relative importance of exposure in
the childhood years compared with the annual intakes received as adults. Results of such analyses could
be presented and discussed as part of the uncertainty analyses.

       It is important that the ISCORS SSS clarify the specific circumstances for which the total
effective  dose equivalent values are being calculated. According to the text, a one-year exposure will be
used along with a 50-year dose-commitment period.  Because the exposure scenarios that have been
selected involve exposures over many years, it is not clear from the draft report what exposure year will
be used for these calculations.  According to information supplied to the Subcommittee.  RESRAD has
the ability to calculate these dosimetry values for many years and report the highest annual value. The
authors should elaborate on their strategy for selecting and using particular years in their calculations.
The impact of possible changes in exposure conditions from year to year should be included in the
uncertainty analyses.

       The ISCORS SSS has estimated the source term for many of the scenarios by assuming that
100 years of sludge application is mixed with the surface layer of soil, resulting in a two-to-one dilution
of the assumed 1 pCi/g concentration of a radionuclide in the sludge.  That procedure will overestimate,
often greatly, the actual concentration because of losses during the period of application.  The losses
would occur not only from radioactive decay, but from erosion by wind and precipitation, by leaching to
the groundwater, and by uptake and removal with crops. A better approach is to apply an effective
half-life derived for the removal processes using radioactive decay constants, the universal soil loss
equation, and loss rates consistent with the assumptions about movement to groundwater and uptake in
plants. Then a steady-state concentration in soil could be calculated for equilibrium conditions. (See the
Foster Wheeler Environmental Corporation report prepared for the California Department of Food and
Agriculture and the Heavy Metal Task Force (1998) for information on a modeling approach that
includes erosion and other losses.)

3.2 Dose Modeling Scenarios

       The ISCORS SSS is commended for its identification and description of a range of plausible
sewage sludge exposure scenarios affecting both the POTW worker as well as the general public. The
exposure scenarios included a) nearby town, b) onsite personnel, c) landfill neighbor, d) incineration
neighbor, e) recreational area use, f) agricultural application worker, g) low exposure POTW worker
(belt filter press operator), and h) high-exposure POTW  worker (bagging of dewatered sludge).

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       Although these scenarios are reasonable, the ISCORS SSS has not fully examined potentially
critical exposure pathways in some cases.  The onsite and landfill exposure scenarios failed to
completely account for important site-specific heterogeneities such as fracture flow that could result in
rapid and long-range transport of radionuclides. The scenario descriptions do not mention the possibility
of both soluble and colloidal transport of radionuclides associated with runoff from fields receiving
sewage sludge applications. Additionally, as stated in Section 3.4 (Issues Beyond the Charge), the
discharge of aqueous effluent from the POTW is not considered. The RSSS believes it is important that
these transport mechanisms be included even if it means using a model other than RESRAD or modifying
RESRAD.

       A critical omission in the ISCORS SSS dose modeling report is an evaluation of the impact of
the POTW sludge dewatering operations on the transport and bioavailability of radionuclides in land-
applied sewage sludge. For example, while filtration and centrifugal dewatering processes (e.g., filter
presses, centrifuges, etc.) effectively separate soluble radionuclides from the sludge solids, evaporative
dewatering processes (e.g., drying beds) retain both insoluble and soluble radionuclides in the final
sludge product. Because of the potential for some land-applied sewage sludge to contain a relatively
large and highly mobile fraction of soluble radionuclides, dose modeling scenarios should clearly describe
the impact of the type(s) of dewatering process operations used at the POTW on both the final sewage
sludge quality and the predominant mechanisms that influence radionuclide transport in the environment.
In addition to potentially enhancing the rate and extent of radionuclide transport, a larger fraction of
soluble radionuclides in land-applied sewage sludge may also impact the biokinetic properties of
radionuclides taken into the body and resulting dosimetry calculations. Simple mass balance calculations
that reasonably reflect the fate and transport of radionuclides in land-applied sewage sludge can be used
to document the relative importance of both radionuclide solubility  and POTW sludge dewatering
operations on estimated radiation dosages.

       In general, the dose modeling report adequately captures the major exposure situations affecting
the general public. The RSSS endorses the ISCORS Sewage Sludge Subcommittee's development and
implementation of a transparent screening process that permits the relative ranking of exposure
scenarios, which is critical for determining for which scenarios further refinement is justified. The RSSS
encourages the ISCORS SSS to develop a similar transparent screening tool for objectively identifying
POTW worker situations which represent major sources of radiation exposures. Without such a
screening process, it is impossible to determine whether, in fact, the two POTW worker scenarios
addressed in the report actually capture the full range of likely exposures. The RSSS recommends that
the ISCORS SSS explore methods for obtaining appropriate data to better characterize the distribution
of exposure durations  for typical land-application operations. The RSSS expressed concern that the
ISCORS SSS did not adequately justify assumptions for occupational exposures (e.g., 2000 hour annual
exposure) given the seasonal nature of the land application activities in most parts  of the country. The
RSSS recommends that the ISCORS SSS  critically evaluate and appropriately document its
assumptions.

       Although the radiation exposure scenarios described in the dose modeling report are appropriate
for capturing the range of likely opportunities for radiation exposure from sewage  sludge, it is not clear

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that the scenarios incorporated the specific regulatory requirements that currently limit how sludge may
be used or disposed. The RSSS encourages the ISCORS SSS to explicitly incorporate the 40 CFR
Part 503 guidelines (and other applicable requirements) that limit the design and operation of sewage
sludge land-application, incineration, and surface disposal sites when selecting model parameters and
distributions.  Moreover, where appropriate, the RSSS encourages the ISCORS SSS to incorporate
existing and validated methodologies for defining reasonable parameter values (e.g., use of the
Hydrologic Evaluation of Landfill Performance [HELP ] Model (EPA, 1994 )) to estimate the quantity
and quality of leachate.

       The draft assessment document states that no credit for water treatment would be given in
assessing doses from drinking water for the nearby town scenarios. However, except for very small
community water supplies, the water utilities would be subject to the Maximum Contaminant Levels for
radionuclides and would need to treat for radionuclides if any exceedance persisted. Doses from the
drinking water pathway would be limited correspondingly. At the least, this issue should be discussed in
the final dose assessment document.

       In many land reclamation projects, the quantity of land -applied sludge is considerably greater
than what is allowable under the agricultural production scenario. Under these circumstances, the extent
of soil mixing with applied sludge is generally minimal, particularly at land reclamation sites that contain
little or no topsoil. The RSSS recommends that the ISCORS SSS provide scientific justification for
assigning specific dilution factors to the source terms.

       ISCORS SSS should describe the spectrometry analysis used to analyze the sludge and ash
samples.  If only gamma spectrometry was used, non-gamma emitters could have been missed. The
RSSS recommends full characterization of the sludge and ash to include analysis for all radionuclides of
potential concern.  All radionuclides that are identified through the sludge and ash analysis should be
included in the radionuclide libraries of the models.

       Within the dose modeling scenarios, the radionuclide 99mTc was not included among the
radionuclides of concern, Table 2-1. This radionuclide is discharged in significant quantities from nuclear
medicine operations and has been identified in sludge and/or sewage (Prichard et a/., 1981; Ault, 1989;
Kennedy et al, 1992; Ainsworth et al.  1994; and Shearer et al., 1995). Although 99mTc m has a short
half-life and would not contribute in non-occupational scenarios, it could potentially contribute to direct
radiation exposure of treatment plant workers.

3.3 Obtaining Model Parameters and Distributions, and Characterizing Uncertainty

  3.3.1. Model Parameters and Distributions

       In general, the selection of parameters and their distributions was not well described in the
ISCORS SSS draft dose modeling report provided to the RSSS. In its oral presentations, the ISCORS
SSS indicated that future drafts would be much improved in this regard. The RSSS supports such
improvements.
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        The RSSS recommends that ISCORS SSS delineate which of the input parameters are unique
to the sludge modeling and which have been previously examined in soil models.  This would permit a
reviewer to focus on the new information.

        The use of one Kd for each radionuclide without consideration of speciation and other factors
that cause Kds, solubilities, and bioavailabilities to vary across POTWs and land applications is not
appropriate. The aqueous chemistry of sewage sludge (i.e., pH, pCO2, dissolved solids, organic
content, etc.) may vary greatly based on geographic location and treatment methodologies. These
variations could lead to drastic changes in the radionuclide species present, and consequently, the model
parameters associated with them (e.g., Kd s, solubility constants and bioavailability factors).  This could
be handled by assigning these parameter values by species and application scenario or by widening the
variability distributions for each radionuclide, as well as including an additional degree of uncertainty.
The use of soil IQ values is somewhat misleading. Depending on the sludge dewatering processes,
radionuclides with  substantial affinity for water in comparison to sludge solids may be largely removed
during treatment.  This issue was discussed in section 3.2, "Dose modeling scenarios."  We recommend
that outside advice be obtained on how to treat the mobility of radionuclides in a soil-sludge mixture.

  3.3.2.  Uncertainty

        The description of the sensitivity and uncertainty analysis in the current draft is inadequate for
judging whether or not it is appropriate. Consequently, although the ISCORS group described future
plans for conducting the sensitivity and uncertainty analyses using Monte Carlo analyses with
consideration of correlations, the RSSS found that it did not have adequate information to comment in
detail.  The Subcommittee thus confined itself to recommending only that that all procedures and
assumptions should be thoroughly documented and peer reviewed.

        RESRAD was originally developed as a deterministic model. The model should be checked for
difficulties relating to the probabilistic approach, e.g., singularities that could arise by dividing by a zero
value for some parameter. (See the first Charge question).

        A more informative uncertainty analysis would be two-dimensional, addressing both variability
and uncertainty, and would examine not only parameter uncertainty but also uncertainties introduced by
the selection of models and assumptions. ISCORS SSS should, at a minimum, acknowledge the
difference between variability and uncertainty and provide an indication for each source, whether the
distributions reflect variability, uncertainty, or a combination of both.  The uncertainty analysis should
recognize correlations among parameters.

        ISCORS SSS should address other sources of variability and uncertainty, such as dose
conversion factors (including particle size distributions).

        A full  description of the particular Latin Hypercube method employed should be provided, and
the number(s)  of realizations for the Monte Carlo runs should be justified.
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       In the sensitivity analysis, the statements regarding non linearity should have some technical or
physical basis.

       Table 7-4 of the draft report does not include the mean and median, only the 5th and 95th
percentiles and the minimum and maximum.  The mean and median are certainly more meaningful than
the minimum and maximum values, since the minimum and maximum depend heavily on the number of
iterations.

3.4 Issues Beyond The Charge

       The RSSS understands that the ISCORS SSS is limited to assessing doses from disposition of
sewage sludge per se  and does not intend to assess doses from discharges of liquid effluents from
POTWs to nearby waters. The reason for this limitation was not made clear to the RSSS by the
ISCORS team; it may be a policy choice based on a presumption that the POTW's National Pollution
Discharge Elimination System permit will sufficiently control radionuclides in the liquid effluent.
However, the fraction  of soluble radioactive material contained in the liquid  effluent from the POTW
may, under some site-specific conditions, contribute significantly to the total dose experienced by people
living near or working at POTWs. At a minimum, this issue should be discussed in the final dose
assessment document. Moreover, liquid effluent can be used for irrigation of sites to which sludge has
been applied, rather than water from other sources. Therefore, concentrations of radionuclides in soils
may be higher than assumed in the source term for RESRAD and there may be additional occupational
routes of exposure or an additional airborne source term when effluent is used to irrigate the land
application site.  The ISCORS SSS should at a minimum discuss the irrigation issue and should consider
including irrigation with effluent in the exposure scenarios. Assaying the liquid effluent as well as the
sludge would help in understanding the partitioning of the radioactivity leaving the POTW among sewage
sludge, liquid  effluent, and (possibly) air emissions. Worker exposure could be monitored through
personal or area dosimeters.

       The RSSS understands that the ISCORS SSS is under a time constraint to provide the dose
model as a tool to help interpret the results from the analysis of sludge  and ash from 300 POTWs
nationwide. These results will be available in a few months and it is important to assist POTWs with
assessment. The EPA is considering revision of FGR-11 to reflect the  ICRP Publication 72
approaches/values. However, the RSSS is uncertain when such improved numbers will be available. If
they were available in time for incorporation into this Sewage Sludge report, it would be desirable to do
so, both because of the improved dosimetry models used and the added ability to consider intakes by
subjects of different ages.  Such usage would be consistent with the approach used in FGR-13, the most
current EPA guidance. If this approach can not be used in the present  report, the authors should include
an explanation of why it is not and explain the impact of using the older approach

  3.4.1. Terminology

       Conventional  units are used throughout the document. The RSSS recommends the use of SI
units.
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       The RSSS recommends that the document be re-titled as "Radionuclides in Sewage Sludge and
Ash: Dose Assessment Methodology."

       The RSSS recommends that the ISCORS SSS use the terms NORM and TENORM in this
document, rather than using the term "enhanced NORM." NORM can be used for exposures to
naturally occurring radionuclides under undisturbed conditions and TENORM can be used for exposure
to naturally occurring radionuclides whose concentrations or availability have been altered
(technologically enhanced, TE) by human activities, and therefore are more likely to be eligible for
control.  TENORM appears to be an important component of the radionuclides found in sludge.

       The term TENORM is becoming well established in the field. It is used in Part N of the
Suggested State Regulations published by the Conference of Radiation Control Program Directors, has
been adopted by NAS/NRC (1999), and is also used by EPA in other documents (e.g. EPA, 2000a; b;
c). The  definition of TENORM used in NAS/NRC (1999) is included in the glossary.

       The final dose assessment report must be very careful in the use of the terms "isotopes,"
"radioactivity," "radionuclides," and "radioactive materials." The report should also use the correct
modeling nomenclature. (See glossary.)

       On page 3 of the draft dose modeling report, the term "dose-response" is used. The RSSS has
used "dose-response" to mean a biological response to a particular dose. The meaning on page 3 is
unclear.

  3.4.2.  Consideration of The Audience

       Members of the public attending the RSSS meeting stated their concerns with the possible
misunderstandings arising from the use of the dose assessment document.  Suggestions were made that
would allow the public to make comparisons with background radiation so that they could gain
perspective on the projected doses from sewage sludge to workers or the public. The ISCORS SSS
provided the latest draft of the Guidance Document to the RSSS. Section 3.3.3, "How Radiation Doses
from Sewage Sludge and Ash Compare to Average Radiation Doses from All Sources," provides
comparison information. It is important that the final dose assessment document produced by ISCORS
SSS directs the reader to the Guidance Document for assistance in understanding the dose assessment
information.

  3.4.3.  Technical Accuracy

       The material in Section 2.2, "Radiological Properties of Sewage Sludge" on pages 8-10 is for
the most part irrelevant. There is considerable discussion of the uses of radioactive materials, but many
of the uses discussed involve sealed sources, which are unlikely to find their way into sewage sludge.
Some of the statements are technically incorrect. Examples are:
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       a)     P 9, L 9: the "isotopes" produced in reactors result from low-energy, not high-energy,
              neutron interactions;
       b)     P 9, L 12: the concentrations of radiocarbon measured in dating are usually below
              ambient and unlikely to contribute to sludge contamination;
       c)     P 10, L 6-7: strictly speaking the Department of Energy is not "licensed" for isotopes;
       d)     P 10, L 26: it is unit concentration being assumed, not unit quantity.

       The RSSS suggests a more focused discussion that draws examples from actual contamination
situations. Thus more detailed discussion of actual contamination resulting from the manufacture of
smoke detectors (Am-241) or from discharge of 1-131 from nuclear medicine facilities would be much
more relevant than implying that radiocarbon dating or use of sealed sources in industrial gauges is
somehow related to the radiological properties of sewage sludge.

  3.4.4. Comments Related to The Appendices

       Appendix A of the ISCORS SSS includes an overview of radionuclide movement in the
environment.  However, some nuclides are extensively discussed, while the descriptions of others are
very brief.  The RSSS recommends that Appendix A be revised to provide more complete information
in a more consistent manner for all radionuclides of interest. In some cases, significant information may
have been omitted for the sake of brevity.  For instance, Appendix A states that U-235 is of secondary
importance. In fact, the decay products of U-235 can contribute significantly to inhalation doses,
particularly Pa-231  and Ac-227. Appendix A provides valuable information that is unlikely to be readily
available to POTW owners, and it deserves careful editing.

       Appendix B should be eliminated or modified to reflect the changes to be made in Chapter 4.
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            APPENDIX A - GLOSSARY OF TERMS AND ACRONYMS

Absorbed Dose (D): The quotient dE by dm, where dE is the mean energy imparted by ionizing
radiation to matter of mass dm. The special SI unit of absorbed dose is the gray (Gy); the conventional
unit is the rad (1 rad = 0.01 Gy).

Bench marking: Part of the software verification process that involves comparing results of two or more
codes against each other, or to an analytical solution.  It entails the use of a standardized problem or test
that serves as a basis for evaluation or comparison of software system performance. This mathematical
analysis assures that the behavior of the code to be benchmarked is predictable and performs as
intended.

Calibration: With reference to models, refers to the use of experimental and/or field data to constrain the
value of the variables and parameters used in a model to satisfy its use for a specific application.

Committed Dose Equivalent:  The total radiation dose equivalent to the total body or specified part of the
body that will be accumulated over 50 years following an intake of radioactive material.

Committee Effective Dose Equivalent: The weighted  sum of committed dose equivalent to specified
organs and tissues, in analogy to the effective dose equivalent.

Committed Equivalent Dose (H(t)): The time integral of the equivalent dose rate in a particular tissue or
organ that will  be received by an individual following intake of radioactive material into the body. The
integration time (t) is 50 years for the adults. For children and young persons, doses are calculated to
age 70 years.
Committed Effective Dose (E(t)): The sum of the products of the committed organ or
tissue equivalent doses and the appropriate organ or tissue weighting factors (WT), where t is the
integration time in years following the intake.

Deep-dose equivalent: Applies to external whole-body exposure and is the dose equivalent at a tissue
depth of 1 cm.

Dose Coefficient: Committed tissue equivalent dose per unit intake or committed effective dose per unit
intake (SvBq-1).

Effective Dose (E): The sum of the weighted equivalent doses in all the tissues and organs of the body
given by the expression: E = wTHT R where WT is the weighting factor for organ or  tissue, T, and HT R is
the equivalent dose in tissue or organ T due to a given radiation, R.

Equivalent Dose (H): The absorbed dose averaged over a tissue or organ, Dp (rather than a point) and
weighted for the radiation quality, WR (radiation weighting factor) of the irradiating radiation, i.e., HT R =
DT WR, as expressed in joules/kilogram or Si everts.
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Effective Dose Equivalent: The sum of the products of absorbed dose and appropriate factors to
account for differences in biological effectiveness due to the quality of radiation and its distribution in the
body of reference man.  The unit of the effective dose equivalent is the rem. The method for calculating
effective dose equivalent and the definition of reference man are outlined in the International Commission
on Radiological Protection's Publication No. 26.

ISCORS: Interagency Steering Committee on Radiation Standards

Isotope: One of two or more atoms with the same number of protons, but a different number of
neutrons, in their nuclei. Thus, carbon-12, carbon-13, and carbon-14 are isotopes of the element
carbon, the numbers denoting the approximate atomic weights.  Isotopes have very nearly the same
chemical properties, but often different physical properties (for example, carbon-12 and -13 are stable,
carbon-14 is radioactive.)

Nuclide: A general term referring to any known isotope, either stable (about 290) or unstable (about
2200), of any chemical element.

ORIA: Office of Radiation and Indoor Air, Environmental Protection Agency

Peer Review: Peer review is a general term that can greatly vary in content depending on the maturity of
the problem under consideration.  The peer review of a process model can involve the structural (i.e.,
software) or conceptual elements of the model or both.  A thorough peer review of a mature process
model entails Verification and Validation testing (V&V).  V&V is a basic process that ensures the
quality of used knowledge.

POTW:  Publically Owned Treatment Works

Radioactivity: The process of undergoing spontaneous transformation  of the nucleus, generally with the
emission of alpha or beta particles, often accompanied by gamma rays.

Radioisotope: A radioactive isotope; i.e. an unstable isotope that undergoes spontaneous transformation,
emitting radiation.

Radionuclide: A nuclide that is radioactive.

Radioactive Isotope: A radioisotope.

Sensitivity Analysis: Refers to a methodology for evaluating the sensitivity of model results to the
variation of its input parameter values and physical description (e.g., boundary conditions).

TENORM: Technologically Enhanced Naturally Occurring Radioactive Material  -     Technologically
enhanced naturally occurring radioactive materials are any naturally occurring radioactive materials not
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subject to regulation under the Atomic Energy Act whose radionuclide concentrations or potential for
human exposure have been increased above levels encountered in the natural state by human activities.

Tissue Weighting Factor: The relationship between the probability of stochastic effects and equivalent
dose is found also to vary with the organ or tissue irradiated. It is, therefore, appropriate to define a
further quantity, derived from equivalent dose, to indicate the combination of different doses to several
different tissues in a way which is likely to correlate well with the total of the stochastic effects. The
factor by which the equivalent dose in tissue or organ T is weighted is called the tissue weighting factor,
WT.

Total Effective Dose Equivalent: The sum of the deep-dose equivalent (for external exposures) and the
committed effective dose equivalent (for internal exposures).

Uncertainty Analysis: With reference to models, refers to the study of the uncertainty of the model
outputs as a function of parameter and data uncertainties.

Model Validation: Refers to models which are comprised of structural (i.e., software) and conceptual
elements.  Validation entails methods to ascertain that the system built is the right one and captures all of
the essential physical and chemical elements necessary to describe the problem.  Controlled laboratory
measurements, field experimental tests, and observations of the behavior of the natural system can all be
used to test the model's realism.

Code Verification: Refers to software development. Verification is a form of code control, which
involves establishing that the software is mathematically sound, accurate, and numerically stable.
Verification results in the implementation of specified Software Certification goals. This is a reiterative
process, comparable to the use of "blanks" and "standards" in experimental protocols.  Verification
implies reaching a certain level of confidence in the correctness of the software system. A common
verification technique involves running the code with specified boundary conditions and parameters and
comparing the results to other codes under the same conditions (e.g., bench marking).
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Ault, M.R.  1989. Gamma emitting isotopes of medical origin detected in sanitary waste samples.
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Ainsworth, C. C, Hill, R. L., Cantrell, K., 1, Kaplan, D. I, Norton, R. L., Aaberg, R.L., and E. A.
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