EPA 600/R-14/262 I September 2014 I www.epa.gov/research
United States
Environmental Protection
Agency
               Expedient Approaches for the
               Management of Wastes Generated
               from  Biological Decontamination
               Operations in an  Indoor
               Environment
               EVALUATION OF WASTE SAMPLING AND
               DECONTAMINATION PROCEDURES
Office of Research and Development
National Homeland Security Research Center

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                                                EPA 600-R-14-262
                                                 September 2014
Expedient Approach for Decontamination of Biologicals
                  Indoor Environment -

    Evaluation of Waste Decontamination Procedures
             Assessment and Evaluation Report
                U.S. Environmental Protection Agency

                 Research Triangle Park, NC 27711

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Disclaimer

The United States Environmental Protection Agency (EPA), through its Office of Research and
Development's National Homeland Security Research Center, funded and directed this investigation
through EP-C-09-027 with ARCADIS U.S., Inc. This report has been peer and administratively reviewed
and has been approved for publication as an Environmental Protection Agency document. It does not
necessarily reflect the views of the  Environmental Protection Agency.  No official endorsement should be
inferred. This report includes photographs of commercially available products. The photographs are
included for purposes of illustration only and are not intended to imply that EPA approves or endorses the
product or its manufacturer. Environmental Protection Agency does not endorse the purchase or sale of
any commercial products or services.

Questions concerning this document or its application should be addressed to:

M. Worth  Calfee,  Ph.D.
Decontamination  and Consequence Management Division
National Homeland Security Research Center
U.S. Environmental Protection Agency (MD-E343-06)
Office of Research and Development
109 T.W.  Alexander Drive
Research Triangle Park, NC 27711
Phone:919-541-7600
Fax:919-541-0496
E-mail: Calfee.Worth@epamail.epa.gov

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Acknowledgments

This effort was directed by the principal investigator from the Office of Research and Development's
(ORD) National Homeland Research Center (NHSRC), Decontamination and Consequence Management
Division (DCMD) utilizing the support from the US Environmental Protection Agency's (EPA's) Chemical,
Biological, Radiological, and Nuclear (CBRN) Consequence Management Advisory Division (CMAD)
within the Office of Emergency Management (OEM). The contributions of the entire team are
acknowledged.

Project Team:
Worth Calfee, Ph.D. (Principal Investigator)
US EPA, Office of Research and Development, NHSRC, DCMD
Research Triangle Park, NC 27711

Paul  Lemieux, Ph.D.
US EPA, Office of Research and Development, NHSRC, DCMD
Research Triangle Park, NC 27711

Mario lerardi, Ph.D.
US EPA, Office of Solid Waste and Emergency Response, Office of Resource Conservation and
Recovery, Materials Recovery and Waste Management Division, Water Compliance Branch
Arlington, VA, 22202

Paul  Kudarauskas
US EPA, Office of Solid Waste and Emergency Response, OEM, CBRN CMAD
Washington, DC, 20004

Jeanelle Martinez, Ph.D.
US EPA, Office of Solid Waste and Emergency Response, OEM, CBRN CMAD
Cincinnati, OH 45220

R. Leroy Mickelsen, M.S., P.E.
US EPA, Office of Solid Waste and Emergency Response, OEM, CBRN CMAD
Research Triangle Park, NC 27711

Randy Schademann
US EPA, Federal On-Scene Coordinator, Region 7
Lenexa, KS, 66219

This effort was completed under U.S. EPA contract #EP-C-09-027 with ARCADIS-US, Inc. The support
and efforts provided by ARCADIS-US, Inc. are acknowledged.

Ramona Sherman (Quality Assurance)
NHSRC, ORD, US EPA
Cincinnati, OH 45268
                                           IV

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The following peer reviewers of this report are also acknowledged for their input to this product:




Marshall Gray (EPA ORD), Cathy Young (EPA Region 1), John Martin  (EPA Region 6).

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Table of Contents
Disclaimer	iii
Acknowledgments	iv
List of Tables	x
List of Acronyms and Abbreviations	xii
Executive Summary	xiii
Summary of Results	xiii
1   Introduction	1
  1.1    Process	2
  1.2    Project Objectives	3
  1.3    Experimental Approach	3
    1.3.1    Testing  Sequence	3
    1.3.2    Decontamination Strategy	4
    1.3.3    Method  Development for Neutralization	4
2   Materials and Methods	5
  2.1    Facility Design	5
  2.2    Test Coupon Preparation	5
    2.2.1    Carpet and Upholstery	5
    2.2.2    Paper	6
    2.2.3    Nitrile Gloves	7
  2.3    Spore Preparation	8
    2.3.1    Coupon Inoculation and Test Preparation	8
  2.4    Decontamination Procedure	8
  2.5    Method Development for Neutralization	9
  2.6    Test Matrix	9
    2.6.1    Neutralization Method Development Test Matrix	9
    2.6.2    Test Matrix	10
3   Sampling and Analytical Procedures	12
  3.1    Sampling Strategy	12
    3.1.1    Sponge-Stick™ Sampling	12
    3.1.2    Extractive Sampling	12
    3.1.3    Sample Preservation	13
    3.1.4    Sampling Points	13
                                             vi

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    3.1.5     Carpet and Upholstery	13
    3.1.6     Paper Samples	14
    3.1.7     PPE Samples	14
  3.2   Sampling Frequency	15
    3.2.1     Sample Quantities	15
  3.3   Measurement Methods	16
    3.3.1     Decontamination Solutions	16
    3.3.2     Microbiological Samples	16
      3.3.2.1     Sample Extraction	17
      3.3.2.2     Sample Analysis	17
  3.4   Data Analysis	17
    3.4.1     Sampling Efficiency	17
    3.4.2     Surface Decontamination Efficacy	17
    3.4.3     Statistical Analysis	20
4   Results and Discussion	22
  4.1    Sampling Methods Evaluation	22
    4.1.1     Carpet Material	22
    4.1.2     Upholstery Material	24
    4.1.3     PPE Material	26
    4.1.4     Paper Material	27
    4.1.5     Sampling Methods Test Synopsis	29
  4.2   Neutralization Methods Evaluation	30
    4.2.1     Optimization of Neutralizer Concentration	30
    4.2.2     Sample Hold Time Effects	31
    4.2.3     Immersion Time Effects	31
    4.2.4     Neutralization Tests Synopsis	32
  4.3   Dunking/Immersion Decontamination Test Results	32
    4.3.1     Carpet Decontamination Results	33
      4.3.1.1     Sampling Methods Evaluation for Carpet	33
      4.3.1.2     Carpet Decontamination Effectiveness	36
    4.3.2     Upholstery Decontamination Results	37
      4.3.2.1     Sampling Methods Evaluation for Upholstery	37
                                              VII

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  5.3    QA/QC Checks	50
  5.4    Acceptance Criteria for Critical Measurements	52
  5.5    Data Quality Audits	56
  5.6    QA/QC Reporting	56
6   Summary and Recommendations	57
Appendix A: Miscellaneous Operating Procedures	A1
  MOP 3120 VHP Operation July 2013 signed	A2
  MOP 3128 A  pH Adjusted Bleach Dec 2013 signed	A15
  MOP 3148 Chlorine Dioxide and Chlorite by HACH Nov 2012 signed	A19
  MOP 3165 Sponge Sample Collection July 2013 signed	A23
  MOP 3194 Procedure for Fabricating 18"x 18" Upholstery Coupons for Liquid Innoculation	A31
  MOP 3195 Immersion Decontamination Aug 2013 for Worth approval	A36
  MOP 6535a Bacterial Spore Plate Counting and Dilutions Jan 2013 signed	A41
  MOP 6562 Preparing Pre-Measured Tubes with Aliquoted Amounts of Phosphate Buffered
  Saline with Tween 20 (PBST)	A49
  MOP 6565 Filter-Plate Method Feb 2013 signed	A55
  MOP 6580 Recovery of Bacillus spores from 3M Sponge Stick Samples Feb 2013 signed	A58
  MOP 6584 Replating Bacteria Spore Plates Nov 2012	A65
                                            VIII

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List of Figures
Figure 2.1:    Poly Hog Trough®	5
             Carpet tile	6
             Front of assembled upholstered coupon	6
             Paper material	7
             White disposable nitrile glove	7
Figure 2.2:

Figure 2.3:
Figure 2.4:
Figure 2.5:

Figure 3.1:
Figure 3.2:

Figure 4.1:


Figure 4.2:



Figure 4.3:


Figure 4.4:


Figure 4.5:



Figure 4.6:


Figure 4.7:


Figure 4.8:


Figure 4.9:
Material section shown with template during sampling with Sponge-Stick™ and
extraction	14
Sampling timeline	15
Effect of waste storage time on positive control recoveries (colony forming units
[CFU]) from carpet for the extractive and the Sponge-Stick™  methods	23
Effect of waste storage time on positive control recoveries (colony forming units
[CFU]) from upholstered material for the extractive and the Sponge-Stick™
methods	25
Effect of waste storage time on positive control recoveries (colony forming units
[CFU]) from personal protective equipment for the extractive method	26
Effect of waste storage time on positive control recoveries (colony forming units
[CFU]) from paper for the extractive method	28
The effects of sampling method and waste storage duration on recoveries (colony
forming units [CFU]) from carpet following decontamination with pH adjusted
bleach	33
The effects of immersion time in pH adjusted bleach on carpet decontamination
efficacy (colony forming units [CFU] log reduction in recovery)	37
The effects of sampling method and waste storage duration on recoveries (colony
forming units [CFU]) from upholstery following decontamination	38
The effects of immersion time in pH adjusted bleach on upholstery
decontamination efficacy (log reduction in colony forming units [CFU] in recovery)	40
             The effects of waste storage duration on recoveries (colony forming units [CFU])
             from personal protective equipment following decontamination	
                                                                                            .42
Figure 4.10:  Personal protective equipment decontamination efficacy by decontaminant type
             (colony forming unit [CFU] log reduction)	44
Figure 4.11:  Recoveries (colony forming units [CFU]) following a decontamination of paper with
             pH adjusted bleach (immersion time: 15 minutes)	45
Figure 4.12:  Recoveries (colony forming units [CFU]) following decontamination of paper with
             diluted bleach (immersion time: 15 min)	46
Figure 4.13:  Decontamination efficacy of pH adjusted bleach and diluted bleach on paper
             (colony forming units [CFU] log reduction, immersion time: 15 min)	48
                                               IX

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List of Tables
Table 2.1:    Neutralization Methods Test Matrix	10
Table 2.2:    Measurement and Neutralization Methods	10
Table 2.3:    Decontaminants and Accessibility	10
Table 2.4:    Decontamination Procedures and Intensity	11
Table 2.5:    Decontamination Test Sequence Event	11
Table 3.1:    Coupon Types Used to Evaluate Waste Decontamination Procedures	13
Table 3.2:    Number of Sample Types per Material Section per Sampling Sequence	16
Table 3.3:    Number of Sample Types per Material Section per Sampling Sequence	21
Table 4.1:    Effects of Waste Storage Time on Positive Control Recoveries from Carpet for the
            Extractive and Sponge-Stick™ Sampling Methods	23
Table 4.2:    Two-Sample Independent T-test Performance Parameters for Effects of Waste
            Storage Time on  Recoveries from Carpet by Sampling Method and
            Decontamination Procedure	24
Table 4.3:    Effects of Waste Storage Time on Positive Control Recoveries from Upholstered
            Material forthe Extractive and Sponge-Stick™ Sampling Methods	25
Table 4.4:    Two-Sample Independent T-Test Performance Parameters forthe Effects of Waste
            Storage Time on  Recoveries from Upholstery by Sampling Method	26
Table 4.5:    Effects of Waste Storage Time on Positive Control Recoveries from Personal
            Protective Equipment forthe Extractive Sampling Method	27
Table 4.6:    Analysis of Variation Performance  Parameters for Effects of Storage Time on
            Recoveries from Personal Protective Equipment by Sampling Method and
            Experiment	27
Table 4.7:    Effects of Waste Storage Time on Positive Control Recoveries from Paper for the
            Extractive Sampling Method	29
Table 4.8:    Analysis of Variance Performance  Parameters for Effects of Waste Storage Time
            on Recoveries from Paper by Sampling Method and Experiment	29
Table 4.9:    Preliminary Neutralization Optimization	30
Table 4.10:  Effect of Sample Hold Time on Neutralizer Optimization	31
Table 4.11:  Effect of Immersion Time on Spore Recovery (Colony Forming Units) from
            Neutralized pH Adjusted Bleach-Exposed Carpet Samples, High and Low Spore
            Concentrations	31
Table 4.12:  Decontamination Test Sequence Event	32

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Table 4-13:   Post-Decontamination Recoveries (Colony Forming Units [CPU]) from Carpet for
             Extractive and Sponge-Stick™ Sampling Methods (Immersion Time: 15 min,
             Decontaminant: pH adjusted Bleach)	34
Table 4-14:   Post-Decontamination Recoveries (Colony Forming Units [CPU]) from Carpet for
             Extractive and Sponge-Stick™ Sampling Methods (Immersion Time: 30 min,
             Decontaminant: pH adjusted Bleach)	35
Table 4-15:   Post-Decontamination Recoveries (Colony Forming Units [CPU]) from Carpet for
             Extractive and Sponge-Stick™ Sampling Methods (Immersion Time: 60 min,
             Decontaminant: pH adjusted Bleach)	35
Table 4.16:   Analysis of Variance Performance Parameters for Effects of Post-Decontamination
             Storage Time on Recoveries (Colony Forming Units [CPU]) from Carpet	36
Table 4.17:   Decontamination Efficacy versus Immersion Time (Colony Forming Units Log
             Reduction) for Carpet	36
Table 4.18:   Post-Decontamination Recoveries (colony forming units [CPU]) from Upholstery for
             Extractive and Sponge-Stick™ Sampling Methods (Immersion Time: 15 min)	39
Table 4.19:   Analysis of Variance Performance Parameters for Effects of Post-Decontamination
             Sample Storage Time on Recoveries (Colony Forming Units [CPU]) from
             Upholstery (immersion Time 15 min)	39
Table 4.20:   Decontamination Efficacy (Log Reduction in Recovery) for Upholstered Coupon
             Decontamination Efficacy	40
Table 4.21:   Recoveries (Colony Forming Units) Following Decontamination of Personal
             Protective Equipment with pH Adjusted Bleach (Immersion Time: 15 min)	42
Table 4.22:   Recoveries Colony Forming Units Following Decontamination of Personal
             Protective Equipment with Diluted Bleach (Immersion Time: 15 min)	43
Table 4.24:   Personal Protective Equipment Decontamination Efficacy (Log Reduction in
             Recovery)	44
Table 4.25:   Recoveries (Colony Forming Units [CFU]) Following Decontamination  of Paper with
             pH Adjusted Bleach (Immersion Time: 15 Min)	46
Table 4.26:   Recoveries (Colony Forming Units [CFU]) Following Decontamination  of Paper with
             Diluted Bleach (Immersion Time: 15 Min)	47
Table 4.28:   Paper Decontamination  Efficacy (Log Reduction in Recovery, Immersion Time: 15
             min)	47
Table 5.1:    Instrument Calibration Requirements	49
Table 5.2:    Quality Control Checks	51
Table 5.3:    Critical Measurement Acceptance Criteria	53
Table 5.4:    Data Quality Assessment	54
Table 6.1:    Portion of Samples with No Viable Spores Detected After Decontamination	58
                                             XI

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List of Acronyms and Abbreviations
ANOVA      Analysis of variance
ATCC        American Type Culture Collection
CBRN        Chemical, Biological, Radiological, and Nuclear
CPU         Colony forming units
CMAD        Consequence Management Advisory Division
COC         Chain of custody
DCMD        Decontamination and Consequence Management Division
EPA         U.S. Environmental Protection Agency
FAC         Free available chlorine
FIFRA        Federal Insecticide, Fungicide, and Rodenticide Act
HSRP        Homeland Security Research Program
HSPD        Homeland Security Presidential Directives
ISO          International Organization for Standardization
MOP         Miscellaneous Operating Procedure
NHSRC      National Homeland Security Research Center
NIST         National Institute of Standards and Technology
OEM         Office of Emergency Management
OPP         Office of Pesticides Programs
ORD         Office of Research and Development
OSWER      Office of Solid Waste and Emergency Response
pAB         pH-adjusted bleach
PARTNER    Program to Align Research and Technology with the Needs of Environmental Response
PBST        Phosphate buffered saline with Tween®20
PPE         Personal protective equipment
QA          Quality assurance
QAPP        Quality Assurance  Project Plan
QC          Quality control
RH          Relative humidity
RTP         Research Triangle  Park
SD          Standard deviation
STS         Sodium thiosulfate
VHP®        Vaporized hydrogen peroxide
                                           XII

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Executive Summary

This project supports the mission of the U.S. Environmental Protection Agency's (EPA) Office of
Research and Development's (ORD) National Homeland Security Research Center (NHSRC) by
providing information relevant to the remediation of areas contaminated with biological agents.

The primary objective of this investigation was to determine the effectiveness of an expedient approach to
waste decontamination. Such approaches were utilized in previous bioterror remediation, although their
effectiveness has yet to be determined experimentally. To determine the effectiveness of
decontamination approaches, the current study  evaluated an immersion-based approach to
decontaminate waste  materials contaminated with Bacillus atrophaeus spores (surrogate for 8.
anthracis). The effectiveness of this decontamination approach was evaluated for high traffic commercial
carpet tile, nitrile gloves (personal protective equipment [PPE]), books, and upholstered seat pans that
are typical of porous material found in an indoor office or items expected to be generated during a
sampling and remediation (i.e., PPE). The decontamination and sampling strategies utilized herein were
selected by an  EPA project team, which consisted of staff from EPA's Office of Research and
Development, EPA's Office of Solid Waste and Emergency Response, and EPA's Region 7. The
methods utilized were chosen based on their expected effectiveness and ease of use during remediation.

Test materials were inoculated with Bacillus spores at known locations and concentrations, and subjected
to prescribed decontamination procedures (i.e.,  immersion in decontaminant). After the decontamination
procedure, a sub-set of the test materials were sampled immediately (Day 0), then the items were bagged
and stored (to simulate waste handling/staging during a response).  The simulated waste items were re-
sampled in a waste staging area after a drying time of 1 day (at least 18 hours), 7  days, and 30 days. A
subset of bagged, inoculated waste samples was left untreated and served as positive controls. The
efficacies of two decontamination solutions  (dilute  bleach and pH-adjusted bleach (pAB)) were
determined using immersion times varying from  15 minutes to 1 hour. Two sampling methods were used
for carpet and upholstery: extractive and surface sampling with 3M Sponge-Stick™.  Only extraction-
based methods were utilized for PPE and books.

Summary of Results

Most waste materials were effectively decontaminated  (greater than 6 log reduction) by a 15 minute
immersion in pAB, with the exception of carpet.  Longer immersion times increased the efficacy of the
decontamination process on carpet, but a 60 minute immersion failed to provide more than a 4 log
reduction in viable spores. Decontamination of spores inside closed books was sometimes difficult, as
contact with the decontamination solution was not homogenous. Likewise, air pockets in gloves
prevented contact with the decontamination solution and  could randomly provide complete protection to
spores on that surface. The pAB was found to achieve higher decontamination efficacies than diluted
bleach for all of the materials tested in this study.

In addition to decontamination efficacy, the  collection efficiency of the two sampling methods (extractive
and Sponge-Stick™) used in this study were compared as a function of material and elapsed time from
inoculation and the time when the sample was collected.  Analysis showed  no significant effect of sample
storage time of up to 30 days on spore recovery, when using either sampling method. Results obtained
when  using the Sponge-Stick™ approach showed that this sampling method results  in an overestimation

                                              xiii

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of the actual decontamination efficacy due to its lower recovery efficiencies compared to the extractive
sampling technique. These data suggest that the extractive sampling approach should be used whenever
wet porous materials are sampled.
                                             XIV

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1      Introduction

This project supports the mission of the U.S. Environmental Protection Agency's (EPA) Office of
Research and Development's (ORD) Homeland Security Research Program (HSRP) by providing
information relevant to the decontamination of areas contaminated as a result of an act of terrorism.
Under Homeland Security Presidential Directives (HSPD)-5, 7, 8, and 10, the EPA, in a coordinated effort
with other federal agencies, is responsible for "developing strategies, guidelines, and plans for
decontamination of ...equipment, and facilities" to mitigate the risks of contamination following a biological
agent contamination incident.

EPA's National Homeland Security Research Center (NHSRC) aims to help EPA address the mission of
the HSRP by providing expertise and products that can be widely used to prevent, prepare for, and
recover from public health and environmental emergencies arising from terrorist threats and incidents.
One of NHSRC's missions is to provide expertise and guidance on the selection and implementation of
decontamination methods and provide the scientific basis for a significant reduction in the time, cost, and
to address the complexity of decontamination activities. The NHSRC's research supports the  EPA's
Office of Solid Waste and Emergency Response (OSWER), Office of Pesticides Programs (OPP), and the
Regions.  Close collaboration between the different program offices having homeland security
responsibilities is sought in order to rapidly increase EPA's capabilities to help the nation recover from a
terrorist event involving the intentional release of CBRN materials.

In 2001, the introduction  of a few letters containing Bacillus anthracis (anthrax) spores into the U.S.
Postal Service system resulted in the contamination of several facilities and the deaths of two postal
employees. Although most of the facilities in which these letters were processed or received in 2001 were
heavily-contaminated, they were successfully decontaminated with approaches such as fumigation with
chlorine dioxide or vaporized hydrogen peroxide (VHP®). It is well agreed that additional quick, effective
and economical decontamination methods with the capacity to be employed over wide areas (outdoor
and indoor) are required  to increase preparedness for such an incident. Fumigation was used in primarily
contaminated facilities that were heavily-contaminated.  Other cleaning methods were used in less
heavily contaminated facilities such as those that were secondarily contaminated or those primarily
contaminated facilities that showed a minimal presence of anthrax spores. These other "expedient" or
"low-tech" methods included removal of contaminated items and/or on-site decontamination.  For the
surface of a contaminated material, decontamination can be accomplished by physical removal of the
contaminant or by inactivation of the contaminant with antimicrobial chemicals. Physical removal could be
accomplished by removing spores from the material (i.e., physical cleaning) or via disposal of the
material.  Inactivation of the contaminant can be done on-site (within the contaminated structure or on-
site) or after removal of the contaminated material prior to ultimate disposal (i.e., incinerated off-site).  The
decision-makers' selection of the balance between the on-site and off-site destruction of spores was
facility-dependent and factored in many issues (e.g., physical state of the facility).  One factor was that
such decontamination was unprecedented for the United States government and no sporicidal
technologies had been proven or registered for use against B. anthracis spores at the time. The cost of
waste management proved to be very significant and was complicated by the nature of the waste.

Since 2001, the emphasis for facility decontamination has been to identify and characterize efficacious
on-site decontamination methods and to optimize the decontamination/waste management paradigm; this
optimization could reduce decontamination time and cost. If proven effective, a lower-tech approach to

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decontaminating waste on-site could reduce overall decontamination costs by reducing the amount of
waste treatment required by off-site, specialized facilities (e.g., medical waste incinerators) and the risk
associated with transporting contaminated materials to such facilities. Developing and demonstrating
lower cost waste management solutions could increase EPA's readiness to respond to a wide area
release that would generate contaminated waste volumes much larger than those previously managed.
Response and remediation activities associated with this type of incident will require additional waste
handling, segregation, and staging. These additional requirements illustrate the need for efficacy data and
improved process knowledge to support assessments regarding decontamination operations and waste
management.

Waste  items (ceiling tile and carpet) generated during a recent facility-scale test (BOTE study1), that were
decontaminated during the study by expedient methods (liquid bleach spray orspritz), bagged/managed
in a manner typical of a real remediation effort, stored (~6 months), and subsequently sampled showed
that significant quantities of the test organism (Bacillus atrophaeus) survived the treatment and
subsequent 6 month storage duration. This finding indicates that current waste management techniques
used during expedient decontamination efforts may generate waste items that have residual
contamination.  Since the willingness of waste disposal facilities to accept waste items may depend partly
upon their contamination level, identification and demonstration of methodologies to effectively
decontaminate waste on-site during low-tech decontamination activities are of significant need. This
study evaluated several waste decontamination strategies that could be conducted on-site.

For waste generated  during the decontamination of typical indoor office  or indoor residential settings, no
sampling methods have been standardized. Waste items generated from the decontamination of building
interiors are expected to consist largely of porous materials1, which pose challenges to currently-available
sampling methods. To provide the data  necessary to standardize a waste sampling method, extraction-
based and surface-wipe-based sampling methods were evaluated.  Extraction-based sampling consisted
of excision and subsequent extraction of a portion  of the material.  Surface-wipe-based sampling
consisted of collection of the contaminant from the material surface with a Sponge-Stick™.

1.1    Process
This study investigated decontamination of selected materials by an immersion  (dunking) approach of
waste materials contaminated with Bacillus atrophaeus spore inoculum  (i.e., surrogates for 8. anthracis).
The effectiveness of this decontamination approach was evaluated for high traffic commercial carpet tile,
books, and upholstered seat pans that are typical of material found in indoor office, or items like nitrile
gloves (personal protective equipment [PPE]) that  would be expected to be generated during sampling
and decontamination. Replicate sections of test materials were inoculated at known locations with a
targeted number of Bacillus spores.  After decontamination, sections of the test material were sampled
immediately, and then bagged and stored (to simulate field waste handling procedures) in the waste
staging area.  The decontaminated test materials were re-sampled after a drying time of 1 day (at least 18
hours), 7 days, and 30 days to determine if storage duration could increase the  effectiveness of the
decontamination treatment (where decontamination treatment is defined, for the purpose of this study, as
a prescribed decontamination procedure).  A subset of inoculated bagged waste samples was left
untreated and served as  positive controls. The sampling strategies discussed herein have been selected
and optimized to determine the survival of B. atrophaeus spores following decontamination treatment.
The purpose of this study was to identify effective and efficient means to decontaminate waste on-site
(i.e., not requiring transport of an infectious agent and treatment at remote, specialized, off-site facilities),

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and to compare the efficiency of both detection methods used. The decontamination and sampling
strategies utilized were selected by an EPA project team, which consisted of staff from EPA's Office of
Research and Development, EPA's Office of Solid Waste and Emergency Response, and EPA's Region
7.

1.2   Project Objectives
The primary objective of this work was to estimate the efficacy of liquid-based decontamination
approaches for on-site treatment of bundled or bagged waste items (contaminated indoor office items that
would generally be placed in bags or bundled for transportation during the removal process) typically
generated during an anthrax clean-up response for an indoor office setting.  While there are no
established decontamination procedures or performance criteria for 8. antfvac/s-laden waste items, it is
likely that waste disposal facilities will require post-decontamination sampling of waste items priorto
acceptance. The criterion for waste acceptance is also not known, and may differ between facilities and
states. Further, the amount of viable spore contamination within waste items is expected to vary widely.
To this end, it is impossible to evaluate the exact conditions (spore load, waste acceptance criteria, etc.)
expected to be encountered during an actual 8. anthracis remediation. This challenge is not unlike that
encountered in the evaluation of sporicidal decontaminant efficacies. It is impractical to evaluate all
potential  sporicides under all conditions (spore load, material type, environmental conditions, etc.). To
address this challenge in the evaluation of sporicides and in the current waste decontamination
evaluation,  and allow comparison across products or methods (respectively), a consistent challenge is
posed to  evaluate effectiveness. For example, a 7 Log spore challenge (inoculation  of simulated waste
items with ~ 5 x 107 spores) was used across all tests and materials. Consistent with sporicidal efficacy
tests used to register sporicides under FIFRA, the current study utilized the  generally accepted criterion of
6 Log Reduction to consider an approach effective.  Recovery of no viable spores following treatment was
considered  highly effective.

An additional objective was to assess the collection efficiency of the two waste sampling methods utilized.
The collateral damage to materials during decontamination procedures was monitored. The ultimate
objective  was to provide data to support development of a step-wise procedure(s) for on-scene
responders and decontamination teams to use for on-site waste treatment during responses involving the
indoor environment.  Demonstrated waste decontamination procedures could reduce the cost and time of
a response  by validation of decontamination method, in advance of an emergency incident, that could be
used to justify reducing the number of waste characterization samples required and/or reducing the
stringency of waste treatments required off-site.

1.3   Experimental  Approach

1.3.1   Testing Sequence

The testing  sequence used to meet the objectives of this project was:

1.   Prepare material sections for each test material as described in Section 2.2.

2.   Pre-punch material sections (carpet, upholstery, and book materials), and retain  the excised sections
    for use  as 18 mm coupons for extraction-based sampling procedure. The nitrile gloves did not require

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    the use of 18-mm punch coupons, but rather used the 1" tip of each finger for extraction-based
    analysis.

3.   Assemble the material sections by re-inserting the 18 mm excised coupons into their respective void
    areas of the material section.

4.   Sterilize the materials prior to inoculation using ethylene oxide or VHP® sterilization. Wait a minimum
    of 7 days after sterilization before inoculating materials (See Section 2.3.1).

5.   Inoculate 18 mm positive control and test material coupons  (without removing from larger material
    section), each fingertip of each nitrile glove PPE, and the target page samples.

6.   Allow inoculum carrier to dry for at least 18 hours.

7.   Apply the decontamination procedure to procedural blank material section batch then to the test
    material section batch.

8.   Collect the samples from material sections immediately upon completion of the decontamination
    procedure.

9.   After sample collection, bag the material  batch such that the total weight does not exceed 35 Ibs per
    bag.

10. Sample remaining bagged material sections in the waste staging area after a drying time of 1  day (at
    least 18 hours), 7 days, and 30 days.

1.3.2   Decontamination Strategy
It is preferred that an on-site decontamination procedure be effective, yet generate liquid and solid waste
products that are easily disposable, and have minimal detrimental environmental impacts. Accordingly,
the current study evaluated decontaminants in order of accessibility (most to least): diluted bleach (0.5%
NaCIO)  and pH adjusted bleach (pAB). Material decontamination was initiated with diluted bleach. In
those cases where diluted bleach proved ineffective (less than 6 log  reduction in colony forming units of
B. atrophaeus) when used in conjunction with the dunking/immersion procedure, pAB was used and the
testing cycle repeated.

1.3.3   Method Development for Neutralization
The presence of decontamination solution components in the  rinsate or extraction liquid (desorbed from
the coupon) could negatively bias colony forming unit (CPU) quantification results.  Prior to the
decontamination testing sequence, neutralization tests were performed to determine the amount of
neutralizer liquid needed to quench each decontaminant/application  combination. Decontaminant
neutralizers were added to liquid samples immediately after collection to quench their activity, resulting  in
precise chemical exposure durations and lower recovery bias.

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2   Materials and Methods

2.1   Facility Design
All decontamination activities were conducted inside the spray booth area located in the EPA's Research
Triangle Park (RTP) facility in High Bay Room H122A, a single access point room containing ventilation
independent of the High Bay Building containing the room. The spray booth also served as the waste
staging area.

The immersion tank was a 10 ft3 (0.28 m3) Poly Hog Trough® (EZ Grout Corp., Waterford, OH) made of
virgin polyethylene with steel legs (http://www.ezgrout.com/products/masonry products/hog-trough.php)
(Figure 2.1). The overall dimensions  of the tank were 26" x 54 1/2"x24" (66.04 cm x 138.43 cm x 60.96
cm).
Figure 2.1: Poly Hog Trough®.

2.2   Test Coupon Preparation
All the coupons were sterilized prior to use to prevent any background organisms from confounding the
tests; the books  and the glove materials were fumigated with ethylene oxide using an Andersen (Haw
River, NC) EO-Gas® 333 sterilization system, while the carpet and the upholstered coupons were
fumigated via a Vaporous Hydrogen Peroxide (VHP®) sterilization cycle according to Miscellaneous
Operating Procedure (MOP) 3120 (Appendix A). To prevent cross  contamination, on the day of testing,
procedural blank coupons were moved into the spray chamber, and procedural blank decontamination
occurred before  decontamination of any inoculated coupons.

2.2.1   Carpet and Upholstery
The carpet coupons were ready-made 24" x 24" (0.61 m x 0.61 m) 100% nylon tiles, exuberant 00310
color type (Figure 2.2). Upholstered coupons (20" x 20" (0.51 m x 0.51 m)), were prepared according to
Miscellaneous Operating Procedure (MOP) 3194, with layers of foam and fabric layer adhered together
(Figure 2.3). MOP 3194 and other associated MOPs can be found in Appendix A.

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Figure 2.2: Carpet tile.
Figure 2.3: Front of assembled upholstered coupon.
For both the carpet and upholstered coupons, a 20" x 20" (2581 cm ) template was used. This template
(see Figure 3.1) was comprised of 4"x4" (103 cm2) grid size sections to create a 5 by 5 sampling grid. An
18 mm-diameter coupon was excised from the center of each grid section for sample inoculation. For
each sampling event, the 18 mm coupons were either removed for extraction, or left in place to be part of
the grid section that was sampled using the surface sampling method.

2.2.2  Paper
Paper samples consisted on the entire front cover (inside cover inoculated) along with the first page of the
Merck Manual of Medical Information (Second Home Edition, 2004) (Figure 2.4); and pages 955
(inoculated) plus one page before and two pages after (953-960), respectively. For sampling, the front
pages, and the middle pages were removed,  and processed separately. Each page measured 9" by 6.5".

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   THE
 MEFCK
 MANUAL
         OF
 MEDICAL INFORMATION
     The woild's most widely used
         t loi me twenty-fits) c
Figure 2.4: Paper material.

2.2.3  Nitrile Gloves
The material chosen to represent PPE waste consisted of powder free, 5.5 mils thick, 9" (23 cm) length,
white disposable nitrile gloves (McMaster Part#52555T15, www.mcmaster.com) illustrated in Figure 2.5.
The powder-free gloves are considered superior for applications where particulate contamination is a
concern. Whole gloves were utilized, however, the inside tips of each finger were inoculated and served
as replicates. Following decontamination, the terminal 1" (2.5 cm) of each finger was excised and
collected as an individual sample.
Figure 2.5: White disposable nitrile glove.

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2.3   Spore Preparation
The test organism for this investigation was a liquid spore suspension of 8. atrophaeus (strain: ATCC®
9372) in 29% ethanol solution. This bacterial species was formerly known as 8. subtilis var Niger and
subsequently 8. globigii. The spores were purchased from Yakibou,  Inc. (Holly Springs, NC), at a
population of 1 x 109 colony forming units (CPU) per ml. The titer of the stock was confirmed at the start
of each testing event by the procedure detailed in MOP 6535a.

2.3.1  Coupon  Inoculation and Test Preparation
Inoculation of the 18 mm coupons (carpet and upholstery), and the front cover and the middle pages of
the books were performed by aseptically applying 100 uL of a diluted spore solution to reach a target
concentration of 5 x 107 CPU recoverable from each sample.  Fingertips of the nitrile gloves were
inoculated to reach the same target concentration.  To simulate field conditions, where gloves are turned
inside out during doffing procedures, tested gloves were inoculated on the exterior surface,  allowed to
dry for 18-24 hours, then turned inside out prior to use in testing.

2.4   Decontamination Procedure
The general decontamination procedure consisted of "dunking" a batch of coupons in the immersion tank
containing the decontamination solution for a  prescribed immersion time. This decontamination
procedure was performed according to MOP 3195 "General Procedure for Immersion Decontamination",
included in Appendix A, and is described below:

1.   Prepared decontaminant bath in chemical resistant  container. Performed all required quality control
    (QC) checks listed  in Table 5-2.

2.   Collected the material batch for immersion which consisted of 3  pre-punched sterile material sections
    (contains the test samples) and enough non-punched sterile material sections (does not contain test
    samples) to fill the waste storage bag (not to exceed 35 Ib (16 kg) when wet; amounts vary per
    material). Of the material section batch, only three sections of the decontaminated material were
    inoculated with Bacillus spores. For example, of a 35 Ib batch of carpet tiles, only 3 tiles contained
    inoculated 18  mm coupons.

3.   The material batch (not to exceed 35 Ib when wet) was submerged in the decontaminant bath and
    subjected to the prescribed decontamination procedure.

4.   Removed material sections and allowed them to drain briefly (15 minutes) over the decontaminant
    bath. Immediately collected the post decontamination (T0) samples per material type.

5.   Aseptically transfered decontaminated materials to a labeled material 55-60 Gallon Contractor's
    storage bag (Uline  Model S-19876) which remained closed in the waste staging area until the next
    sampling event. Material types were bagged separately and arranged such that one inoculated
    material section was located at the bottom of the batch, 1 was located in the middle, and one was
    located on the top.

This procedure was repeated for each material using a single immersion container. Therefore, the
immersion container was sanitized between tests by removing all debris, wiping interior surfaces with

                                              8

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Dispatch Hospital Cleaner Disinfectant Towels with Bleach wipes (Chlorox, Company, Oakland, CA),
rinsing interior surfaces with deionized water, then drying with 70% ethanol prior to the start of each test.

Testing was performed using a "clean team/dirty team" technique. The "dirty team" was responsible for
moving the material sections into and out of the immersion tank and performing the decontamination
procedure. The "clean team" was used for procedural blank, control and test sampling. Only dirty team
members handled contaminated items and only clean team members handled procedural blank coupons
and samples.  New disposable lab coats were worn for each new material or contamination level. Fresh
gloves were donned prior to applying the decontamination  procedure then changed before handling the
material section after completion of the decontamination procedure. Dirty team members could become
clean team members by donning a new set of protective garb (inner and outer gloves, lab coat, P95
mask, and hairnet).

2.5   Method Development for Neutralization
The presence of decontamination solution components in the rinsate or extraction liquid (desorbed from
the sample) could negatively bias spore recoveries. Prior to the decontamination testing sequence,
neutralization  tests were performed to determine the amount of neutralizer liquid needed to quench
residual decontaminant produced from each decontaminant/application combination.

HACH® Method 10100 (http://www.hachco.ca: Hach Company, Loveland, CO) for high range bleach was
used to experimentally determine the amount of sodium thiosulfate (STS) required to neutralize in excess
the active ingredient (i.e., free available chlorine [FAC]) in pAB and diluted bleach. Due to the variation of
the amount of decontaminant solution on the coupons,  excess of stoichiometric neutralization was
evaluated to ensure that it did not hinder the recovery of the spores.  Analyses of the spores in the
optimized excess neutralizer solution was also evaluated at a 1 hour and a 24-hour hold time to see if the
lag time for processing the samples had an effect on the viable spore recoveries. Finally, the effect of
spore inoculation concentration and the decontamination time on the neutralization tests recoveries were
also evaluated.

2.6   Test Matrix
2.6.1  Neutralization Method Development Test Matrix
Samples collected from wet, decontaminated material sections may contain enough decontamination
liquid to confound enumeration analysis and therefore require neutralization. To determine the
appropriate amount of neutralizer needed to quench residual decontaminant, two sets of 5 un-inoculated
18 mm coupons from each test material (carpet, PPE, upholstered furniture, and paper) were immersed in
each fresh decontamination liquid (diluted bleach  or pAB) fora prescribed soaking period corresponding
to each test condition. Each soaked coupon was then placed into a 50 ml conical tube  containing
phosphate buffered saline with Tween®20 (PBST) (ICI  Americas Inc., Bridgewater, NH) solution used for
extraction. One set of samples was spiked with 1 x 107 (High) and second set spiked with 1 x 102 (Low)
B. atrophaeus spores  to observe the effects of wet sample collection on both high and low 8. atrophaeus
concentrations that could be present on actual test samples. Two additional sets of coupons were used
as controls; these samples were collected from materials not decontaminated, placed into PBST for
extraction, and spiked with  1 x 107 and  1 x 102 spores,  respectively.

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The two populations (CPU recovered from decontaminated sample vs. CPU recovered from control
spiked sample) for each coupon type and test condition were then analyzed to determine if there was a
negative bias induced by the presence of the decontaminant solution in the extraction liquid. If such bias
was statistically significant, then neutralization tests were performed using STS as the neutralizing agent.
The amount of STS was determined based on the average STS required to neutralize the free available
chlorine (FAC) of the diluted bleach or pAB solutions following extraction of pre-spiked decontaminated
coupons, and the ability to obtain acceptable recoveries (within 0.5 log of the control coupon
concentration). The neutralization methods Test Matrix is shown in Table 2.1.

Table 2.1:  Neutralization Methods Test Matrix
Test ID
STS1
STS2
STS3
STS4
Decontaminated Spike
5
5
5
5
Control Spike
5
5
5
5
Spike Amount
1x107CFU
1x107CFU
1x102CFU
1x102CFU
Extraction Liquid
PBST
PBST + STS
PBST
PBST+STS
CPU, colony forming units; PBST, phosphate buffered saline with Tween®20; STS, sodium thiosulfate
Aliquots of the bulk decontamination solution were collected and analyzed for the active ingredients using
the methods listed in Table 2.2 immediately (within  10 minutes) before use. Temperature readings of the
bulk decontamination solution were also taken immediately (within 10 minutes) before use.

Table 2.2:  Measurement and Neutralization Methods
Decontamination Solution
Dilute Bleach (0.5% NaCIO)
pAB
Active Ingredient
Hypochlorite
Hypochlorite
Measurement Method
MOP3128-A
MOP3128-A
Proposed Neutralization Solution
STS
STS
MOP, Miscellaneous Operating Procedures; pAB, pH-adjusted bleach; STS, sodium thiosulfate
2.6.2   Test Matrix
The test matrix was initially devised to optimize the on-site decontamination procedures by maximizing
efficacy and minimizing the manual effort and hazard level of the procedure.  The decontaminant
optimization process was designed to test decontaminants in order of accessibility.  The most accessible
to the least, as shown in Table 2.3, were diluted bleach and  pAB.  The planned decontamination
procedures in order of increasing intensity were spray, immersion, rigorous immersion, and
immersion/spray, as shown in Table 2.4.
                                               10

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Table 2.3:  Decontaminants and Accessibility
Decontaminant
Diluted Bleach
pH- Adjusted Bleach
Decreasing Accessibility
{}
Table 2.4:  Decontamination Procedures and Intensity
Decontamination Procedure
Spray
Immersion
Rigorous Immersion
Immersion/Spray
Increasing Intensity
\
/
Due to time constraints for each test (30 days to complete a full testing sequence), the testing approach
consisted of starting with the two most readily available decontaminants (diluted bleach and pAB) and the
immersion procedure.  If the  procedure were determined to be ineffective (<6 log reduction), a procedure
with a higher intensity (rigorous immersion) would be applied.  If the procedure was determined to be
effective, then the procedure with a lower level of intensity would be applied (spraying). Tests were
identified by combining the decontaminant and the application  procedures (Tables 2.3 and 2.4).  Table
2.5 lists the actual test matrix that was performed, analyzed and described  in this  report. Please note that
the tests on carpet were performed at different dunking/immersion times of 15, 30, and 60 minutes,
respectively, from the top to  the bottom of Table 2.5.
Table 2.5:  Decontamination Test Sequence Event
Decontamination
Procedure
Immersion
Immersion
Immersion
Immersion
Rigorous Immersion
Immersion
Immersion
Rigorous Immersion
Decontaminant
Solution
pAB
pAB
Diluted Bleach
pAB
pAB
Diluted Bleach
pAB
pAB
Material
Type
Carpet
PPE
PPE
Upholstery
Carpet
Paper
Paper
Carpet
Exposure
Time
15 minutes
15 minutes
15 minutes
15 minutes
30 Minutes
15 minutes
15 minutes
60 minutes
Test Date
(DayO)
Sept 25,
Nov5,2013
Nov 19,
Dec 10,
Jan 23,
Feb4,
Feb18,
Mar 25,
End Date (Day
30)
Oct23, 2013
Dec 4, 2013
Dec 16, 2013
Jan 8, 2014
Feb20, 2014
Mar 4, 2014
Mar 20, 2014
Apr 23, 2014
     pAB, pH adjusted bleach; PPE, personal protective equipment
                                               11

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3   Sampling and Analytical Procedures

3.1   Sampling Strategy
Prior to each sampling event, all materials needed for sampling were prepared using aseptic techniques
and placed in a bin containing enough sampling kits, gloves and bleach wipes to accommodate all
required samples for the specific test. The materials specific to each protocol are included in the relevant
sections below.

In an effort to minimize the potential for cross-contamination during sampling, and in accordance with
aseptic technique, a sampling team was utilized, made up of a "sampler" (handling only the sampling
media, a "sample handler" (the only person to handle material coupons during the sampling event), and a
"support person," who in addition to being responsible for handing sterile templates to the sampler was
also responsible for handling sealed samples and disinfecting outer bags and containers for transport.

Within a single test, sampling of the material sections was completed for all procedural blank coupons
first before sampling of any test material or control sections. Sampling was done by collecting the
coupons for extraction first, then sponge sampling the remaining coupons according to the protocols
documented below. The surface area for all sponge samples was about 103 cm2 (16 in2) and the
diameter for all extraction coupons was 18 mm (0.71 in). Once sampling was complete, material sections
were returned to their original waste storage bag.

Sponge stick and stub sample integrity was maintained by storage of samples in triple containers (1 -
sample collection container, 2 - sterile bag, 3 - disinfected container holding all samples from a test). All
individual sample containers remained sealed while in the decontamination lab or in transport after the
introduction of the sample. The sampling person did not handle any samples after they were relinquished
to the support person during placement into the primary sample container.

Since the current sampling techniques are destructive, each coupon was sampled only once, however
each test was replicated 3-5 times (See Table 3.2.1).  Test coupons and  positive controls were sampled
in parallel for each sampling time sequence.  Temperature, pH, and active ingredient measurements of
each decontaminant solution were performed prior to  each decontamination procedure. The temperature
and relative humidity (RH) of the waste staging area were recorded by three strategically  placed,
calibrated HOBO® Data Loggers (Onset Computer Corporation, Bourne, MA) temperature and RH
sensors. Additional measurements included quality control checks on the reagents and equipment used
in the decontamination procedure.

3.1.1  Sponge-Stick™ Sampling
3M Sponge-Stick™ with neutralizing buffer (part number SSL10 NB; 3M, St. Paul, MN) were used to
aseptically sample 103 cm2 (16 in2) areas on the carpet material sections and 79 cm2 (12.25 in2) areas  on
the upholstery and paper material sections using sampling templates with 25 sampling areas as a guide
for Sponge-Stick™  sampling. Samples were collected according to MOP 3165.

3.1.2  Extractive Sampling
The 18 mm coupons for extractive sampling were removed from the sampling area and transferred in the
waste staging area into 50 ml sterile vials containing  10  ml PBST and the predetermined amount of


                                             12

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neutralization liquid (STS).  For PPE samples, excess pAB was captured in a separate vial for
subsequent analysis.

3.1.3  Sample Preservation
After sample collection for a single test was complete, all biological samples were transported to the
NHSRC Research Triangle  Park (RTP) Biocontaminant Laboratory immediately, with appropriate chain of
custody form(s) and stored  at 4 °C ± 2 °C until extraction. All samples were allowed to equilibrate at room
temperature for one hour prior to extraction and plating. Liquid samples were stored no longer than 24
hours prior to analysis. Samples of other matrices were stored no longer than 5 days before the primary
analysis. A typical holding time, prior to analyses, for most biological samples was 2 days.

3.1.4  Sampling Points
All the samples were collected from wet materials immediately after application of the decontamination
procedure, or after the required hold time (as bagged waste in the waste staging area), and neutralized
immediately after sample collection Table 3.1 lists the coupon types and the respective sampling
procedures.

Table 3.1:  Coupon Types Used to Evaluate Waste Decontamination Procedures
Material
Carpet
Upholstered Furniture
Paper
PPE materials
Porous or
Non-porous
Porous
Porous
Porous
Non-porous
Material Description
Building material, high traffic,
commercial carpet tile, 24" x 24"
Upholstered seat pan, 20" x 20"
Book pages
Nitrile, powder free, disposable
exam gloves
Coupon/Sample
Size
18 mm punch / 101
mmx 101 mm
square
18 mm punch 789
mmx 89 mm square
Whole Front and
Middle pages/ 22.9
cmx 16.5 cm
2.5 cm tip of finger
Sampling
P raced ure(s)
Extraction / Sponge-
Stick™
Extraction / Sponge-
Stick™
Extraction
Extraction
PPE, personal protective equipment

3.1.5  Carpet and Upholstery
When sampling upholstery and carpet materials, a sterile template was placed on the coupon creating a
grid with an inoculated 18 mm coupon within the center of each 4"x4" area (Figure 3.1 shows a material
section with template during sampling). Designated areas on the coupon were sampled by either Sponge-
Stick™ or by removing a pre-punched 18 mm coupon for extraction sampling. When possible, Sponge-
Stick™ and extraction samples were taken from areas representing different parts of the coupon (center,
sides, and corners).
                                              13

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                   Sponge Stick
18 mm coupon
(removed)
        Sampling
        template
                                                      18 mm coupon
                                                      (installed)
                Material
                section
Figure 3.1: Material section shown with template during sampling with Sponge-Stick™  and
           extraction.

3.1.6  Paper Samples
Paper samples, designated paper front (PF) and paper middle (PM), included the front cover and first
page and middle  pages, as described previously. The additional pages adjacent to those inoculated were
collected to account for any spores being relocated (via capillary action, etc.) to the adjacent pages during
inoculation and/or decontamination. Sterile razor cutters were used to excise the paper samples after
decontamination testing.  Once excised, the paper samples were put inside a sterilized pre-labeled
stomacher bag along with 80 ml of PBST and a pre-determined volume of STS neutralizer, and mixed
altogether. Eight books were used for each sampling sequence (3 books: front and middle pages) and
inside cover page, 2 books for positive controls: front and middle pages, 2 books for field blank samples:
front and middle pages, and a 1 book for laboratory blank: front and middle pages for a total of 32 books
for the 4 test sequences for each decontamination method.

3.1.7  PPE Samples
Gloves were inoculated on the outside, and then aseptically turned inside-out to mimic removal and
placement into a decontamination line waste stream.  Three gloves were inoculated for each test (3
samples from 3 inoculated fingers (thumb, middle, pinky) for each glove, resulting in 9 samples), one
glove for positive controls (5 samples from all 5 inoculated fingers), one glove for field blank sample (3
un-inoculated fingers), and one glove for laboratory blank sample (1 sample from  1 un-inoculated finger)
for a total of 6 gloves per test sampling sequence, or 24 gloves for the 4 test sequences for each
decontamination method.
                                              14

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3.2   Sampling Frequency

After the waste decontamination procedure was executed, material sections were either sampled
immediately or bagged and stored in the waste staging area for subsequent sampling. Sampling after
storage occurred following several simulated waste storage durations, including 1 day (at least 18 hours),
7 days, and 30 days. Figure 3.2 outlines the sampling timeline for both sampling approaches (extraction
and Sponge-Stick™). The indicated number of test samples was collected from each of the 3 inoculated
material sections as well as from procedural blanks (un-inoculated coupons that were exposed to test
procedures) and positive control sections (inoculated coupons that were not exposed to test procedures).
This timeline was developed to model the hold times decontaminated materials may be subject to on-site
prior to being transported off site for final disposal. Three positive control and 3 procedural blank samples
were collected during each sampling event. Positive control coupons were inoculated concurrently with
test coupons so they would have the same bacterial aging times as the samples. The synchronization of
inoculation and sampling of positive control and test coupons was critical for accurate log reduction
analysis. Bagged untreated positive control materials were sampled at the same time (within 8 hours) as
their decontaminated counterparts.
• 3 test coupons
 removed for
 extraction

• 3 test coupons
 Sponge- Stick™
 sampled

• 3 positive
 controls, 3
 procedural blanks
• 3 test coupons
 removed for
 extraction

• 3 test coupons
 Sponge- Stick™
 sampled

• 3 positive
 controls, 3
 procedural blanks
• 3 test coupons
 removed for
 extraction

• 3 test coupons
 Sponge- Stick™
 sampled

• 3 positive
 controls, 3
 procedural blanks
                                                                                  • 3 test coupons
                                                                                  removed for
                                                                                  extraction

                                                                                  • 3 test coupons
                                                                                  Sponge- Stick™
                                                                                  sampled

                                                                                  • 3 positive
                                                                                  controls, 3
                                                                                  procedural blanks
Figure 3.2: Sampling timeline.

3.2.1   Sample Quantities

The number of samples collected for both the neutralization and on-site decontamination tests are
outlined in Table 3.2. This table includes not only the biological samples, but also samples collected to
describe the decontamination process for each test in the test matrix. Some tests required 18 mm
samples, sponge samples, or both. For tests that indicate both 18 mm and sponge samples were
collected, the sample quantities for sterility blanks, positive control samples, procedural blanks, and test
samples for both sample types were identical.
                                                15

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Table 3.2: Number of Sample Ty
Test
On-Site
Decontamination
DaV (To Days' M Day
Ty Days' ' 30 Days)
Type of Sample
Material
STS
Carpet Coupons
Upholstered Coupons
PPE3
Paper
pes per Material Section per Sampling Sequence
Laboratory
Blank
E1
0
1
1
1
2
S2
0
1
1
0
0
Positive
Control
Samples
E
5
3
3
5
6
S
0
3
3
0
0
Field
Blanks
E
0
3
3
3
2
S
0
3
3
0
0
Test
Samples
E
5
3
3
15
6
S
0
3
3
0
0
Extractive
Samples
(Y/N)
Y
Y
Y
Y
Y
Sponge
Samples
(Y/N)
N
Y
Y
N
N
N, no; PPE, Personal Protective Equipment; Y, yes
1 Number of extractive samples; 2Number of Sponge-Stick™ samples; 3Each finger of a glove is considered one
sample; note that for the gloves, runoff samples were also collected.

3.3   Measurement Methods
In addition to the collection of material samples, temperature, pH, and active ingredient measurements of
each decontaminant solution were performed prior to each decontamination procedure. The temperature
and relative humidity (RH) of the waste staging area were recorded by three strategically placed,
calibrated HOBO® Data Loggers temperature and RH sensors. Additional measurements included quality
control checks on the reagents and equipment used in the decontamination procedure.

3.3.1  Decontamination Solutions
The pH-adjusted bleach was prepared as described in MOP 3128-A; in short, it consisted on diluting one
part Clorox® concentrated germicidal bleach (Clorox Corp., Oakland, CA) with eight parts of deionized
water and one part 5% (v/v) acetic acid (Fisher Scientific, Pittsburgh, PA; Part# 13025), or equivalent).
The pH was adjusted to 6.5-7.0 with 5% acetic acid, and the free available chlorine content was adjusted
to 6000-6700 ppm with deionized water after preparation. The pH-adjusted bleach was used within three
hours of preparation. The diluted  bleach was prepared fresh prior to testing by mixing one part Clorox®
concentrated regular bleach with  approximately 14 part of deionized water to reach a target FAC of about
6000 ppm.  Safety precautions were taken to protect personnel from liberated chlorine gas produced as a
result of pH reduction of the bleach solution.

The free available chlorine (FAC) concentration of bleach formulations was measured according MOP
3148 based on ASTM Method D2022-89.  In short, a 5 mL aliquot was mixed with a buffered potassium
iodide solution and iodometrically titrated with STS to a colorless end-point. The aliquot was taken and
analyzed immediately after formulation and mixing.  The validity of the FAC measurement equipment
(Hach® High Range Bleach Test Kit, Method 10100 [Model CN-HRDT]) was confirmed through the
titration of a chlorite ion standard. The pH of each solution was measured with an Oakton Acorn® Series
pH 5 meter (Oakton Instruments,  Vernon Hills, IL).  This meter was calibrated daily.

3.3.2  Microbiological Samples
General aseptic laboratory technique to prevent cross-contamination was followed and was embedded in
MOPs  used by the NHSRC RTP  Biocontaminant Laboratory to recover and plate samples. Additionally,
                                              16

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the order of analysis (consistent with the above) was as follows: (1) all blank coupons; (2) all
decontaminated coupons; then (3) all positive control coupons. Both coupon and Sponge-Stick™
extracts samples were diluted, plated and manually enumerated. Details of the extraction and analytical
procedures are provided below.

3.3.2.1   Sample Extraction
Extraction sample vials containing 18 mm coupons, phosphate-buffered saline with 0.05% TWEEN® 20
(PBST) (Sigma-Aldrich, Co, P/N P3563-10PAK [PBST]), and neutralizer were vortexed for 2 minutes to
further dislodge any viable spores. Each vial was briefly re-vortexed immediately before any solution was
withdrawn for dilution or filter plating. The Sponge-Stick™ samples were extracted according to the
validated CDC cellulose Sponge-Stick™ procedure as outlined in MOP 6580 "Recovery of Bacillus
Spores from 3M Sponge-Stick™ Samples".
3.3.2.2   Sample Analysis
Experimental samples were subjected to up to five-stage serial dilutions (10~1 to 10~5) in accordance with
MOP 6535a (a revision of MOP 6535 specifically for bacterial spores, attached in Appendix A), plated in
triplicate and incubated overnight at 35 °C ± 2 °C. Following incubation, CPU were manually enumerated
according to MOP 6535a. Samples that had fewer than the reportable limit of 30 CFU/plate of the
undiluted sample underwent further analysis according to MOP 6565 and/or MOP 6584. These MOPs
describe filter plating and re-plating, respectively.

3.4   Data Analysis
The total  spore recovery for each method, material and time point was calculated by multiplying the mean
CPU counts from triplicate plates by the inverse of the volume plated (e.g., 1/0.1 ml or 10), by the dilution
factor, and finally by the volume of the sample extract (X ml for Sponge-Stick™ samples and Y ml for
extracted stubs).

3.4.1    Sampling Efficiency
To determine which of the two detection methods employed in the study was more efficient at detecting
viable spores on the waste materials tested, the sampling efficiency (SE) for each detection, all time
points and material types was calculated.  SE is defined as the ratio of the measured mean sampled CPU
(CFUm) to that of the inoculums (CFU0):

             	                                                                       (3-1)
3.4.2  Surface Decontamination Efficacy
The efficacy of each decontaminant was assessed by determining the number of viable organisms
remaining on each inoculated test coupon after decontamination and comparing this result to the number
of viable organisms extracted from the positive control coupons, which were inoculated but not
decontaminated. Excess decontamination solutions (in the form of rinsate) were also analyzed from PPE
samples to determine if the representative decontamination application washed the spores from the
surface of the PPE coupons or if the decontaminant inactivated the spores. These rinsate analysis results
were calculated and evaluated, but not used in the decontamination efficacy calculation.

                                              17

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The surface decontamination efficacy is defined as the extent (as Iog10 reduction) by which viable spores
extracted from test coupons after decontamination were less numerous than the viable spores extracted
from positive control coupons. First, the logarithm of the CPU abundance from each coupon extract was
determined, and then the mean of those logarithm values was determined for each set of control and
associated test coupons, respectively. This value is reported as a log reduction on the specific material
surface as defined in Equation 3-2.
        77  =^J -- ^ -                                     (3-2)
        ''
                                     N

where:
                              Surface decontamination effectiveness; the average log
                     77.   =   reduction of spores on a specific material surface (surface
                              material designated by;)

         NC                    The average of the logarithm (or geometric mean) of the
         2_, log(CFUcfk)   ^   number of viable spores (determined by CPU) recovered on
        —	       the control coupons (C indicates control and Nc is the number
                c             of control coupons)

                              The average of the logarithm (or geometric mean) of the
         Nt
         V \oe(CFU  )       number of viable spores (determined by CPU) remaining on
         k=\	   =   the surface of a decontaminated coupon (S indicates a
              Ns             decontaminated coupon and Ns is the number of coupons
                              tested).
When no viable spores are detected, a value of 0.5 CPU was assigned for CFUs,k, and the efficacy was
reported as greater than or equal to the value calculated by Equation 3-1.

The standard deviation of the average log reduction of spores on a specific material (r|j) is calculated by
Equation 3-3:

where:
                  or)     _   Standard deviation of r|j, the average log reduction of spores
                     Vi       on a specific material surface
                                              18

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                     ~j   _   The average log reduction of spores on a specific material
                      ''       surface (surface material designated byi)

                              The average of the log reduction from the surface of a
                       k      decontaminated coupon (Equation 3-4)

                     Ns  =   Number of test coupons of a material surface type.
                                                                                  (3-4)
Where:
                                    Represents the "mean of the logs" (geometric mean),
               NC                    the average of the logarithm-transformed number of
               2_l\og(CFUck~)   ^   viable spores (determined by CPU) recovered on the
              —	       control coupons (C = control coupons, Nc = number of
                      c             control coupons, k = test coupon number and Ns is the
                                    number of test coupons)

                        ^ci i     _   Number of CPU on the surface of the kth
                        CFLJc k   —
                                    decontaminated coupon

                                    Total number (1 ,k) of decontaminated coupons of a
                             s       material type.
The average surface decontamination effectiveness of the decontamination technique for spores
recovered on the material, independent of the type of material, was evaluated by comparing the
difference in the logarithm of the CPU before decontamination (from sampling of the positive control
coupons) and after decontamination (from sampling of the test coupons) for all the tested materials.
These data are calculated by determining the arithmetic mean of n for all material types according to
Equation 3-5 and reported as log reductions of spores for each decontamination technique.
                                                                                  (3-5)
Where /7  is the overall surface log reduction efficacy for the technique, and Nj is the total number of

coupon material types tested with that technique (;' indicates coupon material type).
                                              19

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The standard deviation of f]7 is calculated by Equation 3-6:

where:
                  C*n     _   Standard deviation of T\j, the overall surface log reduction
                      VT        efficacy for the technique

                      TjT   =   Overall surface log reduction efficacy for the technique

                           _   The average log reduction of spores on a specific material
                       ''       surface (surface material designated byi)

                       NJ   =   Number of coupon material types.
Decontamination procedures were considered effective if greater than 6 log reduction was achieved.  A procedure
was considered highly effective if no viable spores were recovered following decontamination.

3.4.3  Statistical Analysis
To determine if either the extraction or sponge sampling method was better for collecting spores, a 2
independent t-test (or 2-factor analysis of variance [ANOVA]) analysis of the recovery from two sampling
methods was performed for each decontamination/material combination.

Single factor ANOVA was used to determine if time is a factor in the decontamination efficacy for each
material and each sampling method individually (see Table 3.3).

The Shapiro-Wilk test was used to check if the data sets used in the 1 or 2-factor ANOVA statistical
analysis came from normally  distributed  sample population.  The Shapiro-Wilk test is designed to test for
normality of small data-size population (n < 50). The null hypothesis of this test is that the population is
normally distributed. In other  word, if the p-value is less than 0.05 (95% confidence interval), the null
hypothesis is rejected and there is evidence that the data tested are not from a distributed population.  In
contrary, if the p-value is greater than  0.05, then the population  is normally distributed.
                                               20

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Table 3.3:  Number of Sample Types per Material Section per Sampling Sequence
Analysis
Paired t-test or 2 Factor ANOVA (To determine the
better detection method for this application, over
time). Performed for each material.
Single factor ANOVA (To determine if time is a factor
in decon for each material). This would be a group of
individual analyses whose results are compared.
Independent Variable
Detection method
(extract and sponge)
Time points
(for individual materials)
Dependent Variable(s)
Collection efficiency over time: calculated
from known inoculum and analysis of positive
controls at different time points
Decontamination efficacy over time
                                        21

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4   Results and Discussion

This section presents the results of the overall effectiveness of the dunking or immersion of the waste to
reduce and/or inactivate spores of 8. anthracis from a contaminated surface of different types and
porosity. Effectiveness was determined by sampling the waste contents following decontamination and
comparing to sampling controls, which  did not undergo the decontamination treatment.  A 7 Log spore
challenge (inoculation of simulated waste items with ~ 5 x 107 spores) was used across all tests and
materials. Consistent with sporicidal efficacy tests used to register sporicides under FIFRA, the current
study utilized the generally accepted criterion of 6 Log Reduction to consider an approach  effective.
Recovery of no viable spores following treatment was considered highly effective.

The results of the comparison of effectiveness of each decontaminant/application combination for each
material and the evaluation of the quantitative performance parameters are presented in Section 4-1.
Evaluation of the two sampling methods (extraction versus Sponge-Stick™) is discussed in Section 4-2.
The results for the neutralization tests performed  prior to each decontamination sequence  are presented
in Section 4-3. The results of the decontamination approach that utilized dunking or immersion of the
waste are reported in Section 4.4.The Shapiro-Wilk test was used to check if the data sets used in the 1
or 2-factor ANOVA statistical analysis came from normally distributed sample population. Only normally
distributed data sets  are used for the various analyses. If a dataset is not normally distributed, it will be
discussed separately.

4.1   Sampling Methods Evaluation
Independent of the decontamination assessment, the two sampling methods (extractive and  Sponge-
Stick™) were evaluated by comparing  positive control recoveries at each sampling point (Day 0, Day 1,
Day 7,  and Day 30) for both carpet and upholstery.  Comparing  recoveries of the two methods at any
particular time-point allowed a comparison of each method's performance, comparison of recoveries to
the starting inoculum shows the temporal effects  on spore recovery through the duration of the
experiment (30 Days).  Such temporal  effects on  the extractive sampling method were also evaluated for
both the PPE and the paper materials.

4.1.1   Carpet Material
Spore recoveries from carpet as a function of simulated waste storage  time (sampling time delay) are
shown  in Figure 4.1,  and summarized in Table 4.1. The averaged recoveries were 1.37 x 107 (Standard
deviation, SD = 7.91  x 106, n= 33 samples) CFU using the extractive method (removal of a coupon from a
larger sample), and 5.02 x 105 (standard deviation (SD) = 4.45 x 105, n= 33 samples) CFU using the
Sponge-Stick™) sampling approach. The overall percent recovery of the extractive method when
compared to the starting inoculum (26.7% + 3.56%) was much higher than that of the  Sponge-Stick™
sampling method (0.94% + 0.27%). A two-sample independent  t-test for these data show a p-value  less
than 0.001, confirming that the populations means between the  2 methods are significantly different.  No
significant effects of storage time on recoveries were detected for either sampling method (Table 4.2).
                                              22

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    107,

    10s-
    105-

                                     I   I Extractive Method
                                         Sponge Stick Method
                                         Inoculum
    Inoculum      DayO        Day1        Day 7
                     Waste Storage Time (Days)
Day 30
Figure 4.1: Effect of waste storage time on positive control recoveries (colony forming units
           [CPU]) from carpet for the extractive and the Sponge-Stick™ methods.
Table 4.1: Effects of Waste Storage Time on Positive Control Recoveries from Carpet for the
          Extractive and Sponge-Stick™ Sampling Methods
Waste Storage Time
Inoculum
DayO
Day1
Day/
Day 30
All Days (Combined)
Statistic
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Recovery (CPU)
Extraction
Sponge-
Stick™
5.12 xio7
6.74 x106
1.62X107
9.66 x 106
1.42X107
7.46 x 106
1.29X107
9.98 x 106
1.13x107
5.32 x 106
1.37X107
7.91 x 106
6.51 x 105
4.49 x 105
4.81 x 105
4.61 x 105
2.67 x 105
1.85x105
5.32 x 105
5.38 x105
5.02 x 105
4.45 x105
Recovery (%)
Extraction
Sponge-
Stick™
Reference Measurement
31.7
27.8
25.2
22.0
26.7
3.56
1.3
0.9
0.5
1.0
0.94
0.27
 CPU, colony forming units; SD, standard deviation
                                              23

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Table 4.2: Two-Sample Independent T-test Performance Parameters for Effects of Waste Storage
          Time on Recoveries from Carpet by Sampling Method and Decontamination Procedure
Sampling Method
(Waste Storage
Time)
Extractive Method
(Day 0,1 ,7, and 30)
Sponge-Stick™
Method (Day 0, 1,7,
and 30)
pH Adjusted Bleach Applied to Carpet
Immersion
15 min
Mean
P-
value
0.70
0.27
F-
value
0.38
1.66
Variance
P-
value
0.93
0.58
F-
value
0.07
0.61
Rigorous immersion
30 min
Mean
P-
value
0.17
0.24
F-
value
2.14
1.70
Variance
P-
value
0.54
0.74
F-
value
0.78
0.43
Rigorous immersion
60 min
Mean
P-
value
0.15
0.65
F-
value
2.29
0.58
Variance
P-
value
0.86
0.73
F-
value
0.25
0.45
pAB, pH adjusted bleach
4.1.2  Upholstery Material
Spore recoveries from upholstery material as a function of simulated waste storage time (sampling time
delay) are shown in Figure 4.2, and summarized in Table 4.3. The averaged recoveries were 1.73 x 107
(Standard deviation, SD = 1.16 x 107, n= 10 samples) CPU using the extractive method (removal of a
coupon from a larger sample), and 1.08 x 107 (standard deviation (SD) = 7.21 x 106 n= 10 samples) CPU
using the Sponge-Stick™ sampling approach. The overall percent recovery of the extractive method
when compared to the starting inoculum (34.2% + 12.3%) was higher than the Sponge-Stick™ sampling
method (18.9% + 10.37%) but within the same order of magnitude. A 2-sample independent t-Test
showed that at the 95% confidence interval, the difference of the population means is not significant (p =
0.116).  Recoveries for both sampling methods declined significantly (p < 0.05, ANOVA) overtime (Table
4.3).  Stain resistant coatings on the upholstery surface material may limit spore soaking into the fabric
during inoculation,  resulting in a  large fraction  of the spores remaining on the material surface and
therefore explain the higher recoveries achieved from this material type.
                                             24

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Positive Controls Recovery (CPU)
q. 4 4 Q,



T
1



T
1
T
1



1 Extractive Method
^Sponge Stick Method
1 Inoculum



T
1

1

1


   Inoculum       DayO        Day1        Day 7        Day 30
                    Waste Storage Time (Days)
Figure 4.2: Effect of waste storage time on positive control recoveries (colony forming units
           [CPU]) from upholstered material for the extractive and the Sponge-Stick™ methods.
Table 4.3: Effects of Waste Storage Time on Positive Control Recoveries from Upholstered
          Material for the Extractive and Sponge-Stick™ Sampling Methods
Waste Storage
Time
Inoculum
DayO
Day1
Day?
Day 30
All Days
(Combined)
Statistic
Average
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Recovery (CPU)
Extraction
Sponge-
Stick™
5.12 xio7
3.05 x107
6.95 x106
2.06 x 107
7.67 x 106
1.37x107
6.37 x 106
4.29 x 106
6.51 x 106
1.73x107
1.16x107
1.89X107
1.52X106
1.37X107
6.37 x 106
7.20 x 106
2.11 x106
7.91 x 106
5.20 x 106
1.08x107
7.21 x 106
Recovery (%)
Extraction
Sponge-
Stick™
Reference Measurement
53.2
35.9
23.9
23.9
34.2
12.0
33.0
23.9
12.6
6.04
18.9
10.4
CPU, colony forming units; SD, standard deviation
                                             25

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Table 4.4: Two-Sample Independent T-Test Performance Parameters for the Effects of Waste
          Storage Time on Recoveries from Upholstery by Sampling Method
Sampling Method
(Waste Storage Time)
Extractive Method (Day: 0, 1, 7, 30)
Sponge-Stick™ Method (Day: 0, 1, 7,
Mean
p-value
0.0094
0.0099
F-value
7.76
7.61
Variance
p-value
0.95
0.159
F-value
0.11
2.26
4.1.3  PPE Material
Spore recoveries from PPE material as a function of simulated waste storage time (sampling time delay)
are shown in Figure 4.3, and summarized in Table 4.5. Due to the irregular shape and small size of the
PPE samples only extractive sampling methods were used. The averaged CPU recoveries for two tests
which included 4 sampling events, with 5 samples (each finger of nitrile glove is considered a single
sample) are 2.88 x 107 (SD = 5.34 x 106, n= 40 samples). The overall percent recovery of the extractive
method for the PPE materials is 42.3% ± 4.60%. Recoveries for the extractive sampling method used for
the PPE samples were consistent overtime ((p >0.05, ANOVA); Table 4.6).
o
   10'
-e io6
8
 5
                                        Extractive Method
                                        Inoculum
         Inoculum     Day 0      Day 1      Day 7
                   Waste Storage Time (Days)
Day 30
Figure 4.3: Effect of waste storage time on positive control recoveries (colony forming units
           [CPU]) from personal protective equipment for the extractive method.
                                            26

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Table 4.5: Effects of Waste Storage Time on Positive Control Recoveries from Personal Protective
          Equipment for the Extractive Sampling Method
Waste Storage Time
Inoculum
DayO
Day1
Day?
Day 30
All Days (Combined)
Statistic
Average
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Recovery(CFU)
5.73 x107
2.70 x 107
5.99 x 106
2.68 x107
7.94 x106
2.18 x107
5.80 x 106
2.15 x107
4.59 x 106
2.88 x107
5.34 x106
Recovery (%)
Reference Measurement
47.1
46.7
38.0
37.4
42.3
4.60
CPU, colony forming units; SD, standard deviation
Table 4.6: Analysis of Variation Performance Parameters for Effects of Storage Time on
           Recoveries from Personal Protective Equipment by Samplinc
Sampling Method
(Waste Storage Time)
Extractive Method (Day: 0, 1, 7, 30)
Mean
p-value
0.077
F-value
2.47
Variance
p-value
0.29
F-value
1.31
Method and Experiment
4.1.4  Paper Material
Spore recoveries from the front page paper "PF" and the middle page paper "PM" as a function of
simulated waste storage time (sampling time delay) are shown in Figure 4.4, and summarized in Table
4.7). Due to the highly porous and absorptive nature of paper, spores were expected to migrate from the
original location to subsequent pages in the book.  As such, extraction-based methods were used on the
inoculated page, and the adjacent pages to optimize spore recovery.  The averaged CFU recoveries for
the "PF" and "PM" are 7.68 x 106 (SD = 4.30 x 106, n= 23 samples) and 8.05 x 106 (SD = 3.95 x 106, n=
25 samples), respectively. The recoveries achieved by the extractive method for the "PF" and "PM"
sample materials were 17.3% + 7.5% and 18.3% + 5.5%, respectively. A two-sample independent t-Test
showed that at the 95% confidence interval, the difference of the spore recovery population means
between the "PF" Samples and the "PM" is not significantly (p = 0.75). Recoveries for the "PF" samples
seem to be less consistent (p= 0.032, ANOVA)) than the recoveries for the "PM" samples (p=0.267
ANOVA) over the 30 days sampling period (Table 4.8).
                                            27

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•
LL
O
0)
If)
2 106-
o
O ;
1 '
D.
105-














































T
1



































T
1




















1 	 | KM samples
1 1 PF Samples
1 1 Inoculum





















































j









         Inoculum     DayO      Day1       Day 7
                    Waste Storage Time (Days)
Day 30
Figure 4.4: Effect of waste storage time on positive control recoveries (colony forming units
           [CPU]) from paper for the extractive method.
                                              28

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Table 4.7: Effects of Waste Storage Time on Positive Control Recoveries from Paper for the
          Extractive Sampling Method
Waste Storage Time
Inoculum
DayO
Day1
Day?
Day 30
All Days (Combined)
Statistic
Average
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Sample Location
Front Page
Recovery (CPU)
Recovery (%)
Middle Page
Recovery (CPU)
Recovery (%)
4.20 x 107
5.10 xio6
1.91 xio6
5.15 x106
2.36 x 106
6.99 x 106
4.77 x 106
1.18x107
4.58 x 106
7.68 x 106
4.30 x 106
12.1
12.3
16.6
28.1
17.3
7.5
5.98 x 106
8.00 x 105
7.71 x 106
2.04 x 106
6.09 x 106
4.51 x 106
1.09X107
5.85 x 106
8.05 x 106
3.95 x 106
14.2
18.3
14.5
26.0
18.3
5.5
CPU, colony forming units; SD, standard deviation
Table 4.8: Analysis of Variance Performance Parameters for Effects of Waste Storage Time on
          Recoveries from Paper by Sampling Method and Experiment
Sample Location
Front Page
Middle Page
Mean
p-value
0.032
0.267
F-value
3.61
1.41
Variance
p-value
0.423
0.018
F-value
0.979
4.21
4.1.5  Sampling Methods Test Synopsis
The two sampling methods (extractive and Sponge-Stick™) were evaluated for overall and temporal
recoveries (Day 0, Day 1, Day 7, and Day 30) for both the carpet material and the upholstered coupons
using the results of the positive controls for each sampling event. The mean recoveries of the extractive
method, when compared to the reference inoculum plating, were much higher than that achieved by the
Sponge-Stick™ sampling method for both materials that were sampled by both methods. There were no
significant temporal effects on mean recoveries or variance for these two materials and sampling
methods. For the upholstered materials, the difference in the overall mean recoveries for both sampling
methods was found to be not significant; however, recoveries for both sampling methods declined
significantly overtime. The overall and temporal recoveries for the PPE and paper materials were found
to be consistent overtime.
                                            29

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4.2   Neutralization Methods Evaluation
The presence of decontamination solution components in the rinsate or extraction liquid (desorbed from
the sample) could negatively bias spore recoveries via residual decontamination.  Prior to each
decontamination testing sequence, neutralization tests were performed to determine the optimal
neutralization concentration (neutralizerto decontaminant), the effect of holding time between the time
the sample is collected and the time when the sample is analyzed, and the effect of the immersion time
on the amount of neutralizer required for full neutralization

4.2.1  Optimization of Neutralizer Concentration
To determine the optimal amount of neutralizer (STS) for each material/decontaminant, preliminary
neutralization tests were conducted. The samples were neutralized at different stoichiometric ratio of STS
to decontaminant (X); then the solutions (with the samples) were spiked with either ~2 x 102 spores (low
concentration) or~5 x 107 spores (high concentration) before analysis. The results are presented in
Table 4.9. The data collected showed that complete spore recovery can be obtained when the required
amount of STS,  based on stoichiometric ratio, is applied for each material/decontaminant combination.

Table 4.9:  Preliminary Neutralization Optimization
Decontaminant
pH Adjusted
Bleach
Diluted Bleach
Spore Inoculum
[CPU]
~5x107
~2x102
~5x107
~2x102
Stoichiometric
Ratio
1.3-1.5X
2.5X
1.3-1.5X
2.5X
1.3-1.5X
1.3-1.5X
Material
Type
Carpet
Upholstery
Paper
PPE
Carpet
PPE
Carpet
Upholstery
Paper
PPE
Carpet
PPE
Carpet
Upholstery
Paper
PPE
Carpet
Upholstery
Paper
PPE
Spore Recovery [CPU]
Mean CPU
2.57 x107
4.46 x107
4.79 x107
5.16x107
3.89 x107
4.88 x107
2.78 x102
3.24 x102
1.45x102
9.97 x101
2.40 x102
3.91 x101
3.39 x107
4.56 x107
1.11x107
4.83 x107
2.78 x102
3.12x102
1.77x102
1.62x102
SD
8.84 x106
2.94 x106
3.13x106
6.60 x106
7.79 x106
2.13x106
4.91 x101
4.42 x101
6.76 x101
1.66 x101
1.75x101
3.58 x10'1
2.95 x106
4.11 x106
7.87 x106
2.15x106
4.91 x101
7.71 x101
5.78 x101
4.43 x101
                                              30

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4.2.2  Sample Hold Time Effects
The effect of sample hold time on the neutralizer efficacy was evaluated for both the pAB and diluted
bleach at two different spore concentrations: ~2 x 102 CPU (low concentration) or ~5 x 107 CPU (high
concentration). The processing lag time at 24 hours after sampling compared to within 1 hour of a
sampling event did not show any bias in the spores' recoveries for both types of decontaminants and
spore concentrations (Table 4.10).

Table 4.10: Effect of Sample Hold Time on Neutralizer Optimization
Decontaminant
pH Adjusted
Bleach
Diluted Bleach
Spore Inoculum [CPU]
~5x107
~2x102
~5x107
~2x102
Hold Time
[Hours]
1h
24 h
1h
24 h
1h
24 h
1h
24 h
Spore Recovery [CPU]
Mean CPU
3.89 x107
3.87 x107
2.64 x102
SD
7.79 x106
8.12 x106
2.87 x101
TNC
3.39 x107
5.25 x107
2.78 x102
1.69x102
2.95 x106
8.62x 106
4.91 x101
1.17x102
CPU, colony forming units; pAB, pH adjusted bleach; SD, standard deviation; TNC, Tests Not Conducted

4.2.3  Immersion Time Effects
Two neutralization tests, at two spore concentrations (~ 2 x 102 and ~ 5 x 107 CPU), were completed to
determine the effect of an extended immersion time (60 min instead of 15 min) on the neutralization
effectiveness. The amount of neutralizer liquid needed for each decontaminant/application combination
was found to be dependent on the immersion time for porous materials, meaning that the carpet material
was not saturated at the 15 min immersion time; thus requiring more neutralizer volume. The results
presented in Table 4.11 show that when the required amount of STS is added, based on stoichiometric
ratio, complete neutralization is achieved independently of immersion time.
Table 4.11:  Effect of Immersion Time on Spore Recovery (Colony Forming Units) from Neutralized
            pH Adjusted Bleach-Exposed Carpet Samples, High and Low Spore Concentrations
Decontaminant
pH Adjusted
Bleach
Spore Inoculum [CPU]
~5x107
~2x102
Immersion Time
[Minutes]
15 min
60 min
15 min
60 min
Spore Recovery [CPU]
Mean CPU
3.89 x107
1.46x107
2.40 x102
1.57x102
SD
7.79 x106
1.35 x106
1.75x101
1.85x101
CPU, colony forming units; SD, standard deviation
                                             31

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4.2.4  Neutralization Tests Synopsis
The neutralization tests determined that the excess STS stoichiometric neutralization is dependent on the
type of material used; full recoveries of the spores inoculated on material spores were obtained with 2.5 X
(stoichiometric ratio) for the carpet/pAB combination, and 1.3 X was sufficient for the carpet/diluted bleach
combination. The ratio of 1.5 X was found adequate for upholstered material with either pAB or diluted
bleach as decontaminant, and the same ratio was found for PPE/diluted bleach and paper/pAB
decontaminants. Time lag between the time the sample was neutralized and the time it was processed
over a 24 hour period, immersion time, and spore inoculum concentration did not appear to bias the spore
recoveries if adequately neutralized.

4.3   Dunking/Immersion Decontamination Test Results
The results presented in this section report the overall effectiveness of the decontamination treatment for
each material/decontaminant/procedure combination. Material sections of the test materials were
sampled immediately after the decontamination treatment, and were bagged and re-sampled and
analyzed after a drying time of 1 day (at least 18 hours), 7 days, and 30 days. A subset of bagged waste
samples was left untreated and served as positive controls. The test matrix for the dunking/immersion
evaluation is presented in Table 4.12.
Table 4.12: Decontamination Test Sequence Event
Decontamination
Procedure
Immersion
Immersion
Immersion
Immersion
Rigorous Immersion
Immersion
Immersion
Rigorous Immersion
Decontaminant
Solution
pH Adjusted Bleach
pH Adjusted Bleach
Diluted Bleach
pH Adjusted Bleach
pH Adjusted Bleach
Diluted Bleach
pH Adjusted Bleach
pH Adjusted Bleach
Material Type
Carpet
PPE
PPE
Upholstery
Carpet
Paper
Paper
Carpet
Exposure / Hold
Time
15 minutes
15 minutes
15 minutes
15 minutes
30 Minutes
15 minutes
15 minutes
60 minutes
Test Date
(DayO)
Sept 25, 2013
Nov5,2013
Nov19,2013
Dec 10, 2014
Jan 23, 2014
Feb4,2014
Feb 18, 2014
Mar 25, 2014
End Date (Day
30)
Oct23,2013
Dec 4, 20 13
Dec 16, 2013
Jan 8, 2014
Feb 20, 2014
Mar 4, 2014
Mar 20, 2014
Apr 23, 2014
pAB, pH adjusted bleach; PPE, personal protective equipment
                                             32

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4.3.1  Carpet Decontamination Results
Material sections (coupons) simulating carpet wastes were subjected to various immersion-based
decontamination procedures. The results presented in this section report the effectiveness of these
procedures as a function of waste storage time, decontamination method, and sampling method.

4.3.1.1   Sampling Methods Evaluation for Carpet
The two sampling methods (extractive and Sponge-Stick™) were evaluated for overall recoveries and for
recoveries following various simulated waste storage durations (Day 0, Day 1, Day 7, and Day 30).  The
evaluation was performed for each decontaminant type following each decontamination  event (15, 30,
and 60 minutes) using 3 carpet samples for each sampling method at each time point. A multiple-
population ANOVA statistical analysis was used to determine if recoveries differed significantly as a
function of storage time, the amount of time between decontamination and sample collection.

Spore survival on carpet following each decontamination approach, and after various waste storage
duration are shown in Figure 4.5, and summarized in Table 4.13, 4.14, and 4.15 for immersion times of
15, 30, and 60 minutes, respectively (note that samples were not collected for Day 7 [15 minutes
immersion time] for logistical reasons).
scovery (CFU)
4 4 q, c

i — f — i
1


1
Immersion

ime: 60 mm 1 	 1 E

-r
T

Extractive Sampling
sponge-Sticks™
I

Q. -,
o 1Q2-
c m°

1 Immersion Time: 30 min 1
±
T



T



I
T

Ł m6
d

T

T




• i
Immersion Time: 15 min
T
I


— IT-


•
1

i — T — i
-L
T

              DayO            Day1            Day 7           Day 30
                          Waste Storage Time (Days)

Figure 4.5:  The effects of sampling method and waste storage duration on recoveries (colony
            forming units [CFU]) from carpet following decontamination with pH adjusted bleach.
The mean combined spore recoveries (CFU recovered) calculated for the 15, 30, and 60 minutes
immersion times are respectively 3.36 x 104 + 2.39 x 104 (n= 27 samples), 1.27 x 104 + 9.55 x 103 (n= 36
samples), and 1.44 x 103 + 1.67 x 103 (n= 36 samples) using the extractive method (removal of a coupon

                                             33

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from a larger sample). For the Sponge-Stick™ sampling approach, the corresponding results are
respectively 5.78 x 102 + 9.78 x 102 (n= 27 samples), 2.50 x 102 + 6.30 x 102 (n= 36 samples), and 1.03 x
101 + 2.78 x 102 (n= 36 samples). The recoveries obtained with the extraction-based sampling was up to
2 orders of magnitude higher than the Sponge-Stick™ sampling method, which may have biased the
calculation of the decontamination efficiency with the latter sampling technique. No viable spores were
detected in some replicate samples using the Sponge-Stick™ method, while spores were detected in all
the samples collected using the extraction-based method.
Table 4-13:  Post-Decontamination Recoveries (Colony Forming Units [CFU]) from Carpet for
            Extractive and Sponge-Stick™ Sampling Methods (Immersion Time: 15 min,
            Decontaminant: pH adjusted Bleach)
Recoveries (Immersion Time: 15 min, Decontaminant: pH adjusted Bleach)
Coupon
ID
C01
C02
COS
All
Coupons
Statistic
Average
SD
Average
SD
Average
SD
Average
SD
Extraction Sampling Method
Sponge-Stick™ Sampling Method
Waste Storage Time
ODay
1.62x104
8.62 x 103
5.13x104
5.15 x104
1.85x104
9.20 x 103
2.87 x 104
3.15 x104
1 Day
3.80 x 104
1.38x104
2.91 x 104
1.12x104
1.62x104
2.37 x 103
2.31 x 10"
2.46 x 10"
30 Day
3.46 x 10"
1.50x10"
4.97 x 10"
1.47x10"
4.89 x 10"
3.23 x 10"
4.89 x 10"
3.23 x 10"
ODay
6.04 x10'1
2.75 x10'2
3.53 x 102
1.59x102
4.44 x 101
7.28 x 101
1.33x102
1.88x102
1 Day
2.72 x 103
1.69x103
6.80 x 102
5.40 x 102
8.38 x102
5.75 x102
1.41 xio3
1.35x103
30 Day
1.19x102
4.89 x 101
3.86 x 102
3.99 x 102
5.98 x101
5.70 x 101
1.88x102
2.53 x102
SD, standard deviation
                                             34

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Table 4-14:  Post-Decontamination Recoveries (Colony Forming Units [CPU]) from Carpet for
           Extractive and Sponge-Stick™ Sampling Methods (Immersion Time: 30 min,
           Decontaminant: pH adjusted Bleach)
Recoveries (Immersion Time: 30 min, Decontaminant: pH adjusted Bleach)
Coupon
ID
C01
C02
COS
All
Coupons
Statistic
Average
SD
Average
SD
Average
SD
Average
SD
Extraction Sampling Method
Sponge-Stick™ Sampling Method
Waste Storage Time
ODay
2.59x104
1.28x101
1.29x10i
7.63x103
1.82x104
9.02x103
1.90x104
1.04x104
1 Day
1.46x104
8.14x103
5.82x103
3.18x103
1.56x104
8.97x103
9.81 x 1Q3
2.68x103
7 Day
3.55 x 1Q3
7.43 x 1Q2
2.20 x 1Q4
1.40x104
7.07 x 1Q3
3.26 x 1Q3
1.45x104
1.11 x1Q4
30 Day
1.50x104
5.47x103
1.79x100
7.47x10-1
2.76x103
1.36x103
8.91 x 1Q3
6.48x103
ODay
4.38x102
6.91 x 1Q2
1.11x103
1.92x103
6.64x101
9.15x101
5.38x102
1.12x103
1 Day
2.23x102
2.47x102
2.13x102
1.78x102
6.10x102
8.87x102
3.49x102
5.08x102
7 Day
1.03x102
6.11x101
1.97x101
1.46x101
2.05x102
3.02x102
1.09x102
1.74x102
30 Day
8.74x100
4.91 x 1QO
1.79x100
7.47x10-1
3.25x100
3.94x100
4.59x100
4.49x100
SD, standard deviation
Table 4-15:  Post-Decontamination Recoveries (Colony Forming Units [CPU]) from Carpet for
           Extractive and Sponge-Stick™ Sampling Methods (Immersion Time: 60 min,
           Decontaminant: pH adjusted Bleach)
Recoveries (Immersion Time: 60 min, Decontaminant: pH adjusted Bleach)
Coupon ID
C01
C02
COS
All
Coupons
Statistic
Average
SD
Average
SD
Average
SD
Average
SD
Extraction Sampling Method
Sponge-Stick™ Sampling Method
Waste Storage Time
ODay
1.69x103
1.53x103
3.90x103
2.28x103
1.01 x1Q3
2.76x102
2.0x103
1.90x103
1Day
3.19x103
4.14x103
2.07x103
4.08x102
1.43x103
4.76x102
1.36x103
1.01 x1Q3
7 Day
8.68x101
9.08x101
8.93x102
8.75x102
4.51 x 102
3.70x102
6.72x102
5.92x102
30 Day
9.75x102
8.75x102
3.95x100
1.78x100
8.99x102
7.53x102
8.61 x 102
6.66x102
ODay
6.47x10-1
2.00x10-2
6.77x10-1
1.51 xlO-2
8.99x10-1
3.83x10-1
7.41 x 10-1
2.26x10-1
1Day
1.58x101
1.72x101
5.18x100
7.21 xlQo
5.05x100
6.09x100
8.67x100
1.12x101
7 Day
6.47x101
8.59x101
1.67x101
2.01 x 101
3.86x100
2.10x100
2.84x101
5.21 x 101
30 Day
3.02x100
1.04x10-
1
3.95x100
1.78x100
3.07x100
1.15x10-
1
3.34x100
1.00x100
SD, standard deviation
                                           35

-------
At the 95% confidence level, no significant effects of sample waste storage time on recoveries were
detected for the extraction-based sampling method. At least one significant interaction (15 minute) was
noted for the Sponge-Stick™ sampling approach (Table 4.16, significant is shown in bold).

Table 4.16:  Analysis of Variance Performance Parameters for Effects of Post-Decontamination
            Storage Time on Recoveries (Colony Forming Units [CPU]) from Carpet
Sampling Method
(Waste Storage Time)
Extractive Method
(Day: 0,1,7,30)
Sponge-Stick™
Method (Day: 0,1,7,
Immersion Time
15min
Mean
P-
value
0.25
0.014
F-
value
1.48
5.17
Variance
P-
value
0.76
0.026
F-
value
0.28
4.25
30 min
Mean
P-
value
0.122
0.278
F-
value
2.083
1.342
Variance
P-
value
0.897
0.279
F-
value
0.198
1.339
60 min
Mean
P-
value
0.13
0.14
F-
value
2.029
1.982
Variance
P-
value
0.224
0.171
F-
value
1.534
1.778
4.3.1.2   Carpet Decontamination Effectiveness
The results of the carpet decontamination tests are presented in Table 4.17 and in Figure 4.6. The
decontamination effectiveness is presented as the mean Log10 reduction in CPU recovered, from all
samples within a particular material and treatment. For example, recoveries following sampling at all
storage times were averaged to yield one estimate of recovery for that particular treatment.  This
aggregate approach was utilized since the ANOVA indicated no significant interaction between sample
storage time and  recovery.

Table 4.17:  Decontamination Efficacy versus Immersion Time (Colony Forming Units Log
Reduction) for Carpet
Sampling Method
(Waste Storage Time)
Extractive Method (Day:
0,1,7,30)
Sponge-Stick™
Method (Day: 0, 1,7, 30)
Immersion Time
15 min
Average
2.72
3.99
SD
0.32
1.15
30 min
Average
3.37
4.34
SD
0.34
1.05
60 min
Average
3.91
4.72
SD
0.75
0.61
CPU, colony forming units; SD, standard deviation
                                             36

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5-
'E:
o
'•& 4-
Efficacy (Log10 CPU Reduc
D -^ NJ CO
I I Extractive Sampling
IZZl Sponge-Sticks™

T
1
























            15rrin
                            SOmin
                        Immersion Time
                                            60min
Figure 4.6:
The effects of immersion time in pH adjusted bleach on carpet decontamination
efficacy (colony forming units [CPU] log reduction in recovery).
The mean combined Log10 reduction in spore recoveries for the 15 , 30, and 60 minutes immersion times
are respectively 2.72 + 0.32 (n= 27 samples),  3.37 + 0.34 (n= 36 samples), and 3.92 + 0.76 (n= 36
samples) using the extractive method (removal of a coupon from a larger sample).  For the Sponge-
Stick™ sampling approach, the corresponding results are respectively 3.99 + 1.15 (n= 27 samples), 4.34
+ 1.05 (n= 36 samples), and 4.72 + 0.61 (n= 36 samples). These results suggest that increasing the
immersion time increases the efficacy of the decontamination technique. As mentioned previously,
results obtained using the Sponge-Stick™ approach may result in overestimation of the actual
decontamination efficacy due to the relatively lower recovery of this sampling technique.  Interestingly,
complete decontamination of carpet was not achieved with pAB, even when the 60 minute immersion
procedure was rendered.  Viable spores were recovered by both sampling approaches, for at least one
replicate sample from all immersion times.

4.3.2  Upholstery Decontamination Results
Samples simulating upholstered waste were subjected to a 15 minutes pAB immersion-based
decontamination procedure. The results presented in this section report the effectiveness of these
procedures, as a function of waste storage time, decontamination method, and sampling method.

4.3.2.1    Sampling Methods Evaluation for Upholstery
The two sampling methods (extractive and Sponge-Stick™) were evaluated for overall recoveries and
recoveries following various simulated waste storage durations (Day 0, Day 1, Day 7, and Day 30). The
evaluation was performed for pAB decontaminant following each a 15 minutes decontamination time
using 3 carpet samples for each sampling method at each time point. A multiple-population ANOVA
statistical analysis was used to determine if recoveries differed significantly as a function of storage time,
the amount of time between decontamination and sample collection.
                                             37

-------
Spore survival on upholstery material the 15 minutes decontamination approach, and after various waste
storage duration are shown in Figure 4-7, and summarized in Table 4.18. The mean combined spore
recoveries (CPU recovered) for the 15 minutes immersion times in  pAB are respectively 8.58 x 101 + 1.78
x 102 (n= 36 samples), and 4.22 x 101 +  1.46 x 1032 (n= 36 samples) for the extraction-based method and
the Sponge-Stick™ method. A two sample Paired t-Test showed that at the 95% confidence interval, the
difference in the spore recovery populations means between the 2  sampling techniques is not significant
(p = 0.75). The average values were based partially upon detection limit, as no viable spores were
detected in some replicate samples.
Recovery (CPU)
1
_
-------
Table 4.18:  Post-Decontamination Recoveries (colony forming units [CPU]) from Upholstery for
            Extractive and Sponge-Stick™ Sampling Methods (Immersion Time: 15 min)
Recoveries (Immersion Time: 15 min, Decontaminant: pH Adjusted Bleach*)
Coupon
ID
C01
C02
COS
All
Coupons
Statistic
Average
SD
Average
SD
Average
SD
Average
SD
Extraction Sampling Method
Sponge-Stick™ Sampling Method
Sampling Interval
ODay
1.08x100
3.63x10-1
5.57x100
8.41 x 100
2.11 x1Q2
3.38x102
7.24x101
1.98x102
1 Day
5.40 x 1Qo
7.70x100
1.17x101
1.91 x1Q1
3.30 x 1Q2
5.63 x 1Q2
1.15x102
1.92x102
7 Day
4.56x101
7.74x101
6.25x10-1
7.81 x 10-3
5.92x100
7.60x100
3.27x100
4.43x101
30 Day
7.12x10-1
1.39x10-2
2.92x102
5.05x102
6.62 x 1Qo
9.00 x 1Qo
2.68x100
5.38 x 1Qo
ODay
8.48x10-1
5.04x10-2
9.09x10-1
1.14x10-1
1.05x100
5.19x10-1
9.37x10-1
2.82x10-1
1 Day
9.02x10-1
6.06x10-2
8.56x10-1
2.35x10-2
8.20x10-1
1.56x10-2
8.59x10-1
1.12x101
7 Day
6.81 x 10-1
2.21 x 10-2
1.20x100
1.03x100
6.17x10-1
2.10x100
2.84x101
5.21 x 1Q1
30 Day
6.50x10-1
9.14x10-3
2.92 x 1Q2
5.05 x 1Q2
6.37x10-1
1.15x10-1
3.34 x 1Qo
1.00x100
SD, standard deviation
* Note: values based partially upon detection limit, as no viable spores were detected in some replicate samples.

At the 95% confidence level, no significant effects of sample hold times on recoveries were detected for
either sampling method (Table 4.19).

Table 4.19:  Analysis of Variance Performance Parameters for Effects of Post-Decontamination
            Sample Storage Time on Recoveries (Colony Forming Units [CPU]) from Upholstery
            (immersion Time 15 min)
Immersion Time: 15 min, Decontaminant: pH Adjusted bleach *
Sampling Method
(Waste Storage Time)
Extractive Method (Day: 0, 1, 7, 30)
Sponge-Stick™ Method (Day: 0, 1, 7,
30)
Mean
p-value
0.58
0.41
F-value
0.67
0.995
Variance
p-value
0.58
0.41
F-value
0.67
0.997
 Note: values based partially upon detection limit, as no viable spores were detected in some replicate samples.
4.3.2.2   Upholstered Coupon Decontamination Effectiveness
The results of the upholstery decontamination tests are presented in Table 4.20 and in Figure 4.8. The
decontamination effectiveness is presented as the mean Log10 reduction in CPU recovered, from all
samples within a particular material and treatment.  The decontamination effectiveness is presented as
the mean Log10 reduction in CPU recovered, from all samples within a particular material and treatment.
For example, recoveries following sampling at all storage times were averaged to yield one estimate of
                                              39

-------
recovery for that particular treatment. This aggregate approach was utilized since the ANOVA indicated
no significant interaction between sample storage time and recovery.

The averaged combined Log10 CPU decontamination efficacy for the 15 minutes immersion time is 6.4 +
0.6 (n= 36 samples) using the extractive method (removal of a coupon from a larger sample). For the
Sponge-Stick™ sampling approach, the corresponding result is 6.8 + 0.7 (n= 36 samples). Both
sampling techniques seem to lead to the same decontamination efficiency suggesting that the 15 minutes
immersion pAB procedure on upholstered coupons is very effective (>6 log reduction). The higher
efficacy values observed for upholstery, as compared to carpet, might be explained by the lower
absorption of the inoculum by the upholstery material during inoculation. This phenomenon likely resulted
in more spores remaining on the upholstery coupon surface, and might have been more easily accessed,
and therefore killed, by the decontaminant.

Table 4.20: Decontamination Efficacy (Log Reduction in Recovery) for Upholstered Coupon
Decontamination Efficacy
Immersion Time: 15 min, Decontaminant: pH Adjusted Bleach
Sampling Method (Waste Storage Time)
Extractive Method (Day: 0, 1, 7, 30)
Sponge-Stick™ Method (Day: 0, 1, 7, 30)
Mean LR
6.4
6.8
SD
0.6
0.7
 LR, log reduction; SD, standard deviation


7-
6-
?
••8
-g 5-

O
f 3-
§ 2-
LU
1-
0-
I I Extractive Sampling
I I Sponge-Sticks™













































































15 min
mmersion time































Figure 4.8:   The effects of immersion time in pH adjusted bleach on upholstery decontamination
             efficacy (log reduction in colony forming units [CFU] in recovery).
                                             40

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4.3.3  PPE Decontamination Results

Material sections (coupons) simulating PPE waste were subjected to various immersion-based
decontamination procedures, and stored for up to 30 days to simulate waste staging during an actual
anthrax incident. Samples (glove sections) were collected at each time point, and spore survival was
determined.  The results presented in this section report the effectiveness of these procedures, as a
function of waste storage time, and decontamination method.  PPE material coupons were immersed in
either pAB or diluted bleach for an overall immersion time of 15 minutes.

4.3.3.1   The Effects of Waste Storage Duration on Recoveries from PPE following
         Decontamination
For each experimental trial, the PPE material sections were bagged following the decontamination
treatment, and samples (glove tips) were collected at various days (Day 0, Day 1, Day 7, and Day 30)
during simulated waste storage.  Spore survival was determined at each time point.  The PPE sampling
technique consisted of collecting 3 inoculated fingers (1st, 3rd and 5th fingers starting with the thumb) from
each glove separately. Spores were recovered  by extraction of individual  glove fingers in PBST. Five
gloves were  used to produce 15 test samples (3 samples from 3 inoculated fingers for each glove) one
glove for positive controls (5 samples from 5 inoculated fingers), one glove for field blank sample (3 un-
inoculated fingers), and one glove for laboratory blank sample (1 sample from 1 un-inoculated finger) for
a total of 8 glove per test sampling sequence, or 32 gloves for the 4 test sequences for each
decontamination procedure.  Field blanks were  not inoculated, but were subjected to the decontamination
treatment. Lab blanks were not inoculated, and were not subjected to a decontamination treatment.
ANOVA was used to determine if recoveries differed significantly as a function of storage time.

Recoveries (CFU) following a decontamination treatment as a function of waste storage time are shown
in Figure 4.9 and summarized in  Table 4.21 and 4.23 for pAB and diluted bleach, respectively. Note that
for the pAB decontamination procedure, the decontamination  consistently achieved greater than  6 Log
reductions, but for one sample (1 sample from one finger among the 15 samples (COS) showed little or
no decontamination. As mentioned previously, this low efficacy was presumably due to incomplete
contact of the decontaminant within the glove. The pAB was found to be more effective than the diluted
bleach using the immersion decontamination procedure.  One  data set, which included the finger that was
not decontaminated, did not pass the Shapiro-Wilk test for normality since the null hypothesis is rejected
and there is evidence that the data tested are not from a  normally distributed population. Therefore, the
difference in  the spore recovery populations means between the two sampling techniques was not
assessed.
                                              41

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   6x10
   5x10*-
LL
U
 O
 UL

 Ł
 0.
 E 3x10
 ra
 in
 c
 g

 'ro

 •  2x10'
Q
— 1x10
 O
 Q_
      0 -
                                            pAB
                                            Diluted Bleach
            Day 0
          Day 30
                         Day 1          Day 7

                       Waste Storage Time(Days)

Figure 4.9:   The effects of waste storage duration on recoveries (colony forming units [CPU])

             from personal protective equipment following decontamination.
Table 4.21:  Recoveries (Colony Forming Units) Following Decontamination of Personal Protective
Equipment with pH Adjusted Bleach (Immersion Time: 15 min)
Recoveries (Immersion Time: 15 min, Decontaminant: pAB)
Coupon ID
C01
C02
COS
C04
COS
All coupons
Statistic
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Sampling Interval
ODay
5.70 x 1Q-1
2.43 x 1C'2
5.57 x 1Q-1
1.31 xlO'2
5.42 x 1Q-1
5.62 x 1Q-3
5.54 x 1Q-1
7.78 x 1C'3
5.49 x 1Q-1
2.89 x 1Q-3
5.55 x 1Q-1
1.48X10'2
1 Day
5.76 x 1Q-1
2.25 x10'2
5.94 x1Q-1
5.88 x10'3
5.92 x 1Q-1
8.89 x 1Q-3
5.81 x 1Q-1
1.97X10'2
5.90 x 1C'1
1.20X1Q-2
5.87 x 1C'1
1.48X10'2
7 Day
1.32x10°
1.11x10°
6.33 x 1Q-1
4.59 x 1Q-3
6.62 x 1Q-1
5.78 x 1Q-2
6.45 x 1C'1
2.94 x 1C'2
6.53 x 1C'1
2.28 x 1C'2
7.83 x 1C'1
5.06 x 1C'1
30 Day
5.53 x 1C'1
3.48 x 1C'3
5.57 x 1C'1
1.27X10'2
7.66 x 1C'1
3.66 x 1Q-1
7.66 x 1Q-1
3.66 x 1Q-1
7.43 x105
1.29x106
1.49x105
5.75 x105
SD, standard deviation
Note: values based partially upon detection limit,
as no viable spores were detected in some replicate samples.
                                              42

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Table 4.22:  Recoveries Colony Forming Units Following Decontamination of Personal Protective
            Equipment with Diluted Bleach (Immersion Time: 15 min)
Recoveries (Immersion Time: 15 min, Decontaminant: Diluted Bleach)
Coupon ID
C01
C02
COS
C04
COS
All coupons
Statistic
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Average
SD
Sampling Interval
ODay
6.16 xio3
1.03x104
1.12x104
1.94x104
1.94x106
1.80x106
1.47x103
2.53 x 103
2.61 x 104
1.52x104
3.97 x 105
1.05x106
1 Day
6.15 x10'1
8.67 x 1C'2
4.09 x 106
7.09 x 106
2.35 x 104
4.06 x 104
4.39 x 106
3.66 x 106
1.28x104
2.22 x 104
1.70X106
3.70 x 106
7 Day
6.17 x10'1
4.33X10-3
1.24x10°
1.08x10°
1.50x102
2.59 x 102
6.38 x10'1
1.59X1Q-2
5.19x10"
8.99 x 104
1.04x104
4.02 x 104
30 Day
1.45x10°
9.27 x 10-1
1.24x10°
1.06x10°
3.15 x105
5.46 x 105
3.15 x105
5.46 x 105
1.30X106
2.26 x 106
3.25 x 105
1.02X106
SD, standard deviation

4.3.3.2   PPE Decontamination Effectiveness
The results of the PPE decontamination tests are presented in Table 4.24 and in Figure 4.10. The
decontamination effectiveness is presented as the mean Log10 reduction in recoveries (CFU), from all
samples within a particular material and treatment.  The decontamination effectiveness is presented as
the mean Log10 reduction in CFU recovered, from all samples within a particular material and treatment.
For example, recoveries following sampling at all storage times were averaged to yield one estimate of
recovery for that particular treatment. Only extraction-based sampling methods were utilized for PPE.

The mean combined Log10 CFU decontamination efficacy for the 15 minutes immersion time in pAB was
7.57 + 0.86 (n= 60 samples), and 5.45 + 2.51 (n= 60 samples) for the 15 minutes immersion time in
diluted bleach. The pAB/15 minutes immersion  procedure did achieve greater than 6 log reduction for all
samples,  with the exception of one sample (1 finger of the glove). The decontamination efficacy with
diluted bleach ranged from 0.22 to 7.58 log reduction. These data suggest that achieving complete
coverage of the decontaminant with all PPE surfaces is challenging. This is not unexpected, as PPE
such as gloves may have trapped air inside that may prevent decontaminant from contacting all interior
surfaces. Since gloves are inverted when doffed and therefore contaminants are likely concentrated on
the inside of the glove, decontamination of PPE  waste with this method may have difficulty in achieving
complete kill throughout the entire contents of the waste. Full decontamination with either decontaminant
is more probable if the immersion time is greater than the permeation time for these decontaminant/PPE
material decontamination procedures.  The permeation time of bleach through nitrile gloves is greater
than 480  minutes.
                                              43

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Table 4.24: Personal Protective Equipment Decontamination Efficacy (Log Reduction in Recovery)
Decontaminant
pH adjusted bleach
Diluted Bleach
Immersion Time
15 min
Mean Log
Reduction
7.57
5.45
Standard
Deviation
0.86
2.51
      7-
    S
   ••8
       .
      -J

   O  4-
                             15 min
                         Immersion time
Figure 4.10: Personal protective equipment decontamination efficacy by decontaminant type
            (colony forming unit [CPU] log reduction).
4.3.4  Paper Decontamination Results
Material sections (coupons) simulating Paper waste were subjected to various immersion-based
decontamination procedures, and stored for up to 30 days to simulate waste staging during an actual
anthrax incident. Samples were collected at each time point, and spore survival was determined. The
results presented in this section report the effectiveness of these procedures, as a function of waste
storage time, decontamination method, and sampling method. Paper material coupons were  immersed  in
either pAB or diluted bleach for an overall immersion time of 15 minutes.

4.3.4.1   The Effects of Waste Storage Time on Paper Decontamination Efficacy
For each  experimental trial, batches of contaminated books and non-contaminated books were subjected
to a 15-minutes decontamination treatment, and samples were collected using the extractive  method at
various days (Day 0, Day 1, Day 7, and Day 30) during simulated waste storage. Spore survival was
determined at each time point. The paper samples consist of paper front "PF"" that included the
                                             44

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inoculated front cover of the Merck Manual of Medical along with the first page, and paper middle "PM"
samples that included the inoculated page 955, and one page before and two pages after (pages 953-
960).

Spore survival data for the Paper are shown in Figures 4.11 and 4.12, and summarized in Tables 4.25
and 4.26 for pAB and diluted bleach, respectively. The middle pages showed lower decontamination
efficacies than the front pages for the pAB decontamination procedures.  This may have been due to the
protection  of the spores inside the books when they were closed. Diluted bleach decontamination was
almost negligible for either front or middle pages as shown for Day 0 and Day 1 sampling events.  The
residual bleach in the papers seems to continue its decontamination overtime suggesting that the off-
gassing of the paper continued to be efficacious.

The pAB and  the diluted bleach spore survival data did not pass the Shapiro-Wilktest for normality since
the null hypothesis is rejected and there is evidence that the data tested are not from a normally
distributed population. Therefore, the effect of storage time on spore recoveries, and the difference in
decontamination  efficiency between the two decontaminants, could not be assessed.
    6x103

 JD
 Q_

 I

 O
5x1(f-


4x1(f-


3x1(f-


2x1(f-
       0-
              DayO
                          Day 1           Day 7
                          Waste Storage Time
Day 30
Figure 4.11:  Recoveries (colony forming units [CFU]) following a decontamination of paper with
             pH adjusted bleach (immersion time: 15 minutes).
                                              45

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Table 4.25:  Recoveries (Colony Forming Units [CPU]) Following Decontamination of Paper with
            pH Adjusted Bleach (Immersion Time: 15 Min).
Coupon ID
C01
C02
COS
Average
SD
Front Page Sample Type
Middle Page Sample Type
Waste Storage Time
ODay
7.09X10'1
7.09X10'1
6.74x10'1
6.97x10'1
2.05X10'2
1 Day
7.22x10'1
7.35x10'1
7.63x10'1
7.40 x10'1
2.09X10'2
7 Day
7.09 x10'1
7.22 x10'1
7.77 x10'1
7.36 x10'1
3.63x10-2
30 Day
4.04 x101
7.70 x10'1
7.70 x10'1
1.40x101
2.29 x101
ODay
5.96 x103
1.03 x102
7.09X10'1
2.02 x103
3.41 x 103
1 Day
6.74x10'1
7.22x10'1
1.37 x101
5.05x10°
7.53x10°
7 Day
1.46x102
7.63 x10'1
7.93 x10'1
4.90 x101
8.36 x101
30 Day
4.04 x102
4.04 x101
8.08 x101
1.75x102
1.99x102
SD, standard deviation

Note: values based partially upon detection limit, as no viable spores were detected in some replicate samples
    5x106
    4x106-
 5
^  3x106-
 CD
 Q.


I

g  2x106
 CO



I
Q

to

S.
    1x106-
       0-
               DayO
Day 1           Day 7

Waste Storage Time
Day 30
Figure 4.12:  Recoveries (colony forming units [CFU]) following decontamination of paper with
             diluted bleach (immersion time: 15 min).
                                             46

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Table 4.26:  Recoveries (Colony Forming Units [CPU]) Following Decontamination of Paper with
            Diluted Bleach (Immersion Time: 15 Min).
Coupon ID
C01
C02
COS
Average
SD
Front Page Sample
ODay
7.09x100
8.08x101
2.91 x 1Q6
9.70x105
1.68x106
1Day
1.65x106
7.63x10-1
7.35x10-1
5.52x105
9.55x105
7 Day
2.02x100
8.60x10-1
9.19x10-1
1.27x100
6.54x10-1
30 Day
4.04 x 1Qo
2.02x100
2.69x100
2.92 x 1Qo
1.03x100
Middle Page Sample
ODay
1.84x106
6.74x10-1
6.74x10-1
6.12x105
1.06x106
1Day
1.92x104
4.99x106
1.39x102
1.67x106
2.87 x 1Q6
7 Day
8.08x101
7.52x101
7.09x10-1
5.23x101
4.47x101
30 Day
3.31 x 1Q3
4.04x100
1.12x103
1.48x103
1.68x103
SD, standard deviation
Note: values based partially upon detection limit, as no viable spores were detected in some replicate samples
4.3.4.2   Paper Decontamination Effectiveness
The results of the Paper decontamination tests are presented in Table 4.28, and illustrated in Figure 4.13.
The decontamination effectiveness is presented as the mean Log10 reduction in recoveries (CFU), from
all samples within a particular material and treatment. The decontamination effectiveness is presented as
the mean Log10 reduction in CFU recovered, from all samples within a particular material and treatment.
For example, recoveries following sampling at all storage times were averaged to yield one estimate of
recovery for that particular treatment.

The mean combined decontamination efficacies (Log10 CFU Reductions) for the front and middle pages
after a 15 minutes immersion time in pAB was 6.6 + 0.5 (n= 24 samples) and 5.4 + 1.3 (n= 24),
respectively. Following a 15 minute immersion in diluted bleach, the respective decontamination
efficacies were 6.0 + 1.8 (n= 24 samples) and 4.5 + 2.4 (n= 24).  The data suggest that a 6 Log reduction
in recoverable spores is more easily obtained for front pages than those in the middle of the books. Full
decontamination may have been achieved by using a longer immersion time and/or by opening the books
during the immersion process.

Table 4.28:  Paper Decontamination Efficacy (Log Reduction in Recovery, Immersion Time: 15
            min)
Decontaminant
pH Adjusted
Bleach
Diluted Bleach
Sample Location
Front Page
Average
6.6
6.0
SD
0.5
1.8
Middle Page
Average
5.4
4.5
SD
1.3
2.4
SD, standard deviation
                                              47

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7-
1 '
"° 5-
(2
I?*-
0
I3'
§ 2-
g •
1-
n-








































CZlpAB
I 	 1 Diluted Bleach






















             Front Page                 Middle Page
                     Paper Sample Type

Figure 4.13: Decontamination efficacy of pH adjusted bleach and diluted bleach on paper (colony
            forming units [CPU] log reduction, immersion time:  15 min).
                                             48

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5   Quality Assurance

This project was performed according to an approved Category III Quality Assurance Project Plan
(QAPP).  Sufficient detail of the methods outlined in the QAPP are provided within this report.

5.1   Sampling, Monitoring, and Analysis Equipment Calibration
Operating procedures for the maintenance and calibration of all laboratory and NHSRC RTP
Biocontaminant Laboratory equipment were prepared. All equipment was verified as being certified
calibrated or having the calibration verified by EPA's Air Pollution Prevention and Control Division on-site
(Research Triangle Park, NC) Metrology Laboratory at the time of use. Standard laboratory equipment
such as balances, pH meters, biological safety cabinets and incubators were routinely monitored for
proper performance. Data gathered with the HOBO thermistors were processed using the factory
calibration. Calibration of instruments was done at the frequency shown in Table 5.1. Any deficiencies
were noted. The instrument was adjusted to meet calibration tolerances and recalibrated within 24 hours.
If tolerances were not met after recalibration, additional corrective action was taken, possibly including,
recalibration or/and replacement of the equipment.

Table 5.1:  Instrument Calibration Requirements
Equipment
Thermometer
pH Meter
HOBO® RH Sensor
Stopwatch
Micropipettes
Clock
Scale
Calibration/Certification
Compare to independent NIST thermometer (this
is a thermometer that is recertified annually by
either NIST or an International Organization for
Standardization (ISO)-1 7025 facility) value once
per quarter.
Perform a 2 point calibration with standard buffers
that bracket the target pH before each use.
Compare to calibrated RH sensor prior to use.
Compare against NIST Official U.S. time at
http://nist.time.aov/timezone.cai?Eastern/d/-5/iava
once every 30 days.
All micropipettes will be certified as calibrated at
least once per year. Rainin™ Pipette liquid
handling devices are recalibrated by gravimetric
evaluation of pipette performance to
manufacturer's specifications every six months by
the supplier (Rainin Instruments, Mettler Toledo,
Greifensee, Switzerland).
Compare to office U.S. Time 
every 30 days.
Check calibration with Class 2 weights
Expected Tolerance
±1°C
±0.1 pH units
±5%
±1 min/30 days
±5%
±1 min/30 days
+ 0.1% weight
NIST, National Institute of Standards and Technology; RH, relative humidity
5.2   Data Quality
The primary objective of this project (Task 1: Evaluation of Waste Decontamination Procedures) was to
estimate the efficacy of liquid-based decontamination approaches for on-site treatment of bundled or
bagged waste items typical of an indoor office setting that had been contaminated with B. anthracis
                                              49

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spores. The QAPP in place for this project was followed with deviations that have been documented in
the laboratory notebook. These deviations did not affect data quality.

5.3    QA/QC Checks
Uniformity of the material sections was a critical attribute to assure reliable test results. Uniformity was
maintained by obtaining a large enough quantity of material that multiple material sections and coupons
could be constructed with presumably uniform characteristics. Samples and test chemicals were
maintained to ensure their integrity. Samples were stored away from standards or other samples which
could cross-contaminate them.

Supplies and consumables were acquired from reputable sources and were NIST traceable when
possible. Supplies and consumables were examined for evidence of tampering or damage upon receipt
and prior to use, as appropriate. Supplies and consumables showing evidence of tampering or damage
were not used. All examinations were documented and supplies were appropriately labeled. Project
personnel  checked supplies and consumables prior to use to verify that they met specified task quality
objectives  and did not exceed expiration dates.

Quantitative standards do not exist for biological agents. Quantitative determinations of organisms in this
investigation did not involve the use of analytical measurement devices. Rather,  the CPU were
enumerated manually and recorded. QC checks for critical measurements/parameters are shown in Table
5.2. These checks also served as data quality indicator goals. The acceptance criteria were set at the
most stringent level that can be routinely achieved. Positive controls and procedural blanks were included
along with  the test samples in the experiments so that well-controlled quantitative values could be
obtained. Background checks were also included as part of the standard protocol. Replicate coupons
were included for each set of test conditions. Standard operating procedures using qualified, trained and
experienced personnel were used to ensure data collection consistency. The confirmation procedure,
controls, blanks, and method validation efforts were the basis of support for biological investigation
results. If necessary, training sessions were conducted by knowledgeable parties, and in-house practice
runs were  used  to gain expertise and proficiency prior to initiating the research.

Tests with  conditions falling outside of these criteria were rejected and repeated  upon approval by the
EPA project team.

Background contamination was controlled by sterilization of test materials and  use  of aseptic technique,
procedural blank controls, and a pure initial culture. Aseptic technique was used  to ensure that the culture
remains pure. Procedural blank controls were run in parallel with the contaminated materials. Assuming
that the procedural blank controls showed no CPU, the observed colonies from inoculated coupons
indicated surviving spores from the inoculated organisms provided they were consistent with the expected
colony morphology (i.e., orange color, round form, flat elevation, rough texture, and undulate margin).
                                              50

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Table 5.2: Quality
QC Sample

Procedural Blank
(coupon without
biological agent)


Positive Control
(Sample from
material coupon
contaminated with
biological agent but
not subjected to
the test conditions)



Blank plating of
microbiological
supplies
BlankTrypticSoy
agar Sterility
Control
(plate incubated,
but not inoculated)

Ohlorinp
ronrpntration


PH
Field blank
samples
f Control Checks
Information
Provided

Controls for sterility of
materials and methods
used in the procedure.

Initial contamination
level on the coupons;
allows for
determination of log
reduction; controls for
confounds arising from
history impacting
bioactivity; controls for
special causes.

Shows plate's ability to
support growth.
Controls for sterility of
supplies used in
dilution plating

Controls for sterility of
plates.

Concentration of free
available chlorine
(FAC) in the fresh pH
adjusted bleach or
diluted bleach solution
Effective concentration
of hydrogen ions in
solution
The level of
contamination present
during sampling
Frequency


1 per test




3 or more
replicates
per test



3 of each
supply per
plating event

Each plate



1 peruse


1 peruse
1 per sampling
event
Acceptance
Criteria

No observed colony
forming units (CFU)


For high inoculation,
target loading of 1 x 107
CFU per sample with a
standard deviation of <
0.5 log. (5x106-5x107
CFU/sample); For low
inoculation, target loading
of1 x102CFUper
sample with a standard
deviation of < 0.25 log.
(56 -177 CFU/sample);
Grubbs outlier test (or
equivalent).
No observed growth
following incubation

No observed growth
following incubation.


6000-6700 ppm for fresh
pH adjusted bleach or
diluted bleach

>6.5 and <7.0 for fresh
pH adjusted bleach
Non-detect
Corrective
Action
Reject results of test
coupons on the same order
of magnitude, Identify and
remove source of
contamination.

Outside target range:
correct loading procedure
for next test and repeat
depending on decided
impact.
Outlier: evaluate/exclude
value.


Sterilize or dispose of
source of contamination.
Re-plate samples.

All plates are incubated prior
to use, so any contaminated
ones will be discarded.


Reject solution, replace
reagents and prepare a new
solution

Reject solution, replace
reagents and prepare a new
solution
Clean up environment.
Sterilize sampling materials
before use.
Several management controls were put in place in order to prevent cross-contamination. This project was
labor intensive and required that many activities be performed on material sections or coupons that were
intentionally contaminated (test samples and positive controls) or intentionally not-contaminated
(procedural blanks). The treatment of these three groups of test areas (positive control, test, and
procedural blank) varied for each group. Hence, specific procedures were put in place to prevent cross-
contamination among the groups. Adequate cleaning of all common materials and equipment was critical
                                               51

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in preventing cross-contamination; therefore, all common materials were fumigated using a VHP® or
ethylene oxide sterilant, then swab sampled for sterility prior to each use.

There are four primary activities for each test in the experimental matrix. These activities are preparation
of the coupons, execution of the decontamination process (including sample recovery), sampling, and
analysis. Specific management controls for each of these activities are described below.

5.4   Acceptance Criteria for Critical Measurements
The data quality objectives define the critical measurements needed to address the stated objectives and
specify tolerable levels of potential errors associated with simulating the  prescribed decontamination
environments. The following measurements were deemed to be critical to accomplish part or all of the
project objectives:

   •   Chlorine concentration, determined by measuring FAC in decontaminant solutions.
   •   pH
   •   Temperature
   •   RH
   •   Time
   •   Decontamination time
   •   Plated volume
   •   Spore log reduction
Data quality indicators for the critical measurements were used to determine if the collected data met the
data quality objectives. The critical measurement acceptance criteria are shown  in Table 5.3. The target
values and actual test parameters for each run are shown in Table 5.4.

The tests were conducted so that all the critical parameters are within the measurements accepted
criteria listed in Table 5.4. When one of the test  parameters did not meet the test target value, the test
method was repeated or modified to reach test target values and therefore achieve 100% completeness
for the task. For example, if the target FAC concentration in the bleach (decontaminant) solution was not
met, the solution was either re-prepared or adjusted according to the procedure in MOP 3128-A. Test RH
values were adjusted with data from calibrated RH sensors.  Similarly, if the CFU count for bacterial
growth didn't fall under the target range, the sample was either filtered or re-plated.
                                              52

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Table 5.3: Critical Measurement Acce
Critical Measurement
Plated volume
CFU/plate
FAC
Exposure time
PH
RH/temp of chamber
Measurement
Device
Pipette
Hand counting
HACH® Method
10100 -Digital
Titrator
Timer
Oakton® pH Meter
HOBO® U1 2 Sensor
Dtance Criteria
Accuracy
±2%
±10 % (between 2 counters)
±1%
±1 second
±0.01pH
±2.5% from 10% to 90%
Detection Limit
NA
1CFU
1 Digit (0.5 g/L
Chlorine)
1 second
NA
NA
Completeness
100%
100 %
100%
100%
100%
60%
CPU, colony forming units; FAC, free available chlorine; NA, Not applicable

Plates were quantitatively analyzed (CFU/plate) using a manual counting method. For each set of results
(per test), a second count was performed on 25 percent of the plates within the quantification range
(plates with 30 - 300 CFU). All second counts were found to be within 10 percent of the original count.

There are many QA/QC checks used to validate microbiological measurements. These checks include
samples that demonstrate the ability of the NHSRC RTP Biocontaminant Laboratory to culture the test
organism, as well as to demonstrate that materials used in this effort do not themselves contain spores.
The checks include:

•  Negative control coupons: sterile coupons that underwent the decontamination process

•  Field blank coupons: sterile coupons carried to the decontamination location but not decontaminated

•  Laboratory blank coupons: sterile coupons not removed from NHSRC RTP Biocontaminant
   Laboratory

•  Laboratory material coupons: includes all materials, individually, used by the NHSRC RTP
   Biocontaminant Laboratory in sample analysis

•  Positive control coupons: coupons inoculated but not  fumigated
                                              53

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Table 5.4:  Data Quality Assessment



Decontaminant



pH Adjusted
Bleach




pH Adjusted
Bleach

Diluted Bleach



pH Adjusted
Bleach




pH Adjusted
Bleach




Decontamination
Procedure



Immersion




Immersion


Immersion



Immersion




Rigorous
Immersion




Material
Type



Carpet



Personal
Protective
Equipment
Personal
Protective
Equipment


Upholstery




Carpet


Chlorine Concentration (FAC) - per 5
mL Bleach titrated

Target
Value
(ppm)


6000 - 6700




6000 - 6700


5700- 6300



6000 - 6700




6000 - 6700


Test
Value
(ppm)


6650




6610


6049



6390




6470


Frequency



Once before
testing




Once before
testing

Once before
testing


Once before
testing




Once before
testing


pH


Target
Value



6.5-
7.0




6.5-
7.0

-11



6.5-
7.0




6.5-
7.0


Test
Value



6.61




6.64


11.09



6.6




6.79


Frequency


Once
before
testing


Once
before
testing
Once
before
testing

Once
before
testing


Once
before
testing

Chamber Parameters (HOBO®)


RH



46




42


31



25




20


Temp



71




64


61



61




62


Frequency

Data recorded at

5 min intervals
for the duration

of the test
Data recorded at

1 min intervals
for the duration
of the test
Data recorded at
5 min intervals
for the duration
of the test
Data recorded at

5 min intervals
for the duration

of the test
Data recorded at

3 min intervals
for the duration

of the test
                                                           54

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Diluted Bleach




pH Adjusted
Bleach


pH Adjusted
Bleach



Immersion




Immersion


Rigorous
Immersion



Paper




Paper


Carpet



5700- 6300




6000 - 6700


6000-6700



5989




6209


6550



Once before
testing




Once before
testing


Once before
testing



-11




6.5-
7.0


6.5-
7.0



11.39




6.75


6.87


Once
before
testing


Once
before
testing

Once
before
testing


21




38




63




62


Data recorded at

3 min intervals
for the duration

of the test
Data recorded at

3 min intervals
for the duration

of the test
HOBO® Data Not Available this test

FAC, free available chlorine
                                                                                55

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5.5    Data Quality Audits
This project was assigned QA Category III and did not require technical systems or performance
evaluation audits.

5.6    QA/QC Reporting
Quality Assurance (QA)/QC procedures were performed in accordance with the QAPP for this
investigation.
                                           56

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6   Summary and Recommendations

The pAB immersion-based waste decontamination procedure, when performed on carpet material
coupons, showed that decontamination efficacy increases with increasing immersion time. The mean
combined Log10 CPU reductions for the 15, 30, and 60 minutes immersion times were respectively 2.72 +
0.32,  3.37 + 0.34, and 3.91 + 0.51 using the extraction-based sampling method (removal of a coupon
from a larger sample).  As mentioned, for this study, a log reduction of 6.0 was considered effective. The
same  pAB immersion-based procedure, when applied to upholstered coupons, resulted in a much higher
decontamination efficacy (6.4 + 0.6 Log Reduction) for an equal immersion time of 15 minutes, and using
the same sampling method.

The mean  combined Log10 CPU reductions for PPE materials immersed for 15 minutes in pAB and diluted
bleach are respectively 7.57 + 0.86 and 5.45 + 2.51. The pAB/15 minutes immersion procedure did
achieve  greater than 6 log reduction for all but one sample. When PPE waste decontamination was
attempted with immersion  in diluted bleach  for 15 minutes, the efficacy ranged from 0.22 to 7.58 log
reduction.  Difficulties in wetting all interior surfaces of PPE materials may explain the wide range of
decontamination efficacies observed for this material. One potential explanation for why this effect was
less evident during the attempted decontamination with pAB,  is that the higher volatility of pAB (compared
to diluted bleach) may have resulted in higher exposures of spores to chlorine gas regardless of whether
these  spores were located on wetted areas.

The mean  combined Log10 CPU reductions for the front and middle pages of a book material, when a 15
minutes immersion time in pAB was utilized are  6.6 + 0.5 and 5.4 + 1.3, respectively. When the paper
material decontamination was attempted with a  15 minute immersion in diluted bleach 15, the respective
efficacies were 6.0 + 1.8 and 4.5 + 2.4. These  data suggest  that decontamination of paper materials fully
exposed to the decontaminant (i.e., cover and front pages of a book) is more  efficient than of those
materials shielded from the liquid decontaminant (i.e., middle  of the book pages). Agitation  methods
designed to expose all pages of books or similar waste items  may increase the efficacy of treatment for
this type of waste.

For the material/decontamination procedures that  achieved more than  6 Log reductions, there were still
instances in which full decontamination was not achieved. The residual spores detected in the samples
were due to the inability of the decontamination  solution to have full contact with all the surface areas of
the materials tested as shown in Table 6.1. Carpet data is not included in this table since it  never
achieved 6  Log  reductions.

Overall,  the data from these tests demonstrate that immersion time (contact time) is a critical parameter in
waste decontamination, as demonstrated in this study for carpet  material. The pAB decontaminant
achieved greater spore reductions than diluted bleach for all of the materials tested in this study.
Materials such as carpet may prove difficult to achieve complete  spore inactivation with these techniques,
especially in a field setting where large quantities of the materials are requiring treatment. Such large-
scale  application of this method may prove  logistically challenging.

The two sampling methods (extractive and  Sponge-Stick™) were evaluated for both carpet and
upholstered materials. For these materials,  the extraction-based  method consistently achieved higher
recoveries.  As a consequence of its lower  recoveries, the Sponge-Stick™ method resulted in over-
                                              57

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estimation of the decontamination efficacies. If possible, utilization of extraction-based methods for waste
sampling provides improved sensitivity of detection. However, these methods might not be easily
deployed in the field, and could generate samples that are not as easily analyzed in the laboratory.

Representative extraction samples can be difficult to collect for certain materials. For example, it was
found, during preliminary exercises, that carpet (specifically, the backing) and upholstery materials were
difficult to cut with simple hand tools.  For aseptic sampling purposes specific to this  study, these
materials were pre-cut for extractive sampling during coupon material preparation however; this would not
be the case during a field sampling event. Damaged material samples and poor sample collection
technique are a few of the issues to be encountered with extractive sampling. Furthermore, preliminary
testing showed that the required laboratory analysis method was specific to the material.  Variations in
neutralizer volumes, extraction solution volumes, extraction vessels, etc. were necessary for each
material during analysis. An effective  surface sampling technique that could be utilized for the majority of
materials would result  in an efficient and economical sample analysis process.  More work is needed to
develop and characterize effective waste sampling methods.

Table 6.1:  Portion of Samples with No Viable Spores Detected After Decontamination
Sampling Method
Extractive method
Sponge-Stick™
Material Type
Upholstery
Paper Front Page
Paper middle Page
PPE
Carpet (15-min Immersion Time)
Carpet (30-min Immersion Time)
Carpet (60-min Immersion Time)
Upholstery
Carpet (15-min Immersion Time)
Carpet (30-min Immersion Time)
Carpet (60-min Immersion Time)
Post-Decon Samples with No Viable Spores
Detected / Total Number of Samples Collected
pAB
19/36
12/13
5/11
58/60
0/27
0/36
1/36
34/36
9/27
4/36
13/36
Diluted Bleach
^^^^^^_
9/12
4/12
28/60
\
Overall, numerous knowledge gaps and capability gaps were identified during the current study.  Some of
these gaps include:

         •   What are the logistical challenges in scaling up waste decontamination and sampling
             methods for a wide area release?
         •   What are the most efficient waste sampling methodologies for various waste streams?
         •   Do current waste management approaches affect contaminant resuspension or aerosol
             generation?
         •   What are the likely waste acceptance criteria at waste management facilities that may be
             able to handle these wastes? How will that impact sampling and decontamination methods
             (e.g., liquids, residual chemicals, spore loading, etc.)?
                                              58

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         •   What are the likely volumes of waste liquids being generated and how those will need to be
             managed as a result of these methods?
         •   Will sample processing labs accept these sample types? Are the sample types optimized
             for preferred analytical methods?

Within this list are many research gaps for which future studies are needed.
References

1.      U.S. EPA. Technical Brief- Bio-response Operational Testing and Evaluation (BOTE) Project.
U.S. Environmental Protection Agency, Washington, DC, EPA/600/S-12/001, 2012.
                                             59

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Appendix A:  Miscellaneous Operating Procedures
MOP 3120    VHP® Operation
MOP 3128-A  Procedure for preparing pH-Adjusted Bleach Solution
MOP 3148    lodometric Method for the Determination of Chlorine Dioxide and Chlorite using the
             HACH Test Kit
MOP 3165    Sponge Sample Collection Protocol
MOP 3194    Procedure for Fabricating 18" x 18" Upholstery Coupons for Liquid Inoculation
MOP 3195    General Procedure for Immersion Decontamination
MOP 6535a   Serial Dilution:  Spread Plate Procedure to Quantify Viable  Bacterial Spores
MOP 6562    Preparing Pre-Measured Tubes with Aliquoted Amounts of  Phosphate Buffered Saline
             with Tween 20 (PBST)
MOP 6565    Filtration and Plating of Bacteria from Liquid Extracts
MOP 6580    Recovery of Bacillus Spores from 3M Sponge-Stick™ Samples
MOP 6584    Procedure for Replating Bacteria Spore Extract Samples
                                           A1

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                                                                     MOP-3120
                                                                      Revision 5
                                                                      June 2013
                                                                    Page 1 of 13
            Miscellaneous Operating Procedure (MOP) 3120:
                              VHP Operation
Prepared by:
            Rob Delafield, ARCADIA Technical Lead Author
Reviewed by:
            Dahman Tgaati, ARC ADIS'Project Manager
                              Date: 6/26/2013
                              Date: 6/26/2013
Approved by:
. A
            Worth Calfee, EPA W0fk Assignment Manager
                      I       ./
Date: 6/26/2013
                                  Prepared for
                     National Homeland Security Research Center
                        Office of Research and Development
                       U.S. Environmental Protection Agency
                         Research Triangle Park, NC  27711
                                  Prepared by
                              ARCADIS U.S., Inc.
                          4915 Prospectus Drive, Suite F
                               Durham, NC 27713
                                      A2

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                                                                           MOP-3120
                                                                           Revision 5
                                                                            June 2013
                                                                          Page 2 of 13

MOP 3120

TITLE:       VHP Operation

SCOPE:      Outlines setup and operation of the VHP 1000-ED.

PURPOSE:   Ensure the decontamination and/or sterilization of the COMMANDER chamber
             and/or airlock contents.


1.0   OVERVIEW

The VHP has no method to control the concentration generated in the chamber. Therefore the
target concentration must be achieved and maintained through the set up of the operating
parameters. These values may need to be adjusted as material type and volume vary.

2.0   SAFETY

   A Ensure all personnel in the room are aware that VHP is going to be dispensed in
      COMMANDER or the airlock.

   A Activate the warning lights outside the door from the control room and outside the
      exterior door.
   A Verify that the enclosure air monitor is calibrated and functioning properly.


3.0   SETUP

Starting parameters may be as follows:
PHASE
(DH)de-humidification
(CD) conditioning
(DC) de-contamination
(AR) aeration
(A A) aux aeration
TIME (hr:min:sec)
00:00:00
00:30:00
06:00:00
04:00:00
00:00:00
INJECTION RATE (g/min)

12.0 (Maximum rate)
12.0


The times and injection rates can be adjusted after start-up if needed. Airflow is set and
maintained at 17scfm for all cycles.

4.0    PRE-START UP

   a.  Use the chamber SCADA system to verify the supply and exhaust blowers for the
       chamber are off.  On the 485 Com screen, the buttons for SC 101 and SC 102 blowers
                                         A3

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                                                                                      MOP-3120
                                                                                       Revision 5
                                                                                       June 2013
                                                                                     Page 3  of 13

        should be red (Figure 1).  Click them with the mouse to change them from green to red
        if necessary.
File View Alarm Security Window Help
SC-101 Cbr Supply Blower
                     EPA DCMD Chamber - Drives and Stulz AHU Communication
Stulz Coils
Air Proving Failure Alarm
Temperature Display F/C
Pump Failure Alarm
Drain Failure Alarm
Water Detection Alarm
SC-102 Cbr Exhaust Blower
SC-211 Airlock Exhaust Blower
                             Stulz Registers
DC-BUS Voltage
&EPA
J Start | | ^ PAC Display Runtime ...
                               ote Humidity Display
                             oyiiern On/Off Status
                             Room Temperature Setpoint
                             Analog Input 6 Minimum C
                               Dg Input 6 Maximum [
                             Room Humidity Setpoint
                             Analog Input 7 Minimum C
                             Analog Input 7 Maximum [
                             Password 1
Figure 1.  485 Com screen showing interface for the SC 101 and SC 102 blowers
    b.   Check that the filtered exhaust valves on top of the chamber are closed (the two valves
        labeled Chamber Exhaust (Filtered) in Figure 2), and that the center valve is closed
        (the valve labeled Chamber Exhaust Bypass). This Bypass circuit is not longer
        functional and has been blanked off.
                                                A4

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                                                                       MOP-3120
                                                                        Revision 5
                                                                        June 2013
                                                                      Page 4 of 13
Figure 2. Top of the chamber showing the valve locations
  c.  Check that the chamber supply valve is closed (labeled Chamber Supply Air in Figure 3
     and shown open).

  d.  Ensure that the ATI sensor is in the chamber and not covered.
                                       A5

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                                                                           MOP-3120
                                                                           Revision 5
                                                                            June 2013
                                                                         Page 5 of 13
Figure 3.  Top of the chamber showing the Chamber Supply Air valve location
  e.   Securely close the chamber door.

  f.   Ensure the supply and return lines of the VHP are connected to the chamber (Figure 4).
      Keep in mind that the supply line gets hot during operation which softens the tubing. This
      makes it susceptible to kinking if stressed.

  g.   Ensure the chamber P-trap is filled with water (Figure 4).

  h.   Connect the Emergency Stop cable to the back of the Steris 1000ED (Figure 5).
                                         A6

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                                                                           MOP-3120
                                                                            Revision 5
                                                                            June 2013
                                                                          Page 6 of 13
Figure 4.  Locations of VHP return and supply ports and the COMMANDER P-trap
      The Enclosure ATI is wired through the E-Stop switch to shut down the VHP operation
      in the event the concentration in the enclosure reaches 5 ppm. This is a latching action
      and will require pressing the alarm reset (A\R) on the ATI monitor to unlatch. Of course,
      check the concentration on the SCADA to ensure it is safe to enter the Enclosure.
                                         A7

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                                                                          MOP-3120
                                                                           Revision 5
                                                                           June 2013
                                                                         Page 7 of 13
Figure 5. Emergency Stop connection at the DC INPUT
5.0   VHP OPERATION

   a.  Fill out a VHP safety checklist and insert in the Steris Log book.

   b.  Log in to the Steris 1000ED. The VHP has a touch screen. A pen works well for keying
      in selections. Select Run.

   c.  From OPERATOR menu, enter Username= 3, Password= 3. Select HiOi Fill. Fill
      reservoir to 1850 grams.

   d.  It may be necessary to fill or refill the supply bottle. If so, then:
                                         A8

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                                                                             MOP-3120
                                                                              Revision 5
                                                                              June 2013
                                                                            Page 8 of 13

       1)  Turn the knob above the bottle door to Replace (This knob only turns clockwise).
          Wearing a lab coat, nitrile gloves and safety glasses, remove the bottle by sliding
          forward.

       2)  Fill the bottle from the 5 gal container, replace the bottle and slide all the way back.

       3)  Turn the knob to Engage. Unless you manually stopped the fill process, it will
          automatically resume. If manually stopped, press Start to resume.

   e.  Press X to return to the operator menu and select run cycle.

   f.  Choose the  cycle named chamber (or airlock).

   g.  Start the cycle by pressing the green icon.

   h.  Answer YES to run regeneration after completion of cycle. Record dryer and scale values
       in the "Steris log" notebook.

   i.  Monitor the conditioning phase for desired concentration, (typically 250 or 400 ppm).

   j.  If necessary, press Cycle Setup and increase the time and/or the injection rate to achieve
       target (use the right arrow key to advance to the second screen). Press X to exit and save
       changes.

       NOTE: Frequent changes to injection rates can cause injection rate deviation trips.

   k.  Monitor decontamination phase and adjust injection rate and/or time if necessary to
       achieve set  point conditions. Typical targets are 250 ppm for 4  hours and 400 ppm for 6
       hours.
6.0    CYCLE COMPLETION

   Open chamber supply and filtered exhaust valves, then turn on the chamber supply and
   exhaust blowers to aerate the chamber. Chamber is safe to enter when the concentration falls
   below 1.0 ppm. (See Section 9.0 on chamber entry).

7.0    DECON of the AIRLOCK

     a.  Place a fan inside the airlock and make sure it is turned on.

     b.  Ensure the VHP hoses are connected to the airlock ports. The VHP supply hose should
        always be as short as possible.
                                           A9

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                                                                           MOP-3120
                                                                           Revision 5
                                                                            June 2013
                                                                          Page 9 of 13

  c.  A short extension tube is used on the supply port inside the airlock to separate the
     supply and return.

  d.  Check the FfeCh sensor location to be sure it is attached to the hanger on the left-hand
     side wall.

  e.  Check with one other person that all items are in airlock, especially Bis and bin lids.
     Also review that the VHP connection is correct (Figure 6).
   Figure 6. VHP connections
f.  At the SCADA 485 Com screen (Figure 7), ensure the blower is off (SC-211). Mouse
   click to turn the blower off (red) if necessary.
                                        A10

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                                                                                                  MOP-3120
                                                                                                  Revision 5
                                                                                                   June 2013
                                                                                               Page 10 of 13
File View Alarm Security  Window Help
SC-101 Cbr Supply Blower
                        EPA DCMD Chamber - Drives and Stulz AHU Communication
Stulz Coils
Air Proving Failure Alarm
Temperature Display F/C
Pump Failure Alarm
Drain Failure Alarm
Water Detection Alarm
Blower Stauts
Humidifier Status
SC-102 Cbr Exhaust Blower
SC-211 Airlock Exhaust Blower
                                Stulz Registers
&EPA
                                Remote Humidity Displc,,
                                System On/Off Status
                                Room Temperature Setpc
                                Room Temperature Setpc
                                Room Temperature Setpc
                                Analog Input 6 Minimum C
                                Analog Input 6 Maximum L
                                Room Humidity Setpoint
                                Analog Input 7 Minimum C
                                Analog Input 7 Maximum [
                                Password 1
                                                                                                     ARCADIS
  Start] | ^ PAC Display Runtin
Figure 7. 485 Com Screen showing SC-211 Blower interface
    g.   Turn supply damper off (shown off in Figure 8).
                                                      A11

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                                                                            MOP-3120
                                                                            Revision 5
                                                                             June 2013
                                                                         Page 11 of 13
Figure 8. Airlock Supply Damper shown in the off position


   h.  Close exhaust dampers/valves (Airlock Exhaust (Filtered) shown open in Figure 9).

   i.   Put up the WARNING sign on the airlock door.

   j.   Verify the airlock drain is closed.

   k.  Seal bottom of the airlock door with duct tape.

   1.   Run the COMMANDER program per Section 5.0.

   m.  Close Enclosure doors.
                                          A12

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                                                                          MOP-3120
                                                                           Revision 5
                                                                           June 2013
                                                                        Page 12 of 13
Figure 9. Filtered Airlock Exhaust shown in the open position
8.0   AERATION OF AIRLOCK

   a.  Open filtered exhaust valve near the floor (Figure 9).

   b.  Open supply air damper at waist level (Figure 8).

   c.  Turn on airlock blower from the SCADA "485 Com" screen (Figure 7). SC-211 will be
      red - make it green.

9.0   CHAMBER ENTRY

Check the ATI enclosure sensor reading on the SCADA. The reading should be less than 1 ppm
for entry into the enclosure.
                                         A13

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                                                                             MOP-3120
                                                                             Revision 5
                                                                              June 2013
                                                                          Page 13 of 13

Use 0.1 to 3 ppm ffcCh Drager tubes (P/N 81010414) per manufacturer's directions to monitor
concentration for safe entry (MOP 3187). If the measured concentration is above 1 ppm, more
aeration is required before opening the door.

10.0   RH PROBE FAILURE TRIP

A common problem with the VHP is a PvH probe failure trip. If under certain conditions moisture
gets on the probe, the alarm cannot be cleared by usual methods. Should this happen these steps
can be taken to clear the alarm (this procedure is not outlined in the manual).

a.   Enter the service mode (use the same ID and password).

b    Select "Calibration"

c.   Select "Cycle Airflow". You should here the fan start and the flow rate ramp-up to set
      point. This dries the sensor. Allow it to run for 30 seconds.

d.   Selecting the red X in the bottom right corner will terminate the fan.

e.   Continue selecting the red X to return to the operation screen. You should now be able to
      reset the alarm.
                                          A14

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                                                                MOP3128-A
                                                                  Revision 2
                                                                   Dec 2013
                                                                  Page 1 of4
         Miscellaneous Operating Procedure (MOP) 3128-A:
        Procedure for Preparing pH-Adjusted Bleach Solution
Prepared by:
Reviewed by: _
           Dahrnan Tojiaii, ARCADIS-iroject Manager
Approved by:
           Lukas QudejanS; EP|\ WACOR
Date: 12/11/2013
           Stella McDonald, ARCADIS MOP Author
Date: 12/11/2013
Date: 12/11/2013
                                 Prepared for
                    National Homeland Security Research Center
                       Office of Research and Development
                      U.S. Environmental Protection Agency
                        Research Triangle Park, NC 27711
                                 Prepared by
                             ARCADIS U.S., Inc.
                         4915 Prospectus Drive, Suite F
                             Durham, NC 27713
                                     A15

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                                                                         MOP 3128-A
                                                                            Revision 2
                                                                             Dec 2013
                                                                           Page 2 of4

MOP 3128-A

TITLE:       PROCEDURE FOR PREPARING pH-ADJUSTED BLEACH SOLUTION

SCOPE:      This MOP describes a procedure for reproducibly preparing the pH-adjusted
             bleach solution.

PURPOSE:   The purpose of this MOP is to ensure the solution meets QA specifications for
             each test.


Equipment/Reagents:
       Draeger or personal chlorine (C12) monitor [Oakton Acorn Series pH 5 meter or
       equivalent
       Plastic or glass funnel
   .   Triple rinsed container suitable for transporting hazardous solutions
       Oakton pH 7 (pH = 7.00 +/- 0.01 @ 25°C) buffer or equivalent

   .   Concentrated Clorox Commercial Solutions Germicidal Bleach (LOWE'S p/n 174273 ),
       less than 1 year old

   .   5% v/v Acetic Acid (Ricca Chemical, p/n 7732-18-5 or equivalent)
   .   Deionized water


1.0   PROCEDURE

1.1   Calibrate pH Meter

1.     Turn meter on (Figure 1). Meter will automatically enter pH mode.

2.     Rinse electrode thoroughly with DI water. DO NOT wipe the electrode.

3.     Dip both the electrode and temperature sensor into pH 7.00 buffer solution. The glass
      bulb must be completely immersed into the sample. Stir gently, and wait for the reading
      to stabilize (about 40 seconds).

4.     Press CAL key to enter the calibration mode. The display will momentarily flash "CA"  to
      indicate Calibration. The display will show the current uncalibrated reading, blinking
      while in calibration mode.
                                          A16

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                                                                           MOP 3128-A
                                                                              Revision 2
                                                                               Dec 2013
                                                                             Page 3 of4
       Figure 1. Oakton pH meter
5.      Allow the reading to stabilize. The meter will automatically recognize 7.00, 4.01, or
       10.00 buffers.

6.      Record the uncalibrated value in the laboratory notebook. Press Enter key once to
       confirm calibration. The LCD displays "CO" to indicate the calibration point has been
       confirmed. The meter exits calibration mode and returns to measurement mode.

7.      Record the pH buffer measurement and temperature (Press MODE key to select
       parameter) in the appropriate lab notebook.
1.2    Bleach Preparation

1.  Dilute concentrated germicidal bleach to regular germicidal bleach by making a 2:1 dilution
   with deionized water. For example, to prepare 750 ml of regular germicidal bleach, add 250
   ml (1 part) of deionized water to 500 ml (2 parts) of concentrated germicidal bleach.

2.  The pH-adjusted bleach should consist of 80% deionized water,  10% germicidal bleach
   (prepared in Step 1) and, 10% acetic acid. For example, to prepare 10 L of solution, combine
   1 L of prepared regular germicidal bleach, 2 L of deionized water, 1 L of acetic  acid, and 6 L
   of deionized water in that order. Prepare the solution in a container that accommodates the
   total volume of solution and a funnel if necessary. Record the total volume as Vstartin the lab
   notebook.

3.  Seal the mixing container and gently agitate for mixing. Place the pH probe into the solution
   and measure the pH (target pH = 6.8). If pH is above 7.0, add small increments of acetic acid.
                                           A17

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                                                                          MOP 3128-A
                                                                             Revision 2
                                                                              Dec 2013
                                                                            Page 4 of4

   If below 6.5, add germicidal bleach. Refer to the QAPP to determine if adjustments are
   permitted. Record the volume required for adjustment as Vadd. Calculate Vtotai as Vstart + Vadd
   in the lab notebook.

4.  Measure the free available chlorine (FAC) per MOP 3148. The target FAC is 6350 mg/L.
   The acceptable range is 6000 mg/L< FAC < 6700 mg/L.

   a)  If FAC exceeds the acceptable range,  dilute the total volume with deionized water by the
       percent difference between the target FAC and the actual FAC.

   Dilution volume = [(actual - target) + target] x (Vtotai)

   b)  If the FAC is less than the acceptable  range, add bleach according to the following
       equations:

       Additional volume of bleach = (target - actual)/ target x Vtotai

       Recalculate Vtotai according to the all additions and repeat steps 3 and 4 until both
       parameters are met. Record the final FAC, pH, temperature, and time in the lab
       notebook.
                                          A18

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                                                                  MOP-3148
                                                                   Revision 2
                                                               November 2012
                                                                  Page 1 of4


           Miscellaneous Operating Procedure (MOP) 3148:

  lodometric Method for the Determination of Chlorine Dioxide and
                   Chlorite using the HACH Test Kit
Prepared by:     /U^A^uc^w  ,. jv^.^v ^~   ^     Date:  11/15/2oi2

            Stella McDonald, ARCADIS Work Assignment Leader
Reviewed by:      ^	fe^^^~	J>	    Date:  11/15/2012

            Dahman Tduati, ARCADIS Project Manager
                   /
Approved by:  	/	/_	    Date:  11/15/2012
            Worth Car&erEPA Work Assignment Manager
                                 Prepared for

                    National Homeland Security Research Center
                       Office of Research and Development

                       U.S. Environmental Protection Agency

                        Research Triangle Park, NC 27711
                                 Prepared by
                             ARCADIS U.S., Inc.
                         4915 Prospectus Drive, Suite F
                             Durham, NC 27713

                                     A19

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                                                                          MOP-3148
                                                                           Revision 1
                                                                           April 2011
                                                                          Page 2 of4
MOP-3148
TITLE:       IODOMETRIC METHOD FOR THE DETERMINATION OF CHLORINE
             DIOXIDE AND CHLORITE USING THE HACK TEST KIT
SCOPE:      This MOP is intended for measurement of bleach (FAC) or chlorine dioxide (C1O2)
             in the DTRL.
PURPOSE:   This document provides the standard procedure for sample titration using the
             HACK Test Kit.
Equipment
       HACK digital titrator
   .   Magnetic stir bar
   .   Buret
Reagents
       HACK digital titrator cartridge (2.26N stabilized sodium thiosulfate (STS), cat. No.
       26869-01)
       HACK starch indicator solution (cat. No. 349-32)
   .   6N Hydrochloric Acid (HC1)
   .   Phosphate buffer concentrate
       Potassium Iodide
   .   Deionized water

1.    PROCEDURE
1.1   Preparation of Potassium Iodide Phosphate Buffer (KIPB) Solution
Add 5 mL of phosphate buffer concentrate and 50 g KI to a 1.0 L volumetric flask.  Bring up to
1 .OL with deionized water.
1.2   Preparation of Sample
1.  Insert a clean delivery tube into the 2.26N STS titrant solution cartridge. Attach the cartridge
   to the titrator body (see Figure 1).
                                         A20

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                                                                               MOP-3148
                                                                               Revision 2
                                                                           November 2012
                                                                               Page3 of 4
                    J' Delivery Tube

                    Reagent Cartridge
   Figure 1. Digital Titrator body, delivery tube, and reagent cartridge
2.  Flush the delivery tube by turning the delivery knob to eject a few drops of titrant. Reset the
   counter to zero and wipe off the tip.
3.  In a 250 ml beaker, add 20 mL of KIPB and 5 mL of sample
4.  Fill beaker to about the 200 mL mark with deionized water.
5.  Add a stir bar and place beaker on a stir plate
1.3  Titration: C1O2 and Chlorite
For F AC measurements of bleach, proceed directly to Step 3
1.  Place the delivery tube tip into the solution and titrate with 2.26N STS until the solution is pale
   yellow. From the Digital Titrator, record the number of digits required (A).
2.  Calculate the volume of titrant delivered (VA):
       VA (ml) = A/800
3.  Reset the counter to zero and add ~5 mL of 6N HCL to beaker.
4.  Titrate with 2.26 N STS until the solution is pale yellow, add 1 dropper of starch indicator
   and continue titration until the solution becomes  colorless. Record the number of digits
   required (B).
5.  Calculate the volume of titrant delivered (Vs):
       VB(ml) = B/800
                                            A21

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                                                                              MOP-3148
                                                                              Revision 1
                                                                              April 2011
                                                                              Page 4 of4
Calculations
In the following equations, 5 represents the sample size in mL, 2.26 represents the normality of the
STS, the other constants are the equivalent weights (mg/eq) per electron, and VA and VB are as
defined previously.
Bleach (ppm FAC) = VB * 2.26 *35453 / 5
Chlorine dioxide (ppm) = VA * 2.26 * 67452 / 5
Chlorite (ppm) = (VB - 4 * VA) *2.26 * 16863 / 5
If VB is not greater than 4 * VA, then the solution contains chlorine and must be reformulated.
                                           A22

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                                                                     MOP-3165
                                                                     Revision 3
                                                                      July 2013
                                                                     Pagel of 8
           Miscellaneous Operating Procedure (MOP) 3165:
                   Sponge Sample Collection Protocol
Prepared by:
                                                          Date: 7/17/2013
            Stella McDonald, ARCADIS Work Assignment Leader
Reviewed by:
                                                          Date: 7/17/2013
            Dahman^fouati, ARCADIS Project Manager
Approved by:
                        /
                                                          Date: 7/17/2013
            Worth Calfee, EPA Work Assignment Manager
                                  Prepared for
                     National Homeland Security Research Center
                        Office of Research and Development
                        U.S. Environmental Protection Agency
                         Research Triangle Park, NC 27711
                                   Prepared by
                                ARCADIS U.S., Inc.
                           4915 Prospectus Drive, Suite F
                                Durham, NC 27713
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                                                                            MOP-3165
                                                                            Revision 3
                                                                             July 2013
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MOP 3165
TITLE:
SCOPE:
PURPOSE:
SPONGE SAMPLE COLLECTION PROTOCOL
This MOP outlines the procedure for collecting spores using a 3M Sponge-Stick™.
To provide a procedure for the collection of spore samples using a Sponge-Stick™
in a consistent and repeatable manner.
MATERIALS
•  3M Sponge-Sticks™ (P/N SSL10NB), hereafter referred to as 'sponge'
•  One Seward stomacher bag (P/N BL6041/CLR) per kit
•  Disposable gloves
•  Sterilized sampling templates
•  One Fisher Sterile sampling bag with flat wire enclosure (7" x 12", P/N 14-955-194) per kit
•  One Fisher Sterile sampling bag with flat wire enclosure (10" x  14", P/N 01-002-53) per kit
   for overpack
•  Dispatch wipes

1.0  PREPARATION
All materials needed for collection of each sample will be prepared in advance using aseptic
technique. A sample kit for a single sponge sample will be prepared as follows:
 1.1    One stomacher bag will be uniquely labeled as specified in the project QAPP.
 1.2    A 10" x 14" bag will be labeled with the same ID as the stomacher bag.
 1.3    One stomacher bag, and one 9.5" x 12" unlabeled bag will be placed in the overpack bag.
 1.4    A sterile Sponge-Stick will be added to the overpack bag.
 1.5    Each prepared bag is one sampling kit.
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2.0    PROCEDURE FOR 12" X 12" SAMPLING AREAS
       NOTE: For sampling surface dimensions not outlined directly in this MOP, follow the
               12" x 12" sampling procedure for areas larger than 3" x 3" and the 2" x 2"
               procedure for areas smaller than 3" x 3". The area must be at least 1.5" x 1.5" to
               accommodate the dimensions of the sponge stick itself. Number of passes will
               vary with the dimensions of the surface being sampled. It is important that each
               pass overlaps the previous pass, and that each direction (horizontal/vertical/
               diagonal) is sampled as described in this MOP.

A two person team will be used, employing aseptic technique throughout.  The team will consist of
a sampler and a sample handler. In some cases, a third person may be needed to move samples.
Throughout the procedure, the support person will log anything they deem to be significant into the
laboratory notebook.
In general, the team works from the least contaminated sample set (i.e., control blanks) towards the
most contaminated sample set (i.e., positive controls).
All members shall wear dust masks to minimize potential contamination of the samples.
Depending on the situation, respiratory protection beyond a dust mask may be required to protect
the sampling team (e.g., SAR; this will be specified in the project QAPP).  New disposable lab
coats are required for the  sample handler when changing between different types of materials or
when direct contact between the coupon and lab coat occurs.

 2.1    The sampler will don sterile gloves and place the disposable template over the area to be
       sampled.
 2.2    The support person will remove a sample kit from the sampling bin and record the sample
       tube number on the sampling log sheet next to the corresponding coupon code just
       recorded.
 2.3    The sampler and support person will verify the sample code and ensure that the correct
       coupon and location are being sampled.
 2.4    The support person will:
       a)   Open the outer sampling bag touching the outside of the bag.
       b)   Touching only the outside of the (10" x 14") bag, remove the  sponge, and hand it to
           the sampler.
       c)   Remove the stomacher bag, being careful to not touch the inside of the outer sampling
           bag, and open it touching only the  outside.

 2.5    The sampler will remove the sterile sponge from its package. Grasp the sponge near the top
       of the handle. Do  not handle below the thumb stop.
 2.6    The sampler will wipe the surface to be sampled using the moistened sterile sponge by


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                                                                                July 2013
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       laying the widest part of the sponge on the surface, leaving the leading edge slightly lifted.
       Apply gentle but firm pressure and use an overlapping 'S' pattern to cover the entire
       surface with horizontal strokes (Figure 1). Use the other hand to hold the template during
       sampling, being careful not to touch the surface.
       Figure 1. First pass with sponge - horizontal strokes using one side of the sponge
2.7    The sampler will turn the sponge over and wipe the same area again using vertical ' S'-
       strokes (Figure 2).
   Figure 2. Second pass with sponge - vertical strokes using the other side of the sponge
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2.8  The sampler will the use the edges of the sponge (narrow sides) to wipe the same area using
     diagonal 'S'-strokes (Figure 3). The sponge will be flipped to use the opposite side
     immediately after the longest stroke at opposite corners.
   Figure 3. Third pass with sponge - diagonal strokes using the edges of the sponge
2.9  The sampler will use the tip of the sponge to wipe the perimeter of the sampling area
     (Figure 4).
   Figure 4. Final (fourth) pass with sponge - perimeter wipe using the tip of the sponge
2.10 The sample handler will open the stomacher bag, careful not to touch the inside of the bag.
2.11 The sampler will place the end of the sponge in the bag, holding the handle outside the
     opening of the bag.
2.12 The sample handler will grasp the sponge from outside of the bag, and help the sample break
     off the handle of the sponge. The handle below the thumbstop should not touch the inside of
     the stomacher bag.
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2.13 The sample handler will securely seal the stomacher bag and wipe the outside with a
     disinfecting wipe.
2.14 The sample handler will then place the stomacher bag inside the unlabeled sterile bag.
2.15 The sample handler will place this in the overpack bag and wipe the overpack bag with
     disinfecting wipes.
2.16 The sample handler will place the overpack bag in the sample bin.

        NOTE: Remove excessive air from the re-sealable plastic bags to increase the number of
               samples that can be shipped in one container.

2.17 The sampler will dispose of the template if present. The coupon handler will remove the
     coupon, if present.
2.18 Both members will remove outer gloves and discard. Clean gloves should be worn for each
     new sample.

3.0    PROCEDURE FOR 2" X 2" COUPONS
A two person team will be used, employing aseptic technique throughout. The team will consist of
a sampler and a sample handler. In cases where coupons are mobile, a third person will be needed
to move coupons. Only the coupon handler will handle coupons.
Throughout the procedure, the support person will log anything they deem to be significant into the
laboratory notebook.
In general, the team works from the least contaminated sample set (i.e., control blanks) towards the
most contaminated sample set (i.e., positive controls).
All members shall wear dust masks to minimize potential contamination of the samples.
Depending on the situation, respiratory protection beyond a dust mask may be required to protect
the sampling team (e.g., SAR; this will be specified in the project QAPP). New disposable lab
coats are required for the sample handler when changing between different types of materials or
when direct contact between the coupon and lab coat occurs.

 3.1   The support person will remove a sample kit from the sampling bin and record the sample
       tube number on the sampling log sheet next to the corresponding coupon code just
       recorded.
 3.2   The sampler and support person will verify the sample code and ensure that the correct
       coupon and location are being sampled.
 3.3   The support person will:
       d)   Open the outer sampling bag touching the outside of the bag.
       e)   Touching only the outside of the (10" x 14") bag, remove the sponge, and hand it to
           the sampler.

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                                                                               July 2013
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       f)   Remove the stomacher bag, being careful to not touch the inside of the outer sampling
           bag, and open it touching only the outside.

 3.4    The sampler will remove the sterile sponge from its package. Grasp the sponge near the top
       of the handle. Do not handle below the thumb stop.

3.5   Align the sponge with the widest part in contact with the surface to be sampled in the upper
     left corner, as seen in Figure 5. Sample by moving the sponge down to the bottom edge of
     the sampled area along the left edge applying even pressure to the sponge tip.

3.6   Align the sponge with the widest part in contact with the surface on the same side as in Step
     3.5 in the upper right corner. Sample by moving the sponge down to the bottom edge of the
     sampled area along the right edge applying even pressure to the sponge tip.
         1
      Figure 5. Sponge on 2" x 2" coupon (Side A)

3.7  Rotate the coupon 90 degrees.
3.8  Flip the sponge over and repeat Steps 3.5 and 3.6.
3.9  Flip the sponge on one side (the flat part of the handle will be in the vertical orientation) and
     sample horizontally across the coupon from upper left corner to lower right, overlapping
     30% each stroke.
3.10 Rotate the coupon 90 degrees.
3.11 Flip the sponge to the other side and repeat Step 3.9.
3.12 The sample handler will open the stomacher bag, careful not to touch the inside of the bag.
3.13 The sampler will place the end of the sponge in the bag, holding the handle outside the
     opening of the bag.
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                                                                               July 2013
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3.14 The sample handler will grasp the sponge from outside of the bag, and help the sample break
     off the handle of the sponge. The handle below the thumbstop should not touch the inside of
     the stomacher bag.
3.15 The sample handler will securely seal the stomacher bag and wipe the outside with a
     disinfecting wipe.
3.16 The sample handler will then place the stomacher bag inside the unlabeled sterile bag.
3.17 The sample handler will place this in the  overpack bag and wipe the overpack bag with
     disinfecting wipes.
3.18 The sample handler will place the overpack bag in the sample bin.

        NOTE: Remove excessive air from the re-sealable plastic bags to increase the number of
               samples that can be shipped in one container.

3.19 Both members will remove outer gloves and discard. Clean gloves should be worn for each
     new sample.


4.0    REFERENCES
Sponge sample collection protocol adapted from:

National Validation Study of a Cellulose Sponge Wipe-Processing Method for Use after Sampling
Bacillus anthracis Spores from Surfaces. Rose, Laura J.; Hodges, Lisa; O'Connell, Heather;
Noble-Wang, Judith. Appl. Environ. Microbiol. 2011, 77(23):8355.
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                                                                        MOP 3194
                                                                        Revision 0
                                                                       August 2013
                                                                        Page 1 of 5
            Miscellaneous Operating Procedure (MOP) 3194:
        Procedure for Fabricating IS" X IS" Upholstery Coupons
                            for Liquid Inoculation
Prepared by:
            Stelfa McDonald, ARCADIS Work Assignment Leader
                                                           Date:  8/9/2013
Reviewed by:
                                     ^	
            Dahman Touatf^ARCADIS ProjeCfMaTiager
                                                            Date:  8/9/2013
Approved by:
            Worth Carree*, EPA Work Assignment Manager
                                                           Date:  8/9/2013
                                   Prepared for
                       National Homeland Security Research Center
                          Office of Research and Development
                          U.S. Environmental Protection Agency
                           Research Triangle Park, NC 27711
                                    Prepared by
                                 ARCADIS U.S., Inc.
                            4915 Prospectus Drive, Suite F
                                 Durham, NC 27713

                                       A31

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                                                                           MOP 3194
                                                                           Revision 0
                                                                         August 2013
                                                                           Page 2 of 5
MOP 3194
TITLE:
SCOPE:
PROCEDURE FOR FABRICATING 18" X 18" UPHOLSTERY COUPONS FOR
LIQUID INOCULATION

This MOP describes the procedure for constructing 18" x 18" upholstery coupons
with the foam and fabric layers adhered together.
PURPOSE:  The purpose of this MOP is to ensure consistent manufacturing (materials and
            procedure) of these coupons.
1.0  INTRODUCTION

Section 2.0 details the fabrication procedure for the material coupons.  Section 3.0 describes how
the 18 mm coupon punches (for liquid inoculation) are created.

2.0  FABRICATION OF 18" X 18" UPHOLSTERY COUPONS

The materials to be used for the fabrication of the upholstery coupons are detailed in the table
below.
Material
Upholstery Fabric
Upholstery Foam
Upholstery Adhesive
Plywood
Description
Bryant
Indoor/Outdoor Pine
I"x24"x 108" High
Density Upholstery
Foam
3M™ Foam Fast 74
Spray Adhesive Clear
3/4" Pine plywood
Vendor
www.fabric.com
OnlineFabricStore
3M™
Lowe's
Part Number
0298925
124108-2645
62495049504
35677
Prepare the upholstery coupons as follows:

1.  Cut an 18 in x 18 in piece of foam padding, an 18 in x 18 in x 3/4 in piece of plywood (not
   pressure treated), and a 24 in x 24 in piece of upholstery fabric.
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2.  Place the 18 in x 18 in piece of foam padding in the center of an 18 in x 18 in x 3/4 in piece
   of plywood.

3.  Spray two layers of 3M™ FoamFast 74 to the surface of the foam then, quickly cover with a
   24 in x 24 in piece of upholstery fabric to cover the foam.

4.  Fold excess fabric underneath and staple to the back side of the plywood backing as shown in
   Figures la and b.
   Figure 1. Front (a) and back (b) of assembled upholstery cushion



3.0  FABRICATION OF 18 MM PUNCHES

1.  Place a 17.5" x 17.5" grid with 3.5" x 3.5" sections on the surface of the coupon (Figure 2).
                                          A33

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                                                                             MOP 3194
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                                                                           August 2013
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                                                                             17.5"
   3.5"
              3.5"

   Figure 2. 17.5" x 17.5" Punch Grid


2.  Place an 18 mm punch at the center of a 3.5" x 3.5" section of the grid and punch through the
   upholstery and foam, stopping at the plywood (DO NOT PUNCH THROUGH THE
   PLYWOOD)

3.  Retain the 18 mm punch

4.  Continue until  18mm punches have been removed from each section of the grid (Figure 3).
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                                              18 mm
                                              coupon
                                              (removed)
 Punch grid
         o     o    o    o
             V/o    o    o
             0000
                                           18 mm
                                           coupon
                                           (installed)
        Material
        section

Figure 3. Punch Grid on Upholstery Coupon with 18mm Punches
                                                               MOP 3194
                                                               Revision 0
                                                              August 2013
                                                               Page 5 of 5
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                                                                       MOP 3195
                                                                       Revision 0
                                                                   September 2013
                                                                       Page 1 of 5
            Miscellaneous Operating Procedure (MOP) 3195:
           General Procedure for Immersion Decontamination
Prepared by:
            Stelfa McDonald, ARCADIS Work Assignment Leader
Reviewed by:
            Dahman TouatffARCADIS Proj-etfMaTiager
Approved by:
            Worth Calfee, EPA WopJ< Assignment Manager
Date: 9/6/2013
Date: 9/6/2013
Date: 9/6/2013
                                   Prepared for

                       National Homeland Security Research Center
                          Office of Research and Development
                          U.S. Environmental Protection Agency
                           Research Triangle Park, NC 27711
                                    Prepared by
                                 ARCADIS U.S., Inc.
                            4915 Prospectus Drive, Suite F
                                 Durham, NC 27713
                                       A36

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                                                                           MOP 3195
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                                                                      September 2013
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MOP 3195

TITLE:       GENERAL PROCEDURE FOR IMMERSION DECONTAMINATION

SCOPE:      This MOP details the procedure for immersion decontamination of carpet,
             upholstery, personal protective equipment (PPE; nitrile gloves), and books.

PURPOSE:   The purpose of this procedure is to ensure all immersion decontaminations are
             performed in a consistent manor.


Equipment and Supplies:

•  75-Gallon immersion tank (10 cu ft Poly Trough, EZ Grout Corporation, p/n HTP10)

•  Polypropylene mesh (McMaster Carr, p/n 30145T51)

•  Stir rod

•  Oakton pH 5 meter, Acorn Series

•  Ventilating polypropylene mesh bag, white, 21" wide x 31  Va" high (McMaster Carr, p/n
   9883T63)
•  Decontaminant solution (see Table 1)
1.0  INTRODUCTION

Prior to beginning any decontamination procedure, all test materials, equipment, and supplies
should be prepared as described in the work assignment's QAPP. While containing
decontaminant solution, the immersion tank should be placed on a spill deck.

Table 1 lists several decontaminants, their active ingredient(s), and the appropriate preparation
and analysis method.

Table 1: Active Ingredients and Titration Methods for Select Decontaminants
Decontaminant
Diluted Bleach
pH-Adjusted Bleach
(pAB)
Spore-Klenz®
Active Ingredient
Hypochlorite
Hypochlorite
Hydrogen peroxide (H2O2)
and peracetic acid (PAA)
Preparation
Method
MOP 3181
MOP3128-A
Per product label
Analysis Method
lodometric Method
(MOP 3 128- A)
lodometric Method
(MOP 3 128- A)
Ceric Sulfate Titration
(MOP 3 196)
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2.0  CARPET AND UPHOLSTERY
1.  Prepare approximately 35 gallons of decontaminant solution (see Table 1) in the immersion
   tank. Perform the necessary data quality indicator (DQI) checks to verify the solution is
   within the quality specifications stated in the QAPP.

2.  Lower the sterilized mesh (ethylene oxide or vapor ffcCh sterilization) into the immersion
   tank containing the decontaminant solution so that it covers the bottom and walls of the tank.

3.  Analyze the solution for active ingredient(s) (see Table 1), pH, and temperature then discard
   the sample.

4.  Place the entire batch of material sections into the immersion tank (see QAPP for batch
   information).

5.  Allow to soak for the predetermined immersion time (nominally 15 minutes).

6.  After soaking for the required amount of time, remove the material sections from the
   immersion tank by lifting the mesh and allow to drain over the immersion tank for 5 minutes.

7.  Place the inoculated coupons in the established  sampling area for sample collection. Place the
   uninoculated material sections (do not contain 18 mm inoculated coupons) directly into the
   waste storage bag oriented horizontally.

8.  Collect samples from inoculated material sections per the QAPP. Then place horizontally in
   the same waste storage bag used in Step 7 in the following order:

          •  1 inoculated coupon
          •  2 uninoculated coupons
          •  1 inoculated coupon
          •  2 uninoculated coupons
          •  1 inoculated coupon

9.  Collect a sample of the residual decontaminant solution.

10. Analyze the residual decontaminant solution for the active ingredient(s) (see Table 1), pH,
   and temperature.
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                                                                         September 2013
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3.0  NITRILE GLOVES (PPE)
1.  Prepare approximately 35 gallons of decontaminant solution (see Table 1) in the immersion
   tank. Perform the necessary DQI checks to verify the solution is within the quality
   specifications stated in the QAPP.

2.  Place the entire batch of gloves (see QAPP for batch information) into a sterilized
   polypropylene mesh bag (ethylene oxide or vapor IHbCh sterilization).

3.  Lower the mesh bag containing the gloves into the immersion tank containing the
   decontaminant solution so that it covers the gloves. If necessary, add weights to the bag to
   keep it submersed.

4.  Allow to soak for the predetermined immersion time (nominally 15 minutes).

5.  After soaking for the required amount of time, remove the gloves from the immersion tank
   by lifting the mesh bag and allow to drain over the immersion tank for 5 minutes.

6.  Place the inoculated (white) gloves in the established sampling area for sample collection.
   Place the uninoculated (blue) gloves directly into the waste storage bag.

7.  Collect samples from the inoculated gloves per the QAPP. Then place in the same waste
   storage bag used in Step 6.

8.  Collect a sample of the residual decontaminant solution.

9.  Analyze the residual decontaminant solution for the active ingredient(s), pH, and
   temperature.
4.0  BOOKS

1.  Prepare 35 gallons of decontaminant solution in the immersion tank (see Table 1). Perform
   the necessary DQI checks to verify the solution is within the quality specifications stated in
   the QAPP.

2.  Place the entire batch of books (see the QAPP for batch information) into a sterilized
   polypropylene mesh bag (ethylene oxide or vapor IHbCh sterilization).

3.  Lower the mesh bag containing the books into the immersion tank containing the
   decontaminant solution so that it covers the books.

4.  Allow to soak for the predetermined immersion time (nominally 15 minutes).
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5.  After soaking for the required amount of time, remove the books from the tank by lifting the
   mesh bag and allow to drain over the immersion tank for 5 minutes.

6.  Place the inoculated books in the established sampling area for sample collection. Place the
   uninoculated books directly into the waste storage bag.

7.  Collect samples from the inoculated books per the QAPP. Then place into the same waste
   storage bag as the uninoculated books (Step 6).

8.  Collect a sample of the residual decontaminant solution.

9.  Analyze the residual decontaminant solution for the active ingredient(s) (see Table 1), pH,
   and temperature.
                                          A40

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                                                            MOP 6535a
                                                             Revision 4
                                                           January 2013
                                                             Page 1 of 8
    Miscellaneous Operating Procedure (MOP) 6535a:
Serial Dilution: Spread Plate Procedure to Quantify Viable
                       Bacterial Spores
Prepared by:
                                  IS Work Assignment Leader
Reviewed by:
            Nicole Griffin GaichaMan,
                                                  Date: 2/11/2013
                                                  Date: 2/11/2013
             ......
      Dahman TtiARCADlS^rojecfManager
Approved by:
                                                  Date: 2/11/2013
      Worth Calfee, EPA Work Assignment Manager
                           Prepared for

               National Homeland Security Research Center
                  Office of Research and Development
                 U.S. Environmental Protection Agency
                   Research Triangle Park, NC 27711
                            Prepared by
                                ^/YHK
                            * .j\CrtL?i^
                        ARCADIS U.S., Inc.
                    4915 Prospectus Drive, Suite F
                        Durham, NC 27713
                               A41

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                                                                             MOP 6535a
                                                                              Revision 4
                                                                            January 2013
                                                                              Page 2 of 8
MOP 6535a
TITLE:       SERIAL DILUTION: SPREAD PLATE PROCEDURE TO QUANTIFY
              VIABLE BACTERIAL SPORES

SCOPE:       Determine the abundance of bacterial spores in a liquid extract

PURPOSE:    Determine quantitatively the number of viable bacterial spores in a liquid
              suspension using the spread plate procedure to count colony-forming units (CPU)
Materials:

•  Liquid suspension of bacterial spores

•  Sterile centrifuge tubes

•  Diluent as specified in QAPP or Test Plan (e.g., sterile water, Phosphate Buffered Saline with
   Tween 20 (PBST))

•  Media plates as specified in QAPP or Test Plan (e.g., Trypticase Soy Agar (TSA) plates)

•  Microliter pipettes with sterile tips

•  Sterile beads placed inside a test tube (used for spreading samples on the media surface
   according to MOP 6555 (Petri Dish Media Inoculation Using Beads) or cell spreaders

•  Vortex mixer

1.0 PROCEDURE (This protocol is designed for 10-fold dilutions.)

1.  For each bacterial spore suspension to be tested label microcentrifuge tubes as follows: 10"1,
   10"2, 10"3, 10"4, 10"5, 10"6... (The number of dilution tubes will vary depending on the
   concentration of spores in the suspension). Aseptically, add 900 uL of sterile diluent to each
   of the tubes.

2.  Label three media plates for each dilution that will be plated. These dilutions will be plated in
   triplicate.

3.  Mix original spore suspension by vortexing thoroughly for 30 seconds. Immediately after the
   cessation of vortexing, transfer 100 uL of the stock suspension to the 10"1 tube. Mix the 10"1
   tube by vortexing for 10 seconds, and immediately pipette 100 uL to the 10"2 tube. Repeat
   this process until  the final dilution is made. It is imperative that used pipette tips be
   exchanged for a sterile tip each time a new dilution is started.

4.  To plate the dilutions, vortex the dilution to be plated 10 seconds, immediately pipette 100
   uL of the dilution onto the surface of a media plate, taking care to dispense all of the liquid

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                                                                           January 2013
                                                                             Page 3 of 8

   from the pipette tip. If less than 10 seconds elapses between inoculation of all replicate
   plates, then the initial vortex mixing before the first replicate is sufficient for all replicates of
   the sample. Use a new pipette tip for each set of replicate dilutions.

5.  Carefully and aseptically spread the aliquotted dilution on the surface of the media either by
   use of glass beads (MOP 6555) or cell spreader (the method used may be directed in the
   QAPP or Test Plan) until the entire sample is distributed on the surface of the agar plate.
   Repeat for all plates.

6.  Incubate the plates for the optimum time period at the optimum growth temperature for the
   target organism (incubation conditions will vary depending on the organism's optimum
   growth temperature and generation time. This information can be found in Sergey's Manual
   of Determinative Bacteriology or it will be provided with the ATCC certification.

7.  Manually enumerate the colony forming units (CPU) on the media plates by manually
   counting with the aid of a plate counting lamp and a marker (place a mark on the surface of
   the Petri dish over each CPU when counting, so that no CPU is counted twice). A hand held
   tally counter or an electronic counting pen may be used to assist the person counting, but
   may not be used as the primary source for the count.

   Quality control (QC) requirements for bacterial enumeration will be addressed per QAPP or
   test plan. However, in general, the  following QC practices should always be adhered to:

   a.  The arrangement of plates and tubes, and the procedure for preparing dilutions and
       enumerating CPU should be done the exact same way each time. This helps prevent
       systematic errors and often helps determine the cause of problems when a discrepancy is
       found.

   b.  A visual check of the graduated pipette tip should be made during each use to ensure the
       pipette is pulling properly.

   c.  Samples should acclimate to room temperature for  1 hour prior to plating.

   d.  Samples should be processed (extracted and plated) from the least contaminated to the
       most contaminated.

   e.  When a target range of CPU is  known, three dilution factors are plated to bracket the
       expected results (0, -1, and -2, if the -1 dilution factor was the target).

   f.  Enumerated colonies and results should be verified that the results are the target
       organism, and that second counts have been performed. Second counts must be
       completed on 25% of significant data, and must be within 10% of the first count. If CPUs
       are found to have more than a 10% difference between first and second counts, then a
       third count is to be completed.

                                          A43

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                                                                          MOP 6535a
                                                                           Revision 4
                                                                         January 2013
                                                                          Page 4 of 8
   g. Pictures should be taken of any plates that are contaminated or have results out of the
      normal

   Record all quantitative data in the "Serial Dilution/Plating Results Sheet". Target range for
   statistically significant counts is 30-300 CPU. Data that fall out of the 30-300 CPU range are
   addressed in MOP 6584 (Procedure for Replating Bacteria Spore Extract Samples) and MOP
   6565 (Filtration and Plating of Bacteria from Liquid Extracts).
2.0    CALCULATIONS

Total abundance of spores (CFU) within extract:

       (Avg CFU / volume (mL) plated) x (1 / tube dilution factor) x extract volume

For example:

       Tube Dilution        Volume plated             Replicate     CFU
       10'3                lOOjiL(O.lmL)            1             150
       10'3                lOOjiL(O.lmL)            2             250
       10'3                lOOjiL(O.lmL)            3             200
      Extract total volume = 20 mL


      (200 CFU / 0.1 mL) x  (1/10'3)  x  20 mL =

            (2000)       x  (1000)  x  20    =   4.0  x 107 CFU

Note: The volume plated (mL) and tube dilution can be multiplied to yield a 'decimal factor'
(DF). DF can be used in the following manner to simplify the abundance calculation.

Spore Abundance per mL = (Avg CFU) x (1 / DF) x extract volume
                                         A44

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                                                                        MOP 6535a
                                                                          Revision 4
                                                                       January 2013
                                                                         Page 5 of 8
Serial Dilution/Plating Results Sheet
Page 1 of
TEST INFORMATION
EPA Project No.
Technician Name
Technician Signature



PI
Test Date
Test No.



RESULTS
Date:

Sample ID






Volume Plated:

Plate
Repl.
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C

Tube Dilution
10°


















KT1


















102


















KT5


















10^


















10s


















Iff*


















NOTES:
                                        A45

-------
NOTES:
                                                                     MOP 6535a
                                                                      Revision 4
                                                                    January 2013
                                                                      Page 6 of 8
                                                              Page 2 of
Sample ID










Plate
Repl.
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
10°






























101






























102






























KT5






























10^






























10s






























Iff*






























                                      A46

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NOTES:
                                                                     MOP 6535a
                                                                      Revision 4
                                                                    January 2013
                                                                      Page 7 of 8
                                                          Page.
of
Sample ID










Plate
Repl.
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
10°






























101






























102






























KT5






























10^






























10s






























Iff*






























                                       A47

-------
NOTES:
                                                                     MOP 6535a
                                                                      Revision 4
                                                                    January 2013
                                                                      Page 8 of 8
                                                          Page.
of
Sample ID










Plate
Repl.
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
10°






























101






























102






























KT5






























10^






























10s






























Iff*






























                                       A48

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                                                              MOP 6562
                                                              Revision 1
                                                            February 2013
                                                              Page 1 of 6

         Miscellaneous Operating Procedure (MOP) 6562:

   Preparing Pre-Measured Tubes with Aliquoted Amounts of
         Phosphate Buffered Saline with Tween 20 (PBST)
Prepared by:
                Date: 2/12/2013
           Nicole Griffin GaJch^Iian,
IS Work Assignment Leader
Reviewed by:
                Date: 2/12/2013
           Dahman louati, ARCADKTProject Manager
Approved by:
                Date: 2/12/2013
           Worth Calfee, EPA Work Assignment Manager
                               Prepared for
                  National Homeland Security Research Center
                     Office of Research and Development
                     U.S. Environmental Protection Agency
                      Research Triangle Park, NC 27711
                               Prepared by
                           ARCADIS U.S., Inc.
                       4915 Prospectus Drive, Suite F
                           Durham, NC 27713
                                 A49

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                                                                      MOP 6562
                                                                      Revision 1
                                                                   February 2013
                                                                      Page 2 of 6
MOP 6562
TITLE:       PREPARING PRE-MEASURED TUBES WITH ALIQUOTED AMOUNTS
             OF PHOSPHATE BUFFERED SALINE WITH TWEEN 20 (PBST)

SCOPE:      This MOP provides the procedure for preparing PBST.

PURPOSE:   This procedure will ensure that that the PBST is prepared correctly and that all
             measured tubes are filled aseptically.
1.0  PREPARING STERILE PHOSPHATE BUFFERED SALINE WITH TWEEN 20
     (PBST)

Phosphate Buffered Saline with Tween 20 (PBST) is prepared 1 L at a time in a 1 L flask.

1.  Add 1 packet of SIGMA Phosphate Buffered Saline with Tween 20 (P-3563) to 1 L of
   deionized (DI) water.

2.  Shake vigorously to mix until dissolved.

3.  Label bottle as "non-sterile PBST" and include date and initials of person who made
   PBST.

4.  Filter sterilize into two 500 mL reagent bottles using 150 ml bottle top filter (w/ 33mm
   neck and .22 jam cellulose acetate filter) for sterilization. Complete this by pouring the
   liquid into the non-sterile PBST into the top portion of the filtration unit 150 ml at a time,
   while using the vacuum to suck the liquid through the filter.  Continue to do this until  500
   ml have been sterilized into a 500 ml bottle. Change bottle top filter units between each
   and every 500 ml bottle.

5.  Change label to reflect that the PBST is now sterile. Include initials and date of
   sterilization. The label should now include information on when the PBST was initially
   made and when it was sterilized and by whom.

6.  Each batch of PBST should be used within 90 days.

2.0  PREPARING 20 ML/5 ML PBST TUBES FOR USE DURING
     EXPERIMENTATION

Twenty (20) ml or five (5) ml of the prepared PBST will be added to each sterile 50-ml
conical tube as detailed below. Each flat of conical tubes contains 25 tubes, so one 500 ml
sterile bottle of PBST should fill approximately one flat when 20 ml tubes are needed and
four flats when 5 ml tubes are needed.

                                     A50

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                                                                           MOP 6562
                                                                           Revision 1
                                                                        February 2013
                                                                           Page 3 of 6
1.  Prepare the hood by wiping down with ethanol, followed by bleach, followed by DI water
   and a clean Kimwipe or Techwipe. Then stock the hood with the following items if they
   are not already there:

              The flats of sterile conical tubes you need to fill with PBST.
              Sufficient bottles of sterile PBST to fill these tubes.
          -   Ample 25 ml serological pipettes (at least 3 per flat) for 20 ml transfers and 10
              ml serological pipettes for the 5 ml transfers.
              Serological pipetter (automatic, hand-held pipette).
              Burner and striker.

2.  Light the burner and adjust the flame for a width adequate to flame the lips of the PBST
   bottles.

3.  Take one flat of sterile conical tubes and loosen each cap on the outside edges (about 1A
   turn).

4.  Open a serological pipette and insert into the serological pipetter, taking care to not touch
   the tip to any surface.

5.  Hold the pipetter with the first three fingers of your right (or dominant) hand. With your
   left hand (or non-dominant hand), pick up a bottle of the PBST and use the bottom of
   your right hand to unscrew the lid. Place the lid upside down on the benchtop and quickly
   flame the lip of the bottle.  Turn the bottle and  repeat, taking care to thoroughly flame the
   lip without getting the glass so hot that it shatters.

6.  Inset the tip of the pipette into the bottle and fill to the 20 ml line. Flame the bottle lip and
   place the bottle on the benchtop.

              NOTE: If the tip of the pipette touches the outside of the bottle or any other
                      surface in the hood, consider it contaminated. Discard the pipette
                      and reload a new one.

7.  Quickly  pick up one of the tubes that you have loosened the cap on, and use the bottom
   of your right hand to remove the cap. Completely discharge the entire pipette into the
   tube, taking care to not touch anything with the tip of the pipette. Recap the tube and
   place back into the flat (the lid does not have to be tight - you will tighten the lids after
   you have completed filling the 10 outside tubes).

              NOTE: If the tip touches the outside or rim of the tube (or any other surface
                      in the hood), consider the tube and pipette contaminated. Discard
                      both the tube and the pipette.
                                        A51

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                                                                         MOP 6562
                                                                         Revision 1
                                                                     February 2013
                                                                         Page 4 of 6

8.  Pick up the PBST bottle and flame the lip. Repeat Steps 6 and 7 until all 10 of the tubes
   on the outside of the flat have been filled. Flame the lip of the PBST bottle and replace
   the cap. Slide the used pipette back into the plastic sleeve and put to the side of the hood
   for disposal. Then tighten the lid of each tube you just filled. But rather than placing it
   back into its original spot in the flat, switch it for the empty tube from the next row.
   When this has been completed, go around the outside of the flat again and loosen the lids
   of these 10 tubes. Repeat steps 4 through 7 to fill and cap these tubes.

9.   This same procedure is used to fill the middle row of tubes from the flat, and if more
   than one flat of tubes is being filled,  can be done at the same time as the outside rows of a
   second flat.

10. When all tubes have been filled, label each flat as follows, and place on the shelf in room
   E390B:

             "PBST Tubes (20 ml or 5 ml)"
             Date prepared
             Your initials

11. These tubes should be made at least  14 days before they need to be used so that they can
   be verified as sterile. Any tubes that are cloudy or that have any floating matter/turbidity
   should be discarded. The tubes are stable for and should be used within 90 days.

3.0   CLEANUP FOR 20 ML/5 ML PBST TUBES

1.  Dispose of the used pipettes in the nonregulated waste.

2.  Plug in the serological pipetter so that it can recharge.

3.  Replace any unused PBST in the liquid containment on the shelf. Make sure that the
   bottle is labeled as having been opened (date opened and initials of whomever used it).

4.  Turn  off the burner.

5.  Wipe down the hood benchtop with  ethanol, followed by bleach, followed by DI water
   and a clean Kimwipe or Tech Wipe.
4.0  PREPARING 900jiL PBST TUBES FOR USE DURING EXPERIMENTATION

1.  Prepare the hood by wiping down with ethanol, followed by bleach, followed by DI water
   and a clean Kimwipe or Techwipe.  Then stock the hood with the following items if they
   are not already there:
                                      A52

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                                                                           MOP 6562
                                                                           Revision 1
                                                                       February 2013
                                                                           Page 5 of 6

              A sterile beaker of microcentrifuge tubes.
              Sufficient tubes of sterile PBST to fill these tubes (PBST may be aseptically
              transferred to 50 ml conical tubes for an easier aseptic transfer to the
              microcentrifuge tubes- it is easier than working from a 500 ml reagent bottle.
              Make certain that these 50 ml conical tubes are labeled to when the PBST was
              made, sterilized, etc.).
              1000 jiL micropipette.
              1000 jiL sterile pipette tips
              Microcentrifuge tube racks.
              Labeled beaker or waste container used to hold non-regulated waste, such as
              tips, under the hood.

2.  Carefully remove the microcentrifuge tubes one at a time from the beaker and close the
   top on each one before placing it in the tube rack. Place the tubes in the rack skipping
   every other row. Fill up two racks doing this.

3.  Add 900 jiL of PBST to the microcentrifuge tubes by aseptically transferring the PBST
   from the sterile 50  ml conical tube containing the PBST. Do this by using the 1000 jiL
   micropitte  and tips. Change tips whenever after two rows of tubes are completed or
   whenever a contamination event (such as touching the outside of the 50 ml tube or the
   microcentrifuge tube) occurs. Put the dirty tips in the beaker or container used to contain
   waste (tips, tubes)  in the hood. If any 900 jiL tubes are contaminated during the transfer,
   dispose of them in  the waste container used to hold tips under the hood. If a new box of
   tips has to be opened, make certain the date it was opened and initials of the person who
   opened it are clearly labeled on the box.

4.  After both  racks are full, carefully move all the tubes from one rack to fill in the empty
   rows on the other rack. In this manner, one rack should be completely filled with tubes at
   this point.

5.  Label the rack of tubes as "Sterile 900 jiL PBST Tubes", along with the name of the
   person who completed the transfer, along with the date. Also, include the date that the
   original stock of PBST was made and the date it was sterilized, along with the initials of
   the person  who completed those steps.
5.0  CLEANUP FOR 900jiL PBST TUBES

1.  Dispose of the waste that was put in the labeled beaker or waste container (micropipette
   tips and tubes) in the nonregulated waste. Then, place this beaker in the "To be
   decontaminated via sterilization- contaminated glassware" bin or if it is a disposable
   container, then it can be put in the non-regulated waste container.

2.  Put the unused sterile tips and the micropipetter back in its original location.

                                        A53

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                                                                        MOP 6562
                                                                        Revision 1
                                                                     February 2013
                                                                        Page 6 of 6
3.  Replace any unused 50 ml conicals of PBST in the liquid containment on the shelf. Make
   sure that the tube is labeled as having been opened (date opened and initials of whomever
   used it). If the tube could possibly be contaminated in any way, dispose of it in non-
   regulated waste.

4.  Wipe down the hood benchtop with ethanol, followed by bleach, followed by DI water
   and a clean Kimwipe or Tech Wipe.
                                      A54

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                                                                MOP 6565
                                                                Revision 4
                                                             February 2013
                                                                Page 1 of 3
         Miscellaneous Operating Procedure (MOP) 6565:
      Filtration and Plating of Bacteria from Liquid Extracts
Prepared by:
              Date: 2/15/2013
            Nicole Griffin G;
Work Assignment Leader
Reviewed by:  	
              Date: 2/15/2013
            Dahman Totrati, ARCADIS-Project Manager
Approved by:
              Date:  1/8/2014
            Worth Calfee, EPA Work Assignment Manager
                               Prepared for
                   National Homeland Security Research Center
                      Office of Research and Development
                     U.S. Environmental Protection Agency
                       Research Triangle Park, NC 27711
                                Prepared by

                                ARCADIS
                            ARCADIS U.S., Inc.
                        4915 Prospectus Drive, Suite F
                            Durham, NC 27713
                                  A55

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                                                                            MOP 6565
                                                                            Revision 4
                                                                        February 2013
                                                                            Page 2 of 3

MOP 6565

TITLE:        FILTRATION AND PLATING OF BACTERIA FROM LIQUID EXTRACTS

SCOPE:       This MOP outlines the procedure for filtration and subsequent cultivation of
              bacterial spores from a liquid extract.

PURPOSE:    This method is deployed when results from spread-plate methods yield less than
              30 colony-forming units (CFU) per plate. This method allows a lower limit of
              detection for bacterial recovery/survivorship assays. This method can also be
              used to analyze liquid samples such as decon rinsates.


 Materials:

•  Petri dishes with appropriate agar

•  0.2 um to 0.45 um Pore-size disposable analytical filter units

•  PI000 pipette and sterile 1000 uL tips

•  Serological pipette

•  Serological pipette tips

•  Sterile forceps

•  Sterile deionized water (in -10 mL aliquots)


1.0   PROCEDURE

1.   For each liquid sample to be analyzed, gather the required number of disposable analytical
   filter units and Petri dishes containing the desired sterilized/quality control checked (QC'd)
   media.

       NOTE #1:  For analysis of 5 to 30 mL extracts, 1 mL and remainder should be filtered;
                   for 31 to 200 mL samples, 1 mL, lOmL, and remainder should be filtered;
                   for samples over 200 mL, additional filter samples may be needed and will
                   be determined on an individual basis.

       NOTE #2:  For previously plated samples where 10-19 CFU were observed, replate
                   using a 400 uL inoculums: for plates where 20 - 29 CFU were observed,
                   replating using a 200 uL inoculum can be executed rather than filter plating
                   (see MOP  6584).

2.  Label plates.
                                        A56

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                                                                               MOP 6565
                                                                               Revision 4
                                                                           February 2013
                                                                               Page 3 of 3

3.  Vortex liquid extract vigorously for 2 minutes, using 10 second bursts (for larger volume
    samples, a vigorous mixing by shaking of the sample container can be substituted for vortex
    mixing). Directly prior to removing an aliquot, again vortex or agitate for 10 seconds.

4.  For 1 mL to 10 mL filters (using a pipettor of appropriate size, sterile tip, and aseptic
    techniques), immediately following vortexing, pipette the pre-determined amount of extract
    into a 50 mL conical tube containing -10 mL of sterile  deionized water. Vortex the aliquotted
    solution and the water together and then aseptically pour into one of the filter units.

5.  Apply vacuum to the filter  unit to pull the liquid through the filter and collect the spores on
    the surface of the filter. Immediately following, rinse the filter unit by aseptically  adding -10
    mL of sterile deionized water along the inner sides of the unit while it is under vacuum.

    For aliquots greater than 10 mL that need filtering, pipette the extract directly into the filter
    unit using a sterile serological pipette. Immediately following, rinse the filter unit by
    aseptically adding -10 mL  of sterile deionized water along the inner sides of the unit while it
    is under vacuum.

       NOTE #3: Be sure to note and record the volume of the sample.

6.  Aseptically remove the filter from the filter apparatus using sterile forceps, and roll the filter
    onto the agar surface within the Petri dish (spore side up).

7.  Incubate all plates at the optimal growth temperature and time period for the specific
    organism.

8.  Following incubation, enumerate and record the number of CFU on each plate. Be certain to
    record the volumes of the amount filtered on the data sheets.
2.0 DATA CALCULATIONS

Utilize the following equation to determine the total abundance of recovered spores:

                V
    N = CFU:
 Extract
~tr
' filtered
Where, N is the total number of spores recovered in the extract, CFU is the abundance of
colonies on the agar plate, Vsxtract is the total volume of the extract (before any aliquots were
removed), and Vpnteredis the volume of the extract filtered.
                                          A57

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                                                                MOP 6580
                                                                Revision 2
                                                              February 2013
                                                                Page 1 of 7
         Miscellaneous Operating Procedure (MOP) 6580:
  Recovery of Bacillus Spores from 3M Sponge-Stick™ Samples
Prepared by:
                                          Work Assignment Leader
Reviewed by:
                                                        Date: 2/12/2013
                                                        Date: 2/12/2013
            Dahman IXmti, ARCADEvProject Manager
Approved by:
                                                        Date: 2/12/2013
            Worth Calfee, EPA Work Assignment Manager

                  N*. „.,*""'•""'
                                Prepared for
                   National Homeland Security Research Center
                      Office of Research and Development
                     U.S. Environmental Protection Agency
                       Research Triangle Park, NC 27711
                                Prepared by

                                     /" A "
                            ARCADIS U.S., Inc.
                        4915 Prospectus Drive, Suite F
                            Durham, NC 27713
                                  A58

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                                                                       MOP 6580
                                                                       Revision 2
                                                                    February 2013
                                                                       Page 2 of 7
MOP 6580
TITLE:       RECOVERY OF BACILLUS SPORES FROM 3M SPONGE-STICK™
             SAMPLES
SCOPE:      This MOP provides the procedure for recovering spores from 3M Sponge-
             Stick™ samples.
PURPOSE:   To extract and quantify bacterial spores from 3M Sponge-Stick™ samples
             using a highly repeatable procedure.
MATERIALS
•  pH-amended bleach
•  70-90 % Solution of denatured ethanol
•  Deionized (DI) water
•  Kimwipes
•  3M Sponge-Stick™ samples (P/N SSL10NB), hereafter referred to as 'sponge'
•  Seward Stomacher® bags (P/N BA6041/CLR)
•  Phosphate buffered saline with 0.05% TWEEN®20 (PBST) (SIGMA-ALDRICH, Co,
   P/NP3563-10PAK)
•  MicroFunnel Disposable Filter Funnels, Pall Life Sciences (VWR P/N 55095-060) or
   Nalgene Sterile Analytical Filter Unit (Fisher P/N 130-4020)
•  Disposable polystyrene serological pipettes (5mL and lOmL)
•  Tryptic Soy Agar (TSA) plates
•  Vortex mixer
•  Disposable sterile lOjil loops
•  Disposable sterile forceps
•  Disposable gloves
•  Cell spreaders or glass beads for spreading
•  Racks for  15 mL and 50 mL centrifuge tubes
•  Sterile, plastic, screw-cap 50 mL centrifuge tubes (e.g. Fisher Cat# 14-959-49A)
                                     A59

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                                                                          MOP 6580
                                                                          Revision 2
                                                                      February 2013
                                                                          Page 3 of 7
•   Sterile, plastic, screw-cap 15 mL centrifuge tubes (e.g. Fisher Cat# 14-959-49D)

•   Pipette tips with aerosol filter for 1 mL and 200 uL


1.0  PREPARATION

Personnel must be familiar with all procedures prior to start.

1.1  Equipment Preparation

     a)  Begin by donning personal protective equipment (PPE) such as gloves, lab coat,
         and protective eyewear.

     b)  Clean the workspace (Biological Safety Cabinet; BSC) by wiping surfaces with pH-
         amended bleach, next with DI water, and lastly with a 70-90% solution of denatured
         ethanol. Allow any excess liquid to dry prior to beginning procedure. Make sure the
         workspace is clean and free of debris.

     c)  Assemble equipment in the BSC as needed: vortex mixer, filtration manifold,
         automatic pipettors, tips, racks, etc.

     d)  Assemble extra supplies, such as stomacher and reagents, near BSC.

1.2  Supply Preparation

     a)  Unpack shipping containers directly into a BSC.

     b)  If sponges are not in Stomacher® bags, label one Stomacher® bag for each sponge
         and place in a bag rack.

     c)  Label two sterile 50 mL centrifuge tubes for each sponge sample and place in tube
         rack.

     d)  For each sample, label TSA plates on the agar side of the plate with the sample
         number and the appropriate dilution factors, as per MOP 6535a (SerialDilution:
         Spread Plate Procedure to Quantify Viable Bacterial Spores).

     e)  Label two additional plates for filter-plate analysis.
                                       A60

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                                                                       MOP 6580
                                                                       Revision 2
                                                                    February 2013
                                                                       Page 4 of 7
2.0  PERFORM SPORE EXTRACTION, ELUTION, AND CULTURE PROCEDURE

2.1  Dislodge Spores from the Sample Sponges

     a)  Begin by donning a new pair of gloves. All subsequent procedures involving
        manipulation of sponges or spore suspensions must be carried out in a BSC.
        (Stomaching may occur outside the BSC when samples are double-contained inside
        the indicated bags.)

     b)  If the sponges are not in Stomacher® bags, aseptically transfer each sponge to a
        Stomacher® bag (labeled during step 1.2b) using sterile disposable forceps. Change
        forceps between samples.

     c)  Aseptically add 90 mL of PBST to each bag that contains a sponge.

     d)  Stomach sponges in the PBST by completing the following:

        •  Make certain the Stomacher® is set to MANUAL. Program the Stomacher®
           speed to 260 RPM and the timer to 1 minute.

        •  Open the Stomacher® door by raising the lid fully upward and back. The
           DOOR OPEN icon will be displayed.

        •  Place the stomacher bag containing the sponge sample into a second stomacher
           bag to contain any leakage in the event the primary containment is
           compromised. Place the combined bags such that 50 to 60 mm of the top
           portions protrude above the bag clamp, while making certain that the sponge
           sample rests evenly between the homogenizer paddles.

        •  Close the door to the Stomacher®.  The DOOR OPEN icon will no longer be
           illuminated.

        •  Stomach each sponge for 1 min by  pressing the START button.


        •  When the cycle ends, the Stomacher® will stop. If there is an emergent reason
           to stop the stomacher during the 1 minute stomaching period, press the red
           button  or the power button to do so prior to opening the Stomacher®. Stopping
           the Stomacher® by opening the door can damage the  equipment.

        •  Open the door of the Stomacher® and remove the bags containing the sponge.
           Grab the sponge from the outside of the bag with your hands. Move the sponge
                                      A61

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                                                                          MOP 6580
                                                                          Revision 2
                                                                      February 2013
                                                                          Page 5 of 7
            to the top of the bag while using your hands to squeeze excess liquid from the
            sponge.

        •   Remove and discard the sponge using sterile forceps.

     e) Repeat steps (b) through (d) for all samples.

     f) Allow bags to sit for 10 min to allow elution suspension foam to settle before
        beginning the concentration step.

2.2  Remove Sponge Elution Suspension

     a) Gently mix elution suspension up and down with a 50 mL pipette three times.

     b) Split elution suspension volume equally.

        •   Remove half of the suspension volume (-45 mL) with a sterile 50 mL pipette
            and place it in a 50 mL screw capped centrifuge tube.

        •   Place remaining suspension (-45 mL) into a second 50 mL tube.

     c) Record suspension volumes on tubes and data sheet.

     d) Repeat steps (a) through (c) for all samples.
2.3  Concentrate Sponge Elution Suspension (Optional)

     a)  Centrifuge 50 mL centrifuge tubes

        •   Prior to daily use and before placing tubes into centrifuge, follow MOP 6558
            (Centrifuge Cleaning Procedure] for cleaning this equipment.

        •   Add centrifuge tubes to rotor, evenly distributing weight.

        •   Centrifuge tubes at 3500 x g for 15 min. Do not use the brake option on the
            centrifuge to slow the rotor, as re-suspension  of pellet may occur.

     b) Carefully remove about 42mL of supernatant with a 50 mL pipette and discard to
        leave approximately 3 mL in each tube. The pellet may be easily disturbed and not
        visible, so place pipette tip away from the tube bottom or side.
                                       A62

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                                                                         MOP 6580
                                                                         Revision 2
                                                                      February 2013
                                                                         Page 6 of 7
     c) Vortex and sonicate tubes as follows:

        •   Set vortex mixer to level 10 and touch activation.

        •   Turn on sonicator water bath.

        •   Vortex tubes for 30 sec.

        •   Transfer tubes to sonicator bath and sonicate for 30 sec.

        •   Repeat vortex and sonication cycles two additional times.

     d) Remove suspension from one tube with a sterile 5 mL pipette and place it in the
        other tube of the same sample. The combined result is the final sponge elution
        suspension.

     e)  Measure final volume of the final  sponge elution suspension with 5 mL pipette and
        record on tube and data sheet.

     f) Repeat steps (e) through  (i) for all samples.


2.4  Serially Dilute and Plate the Final Spore Elution Suspension

     a) Use MOP 6535a to serially dilute and plate samples.

        NOTE: If the samples are turbid,  wide-orifice pipette tips may be used to prevent
                clogging of pipette tips.

     b) Place all plates in an incubator set at 35 ± 2 °C for a maximum of 3 days. Plates
        should be examined within 18-24 hours after start of incubation. Manually
        enumerate CPU of target organism and record data.

             •  If the CPU is <300/plate,  record actual number.

             •  If the CPU is >300/plate,  record as "too numerous to count" (TNTC)

2.5  Capture Spores  on Filter Membranes and Culture on TSA

Choose one of the following to methods to filter the final spore elution suspension:
a)   Complete filter plating using MOP 6565  (Filtration and Plating of Bacteria from
     Liquid Extracts).
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                                                                         MOP 6580
                                                                         Revision 2
                                                                      February 2013
                                                                         Page 7 of 7
b)   Complete filter plating using the following method:

     1) Place two 0.45 um (pore-size) Microfunnels on a Pall vacuum manifold (Pall Cat#
        15403).

     2) Moisten Microfunnel membranes with 5 ml PBST, open vacuum, and vacuum
        through the filter. All filtering should be done with a vacuum pressure <20 cm Hg.

     3) Make certain that the manifold vacuum valve is closed. Turn on the vacuum.

     4) With the vacuum valve closed, place 10 mL of PBST into each filter cup.

     5) Add 1.0 mL of the final sponge elution suspension to each filter cup.

     6) Open valves and allow the suspension to flow through the filter, close the valve.

     7) Rinse the walls of each Microfunnel cup with 10 mL of PBST. Reopen the valve to
        allow the suspension to flow through the filter.

     8) Close the valve, turn off the vacuum pump. Slowly reopen the valve to equalize the
        pressures.

     9) Squeeze the walls of the Microfunnel cup gently and separate the walls from the
        base holding the filter. Remove each filter membrane with sterile disposable forceps
        and place grid-side up on a TSA plate. Make sure that the filter is in good contact
        with the surface of the agar. If an air pocket occurs under the filter, use the sterile
        forceps to lift the edge of the filter to release the air pocket for better contact with
        the agar.

     10) Record exact volume of the sponge elution suspension filtered on each  plate. It
        should be 1 mL.  (Greater sample volumes may be used to lower detection limits)

     11) Repeat steps (1) through (8) for all each sample.

     12) Incubate TSA plates with filter membranes at 35 ± 2 °C for a maximum of 3 days.
        Plates should be  examined within 18-24 hours after start of incubation.  Manually
        enumerate CPU of target organism and record data.

        •    If the CPU is <300/plate, record actual number.

        •    If the CPU is >300/plate, record as "too numerous to count" (TNTC)
                                       A64

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                                                            MOP 6584
                                                            Revision 1
                                                        November 2012
                                                            Page 1 of4
       Miscellaneous Operating Procedure (MOP) 6584:
   Procedure for Replating Bacteria Spore Extract Samples
Prepared by:
              Date: 11/15/2012
           Nicole Griffin Ga
Work Assignment Leader
Re viewed by:
              Date: 11/15/2012
           Dahman Towati, ARCADIS-Project Manager
Approved by:
              Date: 11/15/2012
           Worth Caflfee, EPA Work Assignment Manager
                             Prepared for
                 National Homeland Security Research Center
                    Office of Research and Development
                   U.S. Environmental Protection Agency
                     Research Triangle Park, NC 27711
                              Prepared by

                              ARCADIS
                          ARCADIS U.S., Inc.
                      4915 Prospectus Drive, Suite F
                          Durham, NC 27713
                                 A65

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                                                                      MOP 6584
                                                                      Revision 1
                                                                 November 2012
                                                                      Page 2 of4
MOP 6584
TITLE:
SCOPE:
PRUPOSE:
Materials:
PROCEDURE FOR REFLATING BACTERIA SPORE EXTRACT
SAMPLES

Determine the abundance of bacterial spores in a liquid extract that has
previously been plated.

This method is deployed when results from spread-plate methods yield a
relative standard deviation (RSD) value greater than 50 or colonies outside
of the acceptable range (30-300 CPU).
   Liquid suspension of bacterial spores

   5.0 mL sterile centrifuge tubes (e.g., USA Scientific 3882-7600) containing 2700 jiL
   diluent (sterile deionized water, buffered peptone water or phosphate buffered saline)

   Trypticase Soy Agar plates

   Pipettes with sterile tips

   Sterile beads placed inside a test tube (will be used for spreading samples on the agar
   surface), or sterile disposable cell spreaders
   Vortex mixer
1.0    DETERMING THE TARGET DILUTION

1.  Using the original data (most likely obtained initially using MOP 6535a), locate the
   dilution set where the mean number of colony forming units (CPU) was nearest the
   30 to 300 range.  This is the target dilution.

2.  The target dilution will be noted on the tracking sheet, along with the sample ID and
   test number. Each work assignment will have its own tracking sheet.

3.  For each sample, 100 jiL, 200 jiL and 400 jiL aliquots of the dilutions indicated in
   Table 1 shall be plated in triplicate.
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                                                                         MOP 6584
                                                                         Revision 1
                                                                    November 2012
                                                                         Page 3 of 4
   Table 1.
Average CPU in
Target Dilution
1-50
51-150
151-300
Volumes to Replate per Dilution
lOx less dilute than
Target (lO^1)
lOOjil


Target Diluti on (10X)
200|il, 400|il
100|il, 200|il, 400|il
lOOul
lOx more dilute
than Target (10X+1)


200nl, 400nl
   Upon collection of results, at least one set of triplicate plates must contain all three
   data points within the acceptable (30-300 CPU) range to consider the replate
   successful.  If none of the three sets of triplicate plates contain all data within the
   rage, repeat replate procedure.
2.0   PROCEDURE
    1.  For each bacterial spore suspension to be tested label 2700 jiL diluent
   2.
   3.
   4.
                                             -2
                                                      •v4
                                                         V6
microcentrifuge tubes as follows: 10 , 10  , 10  , 10 , 10 , 10  ... (The number of
dilution tubes will vary depending on the concentration of spores in the
suspension.

For each liquid sample to be replated, gather the required number of 2700 jiL
diluent tubes and Petri dishes containing the desired sterilized/QC'd media.

Label three Trypticase Soy agar plates for each dilution that will be plated with
the sample ID and volume to be plated. These dilutions will be plated in
triplicate.

Mix original  spore suspension by vortexing thoroughly for 30 seconds.
Immediately  after the cessation of vortexing, transfer 300 jiL of the stock
suspension to the 10"1 tube. Mix the 10"1 tube by vortexing for 10 seconds, and
immediately pipette 300 jiL to the 10"2 tube. Repeat this process until the final
dilution is made.  It is imperative that used pipette tips be exchanged for a sterile
tip each time a new dilution is started.
    5.  To plate the dilutions, vortex the dilution to be plated for 10 seconds, then
       immediately pipette the desired volume (100, 200, or 400 jiL) of the dilution onto
       the surface of a TSA plate, taking care to dispense all of the liquid from the
       pipette tip. If less than 10 seconds elapses between inoculation of all replicate
       plates, then the initial vortex mixing before the first replicate is sufficient for all
       replicates of the sample.  Use a new pipette tip for each set of replicate dilutions.
                                        A67

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                                                                     MOP 6584
                                                                     Revision 1
                                                                 November 2012
                                                                     Page 4 of 4

   6.  Carefully pour the sterile glass beads onto the surface of the ISA plate with the
       sample and shake until the entire sample is distributed on the surface of the agar
       plate.  Aseptically remove the glass beads.  Repeat for all plates.

   7.  Incubate the plates overnight at 32°C - 37°C (incubation conditions will vary
       depending on the organism's optimum growth temperature and generation time.)

   8.  Enumerate the CPU on the agar plates by manually counting with the aid of a
       plate counting lamp, and a marker (place a mark on the surface of the Petri dish
       over each CPU when counting, so that no CPU is counted twice).

   9.  Since each dilution was tested in triplicate, determine the average of the triplicate
       plate abundances. Only those data between 30-300 colonies are suitable for use
       in data calculation formulas below.  High variability below 30 CPU, and high
       probability of co-located CPU above 300 are the reasons that only data within this
       range are acceptable for further reduction.
3.0    DATA CALCULATIONS

Total abundance of spores (CFU) within extract:

       (Avg CFU / volume (mL) plated) X (1 / tube dilution factor) X extract volume

For example:

       Tube Dilution       Volume plated             Replicate     CFU
       10'3                lOOjiL(O.lmL)           1             150
       10'3                lOOjiL(O.lmL)           2             250
       10'3                lOOjiL(O.lmL)           3             200


       Extract total volume = 20 mL
       (200 CFU / 0.1 mL) X (1/10'3) X 20 mL =

            (2000)        X(1000) X  20   =  4.0X107CFU

Note: The volume plated (mL) and tube dilution can be multiplied to yield a 'decimal
factor' (DF). DF can be used in the following manner to simplify the abundance
calculation.

Spore Abundance per mL   =   (Avg CFU)  X   (1 / DF)  X   extract volume
                                      A68

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Environmental Protection
Agency
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 POSTAGE & FEES PAID
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