1. Untitled
      2. 1992- Fellow, American College of Physicians
      3. 2004 Contract 200-199-00058, $2,000 through Eastern Research Group for consulting to ATSDR by performing a Peer Review of a report
      4. Orris, P. Forst, L. Obstacles And Opportunities Presented By Globalization For Occupational And Environmental Health (Abstract) Proceedings, Eighth World Congress on Environmental Health, Durban, South Africa, February 23, 2004INTERNATIONAL
      5. Untitled
      6. Untitled
        1. Northwestern University Medical School
      7. Untitled
          1. 2002 Lectures, Toxicity of Polychorinated Biphenyls, Dioxins, and Related Compounds, Grand Rounds, New Liskeard and Kirkland Lake Medical and Nursing Staffs, Ontario Canada,
          2. Continuing Medical Education
      8. Untitled
      9. Untitled
      10. Untitled
      11. Chicago waterways E.coli

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD
IN THE MATTER OF:
WATER QUALITY STANDARDS AND
EFFLUENT LIMITATIONS FOR THE
CHICAGO AREA WATERWAY SYSTEM
AND THE LOWER DES PLAINES RIVER:
PROPOSED AMENDMENTS TO
35 Ill.
Adm. Code Parts 301, 302, 303 and 304.
)
)
)
) R08-9
) (Rulemaking
- Water).
)
)
)
NOTICE OF FILING
To: see attached Service List
PLEASE TAKE NOTICE that on the 25
th
Day of June, 2008, I filed with the Office of
the Clerk of the Illinois Pollution Control Board the attached Response of Environmental
Law and Policy Center, Friends
of the Chicago River, Sierra Club (Illinois Chapter),
Natural Resources Defense Council and Openlands to the Metropolitan Water
Reclamation District
of Greater Chicago'sMotion To Stay, a copy of which is hereby
served upon you.
By:!!t~~-
Dated: June 25, 2008
Environmental Law and Policy Center
35 East Wacker Drive, Suite 1300
Chicago, IL 60601-2110
312-795-3747
Electronic Filing - Received, Clerk's Office, June 25, 2008

CERTIFICATE OF SERVICE
I, Albert Ettinger, the undersigned attorney, hereby certify that I have served the attached
Response to the Metropolitan Water Reclamation District
of Greater Chicago'sMotion
To Stay, on all parties
of record (Service List attached), by depositing said documents in
the United States Mail, postage prepaid, from
35 East Wacker Drive, Suite 1300,
Chicago, Illinois before the hour
of 5:00 p.m., on this 25
th
Day of June, 2008.
~~
Electronic Filing - Received, Clerk's Office, June 25, 2008

Service List
Richard J. Kissel and Roy M. Harsch
Drinker, Biddle, Gardner, Carton
191 N. Wacker Drive, Suite 3700
Chicago, IL 60606-1698
Bernard Sawyer and Thomas Granto
Metropolitan Water Reclamation District
6001 West Pershing Road
Cicero, IL 60650-4112
Deborah J. Williams and Stefanie N. Diers
Assistant Counsel, Division of Legal Counsel
Illinois Environmental Protection Agency
1021 North Grand Avenue East
P.O. Box 19276
Springfield, IL 62794-9276
James L. Daugherty, District Manager
Thorn Creek Basin Sanitary District
700 West End Avenue
Chicago Heights, IL 60411
Kevin G. Desharnais, Thomas W. Diamond
and Thomas V. Skinner
Mayer, Brown LLP
71 South Wacker Drive
Chicago, IL 60606-4637
Tracy Elzemeyer, General Counsel
American Water Company Central Region
727 Craig Road
St. Louis, MO 63141
Robert VanGyseghem
City of Geneva
1800 South Street
Geneva, IL 60134-2203
Claire Manning
Brown, Hay & Stephens LLP
700 First Mercantile Building
205 South Fifth St., P.O. Box 2459
Springfield, IL 62705-2459
Matthew J. Dunn, Chief
Office of the Attorney General
Environmental Bureau North
69 West Washington, Suite 1800
Chicago, IL 60602
Katherine D. Hodge, Monica T. Rios and Thomas Safley
Hodge Dwyer Zeman
3150 Roland Avenue
P.O. Box 5776
Springfield, IL 62705-5776
Charles W. Wesselhoft and James T. Harrington
Ross & Hardies
150 North Michigan Avenue
Suite 2500
Chicago, IL 60601-7567
Margaret P. Howard
Hedinger Law Office
2601 South Fifth Street
Springfield, IL 62703
Jerry Paulsen and Cindy Skrukrud
McHenry County Defenders
132 Cass Street
Woodstock, IL 60098
Keith I. Harley and Elizabeth Schenkier
Chicago Legal Clinic, Inc.
205 West Monroe, 4
th
Floor
Chicago, IL 60606
Electronic Filing - Received, Clerk's Office, June 25, 2008

Albert Ettinger
Freeman, Freeman 7 Salzman
401 N. Michigan Avenue
Chicago, IL 60611
Fred L. Hubbard
Attorney at Law
16 West Madison
P.O. Box 12
Danville, IL 61834
Lisa Frede
Chemical Industry Council of Illinois
2250 E. Devon Avenue
Suite 239
Des Plaines, IL 60018-4509
W.C. Blanton
Blackwell Sanders LLP
4801 Main Street
Suite 1000
Kansas City, MO 64112
Sharon Neal
Commonwealth Edison Company
125 South Clark Street
Chicago, IL 60603
Traci Barkley
Prairie Rivers Networks
1902 Fox Drive
Suite 6
Champaign, IL 61820
James Huff, Vice-President
Huff & Huff, Inc.
915 Harger Road, Suite 330
Oak Brook, IL 60523
Georgie Vlahos
Naval Training Center
2601A Paul Jones Street
Great Lakes, IL 60088-2845
Cathy Hudzik
City of Chicago, Mayor’s Office of Intergovernmental Affairs
121 North LaSalle Street
City Hall – Room 406
Chicago, IL 60602
Dennis L. Duffield
Director of Public Works & Utilities
City of Joliet, Department of Public Works & Utilities
921 E. Washington Street
Joliet, IL 60431
Irwin Polls
Ecological Monitoring and Assessment
3206 Maple Leaf Drive
Glenview, IL 60025
Ann Alexander, Senior Attorney
Natural resources Defense Council
101 North Wacker Drive, Suite 609
Chicago, IL 60606
Marc Miller, Senior Policy Advisor
Jamie S. Caston, Policy Advisor
Office of Lt. Governor Pat Quinn
Room 414 State House
Springfield, IL 62706
Beth Steinhorn
2021 Timberbrook
Springfield, IL 62702
Frederick D. Keady, P.E., President
Vermillion Coal Company
1979 Johns Drive
Glenview, IL 60025
Dr. Thomas J. Murphy
DePaul University
2325 N. Clifton Street
Chicago, IL 60614
Electronic Filing - Received, Clerk's Office, June 25, 2008

Susan M. Franzetti
Nijman Franzetti LLP
10 S. LaSalle Street, Suite 3600
Chicago, IL 60603
Marie Tipsord, Hearing Officer
John Therriault, Assistant Clerk
Illinois Pollution Control Board
100 West Randoph, Suite 11-500
Chicago, IL 60601-7447
Vicky McKinley
Evanston Environmental Board
223 Grey Avenue
Evanston, IL 60202
Stacy Myers-Glen
Openlands
25 East Washington, Suite 1650
Chicago, IL 60602
Albert Ettinger, Senior Staff Attorney, and Jessica Dexter
Environmental Law and Policy Center
35 E. Wacker Drive, Suite 1300
Chicago, IL 60601
Susan Hedman and Andrew Armstrong, Environmental Counsel
Environnmental Bureau
Office of the Illinois Attorney General
69 West Washington, Suite 1800
Chicago, IL 60602
Tom Muth
Fox Metro Water Reclamation District
682 State Route 31
Oswego, IL 60543
Kenneth W. Liss
Andrews Environmental Engineering
3300 Ginger Creek Drive
Springfield, IL 62711
Jack Darin
Sierra Club, Illinois Chapter
70 E. Lake Street, Suite 1500
Chicago, IL 60601-7447
Bob Carter
Bloomington Normal Water Reclamation District
P.O. Box 3307
Bloomington, IL 61702-3307
Kay Anderson
American Bottoms RWTF
One American Bottoms Road
Sauget, IL 62201
Ronald M. Hill and Margaret T. Conway
Metropolitan Water Reclamation District of Greater Chicago
100 East Erie Street, Room 301
Chicago, IL 60611
Kristy A.N. Bulleit and Brent Fewell
Hunton & Williams LLC
1900 K. Street, NW
Washington, DC 20006
Frederic P. Andes, Carolyn S. Hesse and David T. Ballard
Barnes & Thornburg LLP
One North Wacker Drive, Suite 4400
Chicago, IL 60606
Jeffrey C. Fort and Ariel Tescher
Sonnenschein Nath & Rosenthal LLP
7800 Sears Tower
233 S. Wacker drive
Chicago, IL 60606-6404
William Richardson, Chief Legal Counsel
Illinois Department of Natural Resources
One Natural Resources Way
Springfield, IL 62702
Electronic Filing - Received, Clerk's Office, June 25, 2008

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD
IN THE MATTER OF:
)
)
WATER QUALITY STANDARDS AND
)
EFFLUENT LIMITATIONS FOR THE
) R08-9
CHICAGO AREA WATERWAY SYSTEM
) (Rulemaking – Water)
AND THE LOWER DES PLAINES RIVER:
)
PROPOSED AMENDMENTS TO 35 Ill.
)
Adm. Code Parts 301, 302, 303 and 304
)
ENVIRONMENTAL ADVOCATES’ JOINT RESPONSE TO THE
METROPOLITAN WATER RECLAMATION DISTRICT OF GREATER
CHICAGO’S MOTION TO STAY IPCB R08-9
“Every year in which disinfection does not occur puts users of the [Chicago Area
Waterway System] at risk of infection and discourages additional members of the public
from making full use of the waterway out of fear for their health and safety.”
See
attached
Affidivit of Peter Orris, Professor and Chief of Occupational and Environmental
Medicine, University of Illinois at Chicago Medical Center. (Exhibit A, p. 25).
Notwithstanding this danger, the Metropolitan Water Reclamation District of Greater
Chicago (“MWRDGC”) has moved to stay the triennial review process of considering
whether disinfection is needed in the Chicago Area Waterway System (“CAWS”) for
three years or more, in part on the grounds that the University of Illinois at Chicago
(“UIC”) School of Public Health is conducting ongoing research on the CAWS. This
delay is unwise and unnecessary for the reasons pointed out by the School’s Dr. Orris.
The motion to stay would also sidetrack for three years the effort to upgrade protections
for aquatic life in the CAWS, which is the culmination of a stakeholder process that
began nearly six years ago, and which should have been commenced by law decades ago.
The Environmental Law and Policy Center, Friends of the Chicago River, Natural
Resources Defense Counsel, Openlands, Prairie Rivers Network and Sierra Club
Electronic Filing - Received, Clerk's Office, June 25, 2008

(collectively “Environmental Advocates”) oppose MWRDGC’s motion for a stay
because the need to upgrade the standards for protecting recreation and aquatic life in the
CAWS is urgent and fully supported by the evidence. MWRDGC’s portrayal of IEPA as
racing to file an ill-considered petition with the Board before MWRDGC had an
opportunity to conduct a large number of critical studies could hardly be further from the
truth. The stakeholder process that IEPA conducted prior to proposing this rule was
lengthy, thorough and inclusive. In any event, MWRDGC’s motion is based on a
misconception of the applicable law.
MWRDGC has failed in its motion to present evidence that the designations
proposed by IEPA are not attainable, which is the issue at the heart of this proceeding.
The Environmental Advocates intend to present evidence that further supports the IEPA’s
conclusion that the proposed standards are attainable, as well as evidence that parts of the
proposal need to be strengthened to better protect the environment.
I.
The IEPA proposal to re-designate portions of the CAWS to protect
recreation and aquatic life is adequately supported by the record
.
A. The Stakeholder Process
The proposed rules were anything but rushed. One might accurately say that the
IEPA’s use attainability analysis of the CAWS was decades late. The U.S. EPA
regulations require states every three years to re-examine designations of uses for water
bodies that do not include all the fishable/ swimmable uses to determine if new
information has become available. 40 C.F.R. § 131.20(a). However, IEPA has not
formally reviewed the secondary contact/indigenous aquatic life designations for most of
the CAWS since 1972.
Electronic Filing - Received, Clerk's Office, June 25, 2008

IEPA officially began a use attainability analysis (“UAA”) to consider whether
new information had become available regarding the attainable uses of the CAWS with a
“kick-off meeting of stakeholders in September 2002.” Letter of Richard Lanyon,
MWRDGC Director of Research and Development to John C. Farnan, MWRDGC
General Superintendent, June 4, 2004, available on MWRDGC website. (Exhibit B).
Thereafter, the IEPA conducted numerous studies, public meetings and meetings of the
Stakeholders Advisory Committee between 2002 and 2006.
See
“Timeline of Lower Des
Plaines River and CAWS UAA Stakeholder Advisory Committee Meetings,” IEPA
Attachment E; Meeting Minutes from the Lower Des Plaines River Workgroup and the
CAWS Stakeholder Group, IEPA Exhibit 36.
MWRDGC cooperated in the studies and other portions of the UAA process as it
was required to do by the National Pollutant Discharge Elimination System (NPDES)
permits issued for its Calumet, North Side and Stickney plants. (Exhibit B, p. 2). Nothing
kept MWRDGC from beginning additional studies in 2002 or earlier if it thought them
necessary.
In January 2007, IEPA circulated a draft set of rules that was reviewed by U.S.
EPA Region 5. The U.S. EPA response made clear that, if anything, it believed the IEPA
erred by failing to give sufficient protection to potential uses. Letter of Linda Holst,
Chief Water Quality Branch, Region 5 to Toby Frevert, Manager, Division of Water
Pollution Control (Jan. 18, 2007). (Exhibit C, p. 2).
Subsequently, there were additional meetings held on the draft rules before the
final proposal was made to the Board on October 26, 2007.
See
“Timeline of Lower Des
Electronic Filing - Received, Clerk's Office, June 25, 2008

Plaines River and CAWS UAA Stakeholder Advisory Committee Meetings,” IEPA
Attachment E.
B. The burden is on those who would stop all or part of the CAWS from
being given general use protections to show that uses are not attainable.
In its motion, MWRDGC presents a five page list of alleged “substantial
deficiencies in the IEPA proposal” in the order in which the supposed deficiencies were
revealed during the hearing. (MWRDGC Motion, p. 9). In most cases, one can only
speculate regarding the basis or logic of MWRDGC’s claims because the “deficiencies”
are presented without any explanation as to how they bear on the proposed designations
or criteria. However, an unstated, and entirely incorrect assumption behind the
presentation of this laundry list is that IEPA has the legal burden in this proceeding to
prove that the waters in question can support fishable/swimmable uses, and that it can
only meet this burden by amassing scientific information regarding every fact that might
be thought relevant to deciding what aquatic life and recreational uses the CAWS can
support and the standards necessary to protect them.
In fact, the law is clear that there is a rebuttable presumption that every water
body should support fishable and swimmable uses.
Kansas Natural Resource Council v.
Whitman
, 255 F. Supp. 2d 1208, 1209 (D. Kan. 2003);
Idaho Mining Ass’n v. Browner
,
90 F. Supp. 2d 1078, 1097-98 (D. Idaho 2000);
see
U.S. EPA, Water Quality Standards
Academy, “Rebuttable Presumption” Key Concept (available at
http://www.epa.gov/waterscience/standards/academy/keyconcepts/mod2/page4.htm). In
other words, it is assumed that fishing, swimming, and other recreational activities could
take place in any water body---and the water body should be designated for those uses---
unless the state shows (using one of the six specific factors described below) that those
Electronic Filing - Received, Clerk's Office, June 25, 2008

uses could not take place in a particular water body.
Id.
Water quality criteria must then
be established that protect those uses. 40 C.F.R. §131.11. If a state seeks to designate a
water body in a manner that it will not be protected for the full range of recreational (e.g.
swimming, fishing boating) and aquatic life uses that are presumed to be attainable, the
UAA must demonstrate that those uses are not attainable and determine the highest
achievable uses. 40 C.F.R. §131.10(j)(1).
Specifically, the UAA regulations only provide six ways that a state, MWRDGC
or any other party can rebut the presumption of fishable / swimmable use.
See
40 C.F.R.
§131.10(g). Five of these six reasons have to do with physical limitations of the
waterbody. Only one of the six regulatory factors listed in 40 C.F.R. §131.10(g) allows
for consideration of economic factors, and then only under the most extreme
circumstances.
See
40 C.F.R. §131.10(g)(6). Yet, without having put on any evidence
regarding cost, MWRDGC alludes to the possibility that the proposed standards should
not apply to them because of economic hardship.
Under Section 131.10(g)(6), a use does not have to be designated for protection if
the necessary additional pollution controls “would result in substantial and widespread
economic and social impact.” It is well established that this is a test of affordability, not a
cost-benefit analysis.
See
U.S. EPA,
Interim Economic Guidance for Water Quality
Standards - Workbook
(available at:
http://www.epa.gov/waterscience/standards/econworkbook/
). The U.S. EPA Guidance
makes clear that “[d]emonstration of substantial financial impacts is not sufficient reason
to modify a use or grant a variance from water quality standards. Rather, the applicant
Electronic Filing - Received, Clerk's Office, June 25, 2008

must also demonstrate that compliance would create widespread socioeconomic impacts
on the affected community.”
Id.
Similarly, there is nothing in Illinois law or practice that suggests that water
quality designations cannot be upgraded in the CAWS until IEPA negates every
imaginable objection. “General use,” a classification that broadly protects recreation and
aquatic life, is plainly the normal designation in Illinois as shown by the fact that the
Board has designated the vast majority of Illinois water bodies as such. Regarding the
technical feasibility and economic reasonableness of a proposed standard, the Board is
only required to “consider” these factors.
See
415 ILCS 5/27(a) (2008). The “Board’s
broad rulemaking authority is not limited by the extent of hardship that a regulation may
cause to dischargers. The Board need not conclude that compliance with a proposed
regulation is ‘technically feasible and economically reasonable’ before it can adopt such a
regulation.”
Granite City Division of National Steel Company v. IEPA
, 155 Ill. 2d 149,
182-83, 613 N.E. 2d 719, 734 (Ill. 1993) (
“Granite City Steel”
).
In any event, because state water programs must be no less stringent than the
federal program (40 C.F.R. §§ 131.5; 131.6), the question of whether the measures
necessary to protect the identified uses are technically feasible and economically
reasonable must be interpreted consistently with the Section 131.10(g) factors, such that
the measures may be found infeasible only as defined in factors one through five, or
economically unreasonable as defined in factor six.
See
40 C.F.R. §131.10(g).
Moreover, in this instance, it would be preposterous to argue that disinfection is
infeasible or economically unreasonable. It is required by the Board almost everywhere
across the State under 35 Ill. Adm. Code 302.209. The reason that the Board in 1985
Electronic Filing - Received, Clerk's Office, June 25, 2008

restricted or no longer required disinfection was that it found chlorination practices at that
time were causing significant harm to aquatic life. In the Matter of Amendments to
Subtitle C: Water Pollution, Fecal Coliform and Seasonal Disinfection R85-29 (June 30,
1988). This concern is no longer valid given the fact that wastewater treatment plants
now successfully rely on dechlorination as well as forms of disinfection that do not use
chlorine.
Further, while perhaps the CAWS was still distasteful enough in the 1980’s to
discourage people from using it, despite its proximity to parks and residences, the public
testimony placed into the record during the June 16, 2008 proceeding makes clear that
this is no longer the case. Illinois regulations in effect require seasonal disinfection for
“protected waters,” which include those that “flow through or adjacent to parks or
residential areas.” 35 Ill. Adm. Code 302.209(a)(2). “A protected water is thus more
encompassing than the primary contact waters.” Amendments to Subtitle C: Water
Pollution. Fecal Coliform and Seasonal Disinfection, R85-29, p. 12. The Board
explained the rationale for extending this protection in its 1988 Opinion:
Year-round relief [from disinfection] would not be allowed in streams that
flow through residential neighborhoods and certain recreational areas.
These streams may often invite public contact simply due to their
accessible locations without regard to their sustainability for primary
contact recreation. Streams in such locations would be treated as if
primary contact were possible.
R84-29 at 12 (citing P.C. #27 at 3).
It is clear that this provision should apply to the vast stretches of the CAWS that
“flow near, through or adjacent to parks or residential area” (35 Ill. Adm. Code 309.209
(a)(2)), justifying required disinfection of sewage discharged to the CAWS. When the
Board initially set bacterial limits in 1972, it reasoned that “[e]ven if waters are not
Electronic Filing - Received, Clerk's Office, June 25, 2008

recommended for swimming because of other problems, such as turbidity, barge traffic,
or dangerous currents, they should not pose a health hazard to those who do use them.”
In the Matter of Effluent Criteria (R70-8); In the Matter of Water Quality Standards
Revisions (R71-14); In the Matter of Water Quality Standards Revisions for Intrastate
Waters (R71-20)
consolidated
(Mar. 7, 1972), p. 8.
C. The alleged “deficiencies” in IEPA’s proposal are chimerical.
Many of the “deficiencies” alleged in the MWRDGC Motion are based on its
distortion of the record. For example, the MWRDGC claims the IEPA conceded that it
could not define a non-arbitrary line to distinguish between Aquatic Life Use A waters
and Aquatic Life Use B waters. (MWRDGC Motion, p. 6). To the contrary, IEPA’s Roy
Smogor described QHEI scores that fell into two distinct groups that became Use A and
Use B waters. (March 10, 2008 Transcript, pp. 28-29). Similarly, the MWRDGC assails
supposed failings of other evidence used to support the designations suggested by the
QHEI, and insinuates that the IEPA failed to consider benthic and sediment conditions in
making its use attainability decisions. (MWRDGC Motion, p. 7). In fact, the IEPA
stated repeatedly that it considered existing benthic and sediment data in the weight of
evidence consideration. (March 10, 2008 Transcript, pp. 20-21). In the passage cited by
MWRDGC, Mr. Smogor explained why the data on benthic and sediment conditions
could not be compared directly to the other data sets that were used to assess habitat
conditions. (March 10, 2008 Transcript, pp. 22-23). He never conceded that these issues
were ignored or overlooked by IEPA.
The MWRDGC attempts to make much of some corrections to fish Index of
Biological Integrity (IBI) score calculations, as if the corrections would have some
Electronic Filing - Received, Clerk's Office, June 25, 2008

serious impact on the use designation decisions. (MWRDGC Motion, p. 8). However,
IBI scores are necessarily measures of the
existing
species assemblage, not the
attainable
use. (April 23, 2008 Transcript, p. 211). IEPA witnesses repeatedly stated that
attainability must be based on an analysis of physical habitat conditions. (April 23, 2008
Transcript, p. 214). The current IBI scores were compared against the QHEI to
corroborate the designations and get a sense of the stressors on the system. (April 23,
2008 Transcript, p. 211-214).
The MWRDGC also tries to undermine the CAWS Aquatic Life Use A
designation by misrepresenting the testimony regarding fish spawning, claiming that
IEPA conceded there was no data showing that spawning occurs in these waterways.
(MWRDGC Motion, p. 7). To the contrary, Mr. Smogor testified that the Agency had
evidence of fish spawning in Aquatic Life Use A waters in the form of sub-adult fish
individuals present in samples taken by MWRDGC. (March 10, 2008 Transcript, pp. 74-
75; March 11, 2008 Transcript, p. 232). He explained that limitations in the sampling
equipment were the reason larval fish were not found in the samples, but that the
existence of sub-adult fish is sufficient to infer spawning in the area. (March 10, 2008
Transcript, pp. 75-76).
The MWRDGC also attempts to delay the proceeding on the basis that IEPA has
not determined whether the proposed designated aquatic life uses are consistent with
Illinois Department of Natural Resources fisheries management plans. (MWRDGC
Motion, p. 6). As is the case with many of the supposed deficiencies the MWRDGC
alleges, the factual record will be further developed during the upcoming hearings being
held for that explicit purpose. In any case, there is no reason why the absence of
Electronic Filing - Received, Clerk's Office, June 25, 2008

information concerning fishery management plans should be allowed to delay this
rulemaking or in any way prejudice the proposal.
Regarding sediment, the MWRDGC claims the IEPA conceded that it was
required to look at sediment data to evaluate habitat issues but failed to do so.
(MWRDGC Motion, p.6). Mr. Chris Yoder actually testified that sediment data was
not
appropriate to factor into a QHEI study because the QHEI measures physical habitat, not
chemical parameters. (February 1, 2008 Transcript, pp. 181-182). He stated that a study
of chemical parameters could include sediment toxicity data, but did not state that this
data was “necessary” as the MWRDGC suggests. (February 1, 2008 Transcript, p. 182).
The MWRDGC also claims the IEPA admitted that its assertion that sediment quality is
improving is not supported by sufficient data. (MWRDGC Motion, p. 7). But Mr. Sulski
admitted no such thing. Instead, he testified that the IEPA based its assessment of
improved sediment quality on a reduction in sediment volumes, pretreatment programs,
stormwater programs and mercury collection programs. (March 10, 2008 Transcript, pp.
24-26).
MWRDGC suggests that this proceeding should be suspended in part because
IEPA cannot say “whether the control measures recommended in the UAA would lead to
100% attainment of the standards in all parts of the CAWS.” (MWRDGC Motion, pp. 7,
8). But this is not the legal standard. The IEPA does not have an obligation to propose
standards that can be met easily, let alone 100% of the time. In fact, IEPA can propose
and the Board can adopt standards that initally cannot be met in order to force
improvements to existing technology.
Granite City Steel
, 155 Ill. 2d at 182-83, 613 N.E.
2d at 734.
Electronic Filing - Received, Clerk's Office, June 25, 2008

Regarding recreational uses, MWRDGC again distorts and misstates both the
applicable standard and the record. The fact that IEPA does not have the “proper
indicator to assure protection of recreational users” (MWRDGC Motion, p. 5) is
completely irrelevant given that IEPA did not propose an ambient pathogen standard
applicable to any portion of the CAWS. Rather, the IEPA proposed effluent standards
that, if complied with by MWRDGC, will assure that it disinfects its effluent so that
pathogens that its plants would otherwise discharge during dry weather conditions will
not be alive to make people sick.
IEPA did not, as the MWRDGC claims, admit that proposed recreational uses are
unsafe. (MWRDGC Motion, p. 9). IEPA’s Rob Sulski testified that the Agency was
protecting existing uses regardless of whether everyone would consider them safe or not.
(January 29, 2008 Transcript, p. 222). Neither did IEPA concede that the prospect of
water quality improvements was unfounded. In fact, Mr. Sulski testified that in a system
dominated by wastewater effluent, removing the source of pathogens in that effluent
would quite logically reduce the numbers of pathogens found in the system. (January 29,
2008 Transcript, p. 190). Mr. Scott Twait further explained that disinfection can bring
levels of fecal coliform indicator bacteria (which signal the presence of other pathogens)
in the effluent down from 5,000-100,000 fecal coliforms per 100 mL to 100-400 fecal
coliforms per 100 mL. (January 29, 2008 Transcript, pp. 190-92;
see also
Orris
Affidavit, p. 14). As Mr. Twait stated, the specific purpose of the fecal coliform
discharge standard is to ensure that disinfection is accomplished. (January 29, 2008
Transcript p. 180).
Electronic Filing - Received, Clerk's Office, June 25, 2008

The MWRDGC claims that IEPA did not analyze the feasibility of various
disinfection technologies (MWRDGC Motion, p. 9), but gives no reason why IEPA had
to do so. There is none. The effluent standard IEPA has proposed would simply require
the MWRDGC to reduce fecal coliform levels in its effluent to below 400 per 100 ml.
The standard does not specify a technology to meet that standard, and the MWRDGC
would be free to choose any one that would achieve that standard. (
See
March 10, 2008
Transcript, pp. 49-50). MWRDGC cannot claim with a straight face that it is not capable
of meeting this effluent standard, since a huge number of Illinois dischargers as well as
almost all of the major municipalities in North America do so.
The MWRDGC also raises the issue of other sources of pathogens in the system
(such as combined sewer overflows), implying that IEPA cannot set standards for
effluent without accounting for all potential sources. (MWRDGC Motion, pp. 5, 6, 7, 9).
In fact, the IEPA considered CSOs and MS4s (contrary to the MWRDGC’s claims that
they were ignored), and decided that the volume and frequency of discharges from these
intermittent sources is relatively small in proportion to the large and constant flow of
effluent discharged into the CAWS from wastewater treatment plants. (April 23, 2008
Transcript, pp. 77-79). As Ms. Deborah Williams testified, IEPA has the authority to set
effluent standards such as the disinfection standard proposed in this rulemaking. (March
10, 2008 Transcript, pp. 50-51). Certainly, the IEPA and the Board are not required to
solve every water quality problem before they adopt rules designed to solve some of
them.
See People v. PCB, et al.
, 103 Ill.2d 441, 451, 469 N.E.2d 1102, 1108 (Ill. 1984).
MWRDGC also implies that IEPA should have investigated “unintended
environmental consequences of disinfection and artificial supplementation of dissolved
Electronic Filing - Received, Clerk's Office, June 25, 2008

oxygen” (MWRDGC, pp. 5-6), as though energy consumption is an excuse for failing to
comply with the Clean Water Act mandate to protect human health and the environment
from contaminants, such as pathogens. We reiterate that wastewater treatment plants
across the nation are relying ultraviolet disinfection systems without energy consumption
being a barrier to such usage.
See
Dussert, Bertrand W., “
The Future Looks Bright:
Ultraviolet Irradiation Systems Are Rapidly Gaining Traction in The Water Treatment,
Wastewater Treatment And Water Reuse Markets,
” Water Environment and Technology,
V.20 No. 6 (June 2008). If MWRDGC is of the opinion that the cost of energy is so
expensive that it warrants failing to protect water quality, it can present its evidence in
this proceeding. Perhaps MWRDGC could also seek to suspend construction of the Deep
Tunnel project, or operation of its treatment plants altogether on the same basis.
MWRDGC cannot sensibly ask that the Board suspend this proceeding because IEPA has
not investigated the remote possibility that water pollution control practices that are
standard across the country should be scrapped to save energy.
Finally, MWRDGC suggests that this proceeding be suspended because of
IEPA’s failure to analyze the costs of meeting the proposed dissolved oxygen standard
and makes an unsupported remark that disinfection will cost billions of dollars.
(MWRDGC Motion pp. 9, 10). However, nothing in federal or state law requires that
IEPA present such evidence, and the law is clear that economic costs of compliance are
not determinative.
Granite City Steel
, 155 Ill. 2d at 181; 613 N.E. 2d at 734.
II.
The Board should not wait until the studies MWRDGC discusses are
completed.
MWRDGC also argues that the Board should delay this proceeding to allow it to
complete a number of studies that it states it has recently undertaken, the last of which is
Electronic Filing - Received, Clerk's Office, June 25, 2008

“planned to be completed by the end of 2010.” (MWRDGC Motion, p. 14). No
explanation is given as to why, if these studies are so important, they were not started in
or before 2003. In any event, the studies discussed by MWRDGC are far from
indispensable to this proceeding. Many of them are not even relevant.
The principal study cited by MWRDGC is the ongoing epidemiological study
being conducted by UIC, now scheduled for completion in early 2010. However, Dr.
Peter Orris, a leading professor and physician at UIC and colleague of the principle
researcher on the epidemiological study, states very clearly that the study is
not
a sound
basis to delay this proceeding. Dr. Orris, while praising the study itself, makes clear
epidemiological studies of this type are “blunt instruments.” Affidavit of Peter Orris at
20. Even a negative study outcome – that is, a finding of no additional illnesses among
CAWS recreational users – would not be a good basis for failing to protect public health
through disinfection. Dr. Orris describes the many reasons why an epidemiological study
of this nature can easily fail to detect very real risks, including most notably the
unlikelihood of finding a large enough sample of the most at-risk individuals – e.g.
children and boaters who accidentally fall in the water. As explained in Professor Orris’
affidavit:
[D]elaying disinfection at the MWRD facilities pending the outcome
of the single study being conducted by my colleagues at the UIC
School of Public Heath on behalf of MWRD would be seriously
misguided. It has long been established that waterborne pathogens
associated with sewage are hazardous to public health. Perhaps no
other area of medicine has been as well established for as long. No
single epidemiological study – no matter how well designed and
executed, and no matter what the ultimate result – is a sufficient
basis to refuse to address waterborne pathogens in the CAWS.
An epidemiological study gives us the risk of events that may occur
to a certain number of individuals within a population. In this
Electronic Filing - Received, Clerk's Office, June 25, 2008

situation, we are concerned in substantial part with unexpected
events (falling in the water) affecting especially vulnerable
individuals, such as young children, and having potentially dire
effects. This scenario is not susceptible to epidemiological
conclusions about risk in the establishment of precautionary public
policy. This precautionary rationale suggests, for instance, that a
community should not hesitate to install a traffic light on a street
corner because an epidemiological study indicated that only one
child in the neighborhood was likely to die at the corner each decade
if everyone obeyed the speed limits.
This reality is reflected in the proposed regulations of the IEPA, as
well as in current practice in Illinois and throughout the nation.
Affidavit of Peter Orris, pp. 3-5. Dr. Orris also notes that epidemiological studies are
limited by the constantly fluctuating variables (e.g. water temperature and sunlight) that
can impact the level of pathogens at any given time. Affidavit of Peter Orris, p. 23.
Dr. Orris further explains that significant, currently well-established risk to public
health is posed inherently by the presence of pathogens in the water.
See
Affidavit of
Peter Orris, pp. 13-16. These types of bacteria cause millions of cases of illness in the
United States each year, some of them serious (particularly, once again, for children); and
could infect any CAWS user who accidentally swallowed a mouthful (which can happen
to anyone who falls in the water accidentally). As Dr. Orris explains, even though the
epidemiological study may prove generally useful in enhancing our overall understanding
of recreational health risks, it makes no sense to put off addressing a very serious health
risk of this nature in order to wait for results that will not, by their nature, disprove that
risk. Affidavit of Peter Orris, pp. 3-5, 24-25.
The other studies that MWRDGC proposes to use as an excuse to delay
remedying a serious public health problem are either irrelevant to this proceeding or are
Electronic Filing - Received, Clerk's Office, June 25, 2008

important only in that they will assist in developing future water quality criteria to replace
the technology-based effluent limits for fecal coliform.
Any studies that MWRDGC may undertake regarding the various alternative
forms of disinfection and the financial and environmental costs of these alternatives
(MWRDGC Motion, p. 11) may be very useful in designing the type of disinfection that
will be used by MWRDGC. However, these studies certainly will not show that
disinfection is technically, ecologically or economically infeasible because it is very well
established that disinfection of sanitary wastewater has become commonplace throughout
most of Illinois and in virtually every other major municipality in the country.
The significance of other MWRDGC studies is less clear, since these studies are
not well described. We might give MWRDGC the benefit of the doubt that these studies
could be relevant as to how the standards at issue here should be implemented, but
MWRDGC has not made any showing of how these studies bear on this proceeding.
Moreover, it is clear that MWRD must conduct some of the studies anyway, and
implement several of the pollution control solutions that MWRDGC is resisting,
regardless of the outcome of this rulemaking. For example, the record is quite clear that
combined sewer overflows and other factors are now causing dissolved oxygen levels in
some parts of the CAWS to fall to zero. This is a clear violation of the standards currently
applicable to the CAWS under 35 Ill. Adm. Code 302.405. If the MWRDGC attempts in
this proceeding to demonstrate that costs or “environmental consequences” require that
the IEPA proposal be denied, we will expect MWRDGC to be careful to separate what is
needed to meet the proposed standards in this proceeding from what it is required to meet
by current standards that have been in place for decades.
Electronic Filing - Received, Clerk's Office, June 25, 2008

III.
Conclusion
MWRDGC’s motion to suspend this proceeding should be denied. Indeed, while
recognizing that the Board must deal with many important issues, the Environmental
Advocates ask that the Board expedite this proceeding to the extent possible to protect
public health and the environment.
Respectfully submitted,
Albert Ettinger, Senior Staff Attorney
Jessica Dexter, Staff Attorney
Council for Environmental Law and Policy C
Chicago River and Sierra Club, Illinois Ch
enter, Friends of the
apt
er
Ann Alexander
Senior Attorney
sources
Defense Council
Natural Re
Stacy Meyers-Glen
Openlands
17
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CURRICULUM VITAE
June 1, 2008
PETER ORRIS, MD, MPH, FACP, FACOEM
RESIDENCE
5206 South Kenwood, Chicago, Illinois 60615, 773-752-7680
BUSINESS
Occupational Health Services Institute, Great Lakes Center for Occupational and Environmental Safety and Health (M/C
684),University of Illinois, 835 S. Wolcott Street, (MC 684), Chicago, IL 60612
312-996-5804, Fax 312-413-8485, Email porris@uic.edu
Occupational Medicine, John H. Stroger Jr. Hospital of Cook County, 1900 W. Polk, Rm. 500, Chicago, IL. 60612, 312-
864-5550, Fax 312-864-9701, Email porris@uic.edu
BIRTH DATE
October 7, 1945
BIRTHPLACE
Los Angeles, California
EDUCATION
Undergraduate
1967
B.A.
Harvard College
Graduate
1970
M.P.H.
Yale University
1975
M.D.
Chicago Medical School
Residencies
1975-8 Internal Medicine
Cook County Hospital
1977-9 Occupational Med.
Cook County Hospital
Additional
1965
Bio-medical Electronics
Harvard University
1968
Advanced Circuit Theory
Harvard University
1979
UICC/ILO System of
American College of
Radiographic Evaluation
Chest Physicians
of Pneumoconiosis
1995,7+ Medical Review Officer
Amer College of Occupational
2001,3
training Courses
& Environmental Medicine
CERTIFICATION AND LICENSES
1976-
State of Illinois, Physician and Surgeon, #36-53014
1979-
Diplomat, American Board of Preventive Medicine
in Occupational Medicine
2001-
Certified Medical Review Officer #01-04536
POSITIONS
2000-
Chief of Service, Occupational and Environmental Medicine
University of Illinois at Chicago Hospital and Medical Center
2000-
Director, Global Chemicals Policy Center, Great Lakes Centers For
Occupational & Environmental Safety & Hlth, UIC School of Public
Health,
1999-
Director, Occupational Health Services Institute, UIC School of Public
Health,
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
1979-
Senior Attending Physician (Voluntary), Stroger Hospital of Cook County
ACADEMIC APPOINTMENTS
Professor of Internal and Preventive Medicine
Rush University College of Medicine
Adjunct Professor of Environmental & Occupational Health Sciences
University of Illinois at Chicago School of Public Health
Adjunct Professor of Preventive Medicine
Northwestern University Medical School
HOSPITAL STAFF APPOINTMENTS
2005-
Rush University Medical Center (Attending)
1999-
U. of I. Hosp & Medical Center (Attending)
1979-
Cook County Hospital (Voluntary Senior Attending)
AWARDS AND HONORS
2007
Humanitarian For Healthcare Award, Cook County Board, Illinois
2007
Letter of Congratulations from the Governor of Illinois
2006
Certificate of Appreciation, World Federation of Public Health Assoc.
2005
Selection as a “Best Doctor” in the United States, Castle Connelly Pub
2005
Outstanding Service Award, Executive Medical Staff of Stroger Hosp.
2004
Certificate of Appreciation, University of the Philippines, Manila
2003
Certificate of Appreciation, Illinois State Medical Society
2001
Certificate of Appreciation, Arab Community Center for Economic and
Social Services Community Health and Research Center, Dearborn, MI
2001
Selection as a “Top Doctor” in Chicago Metro Area, Castle-Connolly
2000
Certificate of Appreciation, World Federation of Public Health Assoc.
1999
Certificates of Appreciation, American Medical Student Association, APHA
Occupational Health & Safety Section, Mt. Sinai Family Practice, Air and
Waste Management Association
1998
Certificates of Appreciation- Greenpeace USA, Peace Corps, Chicago
Medical Society
1992-
Fellow, American College of Physicians
1988-
Fellow, American Collge of Occupational and Environmental Medicine
1986
Certificate of Recognition, Health Policy Agenda For the Amer People
1984-8
Fellow, American Academy of Occupational Medicine
1981
Certificate of Appreciation, Nat'l Safety Council
1980-9
Fellow, American College of Preventive Medicine
1973
Ciba Community Affairs Award
PROFESSIONAL JOURNAL ACTIVITIES
Canadian Medical Association Journal (reviewer)
American Journal of Industrial Medicine (Contributing Editor)
Journal of Public Health Policy (Management Committee & Editorial Board)
Revista Cubana De Salud Y Trabajo (Member, Editorial Board)
New Solutions (Member, Editorial Board)
Electronic Filing - Received, Clerk's Office, June 25, 2008

American Journal of Public Health, (Reviewer)
Environmental Research (Reviewer)
Journal of the American Medical Association (Reviewer)
Journal of Occupational and Environmental Medicine (Reviewer)
Journal of Health Services Research (Reviewer)
Environmental Toxicology and Pharmacology Journal (Reviewer)
PROFESSIONAL SOCIETY MEMBERSHIPS
American College of Occupational and Environmental Medicine
American College of Physicians
American Medical Association
American Public Health Association
Association of Occupational and Environmental Health Clinics
Central States Occupational Medical Association
Cook County & Illinois State Medical Societies
Illinois Public Health Association
International Commission on Occupational Health
Medical Directors Club of Chicago
Physicians for a National Health Program
Physicians Forum
Physicians for Social Responsibility
Society for Occupational and Environmental Health
CURRENT APPOINTED OR ELECTED POSITIONS
Hospital
:
2006-
Doctors Council, Cook County Bureau of Health Services, SEIU
2005-
2005-
Immediate Past President, Stroger Hospital Medical Staff
1982-
Institutional Review Board, Cook County Bureau of Health Services
(Co-Chair, 1991-4, Chair, 1994-2007)
Professional Societies:
2007-
Chair, Public Health and Environment Committee of the World Federation of
Public Health Associations
2002-
Director of Continuing Medical Education, Medical Directors Club of Chicago
1999-
Policy Committee, World Federation of Public Health Associations
1997-
Director, World Federation of Public Health Associations Persistent Organic
Pollutants Project – Human Health Effects of Chemicals Project.
1993-
Delegate, Illinois State Medical Society
1992-
Councilor, Chicago Medical Society
COMMUNITY OR GOVERNMENT:
2007-
Member, Scientific Advisory Committee, World Trade Center Medical
Programs, Mount Sinai School of Medicine, New York
2006-
Member, State of Illinois Board of Health
2005-
Advisor, United Nations Development Program/Global Environmental
Facility Health Care Waste Project
2004-
Advisor, Healthy Schools Campaign
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
2004-
Member, Board of Directors, Safer Pest Control Project
2002-
Member, Executive Board, Illinois Safety Council
2001-
Member, Board of Directors, Hecktoen Institute For Medical Research
2001-
Advisor, Community Organizations in Chicago, Mossville, Norco, and New
Sarpy, Louisiana, and Durban, South Africa.
2001-
Member, Working Group on Occupational Health and Safety
Intergovernmental Forum on Chemical Safety (IFCS)
2000-
Medical Advisor, AFSCME Council 31
2000-
Medical Advisor, Midwest Generation, LLC
1998-
Advisor, Health Care Without Harm
1996-
Senior Medical Advisor, Greenpeace, USA
1995-
Medical Advisory Committee, John Redmond Foundation, International
Association of Firefighters, AFL-CIO
1995-
US Co- Chair, Health Professionals Task Force, International Joint
Commission of the US and Canada
1993-
Medical Advisory Com., Intern'l Brotherhood of Teamsters, AFL-CIO
1991-
Hazmat Project Adv Bd, Service Employees Interntnl Union,AFL-CIO
GOVERNMENT CONTRACTS:
2002
Contract X97523001-0, $15,000, for consulting to EPA Central Office by
organizing and performing a Peer Review of a report.
2004
Contract 200-199-00058, $2,000 through Eastern Research Group for
consulting to ATSDR by performing a Peer Review of a report
2007
Technical Medical Review of Commercial Truck and Bus safety Synthesis
Program - Synthesis 15, for Federal Motor Carrier Safety
Administration, “Health and Wellness Programs for Commercial
Drivers” Krueger, G.P. et al Transportation Research Board, National
Academies, Washington, D.C. 2007
BIBLIOGRAPHY
Peer Reviewed Journal Papers:
Karliner, J. Harvie, J. Orris, P. Mercury Free Healthcare
World Medical Journal May, 2008, 24:2
Aguilar, J. Mas, Pedro, Romero, M. Garcia, R. Sardinas, O. and Orris, P. Niveles de plomo en sangre y factores
asociados, en ninos del municipio de Centro Habana, Rev Cubana Hig Epidemiol 2003, 41:2
Higgins, P, Orris P. Providing Employer-Arranged Occupational Medical Care: Conflicting Interests
State of the
Art Reviews in Occupational Medicine, Oct –Dec, 2002, 17:4, P. 601-6
Higgins, P., Ezike, C., Orris, P. Occupational Health Services for Municpal Employees
, State of the Art
Reviews
in Occupational Medicine, Jan. 2001, 16:1, P. 11-23
Pye, H., Orris, P. Workers Compensation in the United States and the Role of the Primary Care Physician
, Primary
Care: Clinics in Office Practice 2000 December; 27(4): 831-844
Springs-Phillips, S. Pye, H. Orris, P. A Health Hazard Evaluation
, Illinois Morbidity and Mortality Review,
1999, P. 10-16
Reissman, D., Orris, P., Lacey, R., Hartman, D. Downsizing, Role Demands, and Job Stress
, JOEM, 1999 April;
Electronic Filing - Received, Clerk's Office, June 25, 2008

41(4): 289-94
Orris, P., Hartman, D., Strauss, P., Anderson, R. Collins, J., Knopp, C., Xu, Y., Melius, J. Stress Amongst
Package Truck Drivers
, Am J Ind Med, 1997 Feb; 31(2):202-210.
Brodkin, C.A., Frumkin, H., Kirkland, K.H., Orris, P., Schenk, M. AOEC Position Paper on the
Organizational Code for Ethical Conduct
, J Occup Environ Med. 1996 Sep; 38(9): 869-81
Thornton, J., McCally, M., Orris, P., Weinberg, J. Hospitals and Plastics. Dioxin Prevention and Medical
Waste Incinerators
Public Health Rep. 1996 Jul; 111(4): 298-313
Higgins, P. , Orris, P. The Mystery of Plum Grove
, IL Morb and Mort Rev. 1994: 1(2):15-7.
Demers, M., Orris, P. Occupational Aspects of Asthma Mortality in Chicago
(Letter) JAMA. 1994 Nov;
272(20): 1575
Targonsky, P, Persky, V., Orris, P., Addington, W. Trends in Asthma Mortality Among Blacks and Whites
in Chicago, 1968-1991.
, Am J Pubic Health. 1994 Nov; 84(11): 1830-3.
Demers, R.Y., Kemble, S., Orris, M. and Orris, P. Family Practice in Cuba: Evolution into the 1990's
,
Fam Pract. 1993 Jun; 10(2):164-68.
Strauss, P, Orris, P, Buckley, L. A Health Survey of Toll Booth Workers
Am J Ind Med. 1992; 22(3): 379-84
Orris, P., Kahn, G., Melius, J. Mortality Study of Chicago Firefighters
(Abstract), Revue D'Epidemiologie Et De
Sante Publique. 1992; 40 (Supp. 1):S90-1, also in Archives Des Maladies
Professionnelles, 1992; 53: 561-2.
Marder, D., Targonsky, P., Orris, P., Persky, V., Addington, W. Effect of Race and Socioeconomic Status
on Asthma Mortality in Chicago
, 1992 Jun; Chest, 101 (6 suppl): 426S-429S.
Ugolini, C. Watkins, J. Hessl, SM. Coe, J. Grammar, L. and Orris, P. Chronic Hypersensitivity
Pneumonitis Caused by Diphenylmethane Diisocyanate Followed by Acute
Hypersensitivity Pneumonitis After Exposure To A Toluene Diisocyanate Alkyd Paint
,
(Abstract) Am Rev Respir Dis; 145(4 Part 2) 1992 A492
Rubin, R. Orris, P., Lau, S., Hryhorczuk, D. Furner, S. and Letz, R. Neurobehavioral Effects Of The On-Call
Experience In House staff Physicians, J Occup Med. 1991 Jan; 33(1): 13- 18
Himmelstein, D.U. et. al. A National Health Program for the United States: A Physician's Proposal
, NEJM, 1989
Jan; 320(2): 102-108.
Kahn, G., Orris, P., Weeks, J. Acute Overexposure To Diesel Exhaust: Report of 13 Cases
, Am J Ind
Orris, P., Interview with Antonio Granda Ibarra, M.D.
, Jour of Occupational Med, 29:3, P. 234-6,
March, 1987.
Orris, P., Kominsky, J.R., Hryhorczuk, D., Melius, J. Exposure to Polychlorinated Biphenyls From An
Overheated Transformer
, Chemosphere. 1986; 15(9-12): 1305-12
Hryhorczuk, D., Orris, P., Kominsky, J.R., Melius J., Burton, W, Hinkamp, D. PCB, PCDF, and TCDD
Exposure Following a Transformer Fire: Chicago
, Chemosphere. 1986; 15 (9-12): 1297-1303
Rosenstock, L., Orris, P. Research Colloquium On Occupational Respiratory Diseases: A Conference
in Cuba(1984)
, Arch of Environ Health. 1986 Jul; 41(4): 266-268
Orris, P., et. al. Chloracne In Firefighters
, (Letter), Lancet. 1986 Jan; 1(8474): 210-211
Hryhorczuk, D.O., Rabinowitz, M.B., Hessl, S., Hoffman, D., Hogan, M., Mallin, K., Finch, H., Orris, P., and
Berman, E. Elimination Kinetics of Blood Lead in Workers With Chronic Lead
Intoxication
, Am J Ind Med. 1985; 8(1): 33-42
Hryhorczuk, D.O., Hogan, M.M., Mallin, K., Hessl, S.M., and Orris, P. The Fall of Zinc Protoporphyrin
in Workers Treated For Chronic Lead Intoxication
, J Occup Med. 1985 Nov; 27(11): 816-820
Layon, J. Idris, A. Warzynski, M. Sherer, R. Brauner, D. Patch, O. McCulley, D. and Orris, P. Impaired
Immunologic Function In Hospitalized Intravenous Drug Abusers
, Arch Intern Med. 1984
Jul; 144 (7): 1376-1380.
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Kahn, H.S., Orris, P., The Emerging Role of Salaried Physicians: An Organizational Proposal J Public
Health Policy. 1982 Sep; 3(3): 284-292
Orris, P. Kennedy, M.J. Guerriero, J. Hessl, S.M. Hryhorczuk, D.O. and Hoffman, D. Activities Of An
Employer Independent Occupational Med Clinic
Am J Public Health. 1982 Oct; 72(10) 1165-7
Orris, P. Sociology of Health and Medical Care: Citizen Involvement in Cuba: 1959-1980
Sociology of
Medicine Series, No. 81, Red Feather Institute for Advanced Studies in Sociology,
Livermore, Colorado, December, 1980, Revised September, 1981,
John, E.R., Kimmelman, D.R, Haas, J., Orris, P.. The Cuban Health System
Social Policy. 1971 Jan; 41-46,
Other Refereed Material:
Halpin, J., Buchanan, S., Orris P., Hotel Housekeeper Injuries: Analysis In The Face Of Incomplete Data,
(Abstract)
International Commission on Occupational Health, Milan, Italy June 2006
Orris, P. Dioxins and Health by Schechter and Gasiewicz, (book review), Journal of Occupational &
Environmental Medicine, JOEM, 47:4, April 2005, P. 436
Orris, P. Fifty Years of Hope and Concern for the Future Of Occupational Medicine (letter), JOEM, 46:6, June
2004, P. 515
Meeks, P., Orris, P. Petrochemical Production And Community Health
(Abstract) Proceedings, Eighth World
Congress on Environmental Health, Durban, South Africa, February 24, 2004
Orris, P. Forst, L. Obstacles And Opportunities Presented By Globalization For Occupational And Environmental
Health (Abstract) Proceedings, Eighth World Congress on Environmental Health, Durban, South
Africa, February 23, 2004
INTERNATIONAL
Obafemi, A. Orris, P. Lead Toxicokinetics and Treatment
, Proceedings International Seminar on
Environmental and Occupational Lead Intoxication, Havana, Cuba, May, 1999, (in Press)
Frumkin, H., Orris, P., Evidence of Excess Cancer Mortality in a Cohort of Workers Exposed to
Polychlorinated Biphenyls
(Letter), JOEM, 1999 Sept; 41(9), 741-2
Brodkin, CA. Frumkin, H. Kirkland, KH. Orris, P. Schenk, M. Mohr, S. Choosing a Professional Code for
Ethical Conduct in Occupational and Environmental Medicine
(Editorial), JOEM, 1998 Oct;
40(10), 840-2
Connett, P. et. al. Deep Concern about ICEM-CCC Sustainability Agreement
(Letter), New Solutions, 1997;
7(3), 10-12
Orris, P. Asbestos
(Letter), Scientific American, Sept. 1997,
Orris, P., Book Review: Healing the Masses: Cuban Health Politics at Home and Abroad
, Jr of Pub Hlth Pol,
1996; 17(2), 244-6
Orris, P. Controversy Over Chlorine: A Proposal by Peter Orris,
New Solutions,1993; 4(1), 3-4
Orris, P., Book Review: Advances in Occupational Medicine
, Jr of Pub Hlth Pol, 1985; 6(4), 563-564,
Orris, P., Unjustified Conclusion?(Letter)
Jour of Occup Med, 1981 Jan; 23(1), 7
Orris, P., The Role of the Consumer in the Cuban National Health System
Master's Thesis,
Yale University School of Public Health, February, 1970
Books, Book Chapters, and Monographs
:
Derr, J. Orris, P. Persistent Organic Pollutants
(Chap. 45) in Textbook of Clinical Occupational and Environmental
Medicine (Rosenstock, Cullen, Brodkin, Redlich editors), Elsevier Saunders, 2005, P. 1061-73
Orris, P. (Medical Consultant) Complete Medical Encyclopedia
, Leikin, JB., Lipsky, MS., Editors,
American Medical Association, Random House, New York, 2003
Forst, L, Orris, P. (Ed) Ethics in the Workplace,
State of the Art Reviews in Occupational Medicine, Oct –Dec,
2002, 17:4
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
Mulloy, K, Orris, P., August, J. (Ed) Health and Safety of Municpal Employees, State of the Art Reviews in
Occupational Medicine, Jan, 2001, 16:1,
Orris, P., Katz-Chary, L., Perry, K, Asbury, J Pesistent Organic Pollutants and Human Health,
World Federation of
Public Health Associations, May, 2000, Washington, DC
Ross, M., Orris, P., Chlorine and Organochlorine Compounds
, in Secrets of Occupational Medicine, Hanley Belfus,
Philadelphia, 1999, P. 43-52
Orris, P. (Ed) Occupational Health in the United States
, Encyclopedia of Occupational
Safety and Health, 4
th
Edition, International Labor Organization, Geneva, 1998; 16.32-44
Orris, P. Morris, SL. Occupational Health in the United States:Introduction
, Encyclopedia of Occupational
Safety and Health, 4
th
Edition, International Labor Organization, Geneva, 1998; 16.32
Orris,P., Melius, J., Duffy, R. (Eds) Firefighters’ Safety and Health
, State of the Art Reviews in
Occupational Medicine, Hanley & Belfus, Philadelphia, 10:4, Oct- Dec, 1995
Kranz, A. Orris, P., and Hessl, S.: Occupational Medicine in Preventive Medicine and Public
Health
John Wiley and Sons, New York, 1992
Orris, P., Newkirk, W.L. Employee Screening and OSHA Compliance Services
, and Ethical Issues in
Occupational Health Services: A Guide to Program Planning and Management
, American
Hospital Publishing, Chicago, IL. 1989
Orris, P. Cuban Health Care: A Case Study in Consumer Control.
in Modern and Traditional Health Care
in Developing Societies, University Press of America, Lanham, Mass. 1988
Orris, P., Hessl, S., and Hryhorczuk, D.: Occupational Medicine
a chapter in Preventive Medicine and
Public Health
, John Wiley and Sons, New York, 1987
Governmental Reports:
Orris, P. Technical Medical Review of Commercial Truck and Bus safety Synthesis Program - Synthesis 15,
sponsored by Federal Motor Carrier Safety Administration, “Health and Wellness Programs for
Commercial Drivers” Krueger, G.P. et al., Transportation Research Board, National Academies,
Washington, D.C. 2007
Orris, P., Buchanan, S. Smiley, A., Davis, D., Dinges, D., Bergoffen, G. Literature Review on Health and Fatigue
Issues Associated with Commercial Motor Vehicle Driver Hours of Work,
Synthesis 9, Commercial
Truck And Bus Safety Synthesis Program, Transportation Research Board, National Academy of
Sciences – National Research Council, for the Federal Motor Carrier Safety Administration, May 05
Health Professionals Task Force (Orris, P. Co-Chair), Great Lakes Fish Consumption Advisories: The Public
Health Benefits and Risks
, International Joint Commission (US – Canadian treaty organization) Jan
2004
Goss, T.I., Turnbull, A., Nair, R., Smith, L., Orris, P., Da Ros, A., Cragg, S. Marchand, D. (Goss Gilroy Inc.)
Health Study of Canadian Forces Personnel
, prepared for the Gulf War Illness Advisory Committee,
Department of National Defense, Federal Government of Canada, May, 1998
Illinois Health Hazard Evaluation Reports published by the Illinois Health Hazard Evaluation Program, a joint
Project of the University of Illinois School of Public Health and the Illinois Department of Public Health
Springs-Phillips, S. Pye, H. Orris, P. Outbreak Investigation: International Interior Design Association
,
IHHE 98H-001, 1998 July; 1-11
Orris, P. Hartman, D. Strauss, P, Collins, J. Knopp, C. Xu, Y. Anderson, R. Initial Findings and
Electronic Filing - Received, Clerk's Office, June 25, 2008

Recommendations Concerning the Psychological Effects of the Working Conditions of
Package Truck Drivers at the United Parcel Service, IHHE Report 93-004, June, 1993
Hryhorczuck, D. Suero, M. Conroy, L. Orris, P. Toxicity Review of the Hobbico Lustrekote Paint Line
HHE Report 95-005, August, 1995
NIOSH Health Hazard Evaluation Reports published by the Hazard Evaluation and Technical Assistance Branch,
National Institute for Occupational Safety and Health, U.S. Department of Health and Human Services, Cincinnati,
Ohio
Daniels, W. Orris, P. Kramkowski, R. Almaguer, D. Health Hazard Report 86-121-1923, Evaluation of
Health effects of Electroplating
, September 1988.
Almaguer, D. Orris, P. Health Hazard Report 84-284-1701, Coal Tar Pitch Volatile Exposure at a Steel
Mill
, May, 1987.
Zey, J.N., Orris, P., Almaguer, D. Health Hazard Report 84-528-1764, Hazards of Trocal Roofing
Installation
, June, 1986.
Orris, P., Kominsky, J. Health Hazard Report 84-006-1639, Evaluation of A Potential Health Hazard Due
To A Fire In APolychlorinated Biphenyl Containing Transformer
, Dec, 1985.
Daniels, W., Arnold, S., Orris, P. Health Hazard Report 84-102-1653, Health Effects of Metal
Grinding
, January, 1986.
Kramkowski, R. , Orris, P. Health Hazard Report 85-152-1684, Potential Health Hazards in A Printing Plant
, April,
1986.
Almaguer, D. Orris, P. Health Hazard Report 82-309-1630, Coal Tar Pitch Volatiles at a Coke Oven Battery
, Oct.
1985,
Daniels, W., Orris, P. Health Hazard Report 84-075-1634, Evaluation of Suspected Health Effects of Synthetic
Coolants and additives Used In Metal Machining Operations, November, 1985
Daniels, W., Orris, P. , Arnold, S. Health Hazard Report 83-325-1564, Evaluation of Asbestos Exposure and
Monitoring program in A Drop Forge, February, 1985.
Daniels, W., Orris, P. Health Hazard Report 84-046-1584, Health Effects of Ethylene Oxide and
Trace anesthetic Gases In The Operating Rooms of A Public Hosp
, April, 1985.
Daniels, W. Orris, P. Kramkowski, R. Health Hazard Report 83-127-1434, Evaluation of Health Effects
of Quality Control laboratory Work in A Barley Malting Plant
, March 1984.
Orris, P., Kominsky, J. Health Hazard Report 82-310-1475, Exposure to Polychlorinated
Biphenyls At a Transformer Overheat
, June 1984.
Almaguer, D., Orris, P., Health Hazard Report 83-296-1491, Symptoms Amongst Assembly Line
Employees In An Electrical Control Plant,
July 1984.
Orris, P., Health Hazard Report 81-157-1516, Evaluation of a Suspected Leukemia Cluster at a Steel Mill
,
October, 1984.
Orris, P. Daniels, W. Health Hazard Report 80-112-1261, Effects of Iron Oxide Exposure in A Steel Tubing
Mill
, Feb.1983
Orris, P. Cone, J, Dozier, E., McQuilkin, S. Health Hazard Report 80-096-1359, Health Effects of Vanadium
Pentoxide In thermal Battery Manufacture, Aug. 1983.
Orris, P. Health Hazard Report 82-239-1355, A Suspected Cancer Excess in an Electrical Coil
Manufacturing Dept
, Aug. 1983.
Daniels, W. Orris, P., Health Hazard Report 81-465-1323, Hazards of Fertilizer Manufacture
. , 1981
Almaguer, D., Orris, P. Health Hazard Report 81-450-1378, Toxic Exposures of a Continuous Casting
Blast Furnace
, Oct. 1983
Daniels, W., Orris, P., Pryor, P. Health Hazard Report 81-064-1035, Polychlorinated Biphenyl Exposure to
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
Electrical Workers in a Steel Mill, January 1982
Orris, P. Health Hazard Report 80-235-1056, Cancer Mortality of Electrical Workers in a Steel Rolling
Mill
, March 1982,
Almaguer, D., Orris, P. Health Hazard Report 81-128-1107, Low Dose TDI Exposure in a Foam Seat
Manufacturing Process
, May 1982,
Almaguer, D. Orris, P. Health Hazard Report 82-054-1194, Low Dose Solvent Exposure In A Small
Engine Manufacturing Plant
, Sept. 1982
Daniels, W. Orris, P. Fagan, K. Health Hazard Report 81-299-1201, 992 Health Hazards of Diatomacious
Earth and Phosphoric Acid at a Manufacturing Plant in Chicago, November, 1981
Orris, P., Almaguer, D., Health Hazard 81-185-1007 Health Effects of a Spray Paint and Shot Blast Process,
November, 1981,
Orris, P., Daniels, W., Health Hazard Report 80-201-816 Effects of 1,1,1, Trichloroethane on Spray Can
Assembly Employees, Feb. 1980,
Non-Refereed Materials:
Orris, P Lecture, Privacy and Confidentiality
, at Ethics of Human Research Conference,
http://www.uic.edu/sph/glakes/global/conferences/sofia2003/irb/Orris_Privacy.pdf
, Sofia,
Bulgaria June 3, 2003
Paranzino, G., Orris, P., Kirkland, K. Evaluation of the Clinical Activities of the Del Amo/Montrose Clinic
Contract report for the Agency for Toxic Substances and Disease Registry July, 1996
Kuntz, D., The Politics of Suffering: The Impact of The US Embargo On The Health Of The Cuban
People
, (participant in a fact finding delegation) APHA, Washington, DC, Oct. 1993.
reprinted in The International Journal of Health Services, 24:1, 1994, P. 161-179
and in the Journal of Public Health Policy, 15:1, 1994, P. 86-108
Orris, P., Higgins, P. Environmental Health Evaluation of the Plum Grove Junior High School,
Northwest
Community Hospital, Arlington Heights, IL, August, 1994
Orris, P. Hinkamp, D. Program Planners Manual,
Occupational Health Section, APHA, April, 1986
Orris, P. Baron, S. Occupational Medicine: A Role for the Primary Care Physician,
Hospital Practice,
Vol.18, No. 3, 195-202, March, 1983.
Orris, P. (Ed.) The Salaried Physician, A Physician's Forum Monograph,
Academy Prof Info Servics, Inc,
New York, 1982
Orris, P. Guide to the Structure and Functioning of the American Public Health Association
Soc.Caucus, American Public Health Association, 1979.
Invited/Accepted Presentations:
Orris, P. Chemical Pollution and Health Impacts
, Medical Waste & POPs Production, Mercury, Lead & Cadmium:
Threat to Human Health
, 2007 China NGO’s Skillshare on Chemical Safety. Oct. 16-19, 2007,
Beijing, China
Orris, P. Mercury Toxicity and Health Care Use
, World Medical Association, General Assembly, Copenhagen,
Denmark, October 4, 2007
Orris, P. Occupational Medicine Residency Training in the US: UIC/CCH Experience, 3
rd
Postgraduate Conference
On Occupational Health, Cartagena, Colombia, May 27-8, 2007
Orris, P Neurotoxicity and Safer Substitution of Mercury in Health Care
, II Congreso Salud Del Trabajo,
Havana, Cuba, March, 2007
Halpin, J., Buchanan, S., Orris P., Hotel Housekeeper Injuries: Analysis of OSHA mandated Injury Log Data
II Congreso Salud Del Trabajo, Havana, Cuba, March, 2007
Electronic Filing - Received, Clerk's Office, June 25, 2008

Orris, Peter Asbestos, Health, Environment and Justice: Cancer and the Environment, and the International
Legislative Protection of Ecosystems, An International Web Conference of the International
Academy of Environmental Sciences, Venice, Italy, November 23, 2006
Orris, Peter, DDT-Malaira: When a Debate is not a Debate,
11
th
World Congress on Public Health/8
th
Brazillian
Congress on Collective Health, August 23. 2006, Rio de Janeiro, Brazil
Eric Frumin, MA, Joan Moriarty, MS, Pamela Vossenas, MPH, John Halpin, MD, MPH, Peter Orris, MD, MPH,
Niklas Krause, MD, PhD, MPH Laura Punnett, Sc.D., Workload-Related Musculoskeletal Disorders
among Hotel Housekeepers: Employer Records Reveal a Growing National Problem, Presented to
the NIOSH national NORA symposium, April, 2006
Habib, F. Orris, P. Municpal Waste Incineration: Epidemiologic Evaluation of Hazards Utilizing Existing
Health Data Bases
, 12th International Symposium of the Scientific Committee on
Epidemiology, International Commission on Occupational Health, Zimbabwe, Sept. 17, 1997
Orris, P. Occupational Health and Managed Care, Amer Pub Hlth Assoc, Oct. 30, 1995, San Diego, CA
Orris, P. Hartman, D. Strauss, P, Collins, J. Knopp, C. Xu, Y. Anderson, R. Psychological Effects of the
Working Conditions of Package Truck Drivers,
New Epidemics in Occupational Medicine
Conf, WHO, Helsinki, Finland, May, 1994
P., Orris, P. Providing Occupational Health Services to Small Industry: A Community Hospital
Model,
XXIV Internat'l Congress On Occup Health, Sept. 1993, Nice, France.
Ugolini, C. Watkins Higgins,, J. Hessl, SM. Coe, J. Grammar, L. and Orris, P. Chronic Hypersensitivity
Pneumonitis Caused by Diphenylmethane Diisocyanate Followed by Acute
Hypersensitivity Pneumonitis After Exposure To A Toluene Diisocyanate Alkyd Paint,
American Thoracic Society Meeting, May 18, 1992, Miami, Florida.
Orris, P., Kahn, G., Melius, J., Rinsky, R. Mortality Study of Chicago Fire Fighters,
Eighth Internat'l
Symposium on Epidemiology in Occupational Health, Paris, Sept. 10, 1991
Owi, E. , Orris, P. An Initial Look at a Group of Patients with Reversible Bronchospasm,
a poster at the
XXIII Internat'l Cong On Occupational Health, Sept. 1990, Montreal, Canada.
Baron, S., Hyrhorczuk, D. Orris, P., Hessl, S., Siegesmund, K., Funahashi, A., Fitzpatrick, J.
Energy-Dispersive X-ray Anal. of Transbronchial Biopsy Specimens In The Diagnosis of
Silicosis
at the XXII Interntl Cong On Occupational Health, Sept. 1987, Sydney, Australia.
Orris, P., Hryhorczuk, D., Kominsky, J.R., Melius, J. Exposure to Polychlorinated Biphenyls From An
Overheated Transformer
, 5th Int'l Symp on Chlorinated Dioxins and Related Compounds,
Sept. 17, 1985, Bayreuth, Germany.
Hryhorczuk, D., Orris, P., Burton, W., Melius, J., Kominsky, J.R., Exposure to Polychlorinated
Dibenzofurans From A PCB Transformer Fire,
at the 5th Int'l Symp on Chlorinated Dioxins
and Related Compounds, Sept. 17, 1985, Germany
Orris, P., Matticks, R. X-ray and Pulmonary Function Alterations in Patients with Simple Silicosis: A
Case Series,
presented at the 2
nd
International Research Colloquium on Occupational
Health: Pulmonary Disease, March 20, 1984
Orris, P., Kominsky, J. Firefighter Exposure to Polychlorinated Biphenyls At A Transformer Overheat,
American Public Health Association Convention, Anaheim, California, November 14, 1984
Saxena, K., Johnson, P., Hryhorczuk, D., and Orris, P. Initial Medical Management of a Mini-Disaster
with a Transformer Fire Emitting PCBs
3rd World Congress on Emergency and Disaster
Medicine, Rome, Italy, May 25, 1983
Orris, P. Hryhorczuk, D. Diagnosis of TCDD Intoxication,
APHA, Occupational Health Section Midwest
Regional Meeting, June, 2, 1983
Orris, P. Socioeconomic Determinants of Adult Disease,
National Medical Association Conv, August 1, 1983
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
Hogan, M.M., Smith, R.F., Orris, P., The Integration of Occupational Medical Services Within The Internal
Medicine Department of A Tertiary Care Public Hospital,
American Public Health
Association Convention, Dallas, Texas, November 14, 1983
Orris, P. The Cook County Hospital Occupational Medicine Clinic
NIOSH Conference on Occupational
Health and Safety of Minority Workers, July 8, 1981
Orris, P., Kahn, H.S., Sayres, B.B., Physician's Forum Task Force Report: The Salaried Physician
American Pub. Health Assoc. Convention, November 3, 1981
Orris, P., Kennedy, M.J. Guerriero, J. Hessl, S.M. Hryhorczuk, D.O. and Hoffman, D. Activities of An
Employer Independent Occupational Medicine Clinic
APHA Conv, Nov. 4, 1981
Orris, P. Occupational Medicine in a Public General Hospital
APHA Convention, October, 1979
Kientz, R., Orris, P. The Economic Feasibility of a National Health Service
American Public Health
Assoc Conv, October, 1976
Orris, P., Sheaf, L., Boyd, D., Freeland, J., & Zydlow, S. Mobile Intensive Care Units, Costs,and
Effectiveness: An Assessment of Two Pilot Projects in Illinois
APHA Conv, Oct, 1975
Orris, P., Carlson, C., & Conibear, S. Occupational Health Education of Industrial Workers: A
New Approach
American Public Health Association Annual Convention, October, 1975
TEACHING:
Medical School Courses
2007-
Co-Direct, Ethical Issues in Clinical Research, Northwestern U.
Feinberg School of Medicine,
1998-
Co-Direct, Environmental & Occupational Health ,
one quarter course
for MD & MPH Students, Northwestern U. School of Medicine
2002-3
International Comparison of Health Care Systems
, on one quarter
elective seminar, Northwestern U. School of Medicine
1996,7
Occupational Medical Practice Seminar
, Rush Medical College
1981-94
Occupational Health Practice
, one quarter elective seminar,
Northwestern University Medical School
1980-93
International Comparison of Health Care Systems
, one quarter
elective seminar, Northwestern U. Medical School
1979,80, 91
Cuban Health Care System Research Seminar
, ten day field study
course, Amer Medical Student Assoc.
1978
International Health Care Systems
, U of Illinois School of Medicine
1977
The Epidemiology of Cardiovascular Disease
, UIC Sch. of Medicine.
Industrial Hygienists, Nurses, & Physicians
2004
Environmental Health and Nursing, CEI Course 1006.0, APHA
132 Annual Meeting, Washington, DC. November 6, 2004
2003
Lecture, Ethics of Occupational Medical Practice, Institute of Occupational
Medicine, Ukranian Academy of Sciences, Kiev, Dec. 9, 2003
2003
Lecture, Privacy and Confidentiality
, at Ethics of Human Reseach
Conference, Sofia, Bulgaria June 3, 2003
2003
Lectures, Toxicity of Medical Waste
, for Kerala State Pollution Control
Board, Thiruvananthapuram, India, February 21 &22, 2003 to:
State Level Meeting for Heads of Offices & Staff of Head Office
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
Senior Doctors and Officers under DME and DHS
2003
Lecture, Medical Waste Management
, Sree Chitra Trunal Institute for
Medical Sciences and Technology, Thiruvananthapuram, India, February
21, 2003
2002
Lecture, Hospitals and the Environment: Global Trends,
Plenary, Philippine
Hospital Association, Manila, November 28, 2002
2002
Lecture, Toxicity of Medical Waste
, National Seminar, Philippine
Department of Health, Manila, Nov. 28, 2002
2002
Lecture, Toxicity of Medical Waste and Non Incineration Alternatives For
Disposal, Private Hospitals Association of the Philippines, Manila,
November 27, 2002
2002
Lectures, Toxicity of Polychorinated Biphenyls, Dioxins, and Related
Compounds, Grand Rounds, New Liskeard and Kirkland Lake Medical
and Nursing Staffs, Ontario Canada,
2002
Lecture, Seminario El Hospital Ambientalmente Saludable
, Direcccion
General De Salude Ambiental, Federal Government, Mexico City, DF
2001
Delegates Technical Briefing, Toxicity of Medical Waste, World Health
Assembly, Geneva Switzerland,
2001
Lecture, Medical Waste and Human Health, 2
nd
Biennial National
Conference on Health Issues in the Arab American Community, May,
2001, Dearborn Michigan
2000
Lecture, Medical Waste: Dioxins and Health Effects,
9
th
International
Congress, World Federation of Pubic
Health Associations, Beijing
China, Sept. 4, 2000
2000
Lecture, Medical Waste Toxicity, Dept. of Anesthesiology, Peking
University Medical College, Beijing China
2000
Lecture, Medical Waste Toxicity, Universidad De Ciencias Empresariales Y
Sociales, Buenos Aires, Argentina
2000
Co-Direct and Lectures on Medical Research Ethics, Collaborative Seminar
with the Institute for Occupational Hygiene, Russian Academy of Sciences,
Moscow
2000
Co-Direct and Lectures on Medical Waste Toxicity, Seminar on Medical
Waste, sponsored by the Institute of Occupational Health, Ministry of Public
Health, Havana, Cuba as part of the Carribean Medical Society Meeting
2000-
Lectures, Research Ethics, Cook Cnty Bureau of Health Services
1999
Lecture on Medical Waste to the Delegates of the Third Intergovernmental
Negotiations for a Treaty to Eliminate or Reduce Persistant Organic
Pollutants. Geneva, Switzerland.
1999
Lectures, Toxicity of Medical Waste, University of Nairobi, University of
Toronto
1998
Director, Occupational Disease Course, UIC School of Public Health
1997
Toxicity of Persistent Pollutants, World Federation of Public Health
Associations Triennial Conference, Arusha, Tanzania
1995-7
Annual lecture, Health Administration Program of Rush Medical
School
1993-
Annual lectures in Occupational Epidemiology Course, UIC Sch. of
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
Pub. Health
1990-99
Co Director Occupational Health Weekly Seminar, University of Illinois
1990-
Regular lectures on Occ Health, Env Toxins, Global Warming, and
Epidemiology in several courses, UIC Sch. of Pub. Health
Residents
1980-
Occasional Grand Rounds or formal departmental lectures at Cook
County Hospital, Rush Medical College, Northwestern University
Medical School, University of Chicago, Loyola University, Michael
Reese Hospital, Mt. Sinai Hospital, University of Illinois, St. Louis
University Medical School, SUNY Binghamton and Stony Brook,
Mayo Clinic Medical School, Medical College of Wisconsin, University
of Wisconsin, University of Tennessee, Illinois Masonic Hospital,
Baystate Medical Center/University of Massachusetts. Wayne State
University etc.
1979-2007
Several months a year general medicine ward attending, Cook
County Hospital
1979-
Regular weekly rotation supervising the Occupational Medicine
consultation service, Cook County Hospital
1979-
Weekly lectures on occupational and internal medicine topics, Cook
County Hospital
Continuing Medical Education
2005
Central States AOMA, Medical Waste Incineration: Point Counter Point
2004
Rush University, Department of Medicine Grand Rounds, “Malaria Control
and DDT Toxicity: A Public Health Delima” Mar. 26, 2004
2004
Midwest Clinical Conference, “Fish Consumption: Advise for the General
Internist”, Mar. 25, 2004
2004
Grand Rounds, Evanston Northwestern Hospital, “Mercury Implications for
Office Practice”, Mar 5, 2004
2004
Mercury, Low Dose Effects, Medical Directors Club of Chicago,
Mar 4, 2004
2003
Lecture, Ethics of Occupational Medical Practice: International Codes
Institute for Occupational Medicine, Ukrainian Academy of
Sciences, Kiev, December 9,
2003
Research Ethics of Special Populations at Ethical Issues in Health
Research Workshop, June 3-6, Sofia, Bulgaria
2000
Lecture, Persistent Organic Pollutants, Orlando County Medical Society
and Florida Physicians for Social Repsonsibility, Orlando, Fl
2000
The Physician’s Role Under The Americans With Disabilities Act, Midwest
Clinical Conference of the Chicago Medical Society
1999-
Monthly Departmental Lectures on Research Ethics at Cook County
Hospital and the Cook County Bureau of Health Services
1999-
Lecture Series on Occupational and Environmental Health, Roseland
Community Hospital
1998
Lecture Series on Occupational Medicine, Holy Cross Hospital
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
1998
Clinical Management of Toxic Exposures, Michigan State University
Kalamazoo Center for Medical Studies, Oct. 15. Three seminars for
healthcare providers and public health officials.
1995,6
Rendering a Medical Opinion in a Legal Case
, One day seminar at
The American College Of Occupational and Environmental Medicine
1994
Clinical Aspects of Environmental Exposures, Bloomington Hospital,
Bloomington, IN, ATSDR, US Public Health Service
1990-2
The Physician and the Law
, UIC School of Public Health
1991-2
Occupational Medicine for the Primary Care Physician
, UIC Sch of
Public Health
1992
Epidemiology for Non-Epidemiologists
, Applied Statistics Training
Institute, National Center For Health Statistics, CDC, USPHS
1992
Worksite Evaluation & Pre-Placement Screening Schwab Rehab Inst
1983-
Meet the Professor Sessions (nearly annually),
to review the Self
Assessment Examination at The American College Of Occupational
and Environmental Medicine
Testimony and Briefings For Government Or Elected Officials:
2005
Medical Waste Toxicity: Status of Knowledge of Dioxins and Mercury
United Nations Development Program/Global Environmental Facility
Health Care Waste Project, PDFB Inception Meeting, Dakar, Senegal
2003
Briefing, US Congress, Chemical Security
2000
Briefing, US Congress, Great Lakes Congressional Staff, POPS and the
Great Lakes- Issues for the POPS Negotiations
1998
Testimony, Illinois Legislature, Labor Committee, Physician Unionization
1999
Briefing, US Department of the Interior, Update on POPS and Human
Health
1999
Briefing, US State Department Staff, Scientific Issues of the POPS
Negotiations
PAST EMPLOYMENT AND POSITIONS
1995-07
Rush-Cook County Affiliation Research Committee
(Chair, 1996)
1979-2007
Senior Attending Physician, Div. of Occupational Medicine, Cook
County Hospital (Stroger Hospital)
2005-6
International Ad Hoc Reviewer, 11
th
World Congress on Public Health/8
th
Brazillian Congress on Collective Health, Rio de Janeiro, Brazil
2003
President, Wood Street Branch, Chicago Medical Society, AMA
2001-5
President, Medical Staff, Cook County Hospital
2002- 4
Member, International Planning Committee, 10th WFPHA
International Congress April 19 - 22, 2004, Brighton, England
2004
Consultant, National Academy of Science’s Board on Global Health,
Malaria Control: A Reconsideration of the Role of DDT, Washington,
DC, July 21-22, 2004
2003
Advisor, World Health Organization at the Workshop in
Preparation of a GEF-Funded Global Medical Waste Project, New
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
Delhi, India, February 17-19, 2003
1999-01
Scientific Program Committee, Global Conference on Childrens
Environmental Health, HHS/EPA/Health Canada/Env. Canada
1998-02
Cleaner Technologies Substitutes Assessment: Professional
Fabricare
Processes Technical Peer Review Panel, USEPA (EPA 744-B-98-001)
1992-00
Director, Health Hazard Evaluation Program,
University of Illinois Sch. of Public Hlth & Illinois Dept. of Public Hlth
1990-9
Director, Research & Interdisciplinary Projects,
Great Lakes Center for Occupational and Environmental Health and
Safety, University of Illinois School of Public Health,
1993-9
Medical Director, Corporate Health Services, Northwest Community
Healthcare
1990-9
Internal Medicine, U. of I. Hosp & Medical Center (attending)
1993-6
Associate Professor of Medicine, University of Illinois at Chicago
School of Medicine
1983-97
Internal Medicine, Mercy Hosp & Medical Center (consultant)
1984-93
Medical Director, Managed Care Occupational Health Program,
Chicago, Illinois
1980-86
Medical Officer, Region V, Nat'l Institute For Occupational
Safety & Health, U.S.PHS, Chicago, Illinois
1980-88
Attending Physician, Division of General Medicine, Cook Cty Hospital
1979-80
Medical Director, Southeast Health Plan, Chicago, Illinois
1979-80
Attending Physician, Div. of Emergency Medicine, Cook Cty Hospital
1972-75
Research Assist, Div. of Emergency Medical Svcs, IL Dept. of Health
1971-72
Nurse Technician, Trauma Unit, Cook County Hospital, Chicago, IL
1970
Administrative Intern, Hill Health Center, New Haven, Connecticut
1967-68
Research Assist to Dr. J. Hobson, Harvard Med School, Boston, MA
1966-67
Research Assist to Dr. David T. Denhardt, Harvard U, Cambridge, MA
PAST APPOINTED OR ELECTED POSITIONS
2001-6
Member, Technical Committee on Epidemiology and Air Quality
Monitoring (TCEAQM), Department of Health, Republic of South
Africa
2004-6
Member, State of Illinois Panel on Health of Hispanic Workers
1992-2005
Global Health Task Force Occupational Health Advisory Com.
American Medical Student Association
2002-7
Chair, Public Health Committee, Chicago Medical Society
2004-6
Board Member, Physicians for Responsible Negotiations, SEIU
1997-03
Member, Government Affairs Committee, IL State Medical Society
1993-01
Internal Medicine, Northwest Community Hospital (consultant)
2000-1
President, Wood Street Branch, Chicago Medical Society
1999-01
Secretary, Medical Staff, Cook County Hospital
1998-9
Vice President, Medical Staff, Cook County Hospital
1998-0
Scientific Committee, World Federation of Public Health Assiciations’
9
th
International Congress, Beijing, China
1997-8
Chair, Ad Hoc Committee on Physician Unionization, Chicago Medical Soc
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
1995-8
Clinical Advisory Committee, Del Amo Occupational Health Clinic,
University of California, Irvine
1996-7
President, Wood Street Branch, Chicago Medical Society
1987-97
Executive Medical Staff, Cook County Hospital
1992-6
Executive Board, Assoc. of Occupational and Environmental Clinics
(President 1994-5 )
1983-1996
Self Assessment Committee, American College of Occupational and
Environmental Medicine
1996
Consultant, United States Peace Corps
1993-5
Task Force on Environmental Health, University of Toronto &
1995
Advisor, Office of Global & Integrated Environmental Health, World
Health Organization, Geneva, Switzerland
1994
Advisor, Occupational Health Program, World Health Organization,
Moscow, Russian Republic
1994
Occupational Medical Advisor, Health and Safety Com., Local 974,
United Automobile Workers Union, AFL-CIO, Peoria, Illinois
1992-3
Consultant, US/Canada International Joint Commission on boundary
Waters and the Ecosystem of the Great Lakes
1992-3
Nominating Committee, Amer Public Health Association, (Chair-1993)
1991-2
Governing Council, American Public Health Association
1991-2
Ad Hoc Task Force on Expert Witness Testimony, Chicago Med. Soc.
1990-2
Alternate Councilor, Chicago Medical Society
1990-1
Consultant, SOYUZMEDINFORM, Ministry of Health, USSR
1989
Consultant, United Steelworkers of America, AFL-CIO, Local 1010,
1988-92
Atomic Radiation and Dioxin Poisoning Victims Advisory Council,
State of Illinois
1988-90
AIDS Proj Adv Bd, Service Employees International Union, AFL-CIO
1987-89
Nat'l Sanitation Foundation Drinking Water Additives Health
Effects Task Group
1987-9
Health Advisory Committee, National Safety Council, for the Am
Occupational Medical Assoc
1987-8
Consultant, United Association of Journeymen & Apprentices of the
Plumbing & Pipe Fitting Industry of the U S and Canada, AFL & CIO
1986-9
Executive Board, Nat'l Union of Hospital & Health Care
Employees/1199, AFL-CIO
1986-8
Governing Council, American Public Health Association
1986-7
Consultant, Local 75, United Assoc of Journeymen & Apprentices
of the Plumbing & Pipe Fitting Industry of US & Canada AFL/CIO
1985-7
Advisory Committee, Health Policy Agenda for the American People for the
APHA
1985-8
Advisory Committee, Hospital Occupational Safety and Health Program,
American Hospital Association
1984-5
Chairman, Program Committee, Occupational Health Section, APHA
1984-7
Research Committee, Dept. of Medicine, Cook County Hospital
1982-4
Action Board, American Public Health Association
1982-4
Joint Policy Committee, American Public Health Association,
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
17
1979-82
Program Committee, Medical Care Section, APHA
1978-86
Occupational Health Committee, Cook County Hospital
1978-80
Resolutions Committee, Illinois Public Health Association
1977-80
Com. on Nat'l Health Proposals, Med Care Sect, APHA
1976-9
Chairman, National Health Insurance/Service Com, The Physicians
National House staff Association
1975-9
Executive Medical Staff, Cook County Hospital
1972-5
Chicago Area Committee on Occupational Safety and Health
Electronic Filing - Received, Clerk's Office, June 25, 2008

 
ANALYTICAL MICROBIOLOGY LABORATORY
ANNUAL LOG OF SAMPLES AND ANALYSES RESULTS - 2005
Waterway
Sample Point
Lims
Number
Sample
Date
FC cfu
/100mL
EC mTEC
/100mL
North Shore Channel
Central St.
4972365 8/14/2006
50
50
North Shore Channel
Oakton St.
4835639 2/14/2006
2,300
2,900
North Shore Channel
Oakton St.
4972366 8/14/2006
90
110
North Shore Channel
Touhy Ave.
4835643 2/14/2006
7,500
5,900
North Shore Channel
Touhy Ave.
4899404 5/8/2006
5,400
2,100
North Shore Channel
Touhy Ave.
4972367 8/14/2006 22,000
14,000
North Shore Channel
Foster Ave.
4835650 2/14/2006
3,500
3,400
North Shore Channel
Foster Ave.
4899407 5/8/2006
5,500
3,700
North Shore Channel
Foster Ave.
4972377 8/14/2006 30,000
23,000
North Branch Chicago River
Wilson Ave.
4835627 2/14/2006
3,800
4,700
North Branch Chicago River
Wilson Ave.
4899398 5/8/2006
2,400
4,000
North Branch Chicago River
Wilson Ave.
4972350 8/14/2006 20,000
12,000
North Branch Chicago River
Diversey Pkwy.
4835633 2/14/2006
1,600
1,900
North Branch Chicago River
Diversey Pkwy.
4899400 5/8/2006
1,200
2,100
North Branch Chicago River
Diversey Pkwy.
4972352 8/14/2006
7,600
7,800
North Branch Chicago River
Grand Ave.
4835634 2/14/2006
1,100
1,200
North Branch Chicago River
Grand Ave.
4899401 5/8/2006
290
340
North Branch Chicago River
Grand Ave.
4972360 8/14/2006
2,600
1,400
Chicago River
Lake Shore Drive
4815569 1/17/2006
60
90
Chicago River
Lake Shore Drive
4883507 4/17/2006
20
<10
Chicago River
Lake Shore Drive
4950737 7/17/2006
40
<10
Chicago River
Lake Shore Drive
5021309 10/16/2006
<10
<10
Chicago River
Wells St.
4815570 1/17/2006
2,000
1,600
Chicago River
Wells St.
4883508 4/17/2006
1,100
1,200
Chicago River
Wells St.
5021310 10/16/2006
30
30
South Branch Chicago River
Madison St.
4815571 1/17/2006
2,900
2,000
South Branch Chicago River
Madison St.
4883510 4/17/2006 43,000
28,000
South Branch Chicago River
Madison St.
4950739 7/17/2006
240
220
South Branch Chicago River
Madison St.
5021311 10/16/2006
140
200
South Branch Chicago River
Loomis St.
4815572 1/17/2006
6,400
6,300
South Branch Chicago River
Loomis St.
4883511 4/17/2006
760
680
South Branch Chicago River
Loomis St.
4950758 7/17/2006
230
150
South Branch Chicago River
Loomis St.
5021315 10/16/2006
110
200
Bubbly Creek
Archer Ave.
4815574 1/17/2006
1,200
1,300
Bubbly Creek
Archer Ave.
4950762 7/17/2006
90
230
Bubbly Creek
Archer Ave.
5021317 10/16/2006
240
300
Copy of Env Advocates Exh A Attachment 2 (CAWS Sampling Data Summary)
Page 1
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WQ-16J
Toby Frevert, Manager
Division of Water Pollution Control
Illinois Environmental Protection Agency
PO Box 19276
Springfield, Illinois 62794-9276
Dear Mr. Frevert:
Enclosed are the United States Environmental Protection Agency’s (U.S. EPA) comments on the
draft water quality standards for the Lower Des Plaines River and the Chicago Area Waterway
System, released by the Illinois Environmental Protection Agency (IL EPA) on January 26,
2007.
U.S. EPA recognizes that IL EPA does not intend the suggested rules to be considered draft or
proposed, but rather as a starting point for discussions by the Stakeholder Advisory Committee
(SAC) on what should and should not be included in the final proposed rules. With this in mind,
U.S. EPA’s comments are intended to highlight issues that should be considered and to provide
suggestions on how to address these issues. They are not meant as specific requirements that
must be incorporated into IL EPA’s final rules. U.S. EPA will review and provide comments, if
any, when the final draft and final proposed rules are provided to U.S. EPA.
U.S. EPA looks forward to continuing to work with IL EPA and the SAC to develop
comprehensive, approvable rules that will protect and improve the quality of the environment in
the Lower Des Plaines River and the Chicago Area Waterway System.
Please feel free to contact me at 312-886-6758, or my Deputy Chief, Allen Melcer at
312-886-1498 or via email at melcer.allen@epa.gov
if you would like to discuss this matter
further.
Very truly yours,
Linda Holst, Chief
Water Quality Branch
Enclosure
bcc:
Allen Melcer
Peter Swenson
Dave Pfeifer
Ed Hammer
Electronic Filing - Received, Clerk's Office, June 25, 2008

Holly Wirick
Janet Pellegrini
C:\ACHICO_WORK\Water Quality Branch\07_Correspondence\Frevert_CAW.doc
Electronic Filing - Received, Clerk's Office, June 25, 2008

Region 5 Comments on IL EPA Draft Rules for
TITLE 35: ENVIRONMENTAL PROTECTION
SUBTITLE C: WATER POLLUTION
PARTS 301, 302, 303 and 304
Dated January 18, 2007
General Comments
1.
When States submit draft water quality standards, information is usually included on the
methodologies, data, underlying assumptions and technical justifications used in
calculating the draft standards, typically submitted as the technical support document for
the proposed revisions. This information is as important for our review as the revisions
themselves. In our review of Illinois Environmental Protection Agency’s (IL EPA) draft
rules we relied on the draft Chicago Area Waterways (CAW) Use Attainability Analysis
(UAA) report. In many instances, particularly where IL EPA’s draft rules differ from the
CAW UAA report, IL EPA has not provided sufficient technical support for the draft
rules.
2.
Some of the proposed revisions, particularly concerning use designations, are not in
accord with recommendations made by the Stakeholders Advisory Groups (SAC). For
example, the proposed aquatic life use designations of Early Life Stages Present, Early
Life Stages Absent and Upper Dresden Island Pool were not discussed during SAC
meetings, yet they are included in the draft rules. The same goes for the proposed
recreation use titled “Non-Recreational.” IL EPA has not provided the data analysis and
justifications that form the basis for the new proposed use designations. We believe that
further discussion is warranted on the differences between the SAC recommendations
and the draft rules.
3.
IL EPA did not provide an explanation of how and why new use designations were
created nor a discussion of how the proposed water quality criteria will protect these uses.
There is also a need for further documentation of why each reach of the CAW and lower
Des Plaines River were placed into particular use categories.
Specific Comments
4.
Recreational Use Designations and Bacteria Criteria
In order to support recreational use designations less protective than primary contact, a
demonstration must be made that one of the six factors listed at 40 C.F.R. 131.10(g)
applies to a segment(s) of the waterway. This issue was considered during the UAA
process and the draft UAA report states that almost all of the CAW could not be
designated for primary contact recreational use based on physical configuration of the
waterway and on safety issues. However, the draft UAA report only contains general
conclusions regarding this issue. Now that some comments have been submitted on the
draft rules recommending that the CAW should be designated for primary contact
recreational use, IL EPA should include in the UAA or elsewhere in the record
Electronic Filing - Received, Clerk's Office, June 25, 2008

documentation demonstrating specifically how at least one of the six factors applies to
each specific segment of the CAW and lower Des Plaines that is not proposed to be
designated for primary contact recreational use.
5.
The CAWs are currently designated for Secondary Contact use, which is defined under
Illinois’ current water quality standards as “any recreational or other water use in which
contact with the water is either incidental or accidental and in which the probability of
ingesting appreciable quantities of water is minimal, such as fishing, commercial and
recreational boating and any limited contact incident to shoreline activity.” Information
in the draft UAA and from other sources suggests that a higher recreational use than
Secondary Contact is occurring in a number of the CAWs. Specifically, the information
suggests that kayaking and jet skiing—two recreational activities in which the probability
of ingesting appreciable quantities of water is greater than recreational boating — occurs.
The draft rules should contain use designations consistent with this information.
Accurate use designation language is especially important in determining the
appropriateness of bacteria criteria necessary to protect the designated use. The use
designations in the draft rule do not appear to accurately reflect the attainable recreational
uses.
6.
Section 302.402 - Purpose
The phrase “the highest quality indigenous aquatic life and wildlife that is compatible
with existing physical habitat and hydrologic conditions” is ambiguous. Please provide a
more precise description of the expected condition. It is difficult to determine whether or
not the proposed criteria are protective of the use without a clearer description.
7.
Section 302.406 – Bacteria
The draft revisions propose not making the bacteria criterion effective until March 1,
2010. We believe that, if a criterion is necessary to protect the use, it should be effective
immediately upon adoption. The State may, however, include provisions in its water
quality standards or NPDES implementing regulations allowing specific NPDES
permittees to seek a compliance schedule provided that such compliance schedule is
consistent with 40 CFR 122.47.
8.
We noted the following typographical errors in paragraphs (a) and (b): “The Incidental
Contract” (replace with Contact), and; “Escherichia Coli (E. Coli) of 1030 colony
forming units (cfu).” (should read cfu/100ml)
9.
Section 303.225 – Non-Contact Recreation Waters
The definition for this use category includes “… pass through commercial or recreational
navigation …”. Is this category also meant to include boat launching? If it is meant to
include boat launching, we believe that activities involving dermal contact with the water,
such as would occur in boat launching, make it more appropriate to include boat
launching in the “Incidental Contact Recreation” use category and to designate any
waterbody segments in which launching occurs as Incidental Contact Recreation.
Electronic Filing - Received, Clerk's Office, June 25, 2008

Also, it is not clear from the name “Non-Contact Recreation” exactly which activities are
covered in this use category. If this category only includes activities where there is no
contact with the water, it should be noted that some recreational boating, especially small,
high-speed boats can create spray which leads to dermal and inhalation contacts. An
alternative name for this use category that describes at least minimal contact with the
water should be considered.
10.
In developing revised water quality standards, IL EPA should take into account that,
especially during high flow, the Calumet River can discharge into Lake Michigan,
potentially impacting public water supply intakes and bathing beaches in Illinois and
Indiana. This information should also be taken into account when evaluating the need for
water quality based effluent limitations for point source discharges that may impact these
downstream public water supply intakes and bathing beaches.
11.
Section 303.227 - Non-Recreational Waters
This section designates portions of the Chicago Sanitary and Ship Canal (CSSC) as non-
recreational use, meaning that there are no bacteria standards for this segment. However,
documentation of recreational use of this segment of the CSSC found on Pages 4-69 and
70, Draft CAW UAA, Section 4.4.1 Recreation and Navigation Uses (CSSC) states:
Observed uses on the CSSC were canoeing, kayaking, fishing and power boating.
Commercial navigation was observed in areas where the USACE maintains the
channel. The team also observes the following notable activities:
Chicago Youth Rowing Club and Kenwood Academy boat launches, City of
Chicago student activities at Western Avenue, City of Chicago’s boat launch at
Western Avenue, and Friends of the Chicago River “River Rescue” events in that
segment.
The documentation in the Draft UAA of low levels of pathogens measured in the CSSC
(page 4-29 & -30 Draft CAW UAA) and of existing recreational usage in this segment of
the waterway raises questions regarding the appropriateness of a non-recreational use
designation for this segment.
Also, the non-recreational use definition of the reach segment for CSSC and its Collateral
Channel begins at California Avenue and extends to the confluence with the lower Des
Plaines River. However, the City built a boat launch at Western Avenue, only 4 blocks
east of the start on the non-recreational use zone. Consideration should be given to the
fact that the boat launch could allow boaters to enter the non-recreational segment.
12.
The Village of Summit has been operating a boat launch on the CSSC since the summer
of 2005. The launch is downstream of the Stickney water reclamation plant in the stream
reach designated as Non-Recreational Waters in IL EPA’s January 18, 2007, proposed
rules. The activities involved in launching recreational boats, both motorized and non-
motorized, usually involve contact with the water, including wading. These activities are
inconsistent with the proposed non-recreational use designation.
Electronic Filing - Received, Clerk's Office, June 25, 2008

13.
Aquatic Life Use Designations
The Aquatic Life Use designations were discussed in detail at the CAW SAC meetings,
including options for creating new use classifications. However, the aquatic life use
designations contained in the proposed revisions (Early Life Stages Present, Early Life
Stages Absent and Upper Dresden Island Pool) was not discussed in the SAC meetings or
in the UAA reports. We have concerns regarding the appropriateness of aquatic life uses
that have as their goal the absence of early life stages.
In order to allow U.S. EPA to fully assess the proposed aquatic life use designations,
IL EPA should submit the basis for the proposed designations and associated water
quality criteria and a description of the goals for aquatic life for each of the use
designations.
14.
Section 303.237 – Upper Dresden Island Pool
It is not clear from this use designation what goals and intended uses IL EPA has in mind
for this segment. IL EPA should strongly consider the information generated by the
stakeholder workgroup and develop clear goals to be incorporated into the rule.
Temperature Criteria
IL EPA released two proposals for temperature criteria for the CAW and lower Des Plaines
River, one developed by IL EPA and the other proposed by Midwest Generation. Technical
support documentation is needed in evaluating the adequacy of the proposed criteria for
protecting the designated uses for the system in order to determine if either of the temperature
criteria proposals would be approvable under U.S. EPA guidance.
The following comments and suggestions are provided to guide IL EPA in developing protective
temperature criteria.
15.
It is not clear from the proposed revisions what ecosystem goals, designated uses, and
fish and macroinvertebrate assemblages IL EPA intends for the various aquatic life use
classifications in the system. The approach used by IL EPA for determining protective
temperature criteria, developed by the Midwest Biodiversity Institute (MBI), is
technically sound and is supported by U.S. EPA. However, the success of this approach
is dependent on decisions made by the regulatory agency on the designated uses for the
waterbodies in question and what type and quality of ecosystem is needed to attain that
use. The MBI approach allows the regulatory agency the flexibility to determine what
biological endpoints and specific fish species they will protect for a given temperature
regime.
Please provide the technical assumptions and justifications used to select the maximum
and average temperature limits in the proposed revisions. Please include what species are
being protected, what representative aquatic species (RAS) list is being used, and what
biological endpoints, both lethal and sub-lethal are being protected for each time period
in the year. Based on our initial review, it appears that summer temperatures in both
Electronic Filing - Received, Clerk's Office, June 25, 2008

temperature proposals exceed the sub-lethal endpoints for many of the species and lethal
endpoints for some of the species.
Please include justification for proposed temperature limits for non-summer months,
including what life stages and biological endpoints are being protected during the cooler
months.
16.
To meet the interim goal of the Clean Water Act, U.S. EPA would expect that
temperature criteria protect for growth, reproduction, and lethality endpoints necessary to
protect the designated use. To be consistent with designation of a CWA 101(a) use,
water quality criteria, including temperature, should provide for protection and
propagation of fish, shellfish, and wildlife. To achieve protection of a propagating
aquatic community, a sufficient proportion of the species assemblage should be protected
to maintain ecological structure and function, as well as other important attributes of a
101(a) use (such as protection of commercially or recreationally important species).
U.S. EPA considers that protective criteria for these waters would be inclusive of the
following:
a.
Biological endpoints:
I.
Acute lethality – generally indicated by the ultimate upper incipient lethal
temperature (UUILT);
II.
Long term lethality – indicated by the chronic thermal maximum (ChTM);
III.
Growth – often indicated by the Mean Weekly Average Temperature
(MWAT);
IV.
Reproduction – allowance for successful migration, spawning, egg
incubation, fry rearing, and other reproductive functions.
(In addition, Upper Avoidance Temperature and Final Preferendum
Temperature may also be important considerations for the aquatic life
community. For many assemblages/species, the avoidance temperature as
an endpoint becomes one of paramount importance. If a species survives
because it avoids an area of high temperature, though not lethal, the area
will become an ecologically deserted area. It can also preclude the use of
an area as a transit or migratory route used by species.)
b.
Species Assemblage
I.
Threatened or endangered species;
II.
Ecologically important species – those species that fill a critical niche in
the ecosystem;
III.
Commercially or recreationally important species; and
IV.
The majority of other expected species as defined by the designated use.
For waters designated as something less than general use for aquatic life, temperature
criteria may be selected that protect fewer biological endpoints or a lesser number of
species; however, technical support must be supplied to justify this lower level of
protection. We suggest you refer to EPA’s QUALITY CRITERIA for WATER 1986,
Electronic Filing - Received, Clerk's Office, June 25, 2008

EPA 440/5-86-001 (also known as the “Gold Book”) for additional guidance on
developing temperature criteria.
To complete the criteria derivation process using the MBI methodology, IL EPA needs to
review the RAS lists that were developed by MBI for the lower Des Plaines and create a
similar list for the CAW of use-protected fish species consisting of the species
assemblages that are currently present in the waterways and the species assemblage that
ought to be present in the different segments of the CAWs in the absence of thermal
impacts (this step accounts for limitations on habitat due to the nature of the system,
contaminated sediments and hydrological modifications).
From the use-protected list, IL EPA should then identify which species, if any, are
designated as threatened or endangered. These species should be fully protected for both
lethal and sub-lethal endpoints. From the remaining species on the use-protected list,
IL EPA would then identify those species that it wants to maintain in the various stream
segments as commercially or recreationally important and those that are critical for
maintaining the ecosystem. Next, to the extent data are available, identify the different
thermal endpoints for the expected species and describe, to the maximum extent possible
given the data, the thermal regime that would be necessary to prevent any impact to
expected aquatic community.
The next step is to identify the proposed aquatic life designated uses and current existing
uses from the draft UAA report and then assign species from the use-protected list to
each use. Finally, evaluate whether or not the criteria needed to support a community
without thermal impacts are attainable for reasons of human caused conditions that
influence the thermal regime that cannot be remedied (high winter temperatures of
POTW effluent, thermal component of stormwater, etc.).
17.
The proposed temperature criteria during the summer months from June 16 through
September 15 are divided into two week intervals in the MBI report but are the same
values for both the average and maximum temperatures throughout this time period. It is
unclear from the temperature criteria proposal whether IL EPA intends to use a two-week
averaging period or a 90 day averaging period when creating summer thermal limits for
the period average in discharge permits. We suggest using a two week averaging period
in order to give the aquatic life sufficient recovery time from thermal maximums and to
prevent impairments that may cause failure to achieve the designated aquatic life use.
18.
Other Criteria
For each of the criteria applicable to the waterways that are NOT the same as U.S. EPA’s
304(a) recommended criteria, IL EPA should provide supporting information similar to
that included in U.S. EPA’s criteria documents. For example, when U.S. EPA develops
304(a) criteria, documentation includes a listing of acute toxicity data for freshwater
animals (Table 1a from a U.S. EPA criteria document), the results of covariance analysis
of freshwater acute toxicity versus hardness if the criterion is based on a relationship to
hardness or some other water quality parameter (Table 1c from a U.S. EPA criteria
document), a list of studies used to estimate the acute hardness slope if the toxicity is
Electronic Filing - Received, Clerk's Office, June 25, 2008

related to hardness (Table 1d from a U.S. EPA criteria document), chronic toxicity data
for freshwater animals (Table 2at from a U.S. EPA criteria document), results of
covariance analyses if toxicity is related to hardness or some other water quality
parameter (Table 2c from a U.S. EPA criteria document), the list of studies used to
estimate the chronic hardness slope (Table 2d from a U.S. EPA criteria document), acute
to chronic ratios (Table 2e from a U.S. EPA criteria document), ranked freshwater genus
mean acute values with species mean acute-chronic ratios (Table 3a from a U.S. EPA
criteria document), ranked genus mean chronic values (Table 3c from a U.S. EPA criteria
document), criteria values (Table 3d from a U.S. EPA criteria document), any available
data on toxicity to plants (Table 4a from a U.S. EPA criterion document), available data
on bioaccumulation (Table 5a from a U.S. EPA criterion document), and any other data
on the effects of the chemical on aquatic organisms that was considered but may not have
been used to derived the criterion (Table 6a from a U.S. EPA criterion document).
For criteria that are based on U.S. EPA's recommended criteria but use a species
recalculation process to reflect site specific conditions or for criteria for which U.S. EPA
does not have recommended criteria, States need to provide or reference their established
methodology for determining which species are included in the criteria derivation. The
methodology could include the established list of species that the State has determined
are inappropriate for criteria adopted within the State, along with the rationale for not
including such species.
Although Illinois identified (separately, by fax) the species from U.S EPA's criteria
document data set that it was not including as part of its derivation for cadmium, Illinois
did not include the rationale for removing those species. U.S. EPA's assumption is that
these species were not included because they are not resident of Illinois. Knowing
Illinois' rationale is important as there appear to be other species in the U.S. EPA criteria
document data set that Illinois should also not include based on the same reasoning,
which could significantly affect the resulting criteria. Please provide or reference the
established methodology used by IL EPA when determining which species to include in
the derivation of each criterion.
19.
Section 302.405 - Dissolved Oxygen
Please provide the basis for the assumption that a dissolved oxygen limit of 3.5 mg/l is
protective of the Indigenous Aquatic Life – Early Life Stages Absent designated use.
20.
Section 302.407 – Chemical Constituents
BETX - Region 5 is not able to provide comment at this point on the BETX chemical
criteria. Region 5 is working internally with its Office of Research and Development to
review the criteria. Once Region 5 has completed its internal review, it will provide
comment on the BETX criteria to Illinois.
As a note, in order to streamline U.S. EPA’s review and action of new or revised water
quality standards, Region 5 is developing a description and list of the supporting
documentation needed to ensure that a water quality standards submission is complete,
according to the minimum requirements established in 40 CFR 131.6. States or Tribes
Electronic Filing - Received, Clerk's Office, June 25, 2008

- 10 -
can rely on the list when developing their water quality standards submission package to
ensure that the final submission package is consistent with the Federal regulations.
Although Region 5 developed the list to be used when the State or Tribe submits its final
water quality standards package to U.S. EPA for review and action, Region 5
recommends that the list also be used in submitting preliminary draft water quality
standards. Region 5 will forward you the description and list as soon as it is finalized.
Electronic Filing - Received, Clerk's Office, June 25, 2008

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