&EPA
EPA 600/R-10/1811 December 20101 www.epa.gov/ord

Version 1.1 | Revised January 2012
   United States
   Environmental Protection
   Agency
          Method  1615
          Measurement of Enterovirus and Norovirus
          Occurrence in Water by Culture and RT-qPCR


   Office of Research and Development
   National Exposure Research Laboratory, Cincinnati, OH

-------
Cover:
Left picture: Prairie Du Sac, WI Pump house, courtesy of Dr. Mark Borchardt
Middle picture: norovirus, courtesy of Fred P. Williams; Bar = 50 nanometers
Right picture:  poliovirus, courtesy of Fred P. Williams; Bar = 50 nanometers

-------
                                                         EPA/600/R-10/181
                                                       Revised January 2012
                          Method 1615
    Measurement of Enterovirus and Norovirus
 Occurrence in Water by Culture and RT-qPCR
                              Version 1.1
G.S. Fout1, N.E. Brinkman1'*, J.L. Cashdollar1'*, S.M. Griffin1'*, B.R. McMinn1'*, E.R. Rhodes1'*,
    E.A. Varughese1'*, M.R. Karim1, A.C. Grimm1, S.K. Spencer2, and M.A. Borchardt2
      1 U.S. Environmental Protection Agency, Office of Research and Development,
              National Exposure Research Laboratory, Cincinnati, OH

      2 U.S. Department of Agriculture, Agricultural Research Service, Marshfield, WI

          * NEB, JLC, SMG, BRM, ERR, and EAV contributed equally to the
                         evaluation of Method 1615
                    National Exposure Research Laboratory
                     Office of Research and Development
                    U.S. Environmental Protection Agency
                           Cincinnati, OH 45268

-------
                                     Disclaimer
This method has been reviewed by the U.S. Environmental Protection Agency (EPA)'s Office of
Research and Development (ORD) and approved for publication. Mention of trade names or
commercial products does not constitute endorsement or recommendation for use. The initial
intended use of Method 1615 is to support the nationwide monitoring of enteroviruses and
noroviruses under the Unregulated Contaminant Monitoring Regulation (UCMR). The method
may however, be adopted in the future for other Safe Drinking Water Act and Clean Water Act
purposes.
                                Acknowledgements
The authors thank Drs. Sandhya Parshionikar, Keya Sen, and Carrie Miller from EPA's Office of
Water and Drs. George Di Giovanni from the Texas AgriLife Research Center, El Paso, TX,
Paul Hazelton from the University of Manitoba, Winnipeg, Manitoba, Timothy Straub from the
Pacific Northwest National Laboratory, Richland,  WA, and Susan  Boutros  from Analytical
Associates, Ithaca, NY for reviewing this manuscript and for providing helpful comments, and
Justicia Rhodus from Dynamac Corporation for providing technical edits. Mohammad R. Karim
was supported through an appointment to the Research Participation Program at ORD's National
Exposure Research Laboratory,  which was administered by the Oak Ridge Institute for Science
and Education  through an Interagency Agreement between the U.S. Department of Energy and
EPA. The authors thank Dr. Skip Virgin of Washington University School of Medicine, St.
Louis, MO for murine norovirus.
Questions regarding this method or its application should be addressed to:
      G. Shay Fout, Ph.D.
      U.S. Environmental Protection Agency
      Office of Research and Development
      National Exposure Research Laboratory
      Microbiological and Chemical Exposure
        Assessment Research Division
      Cincinnati, OH 45268-1320
      (513)569-7387
      (513) 569-7117 (fax)
      fout.shay@epa.gov

-------
                                Table of Contents


ABBREVIATIONS	v
1.0      SCOPE AND APPLICATION	1
   1.1    Background	1
   1.2    Method Constraints	3
2.0      SUMMARY OF METHOD	3
3.0      DEFINITIONS	3
4.0      INTERFERENCES	6
  4.1    Reagents	6
  4.2    Matrix Interference	6
  4.3    Other Interference	6
5.0      SAFETY	7
  5.1    Safety Plan	7
  5.2    Shipment of Field Samples	7
  5.3    Chemical Safety	7
6.0      EQUIPMENT AND SUPPLIES	7
  6.1    Sample Filtration Apparatus	8
  6.2    Other Equipment and Supplies for Sample Collection, Preservation, and Storage
         Procedure	10
  6.3    Equipment and Supplies for Quality Assurance Measures	11
  6.4    Equipment and Supplies for the Elution and Organic Flocculation Procedures	12
  6.5    Equipment and Supplies for the Total Culturable Virus Assay	14
  6.6    Equipment and Supplies for the Enterovirus and Norovirus Molecular Assays	14
  6.7    Equipment and Supplies for Sterilization Techniques	15
7.0      REAGENTS, MEDIA, AND STANDARDS	16
  7.1    Reagents for the Sample Collection, Preservation and Storage Procedure	16
  7.2    Reagents for Quality Assurance Measures	16
  7.3    Reagents for the Elution and Organic Flocculation Procedures	17
  7.4    Reagents for the Total Culturable Virus Assay	19
  7.5    Reagents for the Enterovirus and Norovirus Molecular Assays	21
  7.6    Reagents for Sterilization Techniques	22
8.0      QUALITY ASSURANCE	22
  8.1    Quality Assurance Plan	22
  8.2    Laboratory Personnel	24
  8.3    Laboratory Performance	25
  8.4    QC Sample Set	26
  8.5    PT and PE Samples	27
  8.6    Matrix Spike	28
                                         11

-------
  8.7    Record Maintenance	29
9.0      SAMPLE COLLECTION, PRESERVATION, AND STORAGE	29
  9.1    Field Sample Collection	29
  9.2    Shipment of Field Samples	35
  9.3    Laboratory Holding Time and Temperature	35
10.0     FILTER ELUTION PROCEDURE	36
  10.1   Elution Equipment Setup	36
  10.2   Elution	36
11.0     ORGANIC FLOCCULATION CONCENTRATION PROCEDURE	38
  11.1   Organic Flocculation	38
  11.2   Reconcentrated Eluate	39
12.0     TOTAL  CULTURABLE VIRUS ASSAY	43
  12.1   Quantal Assay	43
  12.2   Virus Quantitation	47
13.0     ENTERO VIRUS AND NORO VIRUS MOLECULAR AS SAY	49
  13.1   Preliminary Procedures	49
  13.2   Tertiary Concentration	51
  13.3   Nucleic Acid Isolation	52
  13.4   Reverse Transcription (RT)	55
  13.5   Real-Time Quantitative PCR (qPCR)	56
  13.6   Inhibition Control	58
  13.7   Standard curves	60
  13.8   Preparation of stored standard curves and calibrators	62
14.0     METHOD PERFORMANCE	64
  14.1   Culturable Assay	64
  14.2   Molecular Procedure	65
  14.3   Performance Record	65
15.0     STERILIZATION AND DISINFECTION	65
  15.1   General Guidelines	65
  15.2   Sterilization Techniques	66
16.0     TABLES AND FIGURES	69
17.0     DATASHEETS	81
18.0     REFERENCES	88
                                       in

-------
                                LIST OF TABLES

Table 1. Viruses Detected by EPA Method 1615	69
Table 2. Specified and Recommended Field Sample Volumes	70
Table 3. MPN Program Settings	71
Table 4. Primers and TaqMan® Probes for Virus Detect!on by RT-qPCR	72
Table 5. Extinction Coefficients for Primers and Probes ^	73
Table 6. RT Master Mix 1 and 2	74
Table 7. PCR Master Mix for Enterovirus Assay	75
Table 8. PCR Master Mix forNorovirus GIA Assay	75
Table 9. PCR Master Mix for Norovirus GIB Assay	76
Table 10. PCR Master Mix for Norovirus Gil Assay	76
Table 11. PCR Master Mix for Hepatitis G Assay	77
Table 12. Standard Curve Genomic Copies	77
Table 13. Mean Recovery and Coefficient of Variation Range	77

                               LIST OF FIGURES

Figure 1. Uninfected BGM cells	78
Figure 2. BGM cells showing early cytopathic effect from poliovirus	78
Figure 3. Sample filtration apparatus	79
Figure 4. Elution of an electropositive filter with beef extract	79
Figures. RT-qPCR schematic	80
                                         IV

-------
                               ABBREVIATIONS
ACS
BGM
BSA
Cat. No.
CCL
cDNA
CL
Ct
Cp
Cq
CPE
CV
D
dH20
DNA
dNTP
DTT
EPA
EV
FCSV
GC
GHT
HGV
ICR
ID
IV
LIMS
LPDE
MEM
MPN
MSDS
MWCO
Negative FCSV
NoVGI
NoV Gil
NPT
NIC
NTU
ORD
OSHA
OW
PBS
PCR
PE
PFU
American Chemical Society
Buffalo Green Monkey kidney cells
Bovine serum albumin
Catalog number
Contaminant Candidate List
Complementary DNA
Confidence limit
Cycle threshold
Crossing point
Quantitative cycle
Cytopathic effect
Check valve; Coefficient of variation
Volume of original water sample assayed
Deionized or distilled reagent grade water
Deoxyribonucleic acid
Deoxyribonucleotides
Dithiothreitol
United States Environmental Protection Agency
Enteroviruses belonging to the genus, Enterovirus
Final concentrated sample volume
Genome copy
Garden hose threads
Hepatitis G virus
Information Collection Rule
Inner diameter
Inoculum Volume
Laboratory Information Management System
Low-density  polyethylene
Minimum essential medium
Most probable number
Material Safety Data Sheet
Molecular weight cut off
Final concentrated sample volume from a negative QC sample
Genogroup I  noroviruses belonging to the genus, Norovirus
Genogroup II noroviruses belonging to the genus, Norovirus
National pipe thread
No template control
Nephelometric Turbidity Units
Office of Research and Development
Occupational Safety and Health Administration
Office of Water
Phosphate buffered saline
Polymerase chain reaction
Performance  evaluation
Plaque forming unit

-------
PSI
PTFE
QA
QC
qPCR
RNA
RPM
RT
RT-PCR
RT-qPCR
S
SD
SOP
TCVA
TSV
U.S.
Pounds per square inch (15 psi = 1.034 bar)
Polytetrafluoroethyl ene
Quality assurance
Quality control
Quantitative polymerase chain reaction
Ribonucleic acid
Revolutions per minute
Reverse transcription
Reverse transcription-polymerase chain reaction
Reverse transcription-quantitative polymerase chain reaction
Assay sample volume
Standard deviation
Standard operating procedure
Total culturable virus assay
Total sample volume
United States
                                          VI

-------
1 0   SCOPE AND APPLICATION

     1.1    Background

            1.1.1    EPA Method 1615 provides culture and molecular procedures for
                    detecting human enteroviruses, human noroviruses, and mammalian
                    orthoreoviruses (culture procedure only) in water (Table 1).  The cell
                    culture procedure detects enterovirus and orthoreovirus species that are
                    capable of infecting and producing cytopathic effects (CPE) in the Buffalo
                    Green Monkey kidney (BGM) cell line (18.16, 18.19).  Although this cell
                    line is considered a "gold standard" for detection of infectious waterborne
                    viruses, noroviruses and a number of enteroviruses do not replicate in
                    BGM cells.  There is no established cell line for detection of infectious
                    human noroviruses, but a prototype research method is under development
                    (18.42,  18.43).  The molecular procedure incorporated  into EPA Method
                    1615 detects the noroviruses and enteroviruses shown in Table 1,
                    including those enteroviruses that do not replicate on BGM cells.
            1.1.2    Enteroviruses and noroviruses are enteric viruses that replicate within the
                    gastrointestinal tract and are spread through the fecal-oral route.  They
                    cause a variety of waterborne infections through exposure to contaminated
                    drinking and recreational waters.  Infections may be asymptomatic or
                    result in mild gastroenteritis, febrile illness, or respiratory symptoms.
                    They can also cause a variety of serious diseases such as aseptic
                    meningitis; encephalitis; flaccid paralysis; hand, foot and mouth disease;
                    hemorrhagic conjunctivitis; myocarditis; neonatal sepsis-like disease; or
                    severe gastroenteritis (18.3, 18.20, 18.21, 18.26, 18.38). Enteroviruses
                    and noroviruses have not only been found in drinking and recreational
                    waters, but have also caused waterborne disease outbreaks (18.4, 18.5,
                    18.7,  18.18, 18.28, 18.30, 18.35, 18.46).  Due  to public health concerns,
                    these viruses are on EPA's Contaminant Candidate List (CCL) 3
                    (http://www.epa.gov/safewater/ccl/ccl3 .html).  The Mammalian
                    orthoreovirus species is not associated with any known waterborne
                    outbreaks and does not usually cause disease in humans (18.13,  18.15). If
                    desired, orthoreoviruses can be assayed using  the molecular method found
                    in Foutet al. (18.18).
            1.1.3    Molecular procedures, such as polymerase chain reaction (PCR) and
                    reverse  transcription-PCR (RT-PCR), provide the flexibility to detect all
                    waterborne human enteric viruses for which genome sequence data is
                    available (18.18).  The advent of real time quantitative PCR (qPCR) has
                    resulted in additional advantages over conventional PCR in that
                    quantitative results can be obtained in a very short time (18.22). These
                    molecular methods have been widely used to detect viruses in
                    environmental waters (18.7, 18.8, 18.23, 18.30, 18.31,  18.36, 18.44).
                    Despite the advantages, molecular techniques  are subject to three main
                    limitations.  First, PCR methods assay smaller volumes than culture
                    methods, resulting in lower detection limits. Second, these methods are

                                            1

-------
         sensitive to inhibitors that are present in some environmental samples; to
         address this problem, controls are used to determine whether negative
         results are true negative or false negative values. Finally, molecular
         methods do not distinguish between infectious and noninfectious viruses;
         therefore, a positive PCR assay for a particular pathogen in drinking water
         indicates the presence of viral nucleic acid, and does not directly address
         issues of public health.  Research is ongoing on several promising
         approaches to detect infectious viruses  (18.29, 18.37). PCR is still a
         useful public health tool in spite  of these problems.  Because there is a
         strong relationship between indicator measurements by qPCR and health
         effects in recreational waters, EPA is considering using qPCR to set new
         criteria for monitoring recreational beaches (18.45).  At the very least,
         positive PCR virus  findings provide a warning of possible contamination
         issues, but recent studies have also indicated a direct relationship between
         health effects and positive reverse transcription-quantitative polymerase
         chain reaction (RT-qPCR) findings for human viruses in groundwaters
         (Borchardt et al., manuscript in preparation).
1.1.4     Development of the ICR Total Culturable Virus Assay - In the  1990s,
         EPA issued an Information Collection Rule (ICR; Federal Register
         61:24353-24388) that required all drinking water utilities serving a
         population over 100,000 to monitor their source water for viruses monthly
         for a period of 18 months.  The Rule also required that systems finding
         greater than one infectious enteric virus particle per liter of source water to
         monitor their finished water on a monthly basis.  One of the purposes of
         the Rule was to obtain national data on virus levels in source waters to
         determine the adequacy of treatment requirements. To support the Rule, a
         virus monitoring protocol was developed by  virologists at the EPA and
         modified to reflect consensus agreements from the scientific community
         and public comments to the draft rule (18.19).  This  standard ICR Total
         Culturable Virus method, along with quality assurance and laboratory
         approval procedures (http://www.epa.gov/microbes/icrmicro.pdf), was
         incorporated into the ICR by reference.  The results of the ICR  survey
         indicated  that Culturable viruses were present in 24% of source  waters
         throughout the nation. Since the end of the ICR, the ICR Total  Culturable
         Virus method has continued to be used in the U.S. and in international
         settings for the detection of Culturable viruses in surface, ground, and
         treated waters (18.14, 18.27, 18.40), but the high cost of collecting and
         analyzing virus samples has limited the method's widespread use.
1.1.5     Development of Method 1615 -  In the past few years, an alternative
         sampling  protocol that significantly reduces the cost of sampling has been
         found to be equivalent in performance to the ICR method (18.25).  Method
         1615 is a modification of the ICR protocol. It incorporates the  alternative
         sampling  procedure and reduces the number of cell culture replicates
         required by the ICR protocol. It also includes a molecular procedure that
         is a modification of a method used to survey groundwaters for enteric
         viruses in Wisconsin (18.9, 18.30).

-------
     1.2    Method Constraints

            1.2.1    This method is for use by analysts skilled in virus concentration, elution,
                    cell culture, and molecular techniques.
            1.2.2    Analysts must not deviate from any of the procedures described in this
                    method if the data are being generated to fulfill EPA regulatory
                    requirements.  For example, alternative procedures for elution, secondary
                    and tertiary concentration, and analyses by culture and RT-qPCR must not
                    be used without prior approval by EPA.

2.0  SUMMARY OF METHOD

   Viruses that may be present in environmental or finished drinking waters are concentrated by
passage through a electropositive filter. Viruses are eluted from the filter with a beef extract
reagent and concentrated using organic flocculation.  A portion of the concentrated eluate is then
inoculated onto replicate flasks of BGM cells to measure infectious viruses. Cultures are
examined for the development of cytopathic effects for two weeks and then re-passaged onto
fresh cultures for confirmation. Virus concentration in each test sample is calculated in terms of
the most probable number (MPN) of infectious units per liter using EPA's MPN calculator. For
molecular assays, the concentrated eluate is further concentrated by centrifugal ultrafiltration.
The viral ribonucleic acid (RNA) is extracted from the concentrate and tested for enterovirus and
norovirus RNA using RT-qPCR.  Virus concentrations for the molecular assay are calculated in
terms of genomic copies of viral RNA per liter based upon a standard curve.

3.0  DEFINITIONS

     3.1    Analysis batch - All virus test samples processed by an analyst within one week
            shall be considered a "batch"; a week is defined as  a 7-day period. Each test sample
            result must be associated with an unique batch number.

     3.2    Buffalo Green Monkey kidney (BGM) cells - This is a stable cell line of monkey
            kidney cells that were originally developed at the University of Buffalo for clinical
            isolation of enteroviruses and later adapted for use  in detecting infectious viruses in
            environmental samples (18.16). BGM cells form a monolayer of cells when
            propagated in tissue culture vessels.  Figure 1 is a micrograph of uninfected BGM
            cells growing as a monolayer.

     3.3    Contaminant Candidate List (CCL) - A list of chemicals and microbial agents
            under consideration for regulatory action by EPA.  The current list may be obtained
            at: http://water.epa.gov/scitech/drinkingwater/dws/ccl/.

     3.4    Cytopathic effect (CPE) - The degeneration of cells caused by virus replication. It
              often involves the complete disintegration of cells but also may be identified
              through  changes in cell  morphology.  However, care must be taken in using
              changes in cell morphology as evidence of CPE, because uninfected BGM cells
              change morphology during mitosis. True CPE is always progressive and can be
              rated on a 0-4 scale, with the values 0, 1, 2, 3, and 4 indicating  that 0% (Figure

-------
         1), 25% (Figure 2), 50%, 75%, and 100% of the monolayer is showing CPE,
         respectively. Additional examples of CPE can be found in Malherbe and
         Strickland-Cholmley (18.32).

3.5    Cytotoxicity - The development of CPE from toxic components in the water
       matrix. Cytotoxicity can be distinguished from viral CPE by its early development
       after test sample inoculation or by the failure to observe CPE in the second passage
       required by this method. Unlike viral CPE, which begins as small clusters of killed
       cells (see Figure 2) after two or more days of incubation, Cytotoxicity usually
       develops uniformly in all inoculated cell culture replicates or in non-uniform areas
       of cell disintegration within 24 hours of inoculation.

3.6    Detection limit - The number of virus particles or genome copy numbers that can
       be detected in a given volume by a method with 95% confidence.

3.7    Enteric viruses - Viruses that primarily infect and replicate in the gastrointestinal
       tract are known as enteric viruses.  These include enteroviruses, noroviruses,
       rotaviruses, hepatitis A virus, adenoviruses, and reoviruses, among others.  Enteric
       viruses can be present in human and animal feces, which can contaminate
       recreational and drinking water sources.

3.8    Enterovirus - Enteroviruses are a genus in the Picornaviridae family. These
       viruses are among the most common viruses infecting humans worldwide.
       Enteroviruses are small  (approximately 30 nm), nonenveloped,  single-stranded,
       positive sense RNA viruses with an icosahedral capsid.  Traditionally, human
       enterovirus serotypes have been classified  into echoviruses, coxsackieviruses group
       A and B, and polioviruses. Current taxonomy based on molecular typing divides
       human enteroviruses into four species, Human enterovirus A, B, C, and D.

3.9    Field sample - Any surface, ground, or drinking water sample analyzed by this
       method.

3.10   Inoculation - The placement of concentrated test samples onto a monolayer of
       cells in a culture vessel for growing or replication of viruses in the cells.

3.11   Material Safety  Data Sheets (MSDS) - Sheets containing written information
       provided by vendors concerning a chemical's toxicity, health hazards, physical
       properties, fire, and reactivity data, including storage, spill, and handling
       precautions.

3.12   Matrix spike - A field sample containing  Sabin poliovirus 3 at a known
       concentration.  The matrix spike provides a measure of overall method
       performance.

3.13   Monolayer - A single confluent layer of cells covering the bottom of a tissue
       culture dish or flask (Figure 1).

-------
3.14   Norovirus - Noroviruses constitute a genus in the Caliciviridae family. The genus
       is divided into five genogroups (GI-GV) and 29 genetic clusters (18.47).
       Noroviruses are recognized as a leading cause of non-bacterial gastroenteritis in
       humans. Noroviruses are small (approximately 27 nm) and the genome consists of
       a positive sense, single-stranded RNA in a nonenveloped icosahedral capsid. Due
       to the absence of a standardized and validated infectivity assay for human
       noroviruses, the presence of noroviruses in environmental waters must be measured
       using molecular methods.

3.15   Performance evaluation sample (PE) - A test sample containing Sabin poliovirus
       type 3 at a concentration unknown to analysts. The purpose of the PE sample is to
       demonstrate on-going analyst approval/on-going demonstration of capability (see
       Section 8.3.1.3).

3.16   Performance test sample (PT) - A test sample containing Sabin poliovirus type 3
       at a concentration unknown to analysts.  The purpose of the PT sample is to
       demonstrate initial analyst approval/initial demonstration of capability (see Section
       8.3.1.2).

3.17   Quality control sample (QC) - This is a test sample containing Sabin poliovirus
       type 3 at a concentration known to the analysts. The purpose of the QC sample is to
       give laboratories a standard test sample for training new analysts and to give EPA
       and laboratory quality assurance officials a tool to evaluate method performance for
       all laboratory analysts.

3.18   Quantitative cycle (Cq) [also called cycle threshold (Ct) or crossing point (Cp)]
       - The cycle at which the fluorescence of a quantitative PCR assay crosses the
       threshold that defines a positive reaction or at which the second derivative
       maximum is reached (18.10,  18.11).

3.19   Quantitative polymerase chain reaction (qPCR) - This is a procedure for
       quantitatively detecting the levels of specific deoxyribonucleic acid (DNA) in a test
       sample.

3.20   Reagent water - This is deionized or distilled reagent grade water (dH^O) with a
       resistivity greater than 1 Siemens per meter (S/m; i.e., 1 megohms-cm at 25 °C). If
       available, reagent grade water with a resistivity greater than 0.1 S/m (10 megohms-
       cm) is preferred (18.1).

3.21   Reverse transcription-qPCR (RT-qPCR) - This is a procedure for quantitatively
       detecting the levels of specific RNA (e.g., viral) in a test sample following reverse
       transcription (RT;  e.g., the synthesis of complementary DNA [cDNA] from RNA).

3.22   Standard operating procedure - A set of written instructions that document a
       routine or repetitive activity followed by an organization.  The development and use
       of SOPs are an integral part of a successful quality system  as they provide
       individuals with the necessary information to perform a job properly, and facilitate

-------
            consistency in the quality and integrity of data.  EPA guidance on developing SOPs
            can be obtained at http://www.epa.gov/quality/qs-docs/g6-fmal.pdf.

     3.23   Test sample - Any sample that is analyzed by this method, including field samples,
            matrix spikes, quality controls, performance test samples, and performance
            evaluation samples.

4.0  INTERFERENCES

     4.1    Reagents

         To minimize cross contamination, Analytical Reagent or American Chemical  Society
     (ACS)-grade chemicals (unless specified otherwise) and reagent water should be used to
     prepare all media and reagents. It is recommended that water, media, and other reagent
     solutions be purchased from commercial sources and that tissue culture grade water be used
     for preparation of tissue culture media not purchased in liquid form.

     4.2    Matrix Interference

            4.2.1    Matrix interferences may lead to false negative results and are caused by
                    colloidal, suspended, or dissolved substances that are present in the water.
                    Matrix interference can vary across different water sources and even
                    across time in the same source.
            4.2.2    Matrix interference due to colloidal or suspended solids may reduce the
                    water volume that can be passed through the positively charged filters
                    used in this method. Prefilters (Item 6.1.6) or more than one
                    electropositive filter must be used to overcome this type of interference.
            4.2.3    Matrix interference may be identified by its effects on the culture or
                    molecular assays. This may be expressed as the development of
                    cytotoxicity in culture assays  and or by inhibition in molecular assays.

     4.3    Other Interference

            4.3.1    Failure to dechlorinate treated tap water test samples during sampling or
                    prolonged exposure to ambient temperatures during test sample
                    transportation or in  the laboratory can lead to virus loss.
            4.3.2    Inadequate disinfection of the sampling apparatus and contamination of
                    reagents and supplies can lead to test sample contamination.  Inadequate
                    disinfection of the sampling apparatus is identified using negative QC
                    samples/equipment blanks (Section 8.4.1).
            4.3.3    Inadequate physical separation and controlled workflow may lead to PCR
                    interference due to false positive results from contamination.  EPA's
                    guidance for processing and handling environmental samples and quality
                    controls must be followed to minimize this interference (18.41).

-------
5.0  SAFETY

     5.1    Safety Plan

            5.1.1    The biohazard associated with, and the risk of infection from, human
                    enteric viruses is high in this method because potentially infectious viruses
                    are handled.
            5.1.2    This method does not purport to address all the safety issues associated
                    with its use. Each laboratory is responsible for establishing a safety plan
                    that addresses appropriate safety and health practices prior to using this
                    method.
            5.1.3    Laboratory staff must know and observe the safety procedures required in
                    a microbiology laboratory that  handles pathogenic organisms while
                    preparing, using, and disposing of test sample concentrates, reagents, and
                    materials and while operating sterilization equipment. Minimum
                    requirements have been published by the U.S. Department of Health and
                    Human Services (18.2).

     5.2    Shipment of Field Samples

            5.2.1    The field samples collected using this method may be shipped as non-
                    infectious materials, unless they are known to contain virus or other
                    infectious materials.
            5.2.2    If field samples are known to contain infectious materials, laboratories are
                    responsible for packaging and shipping them according to all Department
                    of Transportation, Centers for Disease Control and Prevention, and State
                    regulations.

     5.3    Chemical Safety

        Each laboratory is responsible for the safe handling of the chemicals used in this
     method.  Occupational Safety and Health Administration (OSHA) laboratory standards can
     be found on line at: http://www.osha.gov/SLTC/laboratories/index.html#standards.

6.0  EQUIPMENT AND SUPPLIES

   References to specific brands or catalog numbers  are included in this method as examples
only and do not imply endorsement of the product.  These references do not preclude the use of
other vendors, equipment, or supplies.  However, equivalent method performance as described in
Section 14.0 must be demonstrated for any substitutions.
   All equipment should be cleaned according to the manufacturers' recommendations, and
disposable supplies used wherever possible to reduce  the possibility of cross contamination.

-------
6.1    Sample Filtration Apparatus

   Figure 3 shows the sample filtration apparatus, which has been modified from that
given in Fout et al. (18.19) for use with the NanoCeram® electropositive cartridge filter
(Item 6.1.2.4);  the modification also increases the efficacy for disinfecting the apparatus.
   The current configuration does not use a pressure regulator or pressure gauge, as these
components are difficult to disinfect and subject to corrosion; however, laboratories are
responsible for ensuring that water pressure at sampling sites does not exceed the pressure
ratings of the cartridge housings used (125 psi for Item 6.1.2.2).

       6.1.1    Intake Modul e
               6.1.1.1    Backflow regulator (Watts Regulator Series 8 C Hose
                         Connection Vacuum Breaker); this component is optional
               6.1.1.2    Swivel female insert equipped with garden hose threads (GHT;
                         United States Plastic, Cat. No. 63003)
               6.1.1.3    !/2-in tubing (Cole-Parmer, Cat. No. 06602-03) and hose clamps
                         (Cole-Farmer, Cat. No. 06403-11)
               6.1.1.4    !/2-in hose barb quick disconnect body (Cole-Parmer Cat. No.
                         31307-11)
       6.1.2    Cartridge Housing Module for NanoCeram Filters
               6.1.2.1    !/2-in NPT (M) quick disconnect insert (Cole-Parmer, Cat. No.
                         31307-31); connected to the inlet port of the cartridge housing
               6.1.2.2    Cartridge housing (Argonide, Cat. No. H2.5-5)
               6.1.2.3    !/2-in NPT (M) quick disconnect body (Cole-Parmer, Cat. No.
                         31307-06); connected to the outlet port of the cartridge housing
               6.1.2.4    5-in NanoCeram cartridge filter (Argonide, Cat. No. VS2.5-5)
                         or 10-in 1MDS Virosorb cartridge filter (Cuno, Cat. No.
                         45144-01-1MDS)
                         NOTE:  The use of the 1MDS filter requires that the sample
                                 filtration apparatus to be modified for use with a 10-in
                                 cartridge housing (not shown). See Figure VIII-1  in
                                 Fout et  al. (18.19) for an example.
       6.1.3    Di scharge Modul e
               6.1.3.1    !/2-in NPT (M) quick disconnect insert (Cole-Parmer, Cat. No.
                         31307-31)
               6.1.3.2    !/2-in NPT (F) straight connector  (Cole-Parmer, Cat. No.
                         06349-03)
               6.1.3.3    Flow meter (Flow Technology, Cat. No. FT6-8NENWULEG-
                         3)
               6.1.3.4    Rate totalizer (Flow Technology, Cat. No. BR30-5-A-4)

-------
        6.1.3.5    3/4-in NPT (M) x Vi-in NPT (M) reduction nipple (Cole-Parmer,
                  Cat. No. 06349-87)
        6.1.3.6    3/4-in NPT (F) bronze globe valve (Cole-Parmer, Cat. No.
                  98675-09)
        6.1.3.7    3/4-in NPT (M) x GHT (M) fitting (United States Plastic, Cat.
                  No. 63016)
        6.1.3.8    Garden hose of sufficient length to reach a drain
                  NOTE:  An appropriate sized hose connector and Va-in tubing
                           can be substituted for item 6.1.3.7 and the garden
                           hose.
6.1.4    Injector Module
        NOTE:   This module, prepared using the components below, should
                  only be used when it is necessary to add sodium thiosulfate or
                  HC1 to water during sampling.
        6.1.4.1    3/8-in NPT (F) Tee fitting (Cole-Parmer, Cat. No. 06349-52)
        6.1.4.2    3/s-in NPT (M) quick disconnect insert (Cole-Parmer, Cat. No.
                  31307-30); attached to the left port of the Tee fitting
        6.1.4.3    3/s-in NPT (M) quick disconnect body (Cole-Parmer, Cat. No.
                  31307-05); attached to the right port of the Tee
        6.1.4.4    3/8-in NPT (M) x Vi-in NPT (M) male reducer (Cole-Parmer,
                  Cat. No. 30623-42); connected to the top port of the Tee
        6.1.4.5    Vi-in NPT (F) metallic check valve (CV; Cole-Parmer, Cat. No.
                  98676-00); connected to the male reducer
        6.1.4.6    Vi-in NPT (M) x Vi-in tubing ID  male pipe adaptor elbow
                  (Cole-Parmer,  Cat. No. 30622-97); connected to the inlet side
                  of the check valve
        6.1.4.7    15-gal chemical tank (Pulsafeeder, Cat. No. J63063) equipped
                  with Vi-in tubing
                  NOTE:  The container size can be adjusted to meet the
                           anticipated need.
                  NOTE:  This item is for injecting 2% sodium thiosulfate (Item
                           7.1.3) into water containing a disinfectant.
        6.1.4.8    Metering pump (Pulsafeeder, Cat. No. XP004LAHT)
6.1.5    Double Injector Module
        NOTE:   This module, prepared using the components below, should
                  only be used when it is necessary to add sodium thiosulfate and
                  HC1 to water during sampling.
        6.1.5.1    3/8-in NPT (F) Tee fitting (Cole-Parmer, Cat. No. 06349-52)

-------
               6.1.5.2    3/s-in NPT (M) quick disconnect insert (Cole-Parmer, Cat. No.
                         31307-30); attached to the left port of the Tee fitting
               6.1.5.3    3/s-in NPT (M) quick disconnect body (Cole-Parmer, Cat. No.
                         31307-05); attached to the right port of the Tee
               6.1.5.4    3/8-in NPT (M) x Vi-in NPT (M) male reducer (Cole-Parmer,
                         Cat. No. 30623-42); connected to the top port of the Tee
               6.1.5.5    Vi-in NPT (F) Tee fitting (Cole-Parmer, Cat. No. 06349-51);
                         connected to the male reducer (Item 6.1.5.4)
               6.1.5.6    2-1/4-in NPT (F) metallic check valves (CV; Cole-Parmer, Cat.
                         No. 98676-00); connected to each remaining port on the small
                         Tee fitting (Item 6.1.5.5)
               6.1.5.7    2-Vi-in NPT (M) x Vi-in tubing ID male pipe adaptor elbows
                         (Cole-Parmer, Cat. No. 30622-97); connected to the inlet side
                         of each check valve (Item 6.1.5.6)
               6.1.5.8    2-chemical tanks (Item 6.1.4.7) and 2-metering pumps (Item
                         6.1.4.8)
      6.1.6    Prefilter Module
               NOTE:    This module is for use with waters exceeding 20 NTU for the
                         NanoCeram filter and 50 NTU for the 1MDS filter.
               NOTE:    The NanoCeram filter is more susceptible to clogging than the
                         1MDS filter; therefore, a prefilter module may be required for
                         some matrices even when the turbidity is considerably lower
                         than 20 NTU.
               6.1.6.1    Prepare the prefilter cartridge housing as described for the
                         cartridge housing module in Steps 6.1.2.1-6.1.2.3.
               6.1.6.2    5-in  10-um polypropylene prefilter cartridge (Parker Hannifin,
                         Cat. No. M19R5A)
      6.1.7    Assemble modules using thread tape (Item 6.2.1) on all connections.
               6.1.7.1    Sterilize the intake prefilter housing, and cartridge housings
                         with sodium hypochlorite as described in Section 15.2.4.
               6.1.7.2    Using aseptic technique, add a sterile NanoCeram or 1MDS
                         cartridge to the cartridge housing and, if needed, a presterilized
                         polypropylene cartridge to the prefilter housing.
               6.1.7.3    Cover the  ends with sterile aluminum foil.

6.2   Other Equipment and Supplies for Sample Collection, Preservation, and
      Storage Procedure

      6.2.1    PTFE thread tape (Cole-Parmer, Cat. No. 08270-34)
                                      10

-------
      6.2.2    Peristaltic or chemical resistant pump, capable of pumping water at 4-10
               L/min and appropriate connectors (for use where garden hose-type
               pressurized taps for the source or finished water to be monitored are
               unavailable and for QC samples).
               NOTE:    Follow the manufacturer's recommendations for pump priming.
      6.2.3    1-L polypropylene wide-mouth bottles (Nalgene, Cat. No. 2104-0032)
      6.2.4    Portable pH and temperature probe (Omega, Cat. No. PHH-830)
      6.2.5    Portable turbidity meter (Omega, Cat.  No. TRB-2020-E)
      6.2.6    Portable chlorine (free and total), pocket colorimeter II test kit with
               reagents (Hach, Cat. No. 5870062).
      6.2.7    Commercial ice packs (Cole-Parmer, Cat. No. 06345-20)
      6.2.8    iButtons temperature data logger (Maxim, Cat. No. DS1921G), capable of
               reading temperatures from -40 to 85 °C
      6.2.9    Lab-grade insulated container equipped with carrying strap (16 3/4 in x 16
               3/4 in x 15 5/8 in; Cole-Parmer, Cat. No. 03742-00 and 03742-30) or
               insulated storage and transport chest (Fisher Scientific, Cat. No. 11-676-
               12)
      6.2.10   Aluminum foil (Fisher Scientific, Cat. No. S47271).  Sterilize the foil
               squares as specified in Section 15.2.2.2.2.
      6.2.11   Surgical gloves (Fisher Scientific, Cat. No. 19-058-800)
      6.2.12   Waterproof marker (Fisher Scientific,  Cat. No. 22-290546)
      6.2.13   Closable bag (Uline, Cat. No. S-12283)
      6.2.14   Closable bag (Fisher Scientific, Cat. No. S31798C)
      6.2.15   Packing material:  bubble wrap (U.S. Plastics, Cat. No. 50776) or roll
               paper (U.S. Plastics, Cat. No. 50502)
      6.2.16   Packing tape (U.S. Plastics, Cat. No. 50083)
      6.2.17   Graduated cylinder,  4-L or larger (e.g., Cole-Parmer, Cat. No. 06135-90)
6.3   Equipment and Supplies for Quality Assurance Measures
      6.3.1    Full flow hose Y (DripWorks,  Cat. No. HYFFBR), to allow a matrix spike
               and standard virus field sample to be collected simultaneously
      6.3.2    Freezer capable of maintaining a temperature at or below -70 °C (Thermo
               Scientific, Cat. No. ULT2586-10HD-D), for storing QC stocks
      6.3.3    Dispensing pressure vessel (Millipore, Cat. No. XX6700P10) or
               polypropylene container (Cole-Parmer, Cat. No. EW-06317-53)
      6.3.4    Magnetic stirrer (Cole Farmer, Cat. No. EW-04671-82)
      6.3.5    Magnetic stirring bar (Fisher Scientific, Cat. No. 14-513-68)

                                     11

-------
       6.3.6    Standard filter apparatus (Item 6.1) with electropositive filter (Item
               6.1.2.4) for QC samples
       6.3.7    Collapsible 10-L LDPE cubitainer (Cole Farmer, Cat. No. 06100-30) for
               collecting matrix spike
       6.3.8    Duplicate filter apparatus (Item 6.1) with electropositive filter (Item
               6.1.2.4), for processing matrix spike

6.4    Equipment and Supplies for the Elution and Organic Flocculation Procedures

       6.4.1    Refrigerator (Fisher Scientific, Cat. No. 13-986-152), set at 4±3 °C, for
               storing filters prior to elution and eluates prior to further processing
       6.4.2    Pressure source, such as laboratory positive pressure airline (equipped
               with oil filter), compressed nitrogen, peristaltic pump (e.g.,  Cole-Parmer,
               Cat. No. 07523-80), or self-priming pump (e.g., Cole-Parmer, Cat. No.
               07036-10) and required tubing
       6.4.3    Dispensing pressure vessels, 5- and 20-L capacity (Millipore, Cat. No.
               XX6700P05 and XX6700P20)
               6.4.3.1    3/s-in NPT (M) quick disconnect body (Cole-Parmer Cat. No.
                         31307-00)
               6.4.3.2    Use appropriate fittings to add a quick disconnect body (Item
                         6.4.3.1) to the outlet of the dispensing pressure vessel
       6.4.4    Elution inlet tubing
               6.4.4.1    l/2-m tubing (Cole-Parmer, Cat. No.  06602-03) and hose clamps
                         (Cole-Parmer, Cat. No. 06403-11)
               6.4.4.2    l/2-m hose barb quick disconnect body (Cole-Parmer Cat. No.
                         31307-11)
               6.4.43    l/2-in hose barb quick disconnect insert (Cole-Parmer Cat. No.
                         31307-46)
                         NOTE:  Connect the quick disconnect body (Item 6.4.4.2) to 1
                                  end of the Va-in tubing and the quick disconnect insert
                                  (Item 6.4.4.3) to the other end using the hose clamps.
       6.4.5    Elution outlet tubing
               6.4.5.1    !/2-in tubing (Cole-Parmer, Cat. No.  06602-03) and hose clamps
                         (Cole-Parmer, Cat. No. 06403-11)
               6.4.5.2    l/2-m hose barb quick disconnect insert (Cole-Parmer Cat. No.
                         31307-46)
                         NOTE:    Connect the quick disconnect insert (Item 6.4.5.2)
                         to 1  end of the Va-in tubing using the hose clamps.
       6.4.6    2-L glass or polypropylene beaker (Fisher Scientific, Cat. No. 02-591-41)
                                      12

-------
6.4.7     pH meter equipped with combination-type electrode, accuracy of at least
         0.1 pH units
6.4.8     Magnetic stirrer and stir bars
6.4.9     Refrigerated centrifuge (e.g., Beckman Coulter, Cat. No. 367501)
         6.4.9.1    Centrifuge rotors (e.g., Beckman Coulter, Cat. No. 339080 and
                   336380), with appropriate accessories
         6.4.9.2    Screw-capped centrifuge bottles (Fisher Scientific Cat. No. 05-
                   562-23 or 05-562-26), 250- or 1,000-mL capacity
                   NOTE:   Each bottle must be rated for the relative centrifugal
                            force used.
6.4.10    Orbital shaker (Fisher Scientific, Cat. No. 14-285-729), capable of 160
         rpm
6.4.11    Sterilizing filter, 0.22-um pore-size Acrodisc filter equipped with prefilter
         (VWR, Cat. No. 28143-295)
6.4.12    Sterilizing filter stack
         NOTE:    The sterilizing filter stack is optional, but should be used for
                   test samples that are difficult to filter using Item 6.4.11.
         6.4.12.1   Place a 0.22-um pore-size membrane filter (Millipore, Cat. No.
                   GSWP04700) on the bottom of a 47-mm disc filter holder
                   (Millipore, Cat. No. SX0004700).
         6.4.12.2   Place an APIS prefilter (Millipore Cat. No.  AP1504700) on top
                   of the 0.22-um filter and an AP20 prefilter (Millipore, Cat. No.
                   AP2004700) on top of the APIS prefilter.
         6.4.12.3   Assemble the filter holder unit and sterilize as defined in
                   Section 15.2.2.2.
                   NOTE:   Disassemble the filter stack after each use to check
                            the integrity of the 0.22-um filter.  Refilter any media
                            filtered with a damaged stack using another  sterile
                            sterilizing filter stack.
6.4.13    50-mL syringe (Thomas Scientific, Cat. No. 8939N37)
6.4.14    Freezer (Thermo Scientific, Cat. No. ULT2586-10HD-D), capable of
         maintaining a temperature at or below -70 °C
6.4.15    Gauze sponge (Fisher Scientific,  Cat. No. 22-415-469) soaked with 0.5%
         iodine (Item 7.6.4) or 0.525% sodium  hypochlorite  (Item 7.6.2), for
         cleaning spills
6.4.16    15-mL polypropylene tubes (Fisher Scientific, Cat.  No. 05-539-5)
                               13

-------
6.5    Equipment and Supplies for the Total Culturable Virus Assay

       6.5.1     Incubator (Thomas Scientific, Cat. No. 1226T31), capable of maintaining
               the temperature of cell cultures at 36.5±1 °C
       6.5.2     Biosafety cabinet (NuAir Laboratory Equipment Supply, Cat. No. Labgard
               437 ES)
       6.5.3     Tissue culture flasks, 25 cm2 or 75 cm2 (Sigma Aldrich, Cat. No. C6481 or
               C7231, respectively)
       6.5.4     Indelible marker (Fisher Scientific, Cat. No. 22-290546)
       6.5.5     Appropriate size pipettes and pipetters
       6.5.6     Waterbath (Cole Farmer, Cat. No. 12418-60), capable of maintaining a
               temperature of 37 °C
       6.5.7     Freezer (Thermo Scientific, Cat. No. ULT2586-10HD-D), capable of
               maintaining a temperature at or below -70 °C
       6.5.8     Mechanical rocking platform (Daigger, Cat. No. EF4907G)
       6.5.9     Sterilizing syringe filter, 0.2-um (Corning, Cat. No. 431219)
       6.5.10   Microcentrifuge (Eppendorf, Cat. No. 022620623), capable of 30,130 x g
       6.5.11   EPA Most Probable Number Calculator (EPA,
               http://www.epa.gov/nerlcwww/mpn.html)
               NOTE:    The MPN program will run on Windows XP and later versions.
                         It has been re-designed for calculation of both standard
                         bacterial and viral MPN values. All entries are saved in a
                         default database and can be viewed to check for data entry
                         errors using the View History selection under the Tools menu.
                         Each program run can also be saved into Word, Excel, or text
                         files for transfer to lab notebooks or to Laboratory Information
                         Management Systems.

6.6    Equipment and Supplies for the Enterovirus and Norovirus Molecular Assays

       6.6.1     UV-Vis spectrophotometer (Thermo Scientific, Cat. No. NanoDrop ND-
               2000)
       6.6.2     Vivaspin 20 centrifugal concentrator units, 30,000 MWCO (Sartorius-
               Stedim, Cat. No. VS2022)
               NOTE:    Other centrifugal concentrators with 30,000 MWCO may be
                         substituted for this item, if equivalent recoveries are
                         demonstrated.
       6.6.3     50-mL polypropylene centrifuge  tubes and multitube carrier (e.g.,
               Beckman Coulter, Cat. No. 362213)  for centrifuge (Item 6.4.9)
                                     14

-------
      6.6.4    Microcentrifuge, capable of 30,130 x g (Fisher Scientific, Cat. No. 05-
               406-11)
      6.6.5    1.5-mL microcentrifuge tubes equipped with snap caps (Fisher Scientific,
               Cat. No. 02-682-550)
      6.6.6    Vortex mixer (Fisher Scientific, Cat. No. 02-216-100)
      6.6.7    Dry bath incubator (Fisher Scientific Cat. No. 11-716-50Q)
      6.6.8    Collection tubes, 2-mL (Qiagen, Cat. No. 19201)
      6.6.9    Multichannel pipette (Rainin, Cat. No. L8-20)
      6.6.10   Various pipettes (e.g., Rainin, Cat. No. PR-2, PR-10, PR-20, PR-200, PR-
               1000)
      6.6.11   Various pipette tips (e.g., Rainin, Cat. No. RT-10F, RT-L10F, RT-20F,
               RT-200F, RT-1000F)
      6.6.12   Reagent Reservoir (Fisher Scientific, Cat. No. 21-381-27E)
      6.6.13   Mini-plate spinner (Labnet, Cat. No. C1000)
      6.6.14   Thermal cycler (Applied Biosystems, Cat. No. 4314879)
      6.6.15   Optical reaction plate (Applied Biosystems, Cat. No. 4314320) orPCR
               MicroAmp tubes (Applied Biosystems, Cat. No. N8010612)
      6.6.16   Quantitative PCR thermal cycler (Applied Biosystems, Cat. No. 4351405)
      6.6.17   0.2-um sterilizing filter (Sigma-Aldrich,  Cat. No. F-9768)
      6.6.18   Freezers (VWR, Cat. No. 97043-346; Thermo Scientific, Cat. No.
               ULT2586-10FID-D), capable of maintaining temperatures of-20 °C and at
               or below -70 °C, respectively
               NOTE:   Storage of reagents at -20 °C  must be done using manual
                         defrost freezers.
      6.6.19   Refrigerator (Fisher Scientific, Cat. No. 13-986-152), capable of
               maintaining a temperature of 4±3 °C
6.7   Equipment and Supplies for Sterilization Techniques
      6.7.1    Autoclave, capable of maintaining a temperature of 121 °C and 15 psi
               (Steris Amsco® Lab Series), for sterilizing solutions and autoclavable
               laboratory ware and equipment
      6.7.2    Dry heat oven, capable of maintaining a temperature of 170 °C (Binder,
               Cat. No. 9010-0164), for sterilizing glassware
      6.7.3    Aluminum foil (Fisher Scientific, Cat. No. 01-213-100)
      6.7.4    Kraft or roll paper (U.S. Plastics, Cat. No. 50083)
                                     15

-------
7.0  REAGENTS, MEDIA, AND STANDARDS

   References to specific reagents, media, and standards brands or catalog numbers are included
in this method as examples only and do not imply endorsement of the product.  These references
do not preclude the use of other vendors or other reagents, media, or standards. However,
equivalent method performance as described in Section 14.0 must be demonstrated for any
substitutions.
   The amount of reagents, media, and standards prepared for each step of the method may be
adjusted proportionally to the number of test samples to be analyzed.
     NOTE:  For any given section of this method only media, reagents, and standards that are
             not described in previous sections are listed.

     7.1     Reagents for the Sample Collection, Preservation and Storage Procedure

            7.1.1     Hype-Wipe (Fisher Scientific, Cat. No. 14-412-56)
            7.1.2     0.12-, 1.2-, and 6-M hydrochloric acid (HC1)
                    7.1.2.1     Prepare 0.12-, 1.2-,  and 6-M solutions by mixing 50, 100, or 50
                              mL of concentrated HC1 with 4950, 900, or 50 mL of dH2O,
                              respectively.
                              NOTE:  HC1 at 37% concentration is about 12 M.
                              NOTE:  To adjust the pH of reagents where the HC1
                                      concentration is not specified, use the higher
                                      concentration initially to reduce the volume of HC1
                                      required for pH adjustment and then switch to lower
                                      concentration as the pH approaches the target level.
                    7.1.2.2     Prepare solutions to be used for adjusting the pH of water
                              samples at least 24 h before use.
                              NOTE:  HC1 solutions can be stored for several months at
                                      room temperature.
            7.1.3     2% sodium thiosulfate  (^28203) pentahydrate
                    7.1.3.1     Prepare 2% thiosulfate by dissolving 1 kg of sodium thiosulfate
                              pentahydrate in 49 L of sterile dH2O.
                              NOTE:  Sodium thiosulfate solutions may be stored for 6
                                      months at room temperature.

     7.2     Reagents for Quality Assurance Measures

            7.2.1     HEPES (Sigma Aldrich, Cat. No. H4034)
            7.2.2     QC stock
                                          16

-------
               7.2.2. 1    Prepare a stock of Sabin poliovirus type 3 containing 500±10
                         MPN/mL and store in aliquots containing about 1 . 1 mL at or
                         below -70 °C.
                         NOTE:  This stock may be prepared by the analytical
                                 laboratory or, if available, obtained from a contractor
                                 designated by the EPA or from other sources.
      7.2.3    PT/PE stock
               7.2.3.1    Prepare stocks of Sabin poliovirus type 3 with various levels
                         between 300 and 5,000 MPN/mL and store in aliquots
                         containing about 1 . 1 mL at or below -70°C. Several levels
                         each of low (300-500 MPN/mL), medium (1,000-2,000
                         MPN/mL), and high (3,000 to 5,000 MPN/mL) stocks must be
                         prepared.
                         NOTE:  For studies not conducted by EPA, these stocks may
                                 be prepared by the analytical laboratory or obtained
                                 from other sources.
      7.2.4    Matrix spike
               7.2.4. 1    Prepare a stock of Sabin poliovirus type 3 containing 1,000±50
                         MPN/ mL and store in aliquots containing about 1 . 1 mL at or
                         below -70 °C.
                         NOTE:  This stock may be prepared by the analytical
                                 laboratory or, if available, obtained from a contractor
                                 designated by the EPA or from another source.
      7.2.5    0. 1-M sodium hydroxide (NaOH)
               7.2.5.1    Prepare a 0. 1-M NaOH solution by dissolving 0.4 g of NaOH
                         in a final volume of 100 mL of dH2O, respectively.
                         NOTE:  NaOH solutions may be stored for several months at
                                 room temperature.

7.3   Reagents for the Elution and Organic Flocculation Procedures

      7.3.1    1.5% beef extract, pH 9.0
               7.3.1.1    Prepare buffered 1.5% beef extract by dissolving 30 g of beef
                         extract, desiccated powder (BD Bacto, Cat. No. 21 1520) and
                         7.5 g of glycine (final glycine concentration = 0.05 M) in 1.9 L
                         ofdH2O.
               7.3.1.2    Adjust the pH to 9.0 with 1- or 5-M NaOH and bring the final
                         volume to 2 L with
               7.3.1.3    Autoclave the beef extract solution at 121 °C, 15 psi for 15 min
                         and use at room temperature.
                                     17

-------
                  NOTE:  Beef extract solutions may be stored overnight at
                           room temperature, for 1 week at 4 °C, or for longer
                           periods at -20 °C.
        7.3.1.4    Screen each new lot of beef extract before use to determine
                  whether virus recoveries are adequate.
                  CAUTION:   Desiccated beef extract lots show considerable
                                variation in virus recovery.
                  7.3.1.4.1    Perform the screening by spiking 1 L of beef
                              extract solution with 1 mL of a QC stock (Item
                              7.2.2).
                  7.3.1.4.2    Process the spiked sample according to the
                              organic flocculation and total culturable virus
                              assay procedures (Sections 11.0 and 12.0,
                              respectively).
                              NOTE:    The mean recovery of poliovirus for
                                        three trials should be greater than 50%.
7.3.2     1.5% beef extract, pH 7.0-7.5
        7.3.2.1    Prepare 1.5% beef extract by dissolving 7.5 g of beef extract,
                  desiccated powder and 1.88 g of glycine in 0.5 L of dH^O.
        7.3.2.2    Autoclave the beef extract solution at 121 °C, 15 psi for 15 min
                  and use at room temperature.
                  NOTE:  This beef extract solution may be stored for up to 6
                           months at room temperature, but must be discarded if
                           there is evidence of microbial growth or any other
                           change in appearance.
7.3.3    Antifoam (Sigma, Cat. No. A8311)
7.3.4     1- and 5-M sodium hydroxide (NaOH)
        7.3.4.1    Prepare 1- and 5-M solutions by dissolving 4 or 20 g of NaOH
                  in a final volume of 100 mL of dH^O, respectively.
                  NOTE:  NaOH solutions may be stored for several months at
                           room temperature.
7.3.5    0.15 -M sodium phosphate, pH 9.0
        7.3.5.1    Prepare 0.15-M sodium phosphate by dissolving 40.2 g of
                  sodium phosphate, dibasic (Na2HPO4 • 7H2O)  in a final
                  volume of 1 L dH2O.
        7.3.5.2    Adjust the pH to 9.0 with HC1, if necessary.
        7.3.5.3    Autoclave at 121 °C, 15 psi for 15 min.
                  NOTE:  Sodium phosphate solutions may be stored at room
                           temperature for up to 12 months.

                               18

-------
      7.3.6    0.15 -M sodium phosphate, pH 7.0-7.5
               7.3.6.1    Prepare by dissolving 40.2 g of sodium phosphate, dibasic
                         (Na2HPO4 •  7H2O) in a final volume of 1,000 mL dH2O.
               7.3.6.2    Adjust the pHto 7.0-7.5 with HC1.
               7.3.6.3    Autoclave at 121 °C, 15 psi  for 15 min.
                         NOTE:  Sodium phosphate solutions may be stored at room
                                  temperature for up to 12 months.

7.4   Reagents for the Total Culturable Virus Assay

      7.4.1    Cell culture media
               7.4.1.1    Hank's balanced salt solution (Invitrogen, Cat. No.  14170-112)
               7.4.1.2    Minimum essential medium (MEM) with Hanks' salts and L-
                         glutamine (Sigma-Aldrich, Cat. No. M4642)
               7.4.1.3    Leibovitz L-15 medium with L-glutamine (Sigma-Aldrich, Cat.
                         No. L4386)
               7.4.1.4    Sodium bicarbonate, 7.5% (Sigma Aldrich, Cat. No. S8761)
               7.4.1.5    Fetal bovine serum, certified, heat-inactivated (Invitrogen, Cat.
                         No. 10082-139)
               7.4.1.6    Penicillin-Streptomycin (Invitrogen, Cat. No. 15140-122)
               7.4.1.7    Fungizone (Invitrogen,  Cat.  No. 15290-018),
               7.4.1.8    Prepare growth and maintenance medium as described in the
                         most recent version of the EPA Manual of Methods for
                         Virology, available at:
                         http ://www. epa.gov/microbes/about.html.
                         7.4.1.8.1     Briefly, growth medium consists of a 50/50
                                     mixture of MEM (7.4.1.2) and L-15 medium
                                     (Item 7.4.1.3),  1 mL/L of 7.5% sodium
                                     bicarbonate (Item 7.4.1.4), 5-10 mL/L of
                                     penicillin-streptomycin (Item 7.4.1.6), 1 mL/L
                                     fungizone (Item 7.4.1.7), and 100 mL/L of fetal
                                     bovine serum (Item 7.4.1.5).
                         7.4.1.8.2     Briefly, maintenance medium consists of a 50/50
                                     mixture of MEM (Item 7.4.1.2) and L-15  medium
                                     (Item 7.4.1.3),  1 mL/L of 7.5% sodium
                                     bicarbonate (Item 7.4.1.4), 5-10 mL/L of
                                     penicillin-streptomycin (7.4.1.6), 1 mL/L of
                                     fungizone (Item 7.4.1.7)and 20 mL/L of fetal
                                     bovine serum (Item 7.4.1.5).
                                      19

-------
                               NOTE:    The amount of 7.5% sodium
                                         bicarbonate (Item 7.4.1.4) added is
                                         sufficient for incubation of cell
                                         cultures in non-CC>2 incubators.  The
                                         amount should be reduced to 0.47
                                         mL/L for use in CC>2 incubators.
7.4.2     BGM cell culture
         7.4.2.1     Trypsin, 0.05% with EDTA (Invitrogen, Cat. No. 25300-062)
         7.4.2.2     Trypan blue solution, 0.4% (Sigma-Aldrich, Cat. No. T8154)
         7.4.2.3     BGM cells should be passaged and  maintained using the
                   standard procedures available in the most recent version of the
                   EPA Manual of Methods for Virology  (18.6), available at:
                   http://www.epa.gov/microbes/about.html.  Briefly, cells are
                   passaged by removing them from confluent vessels using
                   trypsin with EDTA (Item 7.4.2.1). A portion of the removed
                   cells is stained with trypan blue (Item 7.4.2.2) and counted to
                   obtain the fraction of live cells. Warm growth medium is
                   added to the remaining cells and new vessels prepared using a
                   split ratio of 1:3 to 1:4 based upon the live cell count.
                   NOTE:   BGM cells from various sources and other standard
                            tissue culture techniques and media may be used as
                            long as analysts meet the acceptance criteria listed in
                            Section 14.0.
                   NOTE:   Cell cultures used for virus assay are generally found
                            to be at their most sensitive level 3-6 days after their
                            most recent  passage; those older than 7 days must not
                            be used.
         7.4.2.4     Prepare cell culture test vessels using Item 6.5.3 and the most
                   recent version of the EPA Manual of Methods for Virology
                   (18.6),  available at: http://www.epa.gov/microbes/about.html.
                   CAUTION:   The flask size for the cell culture test vessels
                                 must be large enough to ensure that the
                                 inoculum volume (Step  12.1.2.2) is <0.04
                                 mL/cm2 of surface area.
7.4.3     Positive assay control
         7.4.3.1     Prepare by diluting the QC stock (Item 7.2.2) in 0.15-M
                   sodium phosphate, pH 7.0-7.5 (Item 7.3.6) to give a
                   concentration of 20 MPN per Inoculum Volume or, if used, 20
                   MPN per Final Inoculation Volume (see Step 11.2.6.4 for a
                   definition of Inoculum Volume and  Step 11.2.6.5 for a
                   definition of Final Inoculation Volume).
                               20

-------
7.5   Reagents for the Enterovirus and Norovirus Molecular Assays
      7.5.1     Primers and TaqMan® probes in Table 4 (Applied Biosystems, custom
               order)
      7.5.2     PCR-grade water (Roche, Cat. No. 03315932001)
      7.5.3     PBS (Dulbecco's phosphate buffered saline, without CaCl2 and MgQ2;
               U.S. Biological, Cat. No. D9820)
      7.5.4     5%BSA
               7.5.4.1    Prepare 5% BSA by dissolving 5 g of albumin/bovine
                        crystalline (United States Biochemical, Cat. No. 10856) in 100
                        mLofdH2O.
               7.5.4.2    Sterilize by passing the solution through a 0.2-um sterilizing
                        filter (Item 6.6.17).
               7.5.4.3    Store at 4 °C.
      7.5.5     PBS, 0.2% BSA
               7.5.5.1    Prepare by adding 4 mL of 5% BSA (Item 7.5.4) to 96 mL of
                        PBS (Item 7.5.3).
               7.5.5.2    Sterilize by passing the solution through a 0.2-um sterilizing
                        filter (Item 6.6.17).
               7.5.5.3    Store at 4 °C.
      7.5.6     QIAamp DNA Blood Mini Kit (Qiagen, Cat. No. 51104 or 51106), with
               buffer AL, buffer AW1, buffer AW2, buffer AE, and mini spin columns
      7.5.7     Buffer AVL (Qiagen, Cat. No. 19073)
               NOTE:   Carrier RNA is supplied with this reagent
      7.5.8     Buffer AVE (Qiagen, Cat. No. 1026956)
      7.5.9     Absolute ethanol (C2H5OH; Fisher Scientific, Cat. No. BP2818-100)
      7.5.10   RNasin® Plus RNase Inhibitor, 40 units/uL (Promega, Cat. No. N2615)
      7.5.11   Random primer,  0.5 ug/uL (Promega, Cat. No. Cl 181)
      7.5.12   Armored RNA® Hepatitis G virus (Asuragen, Cat. No. 42024)
      7.5.13   10X PCR Buffer II and 25-mM MgCl2 in separate vials (Applied
               Biosystems, Cat. No. N8080130)
      7.5.14   PCR nucleotide mix, 10-mM (dNTPs; Promega, Cat. No. Cl 141)
      7.5.15   Dithiothreitol, 100-mM (DTT; Promega, Cat. No. PI 171)
      7.5.16   Superscript II Reverse Transcriptase, 200 units/uL (Invitrogen, Cat. No.
               18064-022)
      7.5.17   LightCycler® 480 Probes Master kit (Roche Diagnostics, Cat. No.
               04707494001)
                                    21

-------
            7.5.18   ROX reference dye, 25-mM (Invitrogen, Cat. No.  12223)
            7.5.19   Armored RNA® containing the complete sequences which are amplified
                    by the enterovirus, norovirus GI, norovirus Gil assays described in section
                    13.5 (Asuragen, custom order giving >1010 genomic copies at a defined
                    concentration)

     7.6    Reagents for Sterilization Techniques

            7.6.1    95% ethanol (Sigma Aldrich, Cat. No. 49351 1)
            7.6.2    0.525% sodium hypochlorite (NaCIO)
                    7.6.2. 1    Prepare a 0.525% NaCIO solution by diluting household bleach
                              l:10indH2O.
                              NOTE:  Store 0.525% NaCIO  solutions for up to 1 week at
                                       room temperature.
            7.6.3    1-M sodium thiosulfate (^28203) pentahydrate
                    7.6.3.1    Prepare a 1-M solution by dissolving 248.2 g of Na2S2O3 in 1 L
                              ofdH2O.
                              NOTE:  Sodium thiosulfate solutions may be stored for 6
                                       months at room temperature.
            7.6.4    0.5% iodine
                    7.6.4.1    Prepare a 0.5% iodine solution by dissolving 5 g of iodine in 1
                              L of 70% ethanol.
                              NOTE:  Iodine solutions can be stored for 1 year at room
                                       temperature.

8 0  QUALITY ASSURANCE

   This section describes the minimum quality assurance  requirements.  Laboratories are
encouraged to institute additional QC practices that go beyond these minimum criteria to meet
their needs.  All laboratories analyzing test samples with this method must adhere to defined QA
procedures that ensure analytical data that are scientifically valid and demonstrate acceptable
precision and specificity.

     8.1    Quality Assurance Plan

     Each laboratory must have a written Quality Assurance Plan that addresses the following:
            8.1.1    Laboratory organization and responsibility - This section must: 1) include
                    a list that identifies the laboratory QA manager(s) and key individuals who
                    are responsible for ensuring the production of valid measurements and the
                    routine assessment of QC data; 2) specify who is responsible for internal
                    audits and reviews of the implementation of the QA plan and its
                                           22

-------
         requirements; and 3) include a chart showing the laboratory organization
         and line authority.
8.1.2     Personnel - This section must list each analyst's academic background
         and experience, describe how each analyst is trained to perform the
         method, and describe how training is documented.
8.1.3     Facilities - This section must describe the arrangement and size of
         laboratories, workflow patterns to minimize cross contamination, air
         system(s);  the laboratory reagent water system, and the waste disposal
         system [see Sen etal. (18.41)].
8.1.4     Field sampling procedures - This section must describe the laboratory
         chain-of-custody procedures, including the  sample identification and
         information recording system, and describe how field samples are
         collected and transported, including transportation time and temperature.
8.1.5     Laboratory test sample handling procedures - This section must describe
         test sample-holding times and temperature during analyses and the
         procedures for maintaining the integrity of the test samples (i.e., logging
         and tracking of samples from receipt through analyses and disposal).
8.1.6     Equipment - This section must describe the specifications, calibration
         procedures, preventive maintenance, and maintenance of quality control
         records for each item used during the performance of the method.  All
         calibrations must be traceable to national standards, when they are
         available.
8.1.7     Supplies - This section must describe the specifications, storage
         conditions, and documentation of catalog and lot numbers for chemicals,
         reagents, and media.
8.1.8     Laboratory practices - This section must describe the preparation of
         reagent-grade water, glassware washing and preparation procedures, and
         sterilization procedures.  It should also describe the workflow
         requirements among laboratories to prevent cross contamination,
         especially for molecular procedures.  The workflow and other
         recommended requirements are described in detail in Sen et al. (18.41).
8.1.9     Analytical procedures - This section must reference this method and
         identify available laboratory SOPs.
8.1.10    Quality control checks - This section must  describe all laboratory
         procedures that are implemented to ensure the quality of each analyst's
         data.
8.1.11    Data reduction, verification, and reporting - This section must describe
         any procedures for converting raw data to final data, identify procedures
         for ensuring the accuracy of data transcription and calculations, and
         describe the  laboratory's procedures for reporting all data to EPA.
8.1.12    Corrective actions - This section must describe how the  laboratory will
         respond to PE and QC failures and failures  of its own internal QC

                                23

-------
               procedures, identify the person(s) responsible for taking corrective action,
               and describe how the effectiveness of the actions will be documented.
       8.1.13   Record keeping - This section must describe how records are maintained
               (e.g., hard copy, electronic, or laboratory information management system
               [LEVIS], etc.), how long records are kept, and where records are stored.

8.2    Laboratory Personnel

       8.2.1    Principal Analyst/Supervisor - Laboratories must have a principal analyst
               who may also serve as a supervisor if an additional analyst(s) is to be
               involved.  The principal analyst/supervisor oversees or performs the entire
               analyses and carries out QC performance checks to evaluate the quality of
               work performed by analysts and technicians. This person must be an
               experienced microbiologist with at least a B.A./B.S. degree in
               microbiology or a closely related field.  The person must also have a
               minimum of 3 years continuous bench experience in cell culture
               propagation, processing and analysis of virus samples, and in performing
               PCR, along with at least 6 months of experience in performing RT-qPCR.
               This analyst must meet initial analyst approval/initial demonstration of
               capability (Section 8.3.1.2) and on-going analyst approval/on-going
               demonstration of capability (Section 8.3.1.3) requirements.  The principal
               analyst must also demonstrate acceptable performance during any on-site
               performance audits.
       8.2.2    Analyst - The analyst performs at the bench level under the supervision of
               a principal analyst and can be involved in all aspects of analysis, including
               preparation of sampling equipment, filter extraction, sample processing,
               cell culture, virus assay, qPCR, and data handling. The analyst must have
               2 years of college lecture and laboratory course work in microbiology or a
               closely related field.  The analyst must have at least 6 months bench
               experience in cell culture,  animal virus analyses, and PCR, including 3
               months experience in filter extraction of virus samples and sample
               processing. Six (6) months of additional bench experience in the above
               areas may be substituted for the 2 years of college. Each analyst must
               meet initial analyst approval/initial demonstration of capability (Section
               8.3.1.2) and on-going analyst approval/on-going demonstration of
               capability (Section 8.3.1.3) requirements. The analyst must also
               demonstrate acceptable performance during any on-site audits.  Should
               laboratories choose to use teams of analysts who specialize in performing
               the culture or molecular portions of this method; analysts only need to
               meet the educational requirement of the portion they perform.
               Laboratories using analyst teams must ensure that all quality controls are
               analyzed by the appropriate team member.
       8.2.3    Technician - The technician extracts filters, processes samples, and
               performs qPCR under the supervision of an analyst, but does not perform
               cell culture work, virus detection, or enumeration.  The technician must
                                      24

-------
               have at least 3 months experience in filter extraction and processing of
               virus samples to participate in the cultural portion of this method and 3
               months of experience with PCR to participate in the molecular portion of
               the method.
      8.2.4    Samplers - The sampler collects water samples and ships them to the
               analytical laboratory. The sampler must be familiar with the field sample
               collection process and have at least training by means of a video or written
               instructions demonstrating proper sampling technique. Unless specified
               otherwise by EPA, laboratories are responsible for ensuring that samplers
               have adequate training.

8.3   Laboratory Performance

      8.3.1    Laboratories using this method must evaluate the ability of analysts to
               perform the method using known quality control (QC) samples, unknown
               performance test (PT) samples, and unknown performance evaluation (PE)
               samples, as defined in Sections 8.3.1.2 and 8.3.1.3.
               NOTE:    EPA may also require laboratories to be approved.
               8.3.1.1    Laboratory approval - Laboratories must have  a Quality
                         Assurance Plan, adequately trained staff, proper equipment,
                         and at least 1 approved analyst to be approved.
               8.3.1.2    Initial analyst approval/initial demonstration of capability -
                         Each analyst must demonstrate the ability to perform the
                         method using QC and PT samples, as part of an initial approval
                         process. New analysts must initially use QC samples to gain
                         method proficiency  followed by the analysis of PT  samples.
                         8.3.1.2.1     For initial approval,  analysts must analyze 7 PT
                                     samples as described in Section 8.5 and meet the
                                     method performance characteristics defined in
                                     Section 14.0 or in any additional guidance from
                                     EPA.
                         8.3.1.2.2     Any analyst who does not meet the initial
                                     demonstration of capability must not process test
                                     samples.
               8.3.1.3    On-going analyst approval/on-going demonstration of
                         capability - To remain approved,  each analyst must analyze 1
                         QC sample set (Section 8.4) for every analysis  batch (see
                         Section 3.1) and  1 PE sample (Section 8.5) per month
                         following initial approval.
                         8.3.1.3.1     For on-going  approval, 1 out of every  7 PE
                                     samples must be a negative PE sample. The  order
                                     in which analysts receive the negative PE sample
                                     25

-------
                                      and the virus levels on the positive PE samples
                                      must be randomized.
                          8.3.1.3.2     For on-going approval, analysts must meet the
                                      method performance characteristics defined in
                                      Section 14.0 or in any additional guidance from
                                      EPA.
                          8.3.1.3.3     Any analyst who does not meet the on-going
                                      demonstration of capability must not process test
                                      samples until the cause of the failure has been
                                      identified and corrected.
8.4    QC Sample Set
       NOTE:  A QC sample set must be associated with each analysis batch (Section
               3.1). A QC sample set consists of a negative and a positive QC sample.
       8.4.1    Negative QC sample/equipment blanks
               8.4.1.1     Place 10 L of reagent grade water in a dispensing pressure
                          vessel or polypropylene container (Item 6.3.3).
               8.4.1.2     Adjust the pHto 6.5-7.5 with 0.12-MHC1 (Item 7.1.2) or 0.1
                          M-NaOH (Item 7.2.5), as necessary.
                          NOTE:  It is difficult to obtain an accurate pH on pure water.
                                  To compensate, a buffering agent, such as HEPES
                                  (Item 7.2.1), may be added to the water at a
                                  concentration up to 0.01 M (23.83 g/10-L).
               8.4.1.3     Place a magnetic stir bar into the vessel or container and stir for
                          10 min at a speed sufficient to create  a vortex.
               8.4.1.4     Pass the water through a sterile standard filter apparatus (Item
                          6.1) containing a sterile electropositive filter, using a flow rate
                          of approximately 10 L/min.
                          NOTE:  To meet on-going QC requirements, standard filter
                                  apparatuses from  field or positive QC samples must
                                  be used after cleaning and sterilization.
                          NOTE:  Both negative and positive QC samples must use the
                                  same filter type (e.g., 1MDS or NanoCeram) that will
                                  be used for collecting field samples. If the analytical
                                  laboratory is processing field samples using both filter
                                  types, the filter types should be separated into
                                  different batches,  with each batch associated with a
                                  QC sample.
               8.4.1.5     Process and analyze the filter using the filter elution (Section
                          10.0), organic flocculation  (Section 11.0), total culturable virus
                                      26

-------
                          assay (Section 12.0), and enterovirus and norovirus molecular
                          assay (Section 13.0) procedures.
       8.4.2    Positive QC sample
               8.4.2.1     Place 10 L of reagent grade water in a dispensing pressure
                          vessel or polypropylene container (Item 6.3.3).
               8.4.2.2     Adjust the pHto 6.5-7.5 with 0.12-MHC1 (Item 7.1.2) or 0.1-
                          MNaOH (Item 7.2.5), as necessary.
                          NOTE:  It is difficult to obtain an accurate pH on pure water.
                                  To compensate, a buffering agent, such as HEPES
                                  (Item 7.2.1), may be added to the water at a
                                  concentration up to 0.01 M.
               8.4.2.3     Add 1.0 mL of a QC stock (Item 7.2.2) to the water.
               8.4.2.4     Place a magnetic stir bar into the vessel or container and stir for
                          10 min at a speed sufficient to create a vortex.
               8.4.2.5     Pass the water through a sterile standard apparatus (Item 6.1)
                          containing a sterile electropositive filter, using a flow rate of
                          approximately 10 L/min.
               8.4.2.6     Process and analyze the filter using the elution (Section 10.0),
                          organic flocculation (Section 11.0), total culturable virus assay
                          (Section 12.0), and enterovirus molecular assay (Section 13.0)
                          procedures.
       8.4.3    QC sample results must meet the method performance characteristics
               defined in  Section 14.0.
               8.4.3.1     A positive result on a negative QC sample constitutes a failure
                          of all test samples associated with the analysis batch.
               8.4.3.2     A recovery result on positive QC samples outside the
                          performance criteria specified in Section 14.0 or a positive
                          norovirus assay constitutes a failure of all test samples
                          associated with the analysis batch; however, laboratories may
                          use a rolling average of 6 positive QC samples to  determine the
                          pass/fail status. The rolling average shall be done by averaging
                          the first 6 positive QC samples run by an analyst and then, for
                          each new QC sample, dropping the oldest and adding the new
                          result to the average.

8.5    PT and PE Samples

       8.5.1    Laboratories using this method for non-EPA studies shall prepare their
               own PT and PE samples internally or through an external contract or other
               mechanism.
                                      27

-------
               NOTE:   For EPA studies, PT and PE samples will be prepared by an
                         EPA designated contractor and sent to participating
                         laboratories in a randomized fashion.
               8.5.1.1    Prepare negative PT and PE samples as described for negative
                         QC samples (Section 8.4.1).
               8.5.1.2    Prepare positive PT and PE samples as described for positive
                         QC samples (Section 8.4.2), except substitute the appropriate
                         PT/PE stock (Item 7.2.3) for the QC stock (Item 7.2.2).
               8.5.1.3    Prepare a Sample Data Sheet (Section 17.1) for each PE
                         sample with a derived sample volume and data typical of the
                         type of samples an analyst would expect to see and ensure that
                         the analyst is unaware that the sample is a PE control.
       8.5.2    Process and analyze the PT and PE filter using the elution (Section 10.0),
               organic flocculation (Section 11.0), total culturable virus assay (Section
               12.0), and enterovirus and norovirus molecular assay (Section 13.0)
               procedures, in accordance  with any additional requirements supplied with
               the samples.
       8.5.3    PT and PE sample results must meet the method performance
               characteristics defined in Section 14.0.
               8.5.3.1    A positive result on a negative PT or PE sample constitutes a
                         failure.
               8.5.3.2    A recovery result based on a rolling average of 6 positive PT
                         and PE samples that is outside the performance criteria
                         specified in Section 14.0 constitutes a failure.
                         8.5.3.2.1    A mean recovery value shall be calculated using
                                     the 6 positive PT samples from each analyst's
                                     initial analyst approval/initial demonstration of
                                     capability (Section 8.3.1.2) test.
                         8.5.3.2.2    For on-going approval, a new average shall be
                                     calculated each month by dropping the analyst's
                                     oldest PT or PE sample from the average and
                                     adding the month's ongoing PE sample.

8.6    Matrix Spike

       8.6.1    Run a matrix spike for every field sample location initially and then after
               every 10*  field sample from the same location.
       8.6.2    Matrix spike duplicates are performed by collecting 2 field samples at the
               sampling location.
               NOTE:   A full flow hose Y (Item 6.3.1) may be used to collect both
                         samples simultaneously.
                                      28

-------
                    8.6.2.1     Collect the first of the 2 field samples using the specified
                               volume (see Table 2).
                    8.6.2.2     Collect the second of the 2 field samples using the duplicate
                               field apparatus (Item 6.3.8) and the specified volume minus 10
                               L.
                               8.6.2.2.1     Collect an additional 10 L in a 10-L cubitainer
                                           (Item 6.3.7).
                                           NOTE: The cubitainer can be shipped at ambient
                                                     temperatures.
                               8.6.2.2.2     After arriving at the analytical laboratory, seed the
                                           10-L cubitainer with 1 mL of the matrix spike
                                           (Item 7.2.4).
                               8.6.2.2.3     Pass the seeded 10 L through the duplicate filter
                                           apparatus containing the second field sample.
                    8.6.2.3     Process and analyze both field samples using the elution
                               (Section 10.0), organic flocculation (Section 11.0), total
                               culturable virus assay (Section 12.0), and enterovirus and
                               norovirus molecular assay  (Section 13.0) procedures.
            8.6.3    The results of the analysis of the matrix  spike must meet the performance
                    measures in Section 14.0.

     8.7    Record Maintenance

        Laboratories shall maintain all records related to data quality.  This shall include a
     record of the analyst name,  date, and results of all QA controls performed, records of
     equipment calibration and maintenance, and reagent and material catalog  and lot numbers
     used for all analytical procedures.

9.0  SAMPLE COLLECTION, PRESERVATION, AND STORAGE

     9.1    Field Sample Collection

            9.1.1    Preliminary procedures
                    9.1.1.1     Filter sampling  apparatus sterilization
                               9.1.1.1.1     Before each use, analytical (or contract)
                                           laboratories must wash and then sterilize the
                                           intake and cartridge housing modules, any
                                           necessary injector modules, and the pumps, as
                                           described in Section 15.2.4.
                               9.1.1.1.2     Cover the filter  sampling apparatus module ends
                                           and the injector port(s) with sterile aluminum foil
                                           (Item 6.2.10).
                                           29

-------
                   9.1.1.1.3    Place the inj ector module and tubing into a sterile
                              bag or wrapping in such a way that they may be
                              removed without contaminating them.
                   9.1.1.1.4    Record a unique sample number of a Sample Data
                              Sheet (Section 17.1).
                   9.1.1.1.5    Take or ship the filter sampling apparatus
                              components and the Sample Data Sheet to the
                              individual who will be collecting the field sample,
                              along with any necessary instructions on where to
                              collect the sample.
        9.1.1.2     Calibrate flow meter
                   9.1.1.2.1     Confirm the flow meter calibration at the flow
                               rates used for sampling before the first use and at
                               least after every month of use.
                   9.1.1.2.2     Perform the calibration check by measuring the
                               time required to fill a 4-L or larger graduated
                               cylinder (Item 6.2.17).  The time required to reach
                               the 4-L mark on the graduated cylinder must be
                               24±1 sec for the 10 L/min rate or 60±1 sec for the
                               4 L/min rate (Table 2).
9.1.2     Preparation for field sample collection
         CAUTION:     Individuals collecting field samples for virus analysis
                        must wear surgical gloves and avoid conditions that could
                        contaminate a sample with virus. Gloves should be
                        changed after touching human skin or handling
                        components that may be contaminated (e.g., water taps,
                        other environmental surfaces, etc.).
         CAUTION:     Care must be taken to ensure that cartridge filters are
                        properly seated in the housings. Housings with properly
                        seated filters will not leak and the filter will  not move
                        within the housing when  shaken. Upon opening housings
                        at the analytical laboratory, filters should be checked for
                        proper seating by examining the gaskets for depressions
                        that do not extend beyond the edge of the gasket.
                        Samples from housings with improperly seated filters
                        should be recollected rather than processed.
         9.1.2.1     Wipe the outside of the water tap thoroughly with a Hype-
                   Wipe pad (Item 7.1.1). If the discharge module (Item 6.1.3) is
                   stored at the sampling site (see Note for Section 9.2.3), wipe
                   the outside surface of the quick disconnect with another Hype-
                   Wipe pad. Wait 2-min before proceeding.
                               30

-------
9.1.2.2    Purge the water tap to be sampled before connecting the filter
          apparatus.  Continue purging for 2-3 min or until any debris
          that has settled in the line has cleared.
          NOTE:  If it is necessary to use a garden hose (Item 6.1.3.8) to
                   reach a drain during the purge step, wipe the inside
                   threads of the hose with a Hype-Wipe pad and wait 2-
                   min before connecting the hose to the tap.
          NOTE:  If a pump is being used instead of a water tap, purge
                   the pump with the water to be sampled for 10  min
                   before proceeding.
9.1.2.3    Connect the Intake Module to the water tap or pump.
          9.1.2.3.1    Remove  the foil from the backflow regulator, if
                      used. Loosen the swivel female insert slightly to
                      allow it to turn freely, and connect the backflow
                      regulator to the tap or pump. Retighten the swivel
                      female insert.
          9.1.2.3.2    Connect  the swivel female insert directly to the
                      water tap or pump, if a backflow regulator is not
                      used.
9.1.2.4    Disconnect the cartridge housing module (Item 6.1.2) at the
          quick connect, if connected, and cover the open end with sterile
          foil.
9.1.2.5    Remove the foil, if present, from the ends of the discharge
          module (Item 6.1.3) and connect it to the intake module (Item
          6.1.1).
9.1.2.6    Place the end of the discharge module or the tubing connected
          to the outlet of the discharge module into a 1-L polypropylene
          wide-mouth bottle (Item 6.2.3).
9.1.2.7    Slowly turn on the tap and adjust the globe valve of the
          discharge module until the flow meter/totalizer reads 10 L/min.
          NOTE:  If the tap is incapable of reaching this flow rate,
                   adjust the valve to achieve the maximum flow rate.
                   Slower flow  rates will result in longer sampling times.
9.1.2.8    Flush the apparatus assembly with at least 75 L of the water to
          be sampled.
          9.1.2.8.1    While the system is being flushed, measure the
                      chlorine residual (Item 6.2.6), pH and temperature
                      (Item 6.2.4), and the turbidity (Item 6.2.5) of the
                      water collecting in and overflowing from the 1-L
                      polypropylene bottle.
                       31

-------
                   9.1.2.8.2    Record the pH, temperature, turbidity, and free
                               chlorine values on the Sample Data Sheet.
         9.1.2.9    Turn off the water at the tap and disconnect the discharge
                   module from the intake module.
9.1.3     Injector module adjustment
         9.1.3.1    If the water to be sampled does not contain a disinfectant and if
                   the water pH is <9.0 (if using a NanoCeram filter) or <8.0 (if
                   using a 1MDS filter), skip to Section 9.1.4.
         9.1.3.2    If the field sample contains a disinfectant and the water pH is
                   <9.0 (NanoCeram filters) or <8.0 (1MDS filters):
                   9.1.3.2.1    Remove the foil from the ends of an inj ector
                               module (Item 6.1.4) and connect the injector
                               module to the quick connect of the intake module.
                               Connect the discharge module to the injector
                               module.
                   9.1.3.2.2    Place 2% sodium thiosulfate (Item 7.1.3) into a
                               chemical tank (Item 6.1.4.7). In not connected,
                               connect the Vi-in tubing supplied with the
                               chemical tank to the pipe adaptor elbow (Item
                               6.1.4.6) on the injector module.  Turn on the
                               metering pump (Item 6.1.4.8) to deliver 2%
                               sodium thiosulfate to the sample stream.
                               NOTE:    Before first use, adjust the metering
                                         pump to deliver 2.4 or 6 mL/min (i.e.,
                                         0.6 mL x L of disinfected water
                                         passing through the sample filtration
                                         apparatus each minute) for flow rates
                                         of 4 or 10 L/minute, respectively. Use
                                         a small graduated cylinder to measure
                                         the flow rate, and then record or mark
                                         the pump setting for each rate.
                   9.1.3.2.3    Set the metering pump to deliver 2.4±0.2 mL/min
                               or 6.0±0.2 mL/min for flow rates of 4 or 10
                               L/min, respectively (see Table 2).
                   9.1.3.2.4    Turn on the water at the tap and measure the
                               chlorine residual.  If a chlorine residual is
                               detected, re-adjust the flow rate until no residual
                               is present. Re-mark the setting, if necessary.
                   9.1.3.2.5    Turn off the water at the tap and the metering
                               pump and proceed to Step 9.1.4.
         9.1.3.3    If the water does not contain a disinfectant, but has a pH >9.0
                   (NanoCeram filters) or >8.0 (1MDS filters):

                               32

-------
               9.1.3.3.1  Remove the foil from the ends of an injector module
                         (Item 6.1.4) and connect the injector module to the
                         quick connect of the intake module. Connect the
                         discharge module to the injector module.
               9.1.3.3.2  Place 0.12-MHC1 (Item 7.1.2) into a chemical tank
                         (Item 6.1.4.7).  In not connected, connect the Vi-in
                         tubing supplied with the chemical tank to the pipe
                         adaptor elbow (Item 6.1.4.6) on the injector module.
                         Turn on the metering pump (Item 6.1.4.8) to deliver
                         0.12-M HCL to the  sample stream.
               9.1.3.3.3  Turn on the water at the tap and  measure the pH of the
                         water exiting the discharge module. Adjust the
                         metering pump  until the pH of the water exiting the
                         discharge module is 6.5-7.5.
               9.1.3.3.4  Turn off the water at the tap and the metering pump and
                         proceed to Step 9.1.4.
        9.1.3.4     If the water i s di sinfected and the water pH i s >9.0
                   (NanoCeram filters) or >8.0 (1MDS filters):
                   9.1.3.4.1    Remove the foil from the ends of a double
                              injector module (Item 6.1.5) and connect the
                              double injector module to the quick connect of the
                              intake module. Connect the discharge module to
                              the double injector module.
                   9.1.3.4.2    Follow Steps 9.1.3.2.2-9.1.3.2.4 to add sodium
                              thiosulfate and Steps 9.1.3.3.2-9.1.3.3.3 to add
                              HC1.
                   9.1.3.4.3    Turn off the water at the tap and the metering
                              pump and proceed to Step  9.1.4.
9.1.4    Virus collection
        9.1.4.1     If connected, remove the discharge module.
        9.1.4.2     Remove the foil from the cartridge housing module and
                   connect it to the end of the  intake module, or if used, the
                   injector or double injector module.
        9.1.4.3     Connect the discharge module to the outlet of the cartridge
                   housing module.
        9.1.4.4     If the field sample has turbidity >20 NTU (for NanoCeram
                   filters) or >50 NTU (for 1MDS filters), remove the foil from
                   each end of the prefilter module (Item 6.1.6) and connect the
                   prefilter module between the intake module (or the injector
                   module, if used) and the cartridge housing module.
                               33

-------
9.1.4.5    Record the unique sample number (if not added by the
          analytical or contract laboratory), utility or site name and
          address, sampler's name, water type, location at sampling site,
          date, time, equipment model and serial numbers, and the initial
          totalizer reading on a Sample Data Sheet.
9.1.4.6    If an injector or double infector module is being used, turn on
          the metering pump(s).
9.1.4.7    With the filter housing placed in an upright position, slowly
          open the water tap until it is completely open.
          9.1.4.7.1    If the cartridge housing has a vent button, press it
                      while opening the tap to expel air from the
                      housing. When the air is totally expelled from the
                      housing, release the button, and open the sample
                      tap completely.
          9.1.4.7.2    If the housing does not have a vent button, allow
                      the housing to fill with water before completely
                      opening the tap.
          9.1.4.7.3    After the tap is opened completely, check the flow
                      rate and readjust to the recommended rate from
                      Table 2, if necessary.
          9.1.4.7.4    Record the initial flow rate on the Sample Data
                      Sheet.
          9.1.4.7.5    Check and readjust the metering pump(s), if
                      necessary.
9.1.4.8    Using the totalizer readings, pass  a volume of water through
          the apparatus that equals the volume specified in Table 2 for
          the water type being sampled.
9.1.4.9    Turn off the flow  of water at the sample tap at the end of the
          sampling period, and record the final flow rate, date, time  of
          day, total sample volume, and totalizer reading on a Sample
          Data Sheet.
          NOTE:  Although the totalizer reading may be affected by the
                   addition of thiosulfate, the effect is insignificant  and
                   may be ignored.
9.1.4.10   Loosen the swivel female insert on the intake module and
          disconnect the backflow regulator from the tap.
9.1.4.11   Disconnect the cartridge housing module and the prefilter
          housing module, if used, from the other modules.
9.1.4.12   Turn the filter housing(s) upside down and allow excess water
          to flow out.
                       34

-------
               9.1.4.13   Turn the housing(s) upright and cover the quick connects on
                         each end of the modules with sterile aluminum foil.
               9.1.4.14   Place the housing(s) into a closable plastic bag (Item 6.2.13).
               9.1.4.15   Drain the water from the intake and discharge modules and, if
                         used,  from the injector module. Place the modules into one or
                         more  closable plastic bags.

9.2    Shipment of Field Samples

       9.2.1    Pack the cartridge housing module(s) into an insulated shipping box (Item
               6.2.9).
       9.2.2    Add 6-8 small ice packs (Item 6.2.7; prefrozen at -20 °C) or double-
               bagged ice cubes around the cartridge housings to keep the sample cool in
               transit.
               NOTE:    The number of ice packs or bags may have to be adjusted based
                         upon experience to ensure that the sample remains cold, but not
                         frozen.
               9.2.2.1    Add an iButton (Item 6.2.8 or other temperature recording
                         device) to a location in the shipping box where it will not come
                         in direct contact with the ice packs or bags.
                         NOTE:   The temperature during shipment must be in the range
                                  of 1-10 °C.
       9.2.3    Place the intake and discharge modules into the insulated shipping box.
               NOTE:    The discharge module may remain in a secure location at the
                         sampling site, if field samples will be taken on a routine basis
                         at the site.
       9.2.4    Place the Sample Data Sheet, protected in a closable plastic bag, (Item
               6.2.14) in with the sample.
       9.2.5    Fill any void space with packing material (Item 6.2.15).
       9.2.6    Close the shipping box and tape (Item 6.2.16) to prevent any leakage of
               water.
       9.2.7    Label and address the shipping box appropriately.
       9.2.8    If the shipping box cannot be directly transported to the laboratory for
               virus analysis by close of business on the day collected or by the next
               morning, ship it to the laboratory by overnight courier.

9.3    Laboratory Holding Time and Temperature

       9.3.1    Immediately upon arrival at the analytical laboratory, unpack the shipping
               box and refrigerate the cartridge housings with filters and if used,  the
               prefilter housings with filters.

                                      35

-------
            9.3.2     Record the sample number and sampling date (from the Sample Data
                     Sheet packed with the sample) and the date of arrival, the analytical
                     laboratory name, identification number (if assigned), and address on a
                     Virus Data Sheet (Item  17.2).  Retain the Sample Data Sheet with all other
                     records associated with the sample.
                     CAUTION:     The cartridge filters must arrive from the utility or other
                                    sampling site in a refrigerated, but not frozen, condition.
                     9.3.2.1     Print out the transit temperature reading from the iButton or
                               other temperature-recording device.
                     9.3.2.2     Record the sample number, sample date, and arrival date  on the
                               printed transit temperature readout and retain the readout with
                               all other records associated with the sample.
                               NOTE:  The temperature during shipment must be in the range
                                        of 1-10 °C.
                     9.3.2.3     Brief transient temperatures outside the acceptable range
                               associated with the initial packing and closing of the shipping
                               box and its opening at the analytical laboratory may be
                               ignored.
            9.3.3     Ideally, viruses should be eluted from filters within 24 h of the start of the
                     sample collection, but all filters must be eluted within 72 h of the start of
                     the sample collection.

100 FILTER ELUTION PROCEDURE

   If a prefilter or more than  1 electropositive filter was used to collect a field sample, each filter
must be eluted and analyzed separately using the procedures below.

     10.1   Elution Equipment Setup

            10.1.1    Attach the elution inlet tubing (Item 6.4.4) to the inlet and the elution
                     outlet tubing (Item 6.4.5) to the outlet ports of the cartridge housing
                     containing the cartridge filter (see Figure 4).
            10.1.2    Place the sterile end of the tubing connected to the outlet of the cartridge
                     housing into a sterile 2-L glass or polypropylene beaker (Item 6.4.6).
            10.1.3    Connect the other end of the elution inlet tubing to the outlet port of a
                     sterile dispensing pressure vessel (Item 6.4.3), and connect the inlet port of
                     the pressure vessel to a positive air pressure source (Item 6.4.2).

     10.2   Elution

            10.2.1    First elution
                     10.2.1.1   Elute NanoCeram or 1MDS filters with 500 mL or 1,000 mL of
                               buffered  1.5% beef extract, pH 9.0 (Item 7.3.1, prewarmed to

                                            36

-------
                   room temperature), respectively, by opening the cartridge
                   housing and adding a sufficient amount of beef extract to cover
                   the filter completely.
                   10.2.1.1.1   Pour any remaining beef extract that does not fit
                               in the housing into the pressure vessel.
                               NOTE:     An acceptable alternative to the use of
                                          a pressure vessel is to use a peristaltic
                                          pump and sterile tubing to push the
                                          remaining beef extract through the
                                          filter.
                   10.2.1.1.2   Replace the top of the pressure vessel.
                   10.2.1.1.3   Wipe up any spilled liquid with a disinfectant-
                               soaked sponge (Item 6.4.15).
         10.2.1.2   Allow the solution to contact the filter for 1 min.
         10.2.1.3   Turn on the pressure source to force the buffered beef extract
                   solution through the filter(s) and into the beaker.
                   NOTE:   The solution should pass through the filter slowly to
                            maximize the elution contact period.
                   NOTE:   Slow passage of the solution also minimizes foaming,
                            which may  inactivate some viruses; the addition of a
                            few drops of antifoam (Item 7.3.3) to minimize
                            foaming in the solution collecting in the 2-L beaker is
                            optional.
                   10.2.1.3.1   When air enters the line from the pressure vessel,
                               elevate and invert the filter housing to permit
                               complete evacuation of the solution from the
                               filters.
         10.2.1.4   Turn off the pressure at the source, and open the vent/relief
                   valve on the pressure vessel.
10.2.2    Second elution
         10.2.2.1   Repeat Steps 10.2.1.1-10.2.1.4
                   10.2.2.1.1   For the NanoCeram filter, repeat these sections
                               using an additional 500 mL of buffered  1.5% beef
                               extract and by increasing the contact time in Step
                               10.2.1.2 to 15 min.
                   10.2.2.1.2   For the  1MDS filter, repeat these sections by
                               placing the buffered beef extract from the 2-L
                               beaker back into the cartridge housing and
                               pressure vessel.
                                37

-------
                    10.2.2.2    Turn off the pressure at the source and open the vent/relief
                               valve on the pressure vessel.
                    10.2.2.3    Combine the two 500-mL portions from the elution of the
                               NanoCeram filters.
                    10.2.2.4    Record the analyst's name and identification number (if
                               assigned), the sample batch number, the date and time of
                               elution, and the total volume of eluate recovered on the Virus
                               Data Sheet (see Section 9.3.2).
                               NOTE:  If analysts work together as a team, record the names
                                       and identification numbers of all analysts. If different
                                       analysts perform different portions of this or
                                       subsequent sections of the method, each analyst
                                       should only record the steps he/she performs.  If
                                       necessary, each analyst can record the steps he/she
                                       performs using  separate Data Sheets.
                    10.2.2.5    Thoroughly mix the  eluate and proceed to the organic
                               flocculation concentration procedure (Section 11.0)
                               immediately.

11.0 ORGANIC FLOCCULATION CONCENTRATION PROCEDURE

     11.1   Organic Flocculation

            11.1.1   Place a sterile stir bar into the beaker containing the buffered beef extract
                    eluate from the cartridge filter.
            11.1.2   Place the beaker onto a magnetic stirrer, and stir at a speed sufficient to
                    develop a vortex.
                    NOTE:    Minimize foaming (which may inactivate viruses) throughout
                               the procedure by not stirring or mixing faster than necessary to
                               develop a vortex.
            11.1.3   AdjustthepHto3.5±0.1.
                    11.1.3.1    Sterilize the electrode of a combination-type pH electrode, as
                               described in Section 15.2.4.
                    11.1.3.2    Calibrate the pH meter at pH 4 and 7.
                    11.1.3.3    Insert the sterile pH electrode into the beef extract eluate.
                    11.1.3.4    Add 1.2-M HC1 (Item 7.1.2) to the eluate dropwise, while
                               moving the tip of the pipette in a circular motion away from the
                               vortex to facilitate mixing.
                               CAUTION:   Rapid addition of HC1 will inactivate virus.
                    11.1.3.5    Continue adding 1.2-M HC1 until the pH reaches 3.5±0.1.
                                           38

-------
       11.1.4   While continuing to monitor the pH, slowly stir the eluate for 30 min at
               room temperature.
               NOTE:    A precipitate will form during the 30-min stirring period.
               11.1.4.1   If pH falls below 3.4, add 1-MNaOH (Item 7.2.5) to bring it
                         backto3.5±0.1.
                         NOTE:   Exposure to a pH below  3.4 may result in virus
                                  inactivation.
               11.1.4.2   Record whether a normal amount  of floe formed during this
                         step on the Virus Data Sheet. If a normal amount of floe did
                         not form, record whether it was lighter or heavier than normal.
       11.1.5   Remove the electrode from the beaker, and pour the contents of the beaker
               into a centrifuge bottle (Item 6.4.9.2).
               NOTE:    The beef extract suspension may have to be divided into
                         several centrifuge bottles.
               11.1.5.1   To prevent the transfer of the stir bar into a centrifuge bottle,
                         hold another stir bar or magnet against the bottom of the beaker
                         while decanting the contents.
       11.1.6   Cap the bottle and centrifuge the precipitated beef extract suspension at
               2,500 x g for 15 min at 4 °C.
       11.1.7   Carefully pour off or aspirate the supernatant, so as not to disturb the
               pelleted precipitate, including any loose floe on top of the pellet.
       11.1.8   Discard the supernatant.

11.2   Reconcentrated Eluate

       11.2.1   Place a stir bar and 30 mL of 0.15-M sodium phosphate, pH 9.0 (Item
               7.3.5) into the centrifuge bottle that contains the precipitate (from Step
               11.1.7).
               NOTE:    A smaller volume of sodium phosphate (down to 15 mL) may
                         be used, if the analytical laboratory's PE sample sets meet the
                         performance requirements of Section 14.0.
               NOTE:    When the centrifugation (Step 11.1.6) is performed in more
                         than one bottle, dissolve the precipitates in a total of 30 mL (or
                         in the total reduced volume from the first note) and combine
                         into one bottle before proceeding to the next step.
       11.2.2   Place the bottle onto a magnetic stirrer, and stir slowly for 10 min until the
               precipitate has dissolved completely.
               NOTE:    Significant virus loss can occur if the precipitates are not
                         dissolved completely.
                                      39

-------
         11.2.2.1   Treat precipitates that prove to be difficult to dissolve with any
                   of the following techniques:
                   11.2.2.1.1    Break up the precipitate with a sterile spatula
                                before or during the stirring procedure.
                   11.2.2.1.2    Use a pipette repeatedly to draw the solution up
                                and down during the stirring.
                   11.2.2.1.3    Shake the precipitate at 160 rpm for 10 min on an
                                orbital shaker, in place of stirring.
         11.2.2.2   If stirring or any of the above techniques take longer than 10
                   min to dissolve the precipitate or if experience with the water
                   matrix shows that precipitates are always difficult to manage,
                   either slowly adjust the pH to 7.0-7.5 with 1.2-M HC1 (Item
                   7.1.2) or resuspend the precipitate initially in 0.15-M sodium
                   phosphate, pH 7.0-7.5 (Item 7.3.6).
                   11.2.2.2.1    Use one of the above techniques to dissolve the
                                precipitate and then slowly re-adjust the pH to 9.0
                                with  1-MNaOH (Item 7.2.5).
                   11.2.2.2.2    Mix for 10 min at room temperature before
                                proceeding and then remove the stir bar.
11.2.3    Centrifuge the dissolved precipitate at 4,000 x g for 10 min at 4 °C.
         NOTE:    The centrifugation speed may be increased to 10,000 x g for 10
                   min at 4 °C to facilitate the filtration step below.
         11.2.3.1   Record the date and time concentrated and the centrifugation
                   speed on the Virus Data.
         11.2.3.2   Remove and collect the supernatant and discard the pellet.
11.2.4    Adjust the pH of the supernatant to 7.0-7.5 slowly with  1.2-M HC1 (Item
         7.1.2).
11.2.5    Pass the supernatant from through a sterilizing filter.
         11.2.5.1   Pretreat a sterilizing filter (Item 6.4.11) or for test  samples that
                   are difficult to filter, a sterilizing filter stack (Item 6.4.12) with
                   10-15 mL of 1.5% beef extract, pH 7.0-7.5 (Item  7.3.2).
         11.2.5.2   Load the supernatant into a 50-mL syringe and force it through
                   the filter from Step 11.2.5.1.
                   11.2.5.2.1    If the sterilizing filter or filter stack begins to clog
                                badly, empty the loaded syringe into  the bottle
                                containing the unfiltered supernatant, fill  the
                                syringe with air, and inject air into filter to force
                                any residual sample from it.
                   11.2.5.2.2    Continue the filtration procedure with another
                                filter.

                                40

-------
        11.2.5.3   Record the filtered reconcentrated eluate volume resulting from
                  Step 11.2.5.2 (designated the Final Concentrated Sample
                  Volume [FCSV]) on the Virus Data Sheet.
1 1 .2.6   Calculation of assay volumes and preparation of subsamples
        1 1 .2.6. 1   Calculate the Assay Sample Volume (S) for all test samples,
                  except for QC samples using Equation 1,

                        xFCSV                 Eq. 1
                   TSV
                  where D (Volume of Original Water Sample Assayed) is the
                  amount of reconcentrated eluate that must be assayed by the
                  total culturable virus assay (Section 12.0) or processed for the
                  enterovirus and norovirus molecular assay (Section 13.0) and
                  TSVis the Total Sample Volume from the Sample Data Sheet
                  associated with the sample.
                  NOTE:  D is 100 L for source water or 500 L for finished or
                           ground waters and the Assay Sample Volume (S) is
                           the volume of the filtered reconcentrated eluate that
                           represents 100 L of source water or 500 L of finished
                           or ground waters.
                  NOTE:  For example, if 1,800 L of a groundwater sample is
                           passed through the NanoCeram filter and
                           subsequently concentrated to 30 mL, then TSV equals
                           1,800 L, D equals 500 L, FCSV equals 30 mL, and  S
                           equals 8.33 mL [(500 L/1,800 L) x 30 mL].
                  NOTE:  Go to Section 1 1 .2.6.6 for QC samples.
        1 1 .2.6.2   Record the S and D values on the Virus Data Sheet.
        1 1.2.6.3   Prepare 3 subsamples of the reconcentrated eluate.
                  1 1.2.6.3.1   Prepare subsamples 1 and 2 with a volume equal
                              to 1.2 times the Assay Sample Volume.
                  1 1.2.6.3.2   Prepare subsample 3 with the remaining volume.
                  11.2.6.3.3   Label subsamples 1-3 with appropriate sampling
                              information for identification.
                  1 1.2.6.3.4   Hold subsample 1 at 4 °C for use with the total
                              culturable virus assay (Section 12.0) if it can be
                              assayed within 24 h; otherwise, freeze at -70 °C.
                  1 1.2.6.3.5   Hold subsample 2 at 4 °C and analyze using the
                              enterovirus and norovirus molecular assay
                              (Section 13.0) within 24 h.
                              NOTE:   Freeing and thawing leads to norovirus
                                        losses.

                              41

-------
          11.2.6.3.6   Freeze subsample 3 at -70 °C for backup and
                      archival purposes.
11.2.6.4   Determine the Inoculum Volume for the total culturable virus
          assay (Section 12.0) by dividing the Assay Sample Volume (S;
          determined in Step 11.2.6.1) by 10.
          11.2.6.4.1   Record the Inoculum Volume onto the Virus Data
                      Sheet.
11.2.6.5   For ease of inoculation, a sufficient quantity of 0.15-M sodium
          phosphate, pH 7.0-7.5 (Item 7.3.6) may be added to the
          Inoculum Volume to give & Final Inoculation  Volume that can
          be directly measured (e.g., 1.0 mL).
          NOTE:   Section 12.0 requires that an amount equal to the
                  Inoculum Volume (IV) be placed onto each of 10
                  vessels.  When inoculating many vessels, it is more
                  practical to use large or repeater pipettes, but it can be
                  difficult to measure some IVs using these pipettes
                  accurately.  For example, if Step  11.2.6.4 results in
                  requiring an IV of 0.833 mL, dispersing the IV to 10
                  vessels can be done more reproducibly if it is brought
                  to 1.0 mL. The calculation procedure for doing this is
                  described in Step 11.2.6.5.1
          11.2.6.5.1   Calculate the Final Inoculation Volume by adding
                      a volume of Subsample 1 from Step 11.2.6.3.4
                      equal to 10.5 x IV to a volume of 0.15-M sodium
                      phosphate, pH 7.0-7.5 (Item 7.3.6) equal to 10.5 x
                      (1.0-IV). For example, using the amount (0.833
                      mL) from  note above, 10.5 x  0.833 mL=8.75 mL
                      of the filtered reconcentrated  eluate  would be
                      added to 10.5 x (1.0-0.833 mL)=1.75 mL of
                      sodium phosphate.
                      NOTE:    Final Inoculation  Volumes other than
                                1.0 mL can be used in the calculation
                                by substituting the desired volume for
                                the 1.0 in the  "(1.0-IV)"  component of
                                the equation.
                      NOTE:    The calculation uses 10.5 vessels,
                                rather than 10, with the extra 0.5 vessel
                                being added to account for test sample
                                loss on the surface of the tube (e.g.,
                                Item 6.4.16) used for the preparation
                                of the Final Inoculation Volume.
          11.2.6.5.2   If the Final Inoculation Volume option is used,
                      then record the volume onto the Virus Data Sheet

                       42

-------
                                          and substitute the term Final Inoculation Volume
                                          for each use of Inoculum Volume, except where
                                          indicated.
                    11.2.6.6   For QC samples (Section 8.4), calculate assay volumes and
                              prepare subsamples as follows:
                              11.2.6.6.1   Calculate the Assay Sample  Volume (S) by
                                          multiplying the FCSVby 0.3.
                              11.2.6.6.2   Calculate the Inoculum Volume by dividing the
                                          Assay Sample Volume (S)by 10.
                              11.2.6.6.3   Divide the FCSVfrom QC samples into 3
                                          subsamples and handle as described in Step
                                          11.2.6.3.

120 TOTAL CULTURABLE VIRUS ASSAY

     12.1   Quantal Assay

            12.1.1   Preparation of cell culture test vessels
                    12.1.1.1   Using 10 cell culture test vessels (Item 7.4.2.4) for every test
                              sample, code each vessel with the test sample number,
                              subsample number, analyst initials, and date, using an indelible
                              marker (Item 6.5.4).
                    12.1.1.2   Return the cell culture test vessels to a 36.5±1 °C incubator and
                              hold at that temperature until the cell monolayer is to be
                              inoculated.
                    12.1.1.3   Decant and discard the medium from the  cell culture test
                              vessels using a biosafety cabinet.
                    12.1.1.4   Wash the test vessels with a balanced salt solution (e.g., Item
                              7.4.1.1) or maintenance medium (Item 7.4.1.8.2), prepared
                              without serum, using a wash volume of at least 0.06 mL/cm2 of
                              surface area.
                              NOTE:  Add the wash solution carefully to avoid disturbing
                                      the cell monolayer.
                              12.1.1.4.1   Rock the wash medium over the surface of each
                                          monolayer several times and then decant and
                                          discard the wash medium.
            12.1.2   Inoculation of test samples (first passage)
                    12.1.2.1   Rapidly thaw subsample 1 (Step 11.2.6.3.4), if frozen, in a 37
                              °C water bath or under warm running water at about 37 °C
                              with shaking.
                                          43

-------
          NOTE:  Test samples should be removed from the warm water
                  as soon as the last ice crystal melts.
12.1.2.2   Inoculate an amount of subsample 1 equal to the Inoculum
          Volume (Step 11.2.6.4, or Final Inoculation Volume, Step
          11.2.6.5) onto each of the 10 cell culture test vessels.
          CAUTION:   Use at least a different pipetting tip or device for
                       each set of test samples to be inoculated.
          NOTE:  The number of cell culture replicates was cut from 20
                  replicates, required by the ICR standard method, to 10
                  to reduce labor costs. This reduction of replicates
                  results in wider 95% confidence limits (c. 20-40%)
                  and reduces the maximum virus titer that can be
                  assayed without dilutions by about 25%.
          NOTE:  The analysis of a second subsample is not required for
                  this method. Subsample 2 was used in the ICR
                  method to account for cytotoxicity.  Samples with
                  cytotoxicity should be assayed using dilutions as
                  described in Step 12.1.2.3.
12.1.2.3   For postivie QC samples (Section 8.4) and for other test
          samples known or suspected of having virus concentrations
          greater than 0.2 MPN/L (surface waters) or 0.03 MPN/L
          (groundwaters), prepare 5- and 25-fold dilutions of subsample
          1 for inoculation.
          NOTE:  Subsample 3 from Step 11.2.6.3.6 may be substituted
                  for Subsample 1 in the steps below, if it is necessary
                  to reanalyze test samples using dilutions.
          12.1.2.3.1   Prepare a 1:5 dilution by adding a volume of
                      subsample 1 equal to 0.1334 times the Assay
                     Sample Volume (designated amount "a") to a
                     volume of 0.15-M sodium phosphate, pH 7.0-7.5
                      (Item 7.3.6) equal to 0.5336 times the Assay
                     Sample Volume (designated amount "b"). Mix
                     thoroughly.
          12.1.2.3.2  Prepare a 1:25 dilution by  adding amount "a" of
                     the 1:5 diluted subsample to amount "b" of 0.15-
                     M sodium phosphate, pH 7.0-7.5.
          12.1.2.3.3    Inoculate 10 cell culture test vessels each with
                     undiluted subsample 1, subsample 1 diluted 1:5,
                      and subsample 1 diluted 1:25, respectively, using
                      an amount equal to the Inoculum Volume.
          12.1.2.3.4  Freeze the remaining portions of the 1:25 dilution
                      at -70 °C until the sample results are known.

                      44

-------
           12.1.2.3.5    Thaw and perform additional 5-fold dilutions
                       using the dilution format above if all replicates of
                       the undiluted to l:25-fold dilutions develop CPE.
12.1.2.4    Inoculation of negative assay controls
           12.1.2.4.1    Inoculate 3 or more cell culture test vessels with a
                       volume of 0.15-M sodium phosphate, pH 7.0-7.5
                       (Item 7.3.6) equal to the Inoculum Volume, as a
                       negative control.
           12.1.2.4.2    If any negative control develops CPE, all
                       subsequent assays should be halted until the cause
                       of the positive result is determined.
12.1.2.5    Inoculation of positive assay controls
           NOTE:  Run a positive control with every test sample; this
                   control will provide a measure for continued
                   sensitivity of the cell cultures to virus infection.
           12.1.2.5.1    Inoculate 3 or more cell culture test vessels with
                       the positive assay control (Item 7.4.3).
           12.1.2.5.2    If any positive control fails to develop CPE, all
                       subsequent assays should be halted until the cause
                       of the negative result is determined.
12.1.2.6    Record the date of inoculation on the Virus Data Sheet in the
           cell for the 1st passage of Subsample 1.
12.1.2.7    Rock the inoculated cell culture test vessels gently to achieve
           uniform distribution of inoculum over the surface of the cell
           monolayers.
           12.1.2.7.1    Place the cell culture test vessels on a mechanical
                       rocking platform (Item 6.5.8) set at 1-5
                       oscillations/min at room temperature.
           12.1.2.7.2    If a rocking platform is not available, the vessels
                       may be placed on a level laboratory surface, but
                       the vessels should be rocked every  15-20 min
                       during the adsorption period to prevent cell death
                       in the middle of the vessels from dehydration.
12.1.2.8    Continue incubating the inoculated cell cultures for 80-120
           min at room temperature to permit viruses to adsorb onto and
           infect cells.
12.1.2.9    Add maintenance medium (Section 7.4.1.8.2) and incubate at
           36.5±1  °C.
           CAUTION:   Never touch the pipetting device to the inside
                        rim of the cell culture test vessels during
                       45

-------
                                medium addition. This step represents the most
                                likely place where cross contamination of
                                cultures can occur. Cross contamination will
                                result in invalid MPN values and can cause false
                                positive results.  Laboratories must ensure that
                                analysts take great precaution in performing this
                                step.
                   CAUTION:   Warm the maintenance medium to 36.5±1 °C
                                before placing it onto the cell monolayers.
                   CAUTION:   Add the medium to the side of the cell culture
                                vessel opposite the cell monolayer.
         12.1.2.10  If CPE has not started to develop, the cultures may be re-fed
                   with fresh maintenance medium after 4-7 d.
12.1.3    CPE development
         12.1.3.1    Examine each culture microscopically for the appearance of
                   CPE daily for the first  3 d and then every couple of days for a
                   total of 14 d.
         12.1.3.2    Freeze cultures at -70 °C when more than 75% of the
                   monolayer has developed CPE.
         12.1.3.3    Freeze all remaining cultures, including controls, at -70 °C
                   after 14 d.
12.1.4    Second passage
         12.1.4.1    Perform a second passage for confirmation.
                   NOTE:   Confirmation passages may be performed in small
                            vessels or multiwell trays,  however, it may be
                            necessary to distribute the  inoculum into  several
                            vessels or wells to ensure that the inoculum volume is
                                        r\
                            <0.04 mL/cm of surface area.
         12.1.4.2    Thaw  all the cultures, including the  negative and positive assay
                   controls, to confirm the results of the previous passage.
         12.1.4.3    Refreeze at least 2 mL of the medium from  each vessel at -70
                   °C for optional analysis by molecular methods (Section 13.0).
         12.1.4.4    Filter  at least 10% of the medium from each vessel that was
                   positive  for CPE through separate 0.2-um sterilizing filters
                   (Item  6.5.9).
                   12.1.4.4.1   If the medium is difficult to filter, it can be
                               centrifuged at 1,500-18,000 x g for 10 min at 4
                               °C prior to filtration.
         12.1.4.5    Prepare fresh cell culture test vessels as described in Step
                   12.1.1.

                               46

-------
               12.1 .4.6   Inoculate the fresh cultures with the thawed medium from all
                         negative cell culture test vessels (Step 12.1.4.2) and the filtered
                         medium from Step 12.1.4.4, using an inoculation volume that
                         represents 10% of the medium from the first passage.
               12.1.4.7   Repeat Steps 12.1.2.7-12.1.3.1.
                         12.1 .4.7. 1   Record the date of inoculation on the Virus Data
                                     Sheet in the cell for the 2nd passage of Subsample
                                     1.
                         12.1 .4.7.2   Freeze any cell culture test vessels that were
                                     negative on the first passage and positive on the
                                     second passage at -70 °C when more than 75% of
                                     the monolayer has developed CPE.
       12.1.5   Score cultures that developed CPE in both the first and second passages as
               confirmed positives.
       12.1.6   Third passage
               12.1 .6. 1   Perform a third passage, as described in Section  12.1 .4, with
                         the negative assay controls and any cell cultures that were
                         negative during the first passage and positive in the second
                         passage.
                         NOTE:   Other vessels that were either negative or positive in
                                  both the first and second passages do not need to be
                                  carried through the third passage.
               12.1 .6.2   Score cultures that develop CPE in both the second and third
                         passages  as confirmed positives.

12.2   Virus Quantitation

       12.2. 1   Record the total number of confirmed and not confirmed positive and
               negative cultures for each test sample on a Total Culturable Virus Data
               Sheet (Section  17.3).
       12.2.2   Transfer the number of cultures inoculated and the number of confirmed
               positive cultures for  each test sample from the Total Culturable Virus Data
               Sheet to the Quantitation of Total Culturable Virus Data Sheet (Section
               17.4).
       12.2.3   Calculate the MPN/mL value (M^r,) and the upper (CLumL) and lower
               (CLimi) 95% confidence limits/mL, using the number of confirmed
               positive cultures from Step 12.2.2 and EPA's Most Probable Number
               Calculator (Item 6. 5. 11).
       12.2.4   Record the MPN/mL and upper and lower 95% confidence limits/mL
               values obtained on the Quantitation of Total Culturable Virus Data Sheet.
       12.2.5   Calculate the MPN/L value (ML) of the  original test sample using
               Equation 2,

                                     47

-------
                            M   M-lJL
                               L      D
                                                                    Eq. 2
        where Mmi is the MPN/mL value in Step 12.2.4, S is the Assay Sample
        Volume, and D is the Volume of Original Water Sample Assayed; the
        values for S and D can be found on the Virus Data Sheet.
        NOTE:    For example, if the test sample described in the second note to
                  Step 11.2.6.1, (with an Inoculum Volume equal to 0.833 mL)
                  had 4 positive replicates, the MPN/mL value would be 0.61
                  with 95% Confidence Limits of 0. 12-1 .3 1 . The MPN/L value
                  then equals 0.0102 [(0.61 MPN/mL x 8.33 mL)/500 L].
        12.2.5.1   For M,^ values of 0, calculate the test  sample detection limit
                  rather than theM/, value, by dividing 1 by D. Report as equal
                  to or less than the calculated detection limit.
12.2.6   Record the MPN/L (M£) value on the Virus Data Sheet.
        12.2.6. 1   For test samples where more than 1 cartridge filter or a prefilter
                  was used, record the total MPN/L value and Confidence
                  Limits/L values (calculated in Steps 12.2.7 and 12.2.8) for all
                  filters on the Virus Data Sheet, recording individual totals for
                  each filter under "Other Comments."
12.2.7   Calculate the lower 95% confidence limit/L value (CZ/,) for each test
        sample using Equation 3,
                                     D                             Eq. 3
        where CLimL is the lower 95% confidence limit/mL from the Quantitation
        of Total Culturable Virus Data Sheet, S is the Assay Sample Volume, and
        D is the Volume of Original Water Sample Assayed; the values for S and D
        can be found on the Virus Data Sheet.
        NOTE:    Continuing with the example in the note to Step 12.2.5, the CLi
                  of this test sample equals 0.002  [(0.12 CLimLx 8.33 mL)/500
                  L].
        12.2.7. 1   Record the lower 95% confidence limits/L values on the Virus
                  Data Sheet.
12.2.8   Calculate the upper 95% confidence limit/L value (CLu) using Equation 4,

                                   CLumLS
                            CLTJ =
                               'U
                                     D
                                                                    Eq. 4
        where CLumL is the upper 95% confidence limit/mL from the Quantitation
        of Total Culturable Virus Data Sheet, S is the Assay Sample Volume, and
        D is the Volume of Original Water Sample Assayed; the values for S and D
        can be found on the Virus Data Sheet.
                              48

-------
                    NOTE:   Continuing with the example from the note to Step 12.2.5, the
                              CLu of this test sample equals 0.0218 [(1.31 CLumLx8.33
                              mL)/500L].
                    12.2.8.1   Record the upper 95% confidence limits/L values on the Virus
                              Data Sheet.
            12.2.9   Calculate the total MPN value and the total 95% confidence limit values
                    for each QC samples by multiplying the values/mL by S and dividing by
                    0.3.

130 ENTEROVIRUS AND NOROVIRUS MOLECULAR ASSAY

    The molecular assay uses RT-qPCR to provide a quantitative estimate of enterovirus and
norovirus genomic copies per liter (GCiJ in environmental and drinking waters. Only microliter
(uL) volumes can be analyzed by RT-qPCR, so the procedure includes additional concentration
(Section  13.2) of any viruses present in the test sample beyond that required for culture. The
RNA from each test sample is reversed transcribed using triplicate assays and random primers
(Item 7.5.11) to prime the transcription (Section 13.4).  The cDNA from each reverse
transcription reaction is split into five separate assays and analyzed by qPCR (Section 13.5;
Figure 5).
    Surface and ground waters may contain substances that interfere with RT-qPCR, so the assay
uses RNA extraction (section 13.3) to reduce inhibition. The assay also uses a hepatitis G
control to identify test samples that are inhibitory to RT-qPCR (section 13.6).
    The assay uses primers and probes from the scientific literature (Table 4) that are designed to
detect many enteroviruses and noroviruses. Standard curves (sections 13.7) or stored standard
curves with calibrators (section 13.8) are used for quantitation.  These standards are prepared
from an Armored RNA  reagent that contains the target sequence for the primer/probe sets.
Armored RNA was chosen for standard  curves and calibrators because it is  difficult to obtain
high-titered norovirus stocks.

     13.1   Preliminary Procedures

            13.1.1   Prepare 100-jiM stock solutions of each oligonucleotide primer and probe
                    (Item 7.5.1), if not supplied as 100-uM solutions.
                    NOTE:   Preparation of primers and probes must be performed in a clean
                              room or other location to minimize the possibility of false
                              positive reactions. A clean room or location is one in which
                              molecular and microbiological procedures are not performed.
                    13.1.1.1   Centrifuge the vial containing the primer or probe in a
                              microcentrifuge (Item 6.6.4) for 30 sec.
                    13.1.1.2   Dissolve each primer or probe in a microliter volume of PCR-
                              grade water (Item 7.5.2) that equals the number of nanomoles
                              (nmol) shipped (as identified on the specification sheet from
                              the manufacturer) times 10 (e.g., if a primer contains 51.0
                              nmol,  resuspend in 510 jiL).  Vortex (Item 6.6.6) to mix.

                                           49

-------
13.1.1.2.1   Measure the absorbance (e.g., Item 6.6.1 using
            260 10 mm path function) of a 100-fold dilution
            of the primer or probe at 260 nm.
            NOTE:    This step is recommended but optional
                      for primers or probes supplied as 100-
                      uM solutions by the manufacturer.
13.1.1.2.2   Calculate the total extinction coefficient for each
            primer and probe as described in Table 5.
            NOTE:    Total extinction  coefficients supplied
                      by the manufacturer may be used, if
                      the units are converted to uM"1 cm"1
                      (e.g., units on Applied Biosystems
                      specification sheets are in M"1 cm"1 and
                      can be converted by dividing their total
                      extinction coefficients by 106).
13.1.1.2.3   Calculate the theoretical absorbance.  The
            theoretical absorbance for a 100 uM solution
            diluted 100-fold and measured at 260 nm in a  10
            mm light path equals the total extinction
            coefficient for the primer [e.g., the theoretical
            absorbance for the EntP probe  (Table 4) with a
            total extinction coefficient of 0.3178 (see example
            in Table 5) is 0.3178].
            NOTE:    If a dilution other than 100-fold is used
                      to obtain the observed absorbance,
                      multiply the theoretical absorbance by
                      a factor equal to  100 uM divided by
                      the dilution factor of the dilution used
                      (e.g., if a 1000-fold dilution is used
                      with the enterovirus TaqMan probe
                      above, the theoretical absorbance is
                      0.3178 x 100/1000 = 0.0318).
            NOTE:    If a light path other than 10 mm is used
                      to obtain the observed absorbance,
                      multiply the theoretical absorbance by
                      a factor equal to  the light path used in
                      mm divided by 10 mm (e.g., if a 100-
                      fold dilution and 3 mm light path is
                      used with the enterovirus TaqMan
                      probe above, the theoretical
                      absorbance is 0.3178 x 3/10 = 0.0953).
13.1.1.2.4   Compare the theoretical absorbance with the 260
            nm reading from Step 13.1.1.2.1.
            50

-------
                          13.1.1.2.5    If the observed reading differs by more than
                                      ±10% from the theoretical absorbance value (e.g.,
                                      <0.3078->0.3278 for the example in Step
                                      13.1.1.2.3), check to ensure that the correct
                                      volume was used to dilute the oligonucleotide
                                      primer or probe, that the 100-fold dilution was
                                      performed correctly, and that the theoretical
                                      absorbance value was calculated properly.  If
                                      these values are correct, repeat Step 13.1.1.2.1.
                          13.1.1.2.6    If after repeating the 260 nm reading, the value is
                                      still more than 10% from the theoretical value,
                                      calculate the actual concentration by dividing the
                                      absorbance reading by total extinction coefficient
                                      and multiplying the result by 100.
                                      NOTE:    If a dilution other than 100-fold was
                                                used for the 260 nm reading, multiply
                                                the concentration by the dilution factor
                                                used instead of 100. If a light path
                                                other than 10 mm was used, multiply
                                                the resulting concentration by 10 and
                                                divide by the actual light path mm
                                                value.
       13.1.2   Prepare 10-|iM primer and probe working solutions by diluting the stock
               solutions 1:10 (or by a dilution that compensates for the actual
               concentration calculated in Step  13.1.1.2.6) in PCR-grade water.
       13.1.3   Aliquot primer and probe stocks and working solutions and store at -20 °C.
       13.1.4   Record the sample number (from the Sample Data Sheet that was packed
               with the test sample), the analytical laboratory name and identification
               number (if assigned), the analytical laboratory address, and the analyst
               name and identification number (if assigned) on a Molecular Virus
               Protocol Data Sheet (Item 17.5), a Molecular Virus Quality Control Data
               Sheet (Item 17.6), and a Molecular Virus Results Data Sheet (Item 17.7).
               NOTE:    If analysts work together as a team, record the names and
                          identification numbers of all analysts. If different analysts
                          perform portions of the molecular protocol steps, each analyst
                          should only record the steps he/she performs. If necessary,
                          separate data sheets for each analyst may be used.

13.2   Tertiary Concentration

       13.2.1   Preliminary procedures
               13.2.1.1    For each test sample to be analyzed, label a Vivaspin 20 unit
                          (Item 6.6.2) with the sample number, analyst's initials,  and
                          date.

                                      51

-------
               13.2.1.2   Fill the Vivaspin 20 unit with PBS, 0.2% BSA (Item 7.5.5),
                         and soak at least 2 h at room temperature or overnight at 4 °C.
               13.2.1.3   Record the subsample number and the sample batch number on
                         the Molecular Virus Protocol Data Sheet, the Molecular Virus
                         Quality Control Data Sheet, and the Molecular Virus Results
                         Data Sheet.
       13.2.2   Discard the PBS, 0.2% BSA from the Vivaspin 20 unit, and add an
               amount of the appropriate subsample 2 (Section 11.2.6.3.5) equal to the
               Assay Sample Volume (S) noted on the test sample's Virus Data Sheet.
               13.2.2.1   Record the date and time of tertiary concentration and the
                         initials of the analyst performing the concentration on the
                         Molecular Virus Protocol Data Sheet.
               13.2.2.2   Record the concentrator catalog  and lot numbers and the Assay
                         Sample Volume on the Molecular Virus Protocol Data Sheet.
               13.2.2.3   Centrifuge at 3,000 x g and 4 °C with swinging buckets (Items
                         6.4.9 and 6.6.3) until the subsample has been concentrated
                         down to about 50  uL.
               13.2.2.4   Add 1 mL of sterile 0.15-M sodium phosphate, pH 7-7.5 (Item
                         7.3.6), and repeat  Step 13.2.2.3.
               13.2.2.5   Repeat Step 13.2.2.4 one additional time.
       13.2.3   Transfer the concentrate to a  1.5-mL microcentrifuge tube (Item 6.6.5).
       13.2.4   Measure the volume, and add 0.15-M sodium phosphate, pH 7-7.5 to
               bring the total volume to 0.4 mL.
               13.2.4.1   Record this final tertiary concentrated sample volume on the
                         Molecular Virus Protocol Data Sheet.
               13.2.4.2   Immediately proceed to Section  13.3 or hold at 4 °C for no
                         more than 24 h.
                         CAUTION:   Freezing and thawing leads to norovirus losses.

13.3   Nucleic Acid Isolation

       13.3.1   Preliminary procedures
               13.3.1.1   Record the date and time the nucleic acid extraction is
                         performed and the initials of the analyst performing the
                         extraction on the Molecular Virus Protocol Data Sheet.
               13.3.1.2   Record the catalog and lot number of the nucleic acid
                         extraction kit (Item 7.5.6) used on the Molecular Virus
                         Protocol  Data Sheet.
                         NOTE:   Although a DNA extraction kit is used, the
                                  modifications to the manufacturer's protocol

                                      52

-------
                           described below must be used for efficient extraction
                           ofRNA.
         13.3.1.3    Prepare a stock solution of carrier RNA (from Item 7.5.7)
                   13.3.1.3.1    Add 310 uL of Buffer AVE (Item 7.5.8) to the
                               vial with the carrier RNA to obtain a final
                               concentration of 1 ug/uL and mix to dissolve.
                               Aliquot the dissolved carrier RNA and store at -20
                               °C.
                               NOTE:    Prepare a sufficient number of aliquots
                                         so that each aliquot does not have to be
                                         frozen  and thawed more than three
                                         times.
         13.3.1.4    Prepare a working solution of carrier RNA
                   13.3.1.4.1    Add dissolved carrier RNA (Step 13.3.1.3.1) to
                               Buffer AVL (Item 7.5.7) to give a concentration
                               of 0.027 ug/uL.
                               NOTE:    A concentration of 0.027 ug/uL can be
                                         prepared by adding 5.6 uL of the
                                         dissolved carrier RNA to 200 uL of
                                         Buffer AVL per test sample (i.e., 5.6
                                         uL carrier RNA x number of test
                                         samples + 200 uL Buffer AVL x
                                         number of test samples).
                               CAUTION:   Do not use the Buffer AL supplied
                                            with Item 7.5.6.
13.3.2   RNA Extraction
         13.3.2.1    For each test sample and control to be processed, label a 1.5-
                   mL microcentrifuge tube with test sample identification, add
                   200 uL of the a final tertiary concentrated sample from Step
                   13.2.4, a standard curve from Step 13.7.4, a calibrator from
                   Step  13.8.2.1.2, or culture positive lysate from Step 12.1.4.3
                   (for confirmation of culture positive results), and vortex briefly
                   to mix.
                   13.3.2.1.1    Record the amount of final tertiary concentrated
                               sample used on the Molecular Virus Protocol
                               Data Sheet.
                   13.3.2.1.2    Freeze any remaining tertiary concentrate at -70
                               °C.
                   13.3.2.1.3    Run a negative RNA extraction control each time
                               RNA extractions are performed. Prepare the
                               negative RNA extraction control by adding 200
                               53

-------
                      uL of AE buffer (from item 7.5.6) to a labeled 1.5
                      mL microcentrifuge tube.
13.3.2.2   Add 200 uL of Buffer AVL with carrier RNA from Step
          13.3.1.4 to the microcentrifuge tube and vortex for 15 sec.
13.3.2.3   Incubate at 56 °C for 10 min.
13.3.2.4   Centrifuge at >5,000 x g for about 5 sec in a microcentrifuge.
13.3.2.5   Add 200 uL of ethanol (Item 7.5.9), vortex for 15 sec, and then
          centrifuge at >5,000 x g for about 5 sec.
13.3.2.6   Add the mixture to a QIAamp Mini Spin column (Item 7.5.6),
          taking precautions to avoid wetting the  rim of the tube.
13.3.2.7   Close the cap, and centrifuge at 6,000 x g for 1 min.
13.3.2.8   Check to determine if the sample has completely passed
          through the column.
          13.3.2.8.1   If it has not, centrifuge again for 1 min at 10,000-
                      20,000 x g, or for longer times, until the sample
                      has completely passed through the column.
13.3.2.9   Place the Mini Spin column into a clean 2-mL collection tube
          (Item 7.5.6), and discard the collection tube containing the
          filtrate.
13.3.2.10  Add 500 uL of Buffer AW1  (Item 7.5.6) without touching the
          tube rim.
13.3.2.11  Centrifuge at 6,000  x g for 1 min, and again, transfer the
          column to a clean collection tube and discard the tube
          containing the filtrate.
13.3.2.12  Add 500 uL of Buffer AW2  (Item 7.5.6) without touching the
          tube rim.
13.3.2.13  Centrifuge at 20,000 x g for 3 min, and again, transfer the
          column to a clean collection tube and discard the tube
          containing the filtrate.
13.3.2.14  Centrifuge at 20,000 x g for  1 min.
13.3.2.15  Add 40 units of RNase Inhibitor (Item 7.5.10) to  a clean 1.5-
          mL microcentrifuge tube (Item 6.6.5), and transfer the column
          from the collection tube to the microcentrifuge tube. Discard
          the collection tube.
          NOTE:   Alternatively, RNase Inhibitor can be added to an
                   amount of Buffer AE (Item 7.5.6) sufficient for the
                   number of samples to be eluted, at a concentration of
                   400 units/mL (i.e., in place of adding it to the
                   microcentrifuge tubes).
                       54

-------
               13.3.2.16  Add 50 uL of Buffer AE to the column.
               13.3.2.17  Incubate at room temperature for 1 min, and then centrifuge for
                         1 min at 6,000 x g.
               13.3.2.18  Repeat Steps 13.3.2.16-13.3.2.17.
               13.3.2.19  Remove and discard the column.
               13.3.2.20  Proceed immediately to Section 13.4, or prepare aliquots and
                         store the RNA at -70 °C until it can be assayed.
                         13.3.2.20.1  Record the RNA extract final volume on the
                                     Molecular Virus Protocol  Data Sheet.
13.4   Reverse Transcription (RT)
       13.4.1   Preliminary procedures (to be performed in a clean room)
               13.4.1.1   Label PCR plates or tubes (Item 6.6.15) with appropriate test
                         sample numbers.
               13.4.1.2   Prepare RT Master Mix 1 and 2 using the guide in Table 6.
                         NOTE:  The amounts shown for the volume per master mix
                                 can be scaled up or down according to the number of
                                 samples that need to be analyzed.
                         13.4.1.2.1    Record the date and time prepared and the initials
                                     of the preparer on the Molecular Virus Protocol
                                     Data Sheet.
               13.4.1.3   Vortex the master mixes after the addition of all ingredients.
               13.4.1.4   Centrifuge at>500 xgfor  10 sec in a microcentrifuge.
       13.4.2   Use a multichannel pipette (Items 6.6.9 and 6.6.11) to aliquot 16.5 uL of
               RT Master Mix 1 (Step 13.4.1.2) to the labeled PCR tubes or plate wells.
       13.4.3   Run the RNA from every  test sample in triplicate by adding 6.7 uL of the
               appropriate sample to each of the tubes or plate wells labeled for that
               sample (see Figure 5  for a schematic of the RT-qPCR process).
               NOTE:    It is not necessary to prepare 1:5 and 1:25 dilutions of the QC
                         samples as done for the culture assay (in Step 12.1.2.3).
               13.4.3.1   Record the RNA extract volume used, the date and time that
                         the reverse transcription assays are performed, and the initials
                         of the person running the assays on the Molecular Virus
                         Protocol Data  Sheet.
       13.4.4   Add 6.7 uL of PCR grade water (Item 7.5.2) to one or more tubes or plate
               wells  (Item 6.6.15) as no template controls (NTC).
               13.4.4.1   Include at least one NTC for the replicates associated with
                         every fourth test sample run on a plate.

                                     55

-------
                         NOTE:  NTC controls must be distributed throughout the
                                 plate.
               13.4.4.2   If any NTC control is positive, the cause of the false positive
                         value should be investigated.  After fixing the cause of the
                         problem, all test samples must be rerun.
      13.4.5   Close the tubes or seal the plates, and heat at 99 °C for 4 min, followed by
               quenching on ice, or a hold temperature of 4 °C.
      13.4.6   Add 16.8 uL of RT Master Mix 2 (Step 13.4.1.2) to each tube or well.
      13.4.7   Centrifuge at >500 x gfor 10 sec at 4 °C in a centrifuge (Item 6.6.4 for
               tubes; Item 6.6.13 for plates).
      13.4.8   Place the tubes or plates in a thermal cycler and run at 25 °C for 15  min,
               42 °C for 60 min, and 99 °C for 5 min, followed by a 4 °C hold cycle.
               NOTE:    Thermal cyclers from a number of different manufacturers can
                         be used for this and the following real-time quantitative PCR
                         step (Section 13.5). Analysts must follow the manufacturers'
                         instructions for set-up, runs, and analysis for the instrument
                         used.
               13.4.8.1   Record the make and model of the thermal cycler used on the
                         Molecular Virus Protocol Data Sheet.
      13.4.9   Centrifuge at >500 x g for 10 sec at 4 °C in a centrifuge (Item 6.6.4 for
               tubes; Item 6.6.13 for plates).
      13.4.10  Proceed immediately to Section 13.5, or  store reverse transcribed samples
               at -70 °C until they can be processed.
               NOTE:    Samples can be held at 4 °C for up to 4 h prior to qPCR

13.5  Real-Time Quantitative PCR (qPCR)

      13.5.1   Preliminary procedures
               13.5.1.1   Label PCR plates or tubes (Item 6.6.15) with appropriate test
                         sample numbers.
                         NOTE:  Each test sample will require 15 plate wells or tubes
                                 (i.e., 3 RT replicates x 5 qPCR assays; see Figure 5).
               13.5.1.2   Prepare PCR master mixes using the guides in Table 7 for
                         enterovirus, Table 8 and Table 9 for norovirus genogroup I,
                         Table 10 for norovirus genogroup II, and Table 11 for hepatitis
                         G.
                         NOTE:  The amounts shown for the volume per master mix
                                 can be scaled up or down according to the number of
                                 test samples that need to be analyzed.
                                     56

-------
                   13.5.1.2.1   Vortex the master mix after the addition of all
                               ingredients.
                   13.5.1.2.2   Centrifuge at >500 xgfor 10 sec at 4 °C in a
                               centrifuge (Item 6.6.4 for tubes; Item 6.6.13  for
                               plates).
                   13.5.1.2.3   Record the date and time prepared and the initials
                               of the preparer on the Molecular Virus Protocol
                               Data Sheet.
13.5.2   Dispense 14 uL of the appropriate mix to the labeled plates or tubes.
13.5.3   Add 6 uL of the appropriate test sample from Step 13.4.10 to each tube or
        plate (Figure 5).
        13.5.3.1    Record the volume used on the Molecular Virus Protocol  Data
                   Sheet.
13.5.4   Place tubes or plates in a thermal cycler and run with a setting of 1 cycle at
        95 °C for 10 min, followed by 45  cycles of 95 °C for 15  sec, and 60 °C for
        1 min.
        13.5.4.1    Record the run number on the Molecular Virus Protocol Data
                   Sheet, Molecular Virus Quality Control Data Sheet, and the
                   Molecular Virus Results Data  Sheet.
        13.5.4.2    Record the date and time that the qPCR assays are performed
                   and the initials of the person running the assays on the
                   Molecular Virus Protocol Data Sheet.
        13.5.4.3    Record the make and model of the thermal cycler used on the
                   Molecular Virus Protocol Data Sheet.
13.5.5   Analyze the results of each run (according to the instructions of the
        manufacturer of the thermal cycler used) to calculate the Genomic Copy
        numbers of unknown test samples based upon the standard curve samples
        described in Sections 13.7 or 13.8.
        13.5.5.1    Record the GC values  of each  replicate on the Molecular Virus
                   Results Data, along with the mean and standard deviation of
                   the 3 replicates for each test sample.
                   NOTE:   Include non-detects (zeros) in the calculation of the
                            mean.
        13.5.5.2    Record the results of the negative RNA extraction control and
                   the no template controls on the Molecular Virus Quality
                   Control  Data Sheet.
13.5.6   Calculate the Genomic Copies per L (GCi) for each test sample using
        Equation 5 and the  mean GC value from Step 13.5.5,
                               57

-------
                                    GCL =
                                    GCx\99xDF
                                          D
                                                                            Eq. 5
               where DF equals the reciprocal of any dilution performed to compensate
               for inhibition (see Section 13.6; e.g., 5 and 25 for 1:5 and 1:25 dilutions,
               respectively, or 1 for undiluted samples) and/) equals the Volume of
               Original Water Sample Assayed (see Step 1 1 .2.6.1).
               NOTE:
               NOTE:
                   199 is the total dilution factor for the volume reductions that
                   occur in Sections 13.2-13.5.
                   For example, if the PCR assay from the test sample described
                   in the second note to Step 1 1.2.6.1 detects 15 genomic copies
                   in a 1 :5 dilution, then the number of Genomic Copies per L is
                   29.85 [(15x 199x5)/500L].
                   Record the GCi value on the Molecular Virus Results Data
                   Sheet.
                   For test samples with a mean value of 0, report the Genomic
                   Copies per L as less than or equal to the detection limit (i.e.,
13.5.7
               13.5.6.1
               13.5.6.2
               Calculate the Genomic Copies of QC samples by multiplying the mean
               GC value by 199 and dividing by 0.3.
13.6   Inhibition Control

       NOTE:  A control for inhibition must be performed to reduce false negative results
               caused by matrix interference (Section 4.2).  This method uses hepatitis G
               Armored RNA as an inhibition control. The inclusion of hepatitis G
               Armored RNA in all assays has two major advantages compared to the
               typical approach of seeding a portion of each field sample with a specific
               enterovirus or norovirus strain (18.18). First, it reduces the number of
               assays that need to be run by one-half, thereby reducing labor and assay
               costs. Second, it reduces cross-contamination that can occur between
               seeded and unseeded field samples when the typical approach is used.
       NOTE:  Laboratories may choose from three options when running the inhibition
               control. All three options are evaluated using Step 13.6.2.1 and may
               require dilutions as defined in Step 13.6.2.1-13.6.2.2.  Option 1: the
               hepatitis G RT-qPCR assay is run on all test samples before all the other
               RT-qPCR assays. The enterovirus and norovirus assays are then run either
               without dilution for test samples giving no inhibition and with dilution for
               test samples showing inhibition. Option 2: all test samples are diluted as
               described in Step 13.6.2.1 and then the RT assay (Section 13.4) is
               performed on all diluted and undiluted test samples, followed by running
               the hepatitis G qPCR assay. The enterovirus and norovirus qPCR assays
               are then performed using the cDNA from the undiluted test sample,  if not
               inhibited, or from the lowest dilution that does not show inhibition.
                                      58

-------
        Option 3: RT-qPCR assays are run on all test samples, followed by
        rerunning any sample showing inhibition using the Steps 13.6.2.1-
        13.6.2.2.
13.6.1   Preliminary procedure
        13.6.1.1   Process a volume of FCSV from at least 2 negative QC
                  controls (Step 8.4.1), hereafter designated "negative FCSV,"
                  equal to the Assay Sample  Volume (S) using Sections 13.2 to
                  13.3.
                  13.6.1.1.1   Using 6.7 uL of theRNA from one of the
                              negative FCSV samples from Step 13.6.1.1 for
                              each replicate, run 5 hepatitis G RT and qPCR
                              assays.  Run 5 additional replicate hepatitis GRT
                              and qPCR assays using the other negative FCSV.
                  13.6.1.1.2   Calculate the mean Cq value and standard
                              deviation for the 10 replicate hepatitis G assays.
                  13.6.1.1.3   Assign a lot number to the mean value of the 10
                              replicates, starting with "1," and record the lot
                              number on the Molecular Virus Quality Control
                              Data Sheet. Increment the lot number for
                              sub sequent rep eats of Step  13.6.1.1.
                  13.6.1.1.4   Record the mean Cq and standard deviation
                              values on the Molecular Virus Quality Control
                              Data Sheet.
                              NOTE:    The mean value should be 25-32 Cq
                                        units. The standard deviation of the
                                        mean should be <0.3 units.
                  13.6.1.1.5   If the  mean value is not between 25 and 32 Cq
                              units,  readjust the amount of Hepatitis G Armored
                              RNA  added to RT Master Mix 1 (see Table 6) and
                              repeat Step 13.6.1  until the value is within the
                              acceptable range.  Once an acceptable value is
                              found, substitute the amount of Hepatitis G
                              Armored RNA indicated in Table 6 with the
                              amount that produced an acceptable level  and
                              compensate by adjusting the amount of PCR
                              grade water added.
13.6.2   Compare the Hepatitis G Cq values obtained with all test samples against
        the mean Cq value calculated in Step 13.6.1.1.2.
        13.6.2.1   If the value in the unknown test samples is more than 1 Cq
                  value higher than that calculated in Step 13.6.1.1.2, dilute the
                  unknown test sample 1:5 and 1:25 in PCR grade water (Item
                  7.5.2).

                               59

-------
               13.6.2.2   Re-run the unknown test sample, along with the 1:5 and 1:25
                         dilutions.
               13.6.2.3   Calculate the test sample concentration using the highest
                         dilution for which the Hepatitis G Cq values are within 1 unit
                         of the value calculated in Step 13.6.1.1.2.
               13.6.2.4   If the inhibition control fails again and the test sample Cq value
                         is lower than 38, re-run the sample at higher 5-fold dilutions.
               13.6.2.5   If any test sample run at the higher dilution fails the inhibition
                         control again, or if any unknown test samples are below the
                         detection limit (e.g., Cq  values of 45 or higher), list the test
                         sample as a potential false negative sample on the Molecular
                         Virus Results Data Sheet.

13.7   Standard curves

       NOTE:  Standard curves must be run with every test sample  (e.g., every field and
               quality control) as described in this section or in Section 13.8. Standard
               curves should be prepared using Armored RNA (Item 7.5.19), but unless
               specified otherwise by EPA, may be prepared using Sabin  poliovirus 3 and
               norovirus GI and Gil stocks or transcribed RNA from plasmids containing
               the appropriate viral sequence.
       13.7.1   Preparation of working stocks for standard curves
               13.7.1.1   To use Armored RNA containing the enterovirus, norovirus GI,
                         and norovirus Gil sequences (Item 7.5.19) for standard curves,
                         dilute the Armored RNA in negative FCSV (see Step 13.6.1.1)
                         to give a concentration of 2.5 xlO8 particles/mL based upon the
                         concentration of the Armored RNA lot supplied.
                         NOTE:   1 Armored RNA particle/mL equals 1 Genomic
                                  Copy/mL.
               13.7.1.2   To use virus stocks, determine the titer of each  stock using RT-
                         qPCR.
                         13.7.1.2.1   Perform RT-qPCR assays on each stock using
                                     serial 10-fold dilutions and  10 replicates per
                                     dilution.  Obtain the MPN/mL virus titer using
                                     EPA's Most Probable Number Calculator (Item
                                     6.5.11). Change the calculator's "Number of
                                     Dilutions" to 3, the  "Number of Tubes per
                                     dilution" to 10, and the "Dilution Type" to
                                     Standard 10-Fold Serial. For each stock, input the
                                     number of positive replicates from the highest
                                     dilution giving at least one positive replicate and
                                     from the next two lower dilutions.
                         13.7.1.2.2   Dilute each viral stock to 2.5 xlO8 MPN/mL.

                                      60

-------
                               NOTE:    If the efficiency of the standard curve
                                         derived from each virus stock is in the
                                         acceptable range (see notes to Steps
                                         13.7.5-13.7.6), sub stitute the term
                                         Genomic Copy/mL for MPN/mL.
         13.7.1.3    To used transcribed RNA, prepare RNA from plasmids
                   containing the targets for each assay and titer each using
                   standard methods [e.g., see Reference (18.34)].
                   13.7.1.3.1    Dilute the transcribed RNA to 2.5 x 108
                               transcripts/mL.
                               NOTE:    Substitute the term Genomic Copy/mL
                                         for transcripts/mL.
13.7.2    Divide the standard curve working stocks into 250 uL aliquots and freeze
         at or below-70 °C.
13.7.3    Prepare 5 ten-fold serial dilutions of each Armored RNA working stock
         (or of each alternative virus or transcribed RNA working stock).
                                                                  o
         13.7.3.1    Add 25 uL of the working stock containing 2.5 x 10  Genomic
                   Copies/mL (Step 13.7.1) to 225 uL of negative FCSV. Vortex
                   for 5-15 sec.
         13.7.3.2    Add 25 uL of the dilution in Step 13.7.3.1 to 225 uL of
                   negative FCSV. Vortex again and continue the dilution
                   process to prepare a total of 5 ten-fold dilutions.
                   NOTE:  The final concentrations of the 5 dilutions are
                           2.5xl07, 2.5xl06, 2.5 xlO5, 2.5xl04, and 2.5xl03
                           Genomic Copy/mL.
13.7.4    For each Armored RNA standard (or alternative), run 200 uL of the
         working stock and each of the 5 ten-fold dilutions separately through
         Steps 13.3-13.5.5, using the volumes described in the steps and only the
         specific primers/probe for the Armored RNA standard.
         13.7.4.1    Identify the samples as standards in the thermal cycler (Item
                   6.6.16) software.
         13.7.4.2    For each dilution, enter the genomic copy values shown in
                   Table 12 into the standards section of the software.
13.7.5    Calculate the standard curve slope and R2 values for each  standard curve
         by plotting Cq values against the log of the concentration for each point
         or, if available, by using the slope and R  values determined by the qPCR
         instrument.
            ™^^^                                             9
         NOTE:    An acceptable standard curve will have an R value >0.97 and
                   a standard deviation of <0.25. Standard deviations >0.25
                   represent errors in preparing dilutions or in pipetting.
                               61

-------
       13.7.6   Calculate the percent amplification efficiency using Equation 6:

                                    ^Efficiency = 100 x (1 Q-l/slope -1)          E  6

               13.7.6.1   An acceptable standard curve will have an amplification
                         efficiency of 80-110%.
                         NOTE:  The ideal efficiency occurs when the slope equals -
                                  3.32; in this case, the % Efficiency equals 100 [100 x
                                  (l0-1/-332-i)= 100 x (2.0-1)].

                         NOTE:  Efficiencies less than 90% may indicate technical
                                  problems. Laboratories should strive to have standard
                                  curves in the 90-110% range.
       13.7.7   Record the amplification efficiencies on the Molecular Virus Protocol
               Data Sheet.
       13.7.8   Standard curves that meet the criteria specified in Steps 13.7.5-13.7.6
               must be used to calculate genomic copies of unknown test samples in Step
               13.5.5.

13.8   Preparation of stored standard curves and calibrators

       13.8.1   Stored standard curves
               13.8.1.1   If all the enterovirus and norovirus standard curves  can be
                         stored in the quantitative PCR thermal cycler (Item 6.6.16),
                         stored standard curves may be used as an alternative to running
                         standard curves with every test sample analyzed (Section 13.7).
                         CAUTION:   Calibrators (Step 13.8.2) must be run with all
                                       unknown test samples when using stored
                                       standard curves, but they may be  run even if
                                       standard curves are run with every sample as an
                                       additional quality check.
                         13.8.1.1.1    Prepare stored standard curves by running each
                                      standard as described in Section 13.7 three times.
                         13.8.1.1.2    Calculate the mean for each dilution for each
                                      standard and store the mean values in the
                                      thermocycler.
                                      CAUTION:   The stored standard  curve must
                                                   meet the acceptance criteria found
                                                   in Steps 13.7.5 and 13.7.6.
                         13.8.1.1.3    Record the amplification efficiencies of each
                                      stored standard curve on the Molecular Virus
                                      Protocol Data Sheet.
               13.8.1.2   Generate and record new stored standard curve sets, as
                         described in Sections 13.8.1.1.1 every eighth analysis batch

                                      62

-------
                   (Section 3.1) or every 2 months, whichever comes first; or
                   anytime a calibrator fails twice in a row to meet acceptance
                   criteria.
13.8.2    Calibrators
         13.8.2.1   Prepare calibrators for each virus standard by choosing the
                   dilution from the standard curve that gives the Cq value closest
                   to, but not greater than 32.
                   13.8.2.1.1   Prepare the dilution corresponding to the chosen
                               value in negative FCSV and extract the RNA as
                               described in Section 13.3.
                               NOTE:    Prepare a sufficient number of
                                          dilutions to last for the entire study,
                                          taking into consideration that each
                                          200-uL extraction will yield sufficient
                                          material for about 14 runs.
                   13.8.2.1.2   Aliquot into single run batches and store at -70
                               °C.
         13.8.2.2   Run a set of at least 10 calibrators from each Armored RNA
                   standard.
                   13.8.2.2.1   Calculate the mean Cq value and standard
                               deviations.
                   13.8.2.2.2   Record the mean and standard deviation values as
                               the Target  Value on the Molecular Virus Results
                               Data Sheet.
                               NOTE:    The standard deviation must be <0.25
                                          units.
         13.8.2.3   Run all calibrators with  every set of unknown test samples.
         13.8.2.4   Accept a test sample if the value of the calibrator for each
                   corresponding PCR assay falls within 1.0 Cq unit of the
                   calibrators' mean values.
                   13.8.2.4.1   Record each calibrator's Cq value on the
                               Molecular Virus Results Data Sheet.
         13.8.2.5   Reject and rerun test samples from a PCR assay where the
                   calibrator for that assay falls outside the acceptance criteria.
                   13.8.2.5.1   Repeat the run once upon failure.
                   13.8.2.5.2   If the assay fails again, generate new stored
                               standard curves  or take steps to determine the
                               cause of the failure.
                                63

-------
140 METHOD PERFORMANCE

     14.1   Culturable Assay
            14.1.1   This method is subject to a number of biases that reduce its precision and
                    accuracy.
                    14.1.1.1   The isoelectric point of the virus particle affects its ability to
                              bind to and be eluted from electropositive filters.  The
                              isoelectric point can vary significantly across virus species and
                              even within members of the same species.
                    14.1.1.2   Other capsid and matrix related characteristics and substances
                              could affect virus recovery at various stages of the method.
                    14.1.1.3   The passage number of the BGM cell line and the media used
                              to passage and maintain cells is known to affect the ability of
                              viruses to replicate in cells.
            14.1.2   The best performance data for the method comes from the PE samples that
                    were analyzed during the ICR.
                    NOTE:    The performance characteristics given below are based upon
                              Sabin poliovirus type 3 and may not be reflective of other
                              viruses that are  detected by this method.
                    14.1.2.1   In total, 12 laboratories with  25 ICR-approved analysts
                              analyzed 828 PE samples, consisting of low (<300 MPN per
                              filter), medium  (300-1,500 MPN per filter) and high (>1,500
                              MPN per filter) virus levels.  The mean interlaboratory
                              recovery was 56% with a coefficient of variation (CV) of 92%,
                              a false negative rate of 1.3%, and a false positive rate of 1.1%.
                              The highest mean recovery values (71%) were obtained from
                              PE samples containing low virus levels. Table 13 shows the
                              mean recovery and CV value ranges for individual analysts and
                              for intralaboratory variation.
                    14.1.2.2   Although Method 1615 uses  a different electropositive filter
                              than the ICR study, both filters have been shown to give
                              similar recoveries in a single study (18.25) and a four
                              laboratory validation study (unpublished data).
            14.1.3   The detection limit of the culture method is about 0.05 MPN/L for surface
                    water and 0.01 MPN/L for groundwater.
            14.1.4   The acceptance criteria for PE are set for the culturable assay at a mean
                    recovery of 20-150%, with a CV < 120%.
            14.1.5   The acceptance criterion for QC and matrix spikes for the culturable
                    procedure is a recovery of 5-200%.
                                           64

-------
     14.2  Molecular Procedure

           14.2.1   The molecular procedure is subject to the same bias as the culturable
                    procedure in terms of virus adsorption and recovery from the
                    electropositive filters and secondary concentration procedures. Additional
                    bias can occur during tertiary concentration, RNA extraction, and RT-
                    qPCR.
           14.2.2   The method was tested using 7 groundwater test samples from 5 different
                    wells with a range of physicochemical characteristics.  In addition to bias
                    from matrix effects, these tests may have had additional bias, because they
                    were performed as matrix spikes as described in Section 8.6.  The 7
                    groundwater test samples gave a mean recovery of 26% with a recovery
                    range of 5-60% and a CV of 73%. These same test samples were also
                    tested for norovirus recovery using murine norovirus and murine
                    norovirus-specific primers and probe (not shown) with the Method 1615
                    protocols. Mean recovery of murine norovirus was 35%, with a recovery
                    range of 7-63% and a CV of 69%.
           14.2.3   The detection limit of the molecular method is based upon the overall
                    detection limit of the RT-qPCR assay and the volume of the field sample
                    assayed.
                    14.2.3.1  The detection limit for the poliovirus assay is about 2 Genomic
                             Copies per L and 0.4 Genomic Copies per L for surface water
                             and groundwater, respectively.
                    14.2.3.2  The detection limit can be increased by running more than 3
                             RT-qPCR replicates from each test sample.
           14.2.4   The acceptance criteria for PE samples are set for the molecular procedure
                    at a mean recovery of 15-175%, with a CV < 130%.
           14.2.5   The acceptance criterion for QC and matrix spikes for the molecular
                    procedure is  a recovery of 5-200%.

     14.3  Performance Record

           14.3.1   The laboratory shall maintain a record of the performance of QC and PE
                    samples for both the culture and molecular portions of this method as
                    described in  Sections 8.4.3, 8.5.3, 8.6.3, and 8.7.  This record can be
                    useful for tracking and correcting decreases in performance before they
                    become result in generation of unacceptable data.
           14.3.2   EPA may maintain the performance record for EPA based studies.

150 STERILIZATION AND DISINFECTION

     15.1  General Guidelines

           15.1.1   Use aseptic techniques for handling test waters, eluates, and cell cultures.

                                          65

-------
       15.1.2    Sterilize apparatus and containers that will be exposed to test waters and
                all solutions that will be added to test waters, unless otherwise indicated.
       15.1.3    Thoroughly clean all items before final sterilization using laboratory
                SOPs.
       15.1.4    Sterilize all contaminated materials before discarding.
       15.1.5    Disinfect all spills and splatters.

15.2   Sterilization Techniques

       15.2.1    Solutions
                15.2.1.1   Sterilize all solutions, except those used for cleansing, standard
                          buffers, HC1, NaOH, and disinfectants, by autoclaving them
                          (Item 6.7.1) at 121 °C, 15 psi for at least 15 min.
                          NOTE:  The HC1, NaOH, and disinfectants used are self-
                                   sterilizing.
                15.2.1.2   When autoclaving buffered beef extract, use a vessel large
                          enough to accommodate foaming.
       15.2.2    Autoclavable vessels, glassware, plasticware, and equipment
                15.2.2.1   Sterilize stainless steel vessels (dispensing pressure vessel) in
                          an autoclave at 121 °C, 15 psi for at least 30 min.
                          NOTE:  Add sufficient dH^O to all vessels to be autoclaved,
                                   equal to about  1-2% of the vessel's rated volume.
                                   Water speeds the sterilization process by enhancing
                                   the transfer of heat.
                          NOTE:  Place large vessels on their sides in the autoclave, if
                                   possible, to facilitate the displacement of air in the
                                   vessels by flowing steam.
                          NOTE:  If vessel is equipped with a vent-relief valve, open
                                   during autoclaving and close immediately when
                                   vessel is removed from the autoclave.
                15.2.2.2   Autoclavable glassware and plasticware
                          15.2.2.2.1   Cover the openings into autoclavable glassware,
                                      plasticware, and equipment loosely with
                                      aluminum foil (Item 6.7.3) before autoclaving and
                                      autoclave at  121 °C, 15 psi for at least 30 min.
                          NOTE:  Glassware may also be sterilized in a dry heat oven
                                   (Item 6.7.2) at  a temperature of 170 °C for at least 1
                                   h.
                          15.2.2.2.2   Pre-sterilize  1MDS filters (Item 6.1.2.4), prefilters
                                      (Item 6.1.6.2), sterilizing filter stacks (Item

                                      66

-------
                               6.4.12), and aluminum foil (Item 6.2.10) by
                               wrapping them in Kraft paper (Item 6.7.4) and
                               autoclaving at 121 °C, 15 psi for 30 min.
                               CAUTION:  Do not autoclave the NanoCeram
                                            filters specified in Item 6.1.2.4.
                                            These filters are sterilized by the
                                            manufacturer and have housings
                                            that cannot be autoclaved.
                               NOTE:    Ten (10)-in cartridge prefilters (Item
                                         6.1.6.2), but not NanoCeram or  1MDS
                                         filters, may be presterilized with
                                         sodium hypochlorite (see Section
                                          15.2.4), as an alternative to
                                         autoclaving.
15.2.3    Instruments, such as scissors and forceps
         15.2.3.1   Sterilize instruments, such as scissors and forceps, by
                   immersing them in 95% ethanol (Item 7.6.1) and flaming them
                   between uses.
15.2.4    Non-autoclavable equipment, plasticware (filter housings), tubing, and
         vessels
         NOTE:    Filter apparatus modules should be disinfected after use by
                   sterilization and then cleaned according to laboratory SOPs
                   before final sterilization.
         15.2.4.1   Sterilize items that cannot be autoclaved by recirculating or
                   immersing the items in 0.525% sodium hypochlorite  (Item
                   7.6.2) for 30 min; pH electrodes should be sterilized with
                   0.525% sodium hypochlorite for at least 5 min.
         15.2.4.2   Drain the hypochlorite from the objects being sterilized and
                   rinse in sterile water.
         15.2.4.3   Dechlorinate by recirculating or immersing the items in a
                   solution containing 50 mL of 1-M sodium thiosulfate (Item
                   7.6.3) per liter of sterile dH2O.
                   CAUTION:    Ensure that the sodium hypochlorite (Step
                                 15.2.4.1) and sodium thiosulfate (Step 15.2.4.3)
                                 solutions come in full contact with all  surfaces
                                 when performing this procedure.
         15.2.4.4   Cover the apparatus module ends and the injector port(s) with
                   sterile aluminum foil.
         15.2.4.5   Place the injector module and tubing into a sterile bag or
                   wrapping in such a way that they  may be removed without
                   contaminating them.

                               67

-------
15.2.5   Contaminated materials
        15.2.5.1    Autoclave (Item 6.7.1) contaminated materials for at least 30
                   minat 121 °C, 15 psi.
                   NOTE:  Be sure that steam can enter contaminated materials
                           freely.
        15.2.5.2    Disinfect spills and other contamination on surfaces with either
                   a solution of 0.5% iodine (Item 7.6.4) or 0.525% sodium
                   hypochlorite (Item 7.6.2) to ensure thorough disinfection.
                   NOTE:  Many commercial disinfectants do not adequately kill
                           enteric viruses.
                   NOTE:  The iodine solution has the advantage of drying more
                           rapidly on surfaces than sodium hypochlorite, but
                           may stain some surfaces.
                               68

-------
160 TABLES AND FIGURES

Table 1.  Viruses Detected by EPA Method 1615
 Virus genus or species                     Detected by TCVA(1)       Detected by qPCR
 Human enterovirus A                        Some serotypes               Yes
 Human enterovirus B                        Most serotypes               Yes
 Human enterovirus C                        Some serotypes               Yes
 Human enterovirus D                        Some serotypes               Yes
 Norovirus genogroup I and II                       No                Many genotypes
 Mammalian orthoreovirus                         Yes                    No
 (1) TCVA - Total Culturable Virus Assay (Section 12.0)
                                          69

-------
Table 2.  Specified and Recommended Field Sample Volumes
Water type

Sewage effluent
Surface
Finished/groundwater
Finished/groundwater
Flow rate (1) Sampling duration
(L/min)
10
10
1Q(6)
4(8)
(h)
0.2
0.6
3.0
16±2
Sample volume
(L)<*3>
120 (4)
360 (5)
1,800 (7)
<4,320(7<9)
 (1)  Poliovirus retention is independent of flow rates between 4-20 L/min for
     NanoCeram filters (18.25), but a constant flow rate, such as described here,
     should be used for any single study. EPA may specify alternative flow
     rates for specific studies.
 (2)  Consistent field sample volumes should be used for any single study.  EPA
     may specify alternative sample volumes for specific studies.
 (3)  Turbidity and other factors may affect the volume collected during any
     sampling event.  The sampling duration must be increased to meet the
     specified or recommended volume during these situations. As an
     alternative, 2 cartridge filter modules may be used to obtain the specified
     volume.
 (4)  This is a recommended value for final sewage effluents. There is no
     recommended volume for raw sewage.
 (5)  The minimum specified volume is 300 L for surface waters.
 (6)  For disinfected waters, add 2% thiosulfate at a flow rate of 6.0±0.2
     mL/min.
 (7)  The minimum specified volume is 1,500 L for treated tap or untreated
     groundwater.
 (8)  For disinfected waters, add 2% thiosulfate at a flow rate of 2.4±0.2
     mL/min.
 (9)  For convenience, field samples may be collected by starting the sampling
     at the end of a workday and stopping it in the morning of the next day.
                                          70

-------
Table 3. MPN Program Settings
 Item                                    Setting
 Data entry mode                          Keyboard
 Dilution type                             Standard 5-fold serial
 Approximation type                       Cornish & Fisher limits
 Confidence level                          95%
 Number of dilutions                       1 (or, is used, the number of dilutions)
 Number of tubes per dilution               10
 Inoculum volume (mL)                    Inoculum Volume (Step 11.2.6.4)
                                            71

-------
Table 4. Primers and TaqMan® Probes for Virus Detection by RT-qPCR
 Virus
 Group(1)
 Primer/Probe Name/Sequence
                        (2,3,4)
Reference
Enterovirus
Norovirus GIA
Norovirus GIB
Norovirus Gil
EntF: CCTCCGGCCCCTGAATG
EntR: ACCGGATGGCCAATCCAA
EntP: 6FAM-CGGAACCGACTACTTTGGGTGTCCGT-TAMRA

NorGIAF: GCCATGTTCCGITGGATG
NorGIAR: TCCTTAGACGCCATCATCAT
NorGIAP: 6FAM-TGTGGACAGGAGATCGCAATCTC-TAMRA

NorGIBF: CGCTGGATGCGNTTCCAT
NorGIBR: CCTTAGACGCCATCATCATTTAC
NorGIBP: 6FAM-TGGACAGGAGAYCGCRATCT-TAMRA

NorGIIF: ATGTTCAGRTGGATGAGRTTCTCWGA
NorGIIR: TCGACGCCATCTTCATTCACA
NorGIIP: 6FAM-AGCACGTGGGAGGGCGATCG-TAMRA
Hepatitis G
                                                       (18.17)
    (18.33)
    (18.24)
    (18.12)
    (18.12)
                                                       (18.39)
             HepF: CGGCCAAAAGGTGGTGGATG
             HepR: CGACGAGCCTGACGTCGGG
             HepP:6FAM-AGGTCCCTCTGGCGCTTGTGGCGAG-TAMRA
 (1) EPA may specify additional or alternative primer and probe sets for specific applications.
 (2) Primers and probes are designated by the first three letters of the virus name followed by F,
    R, or P for forward, reverse, and probe.  GIA, GIB, or Gil are also added to the norovirus
    designations.
 (3) All primer and probe sequences are 5' to 3'.
 (4) Degenerate bases in primers and probes are as follows:  N equals a mixture of all four
    nucleotides; R equals A + G; Y equals T + C; W equals A + T; and I equals inosine.
                                     72

-------
Table 5.  Extinction Coefficients for Primers and Probes ^

Chromophore    Chromophore Extinction Coefficient ^

     A                       0.0152

     T                       0.0084

     G                       0.01201

     C                       0.00702

   6FAM                    0.020958

  TAMRA                    0.03198
(1)  Calculate the total extinction coefficient of an oligonucleotide primer or probe by 1)
    multiplying the total number of each chromophore by its corresponding chromophore
    extinction coefficient and 2) summing the resulting values. Using the EntP probe from
    Table 4 as an example, the total extinction coefficient is 1 x 0.020958 + 4 x 0.0152 + 7
    x 0.0084 + 8 x 0.01201 + 7 x 0.00702 + 0.03198 = 0.3178.
(2)  Units for the extinction coefficients are uM"1 cm"1
                                          73

-------
Table 6. RT Master Mix 1 and 2
 Ingredient
 Volume per
reaction (uL)(1)
 Final concentration
Volume per Master
   Mix (uL)(2)
 Random primer (Item
 7.5.11)
 Hepatitis G Armored RNA(3)
 (Item 7.5.12)
 PCR grade water (Item
 7.5.2)

 Total
  1 OX PCR Buffer II (Item
  7.5.13)

  25-mM MgCl2 (Item
  7.5.13)
  10-mMdNTPs(Item
  7.5.14)
  100-mMDTT(Item7.5.15)
  RNase Inhibitor (Item
  7.5.10)

  Superscript II RT (Item
  7.5.16)
  Total
                                    RT Master Mix 1
      0.8
 10ng/uL(c. 5.6uM)
      1.0


     14.7

     16.5
        RT Master Mix 2
     4.0


     4.8

     3.2

     4.0

     0.5


     0.3

     16.8
10mMtris,pH8.3, 50
     mMKCL

       3mM
      0.8mM

      lOmM

    0.5 units/uL


    1.6 units/ uL
      84.0

      105.0


     1543.5

     1732.5


      420.0


      504.0

      336.0

      420.0

      52.5


      31.5

     1764.0
 (1) The volumes given are for 40-uL RT assays.
 (2) Reagent amounts sufficient for a 96-well PCR plate are given.  The volumes shown were
     calculated by multiplying the volume per reaction amount by the number of assays to be
     performed, plus an additional 9 assays to account for losses during transfer of the master
     mix to plates (Item 6.6.15) using items 6.6.9 and 6.6.12. The amount of additional
     assays to add can be reduced if experience shows that lower amounts are adequate.
 (3) Hepatitis G Armored RNA is supplied as an untitered stock. The amount to use must be
     determined for each lot, as described in Step 13.6.1.
                                           74

-------
Table 7.  PCR Master Mix for Enterovirus Assay
Ingredient Volume per
reaction (uL) (1)
2X LightCycler 480 Probes Master
Mix (Item 7. 5.1 7) (3)
ROX reference dye (Item 7.5.18)(4)
PCR grade water (Item 7.5.2)
10 uM EntF (Table 4)
10uMEntR(Table4)
10 uM EntP (Table 4)
Total
10.0
0.4
1.0
0.6
1.8
0.2
14.0
Final concentration
Proprietary
0.5 mM

300 nM
900 nM
lOOnM

Volume per Master
Mix (uL) (2)
1050.0
42.0
105.0
63.0
189.0
21.0
1470.0
(1)  The volumes given are for using 6 uL of cDNA from Step 13.5.3 in a qPCR assay using a
    total qPCR volume of 20 uL.
(2)  Reagent amounts sufficient for a 96-well PCR plate are given. The volumes shown were
    calculated by multiplying the volume per reaction amount by the number of assays to be
    performed, plus an additional 9 assays to account for losses during transfer of the master
    mix to tubes or plates. The amount of additional assays to add can be reduced if experience
    shows that lower amounts are adequate.
(3)  10X PCR Buffer II (2 uL/reaction), 25-mM MgCl2 (5 uL/reaction), and AmpliTaq Gold
    (0.2 uL/reaction) can be substituted for the LightCycler 480 Probe Master Mix.
(4)  This reagent is necessary for use with Applied Biosystems and similar instruments. It
    should be substituted with PCR grade water for use with the LightCycler and similar
    instruments.
Table 8.  PCR Master Mix for Norovirus GIA Assay
Ingredient Volume per
reaction (uL) (1)
2X LightCycler 480 Probes Master
Mix (Item 7. 5.1 7) (3)
ROX reference dye (Item 7.5.18)(4)
PCR grade water (Item 7.5.2)
10 uM NorGIAF (Table 4)
10 uM NorGIAR (Table 4)
10 uM NorGIAP (Table 4)
Total
See Table 7 for footnotes (l)-(4).
10.0
0.4
1.4
1.0
1.0
0.2
14.0

Final concentration
Proprietary
0.5 mM

500 nM
500 nM
100 nM


Volume per Master
Mix (uL) (2)
1050.0
42.0
147.0
105.0
105.0
21.0
1470.0

                                          75

-------
Table 9. PCR Master Mix for Norovirus GIB Assay
           Ingredient
  Volume per
Reaction (uL)(1)
Final Concentration
Volume per Master
   Mix (uL)(2)
2X LightCycler 480 Probes Master
Mix (Item 7. 5.1 7) (3)
ROX reference dye (Item 7.5.18)(4)
PCR grade water (Item 7.5.2)
10uMNorGIBF(Table4)
10 uM NorGIBR (Table 4)
10uMNorGIBP(Table4)
Total
See Table 7 for footnotes (l)-(4).
Table 10. PCR Master Mix for
Ingredient
2X LightCycler 480 Probes Master
Mix (Item 7. 5.1 7) (3)
ROX reference dye (Item 7.5.18)(4)
PCR grade water (Item 7.5.2)
10uMNorGIIF(Table4)
10uMNorGIIR(Table4)
10uMNorGIIP(Table4)
Total
See Table 7 for footnotes (l)-(4).
10.0
0.4
0.3
1.0
1.8
0.5
14.0

Norovirus Gil
Volume per
Reaction (uL)
10.0
0.4
0.3
1.0
1.8
0.5
14.0

Proprietary
0.5 mM

500 nM
900 nM
250 nM


Assay
Final Concentration
(i)
Proprietary
0.5 mM

500 nM
900 nM
250 nM


1050.0
42.0
31.5
105.0
189.0
52.5
1470


Volume per Master
Mix (uL) (2)
1050.0
42.0
31.5
105.0
189.0
52.5
1358

                                           76

-------
Table 11.  PCR Master Mix for Hepatitis G Assay
          Ingredient
           Volume per
          Reaction (uL)(1)
Final Concentration
Volume per Master
   Mix (uL)(2)
2X LightCycler 480 Probes Master
Mix (Item 7. 5.1 7) (3)
ROX reference dye (Item 7.5.18)(4)
PCR grade water (Item 7.5.2)
10uMHepF(Table4)
10uMHepR(Table4)
10uMHepP(Table4)
Total
See Table 7 for footnotes (l)-(4).
10.0
0.4
1.4
1.0
1.0
0.2
14.0

Proprietary
0.5 mM

500 nM
500 nM
100 nM


1050.0
42.0
147.0
105.0
105.0
21.0
1470.0

Table 12.  Standard Curve Genomic Copies
Standard Curve
Concentration
Genomic Copies per
RT-qPCR Assay'1}
2.5 x 108
2.5 x 107
2.5 x 106
2.5 x 105
2.5 x 104
9 s v i n3
502,500
50, 250
5,025
502.5
50.25
5.025
(1)  Place the indicated genomic copy values in the standards section for the real time thermal
    cycler used
Table 13.  Mean Recovery and Coefficient of Variation Range

Variation type                     Mean recovery range (%)
                                            CV range(1)
Interlaboratory
Individual analysts
Intralaboratory
56
33-98
36-85
92
34-157
58-131
(1)  CV - coefficient of variation
                                         77

-------
Figure 1.  Uninfected BGM cells
Figure 2.  BGM cells showing early cytopathic effect from poliovirus
                                          78

-------
                                                         Water Source
    Intake Module
                                             for Prefilter and
                                 Injector Module (If required)
             V
                    I
                                    Discharge
                                     Module
             Virus Cartridge
             Housing Module
                                                                Water Discharge
Injector Module
                                                                 ^ to metering
                                                                  pump and
         reservoir
Figure 3. Sample filtration apparatus
Figure 4. Elution of an electropositive filter with beef extract
                                         79

-------
Figure 5. RT-qPCR schematic

Each test sample is reverse transcribed in triplicate (RT1, RT2, and RT3) using 6.1 uL of
extracted sample RNA for each RT assay, in a 40-uL assay volume. Five (5) qPCR assays (EV
PCR, NoV GIA PCR, NoV GIB PCR, NoV Gil PCR, and HGV PCR) are run from each of the
triplicate RT reactions using 6 uL of cDNA for each qPCR assay.
                                        80

-------
170 DATASHEETS
    17.1   Sample Data Sheet
SAMPLE DATA SHEET
Sample Number
Utility/Site Name
Site Address
City, State
Sampler's Name (1)
Water Type
Location at
Sampling Site






D Surface D Treated D Unt
Waters Surface or Grounc
Groundwaters
| 	 | Treatment | 	 | Distribution | 	 | Oth
Plant/Pumping System in com
Station section

Date
Time
Totalizer Reading (L)
Flow Rate (L/min)
Total Sample Volume (L)
Start of Sampling Event





reated | 	 | Other (specify
water in comments
section
er (specify | 	 | Matrix Spike
ments
)
End of Sampling Event





Water Parameter Readings
Water Temperature
pH
Turbidity (NTU)
Free Chlorine (mg/L)




Quality Controls





Flow meter model and serial number:
Totalizer model and serial number:
Date of last flow meter/totalizer calibration:
Metering pump model and serial number
Temperature meter model and serial number:
pH meter model and serial number
Turbidity meter model and serial number
Chlorine test meter model and serial number
Metering pump flow rate
QC check performed
G Yes
Comments:
(1) If any other individuals assist the sampler, include their name in the comments section and
add the initials of the person who performed measurements after the recorded value.
                                   81

-------
    17.2   Virus Data Sheet
                                 VIRUS DATA SHEET
Sample Number:
Sample Arrival Date:
Sample Date:
Hold Time/Temperature Met (Y/N) (1)

Analytical Laboratory Name and ID:
Analytical Laboratory Address:
City:                      State:
                                       Zip:
Analyst Name (Please print or type):
Sample Batch Number:
Date Eluted:
                                           Time:
Eluate Volume Recovered:
Date Concentrated:
                                           Time:
Centrifugation Speed (Step 11.2.3):
Final Concentrated Sample Volume (FCSV):
                                                                                  mL
Volume Of Original Water Sample Assayed (D)
                                          (2)
Assay Sample Volume (S):
                                                                                  mL
Inoculum Volume:
                                                                                  mL
Final Inoculation Volume (If Used):
                                                                                  mL
Date of Inoculation:
                       1st Passage
2nd Passage
3rd Passage
(If necessary)
Subsample 1:

MPN/L(3):


95% Confidence Limits/L
Lower: Upper:
Comments:
Did a heavy floe form during the organic flocculation step? Yes_
Was the floe difficult to dissolve?  Yes	No	
Other comments:
                                                            No
Analyst Signature:
(1)  If not met, record the failure under "Other comments;" consult QA guidance on how to
    proceed.
(2)  e.g.,  100 L of surface water or 500 L of finished or ground waters
(3)  Value calculated from the Quantitation of Total Culturable Virus Data Sheet as described in
    the Virus Quantitation section.
                                         82

-------
17.3   Total Cultivable Virus Data Sheet
TOTAL CULTURABLE VIRUS DATA SHEET
Sample Number:
Incubator Model and Serial Number:
Passage
1st
2nd (2)
ord (3)
Sample
Type
Neg. Cont.
Pos. Cont.
Undiluted
1:5 Oil.
1:25 Oil.
1:125 Oil.
Neg. Cont.
Pos. Cont.
Undiluted
1:5 Oil.
1:25 Oil.
1:125 Oil.
Neg. Cont.
Pos. Cont.
Undiluted
1:5 Oil.
1:25 Oil.
1:125 Oil.
Confirmed (1)
(indicated by V)


















Total Number of Replicates
Inoculated


















Without CPE


















With CPE


















(1) Place a check (V) next to the negative controls and dilutions that were confirmed.
(2) A portion of medium from each 1st passage vessel, including negative controls, must be
passaged again for confirmation. The terms "Undiluted," "1:5 Dilution" and "1:25
Dilution" under the 2nd and 3rd Passage headings refer to the original test sample dilutions
for the 1st passage.
(3) Test samples that were negative on the first passage and positive on the 2nd passage must
be passaged a third time for confirmation. If a third passage is required, negative controls
must be passaged again.
                                   83

-------
17.4   Quantitation of Total Cultivable Virus Data Sheet
QUANTITATION OF TOTAL CULTURABLE VIRUS DATA SHEET
Sample Number:
Sample
Undiluted
1:5 Dilution
1:25 Dilution
1:125 Dilution
Number
Replicates
Inoculated




Number
with CPE (1)




MPN/mL (2)

95% Confidence
Limits/mL
Lower

Upper

(1) The number of flasks with confirmed CPE from the second passage (or third passage, if
necessary).
(2) The MPN/mL and 95% Confidence Limit values must be obtained using the computer
program supplied by EPA.
                                   84

-------
17.5   Molecular Virus Protocol Data Sheet
MOLECULAR VIRUS PROTOCOL DATA SHEET
Sample Number:
Analytical Laboratory Name/Identification No.:
Analytical Laboratory Address:
City:
State: Zip:
Analyst Name/Identification No. :
Subsample Number:
Sample Batch Number:
Tertiary Concentration
Concentrator Cat. No/Lot No.:
Assay Sample Volume: (2) mL
RNA Extraction
RNA Extraction Kit Cat. No. /Lot No.:
Amount of Final Tertiary Concentrated
RNA Extract Final Volume:
Date: Time:

Initials: (1)

Final Tertiary Concentrated Sample Volume: uL
Date: Time:

Initials:

Sample Used For RNA Extraction: uL

uL
Reverse Transcription (RT) Step
RT Master Mix 1 Prepared
RT Master Mix 2 Prepared
RNA Extract Volume Used For RT:
RT Samples Run:
Thermal Cycler Used: (3)
Date: Time:
Date: Time:

Date: Time:

Initials:
Initials:
uL
Initials:

qPCR Step
Enterovirus Master Mix Prepared:
Norovirus GIA Master Mix Prepared:
Norovirus GIB Master Mix Prepared:
Norovirus Gil Master Mix Prepared:
Hepatitis G Master Mix Prepared:
Volume Of RT Used For PCR:
Date: Time:
Date: Time:
Date: Time:
Date: Time:
Date: Time:

Initials:
Initials:
Initials:
Initials:
Initials:
uL
Run Number: (4)
PCR Samples Run
Thermal Cycler Used: (3)
Date: Time:

Initials:

(1) Record the initials of the analyst at the time this procedure is performed.
(2) A volume equal to the Assay Sample Volume must be concentrated.
(3) Record the thermal cycler make and model.
(4) A serial record identification of test samples that have to be re-run.
                                   85

-------
     17.6   Molecular Virus Quality Control Data Sheet
             MOLECULAR VIRUS QUALITY CONTROL DATA SHEET
Sample Number:
Analytical Laboratory Name/Identification Number:
Analytical Laboratory Address:
City:
State:
Zip:
Analyst Name /Identification Number
Subsample Number:
Sample Batch Number:
Run Number
All No Template Controls Negative?
Yes
No
                                                               (i)
All Negative RNA Extraction Controls Negative?    Yes
             No
Standard Curves Used
Enterovirus
Norovirus GIA
Norovirus GIB
Norovirus Gil
Lot#(2)
Lot#
Lot#
Lot#
Sample Type
Inhibition Control
Enterovirus Calibrator
Norovirus GI Calibrator
Norovirus Gil Calibrator
Eff. (3)
Eff.
Eff.
Eff.
Lot#
Lot#
Lot#
Lot#
Lot#
R2
R2
R2
R2
SD(4)
SD
SD
SD
Mean(5)




SD(5)




(1) If any no template controls are positive or the inhibition control or calibrator falls outside
    specification limits, the test samples must be re-run with each run being recorded on a
    separate data sheet.
(2) Assign a new lot number to each new standard curve, inhibition control, and calibrator.
(3) Percent efficiency (Step 13.7.6)
(4) Record the largest standard deviation among the different concentrations of the standard
    curve lot.
(5) Record the mean and the standard deviation values for the sample type.
                                          86

-------
17.7   Molecular Virus Results Data Sheet
MOLECULAR VIRUS RESULTS DATA SHEET
Sample Number:
Analytical Laboratory Name/Identification Number:
Analytical Laboratory Address:
City:
State: Zip:
Analyst Name /Identification Number
Subsample Number:
Sample Batch Number:
Run Number
Enterovirus
Replicate (1)
If required, dilution used in calibration of test sample concentration:
1
Genomic Copies (
2 3

Mean (SD)

Genomic Copies per L (GCL):
Inhibition Control
Norovirus GIA
Replicate a
Cq Value:
Enterovirus Calibrator Cq Value:
If required, dilution used in calibration of test sample concentration:
1 2
Genomic Copies
3

Mean (SD)

Genomic Copies per L (GCL):
Inhibition Control
Norovirus GIB
Replicate a
Cq Value:
Norovirus GIA Calibrator Cq Value:
If required, dilution used in calibration of test sample concentration:
1 2
Genomic Copies
3

Mean (SD)

Genomic Copies per L (GCL): (2)
Inhibition Control
Norovirus Gil
Replicate a
Cq Value:
Norovirus GIB Calibrator Cq Value:
If required, dilution used in calibration of test sample concentration:
1 2
Genomic Copies
3

Mean (SD)

Genomic Copies per L (GCL): (2)
Inhibition Control
Cq Value:
Norovirus Gil Calibrator Cq Value:
(1) If more than three replicates are used, record the data from the additional replicates onto another
Molecular Virus Results Data Sheet.
(2) Calculate the Genomic Copies per L using Equation 5. For field samples with a mean value of zero,
report the Genomic Copies per L as less than or equal to the detection limit.
                                    87

-------
18.0 REFERENCES

18.1.   1998. Standard Methods for the Examination of Water and Wastewater, 20th ed.
       American Public Health Association, Washington, D.C.
18.2.   1999. Biosafety in Microbiological and Biomedical Laboratories, Fourth ed. U.S.
       Department of Health and Human Services, Washington, D.C.
18.3.   Abzug, M. J. 2008. The Enteroviruses: an Emerging Infectious Disease?  The Real, the
       Speculative and the Really Speculative. Springer, New York.
18.4.   Amvrosieva, T. V., N. V. Paklonskaya, A. A. Biazruchka, O. N. Kazinetz, Z. F.
       Bohush, and E. G. Fisenko. 2006. Enteroviral infection outbreak in the Republic of
       Belarus: principal characteristics and phylogenetic analysis of etiological agents. Cent
       Eur J Public Health 14:67-73.
18.5.   Astrom, J., S. Petterson, O. Bergstedt, T. J. Pettersson, and T. A. Stenstrom. 2007.
       Evaluation of the microbial risk reduction due to selective closure of the raw water intake
       before drinking water treatment. J Water Health 5 Suppl 1:81-97.
18.6.   Berg, G., R. S.  Safferman, D. R. Dahling, D. Berman, and C. J. Hurst. 1984 USEPA
       Manual of Methods for Virology. U.S. Environmental Protection Agency, Cincinnati,
       OH.
18.7.   Borchardt, M. A., K. R. Bradbury, E. C. Alexander, Jr., R. J. Kolberg, S. C.
       Alexander, J. R. Archer, L. A. Braatz, B. M. Forest, J. A. Green, and S. K. Spencer.
       2010. Norovirus Outbreak Caused by a New Septic System in a Dolomite Aquifer.
       Ground Water.
18.8.   Borchardt, M. A., K. R. Bradbury, M. B. Gotkowitz, J. A. Cherry, and B. L. Parker.
       2007. Human enteric viruses in groundwater from a confined bedrock aquifer. Environ
       Sci Technol 41:6606-12.
18.9.   Borchardt, M. A., S. K. Spencer, B. A. Kieke Jr., E. Lambertini, and F. J. Loge.
       Human viruses in groundwater: association with community rates of acute
       gastrointestinal illness. Submitted.
18.10.  Bustin, S. A. 2010. Developments in real-time PCR research and molecular diagnostics.
       Expert Rev Mol Diagn 10:713-5.
18.11.  Bustin, S. A., V. Benes, J. A. Garson, J. Hellemans, J. Huggett, M. Kubista, R.
       Mueller, T. Nolan, M. W. Pfaffl, G. L. Shipley, J. Vandesompele, and C. T. Wittwer.
       2009. The MIQE guidelines: minimum information for publication of quantitative real-
       time PCR experiments. Clin Chem 55:611-22.
18.12.  Butot, S., F. S. Le  Guyader, J. Krol, T. Putallaz, R. Amoroso, and G. Sanchez. 2010
       Evaluation of various real-time RT-PCR assays for the detection and quantitation of
       human norovirus. J Virol Methods 167:90-4.
18.13.  Chappell, J. D., R. Duncan, P. P. C. Mertens, and T. S. Dermody. 2005 Genus
       orthoreovirus. In C. M. Fauquet, M. A. Mayo, J. Maniloff, U. Desselberger,  and L. A.
       Ball (ed.), Virus Taxonomy Eighth Report of the International Committee on Taxonomy
       of Viruses. Elsevier Academic Press, San Diego.
18.14.  Chapron, C. D., N. A. Ballester, J. H. Fontaine, C. N. Frades, and A. B. Margolin.
       2000. Detection of astroviruses, enteroviruses, and adenovirus types 40 and 41 in surface
       waters collected and evaluated by the information collection rule and an integrated cell
       culture-nested PCR procedure. Appl Environ Microbiol 66:2520-5.
                                         88

-------
18.15. Chua, K. B., K. Voon, G. Crameri, H. S. Tan, J. Rosli, J. A. McEachern, S.
      Suluraju, M. Yu, and L. F. Wang. 2008. Identification and characterization of a new
      orthoreovirus from patients with acute respiratory infections. PLoS ONE 3:e3803.
18.16. Dahling, D. R., and B. A. Wright. 1986. Optimization of the BGM cell line culture and
      viral assay procedures for monitoring viruses in the environment. Appl Environ
      Microbiol 51:790-812.
18.17. De Leon, R., Y. S. C. Shieh, R. Baric, and M. D. Sobsey. 1990 Detection of
      enteroviruses and hepatitis A virus in environmental samples by gene probes and
      polymerase chain reaction. Am Water Works Assoc Proc 1989:833-853.
18.18. Fout, G. S., B. C. Martinson, M. W. Moyer, and D. R. Dahling. 2003 A multiplex
      reverse transcription-PCR method for detection of human enteric viruses in groundwater.
      Appl Environ Microbiol 69:3158-64.
18.19. Fout, G. S., F. W.  Schaefer, 3rd, J. W. Messer, D. R. Dahling, and R. E. Stetler.
      1996. ICR microbial laboratory manual. U.S. Environmental Protection Agency,
      Washington, D.C.
18.20. Glass, R. L, U. D. Parashar, and M. K. Estes. 2009. Norovirus gastroenteritis. N Engl J
      Med 361:1776-85.
18.21. Harris, J. P., W. J. Edmunds, R. Pebody, D. W. Brown, and B. A. Lopman. 2008
      Deaths from norovirus among the elderly, England and Wales. Emerg Infect Dis
      14:1546-52.
18.22. Heid, C. A., J. Stevens, K. J. Livak, and P. M. Williams. 1996 Real time quantitative
      PCR. Genome Res 6:986-94.
18.23. Hewitt, J., D. Bell, G. C. Simmons, M. Rivera-Aban, S. Wolf, and G. E. Greening.
      2007. Gastroenteritis outbreak caused by waterborne norovirus at a New Zealand ski
      resort. Appl  Environ Microbiol 73:7853-7.
18.24. Jothikumar, N., J. A. Lowther, K. Henshilwood, D. N. Lees, V. R. Hill, and J. Vinje.
      2005. Rapid and sensitive detection of noroviruses by using TaqMan-based one-step
      reverse transcription-PCR assays and application to naturally contaminated shellfish
      samples. Appl Environ Microbiol 71:1870-5.
18.25. Karim, M. R., E. R. Rhodes, N. E. Brinkman, L. Wymer, and G. S. Fout. 2009 New
      electropositive filter for concentrating enteroviruses and noroviruses from large volumes
      of water. Appl Environ Microbiol 75:2393-2399.
18.26. Khetsuriani, N., A. Lamonte-Fowlkes,  S. Oberst, and M. A. Pallansch. 2006
      Enterovirus  surveillance-United States, 1970-2005. MMWR Surveill Summ 55:1-20.
18.27. Kim, H. J., Y. O. Shin, and S. H. Kim. 2006. Detection of enteroviruses and
      mammalian  reoviruses in Korean environmental waters. Microbiol Immunol 50:781-6.
18.28. Kim, S. H.,  D. S. Cheon, J. H. Kim, D. H. Lee, W. H. Jheong, Y. J. Heo, H. M.
      Chung, Y. Jee, and J. S. Lee. 2005. Outbreaks of gastroenteritis that occurred during
      school excursions in Korea were associated with several waterborne strains of norovirus.
      J Clin Microbiol 43:4836-9.
18.29. Kobayashi, T., J. D. Chappell, P. Danthi, and T. S. Dermody. 2006. Gene-specific
      inhibition of reovirus replication by RNA interference. J Virol 80:9053-63.
18.30. Lambertini, E., S. K. Spencer, P. D. Bertz, F. J. Loge, B. A. Kieke, and M. A.
      Borchardt.  2008. Concentration of enteroviruses, adenoviruses, and noroviruses from
      drinking water by use of glass wool filters. Appl Environ Microbiol 74:2990-6.
                                          89

-------
18.31. Lee, G., C. Lee, C. Park, and S. Jeong. 2008. Detection and molecular characterization
      of enteroviruses in Korean surface water by using integrated cell culture multiplex RT-
      PCR. Biomed Environ Sci 21:425-31.
18.32. Malherbe, H. H., and M. Strickland-Cholmley. 1980 Viral Cytopatholgy CRC Press,
      Baca Raton, FL.
18.33. Monpoeho, S., A. Dehee, B. Mignotte, L. Schwartzbrod, V. Marechal, J. C. Nicolas,
      S. Billaudel, and V. Ferre. 2000. Quantification of enterovirus RNA in sludge samples
      using single tube real-time RT-PCR. Biotechniques 29:88-93.
18.34. Parshionikar, S. U., J. Cashdollar, and G. S. Fout. 2004. Development of homologous
      viral internal controls for use in RT-PCR assays of waterborne enteric viruses. J Virol
      Methods 121:39-48.
18.35. Parshionikar, S. U., S. Willian-True, G. S. Fout, D. E. Robbins, S. A. Seys, J. D.
      Cassady, and R. Harris. 2003. Waterborne outbreak of gastroenteritis associated with a
      norovirus. Appl Environ Microbiol 69:5263-8.
18.36. Puig, M., J. Jofre, F. Lucena, A. Allard, G. Wadell, and R. Girones. 1994 Detection
      of adenoviruses and  enteroviruses in polluted waters by nested PCR amplification. Appl
      Environ Microbiol 60:2963-70.
18.37. Reynolds, K. A., C. P. Gerba, and I. L. Pepper. 1996 Detection of infectious
      enteroviruses by an integrated cell culture-PCR procedure. Appl Environ Microbiol
      62:1424-7.
18.38. Sawyer, M. H. 2002. Enterovirus infections: diagnosis and treatment. Semin Pediatr
      Infect Dis 13:40-47.
18.39. Schlueter, V., S. Schmolke, K. Stark, G. Hess, B. Ofenloch-Haehnle, and A. M.
      Engel. 1996. Reverse transcript!on-PCR detection of hepatitis G virus. J Clin Microbiol
      34:2660-4.
18.40. Sedmak, G., D. Bina, J. Macdonald, and L. Couillard. 2005  Nine-year study of the
      occurrence of culturable viruses in source water for two drinking water treatment plants
      and the influent and  effluent of a Wastewater Treatment Plant in Milwaukee, Wisconsin
      (August 1994 through July 2003). Appl Environ Microbiol 71:1042-50.
18.41. Sen, K., G. S. Fout, R. Haugland, C. Moulton, A. Grimm, G. Di Giovanni, M. A.
      Feige, J. B. Best, G. Lott, J. Scheller, E. Reilly, K. Connell, and M. Marshall. 2004
      Quality assurance/quality control guidance for laboratories performing PCR analyses on
      environmental samples. U.S. Environmental Protection Agency, Cincinnati, OH.
18.42. Straub, T. M., R. A. Bartholomew, C. O. Valdez, N. B. Valentine, A. Dohnalkova, R.
      M. Ozanich, C. J. Bruckner-Lea, and D.  R. Call. 2011. Human norovirus infection of
      Caco-2 cells grown as a 3-dimensional tissue structure. J Water Health In press.
18.43. Straub, T. M., K. Honer zu Bentrup, P. Orosz-Coghlan, A. Dohnalkova, B. K.
      Mayer, R. A. Bartholomew, C. O. Valdez, C. J. Bruckner-Lea, C. P. Gerba, M.
      Abbaszadegan, and C. A. Nickerson. 2007. In vitro cell culture infectivity assay for
      human noroviruses. Emerg Infect Dis 13:396-403.
18.44. Tsai, Y. L., M. D. Sobsey, L. R. Sangermano, and C. J. Palmer. 1993. Simple method
      of concentrating enteroviruses and hepatitis A virus from sewage and ocean water for
      rapid detection by reverse transcriptase-polymerase chain reaction. Appl Environ
      Microbiol 59:3488-91.
18.45. Wade, T. J., E. Sams, K. P. Brenner, R. Haugland, E. Chern, M. Beach, L. Wymer,
      C. C. Rankin, D. Love, Q. Li, R. Noble, and A. P. Dufour. 2010  Rapidly measured


                                         90

-------
       indicators of recreational water quality and swimming-associated illness at marine
       beaches: a prospective cohort study. Environ Health 9:66.
18.46.  Yoder, J., V. Roberts, G. F. Craun, V. Hill, L. Hicks, N. T. Alexander, V. Radke, R.
       L. Calderon, M. C. Hlavsa, M. J. Beach, and S. L. Roy. 2008  Surveillance for
       waterborne disease and outbreaks associated with  drinking water and water not intended
       for drinking -United States, 2005-2006. Morb Mortal Wkly Rep 57:39-69.
18.47.  Zheng, D. P., T. Ando, R. L. Fankhauser, R. S.  Beard, R. I. Glass, and S. S. Monroe.
       2006. Norovirus classification and proposed strain nomenclature. Virology 346:312-23.
                                          91

-------
This page left blank intentionally.
                                             92

-------
&EPA
    United States
    Environmental Protection
    Agency
PRESORTED STANDARD
 POSTAGES FEES PAID
       EPA
  PERMIT NO. G-35
    Office of Research and Development (8101R)
    Cincinnati, OH 45268

    Official Business
    Penalty for Private Use
    $300

-------